Kunduz hospital airstrike
|Kunduz hospital airstrike|
|Part of Battle of Kunduz and the War in Afghanistan (2015–present)|
Location of Kunduz MSF Trauma Center within Kunduz
|Target||Kunduz Trauma Centre, Médecins Sans Frontières hospital|
|Date||3 October 2015 (2015-10-03)|
|Executed by||AC-130U, call sign "Hammer", assigned to 4th Special Operations Squadron, United States Air Force|
33 missing, over 30 injured
On 3 October 2015, a United States Air Force AC-130U gunship attacked the Kunduz Trauma Centre operated by Médecins Sans Frontières (MSF), or Doctors Without Borders in the city of Kunduz, in the province of the same name in northern Afghanistan. It has been reported that at least 42 people were killed and over 30 were injured.
Médecins Sans Frontières condemned the incident, saying all warring parties had been notified of the hospital's location ahead of time, and that the airstrike was deliberate, a breach of international humanitarian law and MSF is working on the presumption of a war crime.
The United States military initially said the airstrike was carried out to defend U.S. forces on the ground. Later, the United States commander in Afghanistan, General John F. Campbell, said the airstrike was requested by Afghan forces who had come under Taliban fire. Campbell said the attack was "a mistake", and "We would never intentionally target a protected medical facility." Campbell said the airstrike was a US decision, made in the US chain of command. In the 15-6 report generated by US Central Command military investigators cited General Campbell's own lack of direction and failure in providing guidance as contributing factors leading to the command and control breakdown prior to the strike. Anonymous sources alleged that cockpit recordings showed the AC-130 crew questioned the strike's legality.
On 7 October 2015, President Barack Obama issued an apology and announced the United States would be making condolence payments to the families of those killed in the airstrike. Three investigations of the incident were conducted by NATO, a joint United States-Afghan group, and the United States Department of Defense. The Department of Defense released its findings on 29 April 2016. MSF has called for an international and independent probe, saying the armed forces who carried out the airstrike cannot conduct an impartial investigation of their own actions.
On 28 September 2015, Taliban militants seized the city of Kunduz, driving government forces out of the city. After the reinforcements arrived, the Afghan army, backed by U.S. airstrikes, began an offensive operation to regain control of the city; after several days of fighting, Afghan forces claimed to have retaken the city. However, fighting continued, and on 3 October, a US-led airstrike struck and badly damaged Kunduz Trauma Centre operated by Médecins Sans Frontières (MSF), killing doctors, staff members and patients.
MSF had informed all warring parties of the location of its hospital complex. MSF personnel had contacted U.S. military officials as recently as 29 September to reconfirm the precise location of the hospital. Two days prior to the attack Carter Malkasian, adviser to the Joint Chiefs of Staff, emailed MSF asking if the facility had Taliban militants "holed up" inside.
Médecins Sans Frontières reported that between 02:08 and 03:15 local time (UTC+04:30) on the night of 3 October, the organization's Kunduz hospital was struck by "a series of aerial bombing raids". The humanitarian organization said the hospital was "hit several times" in the course of the attack, and that the building was "partially destroyed". It further said the hospital had been "repeatedly & precisely hit" and that the attack had continued for 30 minutes after MSF staff contacted U.S. and Afghan officials during the strike. An Associated Press reports that US Special Forces were a half mile away from the hospital at the time of the attack, defending the governor of Kunduz province. Likewise, Afghan forces were a half mile away.
Confirmation and response
The U.S. military initially said there had been an airstrike in the area to defend U.S. forces on the ground, and that "there may have been collateral damage to a nearby medical facility". On 15 October NBC Nightly News reported that according to Defense Department sources, cockpit recordings from the attacking AC-130 gunship "reveal that the crew actually questioned whether the airstrike was legal". U.S. and NATO Commander John F. Campbell later confirmed that a U.S. AC-130 gunship made the attack on the hospital and that it was a US decision, contrary to earlier reports that the strike had been requested by local Afghan forces under Taliban fire. He specified that the decision to use aerial fire was "made within the US chain of command". Campbell said the attack was "a mistake", and "We would never intentionally target a protected medical facility." White House spokesman Josh Earnest defended U.S. forces, saying the U.S. Department of Defense "goes to greater lengths and places a higher premium on avoiding civilian casualties" than any other military in the world, and hinted the U.S. may compensate victims and their families. U.S. President Barack Obama apologized to MSF president Joanne Liu for the incident, saying it was a mistake and was intended to target Taliban fighters. The U.S. will offer "condolence payments" to the families of the victims, and contribute to the rebuilding of the hospital.
The Afghan Interior Ministry spokesman Sediq Sediqi confirmed an airstrike on 3 October, saying that "10–15 terrorists were hiding in the hospital" and confirming that hospital workers had been killed. The Afghan Ministry of Defense and a representative of the police chief in Kunduz also said that Taliban fighters were hiding in the hospital compound at the time of the attack, the latter claiming that they were using it as a human shield.
Médecins Sans Frontières said no Taliban fighters were in the compound. Christopher Stokes, general director of Médecins Sans Frontières, said in a statement late 4 October 2015: "MSF is disgusted by the recent statements coming from some Afghanistan government authorities justifying the attack on its hospital in Kunduz. These statements imply that Afghan and U.S. forces working together decided to raze to the ground a fully functioning hospital – with more than 180 staff and patients inside – because they claim that members of the Taliban were present. This amounts to an admission of a war crime." Stokes said, "If there was a major military operation going on there, our staff would have noticed. And that wasn't the case when the strikes occurred." On 5 October, the organization released a statement saying, "Their [U.S.] description of the attack keeps changing -- from collateral damage, to a tragic incident, to now attempting to pass responsibility to the Afghanistan government...There can be no justification for this horrible attack."
Attacks on medical facilities are forbidden under international humanitarian law unless the facilities "are being used, outside their humanitarian function, to commit acts harmful to the enemy". Even if enemy combatants are inappropriately using the facility for shelter, the rule of proportionality usually forbids such attacks because of the high potential for civilian casualties. Human Rights Watch said the laws of war require the attacking force to issue a warning, and wait a reasonable time for a response, before attacking a medical unit being misused by combatants.
At the time of the airstrikes, MSF was treating women and children and wounded combatants from both sides of the conflict. MSF estimates that of the 105 patients at the time of the attack, between 3 and 4 of the patients were wounded government combatants, while approximately 20 patients were wounded Taliban. MSF general director Christopher Stokes said, "Some public reports are circulating that the attack on our hospital could be justified because we were treating Taliban. Wounded combatants are patients under international law, and must be free from attack and treated without discrimination. Medical staff should never be punished or attacked for providing treatment to wounded combatants."
Hospitals in war zones are protected under the Fourth Geneva Convention. Former International Criminal Tribunal prosecutor M. Cherif Bassiouni suggested that the attack could be prosecuted as a war crime under the Conventions if the attack was intentional or if it represented gross negligence noting, "even if it were proven that the Kunduz hospital had lost that right of protection due to infiltration by Taliban, the U.S. military personnel responsible for the attack would have to prove it was a military necessity to strike that hospital", even if Taliban forces were indeed using it as a human shield, or else claim that the military was unaware of the hospital's location, risking prosecution for negligence. Nonetheless, he said it is unlikely that the case will ever be tried in an international court, because "the U.S. is unlikely to turn any of their service members over to an outside body for prosecution even after facing its own military legal system." Erna Paris speculated that concern over violation of international law may be the cause of the United States' delay in publishing its own report on the attack. She commented, "To leave MSF dangling would seriously undermine the established laws of war."
Writing about the attack, human rights lawyer Jonathan Horowitz noted of that "Under certain specific and narrowly tailored conditions, individuals can be attacked even when their actions fall short of carrying weapons or opening fire on the enemy. But this alone does not necessarily justify the attack on the hospital." He emphasized the need for an independent investigation, noting that secrecy from the US and Afghanistan would be damaging to any investigation.
Previous to 12 December when new figures were released, casualty reports listed 30 dead including 13 MSF staff (three of them doctors), 10 patients, and seven burned beyond recognition and as yet unidentified. MSF reported that six intensive care patients were burned to death in their beds, and another patient died after staff had to leave the individual on the operating table. They reported that the 12 staff killed were all Afghan nationals, and that all three of their international staff members who were present survived. A review of the incident released on 7 November by MSF reported that some medical staff were decapitated and lost limbs to shrapnel and others were shot from the air as they tried to flee the burning building.
On 12 December, MSF released a new report following an "exhaustive investigation [that] included combing through the rubble of the hospital to find further human remains, interviewing family members of missing victims and crosschecking with other hospitals." The new figure for the number of deaths is "at least 42 people", including 14 staff members, 24 patients and four relatives of patients.
Facility evacuation and shutdown
The attack made the hospital unusable. All critical patients were referred to other providers, and all MSF staff were evacuated from Kunduz. Before the bombing, the MSF's hospital was the only active medical facility in the area. It has been the only trauma center in northeastern Afghanistan. In 2014, more than 22,000 patients were treated at this emergency trauma center and more than 5,900 surgeries were performed.
MSF's internal review
MSF does not ask the allegiance of its patients. However, judging from their patients' clothing and other indications, MSF estimated that of the 105 patients at the time of the attack, between 3 and 4 of the patients were wounded government combatants, while approximately 20 patients were wounded Taliban.
MSF's investigation confirmed that "the MSF's rules in the hospital were implemented and respected, including the 'no weapons' policy; MSF was in full control of the hospital before and at the time of the airstrikes; there were no armed combatants within the hospital compound and there was no fighting from or in the direct vicinity of the trauma centre before the airstrikes." They asserted that "wounded combatants are patients and must be free from attack and treated without discrimination; medical staff should never be punished or attacked for providing treatment to wounded combatants."
Calls for independent investigations
Médecins Sans Frontières called for an independent inquiry of the air attack on the hospital, accusing the United States of committing a "war crime" and calling an internal U.S. investigation insufficient. The call for an independent investigation was supported by The Lancet (a medical journal), and the UN High Commissioner for Human Rights, Zeid Ra'ad Al Hussein. MSF suggested that the International Humanitarian Fact-Finding Commission, which is based in Bern, should undertake this work.
NATO said it was continuing its inquiry into the bombing and had appointed three US military officers from outside the chain of command to handle the investigation to ensure impartiality.
U.S. investigation, apology, and reparations
Eleven days after the attack, MSF said an American tank entered the hospital: "Their unannounced and forced entry damaged property, destroyed potential evidence and caused stress and fear." The tank smashed the gate of the hospital complex. The MSF executives who happened to be in the hospital at the time were told that the tank was carrying a US-Nato-Afghan team investigating the attack. The soldiers were unaware of any remaining MSF staff at the site and were in the process of doing damage assessment.
On 25 November 2015, General John F. Campbell, the American commander in Afghanistan, spoke about the results of the investigation and described the incident as "the direct result of avoidable human error, compounded by process and equipment failures." Campbell said that the investigation had showed that the AC-130 gunship crew misidentified the clinic as a nearby Taliban-controlled government building. The American gunship had identified the building based on a visual description from Afghan troops, and did not consult their no-strike list, which included the co-ordinates of the hospital as provided by MSF. Electronic equipment malfunctions on the gunship prevented it from accessing email and images, while a navigation error meant its targeting equipment also misidentified the target buildings. The aircraft fired 211 shells at the building in 29 minutes, before American commanders realized the mistake and ordered the attack to stop. The report found that the MSF facility "did not have an internationally-recognized symbol to identify it as a medical facility,". This finding was contested by Joe Goldstein stating that the facility had a MSF symbol on it. According to the report, 12 minutes into the operation, the US military was contacted by MSF, but the faulty electronics on the plane prevented the message from getting through until the attack was over.
A final report, released 29 April 2016, reaffirmed the incident as an accident, and said it thus did not amount to a war crime. Sixteen members of the U.S. military were disciplined as a result of the investigation, though none were criminally charged. Twelve personnel involved in the strike were punished with "suspension and removal from command, letters of reprimand, formal counseling and extensive retraining". The U.S. government said that more than 170 condolence payments had been made, $3,000 for wounded people and $6,000 for dead, and $5.7 million was set aside for the hospital's reconstruction.
Accusations of biased press coverage
Glenn Greenwald of The Intercept accused CNN and The New York Times of "deliberately obscuring who perpetrated the Afghan hospital attack" during the first thirty-six hours after the airstrike, alleging that their reporting was "designed to obfuscate who carried out this atrocity."
- Airstrikes on hospitals in Yemen
- Dolo hospital airstrike
- United States led air strike on Bir Mahali village between 30 April and 1 May 2015, killing at least 64 civilians
- "By evening, a hospital. By morning, a war zone". The Washington Post. 10 October 2015. Retrieved 18 October 2015.
- "MSF Kunduz hospital bombing death toll rises". The Sydney Morning Herald. Retrieved 30 April 2016.
- "Aghanistan: Death toll from the MSF hospital attack in Kunduz still rising". Médecins Sans Frontières (MSF) International. Retrieved 30 April 2016.
- Wang, Amy X. (4 October 2015). "The Aftermath of the Airstrike on Doctors Without Borders". The Atlantic. Retrieved 4 October 2015.
- Popalzai, Masoud; Brumfield, Ben; Almasy, Steve; Jason Hanna (3 October 2015). "Air attacks kill at least 19 at Afghanistan hospital; U.S. investigating". CNN. Retrieved 4 October 2015.
- Rubin, Alissa J.; Southall, Ashley (4 October 2015). "Doctors Without Borders Says It Is Leaving Kunduz After Strike on Hospital". The New York Times. Retrieved 5 October 2015.
- "Doctors Without Borders airstrike: MSF says 33 people still missing". The Guardian. 8 October 2015. Retrieved 9 October 2015.
- "Afghanistan: MSF Demands Explanations After Deadly Airstrikes Hit Hospital in Kunduz". Doctors Without Borders. 3 October 2015. Retrieved 4 October 2015.
- Doctors Without Borders Enraged Over 'Deliberate' Kunduz Hospital Bombing. The Huffington Post, 6 October 2015.
- "U.S. military struggles to explain how it wound up bombing Doctors Without Borders hospital". Washington Post. 5 October 2015. Retrieved 6 October 2015.
- Rosenberg, Matthew (5 October 2015). "U.S. General Says Afghans Requested Airstrike That Hit Kunduz Hospital". The New York Times. Retrieved 6 October 2015.
- "Commander Discusses Hospital Airstrike". The New York Times. 6 October 2015. Retrieved 30 April 2016.
- Joshua Keating, "The Doctors Without Borders Bombing Is Looking More and More Like a War Crime", Slate (16 October 2015)
- Reuters Editorial (10 October 2015). "Pentagon says U.S. to make payments to families of Kunduz air strike victims". Reuters UK. Retrieved 30 April 2016.
- Shear, Michael D.; Sengupta, Somini (8 October 2015). "Obama Issues Rare Apology Over Bombing of Doctors Without Borders Hospital in Afghanistan". The New York Times. Retrieved 8 October 2015.
- "Afghanistan: US-Angriff auf Klinik in Kundus ein Kriegsverbrechen?". Deutsche Welle. 2015-10-03. Retrieved 2015-10-04.
- Westcott, Lucy. "Doctors Without Borders Releases Damning Review of Kunduz Airstrikes That Killed 30 Staff and Patients". Doctors Without Borders Releases Damning Review of Kunduz Airstrikes That Killed 30 Staff and Patients. Newsweek. Retrieved 2015-11-16.
- Los Angeles Times (5 November 2015). "Doctors Without Borders: U.S. asked if Taliban was at hospital before attack". latimes.com. Retrieved 30 April 2016.
- Mullen, Jethro; Fantz, Ashley (5 October 2015). "Afghan hospital bombing: Civilians 'accidentally struck'". CNN. Retrieved 6 October 2015.
- Rubin, Alissa J. (3 October 2015). "Airstrike Hits Doctors Without Borders Hospital in Afghanistan". The New York Times. Retrieved 5 October 2015.
- Rahim, Fazul; Cumming, Jason; Sederholm, Jillian; Fieldstadt, Elisha (3 October 2015). "19 Dead After Charity Hospital Hit by Apparent U.S. Airstrike". NBC News. Retrieved 6 October 2015.
- "Afghan conflict: MSF 'disgust' at government hospital claims". BBC News. 5 October 2015. Retrieved 6 October 2015.
- Ken Dilanian, Associated Press (12 November 2015). "U.S. troops could not see Afghan hospital during attack". PBS NewsHour. Retrieved 30 April 2016.
- Ken Dilanian, Associated Press (26 October 2015). "Troops who sought strike thought Taliban had hospital". PBS NewsHour. Retrieved 30 April 2016.
- "Afghan conflict: What we know about Kunduz hospital bombing". BBC News. 7 October 2015. Retrieved 8 October 2015.
- "Kunduz: Afghan MSF hospital strike a mistake, says US". BBC News. 7 October 2015. Retrieved 8 October 2015.
- "Obama apologises to MSF president for Kunduz bombing". BBC News. 7 October 2015. Retrieved 8 October 2015.
- Peralta, Eyder (2015-10-11). "U.S. Will Make 'Condolence Payments' To Victims Of Kunduz Hospital Airstrike". NPR.org. Retrieved 2015-10-14.
- O'Donnell, Lynne (10 October 2015). "Afghan president orders investigation into fall of Kunduz". New York. Associated Press. Retrieved 14 October 2015.
- "Afghan government confirms airstrike on Kunduz hospital – video". The Guardian. 5 October 2015. Retrieved 5 October 2015.
- Popalzai, Masoud; Brumfield, Ben; Almasy, Steve; Jason Hanna (4 October 2015). "Medical charity urges independent inquiry after Afghan hospital blown apart". CNN. Retrieved 4 October 2015.
- Los Angeles Times (4 October 2015). "Doctors Without Borders closes Afghan hospital, says U.S. may have committed war crime". latimes.com. Retrieved 30 April 2016.
- "Afghanistan: US Airstrike Hits Kunduz Hospital". Human Rights Watch. 3 October 2015. Retrieved 21 November 2015.
- "Internal Review, Attack on Kunduz Trauma Centre" (PDF). Médecins Sans Frontières. Retrieved 21 November 2015.
- Fishel, Justin (2015-10-09). "War Crimes Charge Against US Unlikely After Kunduz Bombing". ABC News. Retrieved 2015-11-18.
- Paris, Erna (16 November 2015). "Finding the facts of the MSF bombing". The Globe and Mail. Retrieved 21 November 2015.
- Horowitz, Jonathan (26 October 2015). "Kunduz Update". justsecurity.org. Retrieved 21 November 2015.
- "In Memoriam: MSF Colleagues Killed in the Kunduz Trauma Hospital Attack". 23 November 2015.
- O'Donnell, Lynne (4 October 2015). "Doctors Without Borders leaves Afghan city after airstrike". AP. Retrieved 4 October 2015.
- Rahim, Fazul; Cumming, Jason; Sederholm, Jillian; Fieldstadt, Elisha (3 October 2015). "Doctors Without Borders Hospital in Kunduz Hit by Apparent U.S. Strike". NBC. Retrieved 4 October 2015.
- Cumming-Bruce, Nick (7 October 2015). "Doctors Without Borders Calls for Inquiry Into Kunduz Hospital Attack". The New York Times. Retrieved 7 October 2015.
- Nordland, Rod (12 December 2015). "Doctors Without Borders Raises Death Toll in Kunduz Strike to 42". The New York Times. Retrieved 13 December 2015.
- "Afghanistan: MSF demands explanations after deadly airstrikes hit hospital in Kunduz". Médecins Sans Frontières (MSF) International. Retrieved 30 April 2016.
- Harooni, Mirwais; Andrew MacAskill (4 October 2015). "Medical charity MSF demands independent inquiry into air strike on Afghan hospital". Reuters. Retrieved 4 October 2015.
- What are the Geneva Conventions for?, editorial, The Lancet, vol. 386, no. 10003, p. 1510, 17 October 2015
- "Afghanistan: UN strongly condemns 'tragic, inexcusable' Kunduz hospital airstrike". UN. Retrieved 4 October 2015.
- "Independent fact-finding mission urged over deadly Kunduz strike - Independent.ie". 7 October 2015. Retrieved 8 October 2015.
- Tom McCarthy (16 October 2015). "US tank enters ruined Afghan hospital putting 'war crime' evidence at risk". The Guardian. Retrieved 20 October 2015.
- KRISTA MAHR (16 October 2015). "MSF says U.S. tank entered compound of bombed Afghan hospital without permission". Reuters. Retrieved 20 October 2015.
- "Kunduz: des soldats américains forcent l'entrée de l'hôpital de MSF bombardé". L'Express (in French). 16 October 2015. Retrieved 21 October 2015.
- "Des militaires américains forcent l'entrée de l'hôpital de MSF à Kunduz". Le Monde (in French). 16 October 2015. Retrieved 21 October 2015.
- Sune Engel Rasmussen. "Kunduz hospital attack: how a US military 'mistake' left 22 dead". the Guardian. Retrieved 30 April 2016.
- "Kunduz bombing: US attacked MSF clinic 'in error'". BBC News. 25 November 2015. Retrieved 26 November 2015.
- Buncombe, Andrew (25 November 2015). "US strike on MSF hospital in Afghanistan was result of 'human error', says Pentagon". The Independent. Retrieved 26 November 2015.
- "SUBJECT: Summary of the Airstrike on the MSF Trauma Center in Kunduz, Afghanistan on October 3, 2015; Investigation and Follow-on Actions" (PDF). US CENTCOM FOIA Library. United States Central Command. 28 April 2016. Retrieved 4 June 2016.
The investigation also concluded that the MSF Trauma Center did not have an internationally recognized symbol to identify it as a medical facility, such as a Red Cross Red Crescent that was readily visible to the aircrew at night.
Brendan O'Connor (29 April 2016). "U.S. Military Attributes Doctors Without Borders Hospital Bombing to "Fog of War"". Gawker. Gawker Media Group. Archived from the original on 29 June 2016. Retrieved 4 June 2016.
According to the report, the hospital "did not have an internationally- recognized symbol to identify it as a medical facility, such as a Red Cross or Red Crescent that was readily visible to the aircrew at night."
- Ben Mathis-Lilley (29 April 2016). "Times Reporter Says U.S. Is Wrong About Critical Detail in Doctors Without Borders Report". Slate. The Slate Group. Retrieved 4 June 2016.
Blaming the victims?Military says MSF hospital didn't have a visible "internationally-recognized symbol" such as red cross or crescent. 1/2 It was brightly lit. Spread on the hospital roof was a large white & red flag reading "Médecins Sans Frontières,"the group's French name. 2/2
- "U.S. strike on Afghan hospital in 2015 not a war crime: Pentagon". Retrieved 30 April 2016.
- Greenwald, Glenn (5 October 2015). "CNN and the NYT Are Deliberately Obscuring Who Perpetrated the Afghan Hospital Attack". The Intercept. The Intercept. Retrieved 6 October 2015.
- ‘Look for Hospitals as Targets’: The historical record suggests that the US bombing of an Afghan hospital was no accident. Greg Grandin for The Nation. 5 October 2015.
- Médecins Sans Frontières (Doctors Without Borders) "Internal Review, Attack on Kunduz Trauma Centre" (5 November 2015).
- US "Central Command" press release and report (28 April – 3 May 2016)