War Doctor

I’m still converting my ‘Trauma Geographies‘ lecture into an essay – which has involved writing a prequel of sorts, ‘Woundscapes of the Western Front‘ – so, with my head buzzing with first-person accounts of trauma surgery on the front-lines, I was thrilled to see that David Nott has just published an account of his marvellous work in Syria (and many other conflict zones), War Doctor: Surgery on the Front Line (Pan Macmillan):

For more than twenty-five years, David Nott has taken unpaid leave from his job as a general and vascular surgeon with the NHS to volunteer in some of the world’s most dangerous war zones. From Sarajevo under siege in 1993, to clandestine hospitals in rebel-held eastern Aleppo, he has carried out life-saving operations and field surgery in the most challenging conditions, and with none of the resources of a major London teaching hospital.

The conflicts he has worked in form a chronology of twenty-first-century combat: Afghanistan, Sierra Leone, Liberia, Darfur, Congo, Iraq, Yemen, Libya, Gaza and Syria. But he has also volunteered in areas blighted by natural disasters, such as the earthquakes in Haiti and Nepal.

Driven both by compassion and passion, the desire to help others and the thrill of extreme personal danger, he is now widely acknowledged to be the most experienced trauma surgeon in the world. But as time went on, David Nott began to realize that flying into a catastrophe – whether war or natural disaster – was not enough. Doctors on the ground needed to learn how to treat the appalling injuries that war inflicts upon its victims. Since 2015, the foundation he set up with his wife, Elly, has disseminated the knowledge he has gained, training other doctors in the art of saving lives threatened by bombs and bullets.

War Doctor is his extraordinary story.

There’s a good review in The Guardian here,

If you’re unfamiliar with David’s extraordinary efforts in Syria, I touch on them – all too briefly – in ‘Death of the Clinic’ here.  And the David Nott Foundation Facebook page is here.

Towards dissipating the fog of war

Following on from my previous post – and my work on the gas attacks on Douma in April 2018 (see here) – I’ve been reading a detailed analysis by James Harkin over at the Intercept, ‘What Happened in Douma? Searching for Facts in the Fog of Syria’s Propaganda War.’

James emphasises the multiple versions of the Douma attack that were produced (and remain in circulation) and the wider implications of this studied polyvocality:

At least one chemical attack did take place in Douma on April 7 [2018], and people died as a result. There could have been no other culprit but a Syrian army helicopter. But the way it happened bears little resemblance to what was broadcast to the world. From the start, the evidence presented by rebel media activists was fraught and confusing. That’s hardly surprising, because some of those behind it — including some who produced immediate and detailed reports — weren’t actually there. Into the gaps of that initial propaganda barrage seeped skepticism, which morphed into confusion and outright conspiracy-theorizing. State actors, Russian propagandists, and international observers joined the fray, cherry-picking details to illustrate the story they wanted told. Added to the fog of war, in other words, was a fractious new layer of electronic propaganda that turned every tweet or screengrab into a potential weapon in the hands of one of the belligerents.

Beyond the war in Syria, the cloud of misinformation that enveloped the attack in Douma stands as a cautionary tale. In the era of “fake news,” it is a case study in the choreography of our new propaganda wars. With the mainstream media in wholesale retreat — and, in the case of Syria, credibly threatened with death from many sides — new information actors have stepped into the breach. Reading the runes of their imagery is an exciting reporting tool. But their photos, video, and social media posts also offers a vanishingly narrow, excoriatingly subjective view of how conflicts unfold. As a result, such artifacts have become light weapons in an information war that easily becomes an end in itself.

He then provides an intricate choreography of his own visit to Douma on 9 July 2018, three days after the Organisation for the Prohibition of Chemical Weapons (OPCW) published its interim report on the attack (see also here).

James was accompanied by officials from the Syrian Information Ministry – and he’s clearly aware of the limitations this imposed on what he saw and what he heard from those who remained in Douma after the forced evacuations – and interlaces his observations and interviews with the digital evidence examined by Forensic Architecture and bellingcat that I discussed in my original essay.

It’s an unsettling analysis, though I think it makes remarkably little (much too little) of two issues.  First, the pre-existing pattern of chemical attacks in Syria in general and East Ghouta in particular (see, for example, here):

And second, the deliberate disinformation campaigns launched by Russia and Syria, revolving around multiple and demonstrably false narratives of ‘staging’ (again, the details are in my original essay here) and their circulation by witting or unwitting commentator-journalists.  This matters because (as is the case with other, ongoing investigations that have exposed systematic falsehoods on the grand, one might say presidential scale) the core question is surely: why lie if you have nothing to hide?

For all that, James’s investigation adds significant layers to our understanding of what happened on that awful April night.

First, like several analysts, James is puzzled by the location of the gas canisters shown on videos after the attack, and his interview with a former official with the Organisation for the Prohibition of Chemical Weapons (OPCW) is highly suggestive:

[S]uspicions that the canisters had been moved didn’t lead the former OPCW official to conclude that there hadn’t been a chemical attack by Syrian military aircraft. In fact, given the dozens dead, which didn’t fit with the usual toll of injuries from breathing difficulties and vomiting that result from a Syrian chlorine bomb, and that the victims had apparently dropped unconscious on the spot, he thought it possible that the Syrian air force had used another more murderous poison, one that hadn’t been captured in the OPCW report. But for camerapeople desperate to show they had the goods and get the world on their side, he guessed, those videos of gas canisters and outsized gas masks made “compelling images.” The temptation, he said, is to “bring your own munition in.”

He’d seen such staging himself, the former OPCW official confided. In an infamous attack on an aid convoy on the outskirts of Aleppo in September 2016, which killed 14 civilians, he concluded that pieces of alleged photographic evidence had very likely been introduced or faked. In addition, he maintained, “some opposition witnesses had clearly been coached.” Ultimately, it didn’t matter, the official said; six months later the United Nations had rightly declared the Syrian government responsible. It was just “media ops,” he said; the activists had simply been concerned to get their narrative out as quickly and forcefully as they could.

Second, James contacts Theodore Postol – who, as I noted in my own essay, had cast doubt on reports of earlier chemical attacks on East Ghouta – who provides a plausible counter-narrative to claims that the attack was somehow staged:

When I showed videos of the canisters to Theodore Postol in Boston, he was immediately certain that both had been launched from the sky by the Syrian military and that any “brouhaha” from the Russians to the contrary could be safely ignored…

[He] concurred with the analysis of internet investigators like Eliot Higgins [at bellingcat], with whom he often ferociously disagrees. The canister, he reckoned, would have weighed around 250 pounds and carried about 120 kilos of chorine. But it landed in an entirely unexpected way. Since the concrete-and-steel-mesh roof wasn’t very strong, the bomb punched a hole in the ceiling. The effect was as if the nose of the canister had been deliberately rammed into the external wall, so as to point gas directly into the room below, creating a gas chamber. That room would have filled with chlorine in one or two minutes. Drawing on Forensic Architecture’s modeling of the building onto which it fell, Postol estimated that the chlorine gas would have poured out into the upper floor at a magnitude several hundred times higher than a lethal dose, its density much greater because the release occurred in an enclosed space. As it made its way down into the two floors below, its density would have decreased, but still would have been much more than enough for a lethal dose.

When it filled the building, the chlorine would have spilled out via open windows and doors and then drifted along the street, like a thick fog, at much lower concentrations. As it sank through the building, the residents hunkered down in the basement would have smelled it too. Many likely ran headfirst onto the street, only to be confronted by a chlorine gas cloud forming all around them. Instinct and training likely kicked in; since chlorine is thicker than air, the instructions they’d been given would have been to head for the roof. Under most circumstances, this would have been excellent advice, like the injunction to workers at the World Trade Center on 9/11 to stay put at their desks, but in this case, it failed the residents of Douma. As they ran back upward through the building, they’d have been rendered unconscious very quickly and dead within minutes. Delivered at that kind of dosage — thousands of milligrams per cubic meter — chlorine could easily have caused the frothing at the mouth, skin burns, and damaged corneas observed by medical workers, as well as the horrible smell and breathing difficulties of which residents complained. It also makes sense of what the motorbike rider had told me: that the whole street had been affected by the foul odor. To panic and terrorize the population was, after all, what this was for.

The murderous result, concluded Postol, was “a very peculiar set of circumstances” and a terrible twist of fate. If the building had had been larger with a firmer roof, the balcony canister would probably not have fallen through; even if it had broken open and begun dispersing its payload, the chlorine would have wafted off into the open air and likely not injured anyone. If the roof had been even weaker and the canister had fallen right through onto the third floor, its valve might not have opened at all, like the one on the bed. But because of the way the canister punctured the concrete, its valve snapped so as to spew the contents directly into the enclosed space below. A lot of stars would have had to align for something like this to happen, just as the former OPCW inspector had said. But in this case, they did.

And James ends with a sobering counter-factual.  Throughout my analysis of siege warfare in Syria, I have criticised the selectivity of public concern (where there has been any at all), and in particular the outrage over chemical weapons compared with the insouciant disregard for other, no less murderous forms of military and paramilitary violence.  (I admit this has become an obsession: hence my dismay at the political and critical energy directed against drone strikes in the world’s borderlands to the exclusion of other forms of aerial violence that have killed and maimed many, many more people).

If a 500-pound bomb had collided with the roof of that apartment block near al-Shuhada Square instead of a chlorine canister, it would have punched clean through and landed slap on one of the higher floors. There would have been a tiny delay, only a fraction of a second, while the fuse sensed that it had reached its destination, after which the building would have blown apart and its entire weight fallen downward onto the basement. Everyone hiding there would likely have been buried alive.

Whose voices would have been raised against that?

War, truth and peace

A fascinating essay in the weekend’s New York Times from William Davies at Goldsmith’s, ‘Everything is war and nothing is true‘.  It’s a remarkably wide-ranging essay, travelling from Brexit through ‘post-truth’ regimes to martial politics, and it’s derived from his new book, published in the UK at the end of last year as Nervous states: how feeling took over the world (Jonathan Cape/Penguin) and about to be published in North America as Nervous states: democracy and the decline of reason (W.W. Norton).

Here’s an extract from the NYT essay:

The principle that military and civilian operations should remain separate has been a cornerstone of liberal politics since religious and civil wars tore through Europe in the mid-17th century. The modern division between the army and civil policing originates in late-17th-century England, when early forms of public administration came to treat (and finance) the two independently of each other. Since then, the rule of law has been distinguished from rule by force.

However, there is an opposing vision of the modern state that also has a long history. According to this alternative ideal, the division between civil government and the military is a pacifist’s conceit that needs overcoming. And it’s not a coincidence that these days nationalists are especially keen to employ the rhetoric of warfare: The wars that fuel the nationalist imagination are not simply military affairs, going on far away between professional soldiers, but also mass mobilizations of politicians, civilians and infrastructure. Ever since the Napoleonic Wars witnessed conscription and the strategic mobilization of the economy, nationalists have looked to war to generate national solidarity and a sense of purpose.

There is another distinctive characteristic of military situations that civilian life often lacks: the promise of an instant response, without the delays that go with democratic argument or expert analysis. Warfare requires knowledge, of course, just not of the same variety that we are familiar with in times of peace. In civil society, the facts provided by economists, statisticians, reporters and academic scientists have a peace-building quality to the extent that they provide a common reality that can be agreed upon. The ideal of independent expertise, which cannot be swayed by money or power, has been crucial in allowing political opponents to nevertheless agree on certain basic features of reality. Facts remove questions of truth from the domain of politics.

War demands a different, more paranoid system of expertise and knowledge, which looks at the world as an uncertain and hostile place, where nothing is fixed. In situations of conflict, the most valuable attribute of knowledge is not that it generates public consensus but that it is up to the minute and aids rapid decision making. Meanwhile, the information shared with the public must be tailored to incite mass enthusiasm and animosity rather than objectivity.

The conditions that most lend themselves to military responses are those in which time is running out. Of course, many of the emergencies that we face today are fictions: the “emergency” at the Mexican border or, perhaps, the British government’s intentional exaggerations of the threat of a “no deal” Brexit to put pressure on Parliament. Framing an issue as an emergency where time is of the essence is a means of bypassing the much slower civilian world of deliberation and facts.

There’s much to think about here, though my immediate reaction is to suggest that much of what has come to be described as a ‘post-truth’ regime is in fact about establishing a post-trust regime: setting a thousand hares running across a hyper-accelerated public sphere so that it becomes exceptionally difficult to reach a common consensus – hence evidence yields to emotion.  I’ve been thinking about this in relation to the disinformation campaigns that have bedevilled the war in Syria (see, for example, here), and working on a more general formulation of the argument, and I’ll try to return to this in detail in a later post.

Borderization and bombs

Just as I started to think about the Annual Lecture I have to give at the Kent Interdisciplinary Centre for Spatial Studies (KISS) next month, on the spaces of modern war, I stumbled across a splendidly angry and wonderfully perceptive new essay from Achille Mbembe on ‘Deglobalization‘ at Esprit (via Eurozine), 18 February 2019:

The spare abstract doesn’t begin to do it justice:

Digital computation is engendering a new common world and new configurations of reality and power. But this ubiquitous, instantaneous world is confronted by the old world of bodies and distances. Technology is mobilized in order to create an omnipresent border that sequesters those with rights from those without them.

The essay opens with some characteristically perceptive insights into digital computation (which Achille understands in three distinct but related ways) and its world-creating and world-dividing capacities, but given my KISS Lecture, I was much taken with this passage describing what Achille calls ‘borderization‘:

What is borderization if not the process by which world powers permanently transform certain spaces into places that are impassable to certain classes of people? What is borderization if not the deliberate multiplication of spaces of loss and grief, where so many people, deemed undesirable, see their lives shatter into pieces?

What is it, if not a way to wage war against enemies whose living environments and chances of survival have already been devastated? The use of uranium armour-piercing ammunition and prohibited weapons like white phosphorus; the high-altitude bombardment of basic infrastructure; the cocktail of carcinogenic and radioactive chemical products deposited in the soil and filling the air; the toxic dust raised by the ruins of obliterated towns; the pollution emitted by hydrocarbon fires?

And what about the bombs? Is there any type of bomb that has not been dropped on civilian populations since the last quarter of the twentieth century? Classic dumb bombs repurposed with tail-mounted inertial measurement units; cruise missiles with infrared seekers; microwave bombs designed to paralyze the enemy’s electronic nerve centres; other microwave bombs that do not kill but burn skin; bombs that detonate in cities releasing energy beams like bolts of lightning; thermobaric bombs that unleash walls of fire, suck the oxygen out of more or less confined spaces, send out deadly shockwaves and suffocate anything that breathes; cluster bombs that explode above the ground and scatter small shells, designed to detonate on contact, indiscriminately over a wide area, with devastating consequences for civilian populations; all sorts of bomb, a reductio ad absurdum demonstration of unprecedented destructive power – in short, ecocide.

Under these circumstances, how can we be surprised when those who can, those who have survived living hell, try to escape and seek refuge in any and every corner of Earth where they might be able to live safely?

This form of calculated, programmed war, this war of stupefaction with its new methods, is a war against the very ideas of mobility, circulation and speed, despite the fact that we live in an age of velocity, acceleration and ever more abstraction, ever more algorithms.

Its targets, moreover, are not singular bodies; they are entire human masses who are dismissed as contemptible and superfluous, but whose organs must each suffer their own specific form of incapacitation, with consequences that last for generations – eyes, nose, mouth, ears, tongue, skin, bones, lungs, gut, blood, hands, legs, all the cripples, paralytics, survivors, all the pulmonary diseases like pneumoconiosis, all the traces of uranium found in hair, the thousands of cancers, miscarriages, birth defects, congenital deformities, wrecked thoraxes, nervous system disorders – utter devastation.

All these things, it bears repeating, are connected to contemporary practices of borderization being carried out remotely, far away from us, in the name of our freedom and security. This conflict against specific bodies of abjection, mounds of human flesh, unfolds on a planetary scale. It is poised to become the defining conflict of our time.

Achille then connects this to Grégoire Chamayou‘s arguments about ‘manhunts’ (see my discussion of ‘the individuation of warfare’ here – though, like Achille, I’d now insist that ‘individuation’ is only one modality of later modern war and that, as I’ve suggested here, aerial violence and siege warfare both continue to target ‘the social’, those ‘entire human masses’):

This conflict often precedes, accompanies or supplements the other conflict being waged in our midst or at our doors: the hunt for bodies that have been foolish enough to move (movement being the essential property of the human body); bodies judged to have forced their way into places and spaces where they have no business being, places they clog up by simply existing, and from which they must be expelled.

As the philosopher Elsa Dorlin remarks, this form of violence is directed towards prey. It resembles the great hunts of the past – tracking and pursuing, laying traps and beating, and finally surrounding, capturing or slaughtering the quarry with the help of pack hounds and bloodhounds. It fits into a long history of manhunts. Grégoire Chamayou studies their various manifestations in Manhunts: A Philosophical History. They always involve the same sort of quarry – slaves, aborigines, dark skins, Jews, the stateless, the poor and, closer to home, the undocumented. They target animate, moving bodies that, marked out and ostracized, are seen as entirely different from our own bodies despite being endowed with attractive force, intensity, the capacity to move and flee. These hunts are taking place at a time when technologies of acceleration are proliferating endlessly and creating a segmented, multi-speed planet.

And finally this:

What is the deadliest destination for migrants in an increasingly balkanized and isolated world? Europe. Where lie the most skeletons at sea, where is the biggest marine graveyard at the beginning of this century? Europe. Where are the largest number of territorial and international waters, sounds, islands, straits, enclaves, canals, rivers, ports and airports transformed into technological iron curtains? Europe. And to crown it all, in this era of permanent escalation, the camps. The return of camps. A Europe of camps. Samos, Chios, Lesbos, Idomeni, Lampedusa, Ventimiglia, Sicily, Subotica – a garland of camps…. [I’ve taken the map below from ‘Camps in Europe’ here].

It bears repeating that this war (which takes the form of hunting, capturing, rounding up, sorting, separating and deporting) has one aim. It is not about cutting Europe off from the world or turning it into an impenetrable fortress. It is about arrogating to Europeans alone the rights of possession of and free movement around a planet that rightfully belongs to all of us.

I’m not sure about all of this, not least because that precious right of ‘free movement’ within Europe is precisely what is being called into question by the resurgent right across Europe.  But there is much to think about here, and I urge you to read the whole, brilliant essay.