A/HRC/45/CRP.7
circumstances.99 Their functioning is not to be impeded, other than for reasons of military
necessity. The same protection extends to medical units and medical transportation, which
shall be respected and protected at all times and in all circumstances, and shall not be the
object of attack.100 They lose protection if they commit or are used to commit hostile acts.
Even in relation to a medical unit that is being used to commit acts harmful to the enemy,
prior to any attack, a warning has to be issued and whenever appropriate, a reasonable timelimit set for the attack. An attack can only take place after such warning has remained
unheeded.101 Intentionally directing attacks against buildings, material, medical units and
transport, and personnel using the distinctive emblems of the Geneva Conventions in
conformity with international law constitutes a war crime.102 International humanitarian law
further provides that the wounded and sick shall be respected and protected, notwithstanding
their prior participation, or not, in the conflict.103 In addition to these specific international
humanitarian law protections, international human rights law recognises everyone’s right to
the highest attainable standard of health.104 Measures that directly interfered with access to
health care, would also constitute violations of this right.
Factual findings
85.
The Group of Experts continues to be concerned at the extensive damage to hospitals
and medical facilities as a result of the conduct of the parties to the conflict. This is
exacerbating the humanitarian crisis within Yemen. During its previous reporting periods,
the Group of Experts investigated cases of the military use of hospitals and damage caused
as a result of attacks. A recent report by Physicians for Human Rights and Mwatana
documented at least 120 cases of attacks affecting medical facilities and health workers from
March 2015 to December 2018.105 On 13 March 2020, the Office of the Resident Coordinator
and Humanitarian Coordinator for Yemen reported that two attacks had occurred in 10 days
damaging Al-Thawra General Hospital, which serves hundreds of thousands of Yemenis in
Ta‘izz City, with missiles hitting two buildings of the hospital. While the Group was unable
to investigate this incident, it has previously documented the repeated damage caused to that
hospital throughout 2015.
86.
In the present reporting period, the Group investigated damage caused to Al-Jafrah
Hospital and Al-Saudi Field Hospital in Majzar District, Ma’rib Governorate, allegedly by
the Houthis. On 7 February 2020, at around 6 p.m., a Katyusha rocket exploded in the yard
of Al Jafrah Hospital, resulting in extensive damage to the building, the wounding of one
male paramedic, and interruption to most of the medical services. Hundreds of patients were
transferred to Ma’rib General Hospital. At dawn the next day two Katyusha rockets hit the
Al-Saudi Field Hospital, which is a mobile clinic adjacent to Al-Jafrah Hospital, damaging
the facility. Eye-witnesses recounted that there was no military presence inside or around the
hospitals but that the facilities were located at the time in an area controlled by the
Government of Yemen armed forces who were stationed some 4 km away. The Popular
Committees affiliated with the Houthis were positioned in Mafraq Al-Jawf and Fardhat Nihm
areas, some 10 km from the hospitals. To compound the situation, since 15 June, the Houthis
have occupied both facilities and converted them into military barracks. This increases the
risk they may be attacked in the future and deprives Ma’rib’s population, mainly comprised
of IDPs, of access to health care at these facilities.
99
Additional Protocol II, art. 9(1). See also ICRC Study on Customary International Humanitarian
law, rule 25.
100 Additional Protocol II, art 11(1). See also ICRC Study on Customary International Humanitarian
law, rules 28-29.
101 Additional Protocol II, art. 11(2); ICRC Study on Customary International Humanitarian Law, rule
28.
102 Rome Statute, art. 8(2)(e)(ii).
103 Additional Protocol II, art. 7(1); Common art. 3 of the Geneva Conventions. See too ICRC Study
on Customary International Humanitarian law, rule 110.
104 ICESCR, art. 12.
105 “‘I ripped the IV out and started running’ - Attacks on Health Care in Yemen”, March 2020,
available at: https://mwatana.org/wp-content/uploads/2020/03/Attacks-on-Health-Care-in-YemenReport.pdf
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