DUBAI — In a dusty, industrial corner of Dubai, far from the city's gleaming skyscrapers and marbled buildings, boxes of child-sized body bags are stacked in a massive warehouse. They will be shipped to Syria and Turkey for earthquake victims.

Like other aid agencies, the World Health Organization is struggling to reach people in need. But from its global logistics hub in Dubai, the U.N. agency tasked with international public health has already loaded two planes with critical medical supplies, enough to help some 70,000 people. One plane is destined for Turkey and the other for Syria.

The organization has other hubs around the world, but its facility in Dubai, with 20 warehouses, is its largest by far. From here, the organization is sending planeloads of medicine, infusions for intravenous drips and anesthesia, surgical instruments, splints and stretchers, to help with crushing-type injuries from the earthquake.

Color-coded labels help identify which kits are for malaria, cholera, Ebola and polio for countries in need around the world. Green labels are reserved for emergency health kits — those for Istanbul and Damascus.

"The ones that we used in response to the earthquake are primarily trauma and emergency surgery kits," says Robert Blanchard, the team lead in Dubai for the WHO's emergency operations.

The kits can be delivered straight to a health care center to immediately begin treating patients.

"Each kit is designed for 50 surgical interventions," he says.

Blanchard is a former firefighter from California who worked in the Foreign Service and U.S. Agency for International Development before joining the WHO in Dubai. He says the organization is facing immense logistical challenges reaching victims of the earthquake, but their Dubai warehouses help deliver aid rapidly to countries in need.

International aid workers struggle to reach people affected by the quake

Aid has begun flowing into Turkey and Syria from around the world, but organizations are struggling to reach the most vulnerable. Rescue teams are racing to reach survivors in frigid temperatures, even as the hope of finding people alive is diminishing with every hour.

The U.N. is trying to get into the rebel-held northwestern part of Syria through a humanitarian corridor. Some 4 million internally displaced people there have little heavy machinery of the sort that might be found in other parts of Turkey and Syria, and hospitals are poorly equipped, damaged, or both. Volunteers are digging through rubble with their bare hands.

Blanchard describes the situation as "very uncertain."

"The weather conditions are now not looking so great. So it just depends on the condition of the roads, the availability of the trucks and then the permission to cross the border and deliver the humanitarian aid," he says.

For government-controlled parts of northern Syria, aid groups are mostly sending assistance to the capital, Damascus. From there, the government is handling relief efforts into hard-hit cities like Aleppo and Latakia. In Turkey, poor roads and aftershocks have complicated relief efforts.

The WHO's own staff in the southern Turkish city of Gaziantep are struggling amid the destruction.

"They're not able to go home because their homes have not been cleared by an engineer as being structurally sound," Blanchard says. "They're literally sleeping and living in the office and trying to do work at the same time."

Dubai is an international aid logistics hub

The WHO's warehouses are part of a 1.5 million square-ft. zone of Dubai known as International Humanitarian City, the largest humanitarian hub in the world. The zone is also home to warehouses for the U.N. refugee agency, World Food Program, Red Cross and Red Crescent organizations, UNICEF and others.

The government of Dubai covers the cost of storage facilities, utilities and flights carrying relief items into affected areas. The inventory is procured by the agencies themselves.

"The goal is to be ready in case of emergency," says Giuseppe Saba, the chief executive of International Humanitarian City.

Saba says $150 million worth of emergency stock and assistance is dispatched every year to between 120 and 150 countries. That includes personal protective equipment, tents, food and other critical items needed in climate disasters, medical emergencies and global outbreaks, like the COVID-19 pandemic.

Aid from this location is sent to countries such as Yemen, Afghanistan, Nigeria, Uganda and Haiti.

"The reason we are doing quite a lot and the reason why this hub became the largest one in the world is exactly because of its strategic position," Saba says. "From Dubai, in a few hours' flight, you can serve two-thirds of the world's population living in Southeast Asia, Middle East and Africa."

Blanchard describes the support as "truly vital." The hope now is that supplies will reach people within 72 hours of the earthquake striking.

"We would like it to go faster," he says, "but these were such large shipments. We needed a full day to build them out and prepare them."

Due to a problem with the plane's engine, WHO supplies for Damascus were still grounded in Dubai as of Wednesday evening. Blanchard says the organization is trying for direct flights to Syria's government-controlled airport in Aleppo, a situation he describes as "evolving by the hour."

Copyright 2023 NPR. To see more, visit https://www.npr.org.

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