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Lemera Hospital

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The Lemera Hospital ( French : Hôpital de Lemera ), colloquially known as Hopital Genera de Lemera or Hôpital Général de Référence de Lemera , is a medical institution located in Lemera , situated approximately 85 kilometers northwest of Uvira within the Uvira Territory of the South Kivu Province in the eastern region of the Democratic Republic of the Congo .

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66-672: The hospital is infamous for the Lemera massacre when the facility was attacked and destroyed during the First Congo War by the Alliance of Democratic Forces for the Liberation of Congo (AFDL). It was reconstructed with international aid . Lemera Hospital dates back to 1921 when Swedish Pentecostal Missionaries arrived in the area. The facility was initially established as a dispensary , offering medical care for an unknown illness that had claimed

132-646: A barrier erected in November 1996 in Ngwenda, in the Rutshuru territory , and subsequently executed by being beaten with sticks in a place called Kabaraza. In South Kivu, AFDL/APR/FAB soldiers erected numerous barriers on the Ruzizi plain to stop Rwandan and Burundian refugees who had been dispersed after their camps had been dismantled. Paragraph 514 : Several incidents listed in this report point to circumstances and facts from which

198-403: A court could even deduce the existence of a genocidal plan. "Whilst the existence of such a plan may contribute to establishing the required genocidal intention, it is nonetheless only an element of proof used to deduce such an intention and not a legal element of genocide." Paragraph 518 . Nonetheless, neither the fact that only men were targeted during the massacres, nor the fact that part of

264-526: A court could infer the intention to destroy the Hutu ethnic group in the DRC in part, if these were established beyond all reasonable doubt. Firstly, the scale of the crimes and the large number of victims are illustrated by the numerous incidents described above. The extensive use of edged weapons (primarily hammers) and the systematic massacre of survivors, including women and children, after the camps had been taken show that

330-416: A crime of genocide, based on their conduct, words and the damning circumstances of the acts of violence committed by the men under their command. It will be for a court with proper jurisdiction to rule on this question. Conclusion Paragraph 1139 . In light of the impunity enjoyed by the perpetrators of serious violations of human rights and international humanitarian law, and the repetition of crimes within

396-537: A distinction between Hutus who were members of the ex-FAR/Interahamwe [militia behind Rwanda's 1994 genocide] and Hutu civilians, whether or not they were refugees. This tendency to put all Hutus together and "tar them with the same brush" is also illustrated by the declarations made during the "awareness-raising speeches" made by the AFDL/APR in certain places, according to which any Hutu still present in Zaire must necessarily be

462-454: A fraction of a complex history, and ignores publicly available information that seriously undermines its findings. The reader is left with a onedsided account, and provided no context with which to understand who each of these Rwandan actors were, and how they found themselves in the Congolese forests from 1994 to 2003". The office of the government of Rwanda, in its press statement found that “It

528-549: A mapping exercise in DRC in a June 2006 report to the Security Council . In May 2007, UN Secretary-General Ban Ki-moon approved the terms of reference of the mapping exercise following a series of consultations among relevant UN agencies and partners and with the Congolese government. The mapping exercise began officially on 17 July 2008, with the arrival of the team's chief in Kinshasa . Between October 2008 and May 2009,

594-400: A number of inculpatory elements that, if proven before a competent court, could be characterised as crimes of genocide." Certain elements could cause a court to hesitate to decide on the existence of a genocidal plan, such as the fact that as of 15 November 1996, several tens of thousands of Rwandan Hutu refugees, many of whom had survived previous attacks, were repatriated to Rwanda with

660-595: A perpetrator of genocide, since the "real" refugees had already returned to Rwanda. These "awareness-raising speeches" made in North Kivu also incited the population to look for, kill or help to kill Rwandan Hutu refugees, whom they called "pigs". This type of language would have been in widespread use during the operations in this region. Paragraph 516 : The massacres in Mbandaka and Wendji, committed on 13 May 1997 in Équateur Province, over 2,000 kilometres west of Rwanda, were

726-611: A tactic aimed at weakening their support base and base and consolidating their authority. The attack took place in Lemera Hospital. According to Amnesty International , the AFDL forces stormed the hospital, callously looting the hospital's medical supplies and equipments before unleashing a wave of violence against the defenseless patients. The attackers brutally killed those who were too weak or injured to flee, including two nurses, Kadaguza and Simbi, and an assistant nurse. According to

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792-644: A total of 33 staff worked on the project in the DRC, including Congolese and international human rights experts. Of these, some 20 human rights officers were deployed across the country, operating out of five field offices, to gather documents and information from witnesses to meet the three objectives defined in the terms of reference. The report was submitted to the High Commissioner for Human Rights Navi Pillay on 15 June 2009 for review, comments and finalisation. The mapping team's 550-page report contains descriptions of 617 alleged violent incidents occurring in

858-413: A transparent way the seriousness of the violations committed, with the aim of encouraging an approach aimed at breaking the cycle of impunity. The report does, however, identify the armed groups to which the alleged perpetrators belonged, since it was essential to identify the groups allegedly involved in order to suggest proper legal characterisations for the conduct in question. Consequently, information on

924-698: A trick by elements of the AFDL/APR, who summoned the victims to meetings on the pretext either of discussing their repatriation to Rwanda in the case of the refugees, or of introducing them to the new authorities in the case of Hutus settled in the region, or of distributing food. Afterwards, those present were systematically killed. Cases of this kind were confirmed in the province of North Kivu in Musekera, Rutshuru and Kiringa (October 1996), Mugogo and Kabaraza (November 1996), Hombo, Katoyi, Kausa, Kifuruka, Kinigi, Musenge, Mutiko and Nyakariba (December 1996), Kibumba and Kabizo (April 1997) and Mushangwe (around August 1997); in

990-480: A very large number of victims, probably tens of thousands of members of the Hutu ethnic group, all nationalities combined. In the vast majority of case reported, it was not a question of people killed unintentionally in the course of combat, but people targeted primarily by AFDL [Congolese rebels led by Laurent Kabila, who became president in 1997]/APR [Rwandan army]/FAB [Burundi's army] forces and executed in their hundreds, often with edged weapons. Paragraph 513 . At

1056-471: A view to establishing an initial chronology by region of the main violent incidents reported. Only incidents meeting a 'gravity threshold' set out in the methodology were considered. Field mapping teams met with over 1,280 witnesses to corroborate or invalidate the violations listed in the chronology. Information was also collected on previously undocumented crimes. The 1,500 documents reviewed, some of them confidential, were obtained from many sources, including

1122-623: Is immoral and unacceptable that the United Nations, an organization that failed outright to prevent genocide in Rwanda and the subsequent refugees crisis, a direct cause for so much suffering in Congo and Rwanda, now accuses the army that stopped the genocide of committing atrocities in the Democratic Republic of Congo.” “It is a fact that Rwanda’s intervention in the D.R.C. was a matter of survival and

1188-475: The DRC Mapping Report , approximately 37 people were killed in their beds, either by " bullets or bayonets ". Most of the victims were FAZ ( Forces Armées Zaïroises ) soldiers who had been wounded in fighting against AFDL and sought medical assistance at the hospital. The nurses, who had been providing life-saving care to the patients, were also targeted and killed in their quarters. The attack also claimed

1254-476: The Bafuliiru community, who continue to seek justice , reparations for victims, and institutional reform to this day. Congolese human rights activists and organizations are lobbying for the country to adopt a comprehensive national strategy for transitional justice , a critical step towards guaranteeing lasting peace. Denis Mukwege, a key figure in these advocacy efforts, has been steadfast in his insistence that

1320-570: The Banyamulenge -led armed group. The insurgents pillaged the medical supplies and killed numerous patients, including Zairian soldiers, Hutu refugees, and Zairian civilians. The nurses were killed in their quarters. According to eyewitnesses and the UN Mapping Report , around 37 people were murdered in their beds, either by " bullets or bayonets ". Lemera massacre The Lemera massacre (French: Massacre de Lemera ), also known as

1386-588: The Lemera Attack (French: Attaque de Lemera ) or Lemera Battle (French: Bataille de Lemera ), which occurred on October 6, 1996, was a massacre perpetrated by the Alliance of Democratic Forces for the Liberation of Congo (AFDL) at Lemera Hospital , a medical facility in the small town of Lemera , about 85 kilometers northwest of Uvira in the South Kivu Province of the Democratic Republic of

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1452-478: The Congo (DRC). 37 individuals were killed, according to the United Nations Mapping Report . The attack is often recognized as "the first major crime" of the First Congo War . The massacre left the hospital in ruins and caused widespread shock and outrage in the local and international community . On October 6, 2022, Dr. Denis Mukwege appealed for the construction of "dignified" graves for

1518-480: The Congo 1993-2003 UN Mapping Report , was a report by the United Nations within the Democratic Republic of the Congo in the wake of the armed aggressions and war which took place between March 1993 and June 2003. Its aim was to map the most serious violations of human rights , together with violations of international humanitarian law , committed within the Democratic Republic of the Congo . In doing this it

1584-495: The DRC between March 1993 and June 2003. Each of these incidents points to the possible commission of gross violations of human rights and/or international humanitarian law. Each of the incidents listed is backed up by at least two independent sources identified in the report. As serious as they may be, uncorroborated incidents claimed by one single source are not included. Over 1,500 documents relating to human rights violations committed during this period were gathered and analysed with

1650-418: The Hutu civilian population, resulting in their death, reveal a number of damning elements that, if they were proven before a competent court, could be classified as crimes of genocide. The behaviour of certain elements of the AFDL/APR in respect of the Hutu refugees and Hutu populations settled in Zaire at this time seems to equate to "a manifest pattern of similar conduct directed against that group", from which

1716-521: The Hutu ethnic group as such. Although, at certain times, the aggressors said they were looking for the criminals responsible for the genocide committed against the Tutsis in Rwanda in 1994, the majority of the incidents reported indicate that the Hutus were targeted as such, with no discrimination between them. The numerous attacks against the Hutus in Zaire, who were not part of the refugees, seem to confirm that it

1782-473: The Lemera Hospital was a prominent medical center and the largest medical facility in South Kivu Province, providing medical care to approximately 300 patients with 230 beds. It catered to wounded Zairean soldiers caught in the crossfire of armed conflicts , local civilians, and Hutu refugees who were fleeing from Burundi and Rwanda . On 6 October 1996, Lemera Hospital was attacked by members of

1848-532: The UN High Commissioner for Human Rights (OHCHR) with some US$ 3 million in funding, had three objectives: Unlike some commissions of inquiry with a specific mandate to identify the perpetrators of violations and make them accountable for their actions, the objective of the Mapping Exercise was not to establish or to try to establish individual criminal responsibility. Instead, its aim was to expose in

1914-439: The United Nations, the Congolese government, Congolese and major international human rights organisations, national and international media and various unions, religious groups, aid agencies and victims’ associations. Lastly, various sources, individuals and experts, national and international, were also consulted to open up new avenues of research, corroborate information and streamline the overall analysis. The report states that

1980-410: The acts committed by their subordinates;” it should “exclude the jurisdiction of the military courts in this area;” and should “have jurisdiction over anyone who has committed these crimes, whether they are nationals or non-nationals, civilians or military personnel.” (Paragraph 1052 / 1054 ) Declaring that the Congolese people have a “ right to the truth on all the serious violations of human rights,”

2046-422: The bodies discarded in mass graves to be exhumed and laid in a memorialized burial . The long-standing clashes between Banyamulenge and Zairean forces persisted throughout the 1980s but reached a boiling point in 1996 during the First Congo War . The conflict was stoked by successive waves of arbitrary arrests and detentions of Tutsi civilians by Zairian police and soldiers . At that time, Zaire

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2112-481: The conflict could also be ordered to pay compensation if found criminally responsible. (Paragraph 1074-75 ) The report notes, “it is important that a full judicial investigation take place, in order to shed light on the reported incidents” in 1996-97. “Only such an investigation and judicial determination would be in a position to resolve whether these incidents amount to the crime of genocide.” (Paragraph 522) The mapping report team noted that “The question of whether

2178-400: The country in fear of reprisal. There was concern in the United Nations that Rwanda might end its participation in peacekeeping operations in reaction to the official release for the report. The authors of the report indicated that they were concerned that the language of “ genocide ” may be watered down before the official publishing of the document, therefore they felt it necessary to leak

2244-409: The country’s vast hinterland by teams of Rwanda , Burundi and Uganda soldiers and their Congolese rebel surrogates, the Alliance of Democratic Forces for the Liberation of Congo . In the wake of the discovery of three mass graves in the eastern part of the Democratic Republic of the Congo (DRC) in late 2005, the United Nations first announced its intention to send a human rights team to conduct

2310-584: The crimes committed in Kibumba (October 1996), Mugunga and Osso (November 1996), Hombo and Biriko (December 1996) in the province of North Kivu, Kashusha and Shanje (November 1996) in the province of South Kivu, Tingi-Tingi and Lubutu (March 1997) in Maniema Province, and Boende (April 1997) in Equateur Province, where the vast majority of victims were women and children. Furthermore, no effort was made to make

2376-406: The destruction of a group can be limited to a particular geographical area. It is therefore possible to assert that, even if only a part of the Hutu population in Zaire was targeted and destroyed, it could nonetheless constitute a crime of genocide, if this was the intention of the perpetrators. Finally, several incidents listed also seem to confirm that the numerous attacks were targeted at members of

2442-636: The final stage in the hunt for Hutu refugees that had begun in eastern Zaire, in North and South Kivu, in October 1996. Among the refugees were elements of the ex-FAR/Interahamwe, who were disarmed by the local police force as soon as they arrived. In spite of everything, the AFDL/APR opened fire on hundreds of defenceless Hutu refugees, resulting in large numbers of victims. Paragraph 517 : The systematic and widespread attacks described in this report, which targeted very large numbers of Rwandan Hutu refugees and members of

2508-403: The group were allowed to leave the country or that their movement was facilitated for various reasons, are sufficient in themselves to entirely remove the intention of certain people to partially destroy an ethnic group as such. In this respect it seems possible to infer a specific intention on the part of certain AFDL/APR commanders to partially destroy the Hutus in the DRC, and therefore to commit

2574-498: The help of the AFDL/APR authorities and that hundreds of thousands of Rwandan Hutu refugees were able to return to Rwanda with the consent of the Rwandan authorities prior to the start of the first war. Whilst, in general, the killings did not spare women and children, in some places, at the beginning of the first war, Hutu women and children were in fact separated from the men, and only the men were subsequently killed. An earlier draft of

2640-401: The hospital and Lemera's populace. Following Jean Bugwika's death in 1993, Menhe Mushunganya Luanda assumed his position. In 1989, Denis Mukwege relocated to Lemera Hospital and introduced specialized gynecology and obstetrics services. He became the hospital's medical director in 1992 and held the position until the hospital was attacked in 1996. During the onset of the First Congo War ,

2706-415: The huge number of victims, the report says a comprehensive and creative approach to the issue of reparation is clearly required, and notes that the Congolese government should be the first to contribute. But it also points to the responsibilities of other countries involved in the conflict and notes that individuals and corporate entities such as multinationals which exploited the DRC's natural resources during

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2772-492: The humanitarian aid intended for them was deliberately blocked, in particular in Orientale Province, depriving them of assistance essential to their survival. Here are some of the draft report's key findings:. Paragraph 512 . The systematic attacks, in particular killings and massacres perpetrated against members of the Hutu ethnic group, are described extensively in section I of the report. These attacks resulted in

2838-463: The identity of the alleged perpetrators of some of the crimes listed does not appear in the report but is held in a confidential project database submitted to the UN High Commissioner for Human Rights. However, the identities of alleged perpetrators under warrant of arrest and those already sentenced for crimes listed in the report have been disclosed. Names have also been cited where political officials have assumed public positions encouraging or provoking

2904-454: The lives of Zairean civilians who were in the vicinity of the hospital. Denis Mukwege was serving as a medical director when AFDL forces attacked the hospital. He took refuge in Nairobi before ultimately returning to the DRC, where he became a powerful advocate for the oppressed and silenced communities. The massacre caused widespread outrage throughout the country, particularly among

2970-461: The lives of four missionaries in rapid succession. The event gave rise to many theories, with some alleging that the missionaries had been poisoned by the native populace who were initially averse to their gospel, while others attributed the fatalities to the harsh climate of the Ruzizi Plains . However, Julius and Ruth Aspenlind, the first European missionaries to reach Lemera in 1924, testified that

3036-455: The mapping team “was not concerned with pursuing in-depth investigations or gathering evidence of sufficient admissibility to stand in court” but rather with “providing the basis for the formulation of initial hypothesis of investigation by giving a sense of the scale of violations, detecting patterns and identifying potential leads or sources of evidence”. The mapping exercise, led by the Office of

3102-570: The nation into decades of chaos, underdevelopment, and economic stagnation. The AFDL was backed by Rwanda and Uganda , which had their own strategic economic interests in the region and a long history of involvement in the country's affairs and provided military and logistical support. The AFDL's campaign was charged with widespread human rights abuses, including extrajudicial killings , forced disappearances , and assaults on Zairean civilians. AFDL were also charged with targeting local chiefs and community leaders who opposed their military advance,

3168-447: The national or international character of such mechanism, or its precise form or function. The operating methods and exact form of such a court “should be decided on and specified in detail by consulting the actors concerned, as well as the victims affected...” A mechanism of this kind should also – among many other things – apply international criminal law in relation to international crimes, including “the responsibility of superiors for

3234-409: The numerous deaths cannot be attributed to the hazards of war or seen as equating to collateral damage. The systematic nature of the attacks listed against the Hutus also emerges: These attacks took place in each location where refugees had been identified by the AFDL/APR, over a vast area of the country. Particularly in North Kivu and South Kivu but also in other provinces, the massacres often began with

3300-430: The numerous serious acts of violence committed against the Hutus (refugees and others) constitute crimes of genocide has attracted a significant degree of comment and to date remains unresolved. The report repeatedly stresses that this question can “only be decided by a court decision on the basis of evidence beyond all reasonable doubt. However, "the apparent systematic and widespread attacks described in this report reveal

3366-484: The physical or psychological integrity of members of the group were also committed, with a very high number of Hutus shot, raped, burnt or beaten. Very large numbers of victims were forced to flee and travel long distances to escape their pursuers, who were trying to kill them. The hunt lasted for months, resulting in the deaths of an unknown number of people subjected to cruel, inhuman and degrading living conditions, without access to food or medication. On several occasions,

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3432-449: The project in the Democratic Republic of the Congo, including Congolese and international human rights experts. The report was submitted to the High Commissioner for Human Rights Navi Pillay in 2009. The report contains a detailed accounting of the breakup of Hutu refugee camps in eastern Congo at the start of the First Congo War in October 1996, followed by the pursuit of hundreds of thousands of Hutu refugees and Hutu population across

3498-542: The propitious weather conditions were instrumental in siting the dispensary in Lemera. Following Congolese independence in 1960, Jean Ruhigita Ndagora Bugwika transformed the dispensary into a fully-fledged hospital, officially named it " Hôpital de Lemera ." During the mid-1960s and 1970s, the hospital mainly treated Zairean patients afflicted with worm diseases , malaria , typhoid fever , cancer , and cardiovascular diseases . It did not have native Congolese physicians. It

3564-711: The province of South Kivu in Rushima and Luberizi (October 1996), Cotonco and Chimanga (November 1996) and Mpwe (February 1997) and on the Shabunda-Kigulube road (February–April 1997); in Orientale Province in Kisangani and Bengamisa (May and June 1997); in Maniema in Kalima (March 1997) and in Équateur in Boende (April 1997). Such acts certainly suggest premeditation and a precise methodology. In

3630-489: The recommendations of the United Nations Mapping Report be fully implemented so that the perpetrators should be held accountable for their actions. He has also called for the dignified exhumation of the bodies from the mass graves and the construction of a memorial to honor and remember the victims. DRC Mapping Exercise Report The DRC Mapping Exercise Report , or the Democratic Republic of

3696-400: The region south of the town of Walikale, in North Kivu (January 1997), Rwandan Hutus were subjected to daily killings in areas already under the control of the AFDL/APR as part of a campaign that seemed to target any Hutus living in the area in question. Paragraph 515 : Several of the massacres listed were committed regardless of the age or gender of the victims. This is particularly true of

3762-430: The report suggests the establishment of a new, non-judicial “truth commission” that can help to determine institutional, political, military and other responsibilities; preserve evidence; identify the perpetrators of atrocities; recommend compensation measures and institutional reforms; and provide individual victims with a broader platform in which to air their grievances and concerns. (Paragraph 1057 / 1060-1061). Given

3828-409: The report to safeguard the integrity of the report. The apparently systematic nature of these violations suggests that the numerous deaths cannot be attributed to the hazards of both first and second congo wars or seen as equating to collateral damage. The majority of the victims were children, women, elderly people and the sick, who posed no threat to the attacking forces. Numerous serious attacks on

3894-495: The report was leaked by French newspaper Le Monde on 27 August, creating intense controversies as it reported that several Congolese rebel groups, Ugandan troops (along with Burundian, Angolan and other armed groups) had committed grave human rights violations. The most contentious aspect of the report referred to the possibility that the armed forces of Rwanda and their local allies may have committed acts, which could constitute crimes of genocide against ethnic Hutu civilians fleeing

3960-499: The territory of the DRC, there is a manifest urgency for justice and security service reform. The members of the Mapping Team were able to observe the constant fear on the part of affected populations that history would repeat itself, especially when yesterday's attackers are returning in positions that enable them to commit new crimes with complete impunity. The Government of Rwanda stated that “The Draft Mapping Report addresses only

4026-553: The time of the incidents covered by this report, the Hutu population in Zaire, including refugees from Rwanda, constituted an ethnic group as defined in the Convention on the Prevention and Punishment of the Crime of Genocide. Moreover, as shown previously, the intention to destroy a group in part is sufficient to be classified as a crime of genocide. Finally, the courts have also confirmed that

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4092-421: The violations listed. The report is presented chronologically, reflecting four key periods in the DRC's recent history: The UN Mapping Report recommended the creation of a mixed judicial mechanism made up of national and international personnel as one of various transitional justice measures to be considered to address the numerous international crimes committed in the DRC. It did not make firm proposals on

4158-485: Was administered by Ingegerd Rooth, who initially worked as a nurse before going back to Sweden to complete her medical training and ultimately returned to Lemera to serve as the physician in charge. In 1981, Jean Bugwika secured funding from the Swedish International Development Agency (SIDA) to construct additional facilities, including halls and a hydroelectric dam for electricity and water to

4224-714: Was all Hutus, as such, who were targeted. The crimes committed in particular in Rutshuru (30 October 1996) and Mugogo (18 November 1996), in North Kivu, highlight the specific targeting of the Hutus, since people who were able to persuade the aggressors that they belonged to another ethnic group were released just before the massacres. The systematic use of barriers by the AFDL/APR/FAB, particularly in South Kivu, enabled them to identify people of Hutu origin by their name or village of origin and thus to eliminate them. Hundreds of people of Hutu origin are thus thought to have been arrested at

4290-460: Was mired in extreme turmoil and widespread violence, firmly ensnared by the oppressive grip of the entrenched and autocratic dictator, Mobutu Sese Seko . The AFDL , an insurgent group rooted in the eastern part of the country, was resolute in its mission to dismantle Mobutu's regime. It emerged as a pivotal rebel faction, uniting with Laurent-Désiré Kabila 's broad-based coalition to overthrow Mobutu, whose imperious and kleptocratic rule had plunged

4356-482: Was to assess the capacities within the national justice system to deal appropriately with such human rights violations and to formulate a series of options aimed at assisting the government of the Democratic Republic of the Congo in identifying appropriate transitional justice mechanisms to deal with the legacy of these violations. It contained 550 pages and contained descriptions of 617 alleged violent incidents. The mapping exercise began in 2008, with 33 staff working on

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