Blood donation in the Middle East: The gift of life that is easy to give

Achieving self-sufficiency in blood supplies remains a challenge for many Gulf countries despite initiatives to promote awareness of the lifesaving importance of regular donations. (Shutterstock)
Updated 14 June 2019
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Blood donation in the Middle East: The gift of life that is easy to give

  • World Blood Donor Day observed on June 14 to raise awareness of the life-saving importance of blood donation
  • Regular, voluntary donors are vital worldwide for adequate supply of safe blood and blood products

DUBAI: Blood donations in the Middle East have been described as “the gift of life” as the region struggles to cope with the demands posed by conflicts, humanitarian emergencies and the medical needs of a growing population.

International health experts have called on regular donors to step forward to mark World Blood Donor Day on June 14.

This year’s campaign focuses on blood donation and universal access to safe blood transfusion, and according to the World Health Organization (WHO), more donors are needed “to step forward to give the gift of life.”

Those who benefit most from blood donations include people suffering from thalassaemia, a blood disorder that affects hemoglobin and the red blood cell count, as well as victims of road accidents, cancer patients and sickle-cell disease patients.

Experts say while the Gulf Cooperation Council (GCC) countries have launched numerous initiatives to raise awareness of the lifesaving importance of blood donation, there is an increasing need across a wider region for regular donors.

“Many countries in the region face challenges in making sufficient blood available while also ensuring its quality and safety, especially during humanitarian emergencies and conflicts,” Dr. Ahmed Al-Mandhari, WHO regional director for the Eastern Mediterranean, told Arab News.

The GCC countries say they collect in total more than 10 whole blood donations per 1,000 population per year, or about 1 percent, Al-Mandhari said.

According to WHO, blood donations by 1 to 3 percent of the population are sufficient to meet a country’s needs. Even so, achieving self-sufficiency is a daunting challenge for many countries.

Al-Mandhari said that more than 90 percent of the blood is collected from voluntary, unpaid donors, aged from 18 to 44, with an increasing proportion of repeat donors. What is more, blood demand is unpredictable and even differs with each blood type. “For example O- blood can be given to patients with all blood types. But AB+ can only be given to patients with AB+,” he said.

Then there is the issue of short shelf life.

“To be ready to help patients in all hospitals, countries aim to stock usually six days’ worth of each blood type at all times,” Al-Mandhari said. “Since blood has a short shelf life — a 42-day window — and cannot be stockpiled, blood banks are forced to depend on donors to help maintain stocks.”

WHO’s most recent report on blood safety and availability points to “gaps in the key elements of national blood systems” in the Middle East.




A Saudi donor flashes the v-sign for victory as he gives blood in Jeddah. The Kingdom has one of the highest rates of repeat donors in the region. (AFP )

While GCC countries have taken steps to keep stocks at optimum levels, other countries in the Middle East are lagging behind international standards. The WHO report shows wide variations in annual blood-donation rates among countries, ranging from 0.7 per 1,000 population in Yemen to 29 per 1,000 population in Lebanon.

Al-Mandhari laid out the solution in a few easy steps: “Governments need to provide adequate resources, and put in place systems and infrastructure to increase the collection of blood from voluntary, regular unpaid blood donors, provide quality donor care, promote and implement appropriate clinical use of blood; and set up systems for oversight and surveillance across the blood-transfusion supply chain.”

On the positive side, Saudi Arabia recorded a rate of 13.8 per 1,000 population, with a healthy spread across all age groups. The country also has one of the highest rates of repeat donors (91 percent) in the region. According to the WHO report, the proportion of repeat, voluntary, non-remunerated blood donation in the Kingdom is 65.3 percent, which “will keep the prevalence of transfusion-transmissible infections among blood donors at much lower levels than in the general population.”

In recent years, Saudi health officials have introduced a number of measures to ensure adequate stocks in blood banks, including those run by the Ministry of Health and dedicated centers. These include a large facility at King Fahad Medical City (KFMC) and the country’s Central Blood Bank.

In the Kingdom, to be eligible for blood donation, donors must be aged over 17, weigh more than 50 kg, and have passed a brief medical examination. The health ministry recently launched Wateen, an app designed to ease blood-donation procedures and help ensure facilities across the Kingdom have adequate quantities of blood by 2020.

KFMC officials say that every day at least 2,000 units of blood components are needed to sustain a minimum supply for patients at the facility and other governmental and non-governmental hospitals in Riyadh. Donated blood components are essential for the management of cases involving cancer, sickle-cell disease, organ transplant, surgery, childbirth and trauma, to name just a few.

The situation is not very different in the other GCC countries, which also need more donors.

In the UAE, Dubai Blood Donation Center, which accounts for roughly half of the total blood collected in the emirates, frequently highlights the urgent need for donors. In 2018 alone, it ran 635 blood-donation campaigns, which resulted in 63,735 donors and a collection of 50,456 blood units.

While all blood types are needed, negative blood types are in greater demand due to their rarity. “There is a continuous demand for all blood types as blood lasts for only 42 days. So donors are always needed to come forward to replenish these stocks,” Dr. Mai Raouf, director of Dubai Blood Donation Center, said.

“People can donate blood every eight weeks, with each donation potentially saving up to three lives,” she told Arab News. 

Given that transfusion of blood and blood products save millions of lives every year, and the fact that “regular donors are the safest group of donors,” the importance of encouraging people to return to donate blood, rather than be one-time donors, can hardly be overemphasized, experts say.

“Without a system based on voluntary, unpaid blood donation, particularly regular voluntary donation, no country can provide sufficient blood for all patients who require transfusion,” Al-Mandhari said.

“WHO is calling on all countries in the region to celebrate and thank individuals who donate blood — and to encourage those who have not yet donated blood to start donating,” he said.

 


Long silenced by fear, Syrians now speak about rampant torture under Assad

Updated 5 sec ago
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Long silenced by fear, Syrians now speak about rampant torture under Assad

  • Activists and rights groups say the brutality was systematic and well-organized, growing to more than 100 detention facilities where torture, sexual violence and mass executions were rampant
DAMASCUS: Handcuffed and squatting on the floor, Abdullah Zahra saw smoke rising from his cellmate’s flesh as his torturers gave him electric shocks.
Then it was Zahra’s turn. They hanged the 20-year-old university student from his wrists until his toes barely touched the floor and electrocuted and beat him for two hours. They made his father watch and taunted him about his son’s torment.
That was 2012, and the entire security apparatus of Syria’s then-President Bashar Assad was deployed to crush the protests that had arisen against his rule.
With Assad’s fall a month ago, the machinery of death that he ran is starting to come out into the open.
It was systematic and well-organized, growing to more than 100 detention facilities where torture, brutality, sexual violence and mass executions were rampant, according to activists, rights group and former prisoners. Security agents spared no one, not even Assad’s own soldiers. Young men and women were detained for simply living in districts where protests were held.
As tens of thousands disappeared over more than a decade, a blanket of fear kept the Syrian population silent. People rarely told anyone that a loved one had vanished for fear they too could be reported to security agencies.
Now, everyone is talking. The insurgents who swept Assad out of power opened detention facilities, releasing prisoners and allowing the public to bear witness. Crowds swarmed, searching for answers, bodies of their loved ones, and ways to heal.
The Associated Press visited seven of these facilities in Damascus and spoke to nine former detainees, some released on Dec. 8, the day Assad was ousted. Some details of the accounts by those who spoke to the AP could not be independently confirmed, but they matched past reports by former detainees to human rights groups.
Days after Assad’s fall, Zahra – now 33 — came to visit Branch 215, a detention facility run by military intelligence in Damascus where he was held for two months. In an underground dungeon, he stepped into the windowless, 4-by-4-meter (yard) cell where he says he was held with 100 other inmates.
Each man was allowed a floor tile to squat on, Zahra said. When ventilators weren’t running — either intentionally or because of a power failure — some suffocated. Men went mad; torture wounds festered. When a cellmate died, they stowed his body next to the cell’s toilet until jailers came to collect corpses, Zahra said.
“Death was the least bad thing,” he said. “We reached a place where death was easier than staying here for one minute.”
Assad’s system of repression grew as civil war raged
Zahra was arrested along with his father after security agents killed one of his brothers, a well-known anti-Assad graffiti artist. After they were released, Zahra fled to opposition-held areas. Within a few months, security agents returned and dragged off 13 of his male relatives, including a younger brother and, again, his father.
They were brought to Branch 215. All were tortured and killed. Zahra later recognized their bodies among photos leaked by a defector that showed the corpses of thousands killed while in detention. Their bodies were never recovered, and how and when they died is unknown.
Rights groups estimate at least 150,000 people went missing after anti-government protests began in 2011, most vanishing into Assad’s prison network. Many of them were killed, either in mass executions or from torture and prison conditions. The exact number remains unknown.
Even before the uprising, Assad had ruled with an iron fist. But as peaceful protests turned into a full-fledged civil war that would last 14 years, Assad rapidly expanded his system of repression.
New detention facilities sprung up in security compounds, military airports and under buildings — all run by military, security and intelligence agencies.
Touring the site of his torture and detention, Zahra hoped to find some sign of his lost relatives. But there was nothing. At home, his aunt, Rajaa Zahra, saw the pictures of her killed children for the first time. She had refused to look at the leaked photos before. She lost three of her six sons in Branch 215 and a fourth was killed at a protest. Her brother, she said, had three sons, now he has only one.
“They were hoping to finish off all the young men of the country.”
Syrians were tortured with ‘the tire’ and ‘magic carpet’
The Assad regime’s tortures had names.
One was called the “magic carpet,” where a detainee was strapped to a hinged wooden plank that bends in half, folding his head to his feet, which are then beaten.
Abdul-Karim Hajjeko said he endured this five times. His torturers stomped on his back during interrogations at the Criminal Security branch, and his vertebrae are still broken.
“My screams would go to heaven. Once a doctor came down from the fourth floor (to the ground floor) because of my screams,” he said.
He was also put in “the tire.” His legs were bent inside a car tire as interrogators beat his back and feet with a plastic baton. When they were done, he said, a guard ordered him to kiss the tire and thank it for teaching him “how to behave.” Hajjeko was later taken to the notorious Saydnaya Prison, where he was held for six years.
Many prisoners said the tire was inflicted for rule violations — like making noise, raising one’s head in front of guards, or praying – or for no reason at all.
Mahmoud Abdulbaki, a non-commissioned air force officer who defected from service, was put in the tire during detention at a military police facility. They forced him to count the lashes — up to 200 — and if he made a mistake, the torturer would start over.
“People’s hearts stopped following a beating,” the 37-year-old said.
He was later held at Saydnaya, where he said guards would terrorize inmates by rolling a tire down the corridor lined with cells and beat on the bars with their batons. Wherever it stopped, the entire cell would be subjected to the tire.
Altogether, Abdulbaki spent nearly six years in prison over different periods. He was among those freed on the day Assad fled Syria.
Saleh Turki Yahia said a cellmate died nearly every day during the seven months in 2012 he was held at the Palestine Branch, a detention facility run by the General Intelligence Agency.
He recounted how one man bled in the cell for days after returning from a torture session where interrogators rammed a pipe into him. When the inmates tried to move him, “all his fluids poured out from his backside. The wound opened from the back, and he died,” he said.
Yahya said he was given electric shocks, hanged from his wrists, beaten on his feet. He lost half his body weight and nearly tore his own skin scratching from scabies.
“They broke us,” he said, breaking into tears. “Look at Syria, it is all old men ... A whole generation is destroyed.”
But with Assad gone, he was back visiting the Palestine Branch.
“I came to express myself. I want to tell.”
The mounting evidence will be used in trials
Torture continued up to the end of Assad’s rule.
Rasha Barakat, 34, said she and her sister were detained in March from their homes in Saqba, a town outside Damascus.
Inside a security branch, she was led past her husband, who had been arrested hours earlier and was being interrogated. He was kneeling on the floor, his face green, she said. It was her last brief glimpse of him: He died in custody.
During her own hours-long interrogation, she said, security agents threatened to bring in her sons, 5- and 7-years-old, if she didn’t confess. She was beaten. Female security agents stripped her and poured cold water on her, leaving her shivering naked for two hours. She spent eight days in isolation, hearing beatings nearby.
Eventually she was taken to Adra, Damascus’ central prison, tried and sentenced to five years for supporting rebel groups, charges she said were made up.
There she stayed until insurgents broke into Adra in December and told her she was free. An estimated 30,000 prisoners were released as fighters opened up prisons during their march to Damascus.
Barakat said she is happy to see her kids again. But “I am destroyed psychologically … Something is missing. It is hard to keep going.”
Now comes the monumental task of accounting for the missing and compiling evidence that could one day be used to prosecute Assad’s officials, whether by Syrian or international courts.
Hundreds of thousands of documents remain scattered through the former detention facilities, many labeled classified, in storage rooms commonly underground. Some seen by the AP included transcripts of phone conversations, even between military officers; intelligence files on activists; and a list of hundreds of prisoners killed in detention.
Shadi Haroun, who spent 10 years imprisoned, has been charting Assad’s prison structure and documenting former detainees’ experiences from exile in Turkiye. After Assad’s fall, he rushed back to Syria and toured detention sites.
The documents, he said, show the bureaucracy behind the killings. “They know what they are doing, it is organized.”
Civil defense workers are tracking down mass graves where tens of thousands are believed to be buried. At least 10 have been identified around Damascus, mostly from residents’ reports, and five others elsewhere around the country. Authorities say they are not ready to open them.
A UN body known as the International Impartial and Independent Mechanism has offered to help Syria’s new interim administration in collecting, organizing and analyzing all the material. Since 2011, it has been compiling evidence and supporting investigations in over 200 criminal cases against figures in Assad’s government.
Robert Petit, director of the UN body, said the task is so enormous, no one entity can do it alone. The priority would be to identify the architects of the brutality.
Many want answers now.
Officials cannot just declare that the missing are presumed dead, said Wafaa Mustafa, a Syrian journalist, whose father was detained and killed 12 years ago.
“No one gets to tell the families what happened without evidence, without search, without work.”

Syria unable to import wheat or fuel due to US sanctions, trade minister says

Updated 07 January 2025
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Syria unable to import wheat or fuel due to US sanctions, trade minister says

  • The sanctions were imposed during Assad’s rule, targeting his government and also state institutions such as the central bank

DAMASCUS: Syria is unable to make deals to import fuel, wheat or other key goods due to strict US sanctions and despite many countries, including Gulf Arab states, wanting to do so, Syria’s new trade minister said.
In an interview with Reuters at his office in Damascus, Maher Khalil Al-Hasan said Syria’s new ruling administration had managed to scrape together enough wheat and fuel for a few months but the country faces a “catastrophe” if sanctions are not frozen or lifted soon.
Hasan is a member of the new caretaker government set up by Islamist rebel group Hayat Tahrir Al-Sham after it launched a lightning offensive that toppled autocratic President Bashar Assad on Dec. 8 after 13 years of civil war.
The sanctions were imposed during Assad’s rule, targeting his government and also state institutions such as the central bank.
Russia and Iran, both major backers of the Assad government, previously provided most of Syria’s wheat and oil products but both stopped doing so after the rebels triumphed and Assad fled to Moscow.
The US is set to announce an easing of restrictions on providing humanitarian aid and other basic services such as electricity to Syria while maintaining its strict sanctions regime, people briefed on the matter told Reuters on Monday.
The exact impact of the expected measures remains to be seen.
The decision by the outgoing Biden administration aims to send a signal of goodwill to Syria’s people and its new Islamist rulers, and pave the way for improving basic services and living conditions in the war-ravaged country.
At the same time, US officials see the sanctions as a key point of leverage with a new ruling group that was designated a terrorist entity by Washington several years ago but which, after breaking with Islamist militant group Al Qaeda, has recently signalled a more moderate approach.
Washington wants to see Damascus embark on an inclusive political transition and to cooperate on counterterrorism and other matters.
Hasan told Reuters he was aware of reports that some sanctions may soon be eased or frozen.


Libya military says air strikes target smuggling sites

Updated 07 January 2025
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Libya military says air strikes target smuggling sites

  • The Libyan Army said the air strikes “targeted and destroyed fuel trafficking sites in Zawiya, specifically in Asban,” a semi-rural area outside of the city

ZAWIYAH, Libya: Libya’s UN-recognized authorities have launched air strikes targeting drug trafficking and fuel smuggling hubs west of the capital, a military statement said on Monday.
It remained unclear if there were casualties from the strikes in Zawiya, a city on the Mediterranean coast about 40 kilometers (25 miles) west of the capital Tripoli.
Libya was plunged into chaos after a NATO-backed uprising toppled and killed strongman Muammar Qaddafi in 2011, with armed groups exploiting the situation to fund their activities through fuel smuggling and the trafficking of migrants.
The Libyan Army said the air strikes “targeted and destroyed fuel trafficking sites in Zawiya, specifically in Asban,” a semi-rural area outside of the city.
It also called on locals to clear areas it labelled as “strongholds for trafficking and crime.”
In May 2023, the Tripoli-based government carried out drone strikes as part of an anti-smuggling operation, killing at least two people and injuring several others, authorities said at the time.
Those strikes followed clashes between armed groups suspected of involvement in human trafficking and smuggling of fuel and other contraband goods.
Libya’s eastern-based parliament accused the Tripoli-based Government of National Unity of targeting the home of one of its lawmakers, an opponent of the government.
Libya is divided between the Tripoli-based GNU and a rival administration in the east, backed by military strongman Khalifa Haftar.
Footage posted on the army’s Facebook page showed a military truck smashing into the facade of a small dwelling.
Other footage showed tanks and pickup trucks mounted with machine guns driving through Zawiya.
The city hosts Libya’s second-largest oil refinery, with smugglers trafficking the fuel across the border into neighboring Tunisia.
 

 


UN envoy in rare Yemen visit to push for peace

Updated 07 January 2025
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UN envoy in rare Yemen visit to push for peace

  • Grundberg’s office said his visit would also “support the release of the arbitrarily detained UN, NGO, civil society and diplomatic mission personnel”

SANAA: Hans Grundberg, the United Nation’s special envoy for war-torn Yemen, arrived Monday in the rebel-held capital in a bid to breathe life into peace talks, his office said.
Grundberg last visited the capital Sanaa, controlled by the Iran-backed Houthis, in May 2023 for meetings with the rebels’ leaders in an earlier effort to advance a roadmap for peace.
The envoy’s current visit “is part of his ongoing efforts to urge for concrete and essential actions... for advancing the peace process,” Grundberg’s office said in a statement.
Yemen has been at war since 2014, when the Houthis forced the internationally recognized government out of Sanaa. The rebels have also seized population centers in the north.
A UN-brokered ceasefire in April 2022 calmed fighting and in December 2023 the warring parties committed to a peace process.
But tensions have surged during the Israel-Hamas war in Gaza, as the Houthis struck Israeli targets and international shipping in the Red Sea and Gulf of Aden, in a campaign the rebels say is in solidarity with Palestinians.
In response to the Houthi attacks, Israel as well as the United States and Britain have hit Houthi targets in Yemen over the past year. One Israeli raid hit Sanaa’s international airport.
Grundberg’s office said his visit would also “support the release of the arbitrarily detained UN, NGO, civil society and diplomatic mission personnel.”
Dozens of staff from UN and other humanitarian organizations have been detained by the rebels, most of them since June, with the Houthis accusing them of belonging to a “US-Israeli spy network,” a charge the United Nations denies.
 

 


US says anti-Daesh operation in Iraq kills coalition soldier

US army soldiers stand on duty at the K1 airbase northwest of Kirkuk in northern Iraq on March 29, 2020. (AFP)
Updated 07 January 2025
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US says anti-Daesh operation in Iraq kills coalition soldier

  • US officials have said Daesh is hoping to stage a comeback in Syria following the fall in December of Syrian President Bashar Assad

WASHINGTON: The US military said on Monday operations against Daesh in Iraq over the past week led to the death of a non-US coalition soldier and wounded two other non-US personnel.
It also detailed operations in Syria against Daesh militants led by the US-backed Syrian Democratic Forces, including one that resulted in the capture of what the US military’s Central Command said was an Daesh attack cell leader.
US officials have said Daesh is hoping to stage a comeback in Syria following the fall in December of Syrian President Bashar Assad.