End of medical referrals in Gaza impacts Palestinian patients

According to the Palestinian Ministry of Health, 16,000 cancer patients need treatment in Gaza, with 120 to 130 new cases diagnosed each month. About 15 deaths are recorded monthly. (AFP)
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Updated 23 June 2020
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End of medical referrals in Gaza impacts Palestinian patients

  • Thousands of patients now fear for their lives as they cannot travel to receive treatment in Jerusalem and the West Bank

GAZA CITY: Omar Yaghi was not yet eight months old when he died; the first victim of the end of security coordination between the Palestinian Authority (PA) and Israel.

Thousands of patients in the Gaza Strip now fear for their lives, because they cannot travel to receive treatment in hospitals in Jerusalem and the West Bank.
Nesreen Al-Shawaf said that her 14-year-old son Saddam, who has leukemia, was not able to receive treatment in the Gaza Strip, and that he needed to travel to the West Bank.
Al-Shawaf had previously received financial aid from the PA for Saddam to get treatment in an Israeli hospital, since he was diagnosed aged just 6.
But more than 2 years ago, due to a decision by the PA to stop medical referrals to Israeli hospitals, in what appeared to be a response to Israel’s policy of withholding Palestinian tax revenue, the treatment of Gaza’s patients was transferred insteas to Palestinian hospitals in Jerusalem and the West Bank.
For years, the PA has been responsible for the bill to treat serious and incurable disease of Palestinians. Cancer constitutes between 30 and 40 percent of it, with a financial value of about $120 million annually, with most of that going to Israeli hospitals.
Al-Shawaf believes that Palestinian hospitals in the West Bank are less able to deal with many complex medical conditions than their Israeli counterparts, but they remain well ahead of those in Gaza.
But now, even this option is no longer available to patients in Gaza, after President Mahmoud Abbas’s decision on May 20 to dissolve all agreements and understandings with Israel and the US, including on security coordination, meaning patients are no longer able to obtain exit permits for treatment outside Gaza.
“I am very worried, if I cannot get out of Gaza to continue treatment for my son this could threaten his life and put him at risk. I hope that does not happen,” Al-Shawaf told Arab News.
The General Authority of Civil Affairs, the Palestinian authority responsible for communicating with Israel, has stopped working to coordinate patient travel.
The head of the authority in Gaza, Saleh Al-Zaq, said: “The authority is an executive body and abides by the political and sovereign decisions taken by the PA.
“This issue is no longer within the duties of the authority, which does not have the power to coordinate and communicate with the Israeli side, according to the decision of President Abbas.”

Local treatment
On May 16, the Palestinian Prime Minister Muhammad Shtayyeh announced that Gaza’s patients would be treated in two hospitals in the Gaza Strip contracted by the PA.
He said the PA would turn to international organizations, such as the World Health Organization and the International Committee of the Red Cross (ICRC), to help deliver the medical equipment and medicines needed.
According to the Palestinian Ministry of Health, 16,000 cancer patients need treatment in Gaza, with 120 to 130 new cases diagnosed each month. About 15 deaths are recorded monthly.
Ziyad Al-Khuzindar, an oncology consultant at the Basmat Amal Foundation for Cancer Care, said that the capabilities in Gaza in terms of the number of hospitals, centers, and specialized medical teams were insufficient to meet the need of patients.
“Gaza suffers from complex health crises related to a severe shortage of specialists, medicines and medical equipment, especially radiotherapy devices, and the suffering of patients has increased not only with the decision of the PA to stop security coordination, but since medical referrals have stopped,” he told Arab News.
The director of the referrals department, Mazen Al-Hindi, said: “The PA aims to localize treatment services in Palestinian hospitals in the West Bank and Gaza, and to give priority to referral of critical cases to hospitals in Egypt and Jordan as an alternative to Israeli hospitals.
“In the event of severe need to deal with Israeli hospitals, especially those with marrow transplantation and cancer treatment with atomic scanning, the coordination with Israelis will be through the ICRC,” he told Arab News.
The Association of Physicians for Human Rights, an Israeli NGO, has warned of a real threat to the lives of thousands of Palestinian patients who need to be treated in Israeli or East Jerusalem hospitals.
“Israel controls the crossings and the lives of Palestinians in the West Bank and Gaza, and it controls the lives of Palestinians in all aspects, and it must bear responsibility for its occupation and the management systems it established through decades,” said the association’s official, Ghada Majadleh.


Israel’s Netanyahu sends Mossad director to Gaza ceasefire talks in Qatar

Updated 7 sec ago
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Israel’s Netanyahu sends Mossad director to Gaza ceasefire talks in Qatar

  • His presence means high-level Israeli officials who would need to sign off on any agreement are now involved
  • Just one brief ceasefire has been achieved in 15 months of Israel's war on Gaza which has killed over 44,000

JERUSALEM: Israeli Prime Minister Benjamin Netanyahu has approved sending the director of the Mossad foreign intelligence agency to ceasefire negotiations in Qatar in a sign of progress in talks on the war in Gaza.

Netanyahu’s office announced the decision Saturday. It was not immediately clear when David Barnea would travel to Qatar’s capital, Doha, site of the latest round of indirect talks between Israel and the Hamas militant group. His presence means high-level Israeli officials who would need to sign off on any agreement are now involved.

Just one brief ceasefire has been achieved in 15 months of war, and that occurred in the earliest weeks of fighting. The talks mediated by the United States, Egypt and Qatar have repeatedly stalled since then.

Netanyahu has insisted on destroying Hamas’ ability to fight in Gaza. Hamas has insisted on a full Israeli troop withdrawal from the largely devastated territory. On Thursday, Gaza’s Health Ministry said over 46,000 Palestinians have been killed in the war.


Syria de facto leader Al-Sharaa phones congratulations to Lebanon’s newly elected President Aoun

Updated 12 January 2025
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Syria de facto leader Al-Sharaa phones congratulations to Lebanon’s newly elected President Aoun

  • Call followed talks between Al-Sharaa and Lebanese Prime Minister Najib Mikati in Damascus
  • Al-Sharaa said he hoped Joseph Aoun’s presidency would usher in an era of stability in Lebanon

DAMASCUS: Syria’s de facto leader Ahmed Al-Sharaa called newly elected Lebanese President Joseph Aoun on the phone and congratulated him for assuming the presidency, Syria’s ruling general command reported on Sunday.

The phone call followed talks between Al-Sharaa and Lebanese Prime Minister Najib Mikati, who was in the Syrian capital on Saturday with a mission to restore ties between the two neighbors.

Mikati’s visit was the first by a Lebanese head of government to Damascus since the Syrian civil war started in 2011.

Previous Lebanese governments refrained from visits to Syria amid tensions at home over militant group Hezbollah’s support for then ruler Bashar Assad during the conflict.

Syria’s new leader Al-Sharaa said he hoped to turn over a new leaf in relations, days after crisis-hit Lebanon finally elected a president this week following two years of deadlock.

“There will be long-term strategic relations between us and Lebanon. We and Lebanon have great shared interests,” Sharaa said in a joint press conference with Mikati.

It was time to “give the Syrian and Lebanese people a chance to build a positive relationship,” he said, adding he hoped Joseph Aoun’s presidency would usher in an era of stability in Lebanon.

Sharaa said the new Syria would “stay at equal distance from all” in Lebanon, and “try to solve problems through negotiations and dialogue.”

Mikati said ties should be based on “mutual respect, equality and national sovereignty.”

Syria was the dominant power in Lebanon for three decades under the Assad family, with president Hafez Assad intervening in its 1975-1990 civil war and his son Bashar Assad only withdrawing Syria’s troops in 2005 following mass protests triggered by the assassination of Lebanese ex-prime minister Rafic Hariri.

After mending ties with Damascus, his son Saad Hariri was the last Lebanese premier to visit the Syrian capital in 2010 before the civil war.

Taking office on Thursday, Aoun swore he would seize the “historic opportunity to start serious... dialogue with the Syrian state.”

With Hezbollah weakened after two months of full-scale war with Israel late last year and Assad now gone, Syrian and Lebanese leaders seem eager to work to solve long-pending issues.

Among them is the presence of some two million Syrian refugees Lebanon says have sought shelter there since Syria’s war started.

Their return to Syria had become “an urgent matter in the interest of both countries,” Mikati said.
Lebanese authorities have long complained that hosting so many Syrians has become a burden for the tiny Mediterranean country which since 2019 has been wracked by its worst-ever economic crisis.
Mikati also said it was a priority “to draw up the land and sea borders between Lebanon and Syria,” calling for creation of a joint committee to discuss the matter.
Under Assad, Syria repeatedly refused to delimit its borders with its neighbor.
Lebanon has hoped to draw the maritime border so it can begin offshore gas extraction after reaching a similar agreement with Israel in 2022.

The Lebanese premier said both sides had stressed the need for “complete control of (land) borders, especially over illicit border points, to stem smuggling.”
Syria shares a 330-kilometer (205-mile) border with Syria with no official demarcation at several points, making it porous and prone to smuggling.
Syria imposed new restrictions on the entry of Lebanese citizens last week, following what Lebanon’s army said was a border skirmish with unnamed armed Syrians.
Lebanese nationals had previously been allowed into Syria without a visa.
Several foreign dignitaries have headed to Damascus in recent weeks to meet the new leaders, with a delegation from Oman also in town earlier Saturday.
Unlike other Arab Gulf states, Oman never severed diplomatic ties with Assad during the war.
Italy’s Foreign Minister Antonio Tajani visited Damascus on Friday, while France’s Jean-Noel Barrot and his German counterpart Annalena Baerbock did last week.
Shaibani has visited Saudi Arabia, the United Arab Emirates, Qatar and Jordan this month, and said Friday he would head to Europe soon.
Syria’s war has killed more than half a million people and ravaged the country’s economy since starting in 2011 with the brutal crackdown of anti-Assad protests.
 


Eight killed, 50 injured in explosion of gas station, gas storage tank in Yemen’s Al-Bayda, sources say

Updated 12 January 2025
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Eight killed, 50 injured in explosion of gas station, gas storage tank in Yemen’s Al-Bayda, sources say

CAIRO: Eight people were killed and 50 others injured in an explosion of a gas station and a gas storage tank in Yemen’s Al-Bayda province, a medical source and a local official said.

 


Russia eyes Libya to replace Syria as Africa launchpad

Updated 12 January 2025
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Russia eyes Libya to replace Syria as Africa launchpad

  • On December 18 the Wall Street Journal, citing Libyan and American officials, said there had been a transfer of Russian radars and defense systems from Syria to Libya, including S-300 and S-400 anti-aircraft batteries

PARIS: The fall of Russian ally Bashar Assad in Syria has disrupted the Kremlin’s strategy not only for the Mediterranean but also for Africa, pushing it to focus on Libya as a potential foothold, experts say.
Russia runs a military port and an air base on the Syrian coast, designed to facilitate its operations in the Mediterranean, the Middle East, and sub-Saharan Africa, especially the Sahel, Sudan, and the Central African Republic.
However, this model is in jeopardy with the abrupt departure of the Syrian ruler.
Although Syria’s new leader, Ahmed Al-Sharaa, has called Russia an “important country,” saying “we do not want Russia to leave Syria in the way that some wish,” the reshuffling of cards in Syria is pushing Russia to seek a strategic retreat toward Libya.
In Libya, Russian mercenaries already support Khalifa Haftar, a field marshal controlling the east of the country, against the Tripoli-based Government of National Unity (GNU) which has UN recognition and is supported by Turkiye.
“The goal is notably to preserve the ongoing Russian missions in Africa,” said Jalel Harchaoui at the RUSI think tank in the UK.
“It’s a self-preservation reflex” for Russia which is anxious “to mitigate the deterioration of its position in Syria,” he told AFP.
In May 2024, Swiss investigative consortium “All Eyes On Wagner” identified Russian activities at around 10 Libyan sites, including the port of Tobruk, where military equipment was delivered in February and April of last year.
There were around 800 Russian troops present in February 2024, and 1,800 in May.
On December 18 the Wall Street Journal, citing Libyan and American officials, said there had been a transfer of Russian radars and defense systems from Syria to Libya, including S-300 and S-400 anti-aircraft batteries.

Since Assad’s fall on December 8, “a notable volume of Russian military resources has been shipped to Libya from Belarus and Russia,” said Harchaoui, adding there had been troop transfers as well.
Ukrainian intelligence claimed on January 3 that Moscow planned “to use Sparta and Sparta II cargo ships to transport military equipment and weapons” to Libya.
Beyond simply representing a necessary replacement of “one proxy with another,” the shift is a quest for “continuity,” said expert Emadeddin Badi on the Atlantic Council’s website, underscoring Libya’s role as “a component of a long-standing strategy to expand Moscow’s strategic foothold in the region.”

According to Badi, “Assad offered Moscow a foothold against NATO’s eastern flank and a stage to test military capabilities.”
Haftar, he said, presents a similar opportunity, “a means to disrupt western interests, exploit Libya’s fractured politics, and extend Moscow’s influence into Africa.”
The Tripoli government and Italy, Libya’s former colonial master, have expressed concern over Russian movements, closely observed by the European Union and NATO.
Several sources say the United States has tried to persuade Haftar to deny the Russians a permanent installation at the port of Tobruk that they have coveted since 2023.
It seems already clear the Kremlin will struggle to find the same level of ease in Libya that it had during Assad’s reign.
“Syria was convenient,” said Ulf Laessing, the Bamako-based head of the Sahel program at the Konrad Adenauer Foundation.
“It was this black box with no Western diplomats, no journalists. They could basically do what they wanted,” he told AFP.
“But in Libya, it will be much more complicated. It’s difficult to keep things secret there and Russian presence will be much more visible,” he said.
Moscow will also have to contend with other powers, including Turkiye, which is allied with the GNU, as well as Egypt and the United Arab Emirates, who are patrons of Haftar.
In Libya, torn into two blocs since the ouster of longtime leader Muammar Qaddafi in February 2011, “everybody’s trying to work with both sides,” said Laessing.
Over the past year, even Turkiye has moved closer to Haftar, seeking potential cooperation on economic projects and diplomatic exchanges.
Russia will also be mindful to have a plan B should things go wrong for its Libyan ally.
“We must not repeat the mistake made in Syria, betting on a local dictator without an alternative,” said Vlad Shlepchenko, military correspondent for the pro-Kremlin media Tsargrad.
Haftar, meanwhile, is unlikely to want to turn his back on western countries whose tacit support he has enjoyed.
“There are probably limits to what the Russians can do in Libya,” said Laessing.
 

 


Turkiye’s Kurdish leaders meet jailed politician as the two sides inch toward peace

Updated 12 January 2025
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Turkiye’s Kurdish leaders meet jailed politician as the two sides inch toward peace

  • The armed conflict between the PKK and the Turkish state, which started in August 1984 and has claimed tens of thousands of lives, has seen several failed attempts at peace

ISTANBUL: A delegation from one of Turkiye’s biggest pro-Kurdish political parties met a leading figure of the Kurdish movement in prison Saturday, the latest step in a tentative process to end the country’s 40-year conflict, the party said.
Three senior figures from the Peoples’ Equality and Democracy Party, or DEM, met the party’s former co-chairperson, Selahattin Demirtas, at Edirne prison near the Greek border.
The meeting with Demirtas — jailed in 2016 on terrorism charges that most observers, including the European Court of Human Rights, have labelled politically motivated — took place two weeks after DEM members met Abdullah Ocalan, the imprisoned head of the Kurdistan Workers’ Party, or PKK.
While the PKK has led an armed insurgency against the Turkish state since the 1980s, the DEM is the latest party representing left-leaning Kurdish nationalism. Both DEM and its predecessors have faced state measures largely condemned as repression, including the jailing of elected officials and the banned of parties.
In a statement released on social media after the meeting, Demirtas called on all sides to “focus on a common future where everyone, all of us, will win.”
Demirtas credited Ocalan with raising the chance that the PKK could lay down its arms. Ocalan has been jailed on Imrali island in the Sea of Marmara since 1999 for treason over his leadership of the PKK, considered a terrorist organization by Turkiye and most Western states.
Demirtas led the DEM between 2014 and 2018, when it was known as the Peoples’ Democratic Party, or HDP, and he is still widely admired. He said that despite “good intentions,” it was necessary for “concrete steps that inspire confidence … to be taken quickly.”
One of the DEM delegation, Ahmet Turk, said: “I believe that Turks need Kurds and Kurds need Turks. Our wish is for Turkiye to come to a point where it can build democracy in the Middle East.”
The armed conflict between the PKK and the Turkish state, which started in August 1984 and has claimed tens of thousands of lives, has seen several failed attempts at peace.
Despite being imprisoned for a quarter of a century, Ocalan remains central to any chance of success due to his ongoing popularity among many of Turkiye’s Kurds. In a statement released on Dec. 29, he signaled his willingness to “contribute positively” to renewed efforts.
Meanwhile, in an address Saturday to ruling party supporters in Diyarbakir, the largest city in the Kurdish-majority southeast, Turkish President Recep Tayyip Erdogan called for the disbandment of the PKK and the surrender of its weapons.
This would allow DEM “the opportunity to develop itself, strengthening our internal front against the increasing conflicts in our region, in short, closing the half-century-old separatist terror bracket and consigning it to history ... forever,” he said in televised comments.
The latest drive for peace came when Devlet Bahceli, leader of the far-right Nationalist Movement Party and a close ally of Erdogan, surprised everyone in October when he suggested that Ocalan could be granted parole if he renounced violence and disbanded the PKK.
Erdogan offered tacit support for Bahceli’s suggestion a week later, and Ocalan said he was ready to work for peace, in a message conveyed by his nephew.