Lebanon’s health system on life support as economic woes worsen

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Updated 17 August 2021
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Lebanon’s health system on life support as economic woes worsen

  • Explosion’s adverse impact continues to be felt by nation’s medical professionals and patients alike
  • Health system creaks under the weight of medical supply shortages, COVID-19 and brain drain

DUBAI: Last August, millions around the world watched in horror as footage of the devastating Beirut port blast looped on TV channels and social-media feeds for days. For residents of the Lebanese capital, that month was like no other in recent memory.

Within hours of the explosion on Aug. 4, people began to pour into the city’s hospitals with all kinds of trauma, disfiguring burns and wounds caused by flying glass and masonry. But then, Beirut’s public-health infrastructure itself was one of the biggest casualties.

According to a World Health Organization assessment, four hospitals were heavily affected and 20 primary care facilities, serving approximately 160,000 patients, were either damaged or destroyed.

A year on, as Lebanon reels from the combined impact of economic chaos, medicine shortages, power cuts and repeated COVID-19 waves, the nation’s health system is on life support.

Furthermore, medical professionals report that they are not receiving sufficient protection while on duty as their workplaces lack the medical gear and the protocols necessary for dealing with the highly transmissible delta variant of COVID-19.

“The health situation in Lebanon is really dire,” Rabih Torbay, president and CEO of US-based humanitarian aid agency Project HOPE, told Arab News.




Lebanon reels from the combined impact of economic chaos, medicine shortages, power cuts and repeated COVID-19 waves. (AFP)

“It is a combination of the lack of electricity in hospitals, a lack of fuel for generators in hospitals and beyond, a lack of medicine for hospitals and clinics, the currency losing 90 percent of its value, doctors and nurses leaving and a rise in the number of COVID-19 infections.”

Lebanon took another jolt last week when the Central Bank announced that fuel subsidies had been halted. Already, according to CNN, many factories, including one that supplies the majority of Lebanon's intravenous lines to hospitals, have closed because of long power outages.

Nivine Bou Chakra, whose grandmother takes Nebilet for hypertension, said they have had to ration the stock of drugs they were able to buy last year. “You can’t find it now. And if you do, it’s expensive,” she told Arab News.

Bou Chakra’s father has run his own dental practice for more than 20 years. Many of his patients only visit if they have an emergency, “such as inflammation from an infected tooth,” she said.

“Since they can’t find antibiotics, they come to the dentist to take the tooth out. They do that because they can’t afford the alternative: Proper treatment.”

According to Ingrid Antonios, who is doing her residency at the anesthesiology and critical care department of the Hotel-Dieu de France hospital in Beirut, doctors and nurses are having to resort to cheaper, locally produced alternatives to imported drugs.

“A lot of products were, and still are, not available in the country for various reasons. From very basic stuff, such as painkillers and proton-pump inhibitors, to more specific medications for cancer, hypertension, diabetes and antibiotics,” she said.

Tony Noujaim, a master’s student, said it has become increasingly difficult to find diabetes and cholesterol medications for his father and aunt.

“We haven’t had the need to get them from across the border, at least not yet. But getting them involves a pharmacy treasure hunt in the north. Basically, we go from pharmacy to pharmacy until we eventually find what is a pretty basic and standard medicine,” Noujaim told Arab News.

And it is not just the people of Beirut who are struggling. About 19.5 percent of Lebanon’s population of 7 million are refugees from neighboring countries. Already living precariously in impoverished communities, few of them have the means or the connections to obtain vital medications at a time of scarcity.

It is hard to believe now that Lebanon’s health sector was in much better shape not so long ago, attracting patients from across the Middle East. But conditions began to deteriorate with the onset of the financial crisis in late 2019.

At the time, the New York-based Human Rights Watch warned that health professionals were struggling to meet the needs of their patients owing to the “government’s failure to reimburse private and public hospitals, including funds owed by the National Social Security Fund and military health funds, making it difficult to pay staff and purchase medical supplies.”

The steady depletion of foreign-currency reserves has made it difficult for Lebanese traders to import essential goods and “led banks to curtail credit lines” — a disaster for a nation that depends so heavily on imports.

“Lebanon imports 80 percent of its products — most of the country’s oil, medicine, meat, grain and other supplies come from abroad,” according to a report by Christian aid agency ACT Alliance.

“The pharmaceutical crisis has deepened in Lebanon as the central bank is unable to meet the cost of subsidized medicines.”




According to a World Health Organization assessment, four hospitals were heavily affected and 20 primary care facilities, serving approximately 160,000 patients, were either damaged or destroyed during the port explosion. (AFP)

The drastic devaluation of the currency has also made health insurance unaffordable for many Lebanese. “A challenge I faced at work was when a lady in her forties suffering from advanced cancer came to the emergency department in a critical condition following a severe infection,” Antonios, of the Hotel-Dieu de France hospital, told Arab News.

“She required admission to an intensive care unit, but she and her husband couldn’t afford to pay for admission. She had to be transferred to another hospital in a very unstable condition, which could have been life threatening.”

Amid Lebanon’s overlapping crises, electricity shortages have forced hospitals to rely on private generators to keep the lights on and their life-sustaining equipment functioning. But generators run on fuel, which is also now in short supply.

The American University of Beirut (AUB) Medical Center gave warning last week that its patients were in imminent danger owing to the fuel shortage.

“This means ventilators and other lifesaving medical devices will cease to operate. Forty adult patients and 15 children living on respirators will die immediately,” the AUB said in a statement.

Water has also become a finite commodity because of prolonged mismanagement, infrastructure decay and the unmet energy needs of pumping stations and treatment plants.




“The pharmaceutical crisis has deepened in Lebanon as the central bank is unable to meet the cost of subsidized medicines,” according to a report by Christian aid agency ACT Alliance. (AFP)

“A lot of the pumps are no longer in a position to supply water to homes, yet people can’t afford to buy bottled water,” said Torbay.

“It’s not just the lack of water. With lack of water comes infection outbreaks, diarrheal diseases and hygiene-related issues.”

Watching the health system beset by a lengthening list of problems, many medical professionals have made the difficult decision to leave the country. The trend started with the onset of the economic crisis and has only accelerated since the Beirut blast.

Amani Mereby, a Ph.D. candidate, said her physician now spends more time working in France, despite being in high demand in Lebanon.

“Because of the economic crisis, my physician, who was very successful in Lebanon, is having to divide his time between here and France,” she said. “The only reason he visits Lebanon once every two months is because he wants to help his patients.”




“A lot of products were, and still are, not available in the country for various reasons,” said Ingrid Antonios, who is doing her residency at the Hotel-Dieu de France hospital in Beirut. (AFP)

Among those who have been heading for the exits are colleagues of Antonios at the Hotel-Dieu de France hospital. “A large number of medical staff are leaving the country, from medical doctors to nurses, but also students,” he said. “It’s not just young people at the beginning of their careers. A lot of people in their thirties, forties and fifties are finding a way out where possible.”

For many, the reasons for departure are a mix of financial and emotional. “They can’t survive on the salaries they get paid,” said Torbay. “It’s also extremely difficult for a doctor or a nurse to take on a patient and not be able to heal them or give them the medicine they need.”

To many among the millions currently scraping by on their meager incomes, the remedy for Lebanon’s health system maladies lies either at the ballot box or the streets. They hold the same political elites blamed for the country’s deepening governance crisis, responsible for the unfolding health disaster.

“My friends call me delusional, but I have some hope,” Noujaim told Arab News. “After the Oct. 17, 2019, revolution, there was a huge political awakening in the country. My hope is confined to the next election.”


Qatari emir, Spanish king meet on sidelines of UN investment conference in Seville

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Qatari emir, Spanish king meet on sidelines of UN investment conference in Seville

  • King Felipe expressed his desire to strengthen relations and support joint investments with Qatar
  • He reiterated Spain’s solidarity with Qatar and condemned the Iranian attack on Al-Udeid Air Base last week

LONDON: Qatari emir, Sheikh Tamim bin Hamad Al-Thani, met King Felipe VI of Spain in Seville on the sidelines of a UN-organized international investment conference.

The 4th International Conference on Financing for Development began on Monday and will continue until July 3, bringing together global leaders to discuss urgent reforms necessary for financing sustainable development.

King Felipe expressed his desire to strengthen relations and support joint investments through small and medium-sized enterprises following the recent economic agreements between Qatar and Spain.

He also reiterated Spain’s solidarity with Qatar and condemned the Iranian attack on Al-Udeid Air Base last week, praising Doha’s role in facilitating a ceasefire agreement between Iran and Israel.

Sheikh Tamim emphasized Qatar’s commitment to enhancing cooperation with Spain across cultural, educational and security fields to serve the common interests of both countries, the Qatar News Agency reported.


Israeli settlers hold wedding ceremony inside Al-Aqsa Mosque under police protection

Updated 47 min 24 sec ago
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Israeli settlers hold wedding ceremony inside Al-Aqsa Mosque under police protection

  • The Jerusalem Governorate deemed the move ‘provocative and humiliating’

LONDON: Israeli authorities permitted a wedding engagement ceremony for Jewish settlers within the courtyards of Al-Aqsa Mosque in the occupied Old City of East Jerusalem on Monday.

The Palestinian Authority’s Jerusalem Governorate deemed the move “provocative and humiliating,” describing it as a transformation of the Al-Aqsa Mosque into what resembles a public hall for celebrations by extremist settlers.

“(This is) a flagrant violation of the sanctity of the mosque, a serious provocation of the feelings of Muslims, and a deliberate attempt to impose a new reality that erases the Islamic identity of the site and paves the way for its division temporally and spatially,” the Jerusalem Governorate said.

On Monday, settlers, accompanied by Israeli police, toured the Al-Aqsa compound. Police prevented Palestinians from approaching the settlers to disrupt the ceremony, according to the Wafa news agency.

The Jerusalem Governorate said that Israeli policies aim to impose sovereignty on Al-Aqsa Mosque, stressing that these repeated provocations contradict international law and the 2016 UNESCO resolution, which recognized Al-Aqsa Mosque as an Islamic heritage site and called for its preservation.

Since 1967, the Jerusalem Endowments Council, which operates under Jordan’s Ministry of Endowments and Islamic Affairs, has been the legal authority responsible for managing and regulating the affairs of Al-Aqsa.

However, this status quo has been challenged in recent years by extremist settlers who regularly tour the site under the protection of Israeli police and are often accompanied by government officials and far-right ministers and activists.


UK MPs demand Ukraine-style visa route for Gazans

Updated 30 June 2025
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UK MPs demand Ukraine-style visa route for Gazans

  • Letter to PM: ‘The same generosity should be extended to Palestinian families’
  • Death toll ‘likely to be exponentially higher’ than official figure due to collapse of local govt, health systems

LONDON: MPs in the UK are calling on the government to launch a visa system for Palestinians in Gaza with family already living in Britain.

Sixty-seven politicians have written to Prime Minister Keir Starmer and Home Secretary Yvette Cooper asking for a Gaza Family Scheme mirroring the Ukraine Family Scheme established in 2022 to help refugees escape the war with Russia. It allowed Ukrainians to live and work in the UK for up to three years.

“We believe that the same generosity should be extended to Palestinian families,” said the letter, seen by Sky News.

Signatories include 35 Labour MPs and members of the House of Lords, as well as several people currently suspended from the governing party, including its former leader Jeremy Corbyn and former Shadow Chancellor John McDonnell. 

All four sitting members of the Green Party have also signed, alongside former Liberal Democrat leader Tim Farron and the Bishop of Chelmsford Dr. Guli Francis-Dehquani.

The letter accuses Israel of “shattering the temporary ceasefire agreement” with Hamas in Gaza, and of conducting a “campaign of bombardment and military assaults, and targeting of people accessing humanitarian aid.”

MP Marsha de Cordova, who helped organize the letter alongside the Gaza Families Reunited campaign, told Sky News that the Ukraine visa scheme “was the right response to a brutal war,” and that establishing one for Gazans “would be an extension of those same principles, showing that this government is steadfast in its commitment to helping families experiencing the worst horrors of war.

“It is time for the government to act now to help British Palestinians get their loved ones to safety, enabling them to rebuild their lives.”

The letter said the proposed scheme would let Palestinians reunite with “people they may never see again unless urgent action is taken,” and many Gazans trying to reach the UK “struggled to navigate the immigration system.”

It added that efforts to secure visas have been made “impossible due to the destruction of the visa application centre in Gaza and blockade of the Rafah crossing.”

The letter said the death toll in Gaza, reported by Palestinian authorities as numbering at least 53,000 people, “is likely to be exponentially higher” due to the collapse of local government and health systems in the enclave.

Ghassan Ghaben, spokesperson for Gaza Families Reunited, told Sky News: “Family unity is an undeniable human right.”

He urged more MPs, including Conservatives, to add their names to efforts to help get Palestinians to the UK, saying: “We are still waiting for the new government to do the right thing. We, as Palestinians in the UK, simply want the opportunity to bring our loved ones from Gaza to safety, until it is safe to return.”

A government spokesperson told Sky News: “The death and destruction in Gaza is intolerable. Since day one, we have been clear that we need to see an immediate ceasefire, the release of all hostages cruelly detained by Hamas, better protection of civilians, significantly more aid consistently entering Gaza, and a path to long-term peace and stability.

“There are a range of routes available for Palestinians who wish to join family members in the UK.”


Israel steps up Gaza bombardment ahead of White House talks on ceasefire

Updated 30 June 2025
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Israel steps up Gaza bombardment ahead of White House talks on ceasefire

  • Israel’s Dermer due in US for talks on Gaza, Iran, wider deals
  • Israeli tanks push into Gaza City suburb, residents say

CAIRO/JERUSALEM: Palestinians in northern Gaza reported one of the worst nights of Israeli bombardment in weeks after the military issued mass evacuation orders on Monday, while Israeli officials were due in Washington for a new ceasefire push by the Trump administration.
A day after US President Donald Trump urged an end to the 20-month-old war, a confidant of Prime Minister Benjamin Netanyahu was expected at the White House for talks on a Gaza ceasefire, Iran, and possible wider regional diplomatic deals.
But on the ground in the Palestinian enclave there was no sign of fighting letting up.
“Explosions never stopped; they bombed schools and homes. It felt like earthquakes,” said Salah, 60, a father of five children, from Gaza City. “In the news we hear a ceasefire is near, on the ground we see death and we hear explosions.”
Israeli tanks pushed into the eastern areas of Zeitoun suburb in Gaza City and shelled several areas in the north, while aircraft bombed at least four schools after ordering hundreds of families sheltering inside to leave, residents said.
At least 38 people were killed in Israeli strikes on Monday, health authorities said, including 10 people killed in Zeitoun and at least 13 killed southwest of Gaza City. Medics said most of the 13 were hit by gunfire, but residents also reported an airstrike.
The Israeli military said it struck militant targets in northern Gaza, including command and control centers, after taking steps to mitigate the risk of harming civilians.
There was no immediate word from Israel on the reported casualties southwest of Gaza City.
The heavy bombardment followed new evacuation orders to vast areas in the north, where Israeli forces had operated before and left behind wide-scale destruction. The military ordered people there to head south, saying that it planned to fight Hamas militants operating in northern Gaza, including in the heart of Gaza City.

NEXT STEPS
A day after Trump called to “Make the deal in Gaza, get the hostages back,” Israel’s strategic affairs minister Ron Dermer, a confidant of Netanyahu’s, was expected on Monday at the White House for talks on Iran and Gaza, an Israeli official said.
In Israel, Netanyahu’s security cabinet was expected to convene to discuss the next steps in Gaza.
On Friday, Israel’s military chief said the present ground operation was close to having achieved its goals, and on Sunday, Netanyahu said new opportunities had opened up for recovering the hostages, 20 of whom are believed to still be alive.
Palestinian and Egyptian sources with knowledge of the latest ceasefire efforts said that mediators Qatar and Egypt have stepped up their contacts with the two warring sides, but that no date has been set yet for a new round of truce talks.
A Hamas official said that progress depends on Israel changing its position and agreeing to end the war and withdraw from Gaza. Israel says it can end the war only when Hamas is disarmed and dismantled. Hamas refuses to lay down its arms.
Israeli Foreign Minister Gideon Saar said that Israel has agreed to a US-proposed 60-day ceasefire and hostage deal, and put the onus on Hamas.
“Israel is serious in its will to reach a hostage deal and ceasefire in Gaza,” Saar told reporters in Jerusalem.
Austrian Foreign Minister Beate Meinl-Reisinger, speaking in Jerusalem on Monday alongside her Israeli counterpart, told reporters that Vienna was very concerned about the humanitarian situation in Gaza, which she described as “unbearable.”
“Let me be frank, the suffering of civilians is increasingly burdening Israel’s relations with Europe. A ceasefire must be agreed upon,” she said, calling for the unconditional release of hostages by Hamas and for Israel to allow the uninterrupted flow of humanitarian aid into Gaza.
Israel says it continues to allow aid into Gaza and accuses Hamas of stealing it. The group denies that accusation and says Israel uses hunger as a weapon against the Gaza population.
The US has proposed a 60-day ceasefire and the release of half the hostages in exchange for Palestinian prisoners and the remains of other Palestinians. Hamas would release the remaining hostages as part of a deal that guarantees ending the war.
The war began when Hamas fighters stormed into Israel on October 7 2023, killed 1,200 people, most of them civilians, and took 251 hostages back to Gaza in a surprise attack that led to Israel’s single deadliest day.
Israel’s subsequent military assault has killed more than 56,000 Palestinians, most of them civilians, according to the Gaza health ministry, displaced almost the whole 2.3 million population and plunged the enclave into a humanitarian crisis.
More than 80 percent of the territory is now an Israeli-militarized zone or under displacement orders, according to the United Nations.


No injuries or pollution after explosion at oil tanker off Libya, says operator

Updated 30 June 2025
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No injuries or pollution after explosion at oil tanker off Libya, says operator

  • The Marshall Islands-flagged tanker Vilamoura had left Libya’s Zuetina port and was en route to Gibraltar

ATHENS: An oil tanker carrying about 1 million barrels of crude oil suffered an explosion off Libya on June 27 but no injuries or pollution were reported, a spokesperson for the operator TMS Tankers said on Monday.

The Marshall Islands-flagged tanker Vilamoura had left Libya’s Zuetina port and was en route to Gibraltar when there was an explosion in the engine room, the operator said.

The vessel is now being towed to Greece where it is expected to arrive by July 2, it added.