BEIRUT: Christine Tohme had already been diagnosed with ovarian cancer when Lebanon’s financial system began to unravel in 2019. She never expected that two years later her country’s economic meltdown would pose a direct threat to her life.
The 50-year-old was later diagnosed with third stage colon cancer in February. Having undergone surgery earlier this year, she was then prescribed six sessions of chemotherapy.
But with shortages of basic goods plaguing every aspect of Lebanese life, Tohme was told there was no guarantee she would complete her treatment as hospitals run out of vital drugs.
So far she has only undergone three sessions. Her cancer has metastasized to her lymph nodes and she fears if she cannot complete her treatment she will only have months to live.
Having knocked on every door to try to secure her medication at any cost, Tohme took to the streets on Thursday, despite her ailing health, to join a sit-in protest with other cancer patients, doctors and nongovernmental organizations.
“I’m hoping that God gives me strength, as I don’t have that much, to stand on my two feet and take part so that maybe people will see us and sympathize with us and send us treatment,” Tohme told Reuters two days before the event. “I have kids, I want to be happy with them and see them get married and become a grandmother.”
Lebanese healthcare workers have warned for months of declining stocks of vital medical supplies. Many pharmacy shelves are empty as the country’s foreign reserves are depleted on the back of a subsidy scheme used to finance fuel, wheat and medicine that cost the state around $6 billion a year.
This month the central bank declared it could no longer finance fuel imports at subsidized exchange rates because its dollar reserves had been so badly depleted.
Tohme’s case is not unique. Dr. Joseph Makdessi, who heads the hematology and oncology department at the Saint George Hospital University Medical Center, estimates around 10 percent of cancer patients have been unable to source their treatment in the past couple of months.
“We need an immediate solution,” Makdessi said. “I can’t tell my patients this is a crisis and ask them to wait till it eases because this disease has no patience.”
Lebanon’s deeply indebted state is struggling to raise funds from abroad amidst political paralysis and has gradually eradicated many subsidies.
But cancer medications are still subsidised, meaning in order for agents to import them they have to wait for financing from the central bank, which has all but run down its reserves.
Yet Dr. Makdessi isn’t optimistic that easing subsidies on cancer drugs will solve his patients’ pressing problem.
Some chemotherapy treatments, which can cost as much as $5,000 per session, are currently subsidized so the patient pays around $400, with the state bearing the rest of the cost.
“Even if you lift this subsidy to make the medication available, many patients won’t be able to afford it,” he said.
The Health Ministry did not immediately respond to a request for comment.
Caretaker Health Minister Hamad Hassan, who has been raiding depots storing large quantities of drugs and medical supplies, partly blamed the shortages on traders hoarding supplies.
The Barbara Nassar Association for Cancer Patient Support, the Lebanese advocacy group that organized Thursday’s sit-in, has provided medication worth more than $1.5 million in 2020 through in-kind donations from former patients.
But now Hani Nassar, whose wife Barbara founded the organization before passing away from the disease years ago, says the country’s fractious politics is hampering efforts to alleviate the problem.
“The central bank wants to remove the subsidy and the Health Ministry doesn’t and in the meantime the patient is sitting there without treatment,” Nassar said.
At Thursday’s sit-in, patients said they were reaching out to whoever could help them get a second chance at life. “After all I endured, I lost my nails and hair and my body changed, now I reached this point of not finding the treatment and this really set me back,” engineer Bahaa Costantine said.
“I was a person who was full of energy and loves life, I don’t want to be a bride for heaven, this is what I refuse. I hope my voice reaches someone who can help.”
Clock ticking for Lebanese cancer patients as shortages bite
https://arab.news/vrpbq
Clock ticking for Lebanese cancer patients as shortages bite
- "We need an immediate solution. I can’t tell my patients this is a crisis and ask them to wait till it eases because this disease has no patience"
Missile launched from Yemen into Israel intercepted, Israeli army says
CAIRO: The Israeli army said in the early hours of Saturday that a missile that was launched from Yemen was intercepted before crossing into Israeli territory.
Sirens sounded in a number of areas in Israel following the launch, the Israeli army added in a statement.
There was no immediate comment from Yemen’s Iran-aligned Houthis, who have been launching attacks against Israel as well as ships they perceive as affiliated to Israel, in what they say is to support the Palestinians in Gaza against the Israeli offensive on the enclave.
Former Lebanese PM Diab questioned over Beirut port blast
- Investigation gains momentum as French official files transferred to Judge Tarek Bitar
- Lebanese President Aoun reiterates importance of judiciary in securing broader reform
BEIRUT: Former Lebanese Prime Minister Hassan Diab appeared before Judge Tarek Bitar on Friday for questioning related to the devastating Beirut port explosion of Aug. 4, 2020.
Diab was interrogated for two and a half hours before being remanded for further questions. The session came a week after Bitar questioned former Interior Minister Nohad Machnouk.
In recent weeks, former General Security Chief Maj. Gen. Abbas Ibrahim and former Head of State Security Maj. Gen. Tony Saliba also appeared before the judge.
The explosion devastated the capital’s waterfront, resulted in thousands of casualties, and has been compared in scale to a nuclear bomb.
It prompted widespread outrage both at home and abroad due to the long-term neglect in safely storing large quantities of ammonium nitrate at the port.
Diab, who was prime minister at the time of the explosion, had previously failed to attend hearings into the disaster for various reasons, notably claiming that “the investigative judge lacked jurisdiction to question” him, or stating that he was abroad.
For more than 18 months, several individuals contested their summons, arguing that Bitar was not the appropriate authority to investigate them.
They also initiated lawsuits against Bitar, whose work was suspended for a significant period due to political pressures and legal challenges.
During their unexpected appearances before the investigative judge, these individuals all expressed their intention to cooperate.
In Lebanon, political and judicial powers are intertwined, contrary to the constitution’s separation of powers principle.
The judiciary is mostly subject to political pressure, starting with judicial appointments, as with other institutions and administrations, which hinders reform efforts and the full independence of the judiciary.
A ministerial source told Arab News that President Joseph Aoun had always stressed two key pillars essential for the state’s recovery are security and the judiciary.
“The security appointments have been finalized, and measures are in place to restore security.
“The minister of justice and the High Judicial Council are actively working on judicial appointments to restore processes free from political interference and corruption.
“These procedures have started to affect the justice system, and everyone has begun to understand that the authority of the judiciary is not negotiable; the previously accepted method is no longer valid.”
The source emphasized that gaining political support for the judiciary is essential to shield it from interference.
This should be prioritized, particularly in light of the president’s commitment to maintaining judicial independence.
Additionally, Prime Minister Nawaf Salam is dedicated to implementing the ministerial statement that received unanimous support through the vote of confidence in his government, said the source.
Political authorities are still debating the law on judicial independence, but it remains unapproved and is currently stalled in joint parliamentary committees.
Aoun has previously stressed his belief in the judiciary as a cornerstone of reform.
In a recent meeting with the Bar Association, he noted that the challenge is not the coubtry’s laws themselves, but their implementation and accountability for violations.
“Too often, laws are interpreted for personal gain and interests. By working together, individuals committed to justice and accountability can address imbalances, fight corruption, and promote responsibility,” he said.
“Only the judiciary has the authority to deter offenders and corruption,” the president added.
Currently, the High Judicial Council is investigating bribery cases involving several judges and has issued a preliminary arrest warrant for one of them, who was arrested and transferred to the prison run by the General Directorate of Internal Security Forces.
The council recently set up three bodies to investigate cases against judges.
Lawyer Ghida Frangieh — who represents victims of the Beirut port explosion — told Arab News that the “renewed cooperation between the Public Prosecution and investigative Judge Bitar is a crucial development.
“It will help revive the port explosion case and allow the investigation to continue until an indictment is issued and, ultimately, a trial takes place,” Frangieh said.
“The election of the republic’s president, setting up a functional government instead of a caretaker government, and the political will for reform would collectively help reactivate Lebanon’s judicial system.
“This should have been the scenario in the port investigations three years ago, and all pending judicial cases should now be addressed and resolved in due order,” Frangieh added.
A French delegation is set to arrive in Beirut next Monday, following the transfer of judicial summons from the Public Prosecution at the Court of Cassation in Lebanon to France.
Bitar has requested access to French investigations regarding the port explosion, and the French judiciary has expressed willingness to support the judge by providing all necessary files and documents for his investigation.
Several French nationals were among those killed and injured in the Beirut port explosion.
US says blast near UNESCO world heritage site caused by Houthi missile
- A Houthi official was quoted by the New York Times as saying the American denial was an attempt to smear the Houthis
WASHINGTON: The US military said a blast on Sunday near a UNESCO world heritage site in Yemen’s capital city of Sanaa was caused by a Houthi missile and not an American airstrike.
The Houthi-run Health Ministry said a dozen people were killed in the US strike in a neighborhood of Sanaa. The Old City of Sanaa is a recognized UNESCO World Heritage Site.
The US ordered the intensification of strikes on Yemen last month, with officials saying they will continue assaulting Houthis until they stop attacking Red Sea shipping.
A US Central Command spokesperson said the damage and casualties described by Houthi officials “likely did occur,” but a US attack did not cause them.
The spokesperson said the closest US strike was more than 5 km away that night.
The US military assessed that the damage was caused by a “Houthi air defense missile” based on a review of “local reporting, including videos documenting Arabic writing on the missile’s fragments at the market,” the spokesperson said, adding the Houthis subsequently arrested Yemenis.
A Houthi official was quoted by the New York Times as saying the American denial was an attempt to smear the Houthis.
Recent US strikes have killed dozens, including 74 at an oil terminal on Thursday in what was the deadliest strike in Yemen under Trump so far, according to the local Health Ministry.
The US military says the strikes aim to cut off the Houthi militant group’s military and economic capabilities.
Rights advocates have raised concerns about civilian killings, and three Democratic senators, including Sen. Chris Van Hollen, wrote to Pentagon chief Pete Hegseth on Thursday, demanding an accounting for the loss of civilian lives.
The Houthis have taken control of swaths of Yemen over the past decade.
Since November 2023, they have launched drone and missile attacks on vessels in the Red Sea, saying they were targeting ships linked to Israel.
Flow of Sudan war refugees puts Chad camp under strain
- Chad has taken in more than 770,000 of them, according to the UN refugee agency — with many more likely on their way
IRIBA, Chad: Nadjala Mourraou held her haggard two-year-old son in her henna-tattooed hands for the medics to examine. Then came the painful diagnosis: little Ahma, like many of his fellow Sudanese refugees, was severely malnourished.
The pair were toward the front of a long line snaking out of the doctors’ tent at an already overcrowded refugee camp in east Chad, creaking under the strain as more and more people fleeing the civil war across the nearby border with Sudan turn up.
“We’re suffering from a lack of food,” complained the mother, who fled the fighting in Nyala, in Sudan’s South Darfur region, with Ahma more than a year ago.
Since their arrival at the Touloum camp, Mourraou added that all she and Ahma had to eat each day was a bowl of assida, a porridge made from sorghum.
Yet, as with other conditions at the camp, this meagre ration could deteriorate further as the war between the Sudanese army and the paramilitary Rapid Support Forces drags on.
Besides killing tens of thousands, the two-year conflict has uprooted 13 million people, more than three million of whom have fled the country as refugees.
Chad has taken in more than 770,000 of them, according to the UN refugee agency — with many more likely on their way.
Between 25,000 and 30,000 Sudanese refugees already live in the makeshift sheet metal and white canvas tents, packed together across the arid Touloum camp, according to sources.
Recently, more and more of them have become malnourished, said Dessamba Adam Ngarhoudal, a nurse with medical charity Doctors Without Borders, or MSF.
“Out of 100 to 150 daily consultations, nearly half of them deal with cases of malnutrition,” said the 25-year-old medic.
The worst cases are sent to the Iriba district hospital, around half an hour’s drive away.
But the hospital was powerless to stop the first Sudanese infant dying of malnutrition under its care.
“Since the beginning of the month, we have already exceeded the capacity of the malnutrition ward at the hospital,” said MSF nurse Hassan Patayamou recently.
“And we expect admissions to continue to rise as the hot season progresses and temperatures rise above 40 degrees Celsius (104 degrees Fahrenheit).”
With the fighting set to grind on, Chad’s government fears the number of Sudanese refugees in the country could soon reach nearly a million.
That burden would be too heavy for impoverished Chad to bear alone, argues the UN High Commissioner for Refugees.
The refugee agency was seeking $409 million in aid to help the Sahel country — only 14 percent of which it had received by the end of February.
“The Chadian people have a tradition of welcoming their Sudanese brothers in distress,” said Djimbaye Kam-Ndoh, governor of Wadi Fira province where the Touloum camp is located.
“But the province’s population has practically doubled, and we’re asking for major support.”
Humanitarian groups are worried about the impact of US President Donald Trump’s move to freeze America’s foreign aid budget, while other donors, notably in Europe, have also made cuts to their financing.
“Hundreds of thousands of lives are at stake,” Alexandre Le Cuziat, the UN’s World Food Programme deputy director in Chad, said in a phone call.
Nearly 25 million people are suffering from acute food insecurity in Sudan itself, according to the WFP.
And with the rainy season just under two months away, medics fear outbreaks of diseases.
“We’re preparing for an explosion of cases of malnutrition and malaria,” said Samuel Sileshi, emergencies services coordinator for MSF in Central Darfur state.
“This year, we are also facing measles epidemics in Darfur,” he said.
That unhealthy cocktail of diseases, he warned, “could have devastating consequences,” not least for children.
WFP says has depleted all its food stocks in Gaza
- Entry of all humanitarian aid has been blocked by Israel since March 2
GAZA CITY, Palestinian Territories: The UN’s World Food Programme on Friday warned it has depleted all its food stocks in war-ravaged Gaza, where the entry of all humanitarian aid has been blocked by Israel since March 2.
“Today, WFP delivered its last remaining food stocks to hot meals kitchens in the Gaza Strip. These kitchens are expected to fully run out of food in the coming days,” WFP said in a statement.
