An NGO gives adult cancer patients in Lebanon a vital lifeline

Thousands of skilled Lebanese workers, notably medical professionals, have left the country and the health sector is on the brink of collapse. (AFP)
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Updated 06 November 2021
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An NGO gives adult cancer patients in Lebanon a vital lifeline

  • Cancer patients face “astronomical” costs and difficulty securing medication amid the country’s grinding financial crisis
  • Established in 2018, the Cancer Support Fund provides support to adult patients who cannot afford treatment

DUBAI: Living conditions in Lebanon have deteriorated steadily since mid-2019 when the country began experiencing severe economic and financial problems, which have since been exacerbated by the COVID-19 pandemic and the 2020 Beirut port blast.

The meltdown has led to shortages of essential commodities, including fuel, and resulted in an unprecedented power crisis. Consequently, thousands of skilled Lebanese workers, notably medical professionals, have left the country and the health sector is on the brink of collapse.

Under the circumstances, Lebanon’s cancer patients are facing an uphill struggle to access even the most basic medicines and treatments, frequently having to take whatever medication is readily available regardless of the side effects.




Cancer Support Fund was launched to specifically support Lebanon’s underprivileged adult cancer patients. (AFP)

Enter the Cancer Support Fund. Established in 2018 at the American University of Beirut Medical Center, it has given many a Lebanese in dire straits a timely and vital lifeline.

Hala Dahdah Abou Jaber, CSF’s founder and president, told Arab News the NGO was launched to specifically support Lebanon’s underprivileged adult cancer patients.

Despite the many cancer-related NGOs operating in the country, Abou Jaber says the adult demographic is often underserved, as the majority of charities are targeted at children.

“There was a necessity and an urge to help adult cancer patients, and when we say an adult, it could be a young boy who is 18 or 19, a mother who is 25 or 30, a father who is 50 years old, or simply an 80-year-old woman who also deserves a chance to live,” she said.

The extreme hardship endured by Dina Itani is a case in point. The South Lebanon resident chokes back tears as she recounts how the overlapping crises buffeting her country have disrupted her cancer treatment

On top of fighting the disease, she and her family must also contend with chronic shortages of vital medication.

A sudden onset of eyesight deterioration about two years ago made Itani realize that something was wrong with her health. When an ophthalmologist could not find anything wrong with her eyes, he requested a brain scan, which detected a tumor.

She underwent surgery to remove the tumor, but a biopsy showed the lump was cancerous. Itani was told she would have to undergo further treatment to prevent the cancer from spreading. “I have melanoma cancer,” Itani told Arab News.

“It’s a type of skin cancer but in my case, it’s appearing in my internal organs. I underwent brain surgery in Beirut. For a year now I have been redoing diagnostic imaging every three months.”

Despite treatment, Itani’s cancer soon spread to the bone in her right arm, forcing her to undergo another surgery to install a metal plate. She was also put on a course of immunotherapy with a drug called Opdivo. “They gave me the injection every 15 days,” she said.

However, the medical subsidies allotted through Lebanon’s social security system were not enough to cover the cost of Opdivo.

According to Drugs.com, an independent medicine information website, the price of the intravenous solution ranges from $1,189 per 4ml to $7,087 per 24ml infusion in the US. Based on Lebanon’s current minimum wage, it would be almost impossible for the average household to cover such a cost.

“The CSF helps us a lot because we can’t bear the cost of this medication,” Itani said. “It’s very expensive, even for those who are financially comfortable.”

The CSF supports its patients by covering the financial costs of treatments, screenings and occasionally even transport.

“The funds received go directly to the AUB account and there is accountability. Everything we receive goes to help a needy patient,” Abou Jaber said.




Lebanon’s cancer patients are facing an uphill struggle to access even the most basic medicines and treatments. (AFP)

The money to cover the needs of patients primarily comes from private donors, international NGOs, pharmaceutical companies, sponsors and contributors, and fundraising events.

“The number of patients supported since the establishment of the fund is 600, with more than 2,000 hospital encounters,” Dr. Ali Taher, the CSF’s co-founder, told Arab News.

The fund has been able to support an average of 70 patient admissions daily at the infusion center for chemotherapy, but Taher added: “We have had some medication shortages both in intravenous and oral forms, and this has affected patient cycles and the number of admissions required.”

According to Taher, delays in treatment can mean the difference between curing a patient of their cancer or their condition becoming terminal.

“Pausing the screening tests as well as the related treatments can definitely jeopardize the outcome,” he said. “You can start seeing advanced tumors with poor outcomes instead of early detected tumors with curable outcomes.

“You may also experience disease progression that can become fatal to a certain extent. The severity of the impact of lack of treatment depends on the case and condition and disease evolution of each patient.”

INNUMBERS

11,589 Lebanon’s new cancer cases in 2020.

6,438 Lebanon’s cancer deaths in 2020.

(Source: WHO, GloboCan)

The CSF has supported 220 patients this year alone, but Taher expects the number to increase owing to the severity of the financial crisis.

While the world’s attention has been focused on the COVID-19 pandemic, cancer has not stopped taking its toll. According to the Global Cancer Observatory, there were 11,589 new cancer cases in Lebanon in 2020.

Pharmacies and hospitals in the country have been running short of even the most basic medications for several months. In August, protesters gathered outside the headquarters of the UN Economic and Social Commission for Western Asia in Beirut to demand global assistance.

Fuel shortages have contributed to the plight of the health sector. In August, the AUB Medical Center released a statement warning that its patients were in imminent danger due to the lack of a dependable energy supply to run its ventilators.


READ MORE 

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



The steady depletion of foreign-currency reserves has made it difficult for traders to source essential commodities for a country that imports nearly 80 percent of its goods.

“The CSF today is facing two main challenges: Securing the astronomical cost of treatment and securing the impossible-to-find medications on the Lebanese market,” Abou Jaber said.

“We call on the international community to extend a helping hand to us and to our patients and to find viable solutions.”




The CSF supports its patients by covering the financial costs of treatments, screenings and occasionally even transport. (AFP)

In the meantime, cancer patients such as Itani are having to make do with whatever medication they can get their hands on.

Despite the life-saving support provided by the CSF, shortages of Opdivo forced Itani’s doctor to prescribe an alternative drug that was more readily available.

“I am experiencing strong side-effects from those pills,” Itani said of the new medicine. “It’s as if the skin on my hands and face is burnt. I felt much better when I was taking the other medication.”

To prevent her condition from growing any worse, Itani has little choice but to continue taking the medicine and to hope that she can outlast Lebanon’s seemingly incurable ills.


US says Israel to open new Gaza crossing as aid deadline looms

Children stare at the destruction following an Israeli strike in the Nuseirat refugee camp in the central Gaza Strip on November
Updated 07 November 2024
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US says Israel to open new Gaza crossing as aid deadline looms

  • The US has given Israel until November 13 to improve the humanitarian situation in Gaza
  • Letter calls for a minimum of 350 trucks per day to be allowed into Gaza

WASHINGTON: Israel has informed the United States that it will open an additional crossing for aid into Gaza, the State Department said Thursday, as a US-imposed deadline looms next week.
Secretary of State Antony Blinken and Defense Secretary Lloyd Austin have given Israel until November 13 to improve the humanitarian situation in the war-besieged Gaza Strip or risk the withholding of some military assistance from the United States, Israel’s biggest supporter.
They made the demands in a letter before Tuesday’s election of President-elect Donald Trump, who has promised to give freer rein to Israel.
State Department spokesman Matthew Miller said that Israel, after recently reopening the Erez crossing, has informed the United States that they “hope to open an additional new crossing at Kissufim” in “the next few days.”
“We have continued to press them, and we have seen them, including in the past few days since the election, take additional steps,” Miller told reporters.
He stopped short of saying how the United States would assess Israel’s compliance with the aid demands.
In the letter, Blinken and Austin had urged Israel to “consistently” let aid through four major crossings and to open a fifth crossing.
Kissufim, near a kibbutz across from southern Gaza that was attacked in the October 7, 2023 Hamas assault that sparked the war, has mostly been in disuse except by the military since Israel withdrew from Gaza in 2005.
The letter called for a minimum of 350 trucks per day to be allowed into Gaza. Miller said 229 trucks entered on Tuesday.
Outgoing President Joe Biden has repeatedly pressed Israel to improve humanitarian aid and protect civilians, while mostly stopping short of using leverage such as cutting off weapons.
Miller said Blinken hoped to keep using the rest of his term to press for an end to the wars in Gaza and Lebanon.


France mulling new sanctions on Israeli settlers, minister says in West Bank

Updated 07 November 2024
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France mulling new sanctions on Israeli settlers, minister says in West Bank

  • “France has been a driving force to establish the first sanction regime at the European level,” Barrot said
  • Barrot renewed France’s commitment to a two-state solution to the Israeli-Palestinian conflict

RAMALLAH: France is mulling new sanctions on those enabling the expansion of Israeli settlements in the occupied West Bank, regarded as illegal under international law, Foreign Minister Jean-Noel Barrot said on a visit to the territory on Thursday.
“France has been a driving force to establish the first sanction regime at the European level targeting individuals or entities, either actors or accomplices of settlement activities,” Barrot said after talks with Palestinian president Mahmud Abbas in Ramallah.
“This regime has been activated two times already and we’re working on a third batch of sanctions targeting these activities that again are illegal with respect to international law.”
Barrot renewed France’s commitment to a two-state solution to the Israeli-Palestinian conflict and warned settlement activities “threaten the political perspective that can ensure durable peace for Israel and Palestine.”
Before meeting Abbas, Barrot visited the adjacent town of Al-Bireh, where Israeli settlers set fire to 20 cars on Monday, damaging a nearby building.
After speaking with residents and local officials at the scene, Barrot noted that the attack took place in a part of the West Bank where the Palestinians were supposed to enjoy both civil and security control under the Oslo Accords of the 1990s.
“These attacks from extremist and violent settlers are not only completely inexcusable, not only contrary to international law, but they weaken the perspective of a two-state solution,” Barrot said.
Ramallah and Al-Bireh governor Laila Ghannam expressed outrage that settler attacks were “taking place in full view and hearing of the entire silent international community.”
“Perhaps today, with the visit of the French foreign minister, there will be a spotlight here,” she told AFP.
Speaking in Jerusalem earlier Thursday, Barrot said he saw prospects for ending Israel’s wars in Gaza and Lebanon after Donald Trump’s re-election, citing the Republican’s “wish to see the end of the Middle East’s endless wars” as well as recent “tactical successes” for Israel.


Moroccan population grows to 36.8 million in 2024

The Moroccan population grew by 2.98 million since the last census in 2014. (AFP)
Updated 07 November 2024
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Moroccan population grows to 36.8 million in 2024

RABAT: The Moroccan population grew to 36.82 million by September 2024, according to the preliminary results of a national census, the spokesman for the government said on Thursday.
Compared with the most recent census in 2014, the Moroccan population grew by 2.98 million or 8.8 percent, spokesman Mustapha Baitas told reporters.
The number of households grew to 9.27 million by September 2024, up 26.8 percent compared to 2014, while the number of foreigners living in the country increased to 148,152, up 71.8 percent, he said.


Israel escalates attacks on Lebanon as strikes hit near Beirut airport

A rescuer and a member of the Malaysian battalion of UNIFIL treat a soldier wounded in an Israeli airstrike near Sidon. (AFP)
Updated 07 November 2024
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Israel escalates attacks on Lebanon as strikes hit near Beirut airport

  • Drone strike near Sidon kills three and injures Lebanese soldiers and UN peacekeepers
  • Former Hezbollah chief Hassan Nasrallah’s uncle and family members also killed

BEIRUT: At least 10 people were killed in Lebanon on Thursday in Israeli drone attacks on roads across the south, Mount Lebanon and Bekaa.

Former Hezbollah chief Hassan Nasrallah’s uncle and his family members were also killed by strikes in southern Lebanon.

In Baalbek-Hermel, dozens of victims were laid to rest. They died trapped under the rubble of several flattened buildings, some adjacent to the Baalbek Temple.

In the afternoon, an Israeli strike targeted Tyre.

An Israeli drone hit a car on the Araya road in Mount Lebanon, killing the driver, a 30-year-old woman, making her Israel’s first female target.

Doaa Mattar’s family said that they lost contact with their daughter at the time of the raid.

A relative said that Mattar had taken her friend’s car to drive her family from Beirut to Bhamdoun.

Her body was taken to Hezbollah’s Al-Rassoul Al-Azam Hospital, while two injured passersby — a man and his grandson — were transported to the Sacre Coeur Hospital.

Hours later, another Israeli drone targeted a car on the Awali River road at the entrance to the city of Sidon, south of Beirut.

The strike killed three people inside the vehicle, injured three Lebanese soldiers at a nearby checkpoint and damaged several cars, including a passing UNIFIL convoy bus.

It resulted in five minor injuries among Malaysian UNIFIL soldiers and two civilian injuries.

Meanwhile, Beirut’s southern suburb experienced a violent night of airstrikes that continued until the early hours of Thursday morning, targeting Haret Hreik, Burj Al-Barajneh, Tahwitat Al-Ghadir and Ouzai.

One of the strikes came close to a runway at Beirut airport, causing damage to facilities.

However, airport operations continued, with Middle East Airlines switching to alternative runways for landing minutes after Israel issued evacuation warnings.

All planes heading for Beirut landed shortly before midnight ahead of the Israeli-imposed deadline.

The airstrikes on the southern suburb of Beirut caused extensive damage to residential buildings, shops, schools, social facilities and health centers.

A week of relative calm in Beirut’s southern suburb was shattered as warning sirens caused recently returned residents to flee north.

Many families were forced on to the streets, waiting in their vehicles at a safe distance from the targeted areas.

The Israeli military claimed to have conducted precision strikes against Hezbollah command centers and military infrastructure in the Lebanese capital, according to military spokesman Avichay Adraee.

Israel’s systematic destruction of southern Lebanese towns continued with renewed intensity. Israeli forces reportedly rigged and detonated entire neighborhoods in the border town of Mays Al-Jabal.

Israeli warplanes conducted strikes on the outskirts of Yahmar Al-Shaqif near the Litani River, hitting the town center and eastern areas. The predominantly Christian town of Rmeish, whose residents have steadfastly refused to leave, was also targeted.

In Jbaa, located in the Tuffah region, airstrikes caused significant damage. A separate strike on Bazouriye killed four members of Nasrallah’s extended family, including his uncle, cousins and their grandson.

Reports indicate that Israeli forces used internationally prohibited cluster bombs in their targeting of agricultural fields.

The scope of destruction has reached unprecedented levels in Nabatieh, where medical facilities, businesses, institutions, warehouses and residential buildings have been severely damaged.

Footage shared on social media revealed that entire neighborhoods had been turned into rubble.

Violent clashes erupted on Wednesday evening between Hezbollah fighters and Israeli forces near Rmeish and Yaroun, opposite the Dovev settlement.

Exchanges of fire were also reported near Aita Al-Shaab when Israeli forces attempted to advance into Lebanese territory.

The death and injury toll continues to mount, with the Bekaa region alone reporting 60 casualties, with dozens wounded.

Scenes of mass burials echoed those from Gaza. Among the dead are multiple generations of families, including the Abu Asbar family, who lost parents, children, grandchildren and in-laws during a single Israeli strike.

The attacks have also threatened Lebanon’s cultural heritage, with damage reported near the historic Baalbek Castle complex and the century-old Al-Manshieh building, known for its cultural artifacts.

The Palmyra Hotel, which has hosted decades of Baalbek festivals, also sustained damage.

Baalbek Mayor Mustafa Al-Shall said: “The enemy is targeting poor and residential neighborhoods, and it did not spare archaeological, heritage and historical sites. The number of martyrs in Baalbek is very high.”

One Israeli strike targeted soldier Raed Dandash, born in 2003, as he was driving his car in the town of Talia, in the Bekaa.

An official statement said: “Along with Raed, the strike killed his sister Nathalie and his brother Mohammed, while their mother was seriously injured.”

Airstrikes hit new areas in northern Bekaa, including the towns of Fakeha and Harfouch, killing one.

Lebanon’s officials were shocked by the attacks that targeted the vicinity of Baalbek Castle.

Culture Minister Mohammed Wissam Mortada sent an urgent appeal to UNESCO chief Audrey Azoulay through the head of Lebanon’s permanent mission to the organization, Mustafa Deeb, to “save the castle.”

Several MPs also sent a letter to Azoulay, calling on the international organization to “protect the common heritage of humanity.”

In the letter, MP Najat Saliba called for “the protection of historical sites in Lebanon, especially Baalbek, Tyre, Sidon and other valuable landmarks that are in grave danger due to the escalation of atrocities.”

She said: “These landmarks are priceless not only for our nation but for humanity. They are facing a growing danger with the escalation of the war. Their protection is a responsibility that needs to be assumed in order to preserve a part of human civilization that belongs to our common global and international heritage.”

One building destroyed by Israeli strikes bore an etching showing the year 1928. It was once frequented by French officers during France’s rule over the country.

The Israeli army announced that one of its soldiers “was killed in battles in southern Lebanon, while 60 Hezbollah members were killed during the past 24 hours.”

Hezbollah issued a statement calling on settlers in northern Israel to leave their settlements, warning that they had become become military targets.


Iran’s Pezeshkian says Tehran indifferent to US election result

Iranian President Masoud Pezeshkian said Iran's priority is to develop relations with Islamic and neighboring countries. (AFP/Fi
Updated 07 November 2024
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Iran’s Pezeshkian says Tehran indifferent to US election result

  • Pezeshkian says ‘it does not matter’ to Iran who won US election
  • Iran government spokesperson plays down importance of Trump

DUBAI: Iranian President Masoud Pezeshkian said the result of the US election did not matter to his country, state media reported on Thursday, amid heightened tensions with Washington over its support for Iran’s arch-enemy, Israel.
Donald Trump’s return to the White House following his election victory this week could mean tougher enforcement of US oil sanctions against Iran, which he initiated in 2018 after quitting a nuclear pact between Tehran and global powers.
The Biden administration has strongly supported Israel in its wars against the Iran-backed Hamas in Gaza and Hezbollah in Lebanon as well as Israeli actions against Iran itself.
Some analysts believe Trump will give Israel’s Prime Minister Benjamin Netanyahu a greater free hand in dealing with Iran.
“To us it does not matter at all who has won the American election, because our country and system relies on its inner strength and a great and honorable nation,” Pezeshkian said late on Wednesday, quoted by the state news agency IRNA.
It was his first comment on Trump’s election victory.
“We will not be close-minded in developing our relations with other countries (while) we have made it our priority to develop relations with Islamic and neighboring countries,” Pezeshkian said.
It was not immediately clear if Pezeshkian was also referring to the United States, with which Iran does not have diplomatic relations. Iran’s Supreme Leader Ayatollah Ali Khamenei, who has the final say in all matters of state, has banned holding any direct talks with the United States.
An Iranian government spokesperson earlier played down the importance of the US election, while a Revolutionary Guards commander voiced readiness for confrontation.
The Iranian leaders’ main concern is the potential for Trump to empower Netanyahu to strike Iran’s nuclear sites, conduct assassinations and reimpose his “maximum pressure” policy through heightened sanctions on the country’s oil industry.
Some, however, suspect Trump will be cautious about the possibility of war.
In 2018, the then-Trump administration exited Iran’s 2015 nuclear pact with six world powers and reimposed harsh sanctions on Iran, prompting Tehran to violate the pact’s nuclear limits.
International sanctions over Tehran’s nuclear program forced Tehran to reach the 2015 pact under which Iran agreed to curb its nuclear program in exchange for lifting the punitive measures.
Trump’s tough stance could force Ayatollah Khamenei to approve talks “whether direct or indirect” with the United States, two Iranian officials have told Reuters.
In September, Pezeshkian said Tehran was ready to end its nuclear standoff with the West, which accuses it of seeking capacity to develop nuclear weapons. Iran says its nuclear program is for peaceful purposes only.