As Lebanon’s pains increase, cancer patients struggle to find morphine

According to a March 2021 report by the World Health Organization, Lebanon recorded 28,764 cases of cancer during the last five years. (Reuters/File Photo)
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Updated 09 April 2022
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As Lebanon’s pains increase, cancer patients struggle to find morphine

  • Although medicines for incurable and cancerous diseases are still subsidized by the state, most drugs are running out amid the economic collapse

BEIRUT: Lebanese hospitals and cancer patients are running out of morphine and its derivatives.

An appeal made by Elsy Aoun through the Al-Nahar newspaper went viral on Friday. The young woman said that her brother, a cancer patient who cannot find the medication he needs anywhere, is running out of the only drug that can relieve some of his pain. “We only have morphine left for 10 days. What are we supposed to do after that?”

According to a March 2021 report by the World Health Organization, Lebanon recorded 28,764 cases of cancer during the last five years, including 11,600 cases in 2020 alone.

Although medicines for incurable and cancerous diseases are still subsidized by the state, most drugs are running out amid the economic collapse that the country has been experiencing over the past couple of years.

The Ministry of Health said on Friday that it had given its approval to subsidize morphine before importing it two months ago, but the next approval to be issued by the central bank was delayed.

“We have contacted the importing company and agreed to start the process without waiting for the central bank’s approval,” the ministry said, adding that morphine should be available in the market within a week.

There are 445 registered cancer drugs in Lebanon. The cost of treating cancer patients “is about $200 million annually, and it may reach $400 million,” according to former Health Minister Jamil Jabak.

Dr. Ahmed Ibrahim, president of the Lebanese Society of Hematology and Blood Transfusion, said: “Every year, between 2,500 and 3,000 new cases of blood cancers are registered, in addition to thousands of patients under treatment and periodic monitoring.

“The various treatments are expensive, but they lead to a cure rate ranging from 60 to 80 percent, which is similar to global results. With the scarcity of necessary treatments, we find ourselves facing the possibility of not being able to treat patients, which may, unfortunately, lead to the death of many.”

A pharmacist in a Beirut hospital, who preferred anonymity, told Arab News: “Not all medicines are available in the hospital pharmacy, and morphine is a daily need in the hospital to relieve the pain of patients with stage four cancer. We need around 150 to 200 needles of morphine per month, and the demand may increase or decrease according to the patients’ conditions. Not all alternatives to this drug are as effective.”

She added: “Patients and their families are having a hard time searching for medicine. Some can be found on the black market, but only the wealthy few can afford them. The patients who are treated at the expense of the Ministry of Health face a real tragedy, especially since you can only get access to medication if you know someone inside nowadays.

“Morphine is classified as a high-risk drug, and every needle given to the patient must be signed by the doctor and two nurses, specifying the volume of the substance that was given and each drop wasted.

“Only one company imports morphine, unlike other drugs. Having one importing company makes it easier to negotiate securing this drug.”

The ministry said it is making all efforts to expedite the process of importing morphine and has asked those concerned to make this issue a top priority.

Doctor and former MP Ismail Sukkarieh, who has been fighting corruption in the health sector through the National Health Authority, which he chairs, said chaos has prevailed in the sector.

“It is true that cancer medicines are still subsidized, but this is rather theoretical now. Medicines are not available, and the key to the solution is with the central bank. It is ridiculous that the bank still subsidizes a type of coffee but cannot provide enough money to subsidize the medicines that people need to recover. Is coffee more important than human life?” Sukkarieh said.

He added: “In addition to the central bank, greedy medicine suppliers are the problem, as these people hide medicines in their warehouses to make illegal profits. No one is confronting them — neither the ministry nor parliament’s health committee.”

Sukkarieh said that doctors see tragic situations every day. “As soon as I enter the hospital, patients or their families stop me to ask for medicine. Even my fellow doctors who treat cancer patients have become helpless in the face of people’s tragedies. What is actually happening is accelerating the death of patients due to irregular treatment. Who has the right to shorten people’s lives like this?”


‘Shaking with cold’: tourists from Egypt boat sinking brought ashore

Updated 19 min 38 sec ago
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‘Shaking with cold’: tourists from Egypt boat sinking brought ashore

  • Egypt released video footage Wednesday of the latest tourists rescued from a boat that capsized off the country’s Red Sea coast, where at least four people lost their lives

CAIRO: Egypt released video footage Wednesday of the latest tourists rescued from a boat that capsized off the country’s Red Sea coast, where at least four people lost their lives.
Seven people remain missing more than two days after the “Sea Story” was struck by a wave and overturned in the middle of the night.
The vessel had set off Sunday from Port Ghalib, near Marsa Alam in the southeast, on a multi-day diving trip with 31 tourists — mostly Europeans, along with Chinese and US nationals — and a 13-member crew.
Thirty-three were rescued, including tourists seen in the video stepping off a speedboat, draped in blankets, at a marina near Marsa Alam.
“We were shaking with cold,” one unidentified man said in the footage.
The tourists who appeared in the video had spent at least 24 hours inside a cabin of the overturned vessel before rescuers found them Tuesday morning, according to a government source close to the rescue operations.

A military-led team on Tuesday rescued two Belgians, one Swiss national, one Finnish tourist and one Egyptian, authorities said.
Two survivors — one identified by authorities on camera as an Egyptian — were rolled out on stretchers, one of them conscious and speaking.
A Belgian tourist sobbed when she was greeted by an Egyptian general.
Red Sea governor Amr Hanafi said the boat capsized “suddenly and quickly within five-seven minutes” after being struck by a strong wave in the middle of the night, leaving some passengers unable to escape their cabins.
The Sea Story had been due to dock on Friday at the tourist resort of Hurghada, about 200 kilometers (124 miles) north of Marsa Alam.
Authorities in Egypt have said the vessel was fully licensed and had passed all inspection checks. A preliminary investigation showed no technical fault.
There were at least two similar boat accidents in the Marsa Alam area earlier this year. There were no fatalities.
The Red Sea coast is a major tourist destination in Egypt.
Dozens of dive boats crisscross between Red Sea coral reefs and islands off Egypt’s eastern coast every day, where safety regulations are robust but unevenly enforced.

 


World reacts to Lebanon war ceasefire

Updated 15 min 18 sec ago
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World reacts to Lebanon war ceasefire

PARIS: World leaders have welcomed a ceasefire deal between Israel and Lebanese militant group Hezbollah, which came into force on Wednesday morning (0200 GMT).

The ceasefire between Israel and Lebanon will protect Israel from the threat of Iran-backed militant group Hezbollah and create the conditions for a “lasting calm,” US President Joe Biden and French President Emmanuel Macron said ahead of the truce coming into force.
“The announcement today will cease the fighting in Lebanon, and secure Israel from the threat of Hezbollah and other terrorist organizations operating from Lebanon,” the leaders said in a joint statement.
The United States and France will work “to ensure this arrangement is fully implemented” and lead international efforts for “capacity-building” of the Lebanese army, they added.
Biden welcomed the deal as “good news” and also said the US would lead a fresh effort to secure a truce between Israel and Palestinian militant group Hamas in Gaza.
Macron said the Lebanon ceasefire should “open the path” for an ending to the war in Gaza.
Israeli Prime Minister Benjamin Netanyahu thanked the US president for his “involvement in securing the ceasefire agreement.”
He told Biden in a call that he appreciated the US leader’s “understanding that Israel will maintain its freedom of action in enforcing it,” according to Netanyahu’s office.
Ahead of Israel’s approval of the deal, Netanyahu said the “length of the ceasefire depends on what happens in Lebanon” and the truce would allow Israel to “intensify” pressure on Hamas and focus on the “Iranian threat.”
Lebanese Prime Minister Najib Mikati said the ceasefire was a “fundamental step” toward restoring stability in the region.
Thanking France and the US for their involvement, Mikati also reiterated his government’s commitment to “strengthen the army’s presence in the south.”
Iran, a backer of both Hezbollah and Hamas, welcomed the end of Israel’s “aggression” in Lebanon, after the ceasefire came into force.
“Welcoming the news” of the end of Israel’s “aggression against Lebanon,” foreign ministry spokesman Esmaeil Baghaei said, stressing Iran’s “firm support for the Lebanese government, nation and resistance.”

Hamas official Sami Abu Zuhri said the group “appreciates” Lebanon’s right to reach an agreement that protects its people, and it hopes for a deal to end the war in Gaza.

“Hamas appreciates the right of Lebanon and Hezbollah to reach an agreement that protects the people of Lebanon and we hope that this agreement will pave the way to reaching an agreement that ends the war of genocide against our people in Gaza,” Abu Zuhri told Reuters.
China said it was “paying close attention to the current situation in Lebanon and Israel.”
“We support all efforts conducive to easing tensions and achieving peace and welcome the agreement reached by relevant parties on a ceasefire,” foreign ministry spokeswoman Mao Ning said.
German Foreign Minister Annalena Baerbock welcomed the deal, hailing it as “a ray of hope for the entire region.”
“People on both sides of the border want to live in genuine and lasting security,” Baerbock said, calling the deal “a success for diplomacy.”
British Prime Minister Keir Starmer praised a “long overdue” ceasefire that would “provide some measure of relief to the civilian populations” of both Israel and Lebanon.
Calling for the truce to be “turned into a lasting political solution in Lebanon,” Starmer vowed to be at the “forefront of efforts to break the ongoing cycle of violence in pursuit of a long-term, sustainable peace in the Middle East.”
EU chief Ursula von der Leyen hailed the “very encouraging news” of the ceasefire, saying it would increase Lebanon’s “internal security and stability.”
The announcement was welcome news “first and foremost for the Lebanese and Israeli people affected by the fighting,” Von der Leyen said.
“Lebanon will have an opportunity to increase internal security and stability thanks to Hezbollah’s reduced influence,” she said.
A top UN official welcomed the ceasefire agreement, but warned that “considerable work lies ahead” to implement the deal.
“Nothing less than the full and unwavering commitment of both parties is required,” said UN special coordinator for Lebanon, Jeanine Hennis-Plasschaert.

Jordan said the ceasefire deal between Israel and Hezbollah should prompt greater international efforts to bring an end to the war in Gaza.
In an official statement, the kingdom said the move was also a first step towards reversing a dangerous escalation of tensions across the region that had threatened peace and security.

Iraq welcomed the ceasefire between Israel and Hezbollah in Lebanon, calling on the international community to act urgently to end Israel’s war with Hamas in Gaza.
A foreign ministry statement called for “multiplying international efforts to avoid any new escalation” along the Israel-Lebanon border, while also urging “serious, urgent steps to stop the continued massacres and violations against the Palestinian people in the Gaza Strip.”

Turkey said that it was ready to give Lebanon the “necessary support for the establishment of internal peace” hours after a ceasefire with Israel came into force.

The Palestinian Authority welcomed the 60-day ceasefire in Lebanon and expressed hope it would bring stability to the region.
“We hope that this step will contribute to stopping the violence and instability that the region is suffering from,” the Palestinian presidency said in a statement, and highlighted the need to enforce a UN resolution for a ceasefire in the Gaza Strip.


Israeli strikes on Gaza Strip leave 15 dead, medics say

Updated 27 November 2024
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Israeli strikes on Gaza Strip leave 15 dead, medics say

CAIRO: Israeli military strikes across the Gaza Strip killed 15 people on Wednesday, some of them in a school housing displaced people, medics in Gaza said, adding that the fatalities included two sons of a former Hamas spokesman.
Health officials in the Hamas-run enclave said eight Palestinians were killed and dozens of others wounded in an Israeli strike that hit the Al-Tabeaeen School, which was sheltering displaced families in Gaza City. Among those killed were two sons of former Hamas spokesman, Fawzi Barhoum, according to medics and Barhoum himself.
In the Shejaia suburb of Gaza City, another strike killed four people, while three people were killed in an Israeli air strike in Beit Lahiya on the northern edge of the enclave where army forces have been operating since last month.
Separately, a ceasefire between Israel and Iran-backed group Hezbollah came into effect on Wednesday after both sides accepted an agreement brokered by the US and France, a rare victory for diplomacy in a region shaken by two wars for over a year.
Iran-backed Hezbollah militants began firing missiles at Israel in solidarity with Hamas after the Palestinian militant group attacked Israel in October of 2023, killing around 1,200 people and capturing over 250 hostages, Israel has said, triggering the Gaza war.
Israel’s 13-month campaign in Gaza has left nearly 44,200 people dead and displaced nearly all the enclave’s population at least once, according to Gaza health officials.
Months of attempts to negotiate a ceasefire have yielded scant progress and negotiations are now on hold, with mediator Qatar saying it has told the two warring parties it would suspend its efforts until the sides are prepared to make concessions.
US President Joe Biden said on Tuesday his administration was pushing for a ceasefire in Gaza and that it was possible that Saudi Arabia and Israel could normalize relations.


Israeli military says it fired to stop suspects reaching Lebanon no-go zone

Updated 27 November 2024
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Israeli military says it fired to stop suspects reaching Lebanon no-go zone

DUBAI: Israeli forces on Wednesday fired at several vehicles with suspects to prevent them from reaching a no-go zone in Lebanese territory and the suspects moved away, the Israeli military said in a statement, hours after a ceasefire between Israel and Lebanese militant group Hezbollah came into effect at 0200 GMT.


Hezbollah says launched drones ahead of ceasefire at ‘sensitive military targets’ in Tel Aviv

Updated 27 November 2024
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Hezbollah says launched drones ahead of ceasefire at ‘sensitive military targets’ in Tel Aviv

BEIRUT, Lebanon: Lebanon’s Hezbollah said it launched drones at “sensitive military targets” in Tel Aviv on Tuesday evening, after deadly Israeli strikes in Beirut and as news of a ceasefire deal was announced.
“In response to the targeting of the capital Beirut and the massacres committed by the Israeli enemy against civilians,” Hezbollah launched “drones at a group of sensitive military targets in the city of Tel Aviv and its suburbs,” the group said in a statement.