Lebanon’s cancer patients turn to the black market for life-saving medication

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Lebanon has one of the world’s highest rates of breast cancer and a failing government mean tens of thousands of fearful patients are left with little hope of lifesaving treatment. (AFP)
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Residents of Sidon carry pink ballons during an event organizd by Pink Steps Lebanon to raise awareness about breast cancer. (AFP file)
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A cancer patient attends a gathering in Beirut to protest the shortage of medicine. (AFP file)
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The shortage of medicines in Lebanon has forced many patients to resort to buying from unregulated sources. (AFP file)
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Updated 13 October 2022
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Lebanon’s cancer patients turn to the black market for life-saving medication

  • Desperate Lebanese have resorted to smugglers to access cancer medications, many of them counterfeit
  • Lebanon’s financial ruin has crippled the health system, forcing many cancer patients to abandon treatment

DUBAI: “I am Sali Hafiz. I came today to take the deposits of my sister who is dying in a hospital.” These are the words that a desperate Lebanese woman streamed online in a bid to secure funds for her sister’s cancer treatment.

Hafiz had stormed into a Beirut branch of BLOM Bank armed with a fake gun. The 28-year-old held up the premises until she secured $13,000, part of her $20,000 savings in held deposits.

The heist highlights the ever-worsening state of Lebanon’s medical sector and its patients. Hafiz’s sister, who suffers from brain cancer, was losing hope of ever regaining her speech and mobility. The funds withdrawn by her sibling provided her with a trip to nearby Turkey and a month of treatment.




Protesters voice their anger over treatment delays. (AFP)

For more than four years, Lebanon has been in the throes of a deepening economic crisis that has plunged almost three-quarters of the population into poverty.

It has left the healthcare sector on its knees, slashed medical subsidies from $120 million per month to about $35 million in 2021 and raised the price of a wide range of medications by up to four times. Desperate Lebanese citizens are now looking for any means to provide their loved ones a chance in life.




A Beirut Pink October rally raises awareness of breast cancer. (AFP)

In Lebanon, cancer patients fight two battles — one against their disease and another to obtain much-needed treatment.

Breast cancer is the most prevalent cancer in Lebanon. In 2020, 1,954 new breast cancer cases were identified, accounting for 33.7 percent of diagnosed cancers that year.

According to a 2019 study, “Breast Cancer Epidemiology Among Lebanese Women: An 11-Year Analysis,” published in the National Center for Biotechnology Information, a study period between 2005-2015 found breast cancer to be the most prevalent cancer in Lebanon with a total of 22,357 cases reported, accounting for almost 37 percent of cancer cases among females.

In 2018, the Eastern Mediterranean Health Journal published a study titled “Effectiveness of breast cancer screening campaigns from 2012 to 2017 by analysis of stage at diagnosis, Lebanon.” It found that the country had the sixth highest age-standardized incidence rate for breast cancer in the world, with 97.6 cases per 100,000 women.

Hospitals now face significant medication shortages, and a large number of patients cannot afford treatment due to the capital controls imposed almost overnight by banks in 2019.




A large number of patients cannot afford treatment due to Lebanon's economic crisis. (AFP file)

More than 80 percent of the population lives below the poverty line.

While some NGOs offer free mammogram examinations, no health centers provide free treatment.

Many breast cancer patients are in the same predicament as Hafiz’s sister. Though ongoing campaigns in the country raise awareness of breast cancer during October, many women feel discouraged. Public awareness efforts include seminars, educational courses on how to spot breast cancer, encouragement for early screening and media interventions. But those already diagnosed with breast cancer feel that it is not enough.




A cancer patient attends a gathering in Beirut to protest the shortage of medicine. (AFP file)

“I almost feel like some of these movements spearheaded by celebrities hijack our pain for their benefits and public image,” Layla, a 37-year-old stage 2 breast cancer patient, told Arab News. “Where do I go with my pink ribbon if I have to worry whether I can continue my chemotherapy? Who will fund my treatment?”

As government aid is scarce, Lebanon imports more than 90 percent of its medication from abroad. Cancer patients are often left to fend for themselves to secure life-saving treatments.

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33.7%

Breast cancer accounted for 33.7% of diagnosed cancers in Lebanon in 2020

Last year, the country’s Health Ministry formed a committee to examine the lack of cancer medication, such as Opdivo, Tecentriq, Ibrance and Xtandi. Despite the ministry finding that no theft had occurred, the amount of medication required for cancer treatment was discovered to be far lower than needed. Health Minister Firass Abiad urged the international community at the World Health Assembly in Geneva to support Lebanon’s health system.

Counterfeit medication has also become a major problem. The head of the Pharmacists Syndicate, Dr. Joe Salloum, warned that many patients are unknowingly buying fraudulent medicines smuggled into Lebanon from nearby countries.




A Beirut Pink October rally raises awareness of breast cancer. (AFP file)

On the occasion of Pink October, under the heading “First of all Medication, not Pink Illumination,” The Barbara Nassar Association for Cancer Patient Support arranged a protest on Oct. 2 in solidarity with breast cancer patients.

Gathered in Martyrs’ Square in downtown Beirut, Dr. Hani Nassar, the head of the association, alongside Salloum, as well as two members of parliament, Ghada Ayoub and Adeeb Abdelmasih, took part in the protest with patients and their families.

Nassar said: “We have at least 10 cancer-stricken patients in the Parliament alone; I bet they receive their medications and treatment from abroad, while the rest of us are at the mercy of the minister of the health sector. The registration process in the country is in disarray; the minister does not even know how many cancer patients are in the country. We call upon the ministry to provide medication to every cancer patient accordingly.

“We call upon the government and the Parliament to impose transparency, to impose impartiality, rather than seeing queues of patients in the hundreds waiting outside the ministry to receive their life-saving medication; rather than having to make calls and pay on the side for people to provide them with what they need.”




An elderly man stands at the shuttered door of a pharmacy in the southern Lebanese city of Sidon. (AFP file)

MPs Ayoub and Abdelmasih said that they intended to present a bill in Parliament to enable urgent financial loans for cancer patients.

Nassar also warned of a morphine shortage in Lebanon’s medical system, meaning that some cancer patients were left “screaming in pain” in hospitals. He added that many women in the first three stages of breast cancer “could be saved,” but often lack the funds to secure treatment.

Medication is also hard to come by due to fluctuating currency exchange prices and inflation.

Speaking anonymously, a nurse from a public hospital in Mount Lebanon told Arab News: “I dread going to work every day. Cancer treatment needs a consistent timeline, and seeing patients having to drop out of their treatment due to lack of finances is disheartening to say the least.”

The nurse added that he still receives the same salary that was set before the country’s economic crisis. “My salary is basically pennies. I dread it but I show up to work. If I can provide any type of comfort to the women going through breast cancer, as well as other cancer patients, I think it’s worth it.”

 


Blinken says Syria’s HTS should learn from Taliban isolation

Updated 10 sec ago
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Blinken says Syria’s HTS should learn from Taliban isolation

  • Blinken called for a “non-sectarian” Syrian government that protects minorities and addresses security concerns, including keeping the fight against the Daesh group

NEW YORK: US Secretary of State Antony Blinken called Wednesday on Syria’s triumphant HTS rebels to follow through on promises of inclusion, saying it can learn a lesson from the isolation of Afghanistan’s Taliban.
The Islamist movement rooted in Al-Qaeda and supported by Turkiye has promised to protect minorities since its lightning offensive toppled strongman Bashar Assad this month following years of stalemate.
“The Taliban projected a more moderate face, or at least tried to, in taking over Afghanistan, and then its true colors came out. The result is it remains terribly isolated around the world,” Blinken said at the Council on Foreign Relations in New York.
After some initial overtures to the West, the Taliban reimposed a strict interpretation of Islamic law that includes barring women and girls from secondary school and university.
“So if you’re the emerging group in Syria,” Blinken said, “if you don’t want that isolation, then there’s certain things that you have to do in moving the country forward.”
Blinken called for a “non-sectarian” Syrian government that protects minorities and addresses security concerns, including keeping the fight against the Daesh group and removing lingering chemical weapons stockpiles.
Blinken said that HTS can also learn lessons from Assad on the need to reach a political settlement with other groups.
“Assad’s utter refusal to engage in any kind of political process is one of the things that sealed his downfall,” Blinken said.HTS


UN humanitarian chief urges massive aid boost for Syria: AFP interview

Updated 19 December 2024
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UN humanitarian chief urges massive aid boost for Syria: AFP interview

  • “Across the country, the needs are huge. Seven in 10 people are needing support right now,” Fletcher told AFP in a telephone interview as he visited Syria

DAMASCUS: Visiting UN humanitarian chief Tom Fletcher called Wednesday for a massive aid boost for Syria to respond to “this moment of hope” after the ouster of longtime strongman Bashar Assad.
“Across the country, the needs are huge. Seven in 10 people are needing support right now,” Fletcher told AFP in a telephone interview as he visited Syria.
“I want to scale up massively international support, but that now depends on donors. The Syria fund has been historically, shamefully underfunded and now there is this opportunity,” he said.
“The Syrian people are trying to come home when it’s safe to do so, to rebuild their country, to rebuild their communities and their lives.
“We have to get behind them and to respond to this moment of hope. And if we don’t do that quickly, then I fear that this window will close.”
Half of Syria’s population were forced from their homes during nearly 14 years of civil war, with millions finding refuge abroad.
UN officials have said a $4 billion appeal for Syria aid is less than a third funded.
“There are massive humanitarian needs... water, food, shelter... There are needs in terms of government services, health, education, and then there are longer term rebuilding needs, development needs,” Fletcher said.
“We’ve got to be ambitious in our ask of donors.
“The Syrian people demand that we deliver, and they’re right to demand that we deliver,” he said. “The world hasn’t delivered for the Syrian people for more than a decade.”
As part of his visit, Fletcher met representatives of Hayat Tahrir Al-Sham (HTS), the Islamist rebel group which spearheaded the offensive that toppled Assad, including its leader Ahmed Al-Sharaa and interim prime minister Mohammad Al-Bashir.
Fletcher said he received “the strongest possible reassurances” from Syria’s new administration that aid workers would have the necessary access on the ground.
“We need unhindered, unfettered access to the people that we’re here to serve. We need the crossings open so we can get massive amounts of aid through... We need to ensure that humanitarian workers can go where they need to go without restriction, with protection,” he said.
“I received the strongest possible reassurances from the top of that caretaker administration that they will give us that support that we need. Let’s test that now in the period ahead.”
Assad’s government had long imposed restrictions on humanitarian organizations and on aid distribution in areas of the country outside its control.
Fletcher said that the coming period would be “a test for the UN, which hasn’t been able to deliver what we wanted to over a decade now... Can we scale up? Can we gain people’s trust?
“But it’s also a test for the new administration,” he added. “Can they guarantee us a more permissive environment than we had under the Assad regime?
“I believe that we can work in that partnership, but it’s a huge test for all of us.”


Turkish FM rejects Trump claim of Ankara ‘takeover’ in Syria

Updated 19 December 2024
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Turkish FM rejects Trump claim of Ankara ‘takeover’ in Syria

ISTANBUL: Turkiye on Wednesday rejected US President-elect Donald Trump’s claim that the rebel ouster of Syrian strongman Bashar Assad was an “unfriendly takeover” by Ankara.
“We wouldn’t call it a takeover, because it would be a grave mistake to present what’s been happening in Syria” in those terms, Foreign Minister Hakan Fidan told broadcaster Al Jazeera in an interview.
“For Syrian people, it is not a takeover. I think if there is any takeover, it’s the will of the Syrian people which is taking over now.”
Assad fled to Russia after a lightning offensive spearheaded by the Islamist group Hayat Tahrir Al-Sham (HTS) wrested city after city from his control until the rebels reached the Syrian capital earlier this month.
On Monday, Trump said “the people that went in (to Syria) are controlled by Turkiye and that’s ok.”
“Turkiye did an unfriendly takeover, without a lot of lives being lost,” the billionaire businessman told reporters.
Since the early days of the anti-Assad revolt that erupted in 2011, Turkiye has been seen as a key backer of the opposition to his rule.
It has hosted political dissenters as well as millions of refugees and also backed rebel groups fighting the army.
Fidan said it would be incorrect to characterise Turkiye as the power that would rule Syria in the end.
“I think that would be the last thing that we want to see, because we are drawing huge lessons from what’s been happening in our region, because the culture of domination itself has destroyed our region,” he said.
“Therefore, it is not Turkish domination, not Iranian domination, not Arab domination, but cooperation should be essential,” he added.
“Our solidarity with Syrian people shouldn’t be characterised or defined today as if we are actually ruling Syria. I think that would be wrong.”
In the same interview Fidan warned Syria’s new rulers to address the issue of Kurdish forces in the country, whom Ankara brands “terrorists.”
“There is a new administration in Damascus now. I think, this is primarily their concern now,” minister Hakan Fidan said.
“So, I think if they are going to, if they address this issue properly, so there would be no reason for us to intervene.”
Fidan was responding to a question amid growing rumors that Turkiye could launch an offensive on the Kurdish-held border town of Kobani, also known as Ain Al-Arab.
Local witnesses told AFP there has been an increase in the number of soldiers patrolling on the Turkish side of the border but no “unusual military activity.”
Ankara has staged multiple operations against Kurdish forces since 2016, and Turkish-backed groups have captured several Kurdish-held towns in the north in recent weeks.


What we know of the latest talks for a Gaza ceasefire

Updated 19 December 2024
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What we know of the latest talks for a Gaza ceasefire

JERUSALEM: Efforts to strike a Gaza truce and hostage release deal between Israel and Hamas have repeatedly failed over key stumbling blocks, but recent negotiations have raised hope of an agreement.
On Tuesday, Washington expressed “cautious optimism” on the possibility of an “imminent deal.”
This comes following reported indirect negotiations mediated by Qatar along with Egypt and the United States.
Diplomatic sources told AFP that US President-elect Donald Trump’s recent declaration that a deal should be struck before his return to office on January 20 had an impact on the latest round of talks.
One diplomatic source said that Hamas, isolated after the weakening of its Lebanese ally Hezbollah and the overthrow of Syrian strongman Bashar Assad, is keen to reach a deal before the end of the year.
“A lot of people see (a deal) as the perfect Christmas gift,” the source said.
Another noted that since Hamas chief Yahya Sinwar’s death, Hamas leaders abroad, known as more pragmatic than the mastermind of the October 7, 2023 attack that sparked the war, have been conducting negotiations.
A high-ranking Hamas official told AFP on Tuesday that the talks were at the “final details” stage and that Qatar and Egypt would announce the agreement once negotiations end.
Israeli government spokesman David Mencer declined to comment on the proposed deal at a media briefing on Wednesday, stating “the less said the better.”
During their attack on Israel on October 7 last year, Palestinian militants led by Hamas seized 251 hostages.
Ninety-six of them are still held in Gaza, including 34 the Israeli military says are dead.
Hamas officials told AFP that the current framework for a deal would see the implementation of a ceasefire and the gradual release of hostages over three phases.
In the first, six-week phase, Israeli civilian hostages and female soldiers would be released in exchange for “hundreds of Palestinian prisoners.”
The source close to Hamas said that during this phase, Israel would withdraw its forces “from west of the Rafah crossing” on the Philadelphi Corridor, a strip of land cleared and controlled by Israel along Gaza’s border with Egypt.
Israeli forces would also “partly withdraw” from the Netzarim Corridor, another, wider strip of land cleared and controlled by Israel that splits the territory in two just south of Gaza City, and gradually leave Palestinian refugee camps.
Lastly, the first phase would see the gradual return of displaced residents to Gaza City and the north via the coastal highway under Israeli army monitoring.
The second phase would see the release of Israeli male soldiers in exchange for “a number” of Palestinian prisoners, “including at least 100 with long-term sentences.”
During this phase, Israel would complete its military withdrawal but would maintain forces on the eastern and northern border areas with Israel.
Under the last phase of the proposed deal, “the war will be officially declared over” and reconstruction efforts will begin in the territory where the UN satellite agency said that 66 percent of all structures have been damaged.
Lastly, the Rafah crossing on the Egyptian border would be jointly managed by the West Bank-based Palestinian Authority, in coordination with Egypt and the European Union.
Despite numerous rounds of indirect talks, Israel and Hamas have agreed just one week-long truce at the end of 2023.
Negotiations between Hamas and Israel have faced multiple challenges since then, with the primary point of contention being the establishment of a lasting ceasefire.
Prime Minister Benjamin Netanyahu has also repeatedly stated that he does not want to withdraw Israeli troops from the Philadelphi Corridor.
One of the diplomatic sources AFP spoke to said Israel would “never” exit the border strip, and at most would leave the small border crossing for others to manage.
Another unresolved issue is the governance of post-war Gaza.
It remains a highly contentious issue, including within the Palestinian leadership.
Israel has said repeatedly that it will not allow Hamas to run the territory ever again.
And while a Hamas official told AFP on Wednesday that “Egypt, Qatar, Turkiye, the United Nations and the United States will guarantee the implementation of the agreement,” none of them have confirmed that.


Germany jails Syrian for 10 years for Assad-era war crimes

Updated 19 December 2024
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Germany jails Syrian for 10 years for Assad-era war crimes

  • Berlin has warned that Assad’s supporters will continue to face justice in Germany for crimes they committed
  • Germany, in 2022, jailed former Syrian colonel Anwar Raslan for life in the first international trial over state-sponsored torture in Syrian prisons

BERLIN: A German court handed a 10-year jail term to a Syrian former militia leader on Wednesday for war crimes and crimes against humanity committed under former president Bashar Assad.
The man, named only as Ahmad H., 47, had come to Germany in 2016 at the height of the influx of migrants to Europe.
Assad was toppled last week by Hayat Tahrir Al-Sham, and Berlin has since warned that his supporters will continue to face justice in Germany for crimes they committed.
Ahmad H. was found guilty of crimes including torture, deprivation of liberty and enslavement, a spokeswoman for the higher regional court in Hamburg told AFP.
Prosecutors said he carried out the crimes between 2012 and 2015 as a local leader of the pro-government “shabiha” militia in Damascus tasked with helping to crush dissent.
The militia operated checkpoints where “people were arrested arbitrarily so that they or their family members could be extorted for money, committed to forced labor or tortured,” they said.
The fighters also plundered the homes of regime opponents, sold the spoils and kept the profits, they added, charging that Ahmad H. took part “personally in the abuse of civilians.”
When Ahmad H. was detained in Germany in July 2023, the Washington-based Syrian Justice & Accountability Center, which tracks human rights abuses in Syria, said its investigations had led to the arrest.
It had launched its probe after a witness told the agency in May 2020 that the suspect was living in Germany.
Europe’s biggest economy, then ruled by chancellor Angela Merkel, granted safe haven to hundreds of thousands of Syrians during the 2015-16 refugee influx.
NGOs warned at the time of the danger that militiamen accused of committing some of the most barbaric atrocities against civilians for Assad’s government were arriving incognito in Europe and obtaining asylum.
Germany has previously used the principle of universal jurisdiction, which allows the prosecution of certain grave crimes regardless of where they took place, to try Syrians over atrocities committed during the civil war.
In January 2022, Germany jailed former Syrian colonel Anwar Raslan for life in the first international trial over state-sponsored torture in Syrian prisons.