BEIRUT: Eleven people suffered bouts of dangerously low blood sugar in Lebanon this year, one of whom required hospitalization, after injecting suspected fake versions of Novo Nordisk’s diabetes drug Ozempic, according Lebanese health officials.
A director for the Lebanese Ministry of Public Health, Rita Karam, said officials suspected the drugs were fake after discovering the doses were different from the ones calibrated for authentic Ozempic injector pens.
Explosive demand for Ozempic and other drugs used for weight loss, including Eli Lilly’s Mounjaro and Novo’s Wegovy, is fueling a global surge in counterfeit versions, Reuters interviews with law enforcement, anti-counterfeiting and public health officials showed last month.
Counterfeit Ozempic has already been found in at least 17 countries, including the UK, Germany, Egypt and Russia. Several have issued warnings to pharmacies and consumers to be vigilant about counterfeits, since it is not clear what they actually contain.
Karam said the ministry had begun investigations into the 11 cases, but that the source and batch numbers of the drugs in question had not been identified in most, which made it hard to determine what the victims may have taken.
Three of the people who took the suspected fake Ozempic did so to control their diabetes, while four took it for weight management, Karam said. The other four injected the drug for an ‘unspecified indication.’
People with diabetes need to closely manage their blood sugar, which can be done with a variety of medicines including Ozempic. When blood sugar, or glucose level, gets too low they can suffer hypoglycemia, with symptoms that may include headaches or dizziness and can progress to a loss of consciousness or seizures.
Lebanon’s Ministry of Public Health issued two recalls related to Ozempic in January 2023, according to its website. No cases of potentially counterfeit Ozempic were reported in Lebanon in 2022, Karam said.
Novo Nordisk said it investigates and reports every counterfeit case it finds to local authorities, and that it has created a guide for health care providers in the Middle East to show how to spot fake drugs.
More than a quarter of Lebanese adults are obese, according to 2017 figures from the World Obesity Federation. Obesity has been closely linked with type 2 diabetes, by far the most common form of the disease.
Data from the International Diabetes Federation showed that almost 9 percent of adults in Lebanon had diabetes in 2021, compared to nearly 14 percent in the United States.
Karam said Ozempic is neither purchased nor provided by the Ministry of Public Health.
Wegovy, Novo Nordisk’s weight-loss drug with the same active ingredient — semaglutide — as Ozempic, was shown to help patients lose an average of 15 percent of their weight in a late-stage trial.
The scramble for supplies of the powerful pound-shedding molecule has led to shortages of Ozempic in several countries including Britain, Germany, Belgium and the United States.
A source familiar with anti-counterfeiting efforts told Reuters last month that markets where sales of fake weight-loss drugs were most prevalent included Lebanon and other countries in the Middle East.
Several people have been hospitalized in Austria for hypoglycemia after taking potentially fake versions of Ozempic. The health safety regulator there said the side effects indicated the product contained insulin instead of semaglutide.
Last month, Belgium’s drug regulator said it had seized counterfeit versions of Ozempic in which the injector pens were confirmed to contain insulin.
Suspected fake Ozempic causes hypoglycemia in 11 in Lebanon
https://arab.news/m66dd
Suspected fake Ozempic causes hypoglycemia in 11 in Lebanon
- Officials suspected the drugs were fake after discovering the doses were different from the ones calibrated for authentic
- Ozempic injector pens Counterfeit Ozempic has already been found in at least 17 countries, including the UK, Germany, Egypt and Russia
Italy says would have to arrest Netanyahu after ICC warrant
It was not a political choice but Italy was bound as a member of the ICC to act on the court’s warrants
ROME: Italian Defense Minister Guido Crosetto said Thursday his country would be obliged to arrest Israeli Prime Minister Benjamin Netanyahu if he visited, after the International Criminal Court issued a warrant.
The ICC earlier also issued arrest warrants for Netanyahu’s former defense minister, Yoav Gallant, as well as Hamas’s military chief Mohammed Deif.
Crosetto — whose country holds the G7 rotating presidency this year — told RAI television’s Porta a Porta program that he believed the ICC was “wrong” to put Netanyahu and Gallant on the same level as Hamas.
But he said that if Netanyahu or Gallant “were to come to Italy, we would have to arrest them.”
It was not a political choice but Italy was bound as a member of the ICC to act on the court’s warrants, Crosetto said.
Foreign Minister Antonio Tajani had earlier been more cautious, saying: “We support the ICC, while always remembering that the court must play a legal role and not a political role.
“We will evaluate together with our allies what to do and how to interpret this decision.”
Israeli strikes kill 47 people in eastern Lebanon, official says
- Bachir Khodr, governor of Lebanon’s Baalbek-Hermel province, said at least 47 were killed and 22 wounded in Israeli strikes in the Baalbek region
- In Israel, a 30-year-old man was killed when shrapnel from a rocket struck a playground in the northern town of Nahariya
BEIRUT/JERUSALEM: Israeli strikes killed at least 47 people in eastern Lebanon on Thursday, a Lebanese official said, pressing the campaign against the Iran-backed Hezbollah group as a US mediator sought to advance ceasefire talks in Israel.
US mediator Amos Hochstein, who said a ceasefire was “within our grasp” during a visit to Lebanon on Tuesday, met Israeli Prime Minister Benjamin Netanyahu and Defense Minister Israel Katz. There were no immediate statements.
Indicating there were still gaps to close, a senior Lebanese official told Reuters that Beirut had sought changes to the US ceasefire proposal, to include ensuring a speedier withdrawal of Israeli forces from south Lebanon.
The diplomacy marks the most serious attempt yet to end the conflict between Israel and the heavily armed, Iran-backed Hezbollah, part of the regional spillover of the Gaza war that erupted more than a year ago.
Bachir Khodr, governor of Lebanon’s Baalbek-Hermel province, said at least 47 were killed and 22 wounded in Israeli strikes in the Baalbek region. Posting on X, he said rescue operations were underway. The region bordering Syria is an area of Lebanon where Shiite Islamist Hezbollah holds sway.
Beirut shook as Israeli airstrikes hit the Hezbollah-controlled southern suburbs about a dozen times, sending up clouds of debris, in some of the most intense airstrikes yet.
Residents have largely fled the area since Israel went on the offensive against Hezbollah in September.
The Israeli army said its strikes were against Hezbollah infrastructure and that it had mitigated civilian harm through advance warnings and other steps.
In Israel, a 30-year-old man was killed when shrapnel from a rocket struck a playground in the northern town of Nahariya, Israel’s MDA medical service said.
“The Israeli government is not safeguarding my security, my residents or the residents of the north (of Israel). It is not possible to live in such a situation like this,” Nahariya Mayor Ronen Marelly told public broadcaster Kansas
The Israeli military said about 10 rockets were launched from Lebanon toward Nahariya. “Most of the projectiles were intercepted and fallen projectiles were identified,” the military said in a statement.
Channel 12 said three rockets hit the coastal town.
Hezbollah’s Al-Manar television station, citing its correspondent, confirmed rocket fire toward Nahariya and the surrounding area.
White House envoy Hochstein left for Israel after declaring progress in two days of talks in Lebanon with officials including Parliament Speaker Nabih Berri, endorsed to negotiate by Hezbollah. Speaking before he left Beirut, Hochstein said he was going to Israel to try to close an agreement if possible.
BATTLE OF KHIYAM
The diplomacy aims to end a conflict that has inflicted massive devastation in Lebanon since Israel began its offensive, mounting airstrikes across wide parts of the country and sending troops into the south.
Footage broadcast by Al Jazeera showed thick smoke rising from the town of Khiyam in southern Lebanon, some 6 km (4 miles) from the border, a focal point of ground battles between Hezbollah fighters and Israeli troops.
Israel says its aim is to secure the return home of tens of thousands of people evacuated from its north due to rocket attacks by Hezbollah, which opened fire in support of Hamas at the start of the Gaza war in October 2023.
Hezbollah, which has suffered major blows since Israel began its offensive in September, has kept up rocket fire into Israel, attacking Tel Aviv this week. Its fighters are battling Israeli troops on the ground in the south.
The casualty toll since Oct. 2023 stands at 3,583 people killed in Lebanon, the Lebanese health ministry says, most of them killed during the Israeli offensive since September. The figures do not distinguish between combatants and civilians. The ministry said 25 fatalities were reported on Wednesday.
Hezbollah strikes have killed more than 100 people in northern Israel and the Israeli-occupied Golan Heights. They include more than 70 soldiers killed in strikes in northern Israel and the Golan Heights and in combat in southern Lebanon, according to Israel.
Amid Israeli incursion into southern Lebanon, airstrikes hit Beirut’s southern suburbs
- Lebanon’s official National News Agency reported three raids “within the third round of strikes on the southern suburbs today“
- AFPTV footage showed columns of smoke rising from the area, usually a densely populated residential district but now largely emptied
BEIRUT: Fierce battles between the Israeli army and Hezbollah erupted in the town of Khiam and on the outskirts of the town of Biyyadah in Lebanon on Thursday.
Israeli resumed intense airstrikes in the morning on Beirut’s southern suburbs and villages in the Baalbek-Hermel governorate, following a pause that coincided with US envoy Amos Hochstein’s 48-hour visit to Beirut before heading to Tel Aviv.
Hezbollah continued its attacks on northern Israel, with rockets reaching Nahariya. According to medics and doctors with Magen David Adom, these attacks “killed a 30-year-old man due to rocket fire.”
Lebanon has been hit by large-scale Israeli attacks since Sept. 23.
Israel has been targeting Hezbollah headquarters, civilian homes in southern villages, pursuing displaced persons to their new locations, and destroying entire neighborhoods in Beirut’s southern suburbs, the southern border region, towns deep in the south, and villages in Baalbek-Hermel.
The attacks have also struck Beirut multiple times. The total death toll since the start of the confrontations has surpassed 3,520, with 14,940 injured.
The clashes in the south have been concentrated between the town of Chamaa and the coastal town of Biyyadah, following the capture of Chamaa.
Hezbollah said that its members “repelled a new Israeli force’s advance attempt at the southern outskirts of Chamaa toward Biyyadah.”
A fierce battle also raged in Khiam, amid reports on Wednesday night suggesting that the town had fallen to the Israeli army. However, Hezbollah reported “ongoing battles on four fronts, employing all types of weapons.”
Security reports indicated that the Israeli army “is conducting large-scale demolitions in Khiam, blowing up houses and residential buildings during its incursion into the town.”
Controlling Khiam is significant, as it is a strategic city located on top of the Al-Hamames Hill, 500 meters above sea level. Khiam is also one of the biggest cities in southern Lebanon in area, which allows the Israeli army to oversee northern Israel on one side and the Golan Heights on the other.
An Israeli raid on the Khardali road, which connects Nabatieh to Marjaayoun and is considered a Hezbollah supply road, blocked it completely.
Meanwhile, Israeli warplanes carried out destructive aerial strikes in stages against Beirut’s southern suburbs on Thursday morning.
The strikes were preceded by a series of evacuation warnings issued to the residents of Ghobeiri, Hadath, Haret Hreik, Bir Abed and Kafaat.
The raids destroyed a significant number of residential buildings and commercial shops. They also reached a building adjacent to a special needs school in Kafaat.
The Israeli army claimed that it “targeted Hezbollah command headquarters and infrastructure in Beirut’s southern suburbs.”
Raids on Younin, northern Bekaa, killed at least four people after they targeted an inhabited house without prior warning.
The Israeli raids included Brital, Makneh, Nahleh, Chaat in the Anti-Lebanon mountains, and Bouday in the western mountain range.
Dozens of citizens received mysterious calls on Wednesday night instructing them to evacuate their homes in Beirut’s neighborhoods and Mount Lebanon, including Mazraat Yachouh in Metn, where there is no Hezbollah presence.
The calls caused confusion, as residents of entire neighborhoods waited on the streets for officials confirmations. The calls were seen as “part of a psychological warfare.”
On the eve of Lebanon’s 81st Independence Day, army chief Joseph Aoun said that “Lebanon will always revolt against its enemies and those who mess with its safety and sovereignty, notably the Israeli enemy.”
Aoun said that the anniversary came amid a destructive and brutal war waged by the Israeli enemy for more than a year, resulting in thousands being wounded, and the displacement of people from their villages and towns in the south, the Bekaa and Beirut.
“As the enemy persists in its daily violations and aggressions, efforts are intensifying to reach a ceasefire that would bring calm to our country, paving the way for the return of our people in the south to their land and the rest of the displaced to their homes.”
Aoun said that the army was “still deployed in the south, where soldiers make sacrifices and give their lives for Lebanon. We will not abandon it because it is an integral part of national sovereignty, and it operates in coordination with UNIFIL under the framework of Resolution 1701. The army also stands by its people and citizens, fulfilling its national duty and continuing its missions despite challenges and dangers.”
He said that “there is no turning back, and there is no fear for the army, which will remain steadfast by the side of the Lebanese despite all circumstances, protecting Lebanon and defending its security, stability and sovereignty. The army will continue to embrace all Lebanese from different backgrounds, standing equally by each one of them.”
Libya’s Derna hosts theater festival year after flash flood
- Nizar Al-Aned, artistic director of the Derna Festival, said organizers had “insisted that the festival take place, even if the theater is still under construction” to rebuild it
- Tunisian comedian Abir Smiti said it was her first time at the event
DERNA, Libya: A year after a flash flood ripped through Derna and killed thousands of people, the coastal Libyan city is hosting a theater festival with a message of hope.
The city in the war-torn country’s east is still reeling from the flooding that destroyed historic buildings, including Libya’s oldest theater where the festival was held in previous years.
Nizar Al-Aned, artistic director of the Derna Festival, said organizers had “insisted that the festival take place, even if the theater is still under construction” to rebuild it.
Now, back after a pause due to the September 2023 floods, the festival’s sixth edition is being held this week under the slogan: “Derna is back, Derna is hope.”
With five theater troupes from Libya, and one each from neighboring Egypt and Tunisia, the event has drawn artists, comedians and visitors from across the Arab world.
Tunisian comedian Abir Smiti said it was her first time at the event.
“To me, Derna is a discovery,” she told AFP.
“When you just arrive, you can feel the pain, but at the same time there’s joy. You can feel how everyone has hope.”
Once home to about 120,000 inhabitants, the wall of water that swept through Derna last year killed nearly 4,000 people, left thousands missing and displaced more than 40,000 others, according to the United Nations.
It was the result of extreme rainfall from hurricane-strength Storm Daniel, which had caused two dams to burst inland from the city that lies some 1,300 kilometers (800 miles) east of the capital Tripoli.
Libya is still grappling with the aftermath of the 2011 NATO-backed uprising that toppled long-time dictator Muammar Qaddafi.
The chaos that ensued saw the rise of jihadist movements, with Derna coming under the control of Al-Qaeda and later the Daesh group before they were chased out by 2018.
The North African country remains split between two rival administrations.
The divisions have complicated the emergency response and reconstruction efforts.
Derna is under the eastern administration backed by military strongman Khalifa Haftar, whose son Belgacem Haftar has been the figurehead for reconstruction in the city.
At the theater festival, jury member Hanane Chouehidi told AFP that “despite the drama, the deaths and the destruction,” she was confident Derna could be rebuilt.
“Derna deserves to be beautiful, just as its residents deserve to be happy,” she said.
Israeli foreign minister says ICC “lost all legitimacy” with Netanyahu, Gallant ruling
- “A dark moment for the International Criminal Court,” Saar said on X
- French foreign ministry’s spokesman Christophe Lemoine said their reaction will be in line with the court’s statutes
JERUSALEM: The International Criminal Court has “lost all legitimacy” after issuing arrest warrants for Israeli Prime Minister Benjamin Netanyahu and his former defense chief Yoav Gallant, Israel’s Foreign Minister Gideon Saar said on Thursday.
“A dark moment for the International Criminal Court,” Saar said on X, adding that it had issued “absurd orders without authority.”
Meanwhile, Netanyahu’s office rejected the ICC’s decision to issue arrest warrants against him and his former defense chief, describing them as “anti-Semitic.”
“Israel rejects with disgust the absurd and false actions leveled against it by ICC,” his office said in a statement, adding Israel won’t “give in to pressure” in the defense of its citizens.
When asked during a news conference if France would arrest Netanyahu, the French foreign ministry’s spokesman Christophe Lemoine said their reaction will be in line with the court’s statutes, but declined to say whether France would arrest the leader if he came to the country.
“It’s a point that is legally complex so I’m not going to comment on it today,” he said.
