GENEVA: Syria’s shattered health care system has been forgotten by the world at large, a top WHO official said, urging new, creative thinking to halt the exodus of medical staff abroad.
Hanan Balkhy, the World Health Organization’s Eastern Mediterranean regional director, said young doctors needed to be offered better prospects than practicing fourth-century medicine in dire conditions.
Balkhy, who took office in February, visited Syria from May 11-16, describing the situation on her return as “catastrophic,” with a “staggering” number of people in need and alarming rates of child malnutrition.
She said almost half the health workforce had fled the country.
Balkhy said Syria was facing “multi, multi-layered crises,” with 13 years of civil war, sanctions and last year’s major earthquake compounded by a complex geopolitical situation.
Only 65 percent of hospitals and 62 percent of primary health care centers are fully operational, and they have severe shortages of medicines and equipment.
“We need to think out of the box when it comes to maintaining the health workforce, bringing in younger people, keeping them engaged so that we still have people signing up,” Balkhy told AFP.
Health care workers were facing “very, very low” wages, if they can get a salary.
And if surgeons don’t have an operating room, anaesthetics, professional nurses and sterilization units, “then what’s the use of having a surgeon?,” she argued.
“Then you have to have medications. If you’re not producing your own medications and you could not import your medications, the doctor is paralyzed, in a way.
“So, either you have to accept to practice medicine in the fourth century, where you cauterise people and send them on their merry way, or we try to figure out creative ways.”
Balkhy said such solutions needed to make health professionals more content to stay in Syria or to return to the country, which she said many would “willingly” do, “if they were given some kind of support.”
“They’re learning German in medical school on the side so that they can be ready to jump, and that’s scary for the region,” the Saudi doctor lamented.
She proposed getting young physicians engaged on research projects with a pathway to publishing, so they can “feel that they’re doing something worthwhile” — and making sure that they “at least have the equipment” for surgical operations.
And because doctors cannot travel to conferences to present papers, they need access to virtual platforms to stay in touch with the international health community, she said.
As for medication, Balkhy suggested ramping up pooled procurement and supporting local manufacturing of basic products such as painkillers, antibiotics, and antihypertensives for the “silent killer” — high blood pressure.
Balkhy, who was in Geneva this week for the WHO’s executive board meeting, said the intermittent electricity in Syria had broader knock-on health effects than people might realize.
She said Syria was witnessing a disproportionately high number of burn injuries because people were burning anything — “tires, plastic, fabric” — to cook food and warm their homes, causing domestic fires and respiratory injuries, while regular power cuts were sparking domestic appliances.
“Civilians, children: they’re getting the brunt of it in ways you could never imagine,” said Balkhy.
She urged donor countries to dissociate politics from health and renew their interest in humanitarian funding for Syria.
“I’m a paediatrician by training, so prevention is my game,” she said.
“When you dig deep into the root causes of the harm... much of it is preventable.”
Syria’s forgotten health crisis needs healing: WHO regional chief
https://arab.news/9bb6j
Syria’s forgotten health crisis needs healing: WHO regional chief
- Hanan Balkhy, WHO’s Eastern Mediterranean regional director, said almost half the health workforce had fled the country
- Balkhy said Syria was facing “multi, multi-layered crises,” with 13 years of civil war, sanctions and last year’s major earthquake compounded by a complex geopolitical situation
Israel’s Netanyahu says certain progress made in hostage negotiations
During a speech in Israel’s Knesset, Netanyahu said Israel had made “great achievements” militarily on several fronts and that military pressure on Hamas had led its leaders to soften their previous demands.
The prime minister, in between heckles from opposition members, said Israel had solidified its stance as a “regional power” and that he planned to expand the Abraham Accords together with Israel’s “American ally.”
Netanyahu said Israel’s economy was strong and encouraged foreign investors to invest.
Nine killed in Iran as bus, fuel truck collide — state media
- Iran has a poor road safety record, with over 20,000 deaths recorded between March 2023 and March 2024
- In August, 28 Pakistani Muslim pilgrims en route to Iraq were killed when their bus crashed in central Iran
TEHRAN: At least nine people were killed on Monday when a bus collided with a fuel truck in Iran’s southeast, state media reported, the second mass casualty road accident within days.
Mohammad Mehdi Sajjadi, head of the Red Crescent Society in Sistan-Baluchestan province, told the official IRNA news agency that “nine people lost their lives and 13 others were injured in the accident in which a bus collided with a fuel truck near Zahedan.”
On Saturday, 10 people were killed when a bus plunged into a ravine in Iran’s western Lorestan province.
Iran has a poor road safety record, with more than 20,000 deaths in accidents recorded between March 2023 and March 2024, according to figures from the judiciary’s Forensic Medicine Organization cited by local media.
In August, 28 Pakistani Muslim pilgrims en route to Iraq were killed when their bus crashed in central Iran.
Impoverished Sistan-Baluchestan, which borders Pakistan and Afghanistan, saw one of Iran’s deadliest accidents in 2004, when a gasoline tanker collided with a bus, sparking a massive fire that killed more than 70 people.
Gaza official says Israel strikes on hospital ‘terrifying’
- The area has been the focus of an intense air and ground campaign by Israeli forces since October 6, aimed at prevent Hamas from regrouping
GAZA STRIP: An official from one of only two functioning hospitals in northern Gaza told AFP on Monday that Israeli forces were continuing to target his facility and urged the international community to intervene before “it is too late.”
Hossam Abu Safiyeh, director of Kamal Adwan hospital in the city of Beit Lahia, described the situation at the medical facility as “extremely dangerous and terrifying” owing to shelling by Israeli forces.
An Israeli military spokesman denied that the hospital was being targeted.
“I am unaware of any strikes on Kamal Adwan hospital,” he told AFP.
Safiyeh reported that the hospital, which is currently treating 91 patients, had been targeted on Monday by Israeli drones.
“This morning, drones dropped bombs in the hospital’s courtyards and on its roof,” said Safiyeh in a statement.
“The shelling, which also destroyed nearby houses and buildings, did not stop throughout the night.”
The shelling and bombardment have caused extensive damage to the hospital, Safiyeh added.
“Bullets hit the intensive care unit, the maternity ward, and the specialized surgery department causing fear among patients,” he said, adding that a generator was also targeted.
“The world must understand that our hospital is being targeted with the intent to kill and forcibly displace the people inside.
“We face a constant threat every day. The shelling continues from all directions... The situation is extremely critical and requires urgent international intervention before it is too late,” he said.
On Sunday, Safiyeh said he received orders to evacuate the hospital, but the military denied issuing such directives.
Located in Beit Lahia, the hospital is one of only two still operational in northern Gaza.
The area has been the focus of an intense air and ground campaign by Israeli forces since October 6, aimed at prevent Hamas from regrouping.
Most of the dead and injured from the offensive are brought to Kamal Adwan and Al-Awda hospitals.
The United Nations and other organizations have repeatedly decried the worsening humanitarian conditions in Gaza, particularly in the north, since the latest military offensive began.
Rights groups have consistently appealed for hospitals to be protected and for the urgent delivery of medical aid and fuel to keep the facilities running.
Israeli officials have accused Hamas militants of using the hospitals as command and control centers to plan attacks against the military.
The war in Gaza broke out on October 7 last year after Hamas militants launched an attack on southern Israel that resulted in the deaths of 1,208 people on the Israeli side, most of them civilians, according to an AFP tally based on official Israeli figures.
Israel’s retaliatory military offensive in Gaza has killed at least 45,259 people, a majority of them civilians, according to the Hamas-run territory’s health ministry, figures the UN says are reliable.
Some gaps have narrowed in elusive Gaza ceasefire deal, sides say
- Palestinian official familiar with the talks said some sticking points had been resolved
- But identity of some of Palestinian prisoners to be released by Israel in return for hostages yet to be agreed
CAIRO/JERUSALEM: Gaps between Israel and Hamas over a possible Gaza ceasefire have narrowed, according to Israeli and Palestinian officials’ remarks on Monday, though crucial differences have yet to be resolved.
A fresh bid by mediators Egypt, Qatar and the United States to end the fighting and release Israeli and foreign hostages has gained momentum this month, though no breakthrough has yet been reported.
A Palestinian official familiar with the talks said while some sticking points had been resolved, the identity of some of the Palestinian prisoners to be released by Israel in return for hostages had yet to be agreed, along with the precise deployment of Israeli troops in Gaza.
His remarks corresponded with comments by the Israeli diaspora minister, Amichai Chikli, who said both issues were still being negotiated. Nonetheless, he said, the sides were far closer to reaching agreement than they have been for months.
“This ceasefire can last six months or it can last 10 years, it depends on the dynamics that will form on the ground,” Chikli told Israel’s Kan radio. Much hinged on what powers would be running and rehabilitating Gaza once fighting stopped, he said.
The duration of the ceasefire has been a fundamental sticking point throughout several rounds of failed negotiations. Hamas wants an end to the war, while Israel wants an end to Hamas’ rule of Gaza first.
“The issue of ending the war completely hasn’t yet been resolved,” said the Palestinian official.
Israeli minister Zeev Elkin, a member of Prime Minister Benjamin Netanyahu’s security cabinet, told Israel’s Army Radio that the aim was to find an agreed framework that would resolve that difference during a second stage of the ceasefire deal.
Chikli said the first stage would be a humanitarian phase that will last 42 days and include a hostage release.
HOSPITAL
The war was triggered by Hamas’ Oct. 7, 2023 attack on southern Israel, in which 1,200 people were killed and 251 taken hostage to Gaza, according to Israeli tallies.
Israel’s campaign against Hamas in Gaza has since killed more than 45,200 Palestinians, according to health officials in the Hamas-run enclave. Most of the population of 2.3 million has been displaced and much of Gaza is in ruins.
At least 11 Palestinians were killed in Israeli strikes on Monday, medics said.
One of Gaza’s few still partially functioning hospitals, on its northern edge, an area under intense Israeli military pressure for nearly three months, sought urgent help after being hit by Israeli fire.
“We are facing a continuous daily threat,” said Hussam Abu Safiya, director of the Kamal Adwan Hospital. “The bombing continues from all directions, affecting the building, the departments, and the staff.”
The Israeli military did not immediately comment. On Sunday it said it was supplying fuel and food to the hospital and helping evacuate some patients and staff to safer areas.
Palestinians accuse Israel of seeking to permanently depopulate northern Gaza to create a buffer zone, which Israel denies.
Israel says its operation around the three communities on the northern edge of the Gaza Strip — Beit Lahiya, Beit Hanoun and Jabalia — is targeting Hamas militants.
On Monday, the United Nations’ aid chief, Tom Fletcher, said Israeli forces had hampered efforts to deliver much needed aid in northern Gaza.
“North Gaza has been under a near-total siege for more than two months, raising the specter of famine,” he said. “South Gaza is extremely overcrowded, creating horrific living conditions and even greater humanitarian needs as winter sets in.”
Palestinians in Jenin observe a general strike
- The Palestinian Authority exercises limited authority in population centers in the West Bank
JENIN: Palestinians in the volatile northern West Bank town of Jenin are observing a general strike called by militant groups to protest a rare crackdown by Palestinian security forces.
An Associated Press reporter in Jenin heard gunfire and explosions, apparently from clashes between militants and Palestinian security forces. It was not immediately clear if anyone was killed or wounded. There was no sign of Israeli troops in the area.
Shops were closed in the city on Monday, the day after militants killed a member of the Palestinian security forces and wounded two others.
Militant groups called for a general strike across the territory, accusing the security forces of trying to disarm them in support of Israel’s half-century occupation of the territory.
The Western-backed Palestinian Authority is internationally recognized but deeply unpopular among Palestinians, in part because it cooperates with Israel on security matters. Israel accuses the authority of incitement and of failing to act against armed groups.
The Palestinian Authority blamed Sunday’s attack on “outlaws.” It says it is committed to maintaining law and order but will not police the occupation.
The Palestinian Authority exercises limited authority in population centers in the West Bank. Israel captured the territory in the 1967 Mideast War, and the Palestinians want it to form the main part of their future state.
Israel’s current government is opposed to Palestinian statehood and says it will maintain open-ended security control over the territory. Violence has soared in the West Bank following Hamas’ Oct. 7, 2023 attack out of Gaza, which ignited the war there.
