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
Turkiye’s Erdogan hails ‘courageous’ ICC warrants for Israeli leaders
ISTANBUL: Turkiye’s President Recep Tayyip Erdogan on Saturday praised the “courageous decision” of the International Criminal Court to seek the arrest of Israeli Prime Minister Benjamin Netanyahu and former defense minister Yoav Gallant.
“We support the arrest warrant. We consider it important that this courageous decision be carried out by all country members of the accord to renew the trust of humanity in the international system,” Erdogan said in a speech in Istanbul. The ICC issued the warrants against the Israeli leaders and Hamas military chief Mohammed Deif on Thursday on charges of crimes against humanity and war crimes in the Gaza conflict.
Israeli settlers set sights on Trump support for full control of West Bank
- Settlements expand rapidly under Netanyahu’s pro-settler coalition
- Trump’s potential support for annexation raises hopes among settlers
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Move would risk US goals, end hope of two-state solution, says former US envoy
SHILO, West Bank: After a record expansion of Israeli settlement activity, some settler advocates in the occupied West Bank are looking to Donald Trump to fulfil a dream of imposing sovereignty over the area seen by Palestinians as the heart of a future state. The West Bank has been transformed by the rapid growth of Jewish settlements since Prime Minister Benjamin Netanyahu returned at the head of a far-right nationalist coalition two years ago. During that time, an explosion in settler violence that has led to US sanctions.
In recent weeks, Israeli flags have sprouted on hilltops claimed by some settlers in the West Bank’s Jordan Valley, adding to worries among many local Palestinians of greater control of those areas. Some settlers prayed for Trump’s victory before the election.
“We have high hopes. We’re even buoyant to a certain extent,” said Yisrael Medad, an activist and writer who supports Israel absorbing the West Bank, speaking to Reuters about Trump’s victory in the house he has lived in for more than four decades in the West Bank settlement of Shilo. Settlers have celebrated Trump’s nomination of a clutch of officials known for pro-Israel views, among them ambassador Mike Huckabee, an evangelical Christian who has said the West Bank is not under occupation and prefers the term “communities” to “settlements.” And over the past month, Israeli government ministers and settler advocates who have cultivated ties with the US Christian right have increasingly pushed the once fringe idea of “restoring sovereignty” over the West Bank in public comments. The Netanyahu government has not announced any official decision on the matter. A spokesperson at Netanyahu’s office declined to comment for this story. It is by no means certain Trump will give backing to a move that puts at risk Washington’s strategic ambition of a wider deal under the Abraham Accords to normalize Israel’s ties with Saudi Arabia, which, like most countries in the world, rejects Israeli sovereignty in the West Bank.
“Trump’s desire for expansion of the Abraham Accords will be a top priority,” Dennis Ross, a former Middle East negotiator for Democratic and Republican administrations said, based on his own assessment of Trump’s foreign policy considerations.
“There’s no way the Saudis will think seriously about joining if Israel formally absorbs the West Bank,” he said. Annexation would bury any hope of a two-state solution that creates an independent Palestine and also complicate efforts to resolve more than a year of war in Gaza that has spilled over into neighboring Lebanon. In his first term, Trump moved the US embassy in Israel to Jerusalem and ended Washington’s long-held position that the settlements are illegal. But, in 2020, his plan to create a rump of a Palestinian state along existing boundaries derailed efforts by Netanyahu for Israeli sovereignty over the area.
The president-elect has not revealed his plans for the region. Trump transition spokeswoman Karoline Leavitt did not answer questions about policy, saying only that he would “restore peace through strength around the world.” Nonetheless, Israeli Finance Minister Bezalel Smotrich, one of the most prominent pro-settler ministers in the government, said last week he hoped Israel could absorb the West Bank as early as next year with the support of the Trump administration.
Israel Ganz, the head of the Yesha Council, an umbrella group of West Bank Jewish municipalities, said in an interview that he hoped the Trump administration would “let” Israel’s government move ahead.
Ganz led a prayer session for a Trump victory in the ruins of an old Byzantine basilica in Shilo before the Nov. 5 election.
“We prayed that God will lead to better days for the people of the United States of America and for Israel,” he said. Shilo has been a popular stop for visiting US politicians, including both Huckabee and Pete Hegseth, Trump’s nominee for Secretary of Defense.
Last week, Huckabee told Arutz Sheva, an Israeli news outlet aligned with Smotrich’s Religious Zionism movement, that any decision on annexation would be a matter for the Israeli government. Huckabee did not immediately respond to a request for comment.
Senior Palestine Liberation Organization official Wasel Abu Yousef said any such action by the Israeli government “will not change the truth that this is Palestinian land.”
SURROUNDED
Together with the neighboring settlement of Eli, Shilo sits near the center of the West Bank, an hour from Jerusalem along Route 60, a smooth motorway that contrasts sharply with the potholed roads that connect the area’s Palestinian cities.
Bashar Al-Qaryouti, a Palestinian activist from the nearby village of Qaryut, said the expansion of Shilo and Eli had left Palestinian villages in the central West Bank surrounded.
Al-Qaryouti described an increase in settlers constructing without waiting for formal paperwork from the Israeli government, a trend also noted by Peace Now, an Israeli activist group that tracks settlement issues.
“This is happening on the ground,” Al-Qaryouti told Reuters by phone. “Areas across the center of the West Bank are under the control of settlers now.”
The West Bank, which many in Israel call Judea and Samaria after the old Biblical terms for the area, is a kidney shaped region about 100 km (60 miles) long and 50 km (30 miles) wide that has been at the heart of the Israeli-Palestinian conflict since it was captured by Israel in the 1967 Middle East war. Most countries consider the area as occupied territory and deem the settlements illegal under international law, a position upheld by the UN’s top court in July.
Around 750,000 Palestinians were displaced with the creation of Israel in 1948, according to UN estimates. The West Bank is claimed by Palestinians as the nucleus of a future independent state, along with the Mediterranean enclave of Gaza to the south.
But the spread of Jewish settlements, which have mushroomed across the West Bank since the Oslo interim peace accords 30 years ago, has transformed the area.
Revered as the site of the tabernacle set up by the ancient Israelites after they returned from exile in Egypt and kept there for 300 years, modern Shilo was established in the 1970s and has the air of a gated community of quiet streets and neat suburban homes. Its population in 2022 was around 5,000 people.
For supporters of Jewish settlements, the Biblical connection is what gives them the right to be there, whatever international law may say.
“Even if the Byzantines, the Romans, the Mameluks and Ottomans ruled it, it was our land,” said Medad.
As such, settler advocates reject the term “annexation,” which they say suggests taking a foreign territory. Settlement construction in the West Bank reached record levels in 2023. Since the war started in Gaza last October, a spate of new roads and ground works have changed the appearance of hillsides across the area visibly.
Criticism from the Biden administration has done nothing to stop it. At the same time, violence by Jewish settlers against Palestinians in the West Bank has spiralled, including around Shilo, drawing international condemnation and US and European sanctions, as recently as this week, against individuals deemed to have taken a prominent part.
Settler leaders including Ganz say violence has no place in their movement. The settler movement has argued that they provide security for the rest of Israel with their presence in areas near Palestinian towns and cities.
“IRREVERSIBLE FACT”
A series of steps have been taken to consolidate Israel’s position in the West Bank since Netanyahu’s government came to power with a coalition agreement stating “The Jewish people have a natural right to the Land of Israel.”
“We’re changing a lot of things on the ground to make it a fact that Israel is in Judea and Samaria as well,” said Ohad Tal, chairman of Smotrich’s parliamentary faction, speaking beside a red Trump MAGA hat on a shelf in his Knesset office.
A whole mechanism has been built “to effectively apply sovereignty in Judea and Samaria, to make it an irreversible fact that Jewish presence is there and to stay.”
Many functions relating to settlements previously handled by the military have been handed to the Settlement Administration, a civilian body answerable directly to finance minister Smotrich, who has an additional defense ministry portfolio that puts him in charge of running the West Bank.
In 2024, nearly 6,000 acres (2,400 hectares) have been declared Israeli state land, a classification that makes it easier to build settlements, the biggest annual growth on record and accounting for half of all areas declared state land in the past three decades, Peace Now said in a report in October.
At least 43 new settler outposts have been established over the past year, compared with an average of under 7 a year since 1996, according to a separate analysis from Peace Now.
The outposts, often satellites of existing settlements on nearby hilltops that allow the original location to expand, have been served with kilometers of new roads and other infrastructure. Often built illegally according to Israeli law, the Yesha Council has said almost 70 were extended government support this year.
“It’s clever because it’s boring looking,” said Ziv Stahl, a director of Yesh Din, another Israeli group that tracks settlements. “They are not legislating now, saying ‘We are annexing the West Bank’, they are just doing it.”
Turkiye replaces pro-Kurdish mayors with state officials in two eastern cities
ANKARA: Turkiye stripped two elected pro-Kurdish mayors of their posts in eastern cities on Friday, for convictions on terrorism-related offenses, the interior ministry said, temporarily appointing state officials in their places instead.
The local governor replaced mayor Cevdet Konak in Tunceli, while a local administrator was appointed in the place of Ovacik mayor Mustafa Sarigul, the ministry said in a statement, adding these were “temporary measures.”
Konak is a member of the pro-Kurdish DEM Party, which has 57 seats in the national parliament, and Sarigul is a member of the main opposition Republican People’s Party (CHP). Dozens of pro-Kurdish mayors from its predecessor parties have been removed from their posts on similar charges in the past.
CHP leader Ozgur Ozel said authorities had deemed that Sarigul’s attendance at a funeral was a crime and called the move to appoint a trustee “a theft of the national will,” adding his party would stand against the “injustice.”
“Removing a mayor who has been elected by the votes of the people for two terms over a funeral he attended 12 years ago has no more jurisdiction than the last struggles of a government on its way out,” Ozel said on X.
Earlier this month, Turkiye replaced three pro-Kurdish mayors in southeastern cities over similar terrorism-related reasons, drawing backlash from the DEM Party and others.
Last month, a mayor from the CHP was arrested after prosecutors accused him of belonging to the Kurdistan Workers Party (PKK), banned as a terrorist group in Turkiye and deemed a terrorist group by the European Union and United States.
The appointment of government trustees followed a surprise proposal by President Tayyip Erdogan’s main ally last month to end the state’s 40-year conflict with the PKK.
Gaza civil defense says 19 killed in Israeli strikes
- More than 40 others wounded in three massacres caused by Israeli air strikes in the Gaza Strip
Gaza City: Gaza’s civil defense agency said that 19 people, some of them children, were killed in Israeli air strikes and tank fire on Saturday.
Agency spokesman Mahmud Bassal told AFP that “19 people were killed and more than 40 others wounded in three massacres caused by Israeli air strikes in the Gaza Strip between midnight and this morning,” as well as by tank fire in Rafah in the territory’s south.
11 dead as powerful Israeli airstrike shakes central Beirut
- Attack destroyed an eight-story building and caused a large number of fatalities and injuries
BEIRUT: A powerful airstrike killed 11 people in central Beirut on Saturday, the Lebanese civil defense said, shaking the capital as Israel pressed its offensive against the Iran-backed Hezbollah group.
The attack destroyed an eight-story building and caused a large number of fatalities and injuries, Lebanon’s National News Agency said. Footage broadcast by Lebanon’s Al-Jadeed station showed at least one destroyed building and several others badly damaged around it.
Israel used bunker buster bombs in the strike, leaving a deep crater, the agency said. Beirut smelled strongly of explosives hours after the attack.
The blasts shook the capital at around 4 a.m. (0200 GMT). Security sources said at least four bombs were dropped in the attack.
It marked the fourth Israeli airstrike this week targeting a central area of Beirut, in contrast to the bulk of Israel’s attacks on the capital region, which have hit the Hezbollah-controlled southern suburbs. On Sunday an Israeli airstrike killed a Hezbollah media official in the Ras Al-Nabaa district of central Beirut.
Rescuers searched through rubble, in an area of the city known for its antique shops.
HOSPITALIZED DAUGHTER
A man whose family was hurt tried to comfort a traumatized woman outside a hospital. Car windows were shattered.
“There was dust and wrecked houses, people running and screaming, they were running, my wife is in hospital, my daughter is in hospital, my aunt is in the hospital,” said the man, Nemir Zakariya, who held up a picture of his daughter.
“This is the little one, and my son also got hurt – this is my daughter, she is in the American University (of Beirut Medical Center), this is what happened.”
Israel launched a major offensive against Hezbollah in Lebanon in September, following nearly a year of cross-border hostilities ignited by the Gaza war, pounding wide areas of Lebanon with airstrikes and sending troops into the south.
Israeli strikes killed at least 62 people and injured 111 in Lebanon on Thursday, bringing the toll since October 2023 to 3,645 dead and 15,355 injured, Lebanon’s health ministry said. The figures do not distinguish between combatants and civilians.
Hezbollah and the Lebanese government accuse Israel of indiscriminate bombing that kills civilians. Israel denies the allegation and says it takes numerous steps to avoid the deaths of civilians.
Hezbollah strikes in the same period 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.
The conflict began when Hezbollah, Tehran’s most important ally in the region, opened fire in solidarity with its Palestinian ally Hamas after it launched the Oct. 7, 2023 attack on southern Israel.
A US mediator traveled to Lebanon and Israel this week in an effort to secure a ceasefire. The envoy, Amos Hochstein, indicated progress had been made after meetings in Beirut, before going to meet Israeli Prime Minister Benjamin Netanyahu and Defense Minister Israel Katz.
