How a ceasefire in Gaza could help prevent a deadly outbreak of polio 

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Children under the age of 5, are most at risk from Polio amid the conflict, bottom, which has devastated Gaza’s health system. (AFP/File)
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Children under the age of 5, are most at risk from Polio amid the conflict, bottom, which has devastated Gaza’s health system. (AFP/File)
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Updated 12 August 2024
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How a ceasefire in Gaza could help prevent a deadly outbreak of polio 

  • Overcrowding, destruction of sanitation, and a deteriorating health system have contributed to the reemergence of polio 
  • The WHO has announced plans to send 1.2 million polio vaccines to Gaza after the virus was detected in wastewater

LONDON: More than 1 million children in the Gaza Strip are at risk of contracting type 2 poliovirus, a highly infectious disease that can lead to paralysis and even death, as displacement and the destruction of sanitation infrastructure leaves the population vulnerable to disease.

The World Health Organization has announced plans to send 1.2 million polio vaccines to Gaza after the virus was detected in wastewater samples taken last month from displacement camps in the northern governorates of Khan Younis and Deir Al-Balah.

Although no clinical cases of polio have been diagnosed so far, Hanan Balkhy, the WHO’s regional director, warned that the virus could “spread further, including across borders” unless agencies acted quickly to vaccinate the population.




In this photo taken on September 9, 2020, a UNRWA employee provides poliomyeletis vaccine for children at a clinic in Bureij refugee camp in the Gaza Strip. Health officials have detected poliovirus in Gaza again amid a raging war that has destroyed most of the health centers in the area. (AFP/File)

However, any mass polio immunization campaign in Gaza, targeting 600,000 children under the age of 8, would face a host of challenges, chief among them the absence of a ceasefire which would allow medics to safely access displaced communities.

“We need a ceasefire, even a temporary ceasefire, to successfully undertake these campaigns,” Balkhy said at a press briefing on Wednesday.

Children under the age of 5, and especially infants, are most at risk from polio, as many missed out on the regular vaccination campaigns that had taken place in Gaza before the conflict began on Oct. 7.

The virus, which spreads through contact with the feces, saliva or nasal mucus of an infected individual, attacks nerves in the spinal cord and the brain stem, leading to partial or total paralysis within hours.

It can also immobilize chest muscles, causing trouble breathing, even leading to death.




PAHO/WHO infographic

Polio was eradicated in Europe in 2003 thanks to an effective vaccination campaign. There have been no confirmed cases of paralysis due to polio caught in the UK since 1984.

Wild poliovirus cases have fallen by more than 99 percent since 1988, from an estimated 350,000 cases in more than 125 endemic countries to six reported cases in 2021.

Of the three strains of wild poliovirus, type 2 was eradicated in 1999 and type 3 was eradicated in 2020. As of 2022, endemic type 1 remained in just two countries — Pakistan and Afghanistan.

In Gaza, overcrowding, a lack of clean water and hygiene materials, a deteriorating health system, and the destruction of sanitation plants have all contributed to the reemergence of type 2, according to Hamid Jafari, the WHO’s director of polio eradication, speaking at Wednesday’s press briefing.




WHO says overcrowding, a lack of clean water and hygiene materials, a deteriorating health system, and the destruction of sanitation plants have all contributed to the reemergence of polio in Gaza. (AFP)

The UN estimates at least 70 percent of Gaza’s water and sanitation plants, including wastewater treatment facilities and sewage pumping stations, have been damaged or destroyed since the start of the conflict.

In late July, Gaza’s health authority declared the enclave a “polio epidemic zone,” blaming the resurgence of the virus on Israel’s bombing campaign and the ensuing damage this had caused to the healthcare system.

The Israeli military began its bombardment of the Gaza Strip in retaliation for the Oct. 7 Hamas-led attack on southern Israel. Although the Israeli military insists it does not target civilian infrastructure, schools, hospitals, and utilities have suffered major damage.

The more than 490 attacks on medical facilities and personnel, documented by the UN during the first six months of the conflict alone, have left Gaza’s healthcare system in tatters. Just 16 of Gaza’s 36 health facilities remain partially functioning.

INNUMBERS

1.2 million Polio vaccines the WHO plans to send to Gaza to prevent outbreak.

600,000 Children under the age of 8 to be targeted in vaccination drive.

70% Proportion of Gaza’s sanitation facilities damaged or destroyed.

1.9 million Palestinians in Gaza displaced multiple times since the conflict began.

Three of these facilities are in the north, seven in Gaza City, three in Deir Al-Balah, three in Khan Younis, and none in the southern city of Rafah, according to the US-based nongovernmental organization Physicians for Human Rights.

Javid Abdelmoneim, a medical team leader for Medecins Sans Frontieres, who was working at the Nasser Hospital in southern Gaza last month, told the organization “every day in July has been one shock after another.”

Recounting one particularly traumatic incident, he said: “I walked in behind a curtain, and there was a little girl alone, dying by herself. And that’s the outcome of a collapsed health system. A little 8-year-old girl, dying alone on a trolley in the emergency room.

“In a functioning health system, she would have been saved.”




Medical equipment are laid to waste at a hospital in Gaza that had been destroyed by Israeli bombardment. (AFP)

Despite calls from the WHO and other aid bodies for the warring parties in Gaza to allow “absolute freedom of movement” so that medics can roll out a vaccination campaign, the possibility of a ceasefire appears no closer.

On Wednesday, the Israeli military issued new evacuation orders for several parts of northern Gaza, including Beit Hanoun, Manshiyya and Sheikh Zayed.

Avichay Adraee, the Israeli army’s spokesperson, posted the evacuation orders on the social media platform X. He instructed the residents of Beit Hanoun to “relocate immediately” to Deir Al-Balah and Zawayda.

“Beit Hanoun area is still considered a dangerous combat zone,” he added.




The constant evacuation of Palestinian families in the Gaza Strip has hampered the rollout of a vaccination campaign. (AP)

Despite assurances that these areas would be treated as safe zones in which civilians could shelter, both Deir Al-Balah and Zawayda have come under regular Israeli attack in recent months.

The UN reported that while nowhere in Gaza is safe, 86 percent of the besieged Palestinian enclave is under Israeli evacuation orders. About 1.9 million of Gaza’s 2.1 million population have been displaced multiple times since Oct. 7.

“Nowhere is safe. Everywhere is a potential killing zone,” UN Secretary-General Antonio Guterres said at the opening of the UNRWA Pledging Conference on July 12.

The continuous movement of families in Gaza has made it difficult for aid agencies, which are already short of funds and struggling to reach affected populations, to locate and identify unvaccinated children.




In this file photo, a polio patient is fitted for an artificial limb at a rehabilitation center for prosthetics and treating polio in Gaza City. The war in Gaza has hampered the operation of the rehab center. (Getty Images)

The WHO’s polio specialist Jafari warned that the virus could have been circulating in Gaza since September, as the enclave offered “ideal conditions” for its transmission.

Before Oct. 7, polio vaccine coverage in the Occupied Palestinian Territories was estimated at 89 percent, according to the WHO.

Even if the planned 1.2 million vaccines are successfully brought into Gaza, it will be a “huge logistical challenge” to ensure their successful deployment, WHO official Andrea King told the BBC.

The vaccines must be stored within a limited temperature range from the moment they are manufactured until they are administered. Bringing these chilled vaccines into Gaza and keeping them at the required temperature would be a difficult undertaking at the best of times.




With a war going on, bringing chilled vaccines into Gaza and keeping them at the required temperature would be a difficult undertaking at the best of times, say WHO officials. (Getty Images)

The WHO’s Director General Tedros Adhanom Ghebreyesus said on Wednesday that a ceasefire or at least a few days of calm was essential to protect Gaza’s children.

As of July 7, the WHO has recorded a surge in infectious diseases, including 1 million cases of acute respiratory infections, 577,000 of acute watery diarrhea, 107,000 of acute jaundice syndrome, and 12,000 of bloody diarrhea.

It says this is primarily due to a lack of clean drinking water and the destruction of a critical water facility in Rafah, southern Gaza.
 

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Syria destroys millions of captagon pills, other drugs

Updated 2 sec ago
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Syria destroys millions of captagon pills, other drugs

DAMASCUS: Syrian security forces destroyed seized drugs Sunday including around 100 million pills of the amphetamine-like stimulant captagon — whose production and trafficking flourished under ousted president Bashar Assad, an official said.
A 2022 AFP investigation found that Syria under Assad had become a narco state, with the $10-billion captagon industry dwarfing all other exports and funding both his regime and many of his enemies.
“We destroyed large quantities of narcotic pills,” said official Badr Youssef, including “about 100 million captagon pills and 10 to 15 tons of hashish” as well as raw materials used to produce captagon.
He spoke from the Damascus headquarters of the defunct Fourth Division where the drugs were seized. The Fourth Division, a notorious branch of the Syrian army, was controlled by Assad’s brother Maher.
The official SANA news agency said “the anti-narcotics department of the (interior) ministry is destroying narcotic substances seized at the headquarters of the Fourth Division.”
An AFP photographer saw security personnel in a Fourth Division warehouse load dozens of bags filled with pills and other drugs into trucks, before taking them to a field to be burned.
On December 8, Islamist-led rebels ousted Assad after a lightning offensive that lasted less than two weeks. The army and Assad’s security apparatus collapsed as the new authorities seized control of Damascus.
On Saturday, SANA reported that authorities had seized “a huge warehouse belonging to the former regime” in the coastal city of Latakia. It said the factory “specialized in packing captagon pills into children’s toys and furniture.”
On Sunday, an AFP photographer visited the warehouse near the port and saw security personnel dismantling children’s bicycles that contained the small white pills.
Captagon pills had also been hidden inside objects such as doors, shisha water pipes and car parts, he reported.
Abu Rayyan, a security official in Latakia, said that “about 50 to 60 million captagon pills” had been seized that “belonged to the Fourth Division.”
“This is the largest such warehouse in the area,” he said.
Abu Rayyan said the drugs had been packed for export from Latakia “to neighboring countries,” and that they would be destroyed.

Syrian defense minister rejects Kurdish proposal for its own military bloc

Updated 19 January 2025
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Syrian defense minister rejects Kurdish proposal for its own military bloc

  • Defense minister aims to bring anti-Assad factions into unified command
  • Kurdish SDF has proposed retaining own bloc in armed forces

DAMASCUS: Syria’s new defense minister said on Sunday it would not be right for US-backed Kurdish fighters based in the country’s northeast to retain their own bloc within the broader integrated Syrian armed forces.
Speaking to Reuters at the Defense Ministry in Damascus, Murhaf Abu Qasra said the leadership of the Kurdish fighters, known as the Syrian Democratic Forces (SDF), was procrastinating in its handling of the complex issue.
The SDF, which has carved out a semi-autonomous zone through 14 years of civil war, has been in talks with the new administration in Damascus led by former rebels who toppled President Bashar Assad on Dec. 8.
SDF commander Mazloum Abdi has said one of their central demands is a decentralized administration, saying in an interview with Saudi Arabia’s Asharq News channel last week that the SDF was open to integrating with the Defense Ministry but as “a military bloc,” and without dissolving.
Abu Qasra rejected that proposal on Sunday.
“We say that they would enter the Defense Ministry within the hierarchy of the Defense Ministry, and be distributed in a military way — we have no issue there,” said Abu Qasra, who was appointed defense minister on Dec. 21.
“But for them to remain a military bloc within the Defense Ministry, such a bloc within a big institution is not right.”
One of the minister’s priorities since taking office has been integrating Syria’s myriad anti-Assad factions into a unified command structure.
But doing so with the SDF has proved challenging. The US considers the group a key ally against Daesh militants, but neighboring Turkiye regards it as a national security threat.
Abu Qasra said he had met the SDF’s leaders but accused them of “procrastinating” in talks over their integration, and said incorporating them in the Defense Ministry like other ex-rebel factions was “a right of the Syrian state.”
Abu Qasra was appointed to the transitional government about two weeks after Hayat Tahrir Al-Sham, the Islamist group to which he belongs, led the offensive that ousted Assad.
He said he hoped to finish the integration process, including appointing some senior military figures, by March 1, when the transitional government’s time in power is set to end.
Asked how he responded to criticism that a transitional council should not make such appointments or carry out such sweeping changes of the military infrastructure, he said “security issues” had prompted the new state to prioritize the matter.
“We are in a race against time and every day makes a difference,” he said.
The new administration was also criticized over its decision to give some foreigners, including Egyptians and Jordanians, ranks in the new military.
Abu Qasra acknowledged the decision had created a firestorm but said he was not aware of any requests to extradite any of the foreign fighters.


Aid trucks arrive at Israeli-controlled Kerem Shalom crossing ahead of Gaza entry, two sources say

Updated 19 January 2025
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Aid trucks arrive at Israeli-controlled Kerem Shalom crossing ahead of Gaza entry, two sources say

CAIRO: About 200 aid delivery trucks, including 20 carrying fuel, began arriving on Sunday at the Israeli-controlled Kerem Shalom crossing ahead of entry into the Gaza Strip, two Egyptian sources told Reuters.
A ceasefire deal between Israel and Hamas in Gaza took effect on Sunday morning after a nearly three-hour delay, pausing a 15-month-old war that has shaken up the Middle East.
The aid trucks were using the Kerem Shalom entry point pending completion of maintenance at the Rafah border crossing into southern Gaza from Egypt, the sources said. 


Israeli hardline minister Ben-Gvir quits government over Gaza deal

Updated 19 January 2025
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Israeli hardline minister Ben-Gvir quits government over Gaza deal

  • The Otzma Yehudit party is no longer part of the ruling coalition

JERUSALEM: Hardline Israeli National Security Minister Itamar Ben-Gvir and two other ministers from his nationalist-religious party have resigned from Prime Minister Benjamin Netanyahu’s cabinet over the Gaza ceasefire deal, their party said on Sunday.

The Otzma Yehudit party is no longer part of the ruling coalition but has said it will not try to bring down Netanyahu’s government.

In a statement, it called the ceasefire deal a “capitulation to Hamas” and denounced what it called the “release of hundreds of murderers” and the “renouncing of the (Israeli military’s) achievements in the war” in Gaza. Israeli Prime Minister Benjamin Netanyahu retains a slim majority in the Israeli parliament despite their resignation.


Israel-Hamas truce in Gaza begins, after delay

Updated 19 January 2025
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Israel-Hamas truce in Gaza begins, after delay

  • Israeli strikes killed 8 people during delay, says Gaza's civil defense agency
  • Israel confirms receiving hostages list that caused the delay in ceasefire 

JERUSALEM: Israel on Sunday said a truce with Hamas began in Gaza at 0915 GMT, nearly three hours after initially scheduled, following a last-minute delay on the orders of Prime Minister Benjamin Netanyahu.

During the delay, Gaza’s civil defense agency said Israeli strikes killed eight people.

A statement from Netanyahu’s office, issued less than an hour before the truce had been set to start at 8:30 a.m. (0630 GMT), said he had “instructed the IDF (military) that the ceasefire... will not begin until Israel has received the list” of hostages to be freed.

Hamas attributed the delay to “technical reasons,” as well as the “complexities of the field situation and the continued bombing,” ultimately publishing at around 10:30 a.m. the names of three Israeli women to be released on Sunday.

Israel confirmed it had received the list and was “checking the details,” before confirming shortly afterwards that the truce would begin at 11:15 am local time.

AFPTV live images from northeastern Gaza showed a plume of grey smoke about 30 minutes after the truce was earlier to take effect, and again around 30 minutes later.

The Israeli military confirmed it was continuing “to strike within the Gaza area” following Netanyahu’s directive.

Gaza civil defense spokesman Mahmud Bassal said three people were killed in the north of the territory and five in Gaza City, with 25 wounded.

AFP images showed displaced Gazans streaming northwards from areas around Gaza City where they had been sheltering, some flashing the victory sign.

But others saw their plans to return home thwarted by the delay of the ceasefire.

“I was on my way home with my family when we heard the sound of bombing,” said Mohammed Baraka, 36.

“We can’t reach our house; the situation is dangerous. I don’t know what to do. I feel frustrated and devastated.”

The initial exchange was to see three Israeli hostages released from captivity in return for a first group of Palestinian prisoners.

A total of 33 hostages taken by militants during Hamas’s October 7, 2023 attack on Israel will be returned from Gaza during an initial 42-day truce.

Under the deal, hundreds of Palestinian prisoners will be released from Israeli jails.

The truce is intended to pave the way for an end to more than 15 months of war sparked by Hamas’s attack, the deadliest in Israeli history.

It follows a deal struck by mediators Qatar, the United States and Egypt after months of negotiations, and takes effect on the eve of Donald Trump’s inauguration as US president.

In a televised address on Saturday, Netanyahu called the 42-day first phase a “temporary ceasefire” and said Israel had US support to return to war if necessary.

In Gaza City, shortly after the deal was initially meant to go into effect, people were already celebrating, waving Palestinian flags in the street.

But as it became clear the hostilities were continuing, the joy gave way to desperation for some.

“I’m dying of despair,” said Maha Abed, a 27-year-old displaced from Rafah who had been waiting since dawn for her husband to pick her up and take her home. “He called to tell me we won’t be returning today. The drones are firing at civilians.”

“Enough playing with our emotions — we’re exhausted,” she added. “I don’t want to spend another night in this tent.”

In Deir Al-Balah, an AFP journalist observed dozens of Palestinians gathered in front of the Al-Aqsa Martyrs Hospital seeking information about the unfolding events, particularly whether or not they would be able to return to their homes.

The Israeli army warned Gaza residents early Sunday not to approach its forces or Israeli territory.

“We urge you not to head toward the buffer zone or IDF forces for your safety,” military spokesman Avichay Adraee said on Telegram.

“At this stage, heading toward the buffer zone or moving from south to north via Gaza Valley puts you at risk.”

At a rally for the hostages in Tel Aviv the night before, attendees were guarded ahead of the scheduled exchanges.

“I’m really stressed because I don’t know about the situation of Ofer, my cousin,” said Ifat Kaldron, whose cousin is among the hostages.

“I’m just going to be happy whenever I see the last hostage crossing the border.”

Israel has prepared reception centers to provide medical treatment and counselling to the freed hostages before they return to their families after their long ordeal.

Israel’s justice ministry had previously said 737 Palestinian prisoners and detainees would be freed during the deal’s first phase, starting from 4:00 p.m. (1400 GMT) on Sunday.

Egypt on Saturday said more than 1,890 Palestinian prisoners would be freed in the initial phase.

Hundreds of trucks waited at the Gaza border, poised to enter from Egypt as soon as they get the all-clear to deliver desperately needed aid.

Egyptian Foreign Minister Badr Abdelatty said 600 trucks a day would enter Gaza after the ceasefire takes effect, including 50 carrying fuel.

There has been only one previous truce in the war, lasting for one week in November 2023.

That ceasefire also saw the release of hostages held by militants in exchange for Palestinian prisoners.

Hamas’s October 7 attack on Israel resulted in the deaths of 1,210 people, mostly civilians, according to an AFP tally of Israeli official figures.

Of the 251 people taken hostage, 94 are still in Gaza, including 34 the Israeli military says are dead.

Israel’s retaliatory campaign has destroyed much of Gaza, killing at least 46,899 people, most of them civilians, according to figures from the Hamas-run territory’s health ministry that the United Nations considers reliable.

The truce was to take effect on the eve of Trump’s inauguration for a second term as president of the United States.

Trump, who claimed credit for the ceasefire deal, after months of effort by the outgoing administration of President Joe Biden, told US network NBC on Saturday that he had told Netanyahu that the war “has to end.”

“We want it to end, but to keep doing what has to be done,” he said.

Brett McGurk, the pointman for outgoing President Joe Biden, was joined in the region by Trump envoy Steve Witkoff in an unusual pairing to finalize the agreement, US officials said.

Under the deal, Israeli forces will withdraw from densely populated areas of Gaza and allow displaced Palestinians to return “to their residences,” the Qatari prime minister said.

Biden said an unfinalized second phase of the agreement would bring a “permanent end to the war.”