Bracing for war: Lebanese hospitals ready emergency plans

Hospital staff attend training as part of the Lebanese Health Ministry's emergency plan after 10 months of cross-border clashes between Israeli troops and Hezbollah fighters. (AFP)
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Updated 23 August 2024
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Bracing for war: Lebanese hospitals ready emergency plans

  • Lebanon has been setting in motion public health emergency plans since hostilities began

BEIRUT: In Lebanon’s biggest public hospital, nurses are busy honing their life-saving skills as the spectre of all-out war looms, 10 months into intensifying clashes between Hezbollah and Israel over the Gaza war.
“We are in a state of readying for war,” nurse Basima Khashfi said as she gave emergency training to young nurses and other staff at the hospital in Beirut.
“We are currently training employees — not just nurses, but also administrative and security staff.
“With our current capabilities, we’re almost prepared” in case of a wider war, she told AFP.
Lebanon has been setting in motion public health emergency plans since hostilities began, relying mostly on donor funds after five years of gruelling economic crisis.
The threat of full-blown war grew after Iran and Lebanon’s Hezbollah movement vowed to avenge the killings last month, blamed on Israel, of Hamas political leader Ismail Haniyeh in Tehran and top Hezbollah commander Fuad Shukr in south Beirut.
“We’re training to handle mass casualty incidents and to prepare for disasters or war,” said Lamis Dayekh, a 37-year-old nurse undergoing training. “If war breaks out, we’ll give everything we have.”
Growing tensions
The cross-border violence has killed nearly 600 people in Lebanon, mostly Hezbollah fighters but including at least 131 civilians, according to an AFP tally.
On the Israeli side, including in the annexed Golan Heights, 23 soldiers and 26 civilians have been killed, army figures show.
In a building next to the hospital, where the emergency operations center is located, health ministry officials are busy typing away, making calls and monitoring news of the war in Gaza and south Lebanon on large television screens.
“This is not our first war and we have been ready every time,” said Wahida Ghalayini, who heads the center, active since hostilties began in October.
She cited a massive 2020 Beirut port explosion, Hezbollah and Israel’s 2006 conflict and Lebanon’s 1975-1990 civil war.
The health ministry’s plan includes a helpline for those already displaced by war, an assessment of hospital needs, disaster training for staff and a mental health module.
The emergency room coordinates with rescue teams and hospitals in Lebanon’s south.
The plan prioritizes hospitals based on their location. The “red zone,” at high risk of Israeli strikes, comprises Hezbollah’s strongholds in the country’s south, east and Beirut’s southern suburbs.
But despite Lebanon’s long history of civil unrest and disasters, the public health sector now faces an economic crisis that has drained state coffers, forcing it to rely on aid.
Calls for aid
“We need lots of medical supplies, fuel, oxygen... the Lebanese state has a financial and economic problem,” said Ghalayini.
The state electricity provider barely produces power, so residents rely on expensive private generators and solar panels.
Most medical facilities depend on solar power during the day, she said, pointing to panels atop the adjacent hospital’s roof and parking lot.
Lebanese Health Minister Firass Abiad said the country had enough drugs and medical supplies to last at least four months in case of a wider war.
“Efforts to increase readiness follow the (Israeli) enemy entity’s threat of expanding its aggression,” Abiad said in a statement.
Last month’s strike that killed a top Hezbollah commander targeted a densely packed residential area, killing five civilians and wounding scores more.
It tested the readiness of Beirut hospitals in the high-risk Hezbollah stronghold, Ghalayini told AFP.
As Israel threatens full-scale war, Lebanon is also looking to health workers in Gaza for emergency planning strategies, she said.
“We are observing the Gaza emergency center... to learn from them,” she said, pointing at television footage of bloodied patients at a hospital in Gaza, where the death toll has sparked mounting concerns.
For 25-year-old nurse Mohamed Hakla, the prospect of war is frightening but “our job is to help others. I will not deprive people of this (help) because of fear.”


Strikes hit Beirut’s southern suburbs after Israeli evacuation call

Updated 7 sec ago
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Strikes hit Beirut’s southern suburbs after Israeli evacuation call

BEIRUT: Strikes hit the southern suburbs of Beirut on Friday shortly after the Israeli army called for the evacuation of certain neighborhoods, AFPTV footage showed.
In addition to the suburbs of the Lebanese capital, the Israeli army called overnight for the evacuation of several areas in the south of the country.

UN could meet with Israel PM despite warrant: UN

Updated 22 November 2024
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UN could meet with Israel PM despite warrant: UN

  • UN Secretary General Antonio Guterres and Netanyahu have not spoken since the war started
  • UN spokesman Stephane Dujarric said UN policy on contacts with people facing arrest warrants dates back to a document issued in 2013

UNITED NATIONS: The arrest warrant issued against Israeli Prime Minister Benjamin Netanyahu over the war in Gaza does not bar UN officials from meeting with him in the course of their work, the UN said Thursday.
UN Secretary General Antonio Guterres and Netanyahu have not spoken since the war started as a result of the Hamas attack against Israel on October 7, 2023, although there have been contacts with the Israeli leader by UN officials in the region.
Guterres has been declared persona non grata by Israel, which accuses him of being biased in favor of the Palestinians. So talks between him and Netanyahu are very unlikely.
After the warrants issued Thursday by the International Criminal Court against Netanyahu, former defense minister Yoav Gallant and Hamas’s military chief Mohammed Deif, UN spokesman Stephane Dujarric said UN policy on contacts with people facing arrest warrants dates back to a document issued in 2013.
“The rule is that there should not be any contacts between UN officials and individuals subject to arrest warrants,” Dujarric said.
But limited contacts are allowed “to address fundamental issues, operational issues, and our ability to carry out our mandates,” he added.
In late October, at a summit of the BRICS countries in Russia, Guterres met with President Vladimir Putin, who faces an arrest warrant from the ICP over the war in Ukraine.
That meeting, during which Guterres reiterated his condemnation of the Russian invasion, angered Ukraine.


Palestinians welcome ICC arrest warrants for Israeli PM and former defense minister

Updated 22 November 2024
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Palestinians welcome ICC arrest warrants for Israeli PM and former defense minister

  • Palestinian Authority calls on UN member states to ensure the warrants for Benjamin Netanyahu and Yoav Gallant, who are accused of war crimes, are acted upon
  • The EU’s chief diplomat, Josep Borrel, says decision is ‘binding’ on all members of the International Criminal Court

LONDON: Palestinians welcomed the decision by the International Criminal Court on Thursday to issue arrest warrants for Israel’s Prime Minister Benjamin Netanyahu and his former minister of defense, Yoav Gallant.

The Palestinian Authority said the court’s decision comes as Israeli forces continue to bomb Gaza in a conflict that has killed nearly 45,000 Palestinians since the Oct. 7 attacks by Hamas, and it hopes the ruling will help to restore faith in international law, the official Palestinian WAFA news agency reported.

Netanyahu and Gallant are the first leading officials from a nation allied with the West against whom the ICC has issued arrest warrants since the court was established in July 2002. It also issued an arrest warrant for Mohammed Deif, the head of the military wing of Hamas. Israeli authorities said in August he was killed by their forces in an attack the previous month, though Hamas have not confirmed this.

All three men are accused of war crimes and crimes against humanity over their actions during the war in Gaza or the Oct. 7 attacks.

The PA said the decision to issue warrants against Netanyahu and Gallant was important because Palestinians “are being subjected to genocide and war crimes, represented by starvation as a method of warfare,” as well as mass displacement and collective punishment.

The PA, which signed up to the ICC in 2015, called on all UN member states to ensure the warrants are acted upon and to “cut off contact and meetings with the international wanted men, Netanyahu and Gallant.” Israel is not a member of the ICC.

The EU’s chief diplomat, Josep Borrel, posted a message on social media platform X on Thursday in which he described the court’s decisions as “binding” on all those who have signed up to it.

“These decisions are binding on all states party to the Rome Statute (the treaty that established the ICC), which includes all EU member states,” he wrote.

Netanyahu, Israel’s longest-serving prime minister who has spent 17 years in office during three spells in charge since 1996, denounced the decision by the ICC to issue the warrant as “antisemitic.”

He said it would “have serious consequences for the court and those who will cooperate with it in this matter.”


Between bomb craters: Taxis stuck on war-hit Lebanon-Syria border

Updated 21 November 2024
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Between bomb craters: Taxis stuck on war-hit Lebanon-Syria border

MASNAA, Lebanon: Stuck in no man’s land on the war-hit Lebanon-Syria border, cab driver Fadi Slika now scrapes a living ferrying passengers between two deep craters left by Israeli air strikes.

The journey is just 2 km, but Slika has no other choice — his taxi is his only source of income.

“My car is stuck between craters: I can’t reach Lebanon or return to Syria. Meanwhile, we’re under threat of (Israeli) bombardment,” said the 56-year-old.

“I work and sleep here between the two holes,” he said.

A dual Lebanese-Syrian national, Slika has been living in his car, refusing to abandon it when it broke down until a mechanic brought a new engine.

His taxi is one of the few that has been operating between the two craters since Israeli strikes in October effectively blocked traffic on the Masnaa crossing.

The bombed area has become a boon for drivers of tuk-tuks, who can navigate the craters easily. 

A makeshift stall, the Al-Joura (pit in Arabic) rest house, and a shop are set up nearby.

Slika went for 12 days without work while waiting for his taxi to be fixed. The car has become his home. A warm blanket covers its rear seats against eastern Lebanon’s cold winters, and a big bag of pita bread sits on the passenger side.

Before being stranded, Slika made about $100 for trips from Beirut to Damascus.

Now, an average fare between the craters is just $5.50 each way, though he said he charged more.

On Sept. 23, Israel intensified its aerial bombing of Lebanon and later sent in ground troops, nearly a year after Hezbollah initiated limited exchanges of fire in support of Hamas amid the Gaza war.

Since then, Israel has bombed several land crossings with Syria out of service. 

It accuses Hezbollah of using what are key routes for people fleeing the war in Lebanon to transfer weapons from Syria.

Amid the hardship of the conflict, more than 610,000 people have fled from Lebanon to Syria, mostly Syrians, according to Lebanese authorities.

Undeterred by attacks, travelers still trickle through Masnaa, traversing the two craters that measure about 10 meters deep and 30 meters wide.

On the other side of the road, Khaled Khatib, 46, was fixing his taxi, its tires splattered with mud and hood coated in dust.

“After the first strike, I drove from Syria and parked my car before the crater. When the second strike hit, I got stuck between the two holes,” he said, sweat beading as he looked under the hood.

“We used to drive people from Damascus to Beirut. Now, we take them from one crater to another.”

Khatib doesn’t charge passengers facing tough times, he said, adding he had been displaced from southern Beirut, hammered by Israeli raids since September. He moved back to his hometown near the Masnaa crossing.

Despite harsh times, a sense of camaraderie reigns.

The drivers “became like brothers. We eat together at the small stall every day ... and we help each other fix our cars,” he said.

Mohamed Yassin moved his coffee stall from the Masnaa crossing closer to the pit after the strike, offering breakfast, lunch, and coffee. “We try to help people as much as possible,” he said.

Farther from the Lebanese border, travelers crossed the largest of the two crevasses, wearing plastic coverings on their shoes to avoid slipping in the mud.

A cab driver on a mound called out, “Taxi to Damascus!” while tuk-tuks and trucks ferried passengers, bags, and mattresses across.

Nearby, Aida Awda Mubarak, a Syrian mother of six, haggled with a tuk-tuk driver over the $1 fare.

The 52-year-old said she was out of work and needed to see her son after the east Lebanon town where he lives was hit by Israeli strikes.

“Sometimes we just can’t afford to pay for a tuk-tuk or a cab,” she said.


Netanyahu says ICC warrant won’t stop Israel defending itself

Updated 21 November 2024
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Netanyahu says ICC warrant won’t stop Israel defending itself

  • “No outrageous anti-Israel decision will prevent us — and it will not prevent me — from continuing to defend our country in every way,” Netanyahu said
  • The premier is accused alongside his former defense minister Yoav Gallant of “war crimes” and “crimes against humanity“

JERUSALEM: Prime Minister Benjamin Netanyahu said Thursday that an arrest warrant issued against him by the International Criminal Court over his conduct of the Gaza war would not stop him defending Israel.
“No outrageous anti-Israel decision will prevent us — and it will not prevent me — from continuing to defend our country in every way,” Netanyahu said in a video statement. “We will not yield to pressure,” he vowed.
The premier is accused alongside his former defense minister Yoav Gallant of “war crimes” and “crimes against humanity” for Israel’s actions in Gaza.
He described Thursday’s decision as a “dark day in the history of nations.”
“The International Criminal Court in The Hague, which was established to protect humanity, has today become the enemy of humanity,” he said, adding that the accusations were “utterly baseless.”
Israel has been fighting in Gaza since October 2023, when a cross-border attack by Hamas militants resulted in the deaths of 1,206 people, mostly civilians, according to an AFP tally of Israeli official figures.
Its retaliatory campaign has led to the deaths of 44,056 people in Gaza, most of them civilians, according to figures from the Hamas-run territory’s health ministry which the United Nations considers reliable.
UN agencies have warned of a severe humanitarian crisis in Gaza, including possible famine, due to a lack of food and medicines.
The court said it had found “reasonable grounds” to believe Netanyahu and Gallant bore “criminal responsibility” for the war crime of starvation as a method of warfare, as well as the crimes against humanity of murder, persecution, and other inhumane acts.
Netanyahu said the court was accusing Israel of “fictitious crimes,” while ignoring “the real war crimes, horrific war crimes being committed against us and against many others around the world.”
In addition to Netanyahu and Gallant, the court also issued an arrest warrant for Hamas military wing chief Mohammed Deif, who Israel said was killed in an air strike last July.
Hamas has never confirmed his death.
Netanyahu mocked the court’s decision to issue a warrant for “the body of Mohammed Deif.”