WHO has been preparing for ‘worst-case scenario’ in Lebanon, regional chief tells Arab News

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Updated 01 October 2024
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WHO has been preparing for ‘worst-case scenario’ in Lebanon, regional chief tells Arab News

  • Dr. Hanan Balkhy says agency conducted hundreds of sessions in mass casualty training, health workforce training and EMT training
  • Expresses concern over the  “significant amounts of pressure and stress” that medical staff in Gaza are operating under

NEW YORK: The escalation in the conflict between Israel and Hezbollah is of “grave concern” for the World Health Organization, and the agency is exerting substantial efforts in ensuring that countries in the region are “ready for the worst-case scenario when it comes to health preparation,” WHO’s regional chief has told Arab News.

Dr. Hanan Balkhy, a Saudi physician who was appointed to the role of director for the Eastern Mediterranean in January this year following a distinguished career in medicine, made the comment while she was in New York City last week to rally support for critical public health initiatives.

“When it comes to the health preparation, we were able over the past months to pre-place emergency kits within Lebanon and with a few other neighboring countries to at least sustain some of the commodities that would be needed in case the escalation reached a very high point,” she told Arab News.

“We work very closely with the ministers of health, within the ministries themselves, and we make sure that we can train people on certain skills that we know will be necessary.”

The agency has conducted “hundreds” of training sessions — including mass casualty training, health workforce training and EMT training — within Lebanon and other WHO member states in the region.

Some of those countries have already faced significant pressure on their healthcare systems as a result of Israel’s war in Gaza, Balkhy said.




An ambulance rushes wounded people to the American University of Beirut Medical Center, on September 17, 2024, after explosions hit locations in several Hezbollah strongholds around Lebanon. (AFP)

“There’s big pressure on the member states that are surrounding the Occupied Palestinian Territories, from receiving the (Palestinian) patients and taking care of them, but now there’s actual escalation of war in southern Lebanon.

“So, with that in mind, we’re trying to put together at least the basics that are needed for the worst-case scenario.”

Balkhy voiced concern over the recent pager and walkie-talkie explosions across Lebanon.

On 17 and 18 September 2024, thousands of handheld pagers and hundreds of walkie-talkies intended for use by Hezbollah operatives exploded simultaneously across Lebanon and Syria in an Israeli attack, killing dozens, including two children, and injuring thousands more.

Most of the dead are believed to have been fighters, based on death notices posted online by Hezbollah, the Iran-backed Shiite militia.




A photo taken on September 18, 2024, in Beirut’s southern suburbs shows the remains of exploded pagers on display. (AFP)

UN High Commissioner for Human Rights Volker Turk has called for an “independent, thorough and transparent investigation” into the mass explosion, adding that “simultaneous targeting of thousands of individuals, whether civilians or members of armed groups, without knowledge as to who was in possession of the targeted devices, their location and their surroundings at the time of the attack, violates international human rights law and, to the extent applicable, international humanitarian law.”

The device explosions led to “very complex injuries in the face and in the hands,” said Balkhy.

Doctors in Lebanon say they had never seen the kind of maiming that resulted from the pager attacks. Described some of the wounds as “horrific,” they said the injuries have ranged from puncture wounds in the face, amputated hands, ruptured eyeballs, abdominal wounds, ruptured bones, and broken jaws.

“We’re looking and seeking to find experts that can help us in identifying the best methods of treatment and how we can support the Lebanese Ministry of Health,” Balkhy said, pointing to “empathy” between member states and “a strong sense of solidarity.”




People gather outside a hospital in the city of Baalbeck in eastern Lebanon on September 17, 2024, after explosions hit locations in several Hezbollah strongholds around the country. (AFP)

Balkhy also oversees WHO operations in Gaza, where the healthcare system is “on its knees” according to the UN.

“None of the healthcare facilities are fully functioning,” said Balkhy who witnessed the stark reality of the situation during a visit to Gaza and the West Bank in July.

Over 500 healthcare workers have been killed by Israeli airstrikes since the beginning of the war in October last year, and where out of 36 hospitals, 17 remain only partially functional. Primary healthcare and community-level services are frequently suspended in the battered enclave, due to insecurity, attacks and repeated evacuation orders.

More than 22,500 Palestinians have suffered life-changing injuries since Israel launched its military campaign in retaliation for a Hamas-led attack on southern Israel on Oct. 7 during which militants gunned down civilians and snatched people in towns, along highways and at a techno music festival.




A man sits near the destroyed Al-Shifa hospital in Gaza City on September 17, 2024. (AFP)

Medical staff operating in Gaza are under “significant amounts of pressure and stress,” Balkhy said, with surgeons forced to operate in increasingly makeshift facilities, often without access to basic medical equipment.

“The healthcare facilities are not just buildings. They are buildings, they are medication and instruments, and commodities, they are also the health workforce.

“There’s not one single individual (in Gaza) who has not been faced (with) being asked to move from one point to another.

“Many of them have moved many, many times, but also with the deaths and the losses within their family.”

Yet healthcare workers “continue to stand on their feet and provide care when appropriate,” Balkhy added.

IN NUMBERS

  • 1.9m Palestinians who have fled their homes since Oct. 7, 2023.
  • 41,150+ People killed in Gaza in fighting and Israeli bombardment.
  • 1,200 People killed in Israel during Oct. 7 Hamas-led attack.

However, the type of traumas and injuries inflicted on Palestinians have been “unprecedented” and “devastating,” requiring “very complex healthcare systems” of the type that Gaza lacks, she said.

“Those who have been working in the humanitarian field for over a decade have acknowledged that the types of compound fractures, soft tissue injuries, skull injuries … need neurosurgeons.

“You need very sophisticated orthopedic surgeons. You need very sophisticated equipment.”

In response, the WHO has worked in tandem with member states to organize medical evacuations across the Middle East and beyond.

Since October 2023, over 5,000 patients have been evacuated for treatment outside Gaza, with over 80 percent receiving care in Egypt, Qatar and the UAE, and a further 10,000 patients are currently in need of medical evacuation for specialized care.

This includes newborn babies requiring intensive care whose families are trying to evacuate them following the bombing of specialist maternity units across Gaza.




An injured Palestinian man is set for evacuation from the Al-Aqsa Martyrs Hospital in Deir Al-Balah in the central Gaza Strip following renewed Israeli evacuation orders for the area on August 26, 2024. (AFP)

Another major concern of health officials has been the growing lack of clean water and sanitary conditions in Gaza.

Hundreds of the enclave’s water filtration and sanitation facilities were destroyed by Israeli airstrikes since the beginning of the war.

Balkhy said that the lack of clean water makes it “very difficult” to provide the basics of healthcare.

She also highlighted the worrying proliferation of mental trauma among the population in Gaza.

“The last thing that worries me and that I saw of significance was what we will be facing from the mental stress disorders among the people who remain there and that will continue to work there.

“We will need, as the WHO, with partners, to help support, rehabilitate and address some of these issues.

“So, there’s a lot. The environment, which is a crucial part of the health and wellbeing of individuals, is extremely disturbing.




A boy walks through a puddle of sewage water past mounds of trash and rubble along a street in the Jabalia camp for Palestinian refugees in the northern Gaza Strip on August 14, 2024. (AFP)

Balkhy described scenes of sewage “running in the streets” as well as endless rubble, adding: “It’s extremely devastating to be there on the ground.”

A significant breakthrough in the WHO’s Gaza campaign came earlier this month with the completion of the first round of a polio vaccination campaign.

A month earlier, a 10-year-old baby had been left partly paralyzed by the disease, in what was the enclave’s first reported case in 25 years.

The WHO’s campaign in central Gaza involved more than 2,000 health workers operating across 143 sites.

“We’re very happy that we were able to secure these days of tranquillity to ensure that we conducted the first round of the polio campaign,” said Balkhy.

“The whole world has their eyes on this polio campaign because the success is not just a success for the Occupied Palestinian Territories and Gazans, it’s a success for the world, because pathogens know no borders, and there’s a risk that polio might again spread.”

“So, I’m very happy that that has happened.”




A child receives a vaccination for polio at a makeshift camp for people displaced by conflict in a school run by the UNRWA in Khan Yunis in the southern Gaza Strip on September 5, 2024. (AFP)

A second round of vaccination is still needed, however, to ensure optimal levels of immunization, Balkhy added.

“Every child needs to receive those two doses, between one to two months apart,” she said.

A second round is set for mid-October, and the WHO will look to “replicate what we did in the first round.

“The WHO, UNICEF, UNRWA and the Ministry of Health of the Palestinian Authority did amazing work to make this happen together,” Balkhy said.

“But also significant credit goes to the workers on the ground.

“All those lessons learned from the first round of the polio campaign will be very much looked at in order to have a more successful and efficient second round for the polio.”




Palestinians inspect the damage at the site of Israeli strikes on a makeshift displacement camp in Khan Yunis in the Gaza Strip on September 10, 2024. (AFP)

However, Balkhy gave warning that health authorities are only at the beginning of the campaign to rehabilitate living conditions in Gaza.

“As an infectious disease person, as an epidemiologist and as a pediatrician, we have a long way to go to rehabilitate the environment for the people in Gaza to to be living with dignity and with appropriate methods to have proper hygiene, instruments, clean water, soap and so on,” she said.

Balkhy is also focused on Sudan, where millions of people have been displaced by the country’s raging civil war, and famine has been declared in the North Darfur region.

Her latest visit to the country came two weeks ago, when she called for warring factions to abide by international law and end their attacks on healthcare facilities and workers.

The WHO reported in July that since the outbreak of the war in April 2023, more than 88 attacks in Sudan had targeted health facilities, ambulances, patients and workers.




People inspect a destroyed medical storage in Nyala, the capital of South Darfur province, on May 2, 2023. (AFP)

“It’s very important to sustain the regular people, the civilians who are not engaged in any of these wars, to be able to feel secure and that the humanitarians and the health workers can do their job,” Balkhy said.

“We have been able to work with the Ministry of Health of Sudan to come up with very good plans on rehabilitating primary health care and some of the secondary and tertiary healthcare facilities.”

Balkhy also visited a site for internally displaced people, warning that the level of access to clean water and sanitation, as well as the risk of cholera, are “huge challenges.”

She added: “It came also during the rainy season. It was expected — none of this is a surprise. We’ve been talking about this for quite a while.

“We’ve been able to, of course, with the Ministry of Health, establish cholera treatment centers and rehydration centers.

“So, the immunization program is is moving forward. We’re trying our best — it’s not optimal. But we do hope that we will be able to access as many children as possible.”




Cholera patients are treated at a clinic in Sudan’s Red Sea State on September 25, 2024. (AFP)

At the General Assembly in New York City, Balkhy eyed a breakthrough resolution in a high-level meeting on antimicrobial resistance.

“It’s the silent pandemic. I have led the Directorate of Antimicrobial Resistance as the first assistant director general in Geneva for close to five years,” she said.

“The fruition of reaching to this point of a high-level meeting — hopefully the resolution has clear, objectives, clear commitments and targets for the member states to focus.”

Despite the combined burden of Gaza and Sudan, and fears mounting over a new war in Lebanon, the WHO is “ready to do its full job and its full role in supporting the elevation of health and leaving nobody behind,” Balkhy said.

That, however, requires heads of state to meet their own responsibilities, she said.

“Secure peace for the world so that we can move on with our agendas and truly walk the talk of leading to our SDGs, leaving nobody behind.

“But without peace and without everybody working together, that is not possible.

 


‘Bulldozer’ Katz, long-time ally of Israel’s Netanyahu

Updated 06 November 2024
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‘Bulldozer’ Katz, long-time ally of Israel’s Netanyahu

  • Katz, 69, labelled by Israeli media as a “bulldozer” for his direct and sometimes abrasive style, is considered both close and loyal to Netanyahu

JERUSALEM: Israel’s new Defense Minister Israel Katz, known for his abrasive style, is a long-time ally and loyalist of Prime Minister Benjamin Netanyahu.
In a dramatic announcement late on Tuesday, Netanyahu sacked defense minister Yoav Gallant over what he said was a breakdown in trust during the Gaza war against Hamas.
“Over the past few months that trust has eroded. In light of this, I decided today to end the term of the defense minister,” Netanyahu said in a statement issued by his office.
The statement added that he had appointed Foreign Minister Israel Katz to take Gallant’s place.
Katz, 69, labelled by Israeli media as a “bulldozer” for his direct and sometimes abrasive style, is considered both close and loyal to Netanyahu.
After his appointment, Katz vowed to defeat Israel’s enemies and achieve the country’s war goals.
“We will work together to lead the defense establishment to victory over our enemies and to achieve the goals of the war: the return of all hostages as the most important moral mission, the destruction of Hamas in Gaza, the defeat of Hezbollah in Lebanon, the containment of Iranian aggression, and the safe return of the residents of the north and south to their homes,” he said in a statement.
A member of Netanyahu’s ruling Likud party, in which he was previously president of the party’s convention, Katz has held multiple cabinet roles going back to 2003.
As foreign minister, Katz drew international attention for his pointed attacks on world leaders and international organizations that had expressed opposition to Israeli military actions, particularly in Gaza.
He spearheaded a diplomatic battle against the United Nations agency for Palestinian refugees, UNRWA, and last month Israel’s parliament banned the agency from working in Israel and occupied east Jerusalem.
On Monday, Katz instructed his ministry to formally notify the United Nations that Israel was canceling its agreements with UNRWA.
Last month Katz triggered outrage when he declared UN chief Antonio Guterres “persona non grata in Israel” and wrote in a post on X that he would ban him from entering the country.
Before serving as foreign minister, Katz’s most notable role was as minister of transport.
He spent a decade in the post from 2009-2019, but had also held the energy and finance portfolios in various Netanyahu cabinets.
Aviv Bushinsky, a political commentator and Netanyahu’s former chief of staff, told AFP that Katz was likely to be more in tune with the prime minister than his predecessor Gallant.
“I cannot recall an incident when Israel Katz was in opposition to Netanyahu with anything,” Bushinsky said.
“It is true he does not have any military experience, but he was a very good transport minister and has sat in the cabinet for many years,” he added.
“Besides, Netanyahu thinks he can run the show himself — and he has managed to run the show even though Benny Gantz and Gadi Eisenkot, two generals, quit the government.”
Born in the coastal city of Ashkelon, Katz has been a prominent player in Israeli politics since becoming a member of parliament, the Knesset, in 1998.
Today he is among the highest-ranking ministers in the Likud party.
Married with two children, Katz is a resident of Moshav Kfar Ahim in southern Israel.


Gideon Saar, Netanyahu rival turned Israel’s new wartime foreign minister

Updated 06 November 2024
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Gideon Saar, Netanyahu rival turned Israel’s new wartime foreign minister

  • Saar was appointed foreign minister to replace Israel Katz, who took over the defense portfolio on Tuesday after Netanyahu fired Yoav Gallant over an erosion of trust during the Gaza war

JERUSALEM: A self-styled political rebel and once a rival of the prime minister, Gideon Saar was named Israel’s new foreign minister on Tuesday.
Just five years ago Saar openly challenged Prime Minister Benjamin Netanyahu for the leadership of Israel’s right-wing Likud party.
The former journalist and lawyer then left Likud in 2020, saying it had been corrupted under Netanyahu’s leadership, to form the hawkish, right-wing New Hope party.
Following the outbreak of the Israel-Hamas war last year, Saar joined the emergency war cabinet, before leaving the administration.
In September, he joined Netanyahu’s government as minister without a portfolio.
“As a long-time member of the government and cabinet, Gideon Saar brings substantial experience and sound judgment in security and policy matters, making him a valuable addition to our leadership team,” Netanyahu said Tuesday in a statement issued by his office.
“The addition of Saar and his party will strengthen the coalition and stabilize the government, which is crucial at all times, particularly in times of war.”
Israel has been fighting Hamas in Gaza since the militant group’s October 7, 2023 attack on Israel, which resulted in the deaths of 1,206 people, most of them civilians, according to an AFP tally based on official Israeli figures.
Israel’s retaliatory offensive has killed at least 43,391 Palestinians, a majority of them civilians, according to the territory’s health ministry, figures considered reliable by the UN.
Saar was appointed foreign minister to replace Israel Katz, who took over the defense portfolio on Tuesday after Netanyahu fired Yoav Gallant over an erosion of trust during the Gaza war.
Gallant had for months clashed with Netanyahu over his approach to talks on a possible hostage release deal and on the future of Gaza.
Israeli media earlier this year quoted Gallant as privately telling a parliamentary committee that a hostage release deal “is stalling... in part because of Israel.”
Netanyahu’s office accused Gallant of adopting an “anti-Israel narrative.”
Saar entered politics in 1999 as government secretary, before being elected to the Israeli parliament, the Knesset, in 2003.
He rose through the ranks to become interior minister and education minister in previous Netanyahu governments.
In 2021 he joined the government of former prime minister Naftali Bennett as justice minister with the title of deputy prime minister.
His political star had, however, dimmed in recent years.
Though he participated in the emergency government formed in the wake of the October 7 attack, he joined the opposition in March after failing to get a seat in the war cabinet.
He is considered more right-wing than Netanyahu, but lacks his charisma.
He has spoken out in favor of the all-out annexation of Israeli settlements in the occupied West Bank.
His ideology is “that of the Likud” but he believes that the party has “abandoned its values under Netanyahu,” deputy Sharren Haskel, a close friend of Saar’s, told AFP.
With a father who grew up in Argentina and a mother with roots in Uzbekistan, Saar calls himself a practicing Jew while affirming that “every Israeli citizen must be able to live freely according to his conscience and way of life.”
He is married to high-profile Israeli journalist Geula Even, with whom he has two children.
A daughter from his first marriage, Alona Saar, is a popular actress.


Turkiye, Kyrgyzstan sign strategic partnership on Erdogan visit

Updated 06 November 2024
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Turkiye, Kyrgyzstan sign strategic partnership on Erdogan visit

  • Kyrgyzstan’s President Sadyr Japarov said in a statement: “We have taken an important decision to raise the level of strategic partnership between Kyrgyzstan and Turkiye to that of a ‘comprehensive strategic partnership’“

BISHKEK, Kyrgyzstan: Turkiye and Kyrgyzstan on Tuesday agreed to a “comprehensive strategic partnership,” boosting defense ties, during an official visit to the Central Asian state by Turkish President Recep Tayyip Erdogan.
Ankara is strengthening its presence across the region, as it seeks to compete with the likes of Russia and China for influence.
Erdogan regularly visits Central Asia and will on Wednesday take part in a summit of the Organization of Turkic States, a Turkish-led initiative to promote its culture and ties across several former Soviet republics.
Kyrgyzstan’s President Sadyr Japarov said in a statement: “We have taken an important decision to raise the level of strategic partnership between Kyrgyzstan and Turkiye to that of a ‘comprehensive strategic partnership.’“
The two sides signed 19 agreements in areas including energy, defense and the fight against terrorism.
Japarov hailed “Kyrgyz-Turkish cooperation in the field of defense and the potential for further development.”
Amid Russia’s invasion of Ukraine, Turkiye has stepped up military cooperation with Central Asian states, a challenge to Moscow’s historic supremacy in the region.
Turkiye was the third-biggest investor in Kyrgyzstan in the first half of 2024, behind Russia and China.
But it lags in terms of trade, accounting for 3.8 percent of Kyrgyzstan’s imports and exports, against 34.2 percent for China and 19.5 percent for Russia.
 

 


Turkiye sacks 3 pro-Kurdish mayors for ‘terror ties’

Updated 06 November 2024
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Turkiye sacks 3 pro-Kurdish mayors for ‘terror ties’

ISTANBUL: Turkiye on Monday sacked three mayors in the Kurdish-majority southeast on alleged “terrorism” charges, despite Ankara’s apparent desire to seek a rapprochement with the Kurdish community.

In a sweep, the mayors of the cities of Mardin and Batman as well as the Halfeti district in Sanliurfa province were all removed and replaced with government-appointed trustees, the Interior Ministry said.

All three belong to DEM, the main pro-Kurdish party, and were elected in March’s local elections, when opposition candidates won in numerous towns and cities, including Istanbul.

Among those removed were Ahmet Turk, Mardin’s 82-year- old mayor, along with Batman mayor Gulistan Sonuk and Mehmet Karayilan in Halfeti.

The ministry outlined a string of allegations against them, frommembershipinanarmed group to disseminating propaganda for the banned Kurdistan Workers’ Party, also known as PKK.

Since 1984, the PKK has waged an insurgency against the Turkish state in which more than 40,000 people have died. It is blacklisted as a “terror” group by Turkiye and its Western allies.

Kurds make up around 20 percent of Turkiye’s overall population.

DEM swiftly denounced the moveas“amajorattackonthe Kurdish people’s right to vote and be elected.”


Red Cross launches international emergency appeal urging donors to provide resources for Lebanon

Updated 06 November 2024
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Red Cross launches international emergency appeal urging donors to provide resources for Lebanon

BEIRUT: The International Federation of Red Cross and Red Crescent Societies on Tuesday launched an international emergency appeal asking donors to provide resources for Lebanon during the Israel-Hezbollah war.
IFRC also called on all parties to protect paramedics in the conflict that has left thousands of people dead and wounded, many of them over the past six weeks.
Jagan Chapagain, the secretary-general of the International Federation of Red Cross and Red Crescent Societies, told The Associated Press in Beirut that “needs are just growing so fast.” He met with officials and toured shelters housing people displaced by the conflict.
The IFRC said its emergency appeal for 100 million Swiss Francs ($115.8 million) is aimed at helping Lebanon and the Lebanese Red Cross through the ongoing conflict.

Jagan Chapagain, Secretary-General of the International Federation of Red Cross and Red Crescent Societies (IFRC) speaks during an interview with The Associated Press, in Beirut, Lebanon, Tuesday, Nov. 5, 2024. (AP)

The 13-month war between Israel and Hezbollah has killed more than 3,000 people, wounded over 13,000 in Lebanon. Hundreds of thousands of the displaced are staying in shelters around the small nation that is passing through a historic economic crisis.
In northern Israel, 68 soldiers and 41 civilians have been killed since October 2023, according to the prime minister’s office. More than 60,000 people have been displaced from their homes.
The conflict dramatically escalated on Sept. 23, with intense Israeli airstrikes on south and east Lebanon as well as Beirut’s southern suburbs, leaving hundreds dead and leading to the displacement of nearly 1.2 million people.
Chapagain said people staying in community centers around the country need hygiene kits, non-food items, blankets and heaters as winter approaches. He added that even if the hostilities stop, it will take time for things to go back to normal and that is one of the reasons why the IFRC’s emergency appeal goes for two years.
“The global community needs to come together to find a political solution to the challenges this region has been facing for decades,” Chapagain said.
He said that more than 30 staff and volunteers globally have already been killed this year and dozens injured adding that many other organizations have also lost members of their staff.
“This is something unheard of many years ago,” he said about the 30 deaths, adding that among the countries where paramedics suffered most are Lebanon, the Gaza Strip and Sudan.
In Lebanon, 17 members of the Lebanese Red Cross have been wounded since the conflict began while carrying out their rescue duties in different parts of Lebanon. Three of the 17 paramedics were wounded twice, according to IFRC.
“The Red Cross and Red Crescent emblems are protected,” said Chapagain.