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.

 


UK humanitarian agency report exposes systematic life-threatening conditions for Palestinians in Gaza

Updated 7 sec ago
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UK humanitarian agency report exposes systematic life-threatening conditions for Palestinians in Gaza

  • The findings underscore the severe challenges facing Palestinian civilians during Israel’s war with Hamas

LONDON: A report released on Tuesday from Action for Humanity International, one of the UK’s leading humanitarian agencies operating in Gaza, reveals the conditions faced by internally displaced people after Israel’s displacement orders to Palestinian civilians.

The report claims that these orders, along with conditions in designated “humanitarian zones,” are creating life-threatening environments that amount to “systematic erasure.”

The findings underscore the severe challenges facing Palestinian civilians during Israel’s war with Hamas.

According to the survey, 15 percent of respondents were unable to evacuate due to disability or caregiving responsibilities, a reality compounded by the fact that 35 percent of people received less than an hour’s notice of evacuation orders.

The survey also found that 98 percent of respondents had been displaced several times, with nearly a quarter having been displaced 10 or more times in the past year.

In humanitarian zones conditions are reportedly dire.

According to the report, 73 percent of respondents described them as “poor” or “very poor,” with four out of five lacking sufficient access to food, and two-thirds unable to obtain clean drinking water. Additionally, 80 percent of respondents reported no access to adequate medical care.

Charles Lawley, director of communications and advocacy at AFH, criticized the treatment of Gaza’s civilians, saying that, in his view, the situation in Gaza amounted to “erasure in plain sight.”

“This report shows that Gaza is being erased in plain sight,” he said. “The so-called ‘evacuation orders’ — and I hesitate to call them that, as that is the language used by the Israeli military and implies it is doing the people of Gaza a favor by giving them a warning before bombing their homes — inflict terrors, are ambiguous and difficult to comply with, on the occasions they are given.”

Lawley further condemned the conditions in the so-called humanitarian zones.

“The conditions are not fit for humans ... with such damage to infrastructure, the bombing of Gaza, even with so-called evacuation orders, puts people who cannot afford the transport to escape and those with caregiving or physical barriers to escape — such as pregnant women, the elderly, and people with disabilities — at a heightened risk of being killed, as escaping is even more difficult for them.”

In a strong rebuke of the ongoing military action, Lawley argued that the pattern of bombardment, ground incursions, and deprivation of basic resources suggested a coordinated strategy that “aligns with acts of extermination and genocide.”

He further suggested that recent reports indicating Israeli government intentions to annex Gaza raised additional concerns, noting that “these plans ... appear designed to inflict conditions of life aimed at the physical destruction of the group, in whole or in part ... as a strategic tool in broader aims for territorial annexation.”

The full report is available to read here


Israel’s Netanyahu dismisses defense minister in surprise announcement

Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant attend a press conference on October 28, 2023
Updated 10 min 43 sec ago
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Israel’s Netanyahu dismisses defense minister in surprise announcement

  • Netanyahu and Gallant have repeatedly been at odds throughout the war in Gaza

JERUSALEM: Israeli Prime Minister Benjamin Netanyahu has dismissed his popular defense minister, Yoav Gallant, in a surprise announcement.
Netanyahu and Gallant have repeatedly been at odds throughout the war in Gaza. But Netanyahu had avoided firing his rival.
A previous attempt to fire Gallant in March 2023 sparked widespread street protests against Netanyahu.
The prime minister announced his decision late Tuesday.


Israel demolishes seven Palestinian homes in east Jerusalem

Updated 05 November 2024
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Israel demolishes seven Palestinian homes in east Jerusalem

  • Activist Fakhri Abu Diab, one of those affected by the demolition, confirmed that “at least seven homes have been demolished, and the operation is ongoing“
  • He said that both houses and apartments were affected

JERUSALEM: Municipal workers demolished seven homes in occupied east Jerusalem’s Silwan neighborhood on Tuesday, Palestinian residents and the municipality said, after an Israeli court called their construction illegal.
“This morning the Jerusalem Municipality, with a security escort from the Israel police, began its enforcement against illegal buildings in the Al-Bustan neighborhood in Silwan,” Jerusalem’s Israeli-controlled city hall said in a statement.
Activist Fakhri Abu Diab, one of those affected by the demolition, confirmed that “at least seven homes have been demolished, and the operation is ongoing.”
He said that both houses and apartments were affected.
“They demolished my home, which I had renovated after it was previously demolished earlier this year, as well as my son’s house, Haitham Ayed’s family home, and four homes belonging to the Al-Ruwaidi family,” Abu Diab told AFP.
He said around “40 people, including children, were affected by the demolitions in the neighborhood, leaving them homeless.”
An AFP photographer saw at least four bulldozers operating on Tuesday at demolition sites in the neighborhood under tight Israeli police supervision.
In a statement, Jerusalem city hall pointed to court orders that call for the demolition of the buildings due to zoning laws that make them illegal.
However, Palestinian residents and activists accuse the municipality of concealing its true intentions.
“The buildings, like most of the buildings in the neighborhood, are located on an area that is a green designation, that is, an open public area and where there is no possibility for zoning,” the municipality said, adding that the area would become a green zone instead.
Israeli rights group Ir Amim argued that the true aim of the demolitions is to connect Israeli settler pockets implanted in Palestinian areas to west Jerusalem.
The non-profit organization said in a statement that demolition, “encouraged by Israel’s right-wing government,” is expected to affect “115 homes, housing around 1,500 residents” in the neighborhood.
“The demolition of Al-Bustan and the displacement of its residents is an integral part of settlement efforts aimed at Judaising Silwan and transforming the area into a public park, facilitating connections between isolated settler communities in Silwan and linking them with West Jerusalem,” Ir Amim said.
It but did not specify the number of homes affected on Tuesday, as “the demolition is ongoing.”
Abu Diab echoed Ir Amim, saying the true aim of the demolitions was “to reduce the percentage of Arabs and alter the demographic composition of Jerusalem in favor of (Israeli) settlers,” connecting them to west Jerusalem.
Israel “is above international law, has escaped accountability, and is exploiting global focus on the wars in Gaza and Lebanon and the US elections,” he said.
Israel occupied east Jerusalem in 1967 and later annexed it in a move not recognized by the international community.
Some 230,000 Israeli settlers live in east Jerusalem, according to the United Nations. Another 3,000 live in Palestinian neighborhoods within east Jerusalem’s boundaries, according to Israeli rights organization Peace Now.


King Salman invites Najib Mikati to attend Arab-Islamic summit aimed at halting Israeli aggression

Updated 05 November 2024
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King Salman invites Najib Mikati to attend Arab-Islamic summit aimed at halting Israeli aggression

  • Residential buildings and vehicles targeted by Israeli airstrikes
  • Israeli army claims to have destroyed underground Hezbollah structures in the south

BEIRUT: The caretaker prime minister of Lebanon, Najib Mikati, received an invitation on Tuesday from King Salman bin Abdulaziz to participate in the extraordinary joint Arab-Islamic summit scheduled for Nov. 11 in Riyadh.

The summit will address Israeli assaults on the Palestinian people and Lebanese territories, coinciding with an increase in Israeli drone strikes in Beirut, southern Lebanon and Bekaa, resulting in further civilian casualties.

Mikati received the invitation from Waleed Bukhari, the Saudi ambassador to Lebanon.

The invitation stated that participation in the summit is a “reaffirmation of Arab and Islamic solidarity in efforts to halt Israeli aggression and to promote the pursuit of a just resolution to the Palestinian issue, ensuring the rights of the Palestinian people to establish their independent state with East Jerusalem as its capital.”

Israel’s ground war in has completed its 44th day, and the toll since Hezbollah opened the southern front 13 months ago exceeds 3,000 dead and more than 13,000 wounded.

As the assaults diminished in the southern suburbs of Beirut, residents had the chance to inspect their homes and retrieve whatever belongings they could. However, the confrontations remained intense in the southern regions, and airstrikes continued in the south and in the Bekaa region.

Two Israeli airstrikes targeted the Jiyeh area, 28 km south of Beirut, killing a woman and wounding seven people — who were taken to Sibline Governmental Hospital.

Airstrikes hit a building near Sheikh Ragheb Harb Hospital in Toul, and a shop in Jwaya. An airstrike on the outskirts of Bazouriyeh caused injuries, while four people were killed in an Israeli airstrike in the town of Baflieh in the Tyre district.

An elderly woman, Ghadia Al-Suwaid, who had insisted on staying in her home in the border town of Al-Dhayra Al-Fawqa, was suspected to have been kidnapped by Israeli soldiers. The woman’s relatives told the National News Agency that “they entered the town in the morning and did not find her.”

Meanwhile, a Red Cross convoy, in coordination with UNIFIL, headed to Wata Khiam, also on the border, to complete the recovery of 15 bodies from rubble after airstrikes hit their home eight days ago.

The Red Cross retrieved five bodies two days ago, but larger machinery was needed to continue clearing the rubble.

An airstrike on the town of Deir Kifa killed two people and wounded several others.

Israeli military vehicles were seen advancing at the Shebaa Farms toward Al-Sadana heights and Shebaa Gate, where clashes were reported between Israeli forces and Hezbollah members.

On Tuesday morning, Israeli forces tried to infiltrate Rmeish but were forced to retreat after clashes with Hezbollah fighters, while in Haris an unknown motorcyclist was killed in an Israeli airstrike.

In Bekaa, an Israeli drone targeted a car on the road between Hortaala and Talia, carrying a displaced family from Baalbek. The raid killed three siblings, Nathalie, Raed and Mohammed Naji Dandash, and wounded their mother, Iman Fawzat Habib, who was transferred to Dar Al Amal University Hospital.

Hezbollah claimed to have struck “a gathering of Israeli soldiers in Doviv and Ma’ale Golani barracks, and another … in the hills of Kfar Shuba. We bombed an explosives factory in Hadera, south of Haifa, with a salvo of qualitative missiles.”

Israeli army spokesperson, Avichay Adraee, meanwhile, claimed that Israeli forces had destroyed “an underground infrastructure of about 70 meters long and confiscating weapons and rocket launchers in rugged and underground areas in southern Lebanon.”


Lebanon official says Israeli commandos jammed UNIFIL radar in abduction operation

Updated 05 November 2024
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Lebanon official says Israeli commandos jammed UNIFIL radar in abduction operation

  • The initial findings suggest that “the Israeli army used a high-speed vessel equipped with advanced devices capable of jamming radars” belonging to the UNIFIL
  • The probe into the abduction operation on Saturday is jointly conducted by the Lebanese police and judiciary

BEIRUT: A preliminary probe found that Israeli commandos used a speedboat equipped with radar-jamming devices to abduct a Lebanese man accused of being a Hezbollah operative, a Lebanese judicial official told AFP Tuesday.
The initial findings suggest that “the Israeli army used a high-speed vessel equipped with advanced devices capable of jamming radars” belonging to the United Nations peacekeeping force (UNIFIL) that monitors the Lebanese coast, the official said, requesting anonymity to discuss sensitive matters.
The probe into the abduction operation on Saturday is jointly conducted by the Lebanese police and judiciary.
The UN peacekeeping Maritime Task Force has helped Lebanon’s army monitor territorial waters and prevent the entry of arms or related material by sea since 2006, according to the mission’s website.
Germany has headed UNIFIL’s maritime taskforce since January 2021.
On Saturday, Israeli naval commandos seized a trainee mariner that a military official described as a “senior operative” of Hezbollah in a raid in northern Lebanon and brought him to Israel for questioning.
An acquaintance of the abductee identified him as Imad Amhaz.
The man in his thirties was studying to become a sea captain at the Maritime Sciences and Technology Institute (MARSATI) in Batroun, Lebanon’s primary training college for the shipping industry.
Lebanese authorities “cannot probe UNIFIL forces or request they provide information or footage captured by their radars because they have immunity,” the judicial official said.
The official called the abduction “a war crime that violated national sovereignty” because it involved the kidnapping of a Lebanese citizen in an area far from the fighting.
Israel escalated its air raids on Hezbollah strongholds in south Lebanon, Beirut and the eastern Bekaa Valley on September 23, after nearly a year of cross-border fire. A week later it sent in ground troops to southern Lebanon.
At least 3,002 people have been killed in Lebanon since clashes between Hezbollah and Israel began last October, the health ministry said, including at least 1,964 since September 23, according to an AFP tally of official figures.