How Israel’s war on Hezbollah is pushing Lebanon’s health system to the brink of collapse

Israeli strikes on Hezbollah targets across Lebanon have killed at least 1,250 people and injured more than 5,000, overwhelming the nation’s hospitals. (Getty Images)
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Updated 09 October 2024
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How Israel’s war on Hezbollah is pushing Lebanon’s health system to the brink of collapse

  • Hospitals already crippled by grinding economic crisis are now overwhelmed by wounded people
  • Israeli airstrikes on Syrian border and close to Beirut’s international airport have further disrupted aid deliveries

LONDON: Lebanon’s healthcare system, already crippled by years of economic crisis, has been brought to the brink of collapse since Israel’s unprecedented attack on Hezbollah’s communications network in mid-September and the wave of airstrikes targeting its leaders and weapons caches.

According to some reports, several health facilities have been damaged by Israeli airstrikes. Last month, the World Health Organization said the “escalation of violence” since Sept. 23 had forced at least 37 health centers to close their doors.

Lebanon’s Health Ministry also said dozens of medical workers have been killed, with the WHO reporting 28 deaths in a single 24-hour period last week.

Lebanon was rocked last month by two attacks on Hezbollah’s communications network, which saw pagers and walkie-talkies carried by militia members explode simultaneously.

The devices, reportedly booby-trapped by Israel, exploded in public areas, killing 20 people, including children, and injuring 450 others, according to the Health Ministry, overwhelming hospitals across Lebanon.




A truck and ambulance burn after Israeli airstrikes hit a group of paramedics outside a hospital in Marjayoun, south Lebanon, Friday, Oct. 4, 2024. (AP)

Soon afterward, Israel began pounding Lebanon in its pursuit of Hezbollah, its leadership, and its weapons. The relentless airstrikes have killed at least 1,250 people and injured more than 5,000, according to Lebanon’s Health Ministry.

Israel and Hezbollah began trading fire along the Lebanese border on Oct. 8, a day after the Hamas-led attack on southern Israel that killed 1,200 and saw 250 taken hostage, prompting Israel’s retaliatory operation in Gaza.

Hezbollah rocket fire has displaced nearly 60,000 people from Israel’s north. The Israeli government says its aim is to push Hezbollah back to the Litani River, about 18 km from the Israeli border, which would allow displaced Israeli civilians to return to their homes.

Over the past two weeks, there have been reports of damage to healthcare facilities in Lebanon. In one such incident earlier this month, an airstrike on Marjayoun Hospital in the south knocked the facility out of service and killed dozens of staff.




Flames and smoke rise from an Israeli airstrike on Lebanon’s Dahiyeh, Sunday, Oct. 6, 2024. (AP)

Mounes Kalakesh, Marjayoun’s director, told AP news agency that the Israeli military did not warn the government hospital before the strike. Emergency Director Shoshana Mazraani described the facility’s ensuing closure as a “tragedy for the region.”

Israel’s Arabic-language military spokesman, Avichay Adraee, accused Hezbollah of using ambulances to transport weapons and fighters, but he did not provide evidence to support the claim.

Lebanon’s Health Ministry said on Oct. 3 that 40 paramedics, firefighters and health workers had been killed in Israeli attacks over a period of three days.

Last week, the International Lebanese Medical Association appealed to the WHO to pressure Israel to halt what it called a “massacre” of Lebanon’s health workers.

IN NUMBERS

  • 37 Lebanese health facilities forced to close owing to Israeli strikes, according to WHO.
  • 97 Rescue workers killed since last October, according to Lebanon’s health minister.

Tania Baban, the Lebanon country director of the US-based charity MedGlobal, said the healthcare situation in Lebanon today is almost indescribable.

“The healthcare system is in a very difficult situation,” she told Arab News, stressing that if further hospitals are knocked out of action, the sector may not be able to respond to the mounting number of wounded.

“Even if they don’t get targeted, if there are still going to be attacks that are this intense on the south and in Dahieh (Beirut’s southern suburbs), that’s going to create a strain.”

Lebanon has suffered successive blows since the 2019 financial crisis, which severely impacted the provision of essential public services.




Ambulances carrying the bodies of civil defense workers killed in an Israeli strike drive amid the destruction in the southern Lebanese town of Tayr Dibba, on September 29, 2024. (AFP)

“The economic crisis caused the devaluation of the local currency and inflation, which caused some serious problems in the procurement of medical equipment and supplies as well as medications,” said Baban.

“When the government announced bankruptcy, it wasn’t able to purchase supplies for the hospitals, so the hospitals were not able to cater for the patients,” she added.

The economic situation also impacted livelihoods, leaving many people in Lebanon unable to afford private medical care.

Lebanon has been in the grips of a financial crisis since late 2019, brought on in part by the mountain of debt the government had built up since the end of the civil war in 1990. In April 2022, Deputy Prime Minister Saade Chami declared the state and its central bank bankrupt.




Ambulances are surrounded by people at the entrance of the American University of Beirut Medical Center, on September 17, 2024. (AFP)

The World Bank reclassified Lebanon as a lower-middle-income country, down from upper-middle-income status in July 2022, after the country’s gross domestic product per capita dropped by 36.5 percent between 2019 and 2021.

Aid agencies in Lebanon are also concerned about the welfare of the approximately 1.2 million people who have been displaced by Israeli strikes and incursions in the south, the Bekaa Valley, Beirut’s southern suburbs, and Baalbek.

MedGlobal’s Baban says the scale of displacement in Lebanon has further strained medical services. Inadequate shelter, overcrowding, and the onset of winter heighten the risk of disease outbreaks.

“We’re worried about infectious diseases,” she said. “Flu season is on the way, COVID, the possibility of hepatitis A if they don’t have access to clean drinking water, and the possibility of, God forbid, cholera.”




Displaced families take refuge on central Beirut's Ain Al-Mreisseh seaside promenade on October 7, 2024. (AFP)

Giacomo Baldini, the Lebanon country director of the non-profit Relief International, said that while his team is providing hygiene kits and medical outreach in Beirut, Tripoli, and the Bekaa Valley, “the need for clean water, hot food, and medical supplies is huge, and will only increase.”

He wrote in a first-hand account from Beirut shared with Arab News: “We are hoping to provide mental health support as soon as possible. There are simply not enough skilled professionals in Lebanon to provide the amount of support needed.”

Baban said: “The Ministry of Health is doing its best to reach out to stakeholders, including international NGOs such as MedGlobal, to bring in supplies from abroad.”

The ministry’s plan is to bring in additional resources while this is still possible, she said. “He (the health minister) doesn’t want people to procure and purchase supplies locally so as not to deplete the supplies we already have in the country.”




A child wounded during Israeli bombardment rests at a hospital in the southern Lebanese village of Saksaqiyeh on September 26, 2024. (AFP)

However, the intensifying Israeli strikes on southern Beirut, where part of the Beirut Rafic Hariri International Airport is situated, pose a significant risk to the delivery of supplies.

“The health system’s capacity in Lebanon is deteriorating,” WHO chief Tedros Adhanom Ghebreyesus said in a post on X on Oct. 3. “Medical supplies cannot be delivered due to the almost complete closure of Beirut’s airport.”

He called for the “urgent facilitation of flights to deliver health supplies to Lebanon” as “lives depend on it.”

Baban of MedGlobal said NGOs are struggling to raise sufficient funds to alleviate the pressure on Lebanon’s health system amid the escalating hostilities and worsening humanitarian crisis.

And while there are donors providing “shipments of medical supplies that can be shipped into the country,” the suspension of flights by many carriers has hindered the process.

Israeli airstrikes on the main border crossing between Syria and Lebanon have also obstructed the movement of supplies and medicines into Lebanon.

On Oct. 4, Israeli airstrikes targeted the Masnaa border crossing, impeding civilians trying to flee and disrupting humanitarian operations, the international monitor Human Rights Watch said in a statement.

One of the biggest challenges Lebanon’s hospitals could soon face is maintaining a consistent power supply. Most still have access to fuel for generators and many have installed solar panels. However, as the colder months approach, they may have more challenges.




A man rides his scooter as he drives on the debris of destroyed buildings that were hit by Israeli airstrikes in Dahiyeh, Beirut, Lebanon, Sunday, Oct. 6, 2024. (AP)

“So far, we’re okay with fuel, but if that changes or the prices go up, then it might create a problem because in winter, you can’t depend on solar panels,” said Baban. “If fuel prices go up, it will be expensive to purchase fuel to keep hospitals running.”

The people working tirelessly to keep hospitals operational are also at risk of exhaustion.

Baban warned that while many doctors remain in the country, “they’re obviously already on the brink of being overworked after these sharp and rapid escalations.”

 


Kuwaiti first deputy prime minister affirms military cooperation with US forces

Updated 5 sec ago
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Kuwaiti first deputy prime minister affirms military cooperation with US forces

  • Sheikh Fahad Yusuf Saud Al-Sabah met with Lt. Gen. Patrick Frank, commander of US Army Central and Third Army
  • The Kuwait Army’s deputy chief and senior officers also joined the visit to Camp Buehring

LONDON: Kuwaiti First Deputy Prime Minister, Minister of Defense and Minister of Interior Sheikh Fahad Yusuf Saud Al-Sabah has visited Camp Buehring to reaffirm the strong military cooperation between his country and the US.

During his visit on Saturday, Sheikh Fahad met with Lt. Gen. Patrick Frank, commander of US Army Central and Third Army, and Karen Hideko Sasahara, US Ambassador to Kuwait.

Sheikh Fahad was briefed on the camp’s tasks and the troops’ preparedness. He also examined operational plans and missions and reaffirmed his commitment to strengthening the training and defense coordination partnership between Kuwait and the US.

Also joining the visit were Deputy Chief of Staff of the Kuwait Army Air Marshal Sheikh Sabah Jaber Al-Ahmad Al-Sabah and other senior officers.


Palestinians trek across rubble to return to their homes as Gaza ceasefire takes hold

Updated 16 min 44 sec ago
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Palestinians trek across rubble to return to their homes as Gaza ceasefire takes hold

  • Many Palestinian found their homes reduced to rubble while others looked for remains of killed relatives

KHAN YOUNIS, Gaza Strip: Even before the ceasefire deal between Israel and Hamas was fully in place Sunday, Palestinians in the war-battered Gaza Strip began to return to the remains of the homes they had evacuated during the 15-month war.
Majida Abu Jarad made quick work of packing the contents of her family’s tent in the sprawling tent city of Muwasi, just north of the strip’s southern border with Egypt.
At the start of the war, they were forced to flee their house in Gaza’s northern town of Beit Hanoun, where they used to gather around the kitchen table or on the roof on summer evenings amid the scent of roses and jasmine.
The house from those fond memories is gone, and for the past year, Abu Jarad, her husband and their six daughters have trekked the length of the Gaza Strip, following one evacuation order after another by the Israeli military.
Seven times they fled, she said, and each time, their lives became more unrecognizable to them as they crowded with strangers to sleep in a school classroom, searching for water in a vast tent camp or sleeping on the street.
Now the family is preparing to begin the trek home — or to whatever remains of it — and to reunite with relatives who remained in the north.
“As soon as they said that the truce would start on Sunday, we started packing our bags and deciding what we would take, not caring that we would still be living in tents,” Abu Jarad said.
The war in Gaza began when Hamas-led militants attacked southern Israel on Oct. 7, 2023, killing some 1,200 people, mostly civilians, and abducting around 250 people. Some 100 hostages are still inside Gaza, at least a third of whom are believed to be dead.
Israel’s offensive has killed more than 46,000 Palestinians in Gaza, more than half of them women and children, according to the Gaza Health Ministry, which does not say how many were combatants. Over 110,000 Palestinians have been wounded, it said. The Israeli military says it has killed over 17,000 militants, without providing evidence.
The Israeli military’s bombardment has flattened large swaths of Gaza and displaced 1.9 million of its 2.3 million residents.
Even before the ceasefire officially took effect — and as tank shelling continued overnight and into the morning — many Palestinians began trekking through the wreckage to reach their homes, some on foot and others hauling their belongings on donkey carts.
“They’re returning to retrieve their loved ones under the rubble,” said Mohamed Mahdi, a displaced Palestinian and father of two. He was forced to leave his three-story home in Gaza City’s southeastern Zaytoun neighborhood a few months ago,
Mahdi managed to reach his home Sunday morning, walking amid the rubble from western Gaza. On the road he said he saw the Hamas-run police force being deployed to the streets in Gaza City, helping people returning to their homes.
Despite the vast scale of the destruction and uncertain prospects for rebuilding, “people were celebrating,” he said. “They are happy. They started clearing the streets and removing the rubble of their homes. It’s a moment they’ve waited for 15 months.”
Um Saber, a 48-year-old widow and mother of six children, returned to her hometown of Beit Lahiya. She asked to be identified only by her honorific, meaning “mother of Saber,” out of safety concerns.
Speaking by phone, she said her family had found bodies in the street as they trekked home, some of whom appeared to have been lying in the open for weeks.
When they reached Beit Lahiya, they found their home and much of the surrounding area reduced to rubble, she said. Some families immediately began digging through the debris in search of missing loved ones. Others began trying to clear areas where they could set up tents.
Um Saber said she also found the area’s Kamal Adwan hospital “completely destroyed.”
“It’s no longer a hospital at all,” she said. “They destroyed everything.”
The hospital has been hit multiple times over the past three months by Israeli forces waging an offensive in largely isolated northern Gaza against Hamas fighters it says have regrouped.
The military has claimed that Hamas militants operate inside Kamal Adwan, which hospital officials have denied.
In Gaza’s southern city of Rafah, residents returned to find massive destruction across the city that was once a hub for displaced families fleeing Israel’s bombardment elsewhere in the Palestinian enclave. Some found human remains amid the rubble of houses and the streets.
“It’s an indescribable scene. It’s like you see a Hollywood horror movie,” said Mohamed Abu Taha, a Rafah resident, speaking to The Associated Press as he and his brother were inspecting his family home in the city’s Salam neighborhood. “Flattened houses, human remains, skulls and other body parts, in the street and in the rubble.”
He shared footage of piles of rubble he said had been his family’s house. “I want to know how they destroyed our home.”
The returns come amid looming uncertainty regarding whether the ceasefire deal will bring more than a temporary halt to the fighting, who will govern the enclave and how it will be rebuilt.
Not all families will be able to return home immediately. Under the terms of the deal, returning displaced people will only be able to cross the Netzarim corridor from south to north beginning seven days into the ceasefire.
And those who do return may face a long wait to rebuild their houses.
The United Nations has said that reconstruction could take more than 350 years if Gaza remains under an Israeli blockade. Using satellite data, the United Nations estimated last month that 69 percent of the structures in Gaza have been damaged or destroyed, including over 245,000 homes. With over 100 trucks working full-time, it would take more than 15 years just to clear the rubble away,
But for many families, the immediate relief overrode fears about the future.
“We will remain in a tent, but the difference is that the bleeding will stop, the fear will stop, and we will sleep reassured,” Abu Jarad said.


UAE president receives call from Syria’s new leader

Updated 19 January 2025
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UAE president receives call from Syria’s new leader

  • Sheikh Mohamed bin Zayed Al-Nahyan affirmed that the UAE supports the Syrian people’s aspirations for security and peace

LONDON: UAE President Sheikh Mohamed bin Zayed Al-Nahyan received a call from Ahmed Al-Sharaa, the leader of the new Syrian administration, on Sunday.

During the call, both sides discussed ways to enhance relations between the two countries in areas of mutual interest.

Sheikh Mohamed emphasized the UAE’s unwavering support for Syria’s independence and sovereignty over its territory, the Emirates News Agency reported.

The UAE supports the Syrian people’s aspirations for security, peace, and a dignified life, he added.


Syria destroys millions of captagon pills, other drugs

Updated 19 January 2025
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Syria destroys millions of captagon pills, other drugs

  • Officials find100 million pills of the amphetamine-like stimulant captagon
  • Production and trafficking of the drug flourished under ousted President Bashar Assad

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.