Childhood cancer patients in Lebanon must battle disease while under fire

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Doctor Dolly Noun, a pediatric hematologist and oncologist, checks Carol Zeghayer, 9, a girl who suffers from leukaemia ahead of her treatment at the Children's Cancer Center of Lebanon, in Beirut. (AP)
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Asinat al Lahham, 9, a Syrian-Palestinian girl who escaped the war in Syria with her family and who suffers from leukaemia, gestures outside the Children's Cancer Center of Lebanon, in Beirut. (AP)
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Mohammad Mousawi, 8, a displaced boy from the southern suburb of Beirut who suffers from leukaemia, attends with a volunteer who offers him a compassionate care and entertainment ahead of his weekly treatment at the Children's Cancer Center of Lebanon, in Beirut. (AP)
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Children who suffers from cancer, enjoy at a playroom with a volunteer ahead of their treatments at the Children's Cancer Center of Lebanon, in Beirut. (AP)
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Carol Zeghayer, 9, second right, a girl who suffers from leukaemia, attends with a volunteer who offers her a compassionate care and entertainment session ahead of her treatment at the Children's Cancer Center of Lebanon, in Beirut. (AP)
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Updated 26 November 2024
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Childhood cancer patients in Lebanon must battle disease while under fire

  • More than war, parents fear that their children will miss life saving chemotherapy treatment
  • Among the tens of thousands fleeing their homes among them are families with children battling cancer

BEIRUT: Carol Zeghayer gripped her IV as she hurried down the brightly lit hallway of Beirut’s children’s cancer center. The 9-year-old’s face brightened when she spotted her playmates from the oncology ward.
Diagnosed with cancer just months before the conflict between Hezbollah and Israel erupted in October 2023, Carol relies on weekly trips to the center in the Lebanese capital for treatment.
But what used to be a 90-minute drive, now takes up to three hours on a mountainous road to skirt the heavy bombardment in south Lebanon, but still not without danger from Israeli airstrikes. The family is just one among many across Lebanon now grappling with the hardships of both illness and war.
“She’s just a child. When they strike, she asks me, ‘Mama, was that far?’” said her mother, Sindus Hamra.
The family lives in Hasbaya, a province in southeastern Lebanon where the rumble of Israeli airstrikes has become part of daily life. Just 15 minutes away from their home, in the front-line town of Khiam, Israeli troops and Hezbollah fighters clash amidst relentless bombardments.
On the morning of a recent trip to Beirut for her treatment, the family heard a rocket roar and its deafening impact as they left their home. Israeli airstrikes have also hit vehicles along the Damascus-Beirut highway, which Carol and her mother have to cross.
The bombardment hasn’t let up even as hopes grew in recent days that a ceasefire might soon be agreed.
More than war, Hamra fears that Carol will miss chemotherapy.
“Her situation is very tricky — her cancer can spread to her head,” Hamra said, her eyes filling with tears. Her daughter, diagnosed first with cancer of the lymph nodes and later leukemia, has completed a third of her treatment, with many months still ahead.
While Carol’s family remains in their home, many in Lebanon have been displaced by an intensified Israeli bombardment that began in late September. Tens of thousands fled their homes in southern and eastern Lebanon, as well as Beirut’s southern suburbs — among them were families with children battling cancer.
The Children’s Cancer Center of Lebanon quickly identified each patient’s location to ensure treatments remained uninterrupted, sometimes facilitating them at hospitals closer to the families’ new locations, said Zeina El Chami, the center’s fundraising and events executive.
During the first days of the escalation, the center admitted some patients for emergency care and kept them there as it was unsafe to send them home, said Dolly Noun, a pediatric hematologist and oncologist.
“They had no place to go,” she added. “We’ve had patients getting admitted for panic attacks. It has not been easy.”
The war has not only deepened the struggles of young patients.
“Many physicians have had to relocate,” Noun said. “I know physicians, who work here, who haven’t seen their parents in like six weeks because the roads are very dangerous.”
Since 2019, Lebanon has been battered by cascading crises — economic collapse, the devastating Beirut port explosion in 2020, and now a relentless war — leaving institutions like the cancer center struggling to secure the funds needed to save lives.
“Cancer waits for no one,” Chami said. The crises have affected the center’s ability to hold fundraising events in recent years, leaving it in urgent need of donations, she added.
The facility is currently treating more than 400 patients aged from few days to 18 years old, Chami said. It treats around 60 percent of children with cancer in Lebanon.
For Carol, the war is sometimes a topic of conversation with her friends at the cancer center. Her mother hears her recount hearing the booms and how the house shook.
For others, the moments with their friends in the center’s playroom provide a brief escape from the grim reality outside.
Eight-year-old Mohammad Mousawi darts around the playroom, giggling as he hides objects and books for his playmate to find. Too absorbed by the game, he barely answers questions, before the nurse calls him for his weekly chemotherapy treatment.
His family lived in Ghobeiry, a neighborhood in Beirut’s southern suburbs. Their house was marked for destruction in an Israeli evacuation warning weeks ago, his mother said.
“But till now, they haven’t struck it,” said his mother, Suzan Mousawi. “They have hit (buildings) around it — two behind it and two in front of it.”
The family has relocated three times. They first moved to the mountains, but the bitter cold weakened Mohammad’s already fragile immune system.
Now they’ve settled in Ain el-Rummaneh, not far from their home in the southern Beirut suburbs known as Dahiyeh, which has come under significant bombardment. As the Israeli military widened the radius of its bombardment, some buildings hit were less than 500 meters (yards) from their current home.
The Mousawis have lived their entire lives in Dahiyeh, Suzan Mousawi said, until the war uprooted them. Her parents’ home was bombed. “All our memories are gone,” she said.
Mohammad has 15 weeks of treatment left, and his family is praying it will be successful. But the war has stolen some of their dreams.
“When Mohammad fell ill, we bought a house,” she said. “It wasn’t big, but it was something. I bought him an electric scooter and set up a pool, telling myself we’d take him there once he finishes treatment.”
She fears the house, bought with every penny she had saved, could be lost at any moment.
For some families, this kind of conflict is not new. Asinat Al Lahham, a 9-year-old patient of the cancer center, is a refugee whose family fled Syria.
“We escaped one war to another,” Asinat’s mother, Fatima, added.
As her father, Aouni, drove home from her chemotherapy treatment weeks ago, an airstrike happened. He cranked up the music in the car, trying to drown out the deafening sound of the attack.
Asinat sat in the back seat, clutching her favorite toy. “I wanted to distract her, to make her hear less of it,” he said.
In the medical ward on a recent day, Asinat sat in a chair hooked to an IV drip, negotiating with her doctor. “Just two or three small pinches,” she pleaded, asking for flavoring for her instant noodles that she is not supposed to have.
“I don’t feel safe … nowhere is safe … not Lebanon, not Syria, not Palestine,” Asinat said. “The sonic booms are scary, but the noodles make it better,” she added with a mischievous grin.
The family has no choice but to stay in Lebanon. Returning to Syria, where their home is gone, would mean giving up Asinat’s treatment.
“We can’t leave here,” her mother said. “This war, her illness … it’s like there’s no escape.”


What to know about sudden rebel gains in Syria’s 13-year war and why it matters

Updated 30 November 2024
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What to know about sudden rebel gains in Syria’s 13-year war and why it matters

  • It was the first opposition attack on Aleppo since 2016, when an air campaign by Russian warplanes helped Syrian President Bashar Assad retake the northwestern city
  • The roughly 30 percent of the country not under Assad is controlled by a range of opposition forces and foreign troops, including Turkish and US forces and their allies

WASHINGTON: The 13-year civil war in Syria has roared back into prominence with a surprise rebel offensive on Aleppo, one of Syria’s largest cities and an ancient business hub. The push is among the rebels’ strongest in years in a war whose destabilizing effects have rippled far beyond the country’s borders.
It was the first opposition attack on Aleppo since 2016, when a brutal air campaign by Russian warplanes helped Syrian President Bashar Assad retake the northwestern city. Intervention by Russia, Iran and Lebanon's Hezbollah militia and other groups has allowed Assad to remain in power, within the 70 percent of Syria under his control.
The surge in fighting has raised the prospect of another violent front reopening in the Middle East, at a time when US-backed Israel is fighting Hamas in Gaza and Hezbollah in Lebanon.
Robert Ford, the last-serving US ambassador to Syria, pointed to months of Israeli strikes on Syrian and Hezbollah targets in the area, and to Israel’s ceasefire with Hezbollah in Lebanon this week, as factors providing Syria’s rebels with the opportunity to advance.
Here’s a look at some of the key aspects of the new fighting:
Why does the fighting at Aleppo matter?
Assad has been at war with opposition forces seeking his overthrow for 13 years, a conflict that’s killed an estimated half-million people. Some 6.8 million Syrians have fled the country, a refugee flow that helped change the political map in Europe by fueling anti-immigrant far-right movements.
The roughly 30 percent of the country not under Assad is controlled by a range of opposition forces and foreign troops. The US has about 900 troops in northeast Syria, far from Aleppo, to guard against a resurgence by the Daesh group. Both the US and Israel conduct occasional strikes in

 

Syria against government forces and Iran-allied militias. Turkiye has forces in Syria as well, and has influence with the broad alliance of opposition forces storming Aleppo.
Coming after years with few sizeable changes in territory between Syria’s warring parties, the fighting “has the potential to be really quite, quite consequential and potentially game-changing,” if Syrian government forces prove unable to hold their ground, said Charles Lister, a longtime Syria analyst with the US-based Middle East Institute. Risks include if Daesh fighters see it as an opening, Lister said.
Ford said the fighting in Aleppo would become more broadly destabilizing if it drew Russia and Turkiye — each with its own interests to protect in Syria — into direct heavy fighting against each other. 

The US and UN have long designated the opposition force leading the attack at Aleppo — Hayat Tahrir Al-Sham, known by its initials HTS — as a terrorist organization.
Its leader, Abu Mohammed Al-Golani, emerged as the leader of Al-Qaeda’s Syria branch in 2011, in the first months of Syria’s war. His fight was an unwelcome intervention to many in Syria’s opposition, who hoped to keep the fight against Assad’s brutal rule untainted by violent extremism.
Golani early on claimed responsibility for deadly bombings, pledged to attack Western forces and sent religious police to enforce modest dress by women.
Golani has sought to remake himself in recent years. He renounced his Al-Qaeda ties in 2016. He’s disbanded his religious police force, cracked down on extremist groups in his territory, and portrayed himself as a protector of other religions. That includes last year allowing the first Christian Mass in the city of Idlib in years.
What’s the history of Aleppo in the war?
At the crossroads of trade routes and empires for thousands of years, Aleppo is one of the centers of commerce and culture in the Middle East.
Aleppo was home to 2.3 million people before the war. Rebels seized the east side of the city in 2012, and it became the proudest symbol of the advance of armed opposition factions.
In 2016, government forces backed by Russian airstrikes laid siege to the city. Russian shells, missiles and crude barrel bombs — fuel canisters or other containers loaded with explosives and metal — methodically leveled neighborhoods. Starving and under siege, rebels surrendered Aleppo that year.
The Russian military’s entry was the turning point in the war, allowing Assad to stay on in the territory he held.
This year, Israeli airstrikes in Aleppo have hit Hezbollah weapons depots and Syrian forces, among other targets, according to an independent monitoring group. Israel rarely acknowledges strikes at Aleppo and other government-held areas of Syria.


As Syrian rebels sweep into Aleppo, army closes airport and roads, sources say

Updated 30 November 2024
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As Syrian rebels sweep into Aleppo, army closes airport and roads, sources say

AMMAN: Syrian authorities closed Aleppo airport as well as all roads leading into the city on Saturday, three military sources told Reuters, as rebels opposed to President Bashar Assad said they had reached the heart of Aleppo.
The opposition fighters, led by the Islamist militant group Hayat Tahrir Al-Sham, carried out a surprise sweep through government-held towns this week and reached Aleppo nearly a decade after having been forced out by Assad and his allies.
Russia, one of Assad’s key allies, has promised Damascus extra military aid to thwart the rebels, two military sources said, adding new hardware would start arriving in the next 72 hours.
The Syrian army has been told to follow “safe withdrawal” orders from the main areas of the city that the rebels have entered, three army sources said.
The rebels began their incursion on Wednesday and by late Friday an operations room representing the offensive said they were sweeping through various neighborhoods of Aleppo.

HIGHLIGHTS

• Rebels opposed to Assad return to city after nearly a decade

• Aleppo airport has been closed, military sources say

• Damascus expects Russian hardware to arrive soon, sources say

They are returning to the city for the first time since 2016, when Assad and his allies Russia, Iran, and regional Shiite militias retook it, with the insurgents agreeing to withdraw after months of bombardment and siege.
Mustafa Abdul Jaber, a commander in the Jaish Al-Izza rebel brigade, said their speedy advance this week had been helped by a lack of Iran-backed manpower in the broader Aleppo province. Iran’s allies in the region have suffered a series of blows at the hands of Israel as the Gaza war has expanded through the Middle East.
The opposition fighters have said the campaign was in response to stepped-up strikes in recent weeks against civilians by the Russian and Syrian air force on areas in rebel-held Idlib, and to preempt any attacks by the Syrian army.
Opposition sources in touch with Turkish intelligence said Turkiye, which supports the rebels, had given a green light to the offensive.
But Turkish foreign ministry spokesperson Oncu Keceli said on Friday that Turkiye sought to avoid greater instability in the region and had warned recent attacks undermined de-escalation agreements.
The attack is the biggest since March 2020, when Russia and Turkiye agreed to a deal to de-escalate the conflict.

CIVILIANS KILLED IN FIGHTING
On Friday, Syrian state television denied rebels had reached the city and said Russia was providing Syria’s military with air support.
The Syrian military said it was fighting back against the attack and had inflicted heavy losses on the insurgents in the countryside of Aleppo and Idlib.
David Carden, UN Deputy Regional Humanitarian Coordinator for the Syria Crisis, said: “We’re deeply alarmed by the situation unfolding in northwest Syria.”
“Relentless attacks over the past three days have claimed the lives of at least 27 civilians, including children as young as 8 years old.”
Syrian state news agency SANA said four civilians including two students were killed on Friday in Aleppo by insurgent shelling of university student dormitories. It was not clear if they were among the 27 dead reported by the UN official.
Kremlin spokesman Dmitry Peskov said on Friday that Moscow regarded the rebel attack as a violation of Syria’s sovereignty.
“We are in favor of the Syrian authorities bringing order to the area and restoring constitutional order as soon as possible,” he said.

 

 


2 migrants dead, one missing off Tunisia: reports

Updated 30 November 2024
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2 migrants dead, one missing off Tunisia: reports

  • Tunisia and neighboring Libya have become key departure points for migrants
  • Each year, tens of thousands of people attempt to make the crossing

TUNIS: Two unidentified bodies were recovered off Tunisia’s eastern coast after a migrant boat capsized, local media reported on Friday, with one person still missing and 28 rescued.
Most of the passengers were Tunisian, according to the reports, which said that the boat had set sail from Teboulba, a coastal town some 180 kilometers south of the capital Tunis.
Tunisia and neighboring Libya have become key departure points for migrants, often from other African countries, who risk perilous Mediterranean Sea journeys in the hopes of reaching better lives in Europe.
Each year, tens of thousands of people attempt to make the crossing. Italy, whose Lampedusa Island is only 150 kilometers (90 miles) from Tunisia, is often their first port of call.
In late October, the bodies of 15 people believed to be migrants were recovered by authorities in Monastir, eastern Tunisia.
And in late September, 36 would-be migrants — mainly Tunisians — were rescued off Bizerte in northern Tunisia.
Since January 1, at least 103 makeshift boats have capsized and 341 bodies have been recovered off Tunisia’s coast, according to the interior ministry.
More than 1,300 people died or disappeared last year in shipwrecks off the North African country, according to the Tunisian FTDES rights group.
The International Organization for Migration has said that more than 30,309 migrants have died in the Mediterranean in the past decade, including more than 3,000 last year.


Iraq tries to stem influx of illegal foreign workers

An Iraqi policeman checks the ID of a driver at a checkpoint in Mosul on February 22, 2018. (AFP)
Updated 30 November 2024
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Iraq tries to stem influx of illegal foreign workers

  • The Labor Ministry says the influx is mainly from Syria, Pakistan, and Bangladesh, also citing 40,000 registered immigrant workers

KARBALA: Rami, a Syrian worker in Iraq, spends his 16-hour shifts at a restaurant fearing arrest as authorities crack down on undocumented migrants in the country better known for its own exodus.
He is one of hundreds of thousands of foreigners working without permits in Iraq, which, after emerging from decades of conflict, has become an unexpected destination for many seeking opportunities.
“I’ve been able to avoid the security forces and checkpoints,” said the 27-year-old, who has lived in Iraq for seven years and asked that AFP use a pseudonym to protect his identity.
Between 10 in the morning and 2 a.m. the next day, he toils at a shawarma shop in the holy city of Karbala, where millions of pilgrims congregate every year.
“My greatest fear is to be expelled back to Syria, where I’d have to do military service,” he said.

BACKGROUND

Authorities are trying to regulate the number of foreign workers as the country seeks to diversify from the dominant hydrocarbons sector.

The Labor Ministry says the influx is mainly from Syria, Pakistan, and Bangladesh, also citing 40,000 registered immigrant workers.
Now, the authorities are trying to regulate the number of foreign workers as the country seeks to diversify from the currently dominant hydrocarbons sector.
Many, like Rami, work in the service industry in Iraq.
One Baghdad restaurant owner admitted that he has to play cat and mouse with the authorities during inspections, asking some employees to make themselves scarce.
He said that not all those who work for him are registered because of the costly fees involved.
Some of the undocumented workers in Iraq first came as pilgrims. In July, Labour Minister Ahmed Assadi said his services investigated information that “50,000 Pakistani visitors” stayed on “to work illegally.”
Despite threats of expulsion because of the scale of the issue, the authorities, at the end of November, launched a scheme for “Syrian, Bangladeshi, and Pakistani workers” to regularize their employment by applying online before Dec. 25.
The ministry says it will take legal action against anyone who brings in or employs undocumented foreign workers.
Rami has decided to play safe, even though “I want” to acquire legal employment status.
“But I’m afraid,” he said. “I’m waiting to see what my friends do, and then I’ll do the same.”
Current Iraqi law caps the number of foreign workers a company can employ at 50 percent, but the authorities now want to lower this to 30 percent.
“Today we only allow qualified workers for jobs requiring skills” that are not currently available, Labor Ministry spokesman Nijm Al-Aqabi said.
It’s a sensitive issue — for the past two decades, even a foreign workforce has dominated the robust oil sector. But now the authorities are seeking to favor Iraqis.
“There are large companies contracted to the government” which have been asked to limit “foreign worker numbers to 30 percent,” said Aqabi.
“This is in the interests of the domestic labor market,” he said, as 1.6 million Iraqis are unemployed.
He recognized that each household has the right to employ a foreign domestic worker, claiming this was work Iraqis did not want to do.
One agency launched in 2021 that brings in domestic workers from Niger, Ghana, and Ethiopia confirms the high demand.
“Before, we used to bring in 40 women, but now it’s around 100” a year, said an employee at the agency.
The employee said it was a trend picked up from rich countries in the Gulf.
“The situation in Iraq is getting better, and with higher salaries, Iraqi homeowners are looking for comfort.”
A domestic worker earns about $230 a month, but the authorities have quintupled the registration fee, with a work permit now costing more than $800.
In the summer, Human Rights Watch denounced what it called a campaign of arbitrary arrests and expulsions targeting Syrians, even those with the necessary paperwork.
HRW said that raids targeted both homes and workplaces.
Ahmed — another pseudonym — is a 31-year-old Syrian who has been undocumented in Iraq for the past year and a half.
He began as a cook in Baghdad and later moved to Karbala.
“Life is hard here — we don’t have any rights,” he said
“We come in illegally, and the security forces are after us.”
His wife did not accompany him. She stayed in Syria.
“I’d go back if I could,” said Ahmed. “But life there is very difficult. There’s no work.”

 


Family returns to Lebanon to find a crater where their 50-year-old home once stood

Updated 29 November 2024
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Family returns to Lebanon to find a crater where their 50-year-old home once stood

  • Intense Israeli airstrikes over the past two months leveled entire neighborhoods in eastern and southern Lebanon, as well as the southern suburbs of Beirut, which are predominantly Shiite areas of Lebanon where Hezbollah has a strong base of support

BAALBEK, Lebanon: In eastern Lebanon’s city of Baalbek, the Jawhari family gathered around a gaping crater where their home once stood, tears streaming as they tried to make sense of the destruction.
“It is heart-breaking. A heartache that there is no way we will ever recover from,” said Lina Jawhari, her voice breaking as she hugged relatives who came to support the family.
“Our world turned upside down in a second.”
The home, which was a gathering place for generations, was reduced to rubble by an Israeli airstrike on Nov. 1, leaving behind shattered memories and twisted fragments of a once-vibrant life.
The family, like thousands of Lebanese, were returning to check on their properties after the US-mediated ceasefire between Israel and Hezbollah went into effect early Wednesday.

BACKGROUND

Israeli airstrikes have left a massive trail of destruction across Lebanon.

Intense Israeli airstrikes over the past two months leveled entire neighborhoods in eastern and southern Lebanon, as well as the southern suburbs of Beirut.
Nearly 1.2 million people have been displaced.
The airstrikes have left a massive trail of destruction across the country.
A photo of the Jawhari family’s home — taken on a phone by Louay Mustafa, Lina’s nephew — is a visual reminder of what had been. As the family sifted through the rubble, each fragment recovered called them to gather around it.
A worn letter sparked a collective cheer, while a photo of their late father triggered sobs. Reda Jawhari had built the house for his family and was a craftsman who left behind a legacy of metalwork. The sisters cried and hoped to find a piece of the mosque-church structure built by their father. Minutes later, they lifted a mangled piece of metal from the debris. They clung to it, determined to preserve a piece of his legacy.
“Different generations were raised with love ... Our life was filled with music, dance, and dabke (traditional dance). This is what the house is made up of. And suddenly, they destroyed our world. Our world turned upside down in a second. It is inconceivable. It is inconceivable,” Lina said.
Despite their determination, the pain of losing their home and the memories tied to it remains raw.
Rouba Jawhari, one of four sisters, had one regret.
“We are sad we did not take my mom and dad’s photos with us. If only we took the photos,” she said, clutching an ID card and a bag of photos and letters recovered from the rubble.
“It didn’t cross our mind. We thought it was two weeks and we will be back.”
The airstrike that obliterated the Jawhari home came without warning, striking at 1:30 p.m. on what was otherwise an ordinary Friday.
Their neighbor, Ali Wehbe, also lost his home. He had stepped out for food a few minutes before the missile hit and rushed back to find his brother searching for him under the rubble.
“Every brick holds a memory,” he said, gesturing to his library.
“Under every book you would find a story.”