Access to diabetes education seen as key to fighting Arab world’s invisible enemy

In recent years, cases of Type 2 diabetes have skyrocketed in specific regions, including the Middle East and North Africa. (Shutterstock)
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Updated 22 November 2022
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Access to diabetes education seen as key to fighting Arab world’s invisible enemy

  • Poor diet and sedentary lifestyles blamed for rising cases across the world over the past decade
  • Gulf states now rank among the world’s top nations with the highest prevalence of Type 2 diabetes

DUBAI: Controlling the sweet tooth is not the only lifestyle choice that will determine whether or not an individual will develop diabetes in the course of their lifetime. The chronic disease, which has seen an alarming rise in cases across the world over the past decade, has been linked to sedentary lifestyles, unhealthy diets and obesity.

Inadequate knowledge about the prevention and management of the condition in many countries led the International Diabetes Federation to make “access to diabetes education” the theme of World Diabetes Day for the third consecutive year.

Every year, campaigns are launched around the world on Nov. 14 to help raise awareness about the disease, which, as of 2021, affected 537 million adults between the ages of 20 and 79 worldwide.




“Access to diabetes education” is the theme of World Diabetes Day. (Shutterstock)

In recent years, cases of Type 2 diabetes have skyrocketed in specific regions, including the Middle East and North Africa — particularly in the Gulf Cooperation Council area. Countries such as Kuwait, Saudi Arabia and Bahrain now rank among the top 10 nations with the highest prevalence of Type 2 diabetes.

In the UAE, as many as one in five people have diabetes, with Type 2 being the most common form, according to Cleveland Clinic Abu Dhabi. This number is expected to double by 2040.

In response to this seemingly inexorable increase in cases, health experts are examining everything from lifestyle trends to technological advancements and healthcare systems to determine what can be done to slow the spread and identify how much is down to genetics.

According to Dr. Sara Suliman, consultant endocrinologist and diabetologist at the Imperial College London Diabetes Centre in Abu Dhabi, variables such as urbanization, changing climate, mobility and food availability influence rates of diabetes in different areas.

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“The GCC, being one of the richer areas in the world, has seen far more use of cars, far more easy access to food, including high-calorie food, and is one of the leading areas in the world as far as an increase in diabetes cases is concerned,” she told Arab News.

The situation is just as worrying in other countries of the Middle East and North Africa. Data from 2021 shows that 73 million adults (aged 20-79) across the MENA region are living with diabetes — a figure that is estimated to grow to 95 million by 2030 and 136 million by 2045.

“Until very recently, we were hanging a lot of things on genes. We do know if one parent has diabetes (Type 2), then there is a 40 percent chance of an individual getting diabetes, and that if two parents have diabetes, then there is an 80 percent chance of the individual becoming affected,” said Suliman.

In fact, not only is Type 2 diabetes preventable, it can also be reversed through a complete change in lifestyle. Unfortunately, this is not the case for Type 1.

With genetics accounting for only 5-10 percent of cases, Type 1 diabetes is thought to be caused by an autoimmune reaction, which leads the body to attack itself, destroying the cells in the pancreas responsible for producing insulin.




Dr. Sara Suliman. (Supplied)

“For Type 1 diabetes, the treatment is insulin and will always be insulin. But with Type 2, we have different options,” said Suliman.

It is no secret that excessive consumption of fizzy drinks, energy shots, sweetened juices and processed junk foods tops the list of diets that result in high blood sugar levels (or blood glucose levels).

An unhealthy diet coupled with a lack of regular exercise, fewer than seven hours of sleep per night and poor hydration significantly increases the risk of obesity as well as type 2 diabetes, said Suliman.

“Obesity is another major problem in the Gulf countries,” she said. “For example, 50 percent of children in Kuwait are at the moment either overweight or obese.”

FASTFACTS

* 537m Adults living with diabetes in 2021, predicted to rise to 643m by 2030, 783m by 2045.

* 3/4 Proportion of adults with diabetes who live in low- and middle-income countries.

* 6.7m Number of deaths caused by diabetes in 2021 ​​— 1 every 5 seconds.

Source: International Diabetes Federation

Studies predict that at least 10 countries in the MENA region will have more than a million children suffering from obesity by 2030.

Looking at the problem through a different lens, Dr. Ihsan Al-Marzooqi, co-founder and managing director of Glucare Health, says although bad habits significantly impact rates of diabetes, there is another side to the story.

“While it is easy to blame patients for their lifestyle choices, the reason we see this growth is because, over the past 40 years, healthcare providers have not changed their model of care to tackle the root cause of the disease,” he told Arab News.

“Despite all the advances we have seen in healthcare, the system still treats patients episodically — a quick 15 minutes with your doctor every quarter — with a strong emphasis on prescription medications.”

Describing diabetes as “fundamentally a behavioral problem,” Al-Marzooqi highlighted the need for healthcare providers to focus on innovating care models that provide a more consistent follow-up approach that emphasizes changes in behavior.




“The system still treats patients episodically — a quick 15 minutes with your doctor every quarter — with a strong emphasis on prescription medications,” said Dr. Ihsan Al-Marzooqi. (Supplied)

To achieve this, providers need to consistently record new sets of personal data for each patient, a practice Al-Marzooqi says has not yet evolved in MENA countries.

Critiquing current care models, he says patients have little knowledge about the effect of their actions on their health, adding that this has resulted in a large number of poorly controlled diabetics in the GCC.

“We believe that most patients simply do not have agency over their own health, as in they cannot contextualize the extent of how their lifestyle choices can ultimately affect their diabetes outcome,” he said.

At the same time, “providers will always advise their patients on lifestyle modification, but none will actually track the advice they give.”

According to Al-Marzooqi, the outcome is evident in the data collected, which indicates that almost 75 percent of managed diabetics in the GCC with access to care are classified as “poorly controlled.”

Highlighting predictions of a regionwide “tsunami” of healthcare bills as a result of the situation, he says diabetes need not be a costly disease to manage.




Historically, diabetes patients had no choice but to prick their finger several times a day to monitor their blood sugar. (Shutterstock)

“The complications from poorly controlled diabetes are what lead to almost a quarter of healthcare budgets being spent on diabetes,” he said.

To end this cycle, Al-Marzooqi says governments should incentivize healthcare providers by rewarding them for clinical outcomes as opposed to the current fee-for-service models.

If a value-based reimbursement model is put into practice, he argues, providers who innovate and invest in new modalities, such as digital therapeutics, will end up with a better engaged and better managed population. This, in turn, could reduce future complications, thereby reducing the overall cost.

On the upside, Gulf governments have been making efforts to raise awareness about the disease. Early education and training on managing the condition and promoting healthy lifestyles are now widespread at schools and universities in the region, says Suliman.

Some governments have got municipalities to set up public walkways and running tracks and outdoor gyms and ministries to launch nationwide fitness campaigns to encourage people to get active.

Another example of state intervention is the sugar tax in the UAE, announced in 2019, which applies a 50 percent tax on all sugar-sweetened beverages.

From a technological standpoint, treating diabetes has also come a long way, says Suliman. Historically, diabetes patients had no choice but to prick their finger several times a day to monitor their blood sugar and self-inject insulin when needed.

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“We are now spoiled for choice,” she said. Significant progress has been made in the development of glucose sensors and insulin pumps. These devices allow patients to keep track of their sugar levels with live updates on their mobile phones.

Additionally, patients who are in need of insulin on a daily basis have the choice of installing a sensor and pump device that can take care of tracking and applying the right dosage needed to avoid the traditional method of injection.

“There are signs that we can at least flatten the curve,” said Suliman, who believes the younger generation is more conscious of better lifestyle choices.

“The problem is, the rise in diabetes cases has been so steep as to be scary, and if the pessimistic forecasts come true, it would be even scarier.”

She added: “We all have to move in the same direction.”


Anti-aircraft missiles fire as drones fly over Port Sudan: witnesses

A Sudanese man walks past destroyed military vehicles in front of a hospital in Khartoum on April 28, 2025. (AFP)
Updated 01 June 2025
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Anti-aircraft missiles fire as drones fly over Port Sudan: witnesses

  • Since Sudanese authorities fled the capital Khartoum early in the war, Port Sudan has hosted government ministries, the United Nations and hundreds of thousands of people

PORT SUDAN, Sudan: Anti-aircraft missiles fired over Sudan’s wartime capital Port Sudan on Saturday, eyewitnesses reported, as drones flew over the once-safe haven city.
Since April 2023, war has raged between Sudan’s regular army and the paramilitary Rapid Support Forces.
Port Sudan, seat of the army-backed government, came under attack by drones blamed on the RSF for the first time early this month.
The campaign of drone strikes attacked infrastructure including the country’s last functioning civilian international airport, power stations and major fuel depots.
The near-daily strikes had stopped for over a week until Saturday, when residents in the city heard “the sound of anti-aircraft missiles north and west of the city and drones flying in the sky,” one witness told AFP.
Since Sudanese authorities fled the capital Khartoum early in the war, Port Sudan has hosted government ministries, the United Nations and hundreds of thousands of people.
Nearly all aid into the country — home to nearly 25 million people suffering dire food insecurity — transits through Port Sudan.
The war has killed tens of thousands, uprooted 13 million and created what the UN describes as the world’s largest hunger and displacement crises.
It has also effectively split Sudan in two, with the army holding the center, east and north, while the paramilitaries and their allies control nearly all of Darfur and parts of the south.
Since losing Khartoum in March, the RSF has adopted a two-pronged strategy: long-range drone strikes on army-held cities accompanied by counteroffensives to reclaim territory in the country’s south.
The drone strikes have impacted infrastructure across Sudan’s army-held northeast, with attacks on power stations causing blackouts for millions of people.
A blackout in Khartoum also cut off access to clean water, according to health authorities, causing a cholera outbreak that has killed close to 300 people this month.
 

 


Will the lifting of sanctions usher in a new beginning for the Syrian people?

Updated 31 May 2025
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Will the lifting of sanctions usher in a new beginning for the Syrian people?

  • As Syrians begin to dream of a peaceful and prosperous future, experts warn progress will be slow, uneven, and depend on structural reform
  • Analysts say rejoining the global economy is within reach for Syria, but hinges on the pace of reconstruction and restoration of trust in leadership

LONDON: When news broke that Western sanctions on Syria would be lifted, Marwah Morhly finally allowed herself to imagine something she had not dared to in years: a stable life in her hometown of Damascus.

A Syrian writer and editor now living in Turkiye, Morhly once navigated a precarious existence back home — trying to earn a remote income in a country cut off from global banking systems and mired in uncertainty.

Returning to Damascus always felt like a distant dream — too risky and too complicated. But with sanctions easing, that dream is beginning to look attainable.

“It’s a different kind of freedom — the freedom to dream,” she told Arab News.

“As someone who works remotely, the lifting of sanctions lets me imagine a future where I can work from my home in Damascus, receive my salary through a bank transfer directly to my account there, without any form of danger or exploitation.”

Under sanctions, she said, Syrians working with foreign clients had to operate in secrecy.

“We were working in the shadows … like ghosts,” she said. “We weren’t allowed to be visible, like unknown soldiers, because the moment it became clear (to employers abroad) that the work was happening inside Syria, it could jeopardize our livelihoods.”

The breakthrough came on May 13, when US President Donald Trump, during a visit to Riyadh, announced the lifting of sanctions on Syria. He framed the move as a historic opportunity for economic recovery and political stabilization.

A handout picture provided by the Saudi Royal Palace shows the historic meeting between President Donald Trump (C) and Syria's interim president Ahmed al-Sharaa in Riyadh on May 13, 2025, arranged by Saudi Crown Prince Mohammed bin Salman (R). (AFP)

Ten days later, the US Treasury Department issued General License 25, authorizing transactions with Syria’s new transitional government, led by President Ahmad Al-Sharaa. In parallel, the State Department suspended the Caesar Act sanctions for 180 days, signaling a pivot toward reconstruction and humanitarian relief.

The EU soon followed suit, announcing the end of its own economic sanctions in a coordinated effort to support a nation fractured by more than a decade of civil war.

On Saturday, Saudi Arabia’s Foreign Minister Prince Faisal bin Farhan Al-Saud announced from Damascus a joint effort with Qatar to fund salary support for Syria’s state employees.

Saudi Arabia's Foreign Minister Prince Faisal bin Farhan (L) Syria's interim foreign minister Asaad Shaibani giving a joint press conference in Damascus on May 31, 2025. (SANA handout via AFP)

The move built on the two countries’ decision earlier in May to pay off the $15.5 million debt Syria owed to the International Development Association, a World Bank fund that provides zero- or low-interest loans and grants to the world’s poorest countries.

This policy shift did not happen in a vacuum. Ibrahim Al-Assil, a senior fellow at the Middle East Institute, said years of grassroots advocacy were pivotal.

“Of course, the Saudi role was huge, and many Syrians appreciate that, and same for the Turkish role,” Al-Assil told CNN.

“But also, many Syrians have been working on that — from students to academics to activists to business leaders and journalists writing and talking about this and pushing more and more towards lifting sanctions.”

The impact of these efforts goes beyond international politics. “Why? Because it allows Syrians to breathe again,” he said, adding that sanctions are often viewed only on a macro level as something that affects an entire country. In reality, they have a serious impact on daily life.

“We forget that they affect the lives of the individuals on the tiny details — from medicine to connectivity and being able to check their email normally … also to what industries they can have, where they can travel, what kind of machines they can buy for their factories.”

For ordinary Syrians, these limitations posed immense challenges. Now, Al-Assil said, the situation is changing.

“It’s still challenging, but the major obstacle seems to have been moved out of the way for Syrians, allowing them to move ahead and rebuild their country.”

Beyond basic needs, the lifting of sanctions opens new possibilities for professionals still living in Syria — many of whom have endured years of isolation, limited access to technology, and restricted earning potential.

Salma Saleh, a graphic designer based in Damascus, says she has spent 13 years building her career under the weight of sanctions, along with the years before that dedicated to her education.

“The challenges have been endless,” she told Arab News. “We struggled to access most technologies and tools. Often, we had to use workarounds just to get hold of banned software or platforms.”

Freelancing is no easier. “Syrians are blocked from PayPal and most global payment platforms used by freelancing platforms,” she said.

“Even sites essential for our work like Shutterstock, Freepik, and Envato are inaccessible. We can’t even purchase courses on Coursera or Udemy, nor the software we work with, such as Adobe programs.

“We can’t promote our work on social media platforms due to the ban on paid advertisements in Syria. Clients are afraid to work with Syrian freelancers because of the difficulty with payment methods and fears of being accused of funding terrorism.”

Electricity outages posed further challenges. “My heart nearly stopped every time the power cut while I was rendering a video on my laptop,” said Saleh.

“It happened so many times we eventually got used to it. Syrian designers have become the most resilient professionals out there.”

Syria’s electricity sector has all but collapsed owing to infrastructure damage, fuel shortages, and economic sanctions. Once relatively stable, the system now delivers just a few hours of electricity per day. In some areas, that is as little as 30 minutes.

“We had to jump through hoops just to keep up with the rest of the world,” said Saleh. “We gave it everything. I consider the Syrian designer a super designer — and rightfully so.”

For Syrians across the diaspora, the developments mark a fragile but significant turning point. Cautious optimism is beginning to take root — even as the country remains divided and the road to recovery is long.

Lama Beddawi, a Syrian-American DevOps environment analyst based in the US, echoed that sentiment. “The recent decision to lift sanctions on Syria marks a pivotal turning point, and I am hopeful that it signals a move in the right direction,” she told Arab News.

“This development brings a sense of optimism that the country’s long-strained economy may begin to recover, opening the door for increased stability and renewed international investment,” she said.

“With fewer restrictions, Syria has the potential to rebuild its infrastructure, strengthen its institutions, and create opportunities for its people, paving the way for a more sustainable and prosperous future.”

Syrian men work in a textile workshop in Gaziantep, Turkiye, on January 30, 2025. (AFP)

Still, the benefits remain largely theoretical for now. On the ground, daily challenges persist, and progress will take time.

“Everyone understands this isn’t a magic fix — the effects will take time to show,” said Morhly. “As one man from central Damascus put it: ‘For now, we’ll take a hit from the dollar rate, but in a couple of months, more people will actually be able to afford meat again.’”

There is also cautious optimism that basic services might begin to improve. “There’s hope the electricity situation might improve — which is the second biggest concern after water, especially with summer approaching and the heat already setting in,” she added.

From an economic perspective, the lifting of sanctions presents both opportunities and challenges.

Mohamed Ghazal, managing director of Startup Syria, a community-led initiative supporting Syrian entrepreneurs, believes translating sanctions relief into concrete gains such as jobs, investment, and basic services “will be a complex and gradual process.”

He remains optimistic about certain sectors. “Quicker gains are possible in transport and trade,” Ghazal told Arab News.

However, critical areas like general business development and startups are experiencing slower momentum. “Lifting sanctions can take months,” said Ghazal. “Capital flow issues persist due to a crippled banking system.

“Syria’s banks lack access to SWIFT (Society for Worldwide Interbank Financial Telecommunication), suffer low liquidity, and operate under opaque regulations.

“Attracting foreign capital requires a modern investment law, clear property rights, business licensing frameworks, and financial repatriation mechanisms.

“The speed of progress depends on comprehensive reforms, institutional rebuilding, international investment, and continued humanitarian support.

“The lifting of sanctions is expected to open up channels like new funding, banking, or investment channels for Syrian startups.”

Diaspora and foreign investors could offer the capital injection needed to get the economy off its knees.

There are “positive signs from the Syrian diaspora and potential foreign direct investment, especially from GCC countries and Turkiye,” said Ghazal. “Interest from impact investors seeking financial returns and social and environmental impact.”

He identified several immediate priorities for revitalizing the economy, including restoring access to SWIFT, enacting a modern investment law with clear legal protections, and easing import restrictions on essential technology to enable the use of software, cloud services, and digital tools.

The SWIFT system is a global messaging network that enables financial institutions to exchange transaction details — like money transfer instructions — quickly, securely, and accurately across borders.

Before Lebanon’s 2019 financial collapse, many Syrians used its banking system to bypass sanctions, parking billions in assets and accessing US dollars and trade channels. When the system froze, transfers stopped, savings were locked, and Syrians lost access to critical funds.

An employee counts Syrian pounds at an exchange counter in Damascus on May 21, 2025. (AFP)

The Syrian pound then collapsed, inflation surged, and the economy worsened. While some estimates once placed Syrian deposits as high as $40 billion, remaining deposits in 2025 were estimated at just $3 to $4 billion, according to the Karam Shaar Advisory consultancy.

Some experts believe sanctions relief could signal a path forward. Ghassan Ibrahim, a London-based Syria analyst and founder of the Global Arab Network, believes sanctions relief could unlock trade and investment.

“Lifting Western sanctions removes long-standing barriers to Syria joining the global market,” he told Arab News. “It restores credibility and sends a message that Syria is on the right path.”

Investor interest is already growing. “Next week, a few American investors are heading to Damascus. We’re also seeing engagement from GCC countries and Chinese firms already operating there.

“Any relief, especially from the US, will help get Syria back on track. It boosts the government’s legitimacy and strengthens its diplomatic hand.”

The broader economic and political impact cannot be understated. “President Al-Sharaa will be able to travel more freely, engage in diplomacy, and attract serious development partnerships,” said Ibrahim. “That’s critical for reconstruction.

“Ultimately, this shift could improve quality of life, create jobs, and drive long-term growth.”

A man looks at fruits at a stall, some of which were not available while deposed president Bashar al-Assad was in power, like kiwi, mango and pineapple, in the Shalaan Market in the Syrian capital Damascus on May 26, 2025. (AFP)

Still, Syria’s path to recovery remains long. Nearly six months after the fall of Bashar Assad, the country is still plagued by deep sectarian divisions, persistent violence, and political fragmentation.

In March 2025 alone, more than 1,100 people were killed in attacks targeting the Alawite minority following coordinated assaults on government forces. Survivors remain fearful of further violence, and many perpetrators have not been brought to justice.

Foreign threats compound internal instability. Israel has launched multiple airstrikes, including one near the presidential palace, citing threats to the Druze minority. Syria’s new leadership condemned the attacks, highlighting the fragility of foreign relations.

Internally, law and order remains weak. Women and minorities still face abuse, rights protections are unevenly enforced, and extremist groups continue to assert control in some regions, several news agencies have reported.

The humanitarian crisis also endures. Around 16.7 million Syrians rely on aid, while millions remain displaced. Israel maintains a military presence, and Turkiye has voiced opposition to any settlement between Damascus and Kurdish factions — complicating efforts toward national unity.

Though US, EU, and UK sanctions relief is meant to support Syria’s transition, the UN warns of “real dangers of renewed conflict.”

Meanwhile, the interim government faces the daunting task of rebuilding a country where 90 percent of the population lives in poverty and millions remain displaced.

The door may be open, but walking through it will require more than hope. It will take time, trust, and tangible change.
 

 


UNRWA chief warns Gaza famine ‘can still be prevented’ as aid access remains blocked

Updated 31 May 2025
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UNRWA chief warns Gaza famine ‘can still be prevented’ as aid access remains blocked

  • Philippe Lazzarini said amount of aid reaching territory “vastly disproportionate” to the scale of crisis

LONDON: The head of the UN’s agency for Palestinian refugees has warned that famine in Gaza remains preventable, but only if there is the political will to act.

Philippe Lazzarini, Commissioner-General of the United Nations Relief and Works Agency for Palestine Refugees (UNRWA), said the amount of aid reaching the territory is “vastly disproportionate” to the scale of the crisis.

“What we are asking for is not impossible,” he said in a press statement on Saturday, urging that UN agencies be allowed to deliver vital assistance and uphold the dignity of those in need.

According to Lazzarini, just 900 aid trucks have entered Gaza over the past two weeks — covering only around 10% of the population’s daily needs. He stressed that preventing famine requires political decisions, not just logistical efforts.

He also called for the full resumption of humanitarian operations, which have largely been suspended since March 2. During the previous ceasefire, UNRWA and its partners had managed to bring in 600 to 800 trucks per day, he noted, underlining that it is feasible to scale up aid if access is granted.

Meanwhile, medical sources in Gaza said at least 60 Palestinians were killed and 284 injured in the past 24 hours amid ongoing fighting. Local health authorities report that since the conflict began in October 2023, 54,381 people have been killed and 124,381 wounded, with women and children making up the majority of casualties.

Since hostilities resumed on March 18, following a two-month truce, a further 4,117 people have been killed and 12,013 injured, the same sources added.


Kurdish delegation heads to Damascus for talks

A Syrian looks out of a window in his destroyed house in Hama province. (AFP)
Updated 31 May 2025
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Kurdish delegation heads to Damascus for talks

  • The March agreement states that the Kurds are an “essential component of the Syrian state,” guaranteeing the “right to citizenship and all ... constitutional rights.”

DAMASCUS: A delegation from northeast Syria’s semi-autonomous Kurdish administration was headed to Damascus on Saturday for talks on implementing a March deal to integrate Kurdish institutions into the state, a member of the delegation said.
Under the agreement signed by Syria’s interim President Ahmad Al-Sharaa and Mazloum Abdi, head of the Kurdish-led Syrian Democratic Forces, the Kurds are to integrate their civil and military institutions into the national government.
The deal includes all border crossings, oil and gas fields, and a regional airport.
A member of the Kurdish delegation said that “a delegation from the autonomous administration is on the way to Damascus to discuss” details of the March deal.
Despite the accord, the Kurds have criticized a constitutional declaration announced by the new authorities, who took power after ousting Bashar Assad in December, and said the new government failed to reflect the Syrian Arab Republic’s diversity.
Last month, Syrian Kurdish parties adopted a joint vision of a “decentralized democratic state,” a move rejected by Damascus, which warned against attempts at separatism or federalism by the minority group.
The March agreement states that the Kurds are an “essential component of the Syrian state,” guaranteeing the “right to citizenship and all ... constitutional rights.”
Syria’s Kurds suffered marginalization and repression under Assad’s rule, being deprived of the right to speak their language and celebrate their holidays and, in many cases, of Syrian nationality.
Earlier this month, Syrian Foreign Minister Asaad Al-Shaibani warned that delaying the implementation of the deal would “prolong the chaos” in the country.
In an interview broadcast by Shams TV, based in Irbil in northern Iraq’s Kurdistan region, SDF chief Abdi said that “we are committed to what was agreed with Damascus and we are currently working on implementing this agreement.”
He emphasized the need for a “decentralized Syria where all its components live with their full rights and nobody is excluded.”
But he accused Syria’s new authorities of wanting centralization and of “not being ready for everyone to live in Syria.”
Kurdish-led forces took control of much of Syria’s northeast, including its oil fields, during the country’s civil war and the Daesh insurgency.
With support from a US-led international coalition, the Kurdish-led SDF played a key role in Daesh’s territorial defeat in Syria in 2019.
Abdi said all Syrians should benefit from Syria’s oil wealth but said the Kurds wanted “an autonomous administration to govern locally and for the people of the area to manage security and political institutions.”

 


Hamas seeks changes in US Gaza proposal; Witkoff calls response ‘unacceptable’

Updated 31 May 2025
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Hamas seeks changes in US Gaza proposal; Witkoff calls response ‘unacceptable’

  • “This response aims to achieve a permanent ceasefire, a complete withdrawal from the Gaza Strip,” Hamas said
  • Witkoff wrote in a posting on X: “It is totally unacceptable and only takes us backward”

CAIRO/JERUSALEM: Hamas said on Saturday it was seeking amendments to a US-backed proposal for a temporary ceasefire with Israel in Gaza, but President Donald Trump’s envoy rejected the group’s response as “totally unacceptable.”

The Palestinian militant group said it was willing to release 10 living hostages and hand over the bodies of 18 dead in exchange for Palestinian prisoners in Israeli prisons. But Hamas reiterated demands for an end to the war and withdrawal of Israeli troops from Gaza, conditions Israel has rejected.

A Hamas official described the group’s response to the proposals from Trump’s special Middle East envoy Steve Witkoff as “positive” but said it was seeking some amendments. The official did not elaborate on the changes being sought by the group.

“This response aims to achieve a permanent ceasefire, a complete withdrawal from the Gaza Strip, and to ensure the flow of humanitarian aid to our people in the Strip,” Hamas said in a statement.

The proposals would see a 60-day truce and the exchange of 28 of the 58 hostages still held in Gaza for more than 1,200 Palestinian prisoners and detainees, along with the entry of humanitarian aid into the enclave.

A Palestinian official familiar with the talks told Reuters that among amendments Hamas is seeking is the release of the hostages in three phases over the 60-day truce and more aid distribution in different areas. Hamas also wants guarantees the deal will lead to a permanent ceasefire, the official said.

There was no immediate response from Israeli Prime Minister Benjamin Netanyahu’s office to the Hamas statement.

Israel has previously rejected Hamas’ conditions, instead demanding the complete disarmament of the group and its dismantling as a military and governing force, along with the return of all 58 remaining hostages.

Trump said on Friday he believed a ceasefire agreement was close after the latest proposals, and the White House said on Thursday that Israel had agreed to the terms.


Saying he had received Hamas’ response, Witkoff wrote in a posting on X: “It is totally unacceptable and only takes us backward. Hamas should accept the framework proposal we put forward as the basis for proximity talks, which we can begin immediately this coming week.”

On Saturday, the Israeli military said it had killed Mohammad Sinwar, Hamas’ Gaza chief on May 13, confirming what Netanyahu said earlier this week.

Sinwar, the younger brother of Yahya Sinwar, the group’s deceased leader and mastermind of the October 2023 attack on Israel, was the target of an Israeli strike on a hospital in southern Gaza. Hamas has neither confirmed nor denied his death.

The Israeli military, which relaunched its air and ground campaign in March following a two-month truce, said on Saturday it was continuing to hit targets in Gaza, including sniper posts and had killed what it said was the head of a Hamas weapons manufacturing site.

The campaign has cleared large areas along the boundaries of the Gaza Strip, squeezing the population of more than 2 million into an ever narrower section along the coast and around the southern city of Khan Younis.

Israel imposed a blockade on all supplies entering the enclave at the beginning of March in an effort to weaken Hamas and has found itself under increasing pressure from an international community shocked by the desperate humanitarian situation the blockade has created.

On Saturday, aid groups said dozens of World Food Programme trucks carrying flour to Gaza bakeries had been hijacked by armed groups and subsequently looted by people desperate for food after weeks of mounting hunger.

“After nearly 80 days of a total blockade, communities are starving and they are no longer willing to watch food pass them by,” the WFP said in a statement.