Protracted Gaza conflict raises risk of outbreak of diseases in Arab region

A deadly concoction of war and health crisis in Gaza due to lack of food, sanitation and shelter, raises the threat of outbreaks. (AFP)
Short Url
Updated 03 January 2024
Follow

Protracted Gaza conflict raises risk of outbreak of diseases in Arab region

  • Combination of war and health crisis due to lack of food, clean water and shelter seen as “recipe for epidemics”
  • As winter weather weakens immune systems, experts fear an epidemic in Gaza could spread to neighboring states

DUBAI: In the Gaza Strip, civilians are being killed by more than Israeli bombs from the air or bullets flying between Israeli troops and Hamas militants battling at close range. They also face a slow death due to hunger and a lack of basic medical care as most hospitals in the enclave are out of service.

To the long list of potential killers, we can add one more: diseases. The World Health Organization has warned that the deadly concoction of war and health crisis due to a lack of food, clean water and shelter has become a “recipe for epidemics.”

From Nov. 29 to Dec. 10, cases of diarrhea in children under five jumped 66 percent to 59,895 cases and were up to 55 percent for the rest of the population in the same period, according to WHO data.




The pandemic exposed inequalities and divisions within and between nations. (AFP/Supplied)

The UN agency said the numbers were most certainly incomplete, and possibly higher, since all systems and services in Gaza had collapsed owing to the intensifying war between Israel and Hamas.

At the end of November, Dr. Mike Ryan, WHO executive director of health emergencies program, said at the UN headquarters that an ultimatum from Israeli forces to civilians to keep moving prompted a concentration of Palestinians in UNRWA centers and schools. This development, coupled with cold rain, caused a spike in child pneumonia, “fueling epidemic risks.”

INNUMBERS

21,000+

Palestinians killed in Gaza violence so far.

54,000+

People injured in the fighting since Oct. 7.

1,200

People killed in Hamas-led Oct. 7 attack in Israel.

240

Estimated people taken into Gaza as hostages.

168

Israeli troops killed since launch of ground offensive.

According to the WHO, very soon the public health risk will be “as grave as those faced with injuries that are going untreated with water, food and fuel so scarce.

“The perfect storm for disease has begun,” James Elder, chief spokesperson for the UN Children’s Fund, said in an interview on Dec. 12 with Reuters. “Now it’s about, ‘How bad will it get?’”




The World Health Organization has warned that the deadly concoction of war and health crisis due to a lack of food, clean water and shelter has become a “recipe for epidemics.”. (AFP/Supplied)

All kinds of infections are doing the rounds in the Middle East as cold weather sets in and illnesses menace residents of refugee camps from war-battered northern Syria to beleaguered Gaza, all areas with broken health infrastructure.

Epidemics are defined as high-impact infectious diseases. They differ from chronic, non-infectious diseases, such as heart disease and cancer, due to their sudden appearance and the usually short-lived nature of their duration.

FASTFACT

The UN observed International Day of Epidemic Preparedness on Dec. 27.

The other distinctive trait of epidemics is the magnitude and scale of their destruction such as that inflicted by the COVID-19 pandemic.

The pandemic exposed inequalities and divisions within and between nations, revealing the gaping holes in the world’s ability to prepare for, detect and react swiftly in the onslaught of an epidemic as well as other health emergencies.




No one in Gaza is safe from starvation, says Cindy McCain Executive director, World Food Programme

The Arab Human Development Report, published by the UNDP in September 2022, described how COVID-19 and climate change had set the Arab world back on its path to development.

The report came to conclusion that the pandemic “erased several years of gains in human development.”

Even before the pandemic struck, the Arab region was struggling with challenges that ran the gamut from conflict and food insecurity to political instability and high unemployment, which in turn produced lackluster economic growth year after year.




A deadly concoction of war and health crisis in Gaza due to lack of food, sanitation and shelter, raises the threat of outbreaks. (AFP)

The risk of epidemics and medical emergencies is strongest in Arab countries reeling from the effects of regional conflict, socioeconomic fragility and climate change. These include Jordan, Syria, Lebanon, Iraq, Egypt and Palestine.

One example was cholera outbreaks in Syria, Lebanon and Iraq during the second half of 2022. The old sickness, regarded as the 19th century’s most dreaded disease, reared its head in the fragile nations of the Levant just as they were recovering from the COVID-19 pandemic.

In December 2021, during a special session of the World Health Assembly, the WHO’s highest decision-making body, comprising all its 194 sovereign member countries, agreed on a “global process to draft and negotiate a convention, agreement or other international instrument under the constitution of the World Health Organization to bolster pandemic prevention, preparedness and response across the world.




Without aid, disease could spread to vulnerable Arab countries. (AFP/Supplied)

“The world was, and remains, unprepared for large-scale health emergencies,” Dr. Margaret Harris, a WHO spokesperson, told Arab News.

“The COVID-19 pandemic revealed deep flaws in the world’s defenses against health emergencies, exposed and exacerbated profound inequities within and between countries, and eroded trust in governments and institutions.”

Harris said that all countries need to be focused on three interlinked priorities as per the most recent draft of the pandemic agreement.

These are key “to the renewal and recovery of national and global health systems that we need to break the cycle of panic and neglect, improve population health, and make countries better prepared for and more resilient against future health emergencies.”

Countries are urged to “tackle the root causes of disease and ill-health, reorient health systems toward primary health care and universal health coverage and rapidly strengthen the global architecture for health emergency preparedness and response.”

The WHO divides the world into six regions. Most Middle Eastern countries fall into the Eastern Mediterranean region.

Harris said that the WHO looks at health crises from a global perspective rather than on a regional basis. Nevertheless, the organization’s plan for large-scale health emergencies can be applied to the Arab world.

Where health systems have deteriorated and a combination of social unrest and conflict is causing panic, trauma and violence to be a part of everyday life — as in the case of Gaza — addressing the WHO’s three priorities is a daunting challenge, if not altogether impossible.

Seventy-eight days into the Gaza war, more than 1.8 million people have been forced into densely populated shelter centers in limited geographic areas.

These shelters record high rates of infectious diseases like diarrhea, acute respiratory and skin infections, and hygiene-related diseases due to overcrowding, unhygienic conditions, and a lack of toilets and sanitation services.

Moreover, according to WHO figures from Dec. 10, 21 of the Gaza Strip’s 36 hospitals are now closed. Out of these, 11 are partially functional while four are working minimally.

“The entire health system here in Gaza just does not have the capacity to cope with the current situation,” Marie-Aure Perreaut, a Medecins Sans Frontieres emergency coordinator in Gaza, said in a statement.

“Hospitals are completely overwhelmed with the influx of wounded they’ve been receiving for the past few weeks.”

Perreaut noted that the MSF had to abandon a health center in Khan Younis 10 days ago because the area was within Israel’s evacuation orders. There, the charity had been treating diarrhea, skin infections and respiratory tract infections.

She told Reuters that two scenarios were now inevitable. “The first is that an epidemic of something like dysentery will spread across Gaza, if we continue at this pace of cases, and the other certainty is that neither the Ministry of Health nor the humanitarian organizations will be able to support the response to those epidemics,” she said.

As the Middle East’s cold temperatures and winter weather give rise to infections that in turn weaken immune systems, the risks of an epidemic in Gaza and its spillover even into Arab countries not mired in conflict will continue to be high.

 

 


Ship collision off UAE coast due to navigational misjudgment: Ministry of Energy

Updated 8 sec ago
Follow

Ship collision off UAE coast due to navigational misjudgment: Ministry of Energy

DUBAI: Tuesday’s collision between two ships in the Sea of Oman was due to a ‘navigational misjudgment by one of the vessels’, the UAE’s Ministry of Energy and Infrastructure said on Wednesday, citing preliminary information.

The oil tanker named Adalynn, flying the flag of Antigua and Barbuda, and the vessel named Front Eagle, flying the flag of Liberia, collided and caught fire approximately 24 nautical miles (44.448km) off the coast of the UAE, the ministry said in a report by state news agency WAM.

 

 

The incident caused minor surface damage to the outer hulls of both ships, a small oil spill, and a fire that broke out in the fuel tank of one of the ships. No injuries were reported among the crew members of either vessel, the ministry added.

UAE coastguard personnel evacuated 24 crew members from the Adalynn to the port of Khor Fakkan.

A technical investigation was underway in coordination with relevant international bodies, the ministry noted.


Use of US bunker-buster bomb looms over Iran conflict

Updated 52 min 13 sec ago
Follow

Use of US bunker-buster bomb looms over Iran conflict

  • The GBU-57 is a 30,000-pound warhead capable of penetrating 200 feet underground before exploding
  • It is missing from Israel’s arsenal despite its stated goal of preventing Iran from building a nuclear bomb

WASHINGTON: A powerful American bunker-busting bomb is the only weapon capable of destroying Iran’s deeply buried nuclear facilities, making it President Donald Trump’s weapon of choice if he chooses to militarily back Israel.

The GBU-57, a 30,000-pound (13,607 kg) warhead capable of penetrating 200 feet (61 meters) underground before exploding, is missing from Israel’s arsenal despite its stated goal of preventing Iran from building a nuclear bomb.

In less than a week, the Israeli army has taken out Iranian military commanders and damaged numerous surface installations, raising more questions than answers.

“The regime’s missile stockpiles, launchers, military bases, production facilities, nuclear scientists, military command and control has taken a very severe beating,” said Behnam Ben Taleblu, director of the Iran program at the Washington-based think tank Foundation for Defense of Democracies (FDD), a conservative-leaning group.

“But there are still outsized questions as to how efficacious of a strike Israel had against the beating hearts of Iran’s nuclear program,” Taleblu said.

The International Atomic Energy Agency (IAEA) has reported no damage at Fordo, a uranium enrichment plant south of Tehran. Unlike the Natanz and Isfahan sites in central Iran, Fordo is buried deep underground, beyond the reach of Israeli bombs.

“All eyes will be on Fordo, which is buried under about 300 feet of rock in central Iran,” Taleblu said.

Former US Army lieutenant general and Rand Corporation defense researcher Mark Schwartz insists that “only the United States has the conventional capacity” to destroy such a site.

And by “conventional capacity,” he means the non-nuclear GBU-57 bomb.

The US military says the GBU-57 – also named Massive Ordnance Penetrator – “is designed to penetrate up to 200 feet underground before exploding,” navigating through rock and concrete.

This differs from missiles or bombs that typically detonate their payload near or upon impact.

“To defeat these deeply buried targets, these weapons need to be designed with rather thick casings of steel, hardened steel, to sort of punch through these layers of rock,” said Masao Dahlgren, a fellow working on missile defense for the Center for Strategic and International Studies (CSIS), a Washington-based research center.

The 6.6-meter-long GBU-57 also has a specialized fuse because “you need an explosive that’s not going to immediately explode under that much shock and pressure,” Dahlgren said.

Design for this bomb began in the early 2000s, and an order for 20 units was placed with Boeing in 2009.

The only aircraft capable of deploying the GBU-57 is an American B-2 Bomber, a stealth aircraft.

Some of these bombers were deployed in early May on Diego Garcia, the site of a joint UK-US military base in the Indian Ocean, but were no longer visible by mid-June, according to AFP’s analysis of satellite imagery provided by Planet Labs.

With their long-range capabilities, B-2s departing from the United States “are able to fly all the way to the Middle East to do bombing runs. That’s been done before,” Dahlgren said.

Each B-2 can carry two GBU-57 bombs, and Schwartz said multiple bombs will likely be needed.

“They’re not going to just be one and done,” he said.

Schwartz added that the air superiority Israel has established over Iran reduces the risks faced by the B-2 bombers.

Such a US intervention would come with “a lot of political baggage for America,” Taleblu said, emphasizing that the bunker-buster bomb is not the only way to address Iran’s nuclear program.

Without the GBU-57 bombs, and short of a diplomatic solution, Taleblu said Israelis could attack access to underground complexes like Fordo by “trying to hit entrances, collapse what they can, cut electricity” and take other measures that have already been taken at Natanz.


Syrian farmers pay price of worst drought in decades

Updated 18 June 2025
Follow

Syrian farmers pay price of worst drought in decades

  • One fruit grower forced to chop down dead pear trees and use them for firewood

DAMASCUS: Syria’s worst drought in decades is taking a devastating toll on the agricultural region of Al-Nashabiyah east of Damascus.
Water reserves are down by more than 60 percent on previous years, levels in dams in March were lower than the past two years, and some areas have lost more than 70 percent of their groundwater reserves.
Farmer Mati Mohammed Nasser expects to lose his whole harvest of wheat, pears, plums and other fruit and vegetables. He usually picks about 200 kg of pears a year from trees he has raised from seedlings, but this year he will chop down the dead trees and use them for firewood.
He paid almost $2,000 to dig a deep well, but the water was only a couple of centimeters deep.
“What are we supposed to do with that?” he said. “We have lost hope. We sold everything we had and invested it into the land.”

Another farmer, Al-Nashabiyah’s deputy mayor Mahmoud Al-Hobeish, is $4,000 in debt. “People are asking for it and they know I cannot pay,” he said.


Israel-Iran air war enters sixth day, Trump calls for Iran’s ‘unconditional surrender’

Updated 18 June 2025
Follow

Israel-Iran air war enters sixth day, Trump calls for Iran’s ‘unconditional surrender’

  • US moves additional fighter jets to region
  • Trump says whereabouts of Iranian leader Khamenei are known

JERUSALEM/WASHINGTON/DUBAI: Iran and Israel launched new missile strikes at each other on Wednesday as the air war between the two longtime enemies entered a sixth day despite a call from US President Donald Trump for Iran’s unconditional surrender.
The Israeli military said two barrages of Iranian missiles were launched toward Israel in the first two hours of Wednesday morning. Explosions were heard over Tel Aviv.
Israel told residents in the area of Tehran to evacuate so its air force could strike Iranian military installations. Iranian news websites said explosions were heard in Tehran and the city of Karaj west of the capital.
Trump warned on social media on Tuesday that US patience was wearing thin. While he said there was no intention to kill Iran’s leader “for now,” his comments suggested a more aggressive stance toward Iran as he weighs whether to deepen US involvement.
“We know exactly where the so-called ‘Supreme Leader’ is hiding,” he wrote on Truth Social, referring to Iran’s Ayatollah Ali Khamenei. “We are not going to take him out , at least not for now ... Our patience is wearing thin.”
Three minutes later Trump posted, “UNCONDITIONAL SURRENDER!“
A White House official said Trump spoke to Israeli Prime Minister Benjamin Netanyahu by phone on Tuesday.
Trump’s sometimes contradictory and cryptic messaging about the conflict between close US ally Israel and longtime foe Iran has deepened the uncertainty surrounding the crisis. His public comments have ranged from military threats to diplomatic overtures, not uncommon for a president known for an often erratic approach to foreign policy.
Britain’s leader Keir Starmer, speaking at the Group of Seven nations summit in Canada that Trump left early, said there was no indication the US was about to enter the conflict.
Trump met for 90 minutes with his National Security Council on Tuesday afternoon to discuss the conflict, a White House official said. Details were not immediately available.
The US is deploying more fighter aircraft to the Middle East and extending the deployment of other warplanes, three US officials told Reuters. The US has so far only taken defensive actions in the current conflict with Iran, including helping to shoot down missiles fired toward Israel.

Regional influence weakens
Khamenei’s main military and security advisers have been killed by Israeli strikes, hollowing out his inner circle and raising the risk of strategic errors, according to five people familiar with his decision-making process.
With Iranian leaders suffering their most dangerous security breach since the 1979 Islamic Revolution, the country’s cybersecurity command banned officials from using communications devices and mobile phones, Fars news agency reported.
Israel launched a “massive cyber war” against Iran’s digital infrastructure, Iranian media reported.
Ever since Iran-backed Hamas attacked Israel on October 7, 2023, and triggered the Gaza war, Khamenei’s regional influence has waned as Israel has pounded Iran’s proxies — from Hamas in Gaza to Hezbollah in Lebanon, the Houthis in Yemen and militias in Iraq. Iran’s close ally, Syria’s autocratic president Bashar Assad, has been ousted.
Israel launched its air war, its largest ever on Iran, on Friday after saying it had concluded the Islamic Republic was on the verge of developing a nuclear weapon.
Iran denies seeking nuclear weapons and has pointed to its right to nuclear technology for peaceful purposes, including enrichment, as a party to the international Non-Proliferation Treaty.
Israel, which is not a party to the NPT, is the only country in the Middle East believed to have nuclear weapons. Israel does not deny or confirm that.
Netanyahu has stressed that he will not back down until Iran’s nuclear development is disabled, while Trump says the Israeli assault could end if Iran agrees to strict curbs on enrichment.
Before Israel’s attack began, the 35-nation board of governors of the UN nuclear watchdog, the International Atomic Energy Agency, declared Iran in breach of its non-proliferation obligations for the first time in almost 20 years.
The IAEA said on Tuesday an Israeli strike directly hit the underground enrichment halls at the Natanz facility.
Israel says it now has control of Iranian airspace and intends to escalate the campaign in coming days.
But Israel will struggle to deal a knock-out blow to deeply buried nuclear sites like Fordow, which is dug beneath a mountain, without the US joining the attack.
Iranian officials have reported 224 deaths, mostly civilians, while Israel said 24 civilians had been killed. Residents of both countries have been evacuated or fled.
Global oil markets are on high alert following strikes on sites including the world’s biggest gas field, South Pars, shared by Iran and Qatar.


Iran celebrates state TV presenter after Israeli attack

Updated 18 June 2025
Follow

Iran celebrates state TV presenter after Israeli attack

  • “This dust you see in the studio...” she began, her finger raised, before being interrupted by the sound of yet another blast

TEHRAN: Facing the camera with a defiant gaze, her index finger raised in the air, Iranian TV presenter Sahar Emami became an icon in her country after an Israeli attack on the state broadcaster.
“What you can see is the flagrant aggression of the Zionist regime against the Islamic Republic of Iran and the Iranian broadcaster,” she said on air Monday as several explosions were heard in the background.
“What you just heard was the sound of an aggressor against the motherland, the sound of an aggressor against truth,” added Emami, who is known for her impactful interviews with government officials.
“This dust you see in the studio...” she began, her finger raised, before being interrupted by the sound of yet another blast.
The journalist, clad in a black chador, rushed out of her seat and disappeared from view.
The destruction in the studio, which quickly filled with smoke and dust, was broadcast live before the transmission was cut.
Emami, who Iranian media say is in her 40s, is a familiar face to viewers in the Islamic republic after some 15 years on air with state television.
She resumed the broadcast just a few minutes after the attack, as if nothing unusual had happened.
The broadcaster’s headquarters in the capital Tehran with its recognizable glass exterior was badly damaged in the fire that broke out as a result of the Israeli attack.
Official media shared images of charred offices and studios no longer usable.
Iranian Foreign Minister Abbas Araghchi on Tuesday denounced Israel’s “cowardice” in striking the state television building, in an attack that the broadcaster said killed three people.
“The attack against the Iranian broadcaster demonstrates the Israelis’ desperation,” Araghchi said.
Conservative newspaper Farhikhtegan said on its front page on Tuesday: “Female journalist’s resistance until the last moment sends a clear message.”
Ultraconservative publication Kayhan said: “The courage of the lioness presenter surprised friends and foes.”
The government put up a banner in Tehran’s central Vali-Asr Square honoring Emami, showing her image paired with a verse from the Persian poet Ferdowsi that celebrated the courage of women “on the battlefield.”
The state broadcaster has aired the clip of Emami during Monday’s attacks multiple times since then, celebrating its presenter.
State TV meanwhile mocked a reporter for the London-based Iran International TV, which is critical of the Iranian government.
In footage from a live broadcast, the reporter in Israel is seen rushing to a bomb shelter after warnings of incoming missiles from Iran.