Aid workers in Syria fear cholera spread if cross-border support halted

Civil defense members talk to internally displaced Syrians during a cholera awareness campaign, at a camp in northern rebel-held Idlib, Syria. (File/Reuters)
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Updated 06 January 2023
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Aid workers in Syria fear cholera spread if cross-border support halted

  • 4 million people live in dire conditions and rely heavily on the food and medicine
  • Top UN officials warned ending the operation would be “catastrophic”

BEIRUT/ISTANBUL: Humanitarian workers operating in the last opposition-held part of Syria fear a cholera outbreak sweeping the region will deepen further if the United Nations is forced to stop aid deliveries across the border from Turkiye.
The area’s 4 million people live in dire conditions and rely heavily on the food and medicine that has been brought across the border since a 2014 UN Security Council resolution allowed such deliveries despite the Syrian government’s objections.
The Security Council is due to vote on Monday, a day before the current authorization expires, on renewing it for a further six months. Health workers in the zone, which comprises most of the province of Idlib and parts of Aleppo province in northwestern Syria, fear the consequences should Syria’s ally Russia veto it or place further restrictions on the program.
“The capabilities of the health sector are already very weak, and we suffer from an acute shortage of medicines, medical supplies and serums,” said Dr. Zuhair Al-Qurat, the head of Idlib’s health directorate.
“Stopping cross-border aid will have a multiplier effect on the cholera outbreak in the region,” he told Reuters.
Though diplomats say Russia has indicated it will allow the authorization’s renewal, uncertainty remains.
Russia’s deputy UN Ambassador Dmitry Polyanskiy told Reuters the implementation of the current resolution — adopted in July — was “far from our expectations” and a final decision would be made by Moscow on Monday.
Top UN officials, including aid chief Martin Griffiths, have warned that ending the operation would be “catastrophic.”
Idlib has recorded more than 14,000 suspected cholera cases and Aleppo more than 11,000 since the outbreak began in September, making them the second and fourth worst-hit in Syria respectively.
They are particularly vulnerable because they rely on water from the Euphrates river to drink and irrigate crops, and because the health sector in opposition-held Syria has been battered by more than a decade of war.
CLEAN WATER
The UN authorization allows agencies to bring in hygiene kits, chlorine tablets to disinfect water and equipment for eight cholera treatment centers with more than 200 beds. Non-governmental groups also truck safe drinking water to homes.
Without it, international NGOs would not have international legal cover and could not keep up with the pace and quantities of aid needed, three aid workers told Reuters.
That is in part because large donor countries trust that aid brought in through the UN will not be politicized, unfairly distributed or seized by hard-line armed groups.
The chlorine used to disinfect water presents a particular challenge. The chemical has been used in Syria as a weapon of war, prompting concerns among donors that would slow down its procurement for cholera treatment by humanitarian organizations other than the UN, the aid workers said.
“These centers and health facilities would be suspended. Supplies ... transhipped specifically for the cholera pandemic in the northwest would be interrupted – fluid, serums, injections, oral medications,” said Mohammad Jasem, the International Rescue Organization’s northwest Syria coordinator.
Even if the resolution is renewed for another six months, health workers have already suffered from short-term renewals, leaving them unable to plan ahead, said Osama Abou el-Ezz, the head of the Syrian-American Medical Society (SAMS) in Aleppo.


Fierce fighting in northern Gaza as aid starts to roll off US-built pier

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Fierce fighting in northern Gaza as aid starts to roll off US-built pier

  • Residents said Israeli bulldozers were demolishing homes and shops in Jabalia in the path of the advance
  • In the south, Palestinian militants put up a fierce resistance, attacking tanks massing around Rafah
  • Hamas says US floating aid pier is no substitute for end of Israeli siege of Gaza

CAIRO: Israeli forces battled Hamas fighters in the narrow alleyways of Jabalia in northern Gaza on Friday in some of the fiercest engagements since they returned to the area a week ago, while in the south militants attacked tanks massing around Rafah.

Residents said Israeli armor had thrust as far as the market at the heart of Jabalia, the largest of Gaza’s eight historic refugee camps, and that bulldozers were demolishing homes and shops in the path of the advance.
“Tanks and planes are wiping out residential districts and markets, shops, restaurants, everything. It is all happening before the one-eyed world,” Ayman Rajab, a resident of western Jabalia, said via a chat app.
Israel had said its forces cleared Jabalia months earlier in the Gaza war, triggered by the deadly Hamas-led attacks on southern Israel on Oct. 7, but said last week it was returning to prevent Islamist militants re-grouping there.
In southern Gaza bordering Egypt, thick smoke rose over Rafah, where an escalating Israeli assault has sent hundreds of thousands of people fleeing from what was one of the few remaining places of refuge.
“People are terrified and they’re trying to get away,” Jens Laerke, UN humanitarian office spokesperson, said in Geneva, adding that most were following orders to move north toward the coast but that there were no safe routes or destinations.
As the fighting raged, the US military said trucks started moving aid ashore from a temporary pier, the first to reach the besieged enclave by sea in weeks.
The World Food Programme, which expects food, water, shelter and medical supplies to arrive through the floating dock, said the aid was transported to its warehouses in Deir Al Balah in central Gaza and told partners it was ready for distribution.

Ships are seen near a temporary floating pier built to receive humanitarian aid in the Gaza Strip in Gaza Beach on May 18, 2024. (Israel Defense Forces/Handout via REUTERS)

The United Nations earlier reiterated that truck convoys by land — disrupted this month by the assault on Rafah — were still the most efficient way of getting aid in.
“To stave off the horrors of famine, we must use the fastest and most obvious route to reach the people of Gaza – and for that, we need access by land now,” deputy UN spokesperson Farhan Haq said.
US aid was arriving in Cyprus for delivery to Gaza via the new pier, Washington said.
Hamas demanded an end to Israel’s siege and accused Washington of complicity with an Israeli policy of “starvation and blockade.”
The White House said US national security adviser Jake Sullivan would visit Israel on Sunday and stress the need for a targeted offensive against Hamas militants rather than a full-scale assault on Rafah.
A group of US medical workers left the Gaza Strip after getting stuck at the hospital where they were providing care, the White House said.

Ships are seen near a temporary floating pier built to receive humanitarian aid in the Gaza Strip in Gaza Beach on May 18, 2024. (Israel Defense Forces/Handout via REUTERS)

Humanitarian fears
The Israel Defense Forces said troops killed more than 60 militants in Jabalia in recent days and located a weapons warehouse in a “divisional-level offensive.”
A divisional operation would typically involve several brigades of thousands of troops each, making it one of the biggest of the war.
“The 7th Brigade’s fire control center directed dozens of airstrikes, eliminated terrorists and destroyed terrorist infrastructure,” the IDF said.
At least 35,303 Palestinians have now been killed, according to figures from the enclave’s health ministry, while aid agencies have warned repeatedly of widespread hunger and dire shortages of fuel and medical supplies.
Israel says it must capture Rafah to destroy Hamas and ensure the country’s safety. In the Hamas attack on Oct. 7, 1,200 people died in Israel and 253 were taken hostage, according to Israeli tallies. About 128 hostages are still being held in Gaza.
Israel said on Friday that its forces retrieved the bodies of three people killed at the Nova music festival in Israel on Oct. 7 and taken into Gaza.
In response, Hamas said negotiations were the only way for Israel to retrieve hostages alive: “The enemy will not get its prisoners except as lifeless corpses or through an honorable exchange deal for our people and our resistance.”
Talks on a ceasefire have been at an impasse.

’Tragic war’
Israeli tanks and warplanes bombarded parts of Rafah on Friday, while the armed wings of Hamas and Islamic Jihad said they fired anti-tank missiles and mortars at forces massing to the east, southeast and inside the Rafah border crossing with Egypt.
UNRWA, the main UN aid agency for Palestinians, said more than 630,000 people had fled Rafah since the offensive began on May 6.
“They’re moving to areas where there is no water — we’ve got to truck it in — and people aren’t getting enough food,” Sam Rose, director of planning at UNRWA, told Reuters on Friday by telephone from Rafah, where he said it was eerily quiet.
At the International Court of Justice, or World Court, in The Hague, where South Africa has accused Israel of violating the Genocide Convention, Israeli Justice Ministry official Gilad Noam defended the operation.
The South African legal team, which set out its case for fresh emergency measures the previous day, framed the Israeli military operation as part of a genocidal plan aimed at bringing about the destruction of the Palestinian people.


WHO says no medical supplies received in Gaza for 10 days

Updated 18 May 2024
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WHO says no medical supplies received in Gaza for 10 days

GENEVA: The World Health Organization said Friday that it has received no medical supplies in the Gaza Strip for 10 days as Israel pursues a new offensive against Hamas.
Israel’s closure of the Rafah crossing into Gaza has caused “a difficult situation,” WHO spokesman Tarik Jasarevic said. “The last medical supplies that we got in Gaza was before May 6.”
Israeli troops entered the city of Rafah on May 7 to extend their offensive against Hamas over the militant group’s attacks seven months earlier. They closed the Rafah crossing into Egypt that is crucial for humanitarian supplies.
With UN agencies warning of a growing risk of famine in Gaza, the Kerem Shalom and Erez crossings from Israel are also virtually shut down.
Jasarevic said the biggest concern was over fuel needed to keep clinics and hospitals running. Gaza’s health facilities need up to 1.8 million liters of fuel a month to keep operating.
The spokesman said only 159,000 liters had entered Rafah since the border closure. “This is clearly not sufficient,” he added, highlighting how only 13 out of 36 hospitals across the Palestinian territory were now “partially” operating.
“Hospitals still functioning are running out of fuel, and that puts so many lives at danger,” said Jasarevic. “Current military operations in Rafah are putting countless lives at risk.”
The Hamas attack on October 7 resulted in the death of more than 1,170 people in Israel, most of them civilians, according to an AFP tally based on official Israeli figures. Out of 252 people taken hostage, 128 are still held inside Gaza, but the army says 38 have died.
More than 35,300 people, mostly civilians, have been killed in the Palestinian territory since the war broke out, according to data provided by the health ministry of Hamas-run Gaza.


Hezbollah uses new weapons in Israel attacks

Updated 18 May 2024
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Hezbollah uses new weapons in Israel attacks

  • The Israeli army said three soldiers were wounded in an attack on Thursday
  • Hezbollah has a large arsenal of weapons, that it has expanded significantly in recent years

BEIRUT: Lebanon’s powerful armed group Hezbollah announced on Thursday it had used a drone capable of firing rockets at a military position in one of its latest attacks in northern Israel.
Israel and Hezbollah have been involved in near-daily exchanges of fire since the war between Israel and Hamas broke out on October 7.
Hezbollah announced it had used an “armed attack drone” equipped with two S-5 rockets on a military position in Metula in northern Israel.
The Iran-backed group published a video showing the drone heading toward the position, where tanks were stationed, with the footage showing the moment the two rockets were released followed by the drone exploding.
It was the first time they had announced the use of this type of weapon since the cross-border exchanges with Israel erupted in October.
The Israeli army said three soldiers were wounded in Thursday’s attack.
Hezbollah-affiliated media said that the drone’s warhead consisted of between 25 and 30 kilogrammes (55 and 66 pounds) of high explosive.
Military analyst Khalil Helou told AFP that the use of drones offers Hezbollah the ability to launch the attack from within Israeli territory, as they can fly at low altitudes, evading detection by radar.
Hezbollah also announced on Wednesday that it had launched a strike using “attack drones” on a base west of the northern Israeli town of Tiberias.
That attack was the group’s deepest into Israeli territory since fighting flared, analysts said.
In recent weeks, the Lebanese militant group has announced attacks that it has described as “complex,” using attack drones and missiles to hit military positions, as well as troops and vehicles.
It has also used guided and heavy missiles, such as Iran’s Burkan and Almas missiles, as well as the Jihad Mughniyeh missile, named after a Hezbollah leader killed by Israeli fire in Syria in 2015.
Helou, a retired general, said that depite its new weaponry, Hezbollah still relied primarily on Kornet anti-tank missiles with a range of just five to eight kilometers.
They also use the Konkurs anti-tank missile, which can penetrate Israel’s Iron Dome defense system.
Hezbollah has a large arsenal of weapons, that it has expanded significantly in recent years.
The group has said repeatedly that it has advanced weapons capable of striking deep inside Israeli territory.
Analysts have described the skirmishes between Israel and Hamas as a war of “attrition,” in which each side is testing the other, as well as their own tactics.
Hezbollah has expanded the range of its attacks in response to strikes targeting its munitions and infrastructure, or its military commanders.
One such Israeli strike on Wednesday targeted the village of Brital in Lebanon’s eastern Bekaa Valley, with the Israeli army later announcing it had hit a “terror target related to Hezbollah’s precision missile project.”
Helou said Hezbollah’s targeting of the base near Tiberias and its use of the rocket-equipped drone “can be interpreted as a response to the attack on Brital, but it remains a shy response compared to the group’s capabilities.”
He suggested that the Israeli strike likely hit a depot for Iranian missiles that had not yet been used by Hezbollah.
“Hezbollah does not wish to expand the circle of the conflict,” Helou said.
“What is happening is a war of attrition through which it is trying to distract the Israeli army” from Gaza and seeking to prevent it from “launching a wide-ranging attack on Lebanon.”


US officials held indirect talks with Iran on avoiding regional escalation: report

Updated 18 May 2024
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US officials held indirect talks with Iran on avoiding regional escalation: report

Two top Biden administration officials held indirect talks with Iranian counterparts this week in an effort to avoid escalating regional attacks, Axios reported on Friday.
The conversations marked the first round of discussions between the US and Iran since January, according to Axios.


One Palestinian killed, eight wounded in Israeli strike on West Bank refugee camp

Updated 18 May 2024
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One Palestinian killed, eight wounded in Israeli strike on West Bank refugee camp

  • Israel has killed more than 35,000 Palestinians, according to Gaza’s Health Ministry

RAMALLAH, West Bank: At least one person was killed and eight wounded on Friday in an Israeli air strike on the Jenin refugee camp in the occupied West Bank, the Palestinian health ministry and Israeli military said.
The Palestinian health ministry said the eight wounded people were in stable condition and receiving treatment at hospitals. Reuters could not immediately confirm their identities.
The Israeli military said a fighter jet conducted the strike, a rarity in the West Bank, where violence had been surging long before the Gaza war.
Residents of the refugee camp said a house was targeted.
The West Bank is among territories Israel occupied in a 1967 Middle East war. Palestinians want it to be the core of an independent Palestinian state.