In north Syria, skin disease ravages young and old

A Syrian boy holds a cotton wool over his cheek after receiving treatment for a skin disease at a health center in Karama, near Raqqa, on April 16. (AFP)
Updated 25 April 2019

In north Syria, skin disease ravages young and old

  • The skin disease is caused by a microscopic parasite spread by sandflies
  • The illness is endemic to Syria but has become more prevalent during the eight-year civil war

AL-KARAMAH, Syria: Inside a dank clinic in the north of war-torn Syria, a girl covered in scabs wails and tries to wriggle out of her mother’s arms to escape a nurse’s needle.

Gently holding fluffy cotton wool over her eyes, the male health worker injects a transparent liquid into the crusty blemishes on the tip of her nose.

She is one of hundreds in the northern province of Raqqa to be suffering from leishmaniasis, a skin disease caused by a microscopic parasite spread by sandflies.

The illness is endemic to Syria, the World Health Organization (WHO) says, but has become more prevalent during the eight-year civil war.

Dozens of children and adults are seeking treatment between the damp-smelling walls of the health center in the northern town of Karama.

Among them, 15-year-old Shaza Al-Omar awaits her turn.


 “I’ve got some on my leg, my sister’s got 11 lesions on her face, and my brother has some on his eye,” says the teenager, draped from head to toe in black.

Not far off, a father tries in vain to pacify his toddler daughter, who screams as the nurse injects solution into lesions on her face.

Once it is over, he carries her out of the clinic clutching a large packet of potato crisps.

A woman sits on a stretcher, an ailing leg stretched out in front on her, as a nurse injects medicine into one blemish after another.

The number of leishmaniasis cases in Syria doubled from 2010 to 2018 to more than 80,000 patients, WHO says.

Leishmaniasis is usually linked to poverty, poor sanitation, and malnutrition, WHO says, factors likely compounded by the war.

“Marshes, humidity, the house’s proximity to farming land, as well as widespread rubbish” have fueled the spread of the skin condition, says Younes Al-Naeemi, the manager of the Karama health center.


“He’s always scratching it until it bleeds,” she says of her husband’s sore on his hand.

“He itches it, and I tell him not to,” says Jarrad, a black and white scarf wrapped around her greying hair.

“We can’t sleep at night because of all the flies,” she adds.

Across Karama, insects hover over piles of rubbish between rows of modest houses, some still bearing scars of battles that resulted in Kurdish-led forces kicking IS out in 2017.

Younes Al-Naeemi, the manager of the Karama health center, says the clinic has received 4,000 cases of leishmaniasis from the town and surrounding villages since April last year.

But lack of awareness has also compounded the problem.

Some people “come immediately after discovering they have been affected, while others don’t do anything until it gets worse and treatment becomes much harder,” he says.

“Treatment is available, but awareness is more important,” he says.

After a peak of almost 6,800 cases in Raqqa province last year, WHO says there has been a decline in cases at the start of this year.

The international organization has distributed mosquito nets, provided medicine to treat the disease, and supports six health centers in Raqqa, including in Karama.

But it warns the rates could again rise as the weather becomes warmer.

“Sandfly breeding usually peaks when the temperature starts to rise in spring and summer,” WHO spokesman Yahya Bouzo said.

“Unless prevention measures are taken, the number of cases is expected to” increase.

But Karama’s residents say their rural town is neglected.

They complain of a lack of services including regular trash pick-ups.

Hussein Hamoud, 50, says official measures taken to counter the spread of the disease were simply not enough.

“They once sprayed insecticide inside the houses, but then they never did again,” he says.

“Nobody cares. If there was even the slightest concern, this would not have happened,” he says, referring to leishmaniasis.

At a primary school in the nearby village of Jadeeda, a young boy sits upright in his seat, a blemish on his cheek.

Outside the classroom, school director Abd Zeen Al-Morei pulls up his jeans to show off leishmaniasis marks on his leg.

“I’ve got 15 lesions all over my body and I’m still receiving treatment,” says the 26-year-old. Up to 40 children at the school also have the skin disease.



It is a a skin disease caused by a microscopic parasite spread by sandflies. It is usually linked to poverty, poor sanitation, and malnutrition, WHO says.

Egypt’s street iftar comes with a community flavor

Updated 41 min 16 sec ago

Egypt’s street iftar comes with a community flavor

  • Christian clerics in Egypt organize annual Muslim iftar meals to encourage national unity

CAIRO: Hardly a street in Egypt is without its iftar table as families organize “mercy meals” for friends, relatives and neighbors during Ramadan.

A tradition that began to help the poor has been extended to include entire streets and neighborhoods, giving residents and friends a chance to meet, share old memories and instil community values in their children.

In Cairo, people compete to organize large iftar tables laden with food items.

Each year Moataz Aburiyeh plans an iftar table for friends and neighbors in the capital’s central Abdin area.

“I consider it a great opportunity to see a lot of friends and talk about everything,” 38-year-old Aburiyeh told Arab News.

The table contains all kinds of food. “On the table is meat, chicken, rice, salad and other items. I know the family and neighbors’ preferences and I meet their taste,” said Aburiyeh, who owns a men’s clothing store.

Meanwhile, residents in Umm Reza, a village west of Cairo, organized an iftar table to gather all the people of the village for the second year in a row.

School teacher Khaled Kamal, who was behind the idea, said: “I suggested to residents that they gather during Ramadan and everyone welcomed the idea.”

Villagers donated money for the gathering until they had raised more than 10,000 Egyptian pounds ($600).

“We let all the people of the village, including Christians, share the meal,” said Kamal.

Another villager, Sayed Fouad, said: “The iftar was well organized and included hot meals consisting of meat, rice, vegetables, salad, pickles and damietta sweets.”

National unity

For the past five decades, Christian clerics in Egypt have organized annual Muslim iftar meals to encourage national unity.

In the 1970s, the Coptic religious brotherhood began hosting Ramadan meals for Muslims, a move that was followed by the Justice and Peace association a decade later.

Pope Shenouda, the Coptic Orthodox Pope of Alexandria, promoted iftar meals to strengthen the church’s connection with the Egyptian nation.

The Church of the Palace of Dupara in Tahrir Square in central Cairo has been organizing a breakfast table for several years, attended by Muslim and Christian leaders. The church is being supervised by a number of young men and women.

Coptic scholar Robert Al-Fares said: “The Christians of Egypt are organizing iftar to show that society has returned to a period of friendship and unified spirit.

“This is a positive phenomenon that confirms the end of a dark era of division between sects and religions,” he said, referring to the rule of the Muslim Brotherhood in 2012 and 2013.

“Egyptians have returned to their normal state after a period of radicalization by extremists who sought to destroy the culture of tolerance and acceptance between Egyptian people,” Al-Fares said.