Extremist attacks kill 17 Syria pro-regime fighters: monitor

The attacks were conducted by Hayat Tahrir Al-Sham and Hurras Al-Deen extremist groups in Syria. (AFP/File)
Updated 27 April 2019

Extremist attacks kill 17 Syria pro-regime fighters: monitor

  • Al-Qaeda branches in Syria wounded 30 government troops in attacks
  • Fighting subsided after Russian fighters attacked extremist positions

BEIRUT: Attacks by two extremist groups killed at least 17 Syrian government troops and militiamen in the northern province of Aleppo early on Saturday, a war monitor said.
Thirty others were wounded in the assaults by Al-Qaeda’s former Syria branch, Hayat Tahrir Al-Sham (HTS), and its ally Hurras Al-Deen, which remains affiliated to the global extremist network, the Britain-based Syrian Observatory for Human Rights said.
The attacks in the southern and southwestern countryside of Aleppo province were launched shortly after midnight and triggered clashes that continued until dawn, Observatory head Rami Abdel Rahman said.
He said the fighting subsided after Russian aircraft struck extremist positions in the area, prompting the fighters to pull back.
Eight terrorists were killed, he added.
Russia aircraft also carried out strikes in neighboring Hama province early on Saturday, killing five civilians, the Observatory said.
On Friday, Russian strikes killed 10 civilians in Idlib province, the hub of territory held by the extremists of HTS in northwestern Syria.
Russia and rebel-backer Turkey in September inked a buffer zone deal to avert a massive government offensive on the Idlib region, but the deal has never been implemented.
The region of some three million people has come under increasing bombardment since HTS took full control of it in January.
The latest Russian air raids came after two days of talks on the Syrian conflict between Turkey, Russia and fellow government backer Iran in Kazakhstan earlier this week.
The three governments expressed concern over the growing power of HTS in Idlib and parts of adjacent provinces, and determination to cooperate to eliminate the extremist group.
The civil war in Syria has killed more than 370,000 people and displaced millions since it began with the bloody repression of anti-government protests in 2011.


Mideast faces opioid crisis as it rages through developing world

Updated 55 min 53 sec ago

Mideast faces opioid crisis as it rages through developing world

  • Mass abuse of the opioid tramadol spans continents, from India to Africa to the Middle East
  • Abuse is now so rampant some countries consumed by it are asking international authorities to intervene

KAPURTHALA: Reports rolled in with escalating urgency — pills seized by the truckload, pills swallowed by schoolchildren, pills in the pockets of dead terrorists.
These pills, the world has been told, are safer than the OxyContins, the Vicodins, the fentanyls that have wreaked so much devastation. But now they are the root of what the United Nations named “the other opioid crisis” — an epidemic featured in fewer headlines than the American one, as it rages through the most vulnerable countries on the planet.
Mass abuse of the opioid tramadol spans continents, from India to Africa to the Middle East, creating international havoc some experts blame on a loophole in narcotics regulation and a miscalculation of the drug’s danger. The man-made opioid was touted as able to relieve pain with little risk of abuse. Unlike other opioids, tramadol flowed freely around the world, unburdened by international controls that track most dangerous drugs.
But abuse is now so rampant some countries consumed by it are asking international authorities to intervene.

Grunenthal, the German company that originally made the drug, is campaigning for the status quo, arguing international regulations make narcotics difficult to get in countries with disorganized health systems, and adding tramadol to the list would deprive patients in pain access to any opioid at all.
“This is a huge public health dilemma,” said Dr. Gilles Forte, the secretary of the World Health Organization’s committee that recommends how drugs should be regulated. Tramadol is available in war zones and impoverished nations because it is unregulated. But it is widely abused for the same exact reason. “It’s a really very complicated balance to strike.”
Tramadol is not as deadly as other opioids and the crisis isn’t killing with the ferocity of America’s struggle withe the drugs. Still, individual governments from the US to Egypt to Ukraine have realized the drug’s dangers are not as limited as believed and worked to rein in the tramadol trade. The north Indian state of Punjab, the center of India’s opioid epidemic, was the latest to crack down. The pills were everywhere, as legitimate medication sold in pharmacies, but also illicit counterfeits hawked by street vendors.
This year, authorities seized hundreds of thousands of tablets, banned most pharmacy sales and shut down counterfeit pill factories, pushing the price from 35 cents for a 10-pack to $14. The government opened a network of treatment centers, fearing those who had become opioid addicted would resort to heroin out of desperation. Hordes of people rushed in to seek help in dealing with excruciating withdrawal.
For some, tramadol had become as essential as food.
“Like if you don’t eat, you start to feel hungry. Similar is the case with not taking it,” said auto shop welder Deepak Arora, a gaunt 30-year-old who took 15 tablets day, so much he had to steal from his family to pay for pills. “You are like a dead person.”
Jeffery Bawa, an officer with the United Nations Office on Drugs and Crime, realized what was happening in 2016.
Police began finding pills on terrorists, who traffic it to fund their networks and take it to bolster their capacity for violence, Bawa said.
Most of it was coming from India. The country’s sprawling pharmaceutical industry is fueled by cheap generics. Pill factories produce knock-offs and ship them in bulk around the world, in doses far exceeding medical limits.
In 2017, law enforcement reported that $75 million worth of tramadol from India was confiscated en route to the Islamic State terror group. Authorities intercepted 600,000 tablets headed for Boko Haram. Another 3 million were found in a pickup truck in Niger, in boxes disguised with UN logos. The agency warned that tramadol was playing “a direct role in the destabilization of the region.”
“We cannot let the situation get any further out of control,” that alert read.
Grunenthal has campaigned to keep tramadol unregulated. It funded surveys that found regulation would impede pain treatment, and paid consultants to travel to the WHO to make the case that it’s safer that other opioids.
Spokesman Stepan Kracala said regulation would not necessarily curtail illicit trade and could backfire: Some desperate pain patients turn to the black market if no legal options exist.
This has happened in India, which regulated tramadol in 2018. Regulators say exports overseas and abuse at home came down. But they acknowledge that the vastness of the pharmaceutical industry and the ingenuity of traffickers makes curtailing abuse and illegal exports all but impossible. Tramadol is still easy to find.
Jyoti Rani stood on her front steps and pointed to house after house in the small city of Kapurthala where she said tramadol is still sold in her neighborhood of narrow roads and open drains, where school-aged boys sit hunched over the street in the middle of a weekday.
Rani’s addiction began with heroin. When her 14-year-old son died, she fell into depression.
“I wanted to kill myself, but I ended up becoming an addict,” she cried. A doctor prescribed tramadol to help kick the habit — instead, she formed a new one.
Now she is among about 30,000 people in Punjab who go to government-run addiction clinics for daily treatment.
Countries’ efforts to control tramadol on their own often fail, according to the Center for Strategic and International Studies, particularly in places where addiction has taken hold.