How Israel’s war on Hezbollah is pushing Lebanon’s health system to the brink of collapse

Analysis How Israel’s war on Hezbollah is pushing Lebanon’s health system to the brink of collapse
Israeli strikes on Hezbollah targets across Lebanon have killed at least 1,250 people and injured more than 5,000, overwhelming the nation’s hospitals. (Getty Images)
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Updated 09 October 2024
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How Israel’s war on Hezbollah is pushing Lebanon’s health system to the brink of collapse

How Israel’s war on Hezbollah is pushing Lebanon’s health system to the brink of collapse
  • Hospitals already crippled by grinding economic crisis are now overwhelmed by wounded people
  • Israeli airstrikes on Syrian border and close to Beirut’s international airport have further disrupted aid deliveries

LONDON: Lebanon’s healthcare system, already crippled by years of economic crisis, has been brought to the brink of collapse since Israel’s unprecedented attack on Hezbollah’s communications network in mid-September and the wave of airstrikes targeting its leaders and weapons caches.

According to some reports, several health facilities have been damaged by Israeli airstrikes. Last month, the World Health Organization said the “escalation of violence” since Sept. 23 had forced at least 37 health centers to close their doors.

Lebanon’s Health Ministry also said dozens of medical workers have been killed, with the WHO reporting 28 deaths in a single 24-hour period last week.

Lebanon was rocked last month by two attacks on Hezbollah’s communications network, which saw pagers and walkie-talkies carried by militia members explode simultaneously.

The devices, reportedly booby-trapped by Israel, exploded in public areas, killing 20 people, including children, and injuring 450 others, according to the Health Ministry, overwhelming hospitals across Lebanon.




A truck and ambulance burn after Israeli airstrikes hit a group of paramedics outside a hospital in Marjayoun, south Lebanon, Friday, Oct. 4, 2024. (AP)

Soon afterward, Israel began pounding Lebanon in its pursuit of Hezbollah, its leadership, and its weapons. The relentless airstrikes have killed at least 1,250 people and injured more than 5,000, according to Lebanon’s Health Ministry.

Israel and Hezbollah began trading fire along the Lebanese border on Oct. 8, a day after the Hamas-led attack on southern Israel that killed 1,200 and saw 250 taken hostage, prompting Israel’s retaliatory operation in Gaza.

Hezbollah rocket fire has displaced nearly 60,000 people from Israel’s north. The Israeli government says its aim is to push Hezbollah back to the Litani River, about 18 km from the Israeli border, which would allow displaced Israeli civilians to return to their homes.

Over the past two weeks, there have been reports of damage to healthcare facilities in Lebanon. In one such incident earlier this month, an airstrike on Marjayoun Hospital in the south knocked the facility out of service and killed dozens of staff.




Flames and smoke rise from an Israeli airstrike on Lebanon’s Dahiyeh, Sunday, Oct. 6, 2024. (AP)

Mounes Kalakesh, Marjayoun’s director, told AP news agency that the Israeli military did not warn the government hospital before the strike. Emergency Director Shoshana Mazraani described the facility’s ensuing closure as a “tragedy for the region.”

Israel’s Arabic-language military spokesman, Avichay Adraee, accused Hezbollah of using ambulances to transport weapons and fighters, but he did not provide evidence to support the claim.

Lebanon’s Health Ministry said on Oct. 3 that 40 paramedics, firefighters and health workers had been killed in Israeli attacks over a period of three days.

Last week, the International Lebanese Medical Association appealed to the WHO to pressure Israel to halt what it called a “massacre” of Lebanon’s health workers.

IN NUMBERS

  • 37 Lebanese health facilities forced to close owing to Israeli strikes, according to WHO.
  • 97 Rescue workers killed since last October, according to Lebanon’s health minister.

Tania Baban, the Lebanon country director of the US-based charity MedGlobal, said the healthcare situation in Lebanon today is almost indescribable.

“The healthcare system is in a very difficult situation,” she told Arab News, stressing that if further hospitals are knocked out of action, the sector may not be able to respond to the mounting number of wounded.

“Even if they don’t get targeted, if there are still going to be attacks that are this intense on the south and in Dahieh (Beirut’s southern suburbs), that’s going to create a strain.”

Lebanon has suffered successive blows since the 2019 financial crisis, which severely impacted the provision of essential public services.




Ambulances carrying the bodies of civil defense workers killed in an Israeli strike drive amid the destruction in the southern Lebanese town of Tayr Dibba, on September 29, 2024. (AFP)

“The economic crisis caused the devaluation of the local currency and inflation, which caused some serious problems in the procurement of medical equipment and supplies as well as medications,” said Baban.

“When the government announced bankruptcy, it wasn’t able to purchase supplies for the hospitals, so the hospitals were not able to cater for the patients,” she added.

The economic situation also impacted livelihoods, leaving many people in Lebanon unable to afford private medical care.

Lebanon has been in the grips of a financial crisis since late 2019, brought on in part by the mountain of debt the government had built up since the end of the civil war in 1990. In April 2022, Deputy Prime Minister Saade Chami declared the state and its central bank bankrupt.




Ambulances are surrounded by people at the entrance of the American University of Beirut Medical Center, on September 17, 2024. (AFP)

The World Bank reclassified Lebanon as a lower-middle-income country, down from upper-middle-income status in July 2022, after the country’s gross domestic product per capita dropped by 36.5 percent between 2019 and 2021.

Aid agencies in Lebanon are also concerned about the welfare of the approximately 1.2 million people who have been displaced by Israeli strikes and incursions in the south, the Bekaa Valley, Beirut’s southern suburbs, and Baalbek.

MedGlobal’s Baban says the scale of displacement in Lebanon has further strained medical services. Inadequate shelter, overcrowding, and the onset of winter heighten the risk of disease outbreaks.

“We’re worried about infectious diseases,” she said. “Flu season is on the way, COVID, the possibility of hepatitis A if they don’t have access to clean drinking water, and the possibility of, God forbid, cholera.”




Displaced families take refuge on central Beirut's Ain Al-Mreisseh seaside promenade on October 7, 2024. (AFP)

Giacomo Baldini, the Lebanon country director of the non-profit Relief International, said that while his team is providing hygiene kits and medical outreach in Beirut, Tripoli, and the Bekaa Valley, “the need for clean water, hot food, and medical supplies is huge, and will only increase.”

He wrote in a first-hand account from Beirut shared with Arab News: “We are hoping to provide mental health support as soon as possible. There are simply not enough skilled professionals in Lebanon to provide the amount of support needed.”

Baban said: “The Ministry of Health is doing its best to reach out to stakeholders, including international NGOs such as MedGlobal, to bring in supplies from abroad.”

The ministry’s plan is to bring in additional resources while this is still possible, she said. “He (the health minister) doesn’t want people to procure and purchase supplies locally so as not to deplete the supplies we already have in the country.”




A child wounded during Israeli bombardment rests at a hospital in the southern Lebanese village of Saksaqiyeh on September 26, 2024. (AFP)

However, the intensifying Israeli strikes on southern Beirut, where part of the Beirut Rafic Hariri International Airport is situated, pose a significant risk to the delivery of supplies.

“The health system’s capacity in Lebanon is deteriorating,” WHO chief Tedros Adhanom Ghebreyesus said in a post on X on Oct. 3. “Medical supplies cannot be delivered due to the almost complete closure of Beirut’s airport.”

He called for the “urgent facilitation of flights to deliver health supplies to Lebanon” as “lives depend on it.”

Baban of MedGlobal said NGOs are struggling to raise sufficient funds to alleviate the pressure on Lebanon’s health system amid the escalating hostilities and worsening humanitarian crisis.

And while there are donors providing “shipments of medical supplies that can be shipped into the country,” the suspension of flights by many carriers has hindered the process.

Israeli airstrikes on the main border crossing between Syria and Lebanon have also obstructed the movement of supplies and medicines into Lebanon.

On Oct. 4, Israeli airstrikes targeted the Masnaa border crossing, impeding civilians trying to flee and disrupting humanitarian operations, the international monitor Human Rights Watch said in a statement.

One of the biggest challenges Lebanon’s hospitals could soon face is maintaining a consistent power supply. Most still have access to fuel for generators and many have installed solar panels. However, as the colder months approach, they may have more challenges.




A man rides his scooter as he drives on the debris of destroyed buildings that were hit by Israeli airstrikes in Dahiyeh, Beirut, Lebanon, Sunday, Oct. 6, 2024. (AP)

“So far, we’re okay with fuel, but if that changes or the prices go up, then it might create a problem because in winter, you can’t depend on solar panels,” said Baban. “If fuel prices go up, it will be expensive to purchase fuel to keep hospitals running.”

The people working tirelessly to keep hospitals operational are also at risk of exhaustion.

Baban warned that while many doctors remain in the country, “they’re obviously already on the brink of being overworked after these sharp and rapid escalations.”

 


France mulling new sanctions on Israeli settlers, minister says in West Bank

France mulling new sanctions on Israeli settlers, minister says in West Bank
Updated 46 sec ago
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France mulling new sanctions on Israeli settlers, minister says in West Bank

France mulling new sanctions on Israeli settlers, minister says in West Bank
“France has been a driving force to establish the first sanction regime at the European level,” Barrot said
Barrot renewed France’s commitment to a two-state solution to the Israeli-Palestinian conflict

RAMALLAH: France is mulling new sanctions on those enabling the expansion of Israeli settlements in the occupied West Bank, regarded as illegal under international law, Foreign Minister Jean-Noel Barrot said on a visit to the territory on Thursday.
“France has been a driving force to establish the first sanction regime at the European level targeting individuals or entities, either actors or accomplices of settlement activities,” Barrot said after talks with Palestinian president Mahmud Abbas in Ramallah.
“This regime has been activated two times already and we’re working on a third batch of sanctions targeting these activities that again are illegal with respect to international law.”
Barrot renewed France’s commitment to a two-state solution to the Israeli-Palestinian conflict and warned settlement activities “threaten the political perspective that can ensure durable peace for Israel and Palestine.”
Before meeting Abbas, Barrot visited the adjacent town of Al-Bireh, where Israeli settlers set fire to 20 cars on Monday, damaging a nearby building.
After speaking with residents and local officials at the scene, Barrot noted that the attack took place in a part of the West Bank where the Palestinians were supposed to enjoy both civil and security control under the Oslo Accords of the 1990s.
“These attacks from extremist and violent settlers are not only completely inexcusable, not only contrary to international law, but they weaken the perspective of a two-state solution,” Barrot said.
Ramallah and Al-Bireh governor Laila Ghannam expressed outrage that settler attacks were “taking place in full view and hearing of the entire silent international community.”
“Perhaps today, with the visit of the French foreign minister, there will be a spotlight here,” she told AFP.
Speaking in Jerusalem earlier Thursday, Barrot said he saw prospects for ending Israel’s wars in Gaza and Lebanon after Donald Trump’s re-election, citing the Republican’s “wish to see the end of the Middle East’s endless wars” as well as recent “tactical successes” for Israel.

Moroccan population grows to 36.8 million in 2024

The Moroccan population grew by 2.98 million since the last census in 2014. (AFP)
The Moroccan population grew by 2.98 million since the last census in 2014. (AFP)
Updated 07 November 2024
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Moroccan population grows to 36.8 million in 2024

The Moroccan population grew by 2.98 million since the last census in 2014. (AFP)

RABAT: The Moroccan population grew to 36.82 million by September 2024, according to the preliminary results of a national census, the spokesman for the government said on Thursday.
Compared with the most recent census in 2014, the Moroccan population grew by 2.98 million or 8.8 percent, spokesman Mustapha Baitas told reporters.
The number of households grew to 9.27 million by September 2024, up 26.8 percent compared to 2014, while the number of foreigners living in the country increased to 148,152, up 71.8 percent, he said.


Israel escalates attacks on Lebanon as strikes hit near Beirut airport

A rescuer and a member of the Malaysian battalion of UNIFIL treat a soldier wounded in an Israeli airstrike near Sidon. (AFP)
A rescuer and a member of the Malaysian battalion of UNIFIL treat a soldier wounded in an Israeli airstrike near Sidon. (AFP)
Updated 17 min 43 sec ago
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Israel escalates attacks on Lebanon as strikes hit near Beirut airport

A rescuer and a member of the Malaysian battalion of UNIFIL treat a soldier wounded in an Israeli airstrike near Sidon. (AFP)
  • Drone strike near Sidon kills three and injures Lebanese soldiers and UN peacekeepers
  • Former Hezbollah chief Hassan Nasrallah’s uncle and family members also killed

BEIRUT: At least 10 people were killed in Lebanon on Thursday in Israeli drone attacks on roads across the south, Mount Lebanon and Bekaa.

Former Hezbollah chief Hassan Nasrallah’s uncle and his family members were also killed by strikes in southern Lebanon.

In Baalbek-Hermel, dozens of victims were laid to rest. They died trapped under the rubble of several flattened buildings, some adjacent to the Baalbek Temple.

In the afternoon, an Israeli strike targeted Tyre.

An Israeli drone hit a car on the Araya road in Mount Lebanon, killing the driver, a 30-year-old woman, making her Israel’s first female target.

Doaa Mattar’s family said that they lost contact with their daughter at the time of the raid.

A relative said that Mattar had taken her friend’s car to drive her family from Beirut to Bhamdoun.

Her body was taken to Hezbollah’s Al-Rassoul Al-Azam Hospital, while two injured passersby — a man and his grandson — were transported to the Sacre Coeur Hospital.

Hours later, another Israeli drone targeted a car on the Awali River road at the entrance to the city of Sidon, south of Beirut.

The strike killed three people inside the vehicle, injured three Lebanese soldiers at a nearby checkpoint and damaged several cars, including a passing UNIFIL convoy bus.

It resulted in five minor injuries among Malaysian UNIFIL soldiers and two civilian injuries.

Meanwhile, Beirut’s southern suburb experienced a violent night of airstrikes that continued until the early hours of Thursday morning, targeting Haret Hreik, Burj Al-Barajneh, Tahwitat Al-Ghadir and Ouzai.

One of the strikes came close to a runway at Beirut airport, causing damage to facilities.

However, airport operations continued, with Middle East Airlines switching to alternative runways for landing minutes after Israel issued evacuation warnings.

All planes heading for Beirut landed shortly before midnight ahead of the Israeli-imposed deadline.

The airstrikes on the southern suburb of Beirut caused extensive damage to residential buildings, shops, schools, social facilities and health centers.

A week of relative calm in Beirut’s southern suburb was shattered as warning sirens caused recently returned residents to flee north.

Many families were forced on to the streets, waiting in their vehicles at a safe distance from the targeted areas.

The Israeli military claimed to have conducted precision strikes against Hezbollah command centers and military infrastructure in the Lebanese capital, according to military spokesman Avichay Adraee.

Israel’s systematic destruction of southern Lebanese towns continued with renewed intensity. Israeli forces reportedly rigged and detonated entire neighborhoods in the border town of Mays Al-Jabal.

Israeli warplanes conducted strikes on the outskirts of Yahmar Al-Shaqif near the Litani River, hitting the town center and eastern areas. The predominantly Christian town of Rmeish, whose residents have steadfastly refused to leave, was also targeted.

In Jbaa, located in the Tuffah region, airstrikes caused significant damage. A separate strike on Bazouriye killed four members of Nasrallah’s extended family, including his uncle, cousins and their grandson.

Reports indicate that Israeli forces used internationally prohibited cluster bombs in their targeting of agricultural fields.

The scope of destruction has reached unprecedented levels in Nabatieh, where medical facilities, businesses, institutions, warehouses and residential buildings have been severely damaged.

Footage shared on social media revealed that entire neighborhoods had been turned into rubble.

Violent clashes erupted on Wednesday evening between Hezbollah fighters and Israeli forces near Rmeish and Yaroun, opposite the Dovev settlement.

Exchanges of fire were also reported near Aita Al-Shaab when Israeli forces attempted to advance into Lebanese territory.

The death and injury toll continues to mount, with the Bekaa region alone reporting 60 casualties, with dozens wounded.

Scenes of mass burials echoed those from Gaza. Among the dead are multiple generations of families, including the Abu Asbar family, who lost parents, children, grandchildren and in-laws during a single Israeli strike.

The attacks have also threatened Lebanon’s cultural heritage, with damage reported near the historic Baalbek Castle complex and the century-old Al-Manshieh building, known for its cultural artifacts.

The Palmyra Hotel, which has hosted decades of Baalbek festivals, also sustained damage.

Baalbek Mayor Mustafa Al-Shall said: “The enemy is targeting poor and residential neighborhoods, and it did not spare archaeological, heritage and historical sites. The number of martyrs in Baalbek is very high.”

One Israeli strike targeted soldier Raed Dandash, born in 2003, as he was driving his car in the town of Talia, in the Bekaa.

An official statement said: “Along with Raed, the strike killed his sister Nathalie and his brother Mohammed, while their mother was seriously injured.”

Airstrikes hit new areas in northern Bekaa, including the towns of Fakeha and Harfouch, killing one.

Lebanon’s officials were shocked by the attacks that targeted the vicinity of Baalbek Castle.

Culture Minister Mohammed Wissam Mortada sent an urgent appeal to UNESCO chief Audrey Azoulay through the head of Lebanon’s permanent mission to the organization, Mustafa Deeb, to “save the castle.”

Several MPs also sent a letter to Azoulay, calling on the international organization to “protect the common heritage of humanity.”

In the letter, MP Najat Saliba called for “the protection of historical sites in Lebanon, especially Baalbek, Tyre, Sidon and other valuable landmarks that are in grave danger due to the escalation of atrocities.”

She said: “These landmarks are priceless not only for our nation but for humanity. They are facing a growing danger with the escalation of the war. Their protection is a responsibility that needs to be assumed in order to preserve a part of human civilization that belongs to our common global and international heritage.”

One building destroyed by Israeli strikes bore an etching showing the year 1928. It was once frequented by French officers during France’s rule over the country.

The Israeli army announced that one of its soldiers “was killed in battles in southern Lebanon, while 60 Hezbollah members were killed during the past 24 hours.”

Hezbollah issued a statement calling on settlers in northern Israel to leave their settlements, warning that they had become become military targets.


Iran’s Pezeshkian says Tehran indifferent to US election result

Iranian President Masoud Pezeshkian said Iran's priority is to develop relations with Islamic and neighboring countries. (AFP/Fi
Iranian President Masoud Pezeshkian said Iran's priority is to develop relations with Islamic and neighboring countries. (AFP/Fi
Updated 07 November 2024
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Iran’s Pezeshkian says Tehran indifferent to US election result

Iranian President Masoud Pezeshkian said Iran's priority is to develop relations with Islamic and neighboring countries. (AFP/Fi
  • Pezeshkian says ‘it does not matter’ to Iran who won US election
  • Iran government spokesperson plays down importance of Trump

DUBAI: Iranian President Masoud Pezeshkian said the result of the US election did not matter to his country, state media reported on Thursday, amid heightened tensions with Washington over its support for Iran’s arch-enemy, Israel.
Donald Trump’s return to the White House following his election victory this week could mean tougher enforcement of US oil sanctions against Iran, which he initiated in 2018 after quitting a nuclear pact between Tehran and global powers.
The Biden administration has strongly supported Israel in its wars against the Iran-backed Hamas in Gaza and Hezbollah in Lebanon as well as Israeli actions against Iran itself.
Some analysts believe Trump will give Israel’s Prime Minister Benjamin Netanyahu a greater free hand in dealing with Iran.
“To us it does not matter at all who has won the American election, because our country and system relies on its inner strength and a great and honorable nation,” Pezeshkian said late on Wednesday, quoted by the state news agency IRNA.
It was his first comment on Trump’s election victory.
“We will not be close-minded in developing our relations with other countries (while) we have made it our priority to develop relations with Islamic and neighboring countries,” Pezeshkian said.
It was not immediately clear if Pezeshkian was also referring to the United States, with which Iran does not have diplomatic relations. Iran’s Supreme Leader Ayatollah Ali Khamenei, who has the final say in all matters of state, has banned holding any direct talks with the United States.
An Iranian government spokesperson earlier played down the importance of the US election, while a Revolutionary Guards commander voiced readiness for confrontation.
The Iranian leaders’ main concern is the potential for Trump to empower Netanyahu to strike Iran’s nuclear sites, conduct assassinations and reimpose his “maximum pressure” policy through heightened sanctions on the country’s oil industry.
Some, however, suspect Trump will be cautious about the possibility of war.
In 2018, the then-Trump administration exited Iran’s 2015 nuclear pact with six world powers and reimposed harsh sanctions on Iran, prompting Tehran to violate the pact’s nuclear limits.
International sanctions over Tehran’s nuclear program forced Tehran to reach the 2015 pact under which Iran agreed to curb its nuclear program in exchange for lifting the punitive measures.
Trump’s tough stance could force Ayatollah Khamenei to approve talks “whether direct or indirect” with the United States, two Iranian officials have told Reuters.
In September, Pezeshkian said Tehran was ready to end its nuclear standoff with the West, which accuses it of seeking capacity to develop nuclear weapons. Iran says its nuclear program is for peaceful purposes only.


Israeli police briefly arrest two French officials in ‘unacceptable’ move, France says

French Minister for Europe and Foreign Affairs Jean-Noel Barrot(R) walks away after cancelling his visit to the Eleona Domain.
French Minister for Europe and Foreign Affairs Jean-Noel Barrot(R) walks away after cancelling his visit to the Eleona Domain.
Updated 13 min 1 sec ago
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Israeli police briefly arrest two French officials in ‘unacceptable’ move, France says

French Minister for Europe and Foreign Affairs Jean-Noel Barrot(R) walks away after cancelling his visit to the Eleona Domain.
  • “This violation of the integrity of a site under French responsibility risks undermining the ties I had come to nurture with Israel,” Barrot said

PARIS: France’s foreign minister refused to enter a holy site under French administration in Jerusalem on Thursday due to the presence of Israeli security forces, who briefly arrested two French officials in the latest rift between the two countries.
The incident, which comes amid strained diplomatic relations over Israel’s military operations in Gaza and Lebanon, occurred when Foreign Minister Jean-Noel Barrot was due to visit the compound of The Church of the Pater Noster on the Mount of Olives.
“During the visit, an argument arose between the Israeli security forces and two French security guards,” the Israeli foreign ministry said in a statement, adding they were released immediately after they identified themselves as diplomats.
The Israeli ministry added that every visiting foreign leader is accompanied by its security personnel, a point that had been “clarified in advance in the preparatory dialogue with the French Embassy in Israel.”
The compound, called Eleona in French, also houses a monastery and is under French administration.

Israeli police detain a French gendarme at the Eleona Domain (Church of the Pater Noster) in Jerusalem, on November 7, 2024. (AFP)

“This violation of the integrity of a site under French responsibility risks undermining the ties I had come to nurture with Israel at a time when we all need to move forward the region on the path to peace,” Barrot said.
The Israeli ambassador to Paris will be summoned in the coming days, it said in a statement.
Diplomatic relations between France and Israel have worsened since President Emmanuel Macron called for an end to the supply of offensive weapons, and urged Israel to cease hostilities and focus on diplomacy.
French officials have repeatedly said that Paris is committed to Israel’s security and that its military helped defend Israel amid Iranian missile attacks earlier this year.
It was not the first time that tensions have arisen surrounding France’s historic holdings in the city.
In 2020, French President Emmanuel Macron lost his temper when visiting the Church of St. Anne, another site under French administration, demanding Israeli security personnel leave the Jerusalem basilica.
A similar incident took place in 1996 involving France’s then-president Jacques Chirac, who saw his treatment by Israeli security as a “provocation.”