Why Syria’s Assad regime must toe a fine line as Israel-Iran tensions escalate

Special Why Syria’s Assad regime must toe a fine line as Israel-Iran tensions escalate
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Syrian President Bashar Assad’s ties with Iran and Hezbollah helped him win the Syrian civil war but have made his country a target for Israeli strikes. (AFP file photo)
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Updated 17 October 2024
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Why Syria’s Assad regime must toe a fine line as Israel-Iran tensions escalate

Why Syria’s Assad regime must toe a fine line as Israel-Iran tensions escalate
  • Desperate to preserve his regime, Assad has been at pains to avoid direct involvement in Gaza and Lebanon and risk Israeli retaliation
  • Analysts say his reluctance to meaningfully assist Hamas and Hezbollah highlights his weakness and raises doubts about his utility to Iran

LONDON: Over the past year, the Syrian regime of Bashar Assad has been at pains to avoid direct involvement in Gaza and Lebanon, despite its informal alliance with Hamas and Hezbollah and professed support for their cause against Israel, not to mention the deadly Israeli strikes on Iranian military assets on Syrian territory.

Crippled by 13 years of civil war, international isolation, and economic weakness, this might seem a prudent move. Intervening in either conflict could invite a devastating retaliation from Israel and drag the country into a wider regional war.




CaptionIran's Supreme Leader Ayatollah Ali Khamenei (R) meeting with Syria's President Bashar al-Assad in Tehran on May 30, 2024. ( KHAMENEI.IR / AFP) 

However, Assad’s absence from the battlefield has raised questions about his role within the so-called Axis of Resistance — the loose network of Iran-backed Arab proxies that includes Hamas and Hezbollah — and, by extension, his reliability as an ally of the Islamic Republic.

Ever since Iran came to Assad’s rescue in 2011-12 when an armed uprising threatened his rule, Syria has effectively been a vassal of the Islamic Revolutionary Guard Corps, used as a land bridge to deliver weapons to Hezbollah, making it a favored target for the Israeli military.

The attacks have become more frequent since the wars in Gaza and along the Israel-Lebanon border erupted in October last year — the most significant being the April 1 strike on the Iranian Embassy annex in Damascus that killed multiple high-level IRGC commanders.




Assad’s ties with Iran and Hezbollah helped him win the Syrian civil war but have made his country a target for Israeli strikes. (AFP file photo)

“Israel has been striking alleged Hezbollah and Iran-linked targets in Syria for years, but the pace of Israeli strikes has increased since 2023,” Aron Lund, a fellow at Century International, told Arab News.

“With the war in Gaza and now also the invasion of Lebanon, Israel has adopted a much more aggressive posture against Syria. Israeli jets strike with regularity and impunity, and the Syrians are just soaking it up. They can’t do much to stop it and are probably afraid to try, for fear of further escalation.”

While Lund highlights Israel’s intensifying air campaign in Syria, Karam Shaar, a political economist and non-resident senior fellow at Newlines Institute, points to a deeper concern driving the Syrian regime’s inaction.




A handout picture released by the official Facebook page for the Syrian Presidency on October 22, 2019, shows Syrian President Bashar al-Assad consulting a military map with army officers in al-Habit on the southern edges of the Idlib province. (AFP)

He suggests that Assad’s reluctance to retaliate against these Israeli strikes stems from his regime’s vulnerability.

“It knows that the Israelis might actually just topple it altogether,” Shaar told Arab News. “All it needs is a nudge for it to just come down crashing.”

Although it has enjoyed years of Russian and Iranian support, the Syrian Arab Army is today a shadow of its former self — ground down by more than a decade of underinvestment and fighting with armed opposition groups.




A United Nations Truce Supervision Organization military observer uses binoculars near the border with Syria in the Israeli-occupied Golan Heights on May 11, 2018. (REUTERS/File Photo)

According to Randa Slim, director of the Conflict Resolution and Track II Dialogues Program at the Middle East Institute in Washington, D.C., Syria is in no position to withstand a major Israeli offensive.

“The Assad regime is weak and cannot afford to get entangled in another war at the moment,” she told Arab News. “His army is weak, with major parts of the country outside his control. His two principal allies, Russia and Iran, cannot come to his defense at this time in case Israel decides it is time to mount a major attack on Syria akin to what is taking place in Lebanon.”

Elaborating on the point, she said: “Moscow is entangled in a protracted war against Ukraine. Tehran has its own problems to contend with domestically and is facing a potential war with Israel and the US. Assad’s modus operandi for now is to avoid getting entangled in the Axis of Resistance war against Israel.”

FASTFACTS

• Hafez Assad established Alawite-minority rule in Sunni-majority Syria in 1971, serving as its president until his death in 2000.

• Bashar Assad succeeded his father but presides over a nation riven by civil war since the uprising against his rule began in 2011.

Some experts have suggested that in the case of Gaza, it is not just Syria’s military weakness that is likely preventing a meaningful contribution: Assad’s relationship with Hamas has been sour since 2011 when the Palestinian militant group sided with the Syrian uprising against his rule.

“The relationship between Hamas and the regime is bad and has been bad since 2011, since Hamas stood in support of the Syrian revolution,” Jihad Yazigi, editor in chief of The Syria Report, told Arab News.




People wave Syrian opposition and Palestinian flags at a rally marking 11 years since the start of an anti-regime uprising in Syria's rebel enclave of Idlib on March 15, 2022. Thousands of protesters in Syria's rebel enclave of Idlib marked 11 years since an anti-government uprising, buoyed by the global outcry over Russia's invasion of Ukraine. (AFP)

In the case of Lebanon, the Syrian regime’s ability to project any kind of influence is a far cry from the days before 2011 when its forces exerted considerable control from within Lebanon itself.

“Remember that before 2005, it was the Syrian army that was in Lebanon,” said Yazigi. “From there, it had a say in Lebanese affairs and to an extent on Palestinian ones. Since 2011, it’s (Lebanon’s) Hezbollah that’s been on Syrian territory.”




Syrian army troops evacuate their post in the southern Lebanese coastal town of Damur on September 22, 2004, amid international pressure for a full withdrawal and an end to Damascus's interference in Lebanese affairs. (AFP/file photo)

The consensus view of experts is that, far from playing the role of a regional kingmaker, Assad’s primary concern today is maintaining power. At the same time, just as he is reliant on Iran and Hezbollah to guarantee his survival, the IRGC and its proxies are also highly dependent on continued access to Syrian territory.

“Hezbollah has no other choice but Syria as far as their strategic depth is concerned,” said Slim.

“They need Assad’s acquiescence to maintain their Iranian weapons supply route through Syrian territory as well as to use some of the regime’s weapons production facilities in Syria to manufacture parts for their weapons.

“Given Israel’s unrelenting attacks on Hezbollah strongholds in Lebanon, Damascus is also the only place where Hezbollah and the IRGC can meet and coordinate their activities.”




Members of the Syrian Arab Red Crescent carry a woman into ambulance on Oct. 14, 2024, as people fleeing Israeli strikes in Lebanon walk to Syria through the Masnaa border crossing. (REUTERS)

The secular Syrian regime’s relationship with Iran and its Shiite and Sunni proxies has long been described as a marriage of convenience, underpinned by overlapping interests rather than ideological affinity. Some think Assad may very well sell out his axis allies if a better offer comes along.

“Hezbollah has long realized that Assad is neither a dependable nor a trustworthy ally,” Slim told Arab News. “He has always toyed with the idea of striking an agreement with Israel. In 2006, in the midst of Israel’s war on Lebanon, he authorized an indirect communication channel with Tel Aviv.

“Despite their reservations about his loyalty, they sent men and weapons in support of the Assad regime in 2011-12 primarily because they could not afford to lose this ‘strategic depth’ if the Assad regime were to be replaced by an anti-Iranian, Sunni-majority government in Damascus.”

Although Syria’s role in Lebanese and Palestinian affairs has effectively shifted over the years from active participant to passive supporter, this does not mean the Assad regime has shirked responsibility altogether.

“Even in this weakened state and despite the risks, the Syrian government does seem to be providing support for Hezbollah,” said Lund of Century International.

“Damascus has allowed Hezbollah and Iran to train and equip themselves on Syrian territory, and Syrian state institutions offer medical care and other services to Hezbollah fighters.

“Many of the heavy rockets that Hezbollah recently began firing on Israel are Syrian in origin, although we don’t know when they were provided.”




Hezbollah fighters carry the coffin of commander Ahmed Shehimi, who was killed in an Israeli raid in Syria early on March 29, during his funeral procession in southern Beirut, on April 1, 2024. (AFP)

Having been rescued by Iran and Hezbollah, Assad may have been expected by his benefactors to do far more to support his axis allies — at the very least as a sign of gratitude. It appears, however, that they recognized his limitations early on in the conflict.

Hassan Nasrallah, Hezbollah’s late secretary-general, said as much shortly before he was killed in an Israeli airstrike on Beirut on Sept. 27.

“It seems that Iran and Hezbollah have, so far, agreed on a more passive role for Syria,” Armenak Tokmajyan, a nonresident scholar at the Malcolm H. Kerr Carnegie Middle East Center, told Arab News.




Lebanese civilians fleeing the war between Israel and Hezbollah in Lebanon are pictured at accommodations housing them in al-Harjalah, south of the Syrian capital Damascus, on October 15, 2024. (AFP)

“Just weeks before his death, Nasrallah said that ‘Syria is not required to enter the fighting because of its internal circumstances,’ adding that Syria should take on a supportive role.

“The pattern of Israeli strikes in Syria suggests that Syria is indeed playing this supportive role, such as allowing Hezbollah to store weapons on its territory.

“However, a more active involvement would likely attract unwanted Israeli attention, posing a significant risk to Assad’s regime.”




Charred cars lie in a parking lot in the aftermath of an Israeli strike in the neighborhood of Kafr Sousse in Damascus, early on July 14, 2024, in response to two drones launched towards Israel from Syrian territory. (AFP)

The expectation that he must feel eternally indebted to Iran and Hezbollah for rescuing his regime may also be an indignity too far for Assad, according to some analysts who also believe that Israeli pressure on his allies may offer just the opportunity he has been waiting for to extricate himself from Iran’s sphere of influence.

“Assad hopes that Iran and its militias will weaken after this war,” Bassam Barabandi, a former Syrian diplomat who defected from the regime in mid-2013, told Arab News, suggesting that Assad might already be quietly double-crossing the axis.

“He anticipates that Arab countries will reward him for his stance against Hezbollah and Iran by supporting the economy and reopening diplomatic channels to restore his relationships with the Arab and Western worlds.

“A significant question arises regarding how Iran would respond if it realizes that Assad has betrayed it.




Trucks wait at the entrance of the Yarmuk camp for Palestinian refugees, south of Damascus, during a delivery of humanitarian aid provided by Iran on March 26, 2024. (AFP)

Although there is ongoing discussion about the possibility of Syria moving away from Iran and closer to the Arab states, Yazigi of The Syria Report believes the Assad dynasty’s ability to distance themselves from Tehran remains limited.

“The Iranian-Syrian relationship is very important. We don’t realize it enough,” he said.

“They have had ties since the late 1970s, early 1980s. Even before Hezbollah was created, you had a strategic alliance between Syria and Iran, which dates back to the Iran-Iraq war and the Islamic Revolution. So, it is not even clear how confident and how capable Bashar is to depart too much from the Iranians.




Iranian rescuers (red) and Syrian soldiers sift through the rubble of a collapsed building in the northern city of Aleppo, searching for victims and survivors days after a deadly earthquake hit Turkey and Syria, on February 9, 2023. (AFP)

“The other aspect is if you want to build back ties with the Arab regimes, departing from the Iranians is a good thing, it’s a starter, but it’s not enough. Assad has shown a lot of difficulties making the required concessions to gain more funding from the Arabs, to make a peace deal with the Turks.”

Despite Assad’s readmission to the Arab League in 2023, one sore point that has hindered progress on the restoration of trust and economic ties is his perceived failure to crack down on the production and smuggling of narcotics, particularly Captagon, which appears to have become a valuable source of income for the sanctions-squeezed regime.

Avoiding active involvement in Gaza and Lebanon may help preserve the Assad regime in the short term, but Syria’s dire economic situation remains an existential threat.

The arrival of hundreds of thousands of people displaced from Lebanon, the bulk of them Syrians who had previously fled the civil war in their own country, could also exacerbate Syria’s internal instability.




Syrian Red Crescent personnel assist Lebanese people fleeing the war between Israel and Hezbollah in Lebanon, at accommodations housing refugees in al-Harjalah, south of the Syrian capital Damascus, on October 15, 2024. (AFP)

Even though the majority are women and children, “Assad completely rejects the return of refugees, viewing them as his enemies from whom he wishes to distance himself,” Barabandi, the former Syrian diplomat, told Arab News.

For his part, Yazigi says that population movements have played a role in the past in destabilizing Syria, comparing the current situation to the wave of returnees from Lebanon following the killing of Lebanese Prime Minister Rafic Hariri in 2005.

“If the uprising began in 2011, it is due to many factors, one of them is the return of hundreds of thousands of Syrian workers from Lebanon after the assassination of Hariri and the withdrawal of the Syrian army,” he said.




A volunteer with the Syrian Arab Red Crescent helps people fleeing Israeli bombardment in Lebanon as they walk across a crater caused by an Israeli strike, in the area of Masnaa on the Lebanese side of the border crossing with Syria, on October 15, 2024. (AFP)

“The Syrians faced a lot of anti-Syrian acts in Lebanon, which led to hundreds of thousands of people returning and staying in Syria without a job.

“Of course, the situation has completely changed since then. Everybody is exhausted, and nobody has in mind in Syria to do anything in the form of an uprising. But it is a (potential) factor of destabilization.”

Despite Assad’s passive support for the Axis of Resistance, some say keeping him in power in his enfeebled state likely serves Israeli and US interests far better than the alternative — regime change and all its associated chaos.

“To date, Israel has found Assad a reliable enemy,” said Slim. “They have him now at a position that serves their interests: a weak ruler over a divided and bankrupt country.”




Syrian Red Crescent personnel assist Lebanese people fleeing the war between Israel and Hezbollah in Lebanon, at accommodations housing refugees in al-Harjalah, south of the Syrian capital Damascus, on October 15, 2024. (AFP)

Ultimately, Syria’s limited role in the ongoing regional turmoil reflects Assad’s delicate balancing act — caught between the competing demands of regional powers, economic weakness and the need to preserve his own regime.

“There’s no doubt that Assad is grappling with multiple challenges on various fronts,” said Tokmajyan.

“A displacement crisis that brings social and economic pressures at home, while also reducing remittances from Lebanon; the loss of an important economic lifeline in Lebanon; an ally in Hezbollah, whose capabilities are being eroded; the risk of being dragged into a war.

“All of this comes on top of Syria’s existing economic troubles. But will this lead to a revolt or the regime’s collapse? It’s hard to say. Assad has proven to be resilient so far.”
 

 


Iran foreign minister says uranium enrichment ‘non-negotiable’

Iran foreign minister says uranium enrichment ‘non-negotiable’
Updated 34 min 7 sec ago
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Iran foreign minister says uranium enrichment ‘non-negotiable’

Iran foreign minister says uranium enrichment ‘non-negotiable’
  • Remarks came after US envoy said Iran must stop its enrichment of uranium as part of any nuclear deal

TEHRAN: Foreign Minister Abbas Araghchi said Wednesday that Iran’s enrichment of uranium as part of its nuclear program was “non-negotiable” after US Special Envoy Steve Witkoff called for a halt.

“Iran’s enrichment is a real, accepted matter. We are ready to build confidence in response to possible concerns, but the issue of enrichment is non-negotiable,” Araghchi told reporters after a cabinet meeting.

The remarks came as Araghchi and Witkoff are due to meet again in Oman on Saturday, a week after they held the highest-level talks between the longtime foes since US President Donald Trump abandoned a landmark nuclear deal in 2018.

Trump reimposed sweeping sanctions in a policy of “maximum pressure” against Tehran that he has reinstated since returning to office in January.

In March, he sent a letter to Iran’s supreme leader Ayatollah Ali Khamenei urging talks but warning of possible military action if they fail to produce a deal.

Both sides described Saturday’s meeting as “constructive.”

But on Tuesday, Witkoff said Iran must “stop and eliminate” its enrichment of uranium as part of any nuclear deal.

He had previously demanded only that Iran return to the 3.67 percent enrichment ceiling set by the 2015 accord between Iran and major powers that Trump withdrew from.

Araghchi condemned what he called the “contradictory and conflicting positions” coming out of the Trump administration ahead of Saturday’s talks.

“We will find out the true opinions of the Americans during the negotiation session,” he said.

Iran’s top diplomat said he hoped to start negotiations on the framework of a possible agreement but said that required “constructive positions” from the US.

“If we continue to (hear) contradictory and conflicting positions, we are going to have problems,” he warned.

Araghchi is set to head to Iranian ally Russia on Thursday, Iran’s ambassador in Moscow Kazem Jalili said.

Iran has said the visit was “pre-planned” but will include discussions on the Iran-US talks.

“The objective of (my) trip to Russia is to convey a written message from the supreme leader” to Russian President Vladimir Putin, Araghchi said.

In readiness for the US talks, Iran has engaged with Russia and China, which were both parties to the 2015 deal.

Ahead of Saturday’s second round of talks in Muscat, Iranian President Masoud Pezeshkian said he hoped a deal could be reached with the US, the official IRNA news agency reported.

On Tuesday, Khamenei cautioned that while the talks have proceeded well in their early stages, they could still prove fruitless.

“The negotiations may or may not yield results,” he said, noting that Iran had already outlined its “red lines.”

Iran’s Revolutionary Guards have said the country’s military capabilities are off-limits in the talks.

Late on Sunday, IRNA said Iran’s regional influence and its missile capabilities — both sources of concern for Western governments — were also among its “red lines.”

The head of the International Atomic Energy Agency, Rafael Grossi was due in Iran later Wednesday for talks with senior officials.

The UN watchdog was tasked with overseeing Iran’s compliance with the 2015 nulear deal.

In its latest report, the IAEA said Iran had an estimated 274.8 kilograms of uranium enriched to up to 60 percent.

That level far exceeds the the 3.67 percent ceiling set by the 2015 deal but still falls short of the 90 percent threshold required for a nuclear warhead.


Charity says 400,000 children in Syria risk ‘severe malnutrition’ after US cuts

Charity says 400,000 children in Syria risk ‘severe malnutrition’ after US cuts
Updated 53 min 1 sec ago
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Charity says 400,000 children in Syria risk ‘severe malnutrition’ after US cuts

Charity says 400,000 children in Syria risk ‘severe malnutrition’ after US cuts
  • More than 13 years of conflict in Syria ravaged the country, with the health system shattered and infrastructure hobbled

DAMASCUS: Save the Children said on Wednesday that more than 400,000 children in the Syrian Arab Republic were at risk of “severe malnutrition” after the US suspended aid, forcing the charity to slash operations in the country.

Bujar Hoxha, Save the Children’s Syria director, in a statement called on the international community to urgently fill the funding gap, warning that needs were “higher than ever” after years of war and economic collapse.

“More than 416,000 children in Syria are now at significant risk of severe malnutrition following the sudden suspension of foreign aid,” Save the Children said in a statement, adding separately that the cuts were those of the US.

The global aid situation has grown dire since US President Donald Trump ordered the dismantling of the US Agency for International Development early this year.

His administration scrapped 83 percent of humanitarian programs funded by USAID.

The agency had an annual budget of $42.8 billion, representing 42 percent of total global humanitarian aid.

The suspension has “forced the closure of one third of Save the Children’s life-saving nutrition activities” across Syria, the charity said, halting “vital care for over 40,500 children” aged under five.

Hoxha said the closure of the charity’s nutrition centers “comes at the worst possible time” with “the needs in Syria are higher than ever.”

Its clinics that are still open are “reporting a surge in malnutrition cases while struggling to keep up with the growing demand for care,” the charity added.

More than 13 years of conflict in Syria ravaged the country, with the health system shattered and infrastructure hobbled.

In February, a United Nations Development Programme report estimated that nine out of 10 Syrians now live in poverty and face food insecurity with “malnutrition on the rise, particularly among children.”

Save the Children said more than 650,000 children under five in Syria were now “chronically malnourished,” while more than 7.5 million children nationwide needed humanitarian assistance, which it said was the highest number since the crisis began.

Hoxha urged the international community to “urgently step up” to fill the funding gap.

Syrian children “are paying the price for decisions made thousands of miles away,” Hoxha added in the statement.


How falling cases of tuberculosis in Iraq reflect a wider health system recovery

How falling cases of tuberculosis in Iraq reflect a wider health system recovery
Updated 16 April 2025
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How falling cases of tuberculosis in Iraq reflect a wider health system recovery

How falling cases of tuberculosis in Iraq reflect a wider health system recovery
  • Iraq has halved its tuberculosis rate over the past decade through tech-driven diagnosis and expanded mobile health services
  • AI-supported X-rays and GeneXpert machines now detect TB faster, even in remote areas and among high-risk populations

DUBAI: Sameer Abbas Mohamed, a Syrian refugee from Qamishli who fled to Iraq in 2013, was terrified when his one-year-old son, Yusuf, was diagnosed with tuberculosis. He knew the disease was life-threatening — and highly contagious.

“I have two older boys, and I was scared they would catch the disease,” said Mohamed, who lives in Qushtapa refugee camp for Syrians in Irbil, home to most of the 300,000 Syrian refugees in the Kurdistan Region of Iraq.

“Yusuf was also very young and I worried about losing him.”

An IOM medic checks a little girl at the family's rented house in Kirkuk. (Photo: Anjam Rasool/IOM Iraq, 2019)

Mohamed consulted several doctors when Yusuf began coughing. Scans revealed a mass on the right anterior wall of his chest. A diagnosis was finally made when a general surgeon reported the case to Iraq’s National TB Program.

Following surgery to remove the mass, Yusuf returned home, where nurses delivered an all-oral regimen, monitored his treatment, tracked his progress, offered support, and educated the family on isolation measures to prevent the disease’s spread.

Within six months, Yusuf was cured.

His journey reflects the progress made in combating TB in Iraq, especially the drug-resistant variant that has emerged in the conflict-affected country — which until recently had the region’s highest prevalence of TB cases.

Iraq’s NTP, supported by the International Organization for Migration, the Global Fund, and the World Health Organization, is tracking TB among displaced communities using advanced diagnostic technologies and artificial intelligence.

Giorgi Gigauri, IOM Iraq’s chief of mission, told Arab News that TB detection and timely treatment have helped to drive a significant decline in cases in Iraq.

This was achieved, he said, through a tech-driven strategy, including the installation of the advanced 10-color GeneXpert detection machine across Baghdad, Basrah, Najaf and Nineveh, enabling faster diagnoses.

IOM’s mobile medical teams were also equipped with 10 AI-supported chest X-ray devices, known as CAD4-TB, which can detect the disease in seconds — even in high-burden areas such as refugee camps and prisons.

FAST FACTS

• TB is caused by the Mycobacterium tuberculosis bacterium that primarily affects the lungs.

• It spreads through airborne droplets when an infected person coughs or sneezes.

• Symptoms include a persistent cough, chest pain, fever, night sweats and weight loss.

• With proper treatment using antibiotics, TB is curable, though drug-resistant strains exist.

Routine screenings by these mobile units helped to increase the detection rate of drug-resistant TB from 2 percent to 19 percent, and drug-sensitive TB from 4 percent to 14 percent between 2019 and 2024, according to IOM data.

After screening, sputum samples are taken to central labs, making testing accessible for those unable to travel or living in areas with limited health care access.

Thanks to these efforts, TB cases in Iraq have fallen dramatically — from 45 to 23 cases per 100,000 people between 2013 and 2023. The current prevalence is 15 per 100,000, with an estimated mortality rate of three per 100,000.

In many ways, these numbers reflect Iraq’s wider public health recovery after decades of instability, including the crippling sanctions of the 1990s, the successive bouts of violence that followed the 2003 US-led invasion, and the 2014 rise of Daesh.

“Despite years of instability, progress made in the detection, treatment and prevention of the spread of TB restored trust in health care services by strengthening infrastructure and extending care to vulnerable groups like prisoners and displaced populations,” Gigauri told Arab News.

“It also supports upskilling of health professions and creates sustainable systems that can support responses to other communicable diseases.

“Efforts made by all partners under NTP have contributed to national recovery by addressing urgent health needs and laying a foundation for timely detection of preventable and treatable diseases.”

Despite a period of relative stability, Iraq still faces considerable humanitarian pressures amid a fragile economy and an unpredictable security landscape. According to UNHCR, more than 1 million Iraqis remain internally displaced, with 115,000 living in 21 camps across the Kurdistan Region.

Roughly five million displaced people have returned to their towns and villages since Daesh’s territorial defeat in 2017. But these areas often lack basic infrastructure, increasing the risk of TB outbreaks.

In Mosul — Iraq’s second-largest city, which endured three years under Daesh — those unable to afford housing live in overcrowded settlements, where malnutrition and exposure to the elements weaken immunity.

The mobile medical teams have been a game-changer for these vulnerable communities.

Digital X-rays equipped with CAD4-TB, powered by AI, now enable quick and accurate TB detection — a stark improvement from the three-month wait many patients once faced for CT scans.

This technology also reduces radiation exposure. A single CT scan can expose patients to the equivalent of 300 X-rays, according to Dr. Bashar Hashim Abbas, manager of the Chest and Respiratory Diseases clinic in Mosul.

Abbas said that mobile medical teams and digital X-ray devices have been vital for reaching remote communities and detainees who lack clinic access.

“The mobility of these machines helped us examine prisoners who were difficult to bring into the clinic due to complex security protocols. We discovered many cases, especially multidrug-resistant TB patients, in this way,” Abbas told Arab News.

“We conduct X-rays and take sputum samples for further lab investigations. Therefore, we take the diagnostic tools to them as much as we can, scaling up TB prevention and providing treatment.”

A centralized disease surveillance system, District Health Information Software 2, allows lab results to be registered and coordinated across labs, facilities, and the Iraqi Ministry of Health, improving routine TB reporting.

IOM’s TB services reached 6,398 people in 2024, with 120 drug-resistant TB cases treated. These efforts have been bolstered by $11 million in Global Fund support since 2022.

A key breakthrough has been shifting the treatment of multidrug-resistant TB from a burdensome series of injections to a simpler, all-oral regimen, which shortened recovery time from two years to six months and significantly improved outcomes.

“Previously, treatments involved daily injections for at least six to eight months, which were difficult to sustain for patients and treatment outcomes were relatively poor at 50 percent,” Grania Brigden, senior TB adviser at the Global Fund, told Arab News.

“However, the innovation in treatment through the all-oral regimen has reduced treatment to six months with a 75 percent to 80 percent success rate.”

Although no new TB vaccines are currently available, researchers are optimistic about developing more effective ones in the next five years. The existing BCG vaccine offers only partial protection and is less effective for adults and adolescents, who are more prone to transmission.

New vaccines are vital for achieving the WHO’s End TB Strategy goals — reducing TB mortality by 95 percent and incidence by 90 percent by 2035. Brigden said ongoing investment is key to meeting these targets.

Meanwhile, the Global Fund is focused on halting TB’s spread in Iraq. “We have invested significantly in commodity security to ensure that everyone who tests positive or is notified of TB is put on treatment,” said Brigden.

Thanks to these steps, many — like young Yusuf — are alive today who might otherwise have succumbed without proper care.

“The discussions of tuberculosis we had with the nurse who gave the medication had a positive impact on us,” said Yusuf’s father, Mohamed.

“The nurse gave us information on how to isolate him after the first two to three weeks. He reassured us that if we gave him the medication regularly and made sure there were no gaps, everything would be getting well.

“This made us less scared.”
 

 


Anxiety clouds Easter for West Bank Christians

Anxiety clouds Easter for West Bank Christians
Updated 16 April 2025
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Anxiety clouds Easter for West Bank Christians

Anxiety clouds Easter for West Bank Christians
  • ‘There is a constant fear, you go to bed with it, you wake up with it’

ZABABDEH: In the mainly Christian Palestinian town of Zababdeh, the runup to Easter has been overshadowed by nearby Israeli military operations, which have proliferated in the occupied West Bank alongside the Gaza war.

This year unusually Easter falls on the same weekend for all of the town’s main Christian communities — Catholic, Orthodox and Anglican — and residents have attempted to busy themselves with holiday traditions like making date cakes or getting ready for the scout parade.

But their minds have been elsewhere.

Dozens of families from nearby Jenin have found refuge in Zababdeh from the continual Israeli military operations that have devastated the city and its adjacent refugee camp this year.

“The other day, the (Israeli) army entered Jenin, people were panicking, families were running to pick up their children,” said Zababdeh resident Janet Ghanam.

“There is a constant fear, you go to bed with it, you wake up with it,” the 57-year-old Anglican added, before rushing off to one of the last Lenten prayers before Easter.

Ghanam said her son had told her he would not be able to visit her for Easter this year, for fear of being stuck at the Israeli military roadblocks that have mushroomed across the territory.

Zababdeh looks idyllic, nestled in the hills of the northern West Bank, but the roar of Israeli air force jets sometimes drowns out the sound of its church bells.

“It led to a lot of people to think: ‘Okay, am I going to stay in my home for the next five years?’” said Saleem Kasabreh, an Anglican deacon in the town.

“Would my home be taken away? Would they bomb my home?“

Kasabreh said this “existential threat” was compounded by constant “depression” at the news from Gaza, where the death toll from the Israel’s response to Hamas’s October 2023 attack now tops 51,000, according to Gaza’s Health Ministry.

Zababdeh has been spared the devastation wreaked on Gaza, but the mayor’s office says nearly 450 townspeople lost their jobs in Israel when Palestinian work permits were rescinded after the Hamas attack.

“Israel had never completely closed us in the West Bank before this war,” said 73-year-old farmer Ibrahim Daoud. “Nobody knows what will happen.”

Many say they are stalked by the spectre of exile, with departures abroad fueling fears that Christians may disappear from the Holy Land.

“People can’t stay without work and life isn’t easy,” said 60-year-old math teacher Tareq Ibrahim.

Mayor Ghassan Daibes echoed his point.

“For a Christian community to survive, there must be stability, security and decent living conditions. It’s a reality, not a call for emigration,” he said.

“But I’m speaking from lived experience: Christians used to make up 30 percent of the population in Palestine; today, they are less than one percent.

“And this number keeps decreasing. In my own family, I have three brothers abroad — one in Germany, the other two in the United States.”

Catholic priest Elias Tabban adopted a more stoical attitude, insisting his congregation’s spirituality had never been so vibrant.

“Whenever the Church is in hard times... (that’s when) you see the faith is growing,” Tabban said.


Houthi media says US air strikes hit Sanaa

People inspect the site of a reported US airstrike in Sanaa, a day after the attack. (File/AFP)
People inspect the site of a reported US airstrike in Sanaa, a day after the attack. (File/AFP)
Updated 16 April 2025
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Houthi media says US air strikes hit Sanaa

People inspect the site of a reported US airstrike in Sanaa, a day after the attack. (File/AFP)
  • Houthi-held areas of Yemen have endured near-daily strikes, blamed on the United States, since Washington launched an air campaign against the militia on March 15

SANAA: Houthi media said more than a dozen air strikes hit the militia-held capital Sanaa on Wednesday, blaming them on the United States.
Houthi-held areas of Yemen have endured near-daily strikes, blamed on the United States, since Washington launched an air campaign against the militia on March 15 in an attempt to end their threats to shipping in the Red Sea and Gulf of Aden.
“Fourteen air strikes carried out by American aggression hit the Al-Hafa area in the Al-Sabeen district in the capital,” the Houthis’ Al-Masirah TV reported.
It also reported strikes blamed on the United States in the Hazm area of Jawf province.
The US campaign followed Houthi threats to resume their attacks on international shipping over Israel’s aid blockade on the Gaza Strip.
Since March 15, the Houthis have also resumed attacks targeting US military ships and Israel, saying they are acting in solidarity with Palestinians in the Gaza Strip.
The Houthis began targeting ships transiting the Red Sea and Gulf of Aden, as well as Israeli territory, after the Gaza war began in October 2023, later pausing their attacks during a recent two-month ceasefire.
Israel cut off all supplies to Gaza at the beginning of March and resumed its offensive in the Palestinian territory on March 18, ending the truce.
The vital Red Sea route, connecting to the Suez Canal, normally carries about 12 percent of world shipping traffic, but the Houthi attacks forced many companies to make a long detour around the tip of southern Africa.