Frankly Speaking: An American view on Middle East conflicts

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Updated 23 March 2025
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Frankly Speaking: An American view on Middle East conflicts

Frankly Speaking: An American view on Middle East conflicts
  • Former US intelligence official Norman Roule explains how President Trump’s actions may impact Middle East and whether US can be convinced to back Arab plan to rebuild Gaza
  • Suggests regional actors like Saudi Arabia should take on greater responsibility in fostering stability and resolving conflicts from Syria to Ukraine, Yemen to Lebanon

RIYADH: Norman Roule, a former senior US intelligence official and Middle East expert, says pundits ought to take the “glass-half-full” view of President Donald Trump’s efforts to resolve regional conflicts since taking office in January.

Appearing on Arab News’ current affairs program “Frankly Speaking,” he spoke on a wide range of issues, including what Trump’s actions mean for US foreign policy, how they may impact the changes underway in the Middle East, whether Washington can be convinced to back the Arab world’s plan to rebuild Gaza, and whether a Trump-Putin summit in Saudi Arabia is on the horizon.

Acknowledging both the Trump administration’s achievements so far and the challenges ahead, Roule said: “We have a president of the United States in the earliest days of his administration who is showing that he is interested in the Middle East, interested in the Palestinian issue, and has devoted his senior most advisers to working that issue. I’m going to take that as a good start.

“The second issue is, he is consulting routinely with regional partners to include Saudi Arabia, and that’s always a wise move. He is also speaking with the Jordanians, the Egyptians, and that’s also a smart step.”

Reinforcing the “glass-half-full” argument, Roule said: “We have multiple Arab countries who are showing wise and consistent leadership and are focusing resources and political attention on the political and humanitarian future of the Palestinian people. That should be applauded and it should be endorsed and it deserves international applause and resources.”




Norman Roule, a former senior US intelligence official, spoke to “Frankly Speaking” host Katie Jensen on the possible impact of President Trump’s actions in the Middle East among a number of other topics. (AN Photo)

Earlier this month, the Trump administration broke with longstanding US policy by engaging Hamas, designated a terrorist organization since 1997, to secure the release of American hostages in Gaza.

The US president issued stern warnings to Hamas, demanding immediate hostage release and return of bodies. He threatened severe consequences, stating he was “sending Israel everything it needs to finish the job.”

Roule lauded Trump’s willingness to engage with the various parties in the Israel-Hamas conflict to reach a solution. “I think that it’s a sign that there is a consistency to the Trump administration’s statements,” he told Katie Jensen, the host of “Frankly Speaking.”

“The administration stated as follows: We will speak with anybody for a diplomatic arrangement. We won’t speak endlessly. We will look for alternatives such as moving people to other countries, offering an extension of a ceasefire, doing what’s necessary. We want hostages back. We want peace. We will see where this leads, but we’re not going to tolerate endless, endless violence and endless militancy.”

On March 18, Israel broke the fragile ceasefire, which had been in effect since Jan. 19, and launched a bombardment of the Palestinian enclave, killing at least 400 people within hours, according to Gaza’s health ministry.

Israeli Prime Minister Benjamin Netanyahu accused Hamas of repeatedly refusing to release the remaining 59 hostages — 24 of whom are believed to be alive — taken on Oct. 7, 2023, during a deadly attack in southern Israel that prompted Israel's widescale bombing campaign in Gaza.

Hamas denied rejecting a proposal from US Middle East envoy Steve Witkoff and accused Netanyahu of resuming attacks on Gaza to sabotage a ceasefire agreement.

“The challenges that the president and Steve Witkoff have looked at the scale of the devastation in Gaza, and it is extraordinary,” Roule said. “And truth be told, there has never been a reconstruction in the history of the world where 1.5 million people, which include thousands of militant armed gunmen, have stayed in place while reconstruction has occurred.

“It’s just never happened. And their position is these people need to be moved to a place where they can have normal lives while that reconstruction takes place.”

When asked if Netanyahu would dare defy the US president the way he did when Joe Biden and Barack Obama were in office, Roule pointed out that over more than four decades, Israeli politics and Israeli relations with the US “have been complicated.” “We’ve had periods where Israeli leaders who have had very close relations with Washington have had very difficult relations and periods of defiance with Washington,” he said.

“And we’ve also had periods where American presidents who have vowed the strongest support of Israel have cut off financial support and weapons support for Israel out of anger over Israeli actions. … There is turbulence almost inevitably as part of our US-Israeli relationship.”




Smoke rises from a burning building in North Gaza, as seen from the Israel-Gaza border, March 23, 2025. (Reuters)

Turning to Yemen, Roule described the Red Sea crisis as a global concern that requires international cooperation. He argued that the US is effectively waging a war on behalf of the world to protect maritime security and ensure the stability of vital trade routes.

Beginning March 15, the US launched a series of large-scale air and naval attacks against Houthi militant targets in Yemen, marking the most significant American military action in the Middle East since Trump began his second term.

Trump cited the Houthis’ “relentless campaign of piracy, violence, and terrorism” in the Red Sea as the rationale for the strikes, which are part of a broader strategy to restore security in the region and pressure Iran, the Houthis’ main backer.

Since November 2023, the Houthis have launched over 100 attacks on ships in the Red Sea and surrounding waters, claiming they were aimed at supporting Palestinians in Gaza. Targets have included commercial vessels, warships, and Israel-linked ships.

“There are now more than 14 Iranian missile systems being operated in Yemen and more than a dozen, approximately a dozen, drone systems operating from Yemen as well,” Roule said.

He added: “Now that logistics system has been cut because of the naval presence in the area, but Iran can restore this at any time and interdict global trade and indeed provide capabilities that extend that introduction into the Indian Ocean and have greater impact on the world's economy.

“The US is saying that is over. And that means that Iranian Quds Force personnel in Yemen … are now at risk if they are standing near Houthi ballistic missiles, explosive boats or offensive drone systems.”

Roule said that the economic toll of instability in Yemen extends beyond its borders, affecting Sudanese workers, Palestinian laborers in Jordan, and Egypt’s Suez Canal operations.

“We have some significant regional impact,” he said. “Egypt has lost $7 billion in 2024. Palestinian workers in Jordan who take care of thousands of containers of shipping have been unemployed. Sudanese humanitarian aid has been severely diminished because of Red Sea activity.”

When asked about the cost-effectiveness of using advanced fighter jets flying from Qatar and Bahrain against primitive weapons deployed by Yemeni forces, Roule emphasized the need to balance financial considerations with strategic objectives. “This is a serious freedom of navigation issue that does have economic and political consequences and the US playing its role in part because we’re the only world actor with naval capabilities that can do this,” he said.




Beginning March 15, the US launched a series of large-scale air and naval attacks against Houthi militant targets in Yemen. (X/@CENTCOM/Reuters)

“Europe doesn’t have the same level of ships with anti-missile capabilities as the United States. We’ve got to do what we are capable of doing.”

Offering his cost-benefit analysis of the decision to counter Houthi attacks, Roule said: “Sometimes people say it’s a $4 million missile bringing down a $100,000 drone, that’s true. But the actual way of looking at that is, it’s a $4 million missile preventing a $100,000 drone from hitting a $1 billion ship.”

Roule also suggested that Arab powers should take on greater responsibility in resolving Yemen’s conflict. “There is very little likelihood there will be negotiations with the Houthis. The Trump administration will, and should, leave the Yemen issue to regional partners to work,” he said, stressing that it is “a regional issue, not an American issue.”

Moving on to Syria, Roule noted with satisfaction the new government’s “strong actions against Iranian proxies” and the fact that “Hezbollah’s relationship with Syria has indeed been cut.” “Likewise, we’ve got Syria not allowing massive Russian bases in the region. And this isn’t a world where we should have massive Russian bases in that part of the world from the American standpoint,” he said.

“We have seen some very promising developments between the Syrian Democratic Forces, how Kurds are handled between the new Syrian government and the Kurds. And in some ways, this is again where Saudi diplomats, where Arab diplomats, where Syrian diplomats, need to push this case with Congress, with the American media. … The challenge remains.”

Does Roule think that the sanctions, which were imposed essentially on the Bashar Assad regime, should be lifted?

“The answer is yes, but at the same time, the new regime, which is led by people with dark backgrounds, needs to prove itself,” he said. “It is attempting to do so. It is not a monolith in terms of its organization or its structure.”

Asked how a local solution, even if it is from Arab governments, can be found if US sanctions remain in place, he said: “Sanctions waivers should be provided, should be watched carefully across the board.

“Syrians should be encouraged to come home and provide it with financial relief so that they can return with resources to start businesses, to enable their families to thrive and build communities. And the West can be part of that. And your show and other voices should be encouraging that.”

Roule reiterated his point that regional actors ought to play a more prominent role in Syria’s conflict resolution. “This is an Arab issue,” he said. “This is an example where we’ve watched Saudi Arabia and others, but Saudi Arabia, since we’re speaking about the Kingdom, play an important and profound role in shaping regional events.”

He emphasized that the US and the West “need not to lead what happens with Syria, but to partner and to follow behind the leadership of the Kingdom so that we are enabling the region to, in essence, build itself.”

“Now, we can help, the United States can help in making sure Israel doesn't complicate things,” he said. “We can help and make sure that Western banks help Syria as needed.”

Despite widespread instability in the region, Roule expressed optimism about Lebanon’s future, describing the country as a potential “bright spot” for 2025. According to him, President Joseph Aoun has been saying and doing “all of the right things,” including how his government has been handling security, pushing back on Hezbollah, and “preventing Iran from bringing in cash.”

“It’s all positive,” he said. “I think Lebanon is going to be one of the bright spots of 2025.”

Roule praised Morgan Ortagus, the deputy US special envoy to the Middle East, for her contribution, describing her as “a very smart, capable, sober person” who has been achieving “considerable progress.”

Ortagus’ involvement in Lebanon has centered on addressing the aftermath of the Israel-Hezbollah conflict — which started on Oct. 8, 2023, and escalated since September 2024 — and on fostering regional stability.

“She’s tireless in her focus on bringing Lebanon to the attention of policymakers and making sure that they get what they need from Congress and elsewhere,” he said.




Appearing on Arab News’ current affairs program “Frankly Speaking,” Roule spoke on a wide range of issues, including what Trump’s actions mean for US foreign policy, how they may impact the changes underway in the Middle East. (AN Photo)

Roule also highlighted Saudi Arabia’s growing influence as a mediator in international diplomacy. The Kingdom has successfully brokered deals between Russia and Ukraine and facilitated prisoner exchanges — roles traditionally played by Switzerland or European nations. This shift has earned Saudi Arabia significant respect on the global stage.

According to him, Saudi Arabia’s stature in the international community “has dramatically changed in recent years.”

“It is impossible not to recognize that Saudi Arabia is a meeting place for every globally important issue,” Roule said. “Caribbean leaders, Central Asian leaders, meetings that at one time would take place in Geneva, Paris, Berlin, Washington, now take place in Riyadh or Jeddah.”

He pointed to the upcoming March 24 meeting between Ukrainian and Russian technical teams in Jeddah as an example of this transformation. “That’s the sort of thing you used to see in Europe,” he remarked, emphasizing how Saudi Arabia has positioned itself as a mediator in high-stakes international conflicts.

Roule said Saudi Arabia’s “global stature is significantly greater” owing to the leadership of King Salman and Crown Prince Mohammed bin Salman. Once viewed, both regionally and globally, primarily through the lens of Islam or energy, Saudi Arabia now plays a bigger role in shaping international events, he said.

Turning to broader geopolitical dynamics, Roule addressed speculation about an imminent Trump-Putin summit. Differing views on ceasefire terms among the US, Ukraine and Russia highlight the complexities of reaching a lasting resolution. Led by top officials from the US, Russia and Ukraine, negotiations to end the conflict in Europe reflect broader efforts to de-escalate tensions.

Despite recent agreements, including Russia’s temporary halt on strikes against Ukrainian energy infrastructure, challenges remain. While acknowledging the momentum toward such a meeting, Roule cautioned that unresolved issues must be addressed first.

“I think President Trump and President Putin will each want some sort of broader agreement, some sort of progress to take place,” he said, referring to recent discussions aimed at halting energy-related attacks between Russia and Ukraine.

He explained that while initial agreements have led to some steps — such as Russia halting attacks on Ukrainian energy sites — implementation remains uneven. Pointing to reports of Russian drone strikes during negotiations, he noted that Russia claimed to have recalled or intercepted its own drones to prevent further escalation.

Lauding the mediation of Saudi Arabia and the UAE, he said: “We’re watching again the region play a bigger role in bringing together not only Ukraine and Russia but also freeing prisoners between the countries. Saudi Arabia has brought home prisoners to the US from Russia, but also Ukrainian and Russian prisoners.

“Riyadh has done a number of remarkable things. We need we need a broader set of agreements to take place. Steve Witkoff and a number of Russian advisers, I believe, are in quiet communications behind the scenes. This is going to need to percolate for a while.”

Alluding to Ukraine-Russia talks set for the week of March 24 in Saudi Arabia, expected to focus on securing safe shipping in the Black Sea and a potential interim ceasefire, Roule said: “We’ll see where this goes. I’d watch the technical discussions that take place in Jeddah. There is a momentum that’s building here. That is clear.”

 


Pregnant woman under Israel’s blockade in Gaza’s ruins fears for her baby

Pregnant woman under Israel’s blockade in Gaza’s ruins fears for her baby
Updated 25 sec ago
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Pregnant woman under Israel’s blockade in Gaza’s ruins fears for her baby

Pregnant woman under Israel’s blockade in Gaza’s ruins fears for her baby
  • It’s become worse since Israel seven weeks ago cut off food, medicine and supplies for the territory’s more than 2 million people
  • According to the United Nations Population Fund, up to 20 percent of Gaza’s estimated 55,000 pregnant women are malnourished, and half face high-risk pregnancies
KHAN YOUNIS: Nearly seven months pregnant, Yasmine Siam couldn’t sleep, living in a crowded tent camp in Gaza and shaken often by Israeli bombardment. She couldn’t find proper food and hadn’t eaten meat for more than a month. Weak and losing weight, she saw doctors every day. There was little they could do.
One night this month, pain shot through her. She worried labor was starting but was too terrified of gunfire to leave her tent. Siam waited till daybreak to walk to the nearest mobile clinic. The medics told her to go to Nasser Hospital, miles away.
She had to take a donkey cart, jolted by every bump in the bombed-out roads. Exhausted, the 24-year-old found a wall to lean on for the hourslong wait for a doctor.
An ultrasound showed her baby was fine. Siam had a urinary tract infection and was underweight: 57 kilos (125 pounds), down 6 kilos (13 pounds) from weeks earlier. The doctor prescribed medicine and told her what every other doctor did: Eat better.
“Where do I get the food?” Siam said, out of breath as she spoke to The Associated Press on April 9 after returning to her tent outside the southern city of Khan Younis.
“I am not worried about me. I am worried about my son,” she said. “It would be terrible if I lose him.”
With Gaza decimated, miscarriages rise
Siam’s troubled pregnancy has become the norm in Gaza. Israel’s 18-month-old military campaign decimating the territory has made pregnancy and childbirth more dangerous, even fatal, for Palestinian women and their babies.
It has become worse since March 2, when Israel cut off all food, medicine and supplies for Gaza’s more than 2 million people.
Meat, fresh fruits and vegetables are practically nonexistent. Clean water is difficult to find. Pregnant women are among the hundreds of thousands who trudge for miles to find new shelters after repeated Israeli evacuation orders. Many live in tents or overcrowded schools amid sewage and garbage.
Up to 20 percent of Gaza’s estimated 55,000 pregnant women are malnourished, and half face high-risk pregnancies, according to the United Nations Population Fund, or UNFPA. In February and March, at least 20 percent of newborns were born prematurely or suffering from complications or malnutrition.
With the population displaced and under bombardment, comprehensive miscarriage and stillbirth figures are impossible to obtain. Records at Khan Younis’ Nasser Hospital show miscarriages in January and February were double the same period in 2023.
Dr. Yasmine Shnina, a Doctors Without Borders supervisor of midwives at Nasser Hospital, documented 40 miscarriages a week in recent weeks. She has recorded five women a month dying in childbirth, compared with around two a year before the war.
“We don’t need to wait for future impact. The risks are emerging now,” she said.
A love story in the tents
For Siam and her family, her pregnancy — after a whirlwind, wartime marriage — was a rare joy.
Driven from Gaza City, they had moved three times before settling in the tent city sprawling across the barren coastal region of Muwasi.
Late last summer, they shared a meal with neighbors. A young man from the tent across the way was smitten.
The next day, Hossam Siam asked for Yasmine’s hand in marriage.
She refused initially. “I didn’t expect marriage in war,” she said. “I wasn’t ready to meet someone.”
Hossam didn’t give up. He took her for a walk by the sea. They told each other about their lives. “I accepted,” she said.
On Sept. 15, the groom’s family decorated their tent. Her best friends from Gaza City, dispersed around the territory, watched the wedding online
Within a month, Yasmine Siam was pregnant.
Her family cherished the coming baby. Her mother had grandsons from her two sons but longed for a child from her daughters. Siam’s older sister had been trying for 15 years to conceive. Her mother and sister — now back in Gaza City — sent baby essentials.
From the start, Siam struggled to get proper nutrition, relying on canned food.
After a ceasefire began in January, she and Hossam moved to Rafah. On Feb, 28, she had a rare treat: a chicken, shared with her in-laws. It was her last time eating meat.
A week later, Hossam walked for miles searching for chicken. He returned empty-handed.
‘Even the basics are impossible’
Israel has leveled much of Gaza with its air and ground campaign and has killed over 51,000 Palestinians, mostly women and children, according to Gaza’s Health Ministry, whose count does not distinguish between civilians and combatants.
In Gaza’s ruins, being pregnant is a formidable struggle.
It’s not just about quantity of food, said Rosalie Bollen, of UNICEF, “it’s also about nutritional diversity, the fact that they have been living in very dire, unsanitary conditions, sleeping on the ground, sleeping in the cold and just being stuck in this permanent state of very toxic stress.”
Nine of the 14 hospitals providing maternal health services before the war still function, though only partially, according to UNFPA.
Because many medical facilities are dislocated by Israeli military operations or must prioritize critical patients, women often can’t get screenings that catch problems early in pregnancy, said Katy Brown, of Doctors Without Borders-Spain.
That leads to complications. A quarter of the nearly 130 births a day in February and March required surgical deliveries, UNFPA says.
“Even the basics are impossible,” Brown said.
Under the blockade, over half the medicines for maternal and newborn care have run out, including ones that control bleeding and induce labor, the Health Ministry says. Diapers are scarce. Some women reuse them, turning them inside out, leading to severe skin infections, aid workers say.
Israel says the blockade aims to pressure Hamas into releasing the remaining hostages. Rights groups call it a “starvation tactic” endangering the entire population and a potential war crime.
At Nasser Hospital’s maternity ward, Dr. Ahmad Al-Farra witnessed things go from bad to worse.
Israeli forces raided the hospital in early 2024, claiming it housed Hamas fighters. Incubators in a warehouse were wrecked. The maternity ward was rebuilt into Gaza’s largest and best equipped for emergencies.
Since Israel broke the two-month ceasefire on March 18, the hospital has been flooded with wounded.
Up to 15 premature babies at a time need respirators, but the hospital has only two CPAP machines to keep preemies breathing. Some are put on adult respirators, often leading to death, Al-Farra said.
Twenty CPAP machines languish outside Gaza, unable to enter because of the blockade, along with 54 ultrasounds, nine incubators and midwifery kits, according to the UN
A lack of cleaning supplies makes hygiene nearly impossible. After giving birth, women and newborns weakened by hunger frequently suffer infections causing long-term complications, or even death, said Al-Farra.
Yasmine Zakout was rushed to Nasser Hospital in early April after giving birth prematurely to twin girls. One girl died within days, and her sister died last week, both from sepsis.
Before the war, Al-Farra said he would maybe see one child a year with necrotizing pneumonia, a severe infection that kills lung tissue.
“In this war, I treated 50 cases,” Al-Farra said. He removed parts of the lungs in nearly half those babies. At least four died.
Pregnant women are regularly among the wounded.
Khaled Alserr, a surgeon at Nasser Hospital, told of treating a four months pregnant woman after an April 16 strike. Shrapnel had torn through her uterus. The fetus couldn’t be saved, he said, and pregnancy will be risky the rest of her life. Two of her children were among 10 children killed in the strike, he said.
The stress of the war
In her sixth month of pregnancy, Siam walked and rode a donkey cart for miles back to a tent in Muwasi after Israel ordered Rafah evacuated.
With food even scarcer, she turned to charity kitchens distributing meals of plain rice or pasta.
Weakened, she fell down a lot. Stress was mounting — the misery of tent life, the separation from her mother, the terror of airstrikes, the fruitless visits to clinics.
“I just wish a doctor would tell me, ‘Your weight is good.’ I’m always malnourished,” she told the AP, almost pleading.
Hours after her scare on April 9, Siam was still in pain. She made her fifth visit to the mobile clinic in two days. They told her to go to her tent and rest.
She started spotting. Her mother-in-law held her up as they walked to a field hospital in the dead of night.
At 3 a.m., the doctors said there was nothing she could do but wait. Her mother arrived from Gaza City.
Eight hours later, the fetus was stillborn. Her mother told her not to look at the baby. Her mother-in-law said he was beautiful.
Her husband took their boy to a grave.
Days later, she told the AP she breaks down when she sees photos of herself pregnant. She can’t bear to see anyone and refuses her husband’s suggestions to take walks by the sea, where they sealed their marriage.
She wishes she could turn back time, even for just a week.
“I would take him into my heart, hide him and hold on to him.”
She plans to try for another baby.

Top UN court to hold hearings on Israeli obligations to ensure humanitarian aid to Palestinians

Top UN court to hold hearings on Israeli obligations to ensure humanitarian aid to Palestinians
Updated 2 min 26 sec ago
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Top UN court to hold hearings on Israeli obligations to ensure humanitarian aid to Palestinians

Top UN court to hold hearings on Israeli obligations to ensure humanitarian aid to Palestinians
  • United Nations’ highest court is opening hearings into Israel’s obligation to provide urgently needed humanitarian assistance to Palestinian civilians
  • Some 40 countries are expected to participate in a week of hearings starting Monday

THE HAGUE: The United Nations’ highest court opens hearings Monday into Israel’s obligation to “ensure and facilitate” urgently needed humanitarian assistance to Palestinian civilians in the occupied territories, bringing the ongoing conflict in Gaza back into focus in The Hague.
A week of hearings has been scheduled in response to a request last year from the UN General Assembly, which asked the International Court of Justice to weigh in on Israel’s legal responsibilities after the country blocked the UN agency for Palestinian refugees from operating on its territory.
In a resolution sponsored by Norway, the General Assembly requested an advisory opinion, a non-binding but legally important decision from the court, on Israel’s obligations in the occupied territories to “ensure and facilitate the unhindered provision of urgently needed supplies essential to the survival of the Palestinian civilian population?”
Hearings open as the humanitarian aid system in Gaza is nearing collapse. Israel has blocked the entry of food, fuel, medicine and other humanitarian supplies since March 2. It renewed its bombardment on March 18, breaking a ceasefire, and seized large parts of the territory, saying it aims to push Hamas to release more hostages. Despite the stepped-up Israeli pressure, ceasefire efforts remain deadlocked.
The World Food Program said last week its food stocks in the Gaza Strip have run out under Israel’s nearly 8-week-old blockade, ending a main source of sustenance for hundreds of thousands of Palestinians in the territory. Many families are struggling to feed their children.
The United Nations will be the first to address the court on Monday, followed by Palestinian representatives. In total, 40 states and four international organizations are scheduled to participate. Israel is not scheduled to speak during the hearings, but could submit a written statement. Israel’s Foreign Ministry did not immediately respond to requests for comment.
The United States, which voted against the UN resolution, is scheduled to speak on Wednesday.
The court will likely take months to rule. But experts say the decision, though not legally binding, could profoundly impact international jurisprudence, international aid to Israel and public opinion.
“Advisory opinions provide clarity,” Juliette McIntyre, an expert on international law at the University of South Australia, told The Associated Press. Governments rely on them in international negotiations and the outcome could be used to pressure Israel into easing restrictions on aid.
Whether any ruling will have an effect on Israel, however, is unclear. Israel has long accused the United Nations of being unfairly biased against it and has ignored a 2004 advisory ruling by the ICJ that found its West Bank separation barrier illegal.
On Tuesday, South Africa, a staunch critic of Israel, will present its arguments. In hearings last year in a separate case at the court, the country accused Israel of committing genocide against the Palestinians in Gaza — a charge Israel denies. Those proceedings are still underway.
Israel’s ban on the agency, known as UNRWA, came into effect in January. The organization has faced increased criticism from Prime Minister Benjamin Netanyahu and his far-right allies, who claim the group is deeply infiltrated by Hamas. UNRWA rejects that claim.
Israel alleged that 19 out of UNRWA’s approximately 13,000 staff in Gaza took part in Hamas’ Oct. 7, 2023, attack in southern Israel. UNRWA said it fired nine staffers after an internal UN investigation concluded that they could have been involved, although the evidence was not authenticated and corroborated. Israel later alleged that about 100 other Palestinians in Gaza were Hamas members, but never provided any evidence to the United Nations. Israel has also accused Hamas of using UN facilities for cover, building tunnels near UN buildings and diverting aid deliveries for its own use.
The Israeli ban doesn’t apply directly to Gaza. But it controls all entry to the territory, and its ban on UNRWA from operating inside Israel greatly limits the agency’s ability to function. Israeli officials say they are looking for alternative ways to deliver aid to Gaza that would cut out the United Nations.
UNRWA was established by the UN General Assembly in 1949 to provide relief for Palestinians who fled or were expelled from their homes in what is now Israel during the war surrounding Israel’s creation the previous year until there is a political solution to the Israeli-Palestinian conflict.
The agency has been providing aid and services — including health and education — to some 2.5 million Palestinians in Gaza, the occupied West Bank and east Jerusalem, as well as 3 million more in Syria, Jordan and Lebanon.
Israel’s air and ground war has killed over 51,000 Palestinians, mostly women and children, according to the Gaza Health Ministry, which does not say how many of the dead were civilians or combatants. Israel says it has killed around 20,000 militants, without providing evidence.


‘Hunger breaks everything’: desperate Gazans scramble for food

‘Hunger breaks everything’: desperate Gazans scramble for food
Updated 28 April 2025
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‘Hunger breaks everything’: desperate Gazans scramble for food

‘Hunger breaks everything’: desperate Gazans scramble for food
  • At the break of dawn, 10-year-old Youssef Al-Najjar races barefoot, clutching a battered pot, to a community kitchen in Gaza City, only to find hundreds of others already queueing

GAZA CITY: At the break of dawn, 10-year-old Youssef Al-Najjar races barefoot, clutching a battered pot, to a community kitchen in Gaza City, only to find hundreds of others already queueing.
“People push and shove out of fear of missing their turn. There are little children who fall,” said Youssef, his voice barely rising above a whisper.
Thousands of Gazans, including many children, rush to community kitchens every day in the hope of securing food for their families.
The humanitarian crisis in Gaza has worsened significantly since Israel blocked all aid from entering the territory on March 2, days before resuming its military campaign following the collapse of a ceasefire.
Supplies are dwindling and the UN’s World Food Programme (WFP) on Friday said it had sent out its “last remaining food stocks” to kitchens.
The weight of responsibility fell on Youssef’s shoulders after his father was killed in the war.
He dreams not of toys or games, but of something achingly simple: to sit at a table with his mother and sister, eating peacefully.
For that, each morning, he races to the community kitchen.
“Sometimes, in the chaos, my pot slips from my hands, and the food spills onto the ground,” he told AFP.
“I return home empty-handed... and that pain is worse than hunger.”
AFP footage from a community kitchen in Gaza City shows scores of boys and girls crowded outside the facility, pushing their pots and pans forward in a desperate attempt to secure whatever food they can.
One young man is even seen hitting a boy with a metal pot as he approaches a container of freshly-cooked rice.
“I have been waiting for over five hours to get a plate of rice for the children to eat,” said Mohammed Abu Sanad, a displaced Gazan, at another such facility.
“I have no income, and if we get food from the free kitchen, we eat. If not, we’ll die of hunger.”
The WFP, one of the main providers of food assistance in Gaza, said these kitchens were expected to run out of food “in the coming days.”


For Aida Abu Rayala, 42, the need was greater than ever.
“There is no flour, no bread, no way to feed my children. We stand for hours under the blazing sun and sometimes in the freezing cold,” said Rayala, from central Gaza’s Nuseirat area.
“Some days, after hours of waiting, the food runs out before my turn comes.”
Rayala’s home was destroyed in an air strike, and the family now lives in a tent of thin nylon sheets.
One day, she waited for three hours, her feet blistering from standing.
When she finally reached the counter, there was no food left.
“I went home with empty hands. My children cried... and in that moment, I wished I would die rather than see them hungry again.”
At the heart of Gaza’s food assistance is Faten Al-Madhoun, 52, a volunteer chef who runs a charity kitchen in Beit Lahia, northern Gaza.
She and her 13 volunteers cook by hand, over wood fires, without proper kitchens or modern equipment.
“Some days we prepare 500 meals, but more than 600 people show up,” Madhoun said.
“The need is enormous. And with every day that the borders stay closed, it only grows.”
With flour vanishing from the markets, bakeries shuttered, and even basic vegetables now luxuries, the community kitchens have become the only remaining source of food for tens of thousands.
Alaa Abu Amira shares a similar plight in the southern Khan Yunis area.
“If you arrive late, even by a few minutes, there’s no food,” said Abu Amira, 28, who used to live in the northern town of Beit Lahia.
“People crowd, they push, they fall. I saw a child get injured, and once, a little girl was burned when a pot of hot food spilled on her.”
When he manages to secure a meal, it is often cold, tasteless, repetitive — canned peas and beans, rice half-cooked on makeshift wood fires.
“Our stomachs can barely handle it anymore,” Abu Amira said, “but what choice do we have? Hunger breaks everything.”
Despite the daily ordeal, Rayala vowed to continue with her quest for food.
“Tomorrow, I will try to go earlier, hoping to get a plate of rice. We just want to live with dignity,” she said.


How doctors from Syria’s diaspora are helping Homs rebuild its shattered health system

How doctors from Syria’s diaspora are helping Homs rebuild its shattered health system
Updated 28 April 2025
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How doctors from Syria’s diaspora are helping Homs rebuild its shattered health system

How doctors from Syria’s diaspora are helping Homs rebuild its shattered health system
  • Syria’s 14-year civil war forced medical professionals to flee in their thousands, depriving the country of critical care
  • Diaspora doctors are now rebuilding services in Homs, with a focus on chronic conditions and mental health

LONDON: After 14 years of civil war, Syria’s largest province, Homs, has emerged from the conflict with its health system in tatters. Now, as families begin to return from displacement, diaspora doctors are stepping in to help revive damaged and long-neglected services.

Among them are more than 30 physicians and civic leaders from Chicago. The Syrian American delegation, led by Dr. Zaher Sahloul of the US-based nonprofit MedGlobal, conducted workshops in early April as part of the Homs Healthcare Recovery Initiative.

Over two days, Syrian experts from around the world came together to launch the Homs Healthcare Recovery Conference, organized by MedGlobal Organization International, in partnership with the Homs Doctors Syndicate, and under the auspices of the Health Ministry.
​​​​​​ (Source: MedGlobal)
The Syrian American delegation led by Dr. Zaher Sahloul of the US-based nonprofit MedGlobal conducted workshops in early April as part of the Homs Healthcare Recovery Initiative. ​​​​​​(Source: MedGlobal)

Sahloul said the scale of the crisis is staggering. “During the conflict, many physicians, subspecialists and allied health professionals left Homs,” he told Arab News. “The main hospital in Homs City, Al-Watani, was completely destroyed.”

The exodus of medical professionals left a “huge shortage of specialists, hospital beds and primary health centers,” highlighting “deep inequality in the distribution of healthcare, especially between the city and rural areas,” said Sahloul.

A handout picture released by the Syrian opposition's Shaam News Network shows destruction in the Juret al-Shiyah and the National hospital districts of Homs on April 17, 2012. (AFP file)

Outdated technology and a lack of medical supplies, equipment and medications have further hindered care.

Once dubbed the “capital of the revolution,” Homs was a key battleground in the uprising against Bashar Assad that began in 2011. Years of fighting devastated the province’s infrastructure, leaving hospitals in ruins and severely limiting access to basic services.

“Half of Homs city has been destroyed, and several other cities were heavily damaged, shelled, or under siege — including Palmyra, Al-Qaryatayn and Al-Qusayr,” said Sahloul. “A huge number of people fled Homs and became refugees or internally displaced.”

An image released by the Syrian opposition Shaam News Network on July 23, 2012 shows doctors treating a wounded man allegedly injured by Syrian government forces shelling at a field hospital in the city of Qusayr, 15 km from Homs, on July 14, 2012. (AFP)

By December 2013, almost half the governorate’s population had been displaced, according to UN figures. In the city of Homs alone, 60 percent of residents fled their homes.

Homs is not alone in experiencing such devastation. Today, only 57 percent of hospitals and 37 percent of primary healthcare centers across Syria are fully operational, according to the World Health Organization.

Insecurity and violence since the fall of Assad in December continue to disrupt health services, endangering both patients and medical staff.

Since March, surging violence in Alawite areas — particularly in Syria’s coastal region and the Homs and Hama governorates — has damaged six major hospitals and several ambulances, according to the UN Population Fund.

Homs suffered heavy damage during the early years of the uprising against President Bashar Assad, which left hospitals and basic services crippled. (AFP)

More than 1,000 civilians — including many medical students — have been killed in sectarian attacks, the UN children’s agency UNICEF said in early March. The hostilities have also triggered a fresh wave of displacement.

In this photo taken on October 29, 2015, hundreds of health workers participate in a "die-in" and demonstration organized by Physicians for Human Rights near the United Nations in New York City to draw attention to health workers killed in Syria. (AFP/File)

“The escalation reportedly caused additional civilian casualties and injuries, the displacement of thousands of families and damage to critical infrastructure,” Edouard Beigbeder, UNICEF’s regional director for the Middle East, said in a statement on March 9.

Within Homs, the healthcare system is particularly strained. According to a February WHO report, just seven of the province’s 17 hospitals and 58 of its 227 public health facilities are fully functional. Another four hospitals and 124 facilities are operating only partially.

Patients with chronic conditions face serious barriers to care. Cancer patients in Homs “have to go to Damascus to receive their treatment,” said Sahloul. “Patients with chronic diseases cannot afford their medications due to the economic situation.

IN NUMBERS

7 of 17 Hospitals in Homs that are fully functional.

58 of 227 Public health facilities that are fully operational.

(Source: WHO)

“Some patients on dialysis occasionally miss their treatments due to a shortage of dialysis kits. These kits are expensive, with each session costing around $20 to $25.”

The humanitarian crisis is compounded by economic hardship and continued sanctions. With monthly wages ranging from just $15 to $50 and about 90 percent of the population living below the poverty line, many cannot afford basic care.

Mass layoffs affecting about 250,000 public-sector workers have further strained the system.


The UN estimates that 15.8 million people will require humanitarian health assistance in 2025, even as funding continues to decline.

Mental health needs are also immense. “There are large numbers of war victims, including those displaced by violence and people who have lost family members,” said Sahloul, adding that torture survivors and former detainees are “deeply traumatized.”

He said: “As IDPs and refugees begin to return, the burden on mental health services grows.” 

The UN refugee agency, UNHCR, estimates that at least 1.4 million Syrians have returned home since the fall of the Assad regime. It projects that as many as 3.5 million refugees and IDPs could return by the end of the year.

“This means a growing number of people are coming back to areas with limited or no access to essential services like education, housing and healthcare,” said Sahloul. “All of this creates a situation that is nearly catastrophic.”

Given the scale of the crisis, Syria’s Ministry of Health cannot meet all needs alone. Sahloul highlighted the urgent need for support from NGOs and foreign governments to help sustain as well as rebuild the healthcare system.

Over two days, Syrian experts from around the world came together to launch the Homs Healthcare Recovery Conference, organized by MedGlobal Organization International, in partnership with the Homs Doctors Syndicate, and under the auspices of the Health Ministry.
​​​​​​ (Source: MedGlobal)

Aid agencies are stepping in. The UN Office for Project Services, in partnership with the government of Japan, is working to rehabilitate Homs Grand Hospital to restore critical services.

Similarly, the American Syrian Homs Healthcare Recovery mission, led by MedGlobal, has provided emergency supplies, performed critical surgeries and trained local healthcare workers in collaboration with Syrian communities.

Highlighting the initiative’s impact, Sahloul said: “Some teams began filling gaps in the healthcare system by donating funds for essential medical equipment, including a cardiac catheterization machine for Al-Waleed Hospital, an eye echo machine for Al-Harith Hospital, a stress echo machine for a public hospital, neurosurgical equipment for the university hospital and more.”

 

 

The mission, which began with a small team and quickly grew to include 650 expatriate physicians, has focused on three urgent priorities: Supporting dialysis patients, sustaining cardiac catheterization centers and addressing mental health.

“As part of the initiative, we provided dialysis kits across three different centers,” said Sahloul.

“Non-communicable diseases, not war-related injuries, are the primary health threat,” he added, citing high rates of smoking, hypertension, diabetes and fast food consumption.

The Ministry of Health has also inaugurated the Homs Center for Mental Health Support to assist survivors of torture and war.

However, Sahloul said that improving healthcare requires more than equipment and supplies — it demands addressing longstanding inequities between urban and rural areas, and among different communities.

“One of MedGlobal’s main missions is to reduce these disparities by identifying and filling gaps in healthcare access,” he said. “Historically, Syria has faced significant inequities between rural and urban areas, as well as within different neighborhoods based on their demographics.

 

 

“There are also disparities between major urban centers like Damascus and Aleppo, and the rest of the country. The eastern part of Syria, Hauran and the central regions were historically marginalized.

“By targeting these disparities, there is hope to ease tensions and begin healing a fractured society.”

Despite growing rehabilitation efforts and the commitment of local and international organizations, the scale of need still far exceeds available resources. As instability continues across Syria, both patients and health workers face daily risks.

The path to recovery is long and uncertain. Without sustained support, aid agencies warn, the country’s most vulnerable will remain at risk.
 

 


Houthis say 2 killed in US strikes Sanaa

Houthis say 2 killed in US strikes Sanaa
Updated 27 April 2025
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Houthis say 2 killed in US strikes Sanaa

Houthis say 2 killed in US strikes Sanaa
  • The Houthis, who control large parts of Yemen, also reported strikes in other parts of the country, including their stronghold of Saada in the north

SANAA: Houthi media said on Sunday that strikes on Yemen’s capital Sanaa attributed to the US had killed two people and wounded several others.
“Two people were killed and another injured after the Americans targeted a house” in a neighborhood in south Sanaa, the Houthis’ official Saba news agency said.
“Nine others were injured, including two women and three children, in the attack on a residential area in the west of Al-Rawda,” another district of the Yemeni capital, according to the same source.
On Saturday evening, the AFP correspondent in Sanaa reported hearing explosions.
The Houthis, who control large parts of Yemen, also reported strikes in other parts of the country, including their stronghold of Saada in the north.
They said the fuel port of Ras Issa in the western Hodeida region — where they reported 80 people killed in strikes just over a week ago — had also been hit.
The Houthis portray themselves as defenders of Gaza during the Israel-Hamas war.
They have regularly launched missiles and drones at Israel and cargo vessels plying the key Red Sea trade route.
The US military has, since January 2024, been attacking their positions, saying it is trying to stop their attacks.
Those attacks have intensified recently, with strikes carried out almost daily for the past month.
On Sunday, the Houthis claimed to have launched, for the second time in two days, a missile toward Israel.
The Israeli army reported intercepting a missile from Yemen before it crossed into the country’s territory.
On Saturday, CENTCOM, the US military command in the region, posted footage from the US aircraft carriers Harry S. Truman and Carl Vinson conducting strikes against the Houthis.