Traumatized Syrians face major mental health issues with little care available

Displaced Syrians take refuge at the Sultan Ibrahim Mosque in the regime-controlled town of Jableh, northwest of the capital Damascus, on February 12, 2023 following a deadly earthquake in Turkey and Syria. (AFP)
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Updated 29 June 2023
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Traumatized Syrians face major mental health issues with little care available

  • Years of war, and the earthquakes in February, have taken a deep psychological toll on people, delegates at a conference in Washington heard
  • Charitable organization MedGlobal said there has been ‘a severe psychological impact’ on civilians, resulting in depression, anxiety and PTSD

WASHINGTON: After more than a decade of civil war, the devastating earthquakes in Syria this year inflicted further trauma on an already vulnerable population, experts said during a conference in the US on Wednesday.
Many Syrians are not only suffering the physical effects of the crises in their country but also severe mental repercussions, including post-traumatic stress disorder, that are taking a deep psychological toll on Syrian society as a whole and those in the northwest in particular.
The knock-on effects of this mental health crisis, which affects not only victims of the conflict and the natural disaster but also those who provide them with healthcare, include substance abuse of drugs such as the amphetamine Captagon, narcotics and pain medications.
These effects are observed across many segments of Syrian society, according to medical and social experts who shared their experiences and findings during Wednesday’s event, which was organized by the Middle East Institute in Washington and attended by Arab News.
As the civil war approached the end of its 12th year, two earthquakes, of magnitude 7.8 and 7.5, caused devastating damage to parts of northern Syria and southern Turkiye on Feb. 6.
According to report by MedGlobal, a charitable, non-governmental organization that provides emergency humanitarian aid and healthcare, the “Syrian conflict has had a severe psychological impact on its civilians, resulting in high levels of mental health problems such as depression, anxiety and post-traumatic stress disorder.”
It added that many Syrians have experienced traumatic events such as bombings, shootings and forced displacement, which have contributed to mental health issues. The lack of access to adequate mental healthcare and support has exacerbated the psychological effects of the war on the population.
The conference heard that almost half of the Syrian population, and especially those worst-affected by the earthquakes, is suffering from some degree of mental disorders, and many have developed severe condition and show the full symptoms of PTSD.
Dr. Nora Abdullah, a psychiatry resident at Yale New Haven Hospital in Connecticut and a MedGlobal volunteer, said there is an acute mental health crisis in the parts of northwestern Syria that are outside the control of the Syrian regime, with only two psychiatrists to serve a population of about 3.5 million people.
She described the scale of the crisis as “staggering” and said a “telehealth” approach, using technology to provide treatment and support services to patients and to medical staff working under highly stressful conditions, who often fall victim to mental health issues themselves, is helping to compensate for this lack of mental health professionals in parts of Syria.
Dr. Dania Albaba, a psychiatry resident at Baylor College of Medicine in Houston, Texas, and a volunteer and report author for MedGlobal, said “psychological first aid” is being used in the field in Syria to help people recognize the warning signs of mental trauma and disorders, and teach them what they can do to address them.
“We know emergency mental health aid is very valuable and is needed in the immediate aftermath of an earthquake, or any crisis,” she added.
Alex Mahoney, acting director for the Middle East, North Africa and Europe at the US Agency for International Development’s Bureau for Humanitarian Assistance, said that in addition to supporting the provision of emergency mental health treatment, the agency is also helping to provide psycho-social support services for the Syrian people, including material aid and training for displaced refugees.
He acknowledged that the region remains “a dangerous environment,” especially for organizations with direct links to the US, and so USAID works with the UN and is careful not to reveal the identities of those who help it distribute aid to communities.
He also spoke about “telehealth” and said it is one of the services his agency provides, through the work of specialist partners.
Natasha Hall, a senior fellow with the Middle East Program at the Center for Strategic and International Studies in Washington, said the situation in northwestern Syria is dire, especially since the earthquakes. Between 60 and 85 percent of people are unemployed and about 9,000 who did have jobs have lost them because of funding cuts by international donors, she added.
International aid and funding for refugees in the country is drying up yet the situation Syrians find themselves in has not improved in years, said Hall.
“This population is completely dependent on humanitarian aid,” she added.

 


Spain PM will Wednesday announce date to recognize Palestinian state

Updated 3 sec ago
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Spain PM will Wednesday announce date to recognize Palestinian state

  • Sanchez said in March that Spain and Ireland, along with Slovenia and Malta had agreed to take the first steps toward recognition of a Palestinian state
MADRID: Spanish Prime Minister Pedro Sanchez said Friday he will on Wednesday announce the date on which Madrid will recognize a Palestinian state along with other nations.
“We are in the process of coordinating with other countries,” he said during an interview with private Spanish television station La Sexta when asked if this step would be taken on Tuesday as announced by EU foreign policy chief Josep Borrell.
Sanchez said in March that Spain and Ireland, along with Slovenia and Malta had agreed to take the first steps toward recognition of a Palestinian state alongside Israel, seeing a two-state solution as essential for lasting peace.
Borrell told Spanish public radio last week that Spain, Ireland and Slovenia planned to symbolically recognize a Palestinian state on May 21, saying he had been given this date by Spanish Foreign Minister Jose Manuel Albares.
Ireland’s Foreign Minister Micheal Martin said Tuesday that Dublin was certain to recognize Palestinian statehood by the end of the month but the “specific date is still fluid.”
So far, 137 of the 193 UN member states have recognized a Palestinian state, according to figures provided by the West Bank-based Palestinian Authority.
Despite the growing number of EU countries in favor of such a move, neither France nor Germany support the idea. Western powers have long argued such recognition should only happen as part of a negotiated peace with Israel.

Israel army says civilians torched Gaza-bound aid truck in West Bank

Updated 15 min 28 sec ago
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Israel army says civilians torched Gaza-bound aid truck in West Bank

JERUSALEM: Israel’s military said Friday that “dozens of Israeli civilians” set fire the previous evening to an aid truck in the occupied West Bank headed for war-torn Gaza.
Local media reported that Israeli settlers were behind the attack, which the army said injured the driver as well as Israeli soldiers.
The incident took place near Kokhav Hashahar, an Israeli settlement in the central West Bank, a territory occupied by Israel since 1967.
According to the army, Israeli soldiers intervened to “separate the Israeli civilians from the attacked Israeli driver” and provided medical assistance.
The group then “responded with violence,” and three Israeli soldiers were “lightly injured,” the army said, condemning “all forms of violence against its soldiers and security forces.”
On Monday, dozens of people blocked and vandalized a convoy of aid trucks driving to the Gaza Strip.
Israeli media identified them as part of a far-right group opposed to allowing aid into Gaza.
The trucks were attacked in Israel, shortly after passing through the Tarqumiya checkpoint from the West Bank.
Images posted on social media show Israeli soldiers watching on as the attackers destroy the aid.
The latest incident comes just hours after the army said on Thursday that the Tarqumia and Beitunia checkpoints “now also function as inspection points for aid” destined for Gaza.
Jordanian authorities said “Israeli extremists” in the West Bank attacked two aid convoys sent on May 1 from Jordan and another convoy of 35 trucks sent on May 7.
Israel has been fighting their bloodiest war ever in Gaza since the Palestinian militants attacked Israel on October 7.
Despite the United Nations warning of looming famine, Israeli authorities have tightly controlled much needed humanitarian aid into Gaza over the course of more than seven months of war.
Very little aid has made it through Kerem Shalom crossing in southern Gaza, and Rafah crossing has been completely shut since Israeli troops took control of the area last week.
Israel has vowed to defeat remaining Hamas forces in the southern city of Rafah, which it says is the last bastion of the group whose October 7 attack triggered the war.
The Hamas attack on southern Israel resulted in the deaths of more than 1,170 people, mostly civilians, according to an AFP tally based on official Israeli figures.
More than 35,303 Palestinians, mostly civilians, have been killed in Gaza since the war broke out, according to data provided by the health ministry in the Hamas-run territory.


Saudi Arabia, UAE ‘the locomotives of the region’ says French trade commissioner

Updated 17 min 49 sec ago
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Saudi Arabia, UAE ‘the locomotives of the region’ says French trade commissioner

  • Vision Golfe returns for a second edition June 4-5 at the French Ministry of Economy in Paris
  • The benchmark event between France and the Gulf countries aims to promote trade and economic relations

DUBAI: After the success of its first edition, Vision Golfe returns for a second edition June 4-5 at the Ministry of Economy, Finance, Industry and Industrial and Digital Sovereignty in Paris.

The benchmark event between France and the Gulf Cooperation Council countries aims to promote trade and economic relations, building on a long-standing relationship between France and the GCC states, particularly between France and Saudi Arabia.

“Between France and the GCC countries … we have a long story of friendship. We build bridges together based on mutual comprehension, respect, mutual interest, ambition, and our political bilateral relation is absolutely at the top,” said Axel Baroux, trade and invest commissioner of Business France Middle East, in an interview with Arab News in French.

“We have a great and solid commercial and investment relationship, but I think that we can do even more,” he added.

Vision Golfe is a platform to promote business cooperation in markets with high growth potential, and an opportunity to meet key economic players: ministers, start-ups, and senior executives, among others.

“Vision Golfe is a tool, the starting point for negotiations and discussions. Discussions continue throughout the year … our trade and investment grew last year by almost 8 percent,” declared Baroux.

“If I take the figures of the GCC investment in France, we are reaching €14 billion ($15.178 billion) which is exactly €13.7 billion,” he added, while pointing out that the figure is underestimated for not considering indirect investments.

Despite the challenges facing the global economy, Gulf countries continue to offer an environment conducive to investment and talent attraction, leveraging national policies focused on economic diversification, sustainable development, and energy transition.This creates a favourable atmosphere for the establishment of companies in various sectors such as energy and new technologies, as well as sectors such as healthcare, education, retail, and tourism.

As the two largest markets in a region marked by considerable growth in trade, Saudi Arabia and the UAE are today “the locomotives of the region,” Baroux says.

This explains the rise in French companies setting up operations and participating in major projects and trade in the Gulf.

Baroux highlighted his participation in a delegation of French companies in Saudi Arabia, with over 120 companies taking part in the event organized by Business France and the MEDEF, in the presence of the director general of Business France, Laurent Saint Martin, French foreign trade advisors, and Bruno Bonnell, the secretary-general for Investment FRANCE 2030.

“We were admirably received. Agreements were signed with STC and Business France. We also visited the PIF, and had discussions with MISA,” he added.

The UAE also offers opportunities for French companies across sectors, with “more than 600 French companies on ground … Translating into direct employment, projects and a solid economic relationship,” according to Baroux.

“We have very strong, very solid bilateral economic relations between France and the GCC and it is a reason why we expect Vision Golfe to be the annual rendez-vous, the annual meeting, where all the companies from the GCC and from France can meet together in Paris,” he added.        

HIGHLIGHTS

Vision Golfe is a platform for exchanges, networking, and the signing of agreements.

It aims to present success stories of major partnerships that contribute to the strategies of Gulf countries.

The program includes an opening speach by Business France CEO Laurent Saint Martin, in the presence of ministers from France and the GCC, and a panel addressing “The Gulf at the crossroads of Asia and Europe” to kick off two days of panels and meetings.

Thematic and sector-specific discussions and round tables are on the agenda, with topics including but not limited to:

 

• Converging national strategies

• Building sustainable partnerships

• How to invest and set up a business in the Gulf

• Energy for the future: sustainable energy and resource management after COP28

• Cooperation and investment opportunities in various sectors

• France as Europe’s most attractive destination for foreign direct investment

Economic diversification, innovation, artificial intelligence, infrastructure, and transport development are among the themes addressed during the second edition.

The French touch and know-how will also be in the spotlight, in the presence of a number of guests and speakers, such as Jean Yves LeDrian, chair of the French Agency for the Development of AlUla, the CEO of NIDLP Suliman Almazroua, the secretary-general of the UAE International Investors Council, Jamal Saif Al-Jarwan, with the participation of the Abu Dhabi Investment Office, Mohamed Bin Zayed University, and Kuwaiti and Qatari groups to state a few.

“Vision Golfe 2023 was a real success, and of course, I expect more for Vision Golfe 2024. More B2B meetings, more partnerships, even more interaction between French companies and GCC companies. We will have this year at Vision Golfe 2024 some key agreements that will be signed, during the session,” said Baroux.

 

 


Aid groups warn of mounting challenges to Gaza operations

Updated 17 May 2024
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Aid groups warn of mounting challenges to Gaza operations

  • The latest fighting, more than seven months into the war, has cut off access to some areas and left aid crossings either closed or operating at a limited capacity

Jerusalem: Humanitarian workers already face a slew of challenges getting aid to civilians in the besieged Gaza Strip, and fear that as the Israel-Hamas war rages on they may be forced to halt operations.
“There are enormous needs” which are bound to grow, while there is “less and less access”, said the head of a European charity, speaking to AFP on condition of anonymity.
Aid groups say the humanitarian crisis in the war-ravaged Palestinian territory, where the UN has warned of looming famine, has significantly deteriorated since Israeli troops entered eastern Rafah last week.
The Israeli military has launched what it called a “limited” operation, seizing on May 7 the Rafah crossing on the Egyptian border — a key aid conduit that is now shut — and sparking an exodus of Palestinians seeking safety further north in Gaza.
The latest fighting, more than seven months into the war, has cut off access to some areas and left aid crossings either closed or operating at a limited capacity.
A worker for the Paris-based non-governmental organization Humanity & Inclusion (HI) in the Palestinian territories, also requesting anonymity, said: “We can’t get our teams out, the security conditions are too unstable.”
Israel has vowed to defeat remaining Hamas forces in the southern city of Rafah, which it says is the last bastion of the group whose October 7 attack triggered the war.
The attack on southern Israel resulted in the deaths of more than 1,170 people, mostly civilians, according to an AFP tally based on official Israeli figures.
Israel’s campaign in Gaza has since killed at least 35,303 people, also mostly civilians, according to data provided by the health ministry in the Hamas-run territory.
Aid workers told AFP their organizations had regularly been denied access by Israeli authorities to certain areas or routes.
The Kerem Shalom crossing between Israel and southern Gaza has reopened following a brief closure, but humanitarian groups say Israeli tanks amassing there and repeated Hamas rocket fire have hindered operations.
A trickle of aid has entered via Kerem Shalom in recent days under “great risk, through an area of active hostilities,” said a UN employee in Jerusalem.
Human Rights Watch charged this week that Israeli forces had repeatedly targeted known aid worker locations, even when their organizations had provided the coordinates to Israeli authorities to ensure their protection.
On Monday a UN employee was killed and another wounded when their vehicle was hit in Rafah.
Shaina Low, communications adviser for the Norwegian Refugee Council, said the organization had subsequently “canceled all of our movements for the rest of the day to mitigate risk to our staff.”
The Israeli army said it was looking into the incident which occurred “in an area declared an active combat zone.”
Since the war began, more than 250 humanitarian workers have been killed in Gaza, according to UN figures.
Aid workers complain of lengthy and convoluted procedures to coordinate their movements with the Israeli military via the United Nations and several Israeli agencies.
“We are seeing mishaps” even after COGAT, the Israeli defense ministry body overseeing civilian affairs in the occupied Palestinian territories, informs organizations they have clearance, said Tania Hary, head of Israeli rights group Gisha.
“It does point to something that’s going wrong in the communication” between COGAT and the army, she said.


To avoid having to go through a series of mediators — UN agencies, Israel’s Coordination and Liaison Administration and then its parent agency COGAT — some aid groups have opted for direct contact with Israeli military authorities.
But workers and officials told AFP this has mostly created further confusion. Some also fear NGOs would accept conditions in direct communication with the military, which could set precedents other groups may not be willing to abide by.
The HI employee said: “Notifying them of our movements, which they’re not supposed to hinder, is a way of reminding them of their accountability if anything goes wrong.”
Humanitarian workers stress that Israel, as an occupying power, is required under international law to ensure aid reaches civilians in Gaza.
A military spokesperson said Thursday the army was in contact with international organizations “in real time” and ensuring “the best way possible to communicate as fast as possible.”
Even if a full-scale invasion of Rafah is averted, humanitarian agencies say conditions are unsustainable.
Debris and destruction have rendered main routes and many other roads impassable, and a severe fuel shortage — worsened since the Rafah crossing takeover — has limited the use of vehicles.
“We’re only going to places we can walk to,” said the head of one aid group with about 50 workers in Gaza.
A Jerusalem-based humanitarian official, also speaking on condition of anonymity, said he recognized that “military imperatives” arise in conflicts and may limit aid operations.
But in the Gaza war, movement requests are denied too often and “we can hardly bring anything,” he said.
“We can’t work like this.”


Western nations urge Israel to comply with international law in Gaza

Updated 17 May 2024
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Western nations urge Israel to comply with international law in Gaza

  • Israel denies blocking humanitarian aid and says it needs to eliminate Hamas for its own protection
  • The Western nations said they were opposed to “a full-scale military operation in Rafah” and called on Israel to let humanitarian aid reach the population

ROME: Israel must comply with international law in Gaza and address the devastating humanitarian crisis in the Palestinian enclave, a group of Western nations wrote in a letter to the Israeli government seen by Reuters on Friday.
All countries belonging to the Group of Seven (G7) major democracies, apart from the United States, signed the letter, along with Australia, South Korea, New Zealand, the Netherlands, Denmark, Sweden and Finland.
The five-page letter comes as Israeli forces bear down on the southern Gaza city of Rafah as part of its drive to eradicate Hamas, despite warnings this could result in mass casualties in an area where displaced civilians have found shelter.
“In exerting its right to defend itself, Israel must fully comply with international law, including international humanitarian law,” the letter said, reiterating “outrage” for the Oct. 7 Hamas raid into Israel which triggered the conflict.
Israel denies blocking humanitarian aid and says it needs to eliminate Hamas for its own protection.
The Western nations said they were opposed to “a full-scale military operation in Rafah” and called on Israel to let humanitarian aid reach the population “through all relevant crossing points, including the one in Rafah.”
“According to UN estimates, an intensified military offensive would affect approximately 1.4 million people,” the letter said, underscoring the need “for specific, concrete and measurable steps” to significantly boost the flow of aid.
The letter recognizes Israel made progress in addressing a number of issues, including letting more aid trucks into the Gaza Strip, the reopening of the Erez crossing into northern Gaza and the temporary use of Ashdod port in southern Israel.
But it called on Prime Minister Benjamin Netanyahu’s government to do more, including working toward a “sustainable ceasefire,” facilitating further evacuations and resuming “electricity, water and telecommunication services.”
Since Oct. 7 Israel’s Gaza offensive has killed more than 35,000 Palestinians, local health officials say.