Breast cancer survivors urge women in the Middle East to seek timely screening

In Arab countries, breast cancer is the most frequently diagnosed form of the disease, which is why every October is Breast Cancer Awareness Month. (AFP/File Photo)
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Updated 25 October 2020
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Breast cancer survivors urge women in the Middle East to seek timely screening

  • Every October, Breast Cancer Awareness Month tells women not to neglect checkups
  • In Arab countries, breast cancer is the most frequently diagnosed form of the disease

DUBAI: Breast cancer is the most common form of the illness diagnosed in women worldwide. If caught early, the prognosis for survival is reassuringly high. But a lack of awareness, common myths and fear of bad news causes far too many women to delay getting checked.

In Arab countries, breast cancer is the most frequently diagnosed form of the disease. One recent study found 17.7 to 19 percent of all new cancer cases across the region in 2018 were breast cancer diagnoses.

That is why every October is Breast Cancer Awareness Month, when experts meet to discuss the latest treatments, charities raise awareness and private clinics offer special discounts on tests and screenings.

Cancer survivors are frequently asked to share their experiences, whether in small private groups or at large public gatherings, and the distinctive pink ribbon synonymous with the cause proliferates on blouses and lapels the world over.

While pandemic restrictions have forced many events online, this year has been no exception. And the message is getting across. Oncologists, surgeons, radiologists and other medical practitioners in the field are often fully booked this time of year.

“I think the essence is to try and get the whole world to just refocus,” Dr. Millicent Alache Bello, a renowned breast surgeon at King’s College Hospital in Dubai, told Arab News.

 

“It is important all through the year that breast education and breast awareness continues. However, a specific month for people to just refocus and take stock is vital.”

Women are recommended to begin getting annual mammograms from the age of 40, when the likelihood of developing breast cancer increases.

“In this part of the world, screening is not something done nationally. Screening is done ad hoc, meaning people go when they feel like it,” said Bello.

In the UK, general practitioners working for the taxpayer-funded National Health Service keep detailed medical records on every patient and remind them when they are due to receive a screening exam. This is not the case in Arab countries, where health services are insurance-based.

King’s College Hospital in Dubai wants to imitate the British system and to begin reminding its patients when they are due a check-up. It has already started compiling patient data and will soon offer mammograms at a cost of AED 350 ($95).

 

Routine check-ups and on-time screenings pay off. “The point where a woman feels a lump in her breast is not the point when the breast cancer started,” Bello warned. “Sometimes, it started before that period, anything up to 12, 14 or 24 months earlier.”

That is why it is so important to get screened regularly before the trouble signs emerge.

Catherine, a British cancer survivor in her 40s, says she used to be disciplined with her screening appointments, often getting tested twice a year. But after having children, she began neglecting her checks. It was during this six-year window that she developed a lump.

“I was so busy being a mom, I just forgot about myself,” Catherine told Arab News. By the time she was diagnosed, the tumor in one of her breasts already measured eight centimeters in diameter.

After a double mastectomy, the pathology report showed her other breast also contained three cancerous lumps. “I was very pragmatic about it. I didn’t feel this massive emotional connection to my breasts. If they try to kill me, they have to go,” she said.

Women should not make the same mistake and neglect their health, she says, even when other life pressures take over. Now Catherine devotes her time to charity work during Breast Cancer Awareness Month to raise funds and awareness.

Joining her is Ghozlan, an Arab woman and fellow survivor, who says she discovered a lump in her breast while exercising. She traveled to Europe for treatment and opted for reconstruction.

“I am a woman who cares about her femininity and I can’t live without it,” Ghozlan told Arab News, describing her breast implant, which must be replaced every 10 years. “It was not what I expected. It wasn’t a great result but it is better than nothing. I have been through hell, and now I accept what I have. I am living with it, but I have some side effects because of the implant.”

Ghozlan is now anxiously awaiting her next check-up with her doctor in Europe, which had to be pushed back due to coronavirus travel restrictions.

Another woman fundraising for Breast Cancer Awareness Month is Gina, a 58-year-old who, like Catherine, underwent a double mastectomy. Unlike Ghozlan, she was unable to undergo reconstructive surgery.

INNUMBERS

Breast Cancer

* 2.1m Women diagnosed with breast cancer each year.

* 627,000 Estimated breast-cancer deaths in 2018 (WHO).

* 50 Age above which women are most at risk.

* 17.7-19% Share of all cancer cases in Arab world in 2018.

* 20% Drop in mortality due to regular mammograms (WHO).

“Due to my autoimmune disease, the chances of the prosthesis being rejected by my body was very high,” Gina said. “It was not my voluntary choice. It was a shock to me. I must admit, even today, after five years, I have not 100 percent accepted this situation.”

Gina has since resigned from her job to commit herself entirely to charity work.

With the evolution of technology and other scientific advancements, doctors are getting even better at detecting potential problems — faster and more accurately.

The triple assessment — clinical examination, imaging and biopsy — has changed little over recent years, but equipment offering more sensitive scans has developed in leaps and bounds while surgery techniques have become more refined.




Participants take part in the Pink Caravan Ride in Dubai, a UAE breast cancer initiative. (AFP/File Photo)

“It is the oncology, the medicine we give for hemotherapy and the endocrine treatments — they have moved on in quantum leaps, which is fantastic news,” said Bello.

Scientists have come to understand that treatment plans are not always the same for all breast cancer patients and that the most effective surgeries and therapies are unique to the individual.

“No two women have the same breast cancer,” said Bello. “Every woman’s cancer is different because the genetic composition is different. This is why people are doing better now, because the treatment is tailored individually.”

But this can also mean reconstruction surgery is not an option for everyone, and is dependent on body type, the extent of the cancer, the patient’s medical history and personal preference.




A picture taken on October 1, 2020 shows the Eiffel Tower illuminated in pink to mark the start of "Octobre Rose" (Pink October) or Breast Cancer Awareness Month in Paris. (AFP/File Photo)

“Reconstruction is designed to improve your well-being; it is not supposed to interfere with cancer treatment,” Bello said.

High-income countries in Europe and North America appear to have much higher rates of breast cancer largely because screening and early detection are so prevalent. With a more limited testing capacity, the Arab world appears to have a lower rate of cases — but also a high mortality rate.

A retrospective epidemiological study conducted in 2012 found that breast cancer was the leading cause of death among Saudi women.

However, a paper published in 2018 by the Journal of Epidemiology and Global Health said: “Although the incidence of breast cancer in Arab countries is rising, it is still less than the global average and only one-fifth of that in Western Europe.”

But now is not a time for complacency. Breast Cancer Awareness Month is a reminder to all women to get themselves checked and for governments to invest in clinics and vital research.

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Twitter: @jumanaaltamimi


US military starts pier construction off Gaza

Updated 26 April 2024
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US military starts pier construction off Gaza

  • But humanitarian aid coming off the pier will need to pass through Israeli checkpoints on land
  • Despite the aid having already been inspected by Israel in Cyprus prior to being shipped to Gaza

WASHINGTON: US troops have begun construction of a maritime pier off the coast of Gaza that aims to speed the flow of humanitarian aid into the enclave when it becomes operational in May, the Pentagon said on Thursday.

President Joe Biden announced the pier in March as aid officials implored Israel to ease access for relief supplies into Gaza over land routes. Whether the pier will ultimately succeed in boosting humanitarian aid is unclear, as international officials warn of the risk of famine in northern Gaza.

Israel’s six-month-long military campaign against Hamas has devastated the tiny Gaza Strip and plunged its 2.3 million people into a humanitarian catastrophe.

A senior Biden administration official, speaking to reporters on condition of anonymity, said humanitarian aid coming off the pier will need to pass through Israeli checkpoints on land. That is despite the aid having already been inspected by Israel in Cyprus prior to being shipped to Gaza. Israel wants to prevent any aid getting to Hamas fighters that boosts their war effort.

The prospect of checkpoints raises questions about possible delays even after aid reaches shore. The United Nations has long complained of obstacles to getting aid in and distributing it throughout Gaza.

“I can confirm that US military vessels, to include the USNS Benavidez, have begun to construct the initial stages of the temporary pier and causeway at sea,” Pentagon spokesperson Major General Patrick Ryder told reporters.

Concerns about the risk to American troops getting caught up in the Israel-Hamas war were underscored on Thursday as news emerged of a mortar attack near the area where the pier will eventually touch ground. No US forces were present, however, and Biden has ordered US forces to not step foot on the Gaza shore.

The pier will initially handle 90 trucks a day, but that number could go up to 150 trucks daily when it is fully operational. The United Nations said this week that the daily average number of trucks entering Gaza during April was 200 and that there had been a peak on Monday of 316.

The official added that about 1,000 US troops would support the military effort, including in coordination cells in Cyprus and Israel.

A third party will be driving trucks down the pier onto the beach, the official added.

The northern Gaza Strip is still heading toward a famine, the deputy UN food chief said on Thursday, appealing for a greater volume of aid and for Israel to allow direct access from its southern Ashdod port to the Erez crossing.

In a statement, the Israeli military said it would provide security and logistics support for the pier.

An Israeli military brigade, which includes thousands of soldiers, along with Israeli Navy ships and Air Force would work to protect US troops who are setting up the pier.

Ryder said the Pentagon was tracking some type of mortar attack in Gaza that caused minimal damage in the marshalling area for the pier. But he added that US forces had not started moving anything to that area yet and there were no US forces on the ground.


Hamas official says Israel ‘will not achieve’ goals in Rafah

Updated 25 April 2024
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Hamas official says Israel ‘will not achieve’ goals in Rafah

  • “Even if (Israel) enters and invades Rafah, it will not achieve what it wants,” Ghazi Hamad said
  • “This will undoubtedly threaten the negotiations because it is clear from this declared position that Israel is interested in continuing the war“

GAZA STRIP, Palestinian Territories: A senior Hamas official told AFP on Thursday that Israel would fail to meet its stated goals of defeating the Palestinian militant group and freeing hostages by invading the southern Gaza city Rafah.
“Even if (Israel) enters and invades Rafah, it will not achieve what it wants,” Ghazi Hamad said in an interview over the phone from Qatar, where a number of senior figures from Hamas’s political bureau are based.
Hamad said Israel had “spent nearly seven months in Gaza and invaded all areas and destroyed a lot, but so far has not been able to achieve anything of its main goals, whether eliminating Hamas or returning the captives.”
Israel has vowed to move on with the planned military operation in Rafah, despite international outcry and concern for about 1.5 million Palestinians sheltering in the city.
There are fears of huge civilian casualties and countries including Israel’s top ally and weapons supplier the United States have warned Israel against sending troops into Rafah.
“We have spoken with all parties involved in the conflict... about the seriousness of invading Rafah and that Israel is heading toward committing additional massacres and additional genocide,” Hamad said.
“This will undoubtedly threaten the negotiations because it is clear from this declared position that Israel is interested in continuing the war and aggression and has no intention of continuing negotiations and reaching an agreement,” he said.
Qatar, the United States and Egypt, have been mediating talks to secure a truce and the release of hostages, but those have stalled for days.
An Egyptian delegation is however set to travel to Israel on Friday to kickstart a new round of talks, Israeli media reported citing unnamed officials.
Israeli government spokesman David Mencer said Israel’s war cabinet was meeting Thursday “to discuss how to destroy the last battalions of Hamas.”
On Wednesday, Mencer said that since Israel began its ground invasion of Gaza on October 27, the army has destroyed “at least 18 or 19 of Hamas’s 24 battalions.”
Officials say the remaining battalions are in Rafah — the main target of the impending assault.
Most Gazans taking refuge in Rafah are sheltering in makeshift camps, and even before the start of the expected ground invasion, the city near the Egyptian border has been suffering regular Israeli bombings.
Hamad argued the planned invasion was exposing contradictions in Israeli Prime Minister Benjamin Netanyahu’s stance on Gaza.
“Netanyahu is stumbling because, on the one hand, he wants to return the captives to their families, as he says, but at the same time, he puts them in great danger, as his army deliberately killed many hostages.”
Israel’s army has admitted to mistakenly killing some hostages in Gaza.
Hamad accused Netanyahu of “manipulating and procrastinating” in a bid to “deceive the Israeli public that there are negotiations and deceive the international community as well that there are negotiations.”
He said the Israeli prime minister was “trying to twist the truth” and claim that “Hamas is the obstacle in these negotiations.”
Hamad said Qatar and Egypt were “making great efforts to reach an agreement,” but argued “the Israeli side unfortunately deals with the matter foolishly and is very confused.”
Hamad also told AFP that Hamas, which took power in Gaza in 2007, was already working on plans for the territory after the war.
He said the group was “working on the post-war phase to ensure that there is a great effort to rebuild the Gaza Strip and provide the necessities for a decent life.”
Palestinian militants took around 250 hostages to Gaza during Hamas’s October 7 attack that triggered the war.
Israeli officials say 129 hostages are still held in Gaza, including 34 the military says are dead.
The attack on southern Israel resulted in the deaths of 1,170 people, Israelis and foreigners, according to an AFP tally based on official Israeli figures.
Israel’s retaliatory offensive against Hamas in Gaza has killed 34,305 people, most of them women and children, according to the territory’s health ministry.


Shawarma restaurant in Cairo brings taste of home for displaced Palestinians

Updated 25 April 2024
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Shawarma restaurant in Cairo brings taste of home for displaced Palestinians

CAIRO: A Palestinian businessman displaced by the war in Gaza is bringing a taste of home for fellow refugees with a shawarma restaurant he has opened in Cairo.

“The Restaurant of Rimal Neighborhood” offers shawarma, a Middle Eastern dish of thinly sliced meat, and other Palestinian and Arab dishes.

“The name comes to eternalize Rimal, my neighborhood, and my homeland too,” said Basem Abu Al-Awn.

“It is also to replace the restaurant I once had in Gaza. Two restaurants of mine, in addition to my house and the houses of my relatives, were destroyed,” he said.

Abu Al-Awn hopes his time outside Gaza will be temporary, and he is determined to return to the enclave once the war between Israel and Hamas is over.

“I will return, even if I have to set up a tent near the rubble of my house. We are going back to Gaza, and we will rebuild it,” he said.

Rimal was Gaza City’s busiest shopping center, with large malls and main bank offices before Israeli forces reduced most of it to rubble. 

It was also home to Gaza’s most famous shawarma places.

“The taste is the same. People tell us it tastes as if they are eating it in Gaza,” said Ahmed Awad, the new restaurant’s manager.

“The Egyptians who get to try our place keep coming back. They tell us the taste is nice and is different from the shawarma they usually get,” Awad said.

Gaza shawarma spices are unique and scarce in Cairo, so credit goes to Awad’s father, who mixes those available to give the dish a special Palestinian taste.

Many thousands of Palestinians have arrived in Gaza since the war began last October. 

Awad, his wife, and four children arrived in Cairo three months ago. 

In Gaza, he used to work in restaurants specializing in oriental and Western dishes.

With an end to the war looking like a distant prospect, Awad urged Palestinians not to give up.

“I advise them to work and take care of their lives. Their houses and everything may have gone, but no problem; it will come back again,” he said. 

“Once things are resolved, we will return home, work there, and rebuild our country.”

Palestinians now stranded in Cairo include businessmen, students, and ordinary families who say they seek temporary legal residency to pursue investment and study plans until a ceasefire is in place.

Om Moaz, from Rafah in the southern Gaza Strip, had been struggling to pay for a rented house and treatment for her husband and daughter in Cairo. She began working from home, offering Palestinian food through social media.

She found there was a strong demand from both Egyptians and Palestinians.

“Some were in the war and came to Egypt. So they started ordering my food. And thank God, it’s a successful business, and hopefully, it continues,” she said.


‘Let’s help Yemen regain ability to chart its own future,’ US envoy Tim Lenderking tells Arab News

Updated 25 April 2024
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‘Let’s help Yemen regain ability to chart its own future,’ US envoy Tim Lenderking tells Arab News

  • Lenderking says it would be a ‘terrible tragedy’ to squander progress in Yemen peace process amid ‘competing crises’
  • US envoy calls on Iran to stop fueling the conflict in Yemen and halt smuggling weapons to the Houthi militia

NEW YORK CITY: Houthi attacks on international shipping in the Red Sea and the Gulf of Aden in response to Israel’s military offensive against Hamas in Gaza must not derail the peace process in Yemen, Tim Lenderking, the US special envoy for Yemen, has said.

Since the war in Gaza began in October last year, attacks by the Houthis on commercial and military vessels in the strategic waterways have caused significant disruption to global trade.

The Iran-backed armed political and religious group, formally known as Ansar Allah, views itself as a part of the Iranian-led “Axis of Resistance” against Israel, the US and the wider West.

It has threatened to continue its attacks on vessels until Israel ends its assault on Gaza. Since January, the UK and the US, in coalition with five other countries, have responded with retaliatory strikes against Houthi targets in Yemen.

The US will halt these retaliatory strikes when the Houthi militia stops its attacks on shipping, Lenderking told Arab News in an interview, placing responsibility for de-escalating the situation in the militia’s hands.

Yemenis hold a pro-Palestine march in the Houthi-run capital Sanaa. (AFP)

“The onus (is) on the Houthis to stop the Red Sea attacks,” he said. “That can prompt us all to begin to dial back, to de-escalate, to return the situation in Yemen to where it was on Oct. 6, which had considerably more promise and possibility than what exists now, and that’s where we want to return the focus.”

Lenderking called on Iran to “stop fueling the conflict (and) stop smuggling weapons and lethal material to Yemen, against UN Security Council resolutions.”

Yemen had never been so close to peace before the process was derailed by the latest regional turmoil, said Lenderking. The Yemeni civil war has gone on too long, he said: “It must stop.”

“The Yemeni people (have) suffered from this war for eight years now. They want their country back. They want their country (to be) peaceful. They don’t want foreign fighters in Yemen. They don’t want the Iranians in Sanaa. They don’t want the IRGC, the (Islamic) Revolutionary Guard (Corps) wandering around in Sanaa.

“Let’s help Yemen regain its country and its ability to chart its own future. That’s what the US so, so dearly wants.”

He added: “We’re trying very hard to marshal and maintain an international effort to keep the focus on Yemen’s peace process, on the very critical humanitarian situation.

“But look at what’s crowding us out: Terrible tragedy unfolding in Gaza. Russia’s war in Ukraine. Afghanistan. Sudan. There are many competing crises that are dominating the attention of the US and the international community.”

The cargo ship Rubymar partly submerged off the coast of Yemen after being hit by a Houthi missile. (AFP)

While the war in Yemen is linked to other conflicts raging in the region, the UN has recently said the world owes it to the Yemenis to ensure that resolving the war in Yemen is not made contingent upon the resolution of other issues, and that Yemen’s chance for peace does not become “collateral damage.”

“We cannot escape what’s happening in Gaza,” said Lenderking. “Not one single day goes by when the people I talk to about Yemen don’t also talk about Gaza. So we know this is a searing and very, very important situation that must be dealt with.

“This situation is holding up our ability to return the focus to the peace process in Yemen, to take advantage of a road map that was agreed to by the Yemeni government and by the Houthis in December, and get the Houthis to refocus their priorities not on Red Sea attacks — which are hurting Yemenis by the way, hurting Yemen — but to the peace effort in Yemen itself.”

Speaking during a UN Security Council briefing last week, Hans Grundberg, the UN envoy for Yemen, said the threat of further Houthi attacks on shipping persists in the absence of a ceasefire in Gaza — the urgent need for which was underscored by the recent escalation in hostilities between Israel and Iran.

Lenderking said: “We continue to hear from the Houthis that these (two) issues are linked and that (the Houthis) will not stop the attacks on Red Sea shipping until there’s a ceasefire in Gaza.

Lenderking called on Iran to “stop fueling the conflict (and) stop smuggling weapons and lethal material to Yemen, against UN Security Council resolutions.” (AFP)

“We believe there’s essential progress that could be done now. There are 25 members of the Galaxy Leader crew, the ship that was taken by the Houthis on Nov. 19 last year, still being held.

“They’re from five different countries. There is no reason why these individuals, who are innocent seafarers, are being detained in Hodeidah by the Houthis. Let them go. Release the ship. There are steps that could be taken. We could continue working on prisoner releases.

“These kinds of things will demonstrate to the Yemeni people that there’s still hope and that the international community is still focused on their situation.”

Lenderking said it would be a “terrible tragedy” to squander the progress toward peace that had been made in the previous two years.

A truce negotiated in April 2022 between the parties in Yemen had initially led to a reduction in violence and a slight easing in the dire humanitarian situation in the country. Two years on, the UN has lamented there is now little to celebrate.

Yemeni children gather to collect humanitarian aid on the outskirts of Marib. (AFP)

“Detainees we had hoped would be released in time to spend Eid with their loved ones remain in detention,” said UN envoy Grundberg. “Roads we had hoped to see open remain closed.

“We also witnessed the tragic killing and injury of 16 civilians, including women and children, when a residence was demolished by Ansar Allah (Houthi) individuals in Al-Bayda governorate.”

The humanitarian situation in Yemen has also become markedly worse in recent months amid rising food insecurity and the spread of cholera.

Edem Wosornu, director of operations and advocacy at the UN Office for the Coordination of Humanitarian Affairs, told the Security Council in the same briefing that the situation had deteriorated further after the World Food Programme suspended the distribution of food aid in areas controlled by the Houthis in December 2023.

This pause followed disagreements with local authorities over who should receive priority assistance and was compounded by the effects of a severe funding crisis on WFP humanitarian efforts in Yemen.

“The most vulnerable people — including women and girls, marginalized groups such as the Muhamasheen, internally displaced people, migrants, asylum seekers and refugees, and persons with disabilities — still depend on humanitarian assistance to survive,” said Wosornu.

Wosornu also voiced concern about an increase in cases of cholera in Yemen amid the deterioration of public services and institutions.

“The re-emergence of cholera, and growing levels of severe malnutrition, are telling indicators of the weakened capacity of social services,” she said.

“Almost one in every two children under five are stunted, more than double the global average: 49 percent compared to 21.3 percent.

“Emergency stocks of essential supplies are almost depleted. And water, sanitation and hygiene support systems need urgent strengthening.”

The humanitarian response plan for Yemen is only 10 percent funded, with funding for its food security and nutrition programs standing at just 5 percent and 3 percent respectively, according to an informal update presented to the Security Council by the OCHA this week.

Supporters of Yemen’s Huthi militia attend a gathering to mark annual Quds (Jerusalem) Day commemorations in Sanaa. (AFP)

Wosornu appealed to the international community to take urgent action to help fill the funding gaps.

Commenting on the funding shortage, Lenderking said: “When there’s a genuine possibility of a Yemen peace process, donors will take note of that and respond. But the fact that we’re in this limbo, where the peace process is on hold while the Houthi is continuing these attacks (in the Red Sea), that I think is to be blamed on the Houthis because they’re derailing what was a legitimate peace process.

“But once we can get back to that, I think we could call on the international community to say, look, there is a ray of hope. There is a process. There is a commitment. The US is supporting an international effort. We can get the donors to come back to Yemen, despite all of the competition for these very scarce resources.”


British Royal Navy shoots down missile for first time since Gulf War in 1991 amid Houthi attacks on shipping

Updated 25 April 2024
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British Royal Navy shoots down missile for first time since Gulf War in 1991 amid Houthi attacks on shipping

  • Iran-backed group said its missiles targeted US ship Maersk Yorktown, an American destroyer in the Gulf of Aden and Israeli ship MSC Veracruz

LONDON: A British Royal Navy destroyer shot down a ballistic missile on Wednesday for the first time since the first Gulf War in 1991, the UK’s defense secretary told The Times newspaper.

In a report published Thursday, Grant Shapps told the newspaper that HMS Diamond used its “Sea Viper” missile system to target the weapon, which Yemen’s Houthi militia said they used to target two American ships in the Gulf of Aden and an Israeli vessel in the Indian Ocean.

The Iran-backed group said its missiles targeted US ship Maersk Yorktown, an American destroyer in the Gulf of Aden and Israeli ship MSC Veracruz in the Indian Ocean, its military spokesman Yahya Sarea confirmed.

It is the first such attack from the Yemeni militia in two weeks in the region, where Royal Navy Type 45 destroyers have been deployed to protect commercial ships since the Houthis initiated strikes on global shipping in November last year in solidarity with Palestinians in Gaza.

“The Yemeni armed forces confirm they will continue to prevent Israeli navigation or any navigation heading to the ports of occupied Palestine in the Red and Arabian Seas, as well as in the Indian Ocean,” Sarea said on Wednesday.

Shapps said the latest Houthi attack was an example of how dangerous the world was becoming and how “non-state actors were now being supplied with very sophisticated weapons” from states such as Iran.

His comments came after UK Prime Minister Rishi Sunak this week pledged to increase spending on British defense to 2.5 percent of national income, something Shapps said was “so vital” given continued tensions in the Middle East.