How Dubai defied the odds to bounce back from the coronavirus crisis

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Updated 28 December 2020
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How Dubai defied the odds to bounce back from the coronavirus crisis

  • As COVID-19 forces many of the world’s best cities to lock down again, Dubai is pulsating with life
  • Beach clubs, hotels and eateries are reporting brisk business as tourists flock back to the UAE’s commercial capital

DUBAI: Few global cities will look back fondly on 2020, the year of COVID-19 lockdowns and travel bans. Many found themselves facing budgetary shortfalls and compelled to shut their gates to visitors. For most, the recovery is likely to be slow and painful, if warnings by experts are any guide. But Dubai, a city founded on trade, aviation and hospitality in a region reliant on hydrocarbon revenues, may be making a comeback sooner than predicted.

How the UAE’s commercial capital keeps defying critics is a complex story involving many different factors. But when all is said and done, Dubai appears once again to be back on its feet even as many of the world’s great metropolises struggle with the debilitating effects of repeated lockdowns. The “City of Life” has not only survived the worst year in recent memory but looks all set to thrive in the new year, when it also hosts the World Expo from Oct. 1.

Since Dubai reopened to international travelers on July 7, it has witnessed a steady uptick in visitors, who have given the city’s numerous hotels and beachfront resorts a timely cash-flow boost. Restaurants, bars and even nightclubs have reopened. Hotels that weathered the downturn have hiked room rates as bookings soar during what has always been the city’s busiest tourist season.

Peace dividend has done its bit. The UAE’s normalization of relations with Israel, announced in a joint statement in August, could not have happened at a more opportune time. Hebrew, the everyday language of Israel, can now be heard at hotels and restaurants throughout Dubai. A recent report in The Times of Israel said more than 50,000 Israelis have already visited the UAE since the Abraham Accords peace agreement was signed on Sept. 15.

There are now a number of daily direct flights between Tel Aviv and Dubai, and both countries have declared each other “green zones,” meaning quarantine is not required on arrival or return. Nearly 200 hotels and restaurants in the UAE now serve kosher meals.

A report issued by STR, a hotel management analytics firm, in December said the key hotel markets in the UAE had reached or surpassed 50 percent occupancy due to strong domestic and recent international demand, with Dubai at 65 percent occupancy for the week of Nov. 30 to Dec. 6.

 

“The UAE is probably one of the nimblest countries in the world with the ability to move at such an incredible pace,” Philip Wooller, STR’s area director for the Middle East and Africa, told Arab News.

“Decisions are made in hours that in many countries might take months, or more likely, years. With all emerging economies, there will be ups and downs, but if we focus on the hospitality sector, Dubai’s pace of growth has been nothing short of sensational.” 

Wooller wrapped up the emirate’s progress thus: “Just a few short years ago, Dubai had only a handful of hotels and a handful of visitors. Pandemic aside, the same Dubai is now the world’s fourth-most visited city with one of the largest hotel markets and a growing list of world-class venues.”

To be sure, social-distancing rules are still in force, mask-wearing is required even on beaches, and there are restrictions on gatherings of more than five people except for members of the same family. The precautionary measures are likely to remain in place for as long as the authorities in Dubai consider them necessary.

INNUMBERS

Dubai

* 200,000 - Travelers visiting emirate for Christmas, New Year holidays.

* 30% - Rise in share prices of Damac Properties Dubai Co. in December.

* 2021 - City to host World Expo from Oct. 1.

Also, if a recovery is indeed underway, it’s still early days. Even before the pandemic hit, Dubai was experiencing a general slowdown in economic activity. The pace of expatriate departures had quickened as many shops, businesses and companies struggled to stay afloat in a city that had grown accustomed to continuous growth almost since the discovery of oil.

Reports of even longtime residents returning to their home countries augured badly for the future of an economic model built on the presence of expats, who comprise about 90 percent of Dubai’s population.

With the onset of the pandemic came an oil price plunge, as collapsing energy demand worldwide resulted in crude prices hitting two-decade lows. Finance ministers of the Gulf countries sounded the alarm and central bank chiefs went for broke in anticipation of another global recession. The international media was filled with reports of blue-collar South Asian and Filipino workers leaving on repatriation flights.

 

For Dubai, the existing economic problems were exacerbated by the impact of the coronavirus crisis on the global travel and tourism industry, which came to a shuddering halt. A strict 24-hour lockdown implemented in April forced businesses with already bruised balance sheets to close or lay off staff.

Foreign migrant workers bore the brunt of the cost-cutting measures, with many seeing their salaries slashed, delayed or frozen. Oxford Economics estimated that as many as 900,000 jobs could be lost in the UAE and 10 percent of its residents uprooted.

Anxiety bubbled away just beneath the surface in Dubai, a cosmopolitan city known for its entrepreneurial energy, boundless ambition and unlimited shopping opportunities. And after March, two of the emirate’s biggest strengths — the aviation and hospitality sectors — proved to be its greatest weaknesses amid a pandemic blamed on a highly transmissible and deadly virus.




This picture taken on July 8, 2020 shows an aerial view of the Atlantis The Palm, luxury hotel resort located at the apex of the man-made Palm Jumeirah archipelago off the Gulf emirate of Dubai. (AFP/File Photo)

Now, with the launch of the UAE’s COVID-19 vaccination campaign, those grim days could soon be regarded as a forgettable page in Dubai’s history. Hotels are busy adjusting their business strategies to cope with the new influx of visitors. The Jumeirah Group, which manages the world-famous Burj Al-Arab hotel, has established a series of pop-up experiences, including SAL — a chic new pool and beach club that is regarded as a cutting-edge concept.

“Dubai’s nature is to be entrepreneurial and radically adaptive to changing environments, and these characteristics have allowed it to navigate the crisis and come out stronger,” Danielle Wilson Naqvi, owner of boutique travel agency Unique Family Travels, told Arab News.

It is not just the big companies who are betting on a brighter future. Anecdotal evidence of green shoots of recovery can be found in the upbeat mood of many small business owners who experienced stress and uncertainty during the lockdowns.

“Despite a challenging few months before the summer, footfall to Cassette has been the strongest we have ever had,” said Haider Madani, owner and co-founder of Cassette DXB, a cafe-restaurant that opened in February 2019.

“Thanks to our higher number of customers, we have been able to increase the size of the team, helping a lot of great talent in the market looking for work, as well as expand our food and drink offering.”




A picture taken with a fish-eye lens on July 19, 2020 shows Dubai's Burj Khalifa, the tallest structure and building in the world ahead of the launch of the UAE “Hope” Mars probe. (AFP/File Photo)

While only time will tell how deep the recovery is, if it is real then Dubai has pulled it off just when the outlook could not have been bleaker. “Pre-pandemic Dubai faced economic challenges — its real estate and hotel sector were perhaps oversupplied,” said Wooller. “In some ways, the pandemic has allowed Dubai to take stock of the situation and provided an opportunity to change direction where needed.

“I think it is too early to talk about a second boom, but Dubai feels pretty good at the moment. The handling of the pandemic has also been a credit to Dubai, and I fully expect the city to go from strength to strength in 2021.”

In the last two months, the UAE government has adopted a raft of measures aimed at boosting the economy and attracting skilled talent from around the world. These include a groundbreaking amendment to the UAE Companies Law that permits 100 percent foreign ownership within the onshore jurisdiction of the UAE, which previously required 51 percent Emirati ownership in businesses operating outside the free zones.

In November, a major overhaul of the country’s personal laws allowed unmarried couples to cohabitate and loosened alcohol restrictions. For its part, Dubai launched in October a remote working program that makes it possible for digital nomads and their families to relocate to the emirate on an annual basis for just $287 plus medical insurance costs.




A recent report in The Times of Israel said more than 50,000 Israelis have already visited the UAE since the Abraham Accords peace agreement was signed on Sept. 15. (AFP/File Photo)

The amended legislation followed the approval in October by Dubai of an extra $136 million (AED 500 million) economic stimulus package to support the local economy, which brought the year’s total stimulus measures to $1.8 billion.

Property dealers are hoping that small fluctuations in the Dubai real-estate market are the harbinger of an eagerly awaited recovery. According to the UBS Global Real Estate Bubble Index, every major city experienced price rises except Dubai in 2020, whose market went into decline during the pandemic due to a lack of liquidity and is therefore “fair valued” from an investment standpoint.

“This was on top of an already undervalued real estate market,” Taufiq Rahim, a UAE-based senior fellow at the New America Research Institute, told Arab News. “Dubai’s assets were already at a low and it had to adjust to a low base. Now you have an increase in visitors, in people looking for property and for residency.”




This picture taken on July 8, 2020 shows an aerial view of the Dubai Frame landmark in the Gulf emirate of Dubai. (AFP/File Photo)

At the end of November, the Dubai Land Department (DLD), in cooperation with Property Finder, launched the seventh edition of Mo’asher, the emirate’s official sales price index. It showed that demand for villas and townhouses was at an all-time high, with growth of over 500 percent since May 2020.

More good news arrived last week in the form of the first batch of Pfizer-BioNTech-manufactured COVID-19 vaccines flown into the UAE by Emirates SkyCargo for Dubai Health Authority. Praising the “effective management of the pandemic by Dubai’s visionary leadership,” Nabil Sultan, a senior executive of the carrier, said: “By transporting COVID-19 vaccines across our extensive network, we look forward to helping people around the world get back on their feet after the devastating impact of the pandemic.”

The emirate’s current mood is one of cautious optimism and confidence. “You need to be very brave to take on Dubai,” Wooller, of the hotel-management analytics firm STR, told Arab News. “It is a city that is extremely quick on its feet.”

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Twitter: @rebeccaaproctor


Palestinian militants release video of Israeli hostage alive in Gaza

Updated 29 May 2024
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Palestinian militants release video of Israeli hostage alive in Gaza

GAZA STRIP: Palestinian militant group Islamic Jihad released a video on Tuesday showing an Israeli hostage alive and held in the Gaza Strip.

The captive, identified by Israeli media as Sasha Trupanov, 28, is seen speaking in Hebrew in the 30-second clip.

The Hostages and Missing Families Forum campaign group identified him as Alexander (Sasha) Trupanov, and called on the Israeli authorities to secure the release of all captives held in Gaza.

It was unclear when the footage, in which he is seen wearing a T-shirt, was taken.

Trupanov, a Russian-Israeli dual national, was captured on October 7 from Kibbutz Nir Oz along with his mother, grandmother and girlfriend.

The three women were freed during a truce between Hamas and Israel at the end of November, which led to the release of 105 hostages.

“Seeing my Sasha on television today is very heartening, but it also breaks my heart that he has been in captivity for such a long time,” said his mother, Yelena Trupanov, in a short message published by the families’ forum.

Israel’s government has instructed its negotiating team to continue talks with mediators to secure a deal for the release of the hostages, but no new round of talks has begun.

“The Israeli government must give a significant mandate to the negotiating team, which will be able to lead to a deal for the return of all the hostages — the living to rehabilitation and the murdered to burial,” a families’ forum statement said after the release of Trupanov’s video.

Trupanov’s father was killed in the October 7 attack on southern Israel, which resulted in the deaths of 1,189 people, mostly civilians, according to an AFP tally based on Israeli official figures.

Militants also took 252 hostages, 121 of whom remain in Gaza, including 37 the army says are dead.

Israel’s retaliatory offensive has killed at least 36,096 people in Gaza, mostly civilians, according to the Hamas-run territory’s health ministry.


Algeria to present UN resolution on end to Rafah ‘killing’

Updated 29 May 2024
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Algeria to present UN resolution on end to Rafah ‘killing’

UNITED NATIONS: Algeria will present a draft UN resolution calling for an end to “the killing” in Rafah as Israel attacks Hamas fighters in the crowded Gaza city, its ambassador said Tuesday after a Security Council meeting.

Defying pressure from the United States and other western countries, Israel has been conducting military operations in Rafah, which is packed with people who have fled fighting elsewhere in Gaza.

An Israeli strike Sunday killed 45 people at a tent camp for displaced people, said the Hamas-run health ministry in Gaza, drawing a chorus of international condemnation.

“It will be a short text, a decisive text, to stop the killing in Rafah,” Ambassador Amar Bendjama told reporters.

It was Algeria that requested Tuesday’s urgent meeting of the council after the Sunday strike.

A civil defense official in Gaza said another Israeli strike on a displacement camp west of Rafah on Tuesday killed at least 21 more people.

The Algerian ambassador did not say when he hoped the resolution might be put to a vote.

“We hope that it could be done as quickly as possible because life is in the balance,” said Chinese ambassador Fu Cong, expressing hope for a vote this week.

“It’s high time for this council to take action. This is a matter of life and death. This is a matter of emergency,” the French ambassador Nicolas de Riviere said before the council meeting.

The council has struggled to find a unified voice since the war broke out with the October 7 Hamas attack on Israel, followed by Israel’s retaliatory campaign.

After passing two resolutions centered on the need for humanitarian aid to people in Gaza, in March the council passed a resolution calling for an immediate ceasefire — an appeal that had been blocked several times before by the United States, Israel’s main ally.

Washington, increasingly frustrated with how Israel is waging the war and its mounting civilian death toll, finally allowed that resolution to pass by abstaining from voting.

But the White House said Tuesday that Israel’s offensive in Rafah had not amounted to the type of full-scale operation that would breach President Joe Biden’s “red lines,” and said it had no plans to change its policy toward Israel.

Asked about the new Algerian draft resolution, US Ambassador Linda Thomas-Greenfield said, “we’re waiting to see it and then we’ll react to it.”


Will EU aid in exchange for curbing refugee flows make it harder for Syrians in Lebanon to overcome hostility?

Updated 28 May 2024
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Will EU aid in exchange for curbing refugee flows make it harder for Syrians in Lebanon to overcome hostility?

  • EU leaders say a new 1 billion euro aid package for Lebanon will ease the economic pressure of hosting displaced Syrian
  • Rights groups say the pledged funding has only emboldened Lebanese authorities to mount a crackdown on Syrians

LONDON: Since the EU announced a €1 billion ($1.087 billion) aid package to assist Syrians in Lebanon, in exchange for Lebanese authorities agreeing to curb the flow of migrants to Europe, hostility toward the Syrian community in Lebanon has, by most accounts, continued to rise.

Earlier this month, Ursula von der Leyen, president of the European Commission, announced that the EU would allocate a substantial package of aid to crisis-racked Lebanon for the 2024-27 period to help it cope with its substantial refugee population.

Of this amount, €736 million would be allocated to supporting refugees, while €264 million would go toward training the Lebanese armed forces to tackle illegal migration to Europe.

Von der Leyen said the aid would bolster border management, assist reform to the banking sector, and support basic services to the most vulnerable communities, including refugees, amid a crippling economic crisis in Lebanon and a surge in the number of irregular boat arrivals in Cyprus from Lebanon.

The EU recently announced a €1 billion aid package to assist Syrians in Lebanon, in exchange for Lebanese authorities agreeing to curb the flow of migrants to Europe. (AFP)

The announcement came after Cyprus, an EU member state, voiced concern about the number of migrant boats arriving on its shores last month. The majority were Syrians arriving from Lebanon.

This sharp increase in arrivals prompted the Cypriot government in mid-April to suspend the processing of asylum applications from Syrians. Nicosia also called on its EU partners to step up efforts to aid Lebanon.

However, von der Leyen’s announcement appears to have emboldened Lebanese authorities to step up their crackdown on Syrians, human rights monitor Amnesty International said on Monday.

Within a week of the announcement, on May 8, Lebanon’s General Security announced a new clampdown on Syrians, further tightening work and residency restrictions and ramping up raids, evictions, arrests and deportations.

More than 400 refugees were repatriated to Syria on May 14, according to Amnesty International, which, alongside other rights bodies, concluded that “Syria remains unsafe for return, and refugees are at risk of human rights violations.”

Syrian refugees returning from Lebanon to their country through the Al-Zamrani crossing on May 14, 2024. (AFP)

“Once again, President von der Leyen has put her desire to curb the flow of refugees at any cost into Europe before the EU’s obligations to protect refugees fleeing conflict or persecution,” Aya Majzoub, Amnesty International’s deputy director for the Middle East and North Africa, said in a statement.

“This appears to have emboldened Lebanese authorities to intensify their ruthless campaign targeting refugees with hateful discourse, forced deportations, and stifling measures on residency and labor.”

Lebanon is home to about 1.5 million Syrian refugees. Anti-Syrian sentiment in the country has intensified since the onset of the financial crisis in 2019, pushing 80 percent of the Lebanese population below the poverty line.

The hostility and suspicion, stoked by the rhetoric of senior politicians, boiled over in mid-April when a senior Lebanese Forces official was reportedly abducted and killed in a Syrian area near the Lebanese border.

Lebanese mobs indiscriminately attacked Syrians and vandalized their properties, while local authorities and self-appointed community groups evicted many from their homes and businesses.

IN NUMBERS

  • 1/3 of Lebanese citizens in five governorates were living in poverty in 2022.
  • 90% of Syrians in Lebanon were living below the poverty line in 2022.
  • 2,000 Syrians arrived in Cyprus by sea in the first quarter of 2024.

The EU-Lebanon deal augurs poorly for acceptance of displaced Syrian refugees, rights groups say.

Wadih Al-Asmar, president of the Lebanese Center for Human Rights, told Arab News he has never witnessed “this amount of pressure on Syrian refugees in Lebanon, where all the security services are participating.”

He believes the hostility toward Syrians is “purely for electoral reasons” and that von der Leyen has “opened a Pandora’s box in the region, especially in Lebanon.”

Syrian refugees are among the most vulnerable communities in Lebanon, with the majority unable to afford basic essentials and more than half of households living in shelters that are either overcrowded or below minimum standards for habitability, according to UN agencies.

A Syrian child stands barefoot amidst snow in the Syrian refugees camp of Al-Hilal near Baalbek in Lebanon’s Bekaa valley on January 20, 2022. (AFP)

Karam Shaar, a senior fellow at the New Lines Institute, said displaced Syrians in Lebanon “are always in a position where they have to pick between two ugly options: Staying in Lebanon or going back to Syria.

“It’s the balance between the ugliness of these two factors that determines whether they decide to stay in Lebanon or go back to Syria,” he told Arab News.

Until now, the next best option for Syrians was onward travel to a third country — ideally an EU member state. However, since Cyprus stopped processing Syrian refugee applications, options have narrowed further.

“The option to leave Lebanon and go to Europe has also been made much, much harder because it’s much more difficult to go to Greece from Lebanon instead of going to Cyprus, which is much, much closer,” Shaar said.

Cyprus is a mere 185 km from Lebanon — taking about 10 hours to reach by boat. More than 2,000 Syrians arrived by sea in the first quarter of 2024. Whether the new EU funding for Lebanon will reduce those numbers remains to be seen.

Syrian refugees are among the most vulnerable communities in Lebanon, with the majority unable to afford basic essentials. (AFP)

Shaar said the money allocated to support Syrians in Lebanon is “relatively small.” Furthermore, owing to the routine misappropriation of funding by Lebanese authorities, little is likely to reach those most in need.

“If you think of the 3RP (Regional Refugee and Resilience Plan), which is the main UN-sponsored plan for helping Lebanon cope with the Syrian refugee crisis, the sums that Lebanon has been receiving per year are actually higher than the amount that the EU has announced — if you look at the elements relating specifically to Syrians,” he said.

“Unfortunately, in light of aid diversion, which is the case in Lebanon, in Syria — in most corrupt countries to varying extents — little of that amount will actually find its way to Syrians.

“However, I think part of those amounts is urgently needed, especially in the field of education and the support toward the UNHCR.”

Karam Shaar, a senior fellow at the New Lines Institute, said part of the money allocated to support Syrians in Lebanon is “urgently needed, especially in the field of education and the support toward the UNHCR.” (AFP)

Co-led by the UN Refugee Agency and the UN Development Programme, the 3RP provides a platform for humanitarian and development partners to respond to the Syrian crisis at the regional and host country level.

The 3RP estimated in this year’s Regional Strategic Overview report that Lebanon, the country with the highest proportion of refugees in the world relative to its population, will need $2.7 billion in financial aid to meet humanitarian needs in 2024.

Last year, Lebanon received $1.8 billion, representing a mere 31 percent of the required $5.9 billion, according to the same report.

Al-Asmar of the Lebanese Center for Human Rights believes the latest EU aid package will have “more negative than positive effect on Lebanon.”

The UN said Lebanon will need $2.7 billion in financial aid to meet humanitarian needs in 2024. (EU)

On the one hand, he said, the €1 billion “is not new money — this was the support that was planned for the next four years.” It was primarily a “marketing or packaging announcement,” he said.

On the other hand, “this support, instead of being welcomed by Lebanese politicians, was somehow a trigger to initiate one of the biggest hate campaigns against Syrian refugees.”

Rather than shouldering the responsibility for the country’s predicament, including the ongoing financial crisis, Lebanese politicians are instead making scapegoats of the Syrians, he said.

€1 billion for Lebanon over four years means €250 million per year,” which “is nothing,” especially when considering the “number of refugees we have in Lebanon.”

Syrian refugees stand in the balcony of a building under construction which they have been using as shelter in the city of Sidon in southern Lebanon, on March 17, 2020. (AFP)

Pointing out that EU officials have not yet approved the agreement, he said: “We have the feeling that the EU is trying to outsource border management … and pushing the Lebanese government to commit human rights violations that EU countries cannot afford to commit.

“So, whenever there are Syrian people to be pushed back from Cyprus, for example, they will not be pushed back to Syria, which is a crime. They will be pushed back to Lebanon, and then the Lebanese army will commit this international crime, which is a violation of the Convention against Torture, by sending them back to Syria.”

Article 3 of the UN Convention against Torture stipulates that “no state party shall expel, return (“refouler”) or extradite a person to another state where there are substantial grounds for believing that he would be in danger of being subjected to torture.”

As a party to the convention, Lebanon has breached its international obligations by summarily deporting thousands, including opposition activists and army defectors, to Syria, according to Human Rights Watch.

Ahead of the 8th Brussels Conference on supporting the future of Syria and the region, held on Monday, humanitarian organizations, including the Norwegian Refugee Council, warned that Syrians are at risk of being forgotten by the international community.

With 16.7 million Syrians requiring humanitarian assistance in 2024, according to UN figures, aid agencies urged donors to increase investment in early recovery to help Syrians rebuild their lives and access basic services.

Human Rights Watch said Lebanon has breached its international obligations by summarily deporting thousands, including opposition activists and army defectors, to Syria. (AFP)

The EU pledged €2.12 billion for 2024-25 to support Syrians at home and in neighboring countries, as well as their host communities in Lebanon, Turkiye, Jordan and Iraq.

In response to the pledge, the aid agency Oxfam said the discussion in Brussels “remains far removed from the harsh realities Syrians face.”

In a statement the agency said: “Funding still fails to match the scale of needs, and year after year, the number of people relying on aid grows, a stark reminder of the eminent collapse in Syria’s humanitarian situation.”

The UN Office for the Coordination of Humanitarian Affairs has warned that the Syrian Humanitarian Response Plan for 2024, covering neighboring countries, is only 8.7 percent funded, at $352 million out of the required $4.07 billion.

In neighboring countries, just $371 million, or 7.7 percent, of the $4.49 billion required is covered.

 


Blinken discusses need to end Sudan war with top general

Updated 28 May 2024
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Blinken discusses need to end Sudan war with top general

  • Blinken discussed a resumption of peace negotiations with Burhan
  • Recent attacks around Al-Fashir have shattered a local truce that protected it from the wider war

WASHINGTON: US Secretary of State Antony Blinken discussed the need to urgently end the war in Sudan with Sudanese army chief General Abdel Fattah Al-Burhan in a phone call on Tuesday, the State Department said.
The two also addressed ways to “enable unhindered humanitarian access, including cross border and cross line, to alleviate the suffering of the Sudanese people,” it said.
Sudan has been gripped since April 2023 by a civil war between the Sudanese army, led by Burhan, and the paramilitary Rapid Support Forces (RSF), led by Mohamed Hamdan Dagalo.
Thousands of civilians are estimated to have died.
Blinken discussed a resumption of peace negotiations with Burhan and the need to protect civilians and defuse hostilities in Al-Fashir, North Darfur, the State Department said.
Recent attacks around Al-Fashir have shattered a local truce that protected it from the wider war.
Egypt will host a conference next month bringing together Sudan’s civilian political groups with other regional and global parties, the Egyptian foreign ministry said on Tuesday.
The conference aims to produce an agreement between Sudan’s civilian groups on ways to build a comprehensive and permanent peace, it added.


Palestinian refugees’ health suffering crushing blow due to Israeli war in Gaza: UNRWA

Updated 28 May 2024
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Palestinian refugees’ health suffering crushing blow due to Israeli war in Gaza: UNRWA

  • Destruction of infrastructure, transportation has affected healthcare delivery

LONDON: Palestinian refugees in Gaza are experiencing an unprecedented health crisis as a result of Israel’s war on the region, according to the annual UN Relief and Work Agency’s health report released on Tuesday.

Palestinian refugees’ health and well-being have suffered a “crushing blow,” the report said, with higher rates of injury, trauma, and mental health disorders.

The destruction of infrastructure and transportation has affected healthcare delivery, while congested living conditions and limited access to clean water have increased the risk of infectious disease.

Hepatitis and types of diarrhea are becoming more common. Malnutrition has also hit the region, with one out of every three children under the age of 2 in the northern Gaza Strip experiencing acute malnutrition.

Healthcare access declined in the fourth quarter of 2023 as 14 out of 22 health centers were forced to close, and power outages crippled telehealth systems.

UNRWA established 155 emergency shelters in response, deployed 108 mobile medical units, coordinated the shipment of critical medicines, and implemented disease outbreak surveillance.

Dr. Akihiro Seita, UNRWA’s director of health, said: “The health crisis among Palestine refugees can only be mitigated with immediate and sustained healthcare interventions and support.

“UNRWA remains committed to addressing these urgent needs and improving the health and well-being of Palestine refugees.

“Our staff (have) remained at the frontline in Gaza. As of May 2024, UNRWA has lost over 191 staff members, including 11 healthcare professionals. Our hearts go out to the affected families.

“This report underscores our gratitude for the dedication of our healthcare staff, who continue to deliver quality services despite their loss and being displaced several times.”

Increased restrictions of movement and rising violence have also created new challenges in the West Bank. UNRWA has adapted by finding temporary solutions to ensure patient access and uninterrupted delivery of medical supplies.

More than 2 million patients rely on UNRWA’s health services in Jordan, Lebanon, the West Bank (including East Jerusalem), Gaza, and Syria.

Despite operational challenges, including defunding, UNRWA managed to provide nearly 7 million primary healthcare consultations in 2023, maintaining high levels of immunization, particularly in Gaza, which has played a critical role in preventing outbreaks of vaccine-preventable diseases.