How beating breast cancer changed the lives of four women in the Middle East

Participants take part in the Pink Caravan Ride in Dubai on February 28, 2018, a UAE breast cancer initiative. (AFP/File Photo)
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Updated 30 October 2021
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How beating breast cancer changed the lives of four women in the Middle East

  • Gloria Halim, Cristina Polo, Sapna Venugopal and Bharti Rao have one thing in common: they are breast-cancer survivors
  • October is Breast Cancer Awareness Month, when survivors fundraise, offer support and encourage women to self-check

DUBAI: Gloria Halim, Cristina Polo, Sapna Venugopal and Bharti Rao come from very different backgrounds but they have one thing in common: they are all breast-cancer survivors who emerged from their battles with the disease with a new outlook on life and a desire to help others.

The four women, who are in their 40s and 50s, are among the millions of women worldwide each year who are diagnosed with some form of breast cancer and embark on a difficult journey of surgeries, chemotherapy and radiotherapy to overcome what can be a fatal illness.

Beyond the physical side effects of the treatments, the experience of fighting and beating cancer can have a profound emotional effect on women. Indeed, medical practitioners say the vast majority of patients emerge from treatment with a greater willingness to extend a helping hand to others.

Many also take what is often seen as a second chance as a sign to change the direction of their lives, taking on new challenges or switching to a new career path.

British citizen Gloria Halim, for example, was working in the information technology sector in the UK when she discovered she had breast cancer 14 years ago. Now in her mid-40s, she is a chief wellness officer in the corporate world and a certified holistic health practitioner living in Dubai.




Breast cancer, known to be the most common cancer in women worldwide, is the leading cause of death among Saudi women, according to a retrospective epidemiological study conducted in 2012. (Shutterstock)

“For me, the key information is that prevention is possible and is important,” Halim told Arab News this month, which is Breast Cancer Awareness Month. “Having gone through what I’ve been through, there is no way I want anybody else to go through it.”

Halim said she has come to appreciate the importance of good physical, emotional and mental health in helping to reduce stress and maintain a strong immune system.

“We are not built to be in fight-or-flight mode constantly,” she said. “It takes a long time to get to the point where the human body says: ‘I’ve had enough. I can’t move.’ The immune system goes down, inflammation of the bodily organs goes up, an environment for disease grows.”

Breast cancer is the most common form of cancer in the world. As of December last year, 7.8 million surviving women had been diagnosed with breast cancer in the past five years, according to the World Health Organization. In 2020, about 2.3 million women were diagnosed with breast cancer worldwide and 685,000 died from the disease.

In Saudi Arabia, of the 24,485 cases of cancer recorded in 2018, 14.8 percent involved breast cancer, making it the most common form of cancer in the Kingdom. Of the 4,707 cancer cases recorded in the UAE in the same year, 22.4 percent were breast cancer.




L-R: Bharti Rao, Cristina Polo and Sapna Venugopal who all beat breast cancer. (Supplied)

While there was little improvement in breast cancer mortality figures between the 1930s and 1970s, survival rates began to rise in several countries from the 1980s on, thanks to early detection programs and new and improved treatments.

A growing body of research and significant medical advances continue to improve the prognosis for millions of women with the disease. But perhaps the most important development has been the increase in public awareness and the willingness of women to check themselves regularly and seek help early if they notice a potential problem.

Cristina Polo, from France, was 43 and living in Dubai when she noticed a lump in her breast in 2018. Determined to see her daughter, who was six at the time and the youngest of three siblings, grow up and have children of her own, she sought treatment immediately.

“Since cancer treatment, I have had a thirst for life,” she told Arab News. “I have this urge to do things in life that I kept postponing or put aside, saying I would do them later.”

Like Halim, Polo viewed her victory over cancer as an opportunity to change course. After completing her treatment, she resigned from a senior position in Dubai’s hospitality industry, began a course in digital marketing, earned a certificate in teaching English as a foreign language, and established a blog, called Cancer Majlis, devoted to cancer awareness.

INNUMBERS

* 2.3m women diagnosed with breast cancer worldwide in 2020.

* 685,000 breast cancer deaths globally in 2020.

(Source: WHO)

She said she spent many years before she was confronted with cancer worrying about “what ifs” and putting off making changes.

“Then, boom, the diagnosis came,” Polo said. “Suddenly, all this ‘what if, what if, what if’ became ‘what else, what else, what else can I explore?’”

Polo moved to Paris last year, where she teaches English at a French hospitality school and is a consultant for the travel and hospitality industry. She also enjoys sculpting and painting in her spare time and does voluntary work with recovering cancer patients, helping them to plan their post-cancer lives by developing new skills in the arts.

Sapna Venugopal had a similar desire to help others following her cancer diagnosis in Sept. 2017 at the age of 46 while living in Dubai. So she began volunteering to visit patients undergoing chemotherapy in the city, and donating a portion of her income as a jewelry designer and from furniture restoration to a cancer charity in her native India.

Despite the many awareness campaigns launched by governments and charities the world over, women are still often left in shock when they receive a breast cancer diagnosis.




Pink umbrellas decorate the Lebanese Ministry of Public Health in the capital Beirut as part of a national campaign for the public awareness of breast cancer. (AFP/File Photo)

“At the very beginning everybody thinks they have just been handed a death sentence, which they haven’t,” Elsbeth Bentley, a nurse at Dubai’s Mediclinic City Hospital, told Arab News. She is one of the few specialist breast cancer nurses in the UAE, who undergo an extra year of training to teach them how to help with the specific needs of breast cancer patients, with a main focus on communication skills.

“Research shows that after the word ‘cancer’ has been mentioned in a meeting with a doctor, most people will only retain some 20 percent of what they are told, because it freezes the brain and there is this feeling that it is happening to somebody else and they are not connected with it,” Bentley added.

Regardless of background and social status, all women react to the diagnosis in a similar way, said Bissi Punnackel-Sivaraman, a breast care nurse at King’s College Hospital in Dubai.

“It is a stressful period,” she told Arab News. “Most of the time patients will be in shock upon diagnosis, followed by anger, anxiety, fear and loneliness. Some of the patients will be in denial and it will take some time for them to accept the diagnosis, as it happens unexpectedly.

“Initial reaction will be more or less the same. But taking it in and coping with the treatment can be slightly different, as each individual is unique and it can depend on their personal, family and occupational backgrounds.”

Bharti Rao, from India, recalled feeling “absolutely numb” and slipping into a state of denial when cancer was diagnosed in 2018, the year she turned 40, while living in Dubai.




Dubai's Burj Khalifa is lit up in pink to raise awareness and funds to fight breast cancer. (AFP/File Photo)

“But I didn’t sit on it for long because I understood that the more I go into denial, the more I am being pushed toward darkness,” she told Arab News.

Rao said she drew much of her resolve to seek treatment and beat the disease from her husband, parents, daughters and in-laws.

“I fought physically but they fought with me mentally and physiologically,” she said. “And that is where my battle was won. My day started with a smile and ended with gratitude.”

Rao worked in the banking sector but left her job before the cancer diagnosis and had worked as a volunteer helping children with autism. After beating the disease she developed a new outlook on life and is now a certified holistic lifestyle coach who provides her services for free to friends and relatives in Dubai and other people they refer to her, helping them during their emotional journeys while fighting cancer.

There is clearly an overriding sense among many breast-cancer survivors that they have been given a second chance in life to take on fresh challenges and pursue experiences they had long put on hold. Many also emerge with a sense of gratitude and a desire to give something back in some way.

“They want to see some good come out of it,” said nurse Bentley. “Life is not going to go back to exactly how it was. Something in them has changed and that means they don’t want to accept the things they accepted before.”


Hamas sending delegation to Egypt for further ceasefire talks in latest sign of progress

Updated 12 sec ago
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Hamas sending delegation to Egypt for further ceasefire talks in latest sign of progress

BEIRUT: Hamas said Thursday that it was sending a delegation to Egypt for further ceasefire talks, in a new sign of progress in attempts by international mediators to hammer out an agreement between Israel and the militant group to end the war in Gaza.

After months of stop-and-start negotiations, the ceasefire efforts appear to have reached a critical stage, with Egyptian and American mediators reporting signs of compromise in recent days. But chances for the deal remain entangled with the key question of whether Israel will accept an end to the war without reaching its stated goal of destroying Hamas.
The stakes in the ceasefire negotiations were made clear in a new UN report that said if the Israel-Hamas war stops today, it will still take until 2040 to rebuild all the homes that have been destroyed by nearly seven months of Israeli bombardment and ground offensives in Gaza. It warned that the impact of the damage to the economy will set back development for generations and will only get worse with every month fighting continues.
The proposal that US and Egyptian mediators have put to Hamas -– apparently with Israel’s acceptance — sets out a three-stage process that would bring an immediate six-week ceasefire and partial release of Israeli hostages, but also negotiations over a “permanent calm” that includes some sort of Israeli withdrawal from Gaza, according to an Egyptian official. Hamas is seeking guarantees for a full Israeli withdrawal and complete end to the war.
Hamas officials have sent mixed signals about the proposal in recent days. But on Thursday, its supreme leader, Ismail Haniyeh, said in a statement that he had spoken to Egypt’s intelligence chief and “stressed the positive spirit of the movement in studying the ceasefire proposal.”
The statement said that Hamas negotiators would travel to Cairo “to complete the ongoing discussions with the aim of working forward for an agreement.” Haniyeh said he had also spoken to the prime minister of Qatar, another key mediator in the process.
The brokers are hopeful that the deal will bring an end to a conflict that has killed more than 34,000 Palestinians, according to local health officials, caused widespread destruction and plunged the territory into a humanitarian crisis. They also hope a deal will avert an Israeli attack on Rafah, where more than half of Gaza’s 2.3 million people have sought shelter after fleeing battle zones elsewhere in the territory.
If Israel does agree to end the war in return for a full hostage release, it would be a major turnaround. Since Hamas’ Oct. 7 attack stunned Israel, its leaders have vowed not to stop their bombardment and ground offensives until the militant group is destroyed. They also say Israel must keep a military presence in Gaza and security control after the war to ensure Hamas doesn’t rebuild.
Publicly at least, Israeli Prime Minister Benjamin Netanyahu continues to insist that is the only acceptable endgame.
He has vowed that even if a ceasefire is reached, Israel will eventually attack Rafah, which he says is Hamas’ last stronghold in Gaza. He repeated his determination to do so in talks Wednesday with US Secretary of State Antony Blinken, who was in Israel on a regional tour to push the deal through.
The agreement’s immediate fate hinges on whether Hamas will accept uncertainty over the final phases to bring the initial six-week pause in fighting — and at least postpone what it is feared would be a devastating assault on Rafah.
Egypt has been privately assuring Hamas that the deal will mean a total end to the war. But the Egyptian official said Hamas says the text’s language is too vague and wants it to specify a complete Israeli pullout from all of Gaza. The official spoke on condition of anonymity to talk about the internal deliberations.
On Wednesday evening, however, the news looked less positive as Osama Hamdan, a top Hamas official, expressed skepticism, saying the group’s initial position was “negative.” Speaking to Hezbollah’s Al-Manar TV, he said that talks were still ongoing but would stop if Israel invades Rafah.
Blinken hiked up pressure on Hamas to accept, saying Israel had made “very important” compromises.
“There’s no time for further haggling. The deal is there,” Blinken said Wednesday before leaving for the US
An Israeli airstrike, meanwhile, killed at least five people, including a child, in Deir Al-Balah in central Gaza. The bodies were seen and counted by Associated Press journalists at a hospital.
The war broke out on Oct. 7. when Hamas militants broke into southern Israel and killed over 1,200 people, mostly Israelis, taking around 250 others hostage, some released during a ceasefire on November.
The Israel-Hamas war was sparked by the Oct. 7 raid into southern Israel in which militants killed around 1,200 people, mostly civilians, and abducted around 250 hostages. Hamas is believed to still hold around 100 hostages and the remains of more than 30 others.
Since then, Israel’s campaign in Gaza has wreaked vast destruction and brought a humanitarian disaster, with several hundred thousand Palestinians in northern Gaza facing imminent famine, according to the UN More than 80 percent of the population has been driven from their homes.
The “productive basis of the economy has been destroyed” and poverty is rising sharply among Palestinians, according to the report released Thursday by the United Nations Development Program and the Economic and Social Commission for Western Asia.
It said that in 2024, the entire Palestinian economy — including both Gaza and the West Bank -– has so far contracted 25.8 percent. If the war continues, the loss will reach a “staggering” 29 percent by July, it said. The West Bank economy has been hit by Israel’s decision to cancel the work permits for tens of thousands of laborers who depended on jobs inside Israel.
“These new figures warn that the suffering in Gaza will not end when the war does,” UNDP administrator Achim Steiner said. He warned of a “serious development crisis that jeopardizes the future of generations to come.”


Israel builds ‘cyber dome’ against Iran’s hackers

Updated 03 May 2024
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Israel builds ‘cyber dome’ against Iran’s hackers

  • Israeli cybersecurity agency had thwarted around 800 significant attacks since the Oct. 7 Gaza war erupted
  • But some attacks could not be foiled, including against hospitals in which patient data was stolen

TEL AVIV: Israel’s Iron Dome defense system has long shielded it from incoming rockets. Now it is building a “cyber dome” to defend against online attacks, especially from arch foe Iran.

“It is a silent war, one which is not visible,” said Aviram Atzaba, the Israeli National Cyber Directorate’s head of international cooperation.
While Israel has fought Hamas in Gaza since the October 7 attack, it has also faced a significant increase in cyberattacks from Iran and its allies, Atzaba said.
“They are trying to hack everything they can,” he told AFP, pointing to Hamas and Lebanon’s Hezbollah movement but adding that so far “they have not succeeded in causing any real damage.”
He said around 800 significant attacks had been thwarted since the war erupted. Among the targets were government organizations, the military and civil infrastructure.
Some attacks could not be foiled, including against hospitals in the cities of Haifa and Safed in which patient data was stolen.
While Israel already has cyber defenses, they long consisted of “local efforts that were not connected,” Atzaba said.
So, for the past two years, the directorate has been working to build a centralized, real-time system that works proactively to protect all of Israeli cyberspace.
Based in Tel Aviv, the directorate works under the authority of the prime minister. It does not reveal figures on its staff, budget or computing resources.
Israel collaborates closely with multiple allies, including the United States, said Atzaba, because “all states face cyber terrorism.”
“It takes a network to fight a network,” he said.

Israel’s arch foe Iran is “an impressive enemy” in the online wars, said Chuck Freilich, a researcher at the Institute for National Security Studies, which is affiliated with Tel Aviv University.
“Its attacks aim to sabotage and destroy infrastructure, but also to collect data for intelligence and spread false information for propaganda purposes,” he said.
Iran has welcomed Hamas’s October 7 attack on Israel, which resulted in the deaths of 1,170 people, mostly civilians, according to an AFP tally based on Israeli official figures.
Israel’s retaliatory offensive against Hamas has killed at least 34,596 people in Gaza, mostly women and children, according to the Hamas-run territory’s health ministry.
Regional tensions have soared, particularly after Iran for the first time fired hundreds of missiles directly at Israel last month in retaliation for a deadly Israeli air strike on the Iranian consulate in Damascus.
It was the most dramatic escalation yet after a years-long shadow war of killings and sabotage attacks between Israel and Iran.
Freilich argued in a study published in February that Iran was relatively slow to invest in cyberwarfare, until two key events triggered a change.
First, its leaders took note of how anti-government protesters used the Internet as a tool to mobilize support for a 2009 post-election uprising.
In the bloody crackdown that crushed the movement, Iran’s authorities cut access to social media and websites covering the protests.
Then, in September 2010, a sophisticated cyberattack using the Stuxnet virus, blamed by Iran on Israel and the United States, caused physical damage to Tehran’s nuclear program.
Freilich said the attack “demonstrated Iran’s extreme vulnerability and led to a severe national shock.”
Since then, Iran has gained substantial expertise to become “one of the most active countries in cyberspace,” he said

While Israel is considered a major cyber power, Iran was only likely to improve, said Freilich.
He pointed to assistance from Russia and China, as well as its much larger population and an emphasis on cyber training for students and soldiers alike, adding that the trend was “concerning for the future.”
Atzaba insisted that the quantity of hackers is secondary to the quality of technology and the use it is put to.
“For the past two years, we have been developing a cyber dome against cyberattacks, which functions like the Iron Dome against rockets,” he said.
“With cyber dome, all sources are fed into a large data pool that enables a view of the big picture and to invoke a national response in a comprehensive and coordinated manner.”
The Israeli system has various scanners that continuously “monitor Israeli cyberspace for vulnerabilities and informs the stakeholders of the means to mitigate them,” he said.
Israel’s cyber strength relied on close cooperation between the public, private and academic sectors, as well as Israel’s “white hat” hackers who help identify weaknesses.
“We work hand in hand,” he said.


Kurds deny torturing detainees in north Syria camps

Updated 03 May 2024
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Kurds deny torturing detainees in north Syria camps

  • Rights group alleges cruelty against Daesh militant prisoners and their families

JEDDAH: Kurdish authorities in northeast Syria on Thursday denied claims by Amnesty International that they tortured Daesh militants and their dependents detained in internment camps.
More than 56,000 prisoners with links to the Islamist militant group are still being held five years after Daesh were driven out of their last territory in Syria. They include militants locked up in prisons, and Daesh fighters’ wives and children in Al-Hol and Roj camps.
Amnesty secretary general Agnes Callamard said Kurdish authorities had “committed the war crimes of torture and cruel treatment, and probably committed the war crime of murder.”
The semi-autonomous Kurdish administration in northeast Syria said it “respects its obligations to prevent the violation of its laws, which prohibit such illegal acts, and adheres to international law.”

Any such crimes that may have been perpetrated were “individual acts,” it said, and asked Amnesty to provide it with any evidence of wrongdoing by its security forces and affiliates.

“We are open to cooperating with Amnesty International regarding its proposed recommendations, which require concerted regional and international efforts,” it said.
Kurdish authorities said they had repeatedly asked the international community for help in managing the camps, which required “huge financial resources.”

Al-Hol is the largest internment camp in northeast Syria, with more than 43,000 detainees from 47 countries, most of them women and children related to Daesh fighters.


Hamas is sending a delegation to Egypt for further ceasefire talks in the latest sign of progress

Updated 03 May 2024
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Hamas is sending a delegation to Egypt for further ceasefire talks in the latest sign of progress

  • US and Egyptian mediators have put to Hamas a proposal -– apparently with Israel’s acceptance — that sets out a three-stage process that would bring an immediate six-week ceasefire and partial release of Israeli hostages

BEIRUT: Hamas said Thursday that it was sending a delegation to Egypt for further ceasefire talks, in a new sign of progress in attempts by international mediators to hammer out an agreement between Israel and the militant group to end the war in Gaza.

After months of stop-and-start negotiations, the ceasefire efforts appear to have reached a critical stage, with Egyptian and American mediators reporting signs of compromise in recent days. But chances for the deal remain entangled with the key question of whether Israel will accept an end to the war without reaching its stated goal of destroying Hamas.
The stakes in the ceasefire negotiations were made clear in a new UN report that said if the Israel-Hamas war stops today, it will still take until 2040 to rebuild all the homes that have been destroyed by nearly seven months of Israeli bombardment and ground offensives in Gaza. It warned that the impact of the damage to the economy will set back development for generations and will only get worse with every month fighting continues.
The proposal that US and Egyptian mediators have put to Hamas -– apparently with Israel’s acceptance — sets out a three-stage process that would bring an immediate six-week ceasefire and partial release of Israeli hostages, but also negotiations over a “permanent calm” that includes some sort of Israeli withdrawal from Gaza, according to an Egyptian official. Hamas is seeking guarantees for a full Israeli withdrawal and complete end to the war.
Hamas officials have sent mixed signals about the proposal in recent days. But on Thursday, its supreme leader, Ismail Haniyeh, said in a statement that he had spoken to Egypt’s intelligence chief and “stressed the positive spirit of the movement in studying the ceasefire proposal.”
The statement said that Hamas negotiators would travel to Cairo “to complete the ongoing discussions with the aim of working forward for an agreement.” Haniyeh said he had also spoken to the prime minister of Qatar, another key mediator in the process.
The brokers are hopeful that the deal will bring an end to a conflict that has killed more than 34,000 Palestinians, according to local health officials, caused widespread destruction and plunged the territory into a humanitarian crisis. They also hope a deal will avert an Israeli attack on Rafah, where more than half of Gaza’s 2.3 million people have sought shelter after fleeing battle zones elsewhere in the territory.
If Israel does agree to end the war in return for a full hostage release, it would be a major turnaround. Since Hamas’ Oct. 7 attack stunned Israel, its leaders have vowed not to stop their bombardment and ground offensives until the militant group is destroyed. They also say Israel must keep a military presence in Gaza and security control after the war to ensure Hamas doesn’t rebuild.
Publicly at least, Israeli Prime Minister Benjamin Netanyahu continues to insist that is the only acceptable endgame.
He has vowed that even if a ceasefire is reached, Israel will eventually attack Rafah, which he says is Hamas’ last stronghold in Gaza. He repeated his determination to do so in talks Wednesday with US Secretary of State Antony Blinken, who was in Israel on a regional tour to push the deal through.
The agreement’s immediate fate hinges on whether Hamas will accept uncertainty over the final phases to bring the initial six-week pause in fighting — and at least postpone what it is feared would be a devastating assault on Rafah.
Egypt has been privately assuring Hamas that the deal will mean a total end to the war. But the Egyptian official said Hamas says the text’s language is too vague and wants it to specify a complete Israeli pullout from all of Gaza. The official spoke on condition of anonymity to talk about the internal deliberations.
On Wednesday evening, however, the news looked less positive as Osama Hamdan, a top Hamas official, expressed skepticism, saying the group’s initial position was “negative.” Speaking to Hezbollah’s Al-Manar TV, he said that talks were still ongoing but would stop if Israel invades Rafah.
Blinken hiked up pressure on Hamas to accept, saying Israel had made “very important” compromises.
“There’s no time for further haggling. The deal is there,” Blinken said Wednesday before leaving for the US
An Israeli airstrike, meanwhile, killed at least five people, including a child, in Deir Al-Balah in central Gaza. The bodies were seen and counted by Associated Press journalists at a hospital.
The war broke out on Oct. 7. when Hamas militants broke into southern Israel and killed over 1,200 people, mostly Israelis, taking around 250 others hostage, some released during a ceasefire on November.
The Israel-Hamas war was sparked by the Oct. 7 raid into southern Israel in which militants killed around 1,200 people, mostly civilians, and abducted around 250 hostages. Hamas is believed to still hold around 100 hostages and the remains of more than 30 others.
Since then, Israel’s campaign in Gaza has wreaked vast destruction and brought a humanitarian disaster, with several hundred thousand Palestinians in northern Gaza facing imminent famine, according to the UN More than 80 percent of the population has been driven from their homes.
The “productive basis of the economy has been destroyed” and poverty is rising sharply among Palestinians, according to the report released Thursday by the United Nations Development Program and the Economic and Social Commission for Western Asia.
It said that in 2024, the entire Palestinian economy — including both Gaza and the West Bank -– has so far contracted 25.8 percent. If the war continues, the loss will reach a “staggering” 29 percent by July, it said. The West Bank economy has been hit by Israel’s decision to cancel the work permits for tens of thousands of laborers who depended on jobs inside Israel.
“These new figures warn that the suffering in Gaza will not end when the war does,” UNDP administrator Achim Steiner said. He warned of a “serious development crisis that jeopardizes the future of generations to come.”
 


Syria says Israeli strike outside Damascus injures eight troops

Updated 03 May 2024
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Syria says Israeli strike outside Damascus injures eight troops

  • A security source said the strike hit a building operated by government forces
  • Defense ministry acknowledged only that the strike caused some material damage

An Israeli airstrike on the outskirts of Damascus injured eight Syrian military personnel late on Thursday, the Syrian defense ministry said, the latest such attack amid the war in Gaza.

The Israeli strike, launched from the occupied Golan Heights toward “one of the sites in the vicinity of Damascus,” caused some material damage, the Syrian defense ministry said in a statement.
The strike hit a building operated by Syrian security forces, a security source in the alliance backing Syria’s government earlier told Reuters.
The Israeli military said it does not comment on reports in the foreign media.
Israel has for years been striking Iran-linked targets in Syria and has stepped up its campaign in the war-torn country since Oct. 7, when Iran-backed Palestinian militants Hamas crossed into Israeli territory in an attack that left 1,200 people dead and led to more than 250 taken hostage.
Israel responded with a land, air and sea assault on the Gaza Strip, escalated strikes on Syria and exchanged fire with Lebanese armed group Hezbollah across Lebanon’s southern border.
The security source said the location struck in Syria on Thursday sat just south of the Sayyeda Zeinab shrine, where Hezbollah and Iranian forces are entrenched.
But the source said the site struck was not operated by Iranian units or Hezbollah.