Lebanon’s cancer patients turn to the black market for life-saving medication

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Lebanon has one of the world’s highest rates of breast cancer and a failing government mean tens of thousands of fearful patients are left with little hope of lifesaving treatment. (AFP)
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Residents of Sidon carry pink ballons during an event organizd by Pink Steps Lebanon to raise awareness about breast cancer. (AFP file)
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A cancer patient attends a gathering in Beirut to protest the shortage of medicine. (AFP file)
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The shortage of medicines in Lebanon has forced many patients to resort to buying from unregulated sources. (AFP file)
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Updated 13 October 2022
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Lebanon’s cancer patients turn to the black market for life-saving medication

  • Desperate Lebanese have resorted to smugglers to access cancer medications, many of them counterfeit
  • Lebanon’s financial ruin has crippled the health system, forcing many cancer patients to abandon treatment

DUBAI: “I am Sali Hafiz. I came today to take the deposits of my sister who is dying in a hospital.” These are the words that a desperate Lebanese woman streamed online in a bid to secure funds for her sister’s cancer treatment.

Hafiz had stormed into a Beirut branch of BLOM Bank armed with a fake gun. The 28-year-old held up the premises until she secured $13,000, part of her $20,000 savings in held deposits.

The heist highlights the ever-worsening state of Lebanon’s medical sector and its patients. Hafiz’s sister, who suffers from brain cancer, was losing hope of ever regaining her speech and mobility. The funds withdrawn by her sibling provided her with a trip to nearby Turkey and a month of treatment.




Protesters voice their anger over treatment delays. (AFP)

For more than four years, Lebanon has been in the throes of a deepening economic crisis that has plunged almost three-quarters of the population into poverty.

It has left the healthcare sector on its knees, slashed medical subsidies from $120 million per month to about $35 million in 2021 and raised the price of a wide range of medications by up to four times. Desperate Lebanese citizens are now looking for any means to provide their loved ones a chance in life.




A Beirut Pink October rally raises awareness of breast cancer. (AFP)

In Lebanon, cancer patients fight two battles — one against their disease and another to obtain much-needed treatment.

Breast cancer is the most prevalent cancer in Lebanon. In 2020, 1,954 new breast cancer cases were identified, accounting for 33.7 percent of diagnosed cancers that year.

According to a 2019 study, “Breast Cancer Epidemiology Among Lebanese Women: An 11-Year Analysis,” published in the National Center for Biotechnology Information, a study period between 2005-2015 found breast cancer to be the most prevalent cancer in Lebanon with a total of 22,357 cases reported, accounting for almost 37 percent of cancer cases among females.

In 2018, the Eastern Mediterranean Health Journal published a study titled “Effectiveness of breast cancer screening campaigns from 2012 to 2017 by analysis of stage at diagnosis, Lebanon.” It found that the country had the sixth highest age-standardized incidence rate for breast cancer in the world, with 97.6 cases per 100,000 women.

Hospitals now face significant medication shortages, and a large number of patients cannot afford treatment due to the capital controls imposed almost overnight by banks in 2019.




A large number of patients cannot afford treatment due to Lebanon's economic crisis. (AFP file)

More than 80 percent of the population lives below the poverty line.

While some NGOs offer free mammogram examinations, no health centers provide free treatment.

Many breast cancer patients are in the same predicament as Hafiz’s sister. Though ongoing campaigns in the country raise awareness of breast cancer during October, many women feel discouraged. Public awareness efforts include seminars, educational courses on how to spot breast cancer, encouragement for early screening and media interventions. But those already diagnosed with breast cancer feel that it is not enough.




A cancer patient attends a gathering in Beirut to protest the shortage of medicine. (AFP file)

“I almost feel like some of these movements spearheaded by celebrities hijack our pain for their benefits and public image,” Layla, a 37-year-old stage 2 breast cancer patient, told Arab News. “Where do I go with my pink ribbon if I have to worry whether I can continue my chemotherapy? Who will fund my treatment?”

As government aid is scarce, Lebanon imports more than 90 percent of its medication from abroad. Cancer patients are often left to fend for themselves to secure life-saving treatments.

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33.7%

Breast cancer accounted for 33.7% of diagnosed cancers in Lebanon in 2020

Last year, the country’s Health Ministry formed a committee to examine the lack of cancer medication, such as Opdivo, Tecentriq, Ibrance and Xtandi. Despite the ministry finding that no theft had occurred, the amount of medication required for cancer treatment was discovered to be far lower than needed. Health Minister Firass Abiad urged the international community at the World Health Assembly in Geneva to support Lebanon’s health system.

Counterfeit medication has also become a major problem. The head of the Pharmacists Syndicate, Dr. Joe Salloum, warned that many patients are unknowingly buying fraudulent medicines smuggled into Lebanon from nearby countries.




A Beirut Pink October rally raises awareness of breast cancer. (AFP file)

On the occasion of Pink October, under the heading “First of all Medication, not Pink Illumination,” The Barbara Nassar Association for Cancer Patient Support arranged a protest on Oct. 2 in solidarity with breast cancer patients.

Gathered in Martyrs’ Square in downtown Beirut, Dr. Hani Nassar, the head of the association, alongside Salloum, as well as two members of parliament, Ghada Ayoub and Adeeb Abdelmasih, took part in the protest with patients and their families.

Nassar said: “We have at least 10 cancer-stricken patients in the Parliament alone; I bet they receive their medications and treatment from abroad, while the rest of us are at the mercy of the minister of the health sector. The registration process in the country is in disarray; the minister does not even know how many cancer patients are in the country. We call upon the ministry to provide medication to every cancer patient accordingly.

“We call upon the government and the Parliament to impose transparency, to impose impartiality, rather than seeing queues of patients in the hundreds waiting outside the ministry to receive their life-saving medication; rather than having to make calls and pay on the side for people to provide them with what they need.”




An elderly man stands at the shuttered door of a pharmacy in the southern Lebanese city of Sidon. (AFP file)

MPs Ayoub and Abdelmasih said that they intended to present a bill in Parliament to enable urgent financial loans for cancer patients.

Nassar also warned of a morphine shortage in Lebanon’s medical system, meaning that some cancer patients were left “screaming in pain” in hospitals. He added that many women in the first three stages of breast cancer “could be saved,” but often lack the funds to secure treatment.

Medication is also hard to come by due to fluctuating currency exchange prices and inflation.

Speaking anonymously, a nurse from a public hospital in Mount Lebanon told Arab News: “I dread going to work every day. Cancer treatment needs a consistent timeline, and seeing patients having to drop out of their treatment due to lack of finances is disheartening to say the least.”

The nurse added that he still receives the same salary that was set before the country’s economic crisis. “My salary is basically pennies. I dread it but I show up to work. If I can provide any type of comfort to the women going through breast cancer, as well as other cancer patients, I think it’s worth it.”

 


US-led coalition in Red Sea downs Houthi anti-ship missile, four drones

Updated 34 min 38 sec ago
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US-led coalition in Red Sea downs Houthi anti-ship missile, four drones

  • CENTCOM: Missile was likely targeting the MV Yorktown, a US-flagged shipping vessel
  • Greek frigate intercepts two drones launched toward a commercial ship

DUBAI: US-led coalition forces shot down four drones and an anti-ship missile launched by Yemen’s Houthi rebels, American authorities said Thursday, as the Iran-backed group announced strikes against US and Israeli ships.

A Greek vessel deployed in the Gulf of Aden as part of an EU naval coalition also shot down a drone off Yemen’s coast early on Thursday, the Greece general staff said in a statement.

The incidents follow a lull in attacks by the Houthis, who launched dozens of missile and drone strikes targeting shipping since November, saying they were acting in solidarity with Palestinians during the Israel-Hamas war.

Despite the drop in attacks in recent weeks, late on Wednesday the Houthis said they “are continuing to take further military actions against all hostile targets in the Red Sea, the Arabian Sea, and the Indian Ocean.”

US Central Command (CENTCOM) said in a statement on X, formerly Twitter, that just before noon Yemen time (0900 GMT) on Wednesday a coalition vessel “successfully engaged one anti-ship ballistic missile (ASBM)” launched from Houthi-controlled areas of the country.

 

 

The missile was likely targeting the MV Yorktown, a US-flagged shipping vessel, CENTCOM said, adding there were no injuries or damage.

CENTCOM also said it had engaged and destroyed four drones launched by the Houthis shortly afterwards.

“It was determined that the ASBM and UAVs (drones) presented an imminent threat to US, coalition, and merchant vessels in the region,” CENTCOM said.

Houthi military spokesman Yahya Saree on Wednesday said that the rebels attacked US and Israeli ships, including the MV Yorktown which he claimed was hit, without providing evidence.

The Houthi rebels said they “carried out a military operation targeting the American ship (MV Yorktown) in the Gulf of Aden, with a number of suitable naval missiles, and the hit was accurate,” Saree said.

The group also “targeted an American warship destroyer in the Gulf of Aden with a number of drones, and in another operation, targeted an Israeli ship the (MSC Veracruz) in the Indian Ocean, with a number of drones,” he added, saying the operations “achieved their objectives.”

The Houthi attacks have drawn reprisal strikes from the United States and Britain as well as the deployment of Western naval forces to counter strikes on ships plying the busy commercial routes.

The Greek frigate Hydra, deployed to the Gulf of Aden in February, fired on two drones off the coast of Yemen on Thursday, shooting down one, Greek authorities said.

The Houthis, who control much of Yemen’s Red Sea coast, are part of an “axis of resistance” of Iran allies and proxies targeting Israel in protest at its war against Hamas in the Gaza Strip.


As airplane makers struggle to meet demand, Morocco wants to become a manufacturing hub

Updated 25 April 2024
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As airplane makers struggle to meet demand, Morocco wants to become a manufacturing hub

  • The North African kingdom is among a list of countries vying for contracts with plane makers looking to speed up production to meet demand
  • Many companies eye Morocco as a source for comparatively cheap labor and workers with an expanding pool of skilled workers

CASABLANCA, Morocco:  Moroccan officials want to turn the country into an aviation hub, luring investors aiming to spread out their supply chains to more nations with available and affordable workers.

The North African kingdom is among a longer list of countries vying for contracts with big manufacturers looking to speed up production and deliver more planes to meet demand. Companies like Boeing and Airbus — as well as the manufacturers that build their components — are outsourcing design, production and maintenance to countries from Mexico to Thailand.
In Morocco, efforts to grow the country’s $2 billion-a-year aerospace industry are part of a years-long push to transform the largely agrarian economy through subsidizing manufacturers of planes, trains and automobiles. Officials hope it dovetails with efforts to grow Moroccan airlines, including the state-owned Royal Air Maroc.
“The needs are huge and we are in a very good position,” said Hamid Abbou, the airline’s CEO. “Most of the big suppliers in Europe are struggling to get people to work in this industry. We don’t have that issue.”

Women workers repair aircraft parts inside Safran Aircraft Engines repair plant outside of Casablanca, Morocco on April 18, 2024. (AP photo)

Despite hopes among its cheerleaders, the air travel industry faces headwinds. When demand rebounded after much air traffic stopped during the pandemic, manufacturers faced challenges building enough planes to meet demand from airlines. For Boeing, delays caused by supply chain issues were compounded by high-profile emergencies and deadly crashes that further curtailed deliveries.
From eastern Europe to southeast Asia, new levels of demand have forced manufacturers to seek out new locations to build and repair parts.
Safran Aircraft Engines, a French manufacturer, sends engines for Boeing 737s and Airbus 320s to a repair plant outside of Casablanca every six to eight years and then sends them back to airlines from countries including Brazil, Saudi Arabia, the United Kingdom and Ireland.
The company is among 130 in the sector active in Morocco, where parts ranging from wings to fuselages are produced in an industry that employs 42% women — a proportion that industry lobbyists say is larger than its European and North American manufacturing industry counterparts.
Though many companies eye Morocco as a source for comparatively cheap labor, the industry and government have worked to train skilled workers at IMA, an institute for aeronautics professions in Casablanca.
At an event celebrating Safran’s 25-year partnership with Royal Air Maroc, Safran CEO Jean-Paul Alary said he hoped Morocco’s aviation industry would continue to expand, particularly as industrywide demand increases and companies face labor shortages in Europe.
“It’s the access to well-qualified talent that’s been well-trained,” Alary said of Morocco. “They are the key players for achieving our goals.”


Another former US State Department official alleges Israeli military gets ‘special treatment’ on abuses

Updated 25 April 2024
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Another former US State Department official alleges Israeli military gets ‘special treatment’ on abuses

  • “In my experience, Israel gets special treatment that no other country gets,” says Charles O. Blaha, former director of a State Department security and human rights office
  • Late last year, Josh Paul resigned as a director overseeing arms transfers to other countries’ militaries in October in protest of the US rushing arms to Israel amid its war in Gaza

WASHINGTON: A former senior US official who until recently helped oversee human-rights compliance by foreign militaries receiving American military assistance said Wednesday that he repeatedly observed Israel receiving “special treatment” from US officials when it came to scrutiny of allegations of Israeli military abuses of Palestinian civilians.

The allegation comes as the Biden administration faces intense pressure over its ally’s treatment of Palestinian civilians during Israel’s war against Hamas in Gaza. And it matters because of who said it: Charles O. Blaha.

Before leaving the post in August, he was a director of a State Department security and human rights office closely involved in helping ensure that foreign militaries receiving American military aid follow US and international humanitarian and human rights laws.

Blaha said his departure from the State Department after decades of service was not related to the US-Israeli security relationship. He is the second senior State official involved in that relationship to assert that when it comes to Israel, the US is reluctant to enforce laws required of foreign militaries receiving American aid.

“In my experience, Israel gets special treatment that no other country gets,” Blaha said. “And there is undue deference, in many cases, given” to Israeli officials’ side of things when the US asks questions about allegations of Israeli wrongdoing against Palestinians, he added.

He spoke to reporters at an event where he and other members of an unofficial, self-formed panel of former senior US civilian and military officials released a report pointing to civilian deaths in specific airstrikes in Gaza. They said there was “compelling and credible” evidence that Israeli forces had acted illegally.

Blaha’s comments echoed those of another State Department official and panel member, Josh Paul. Paul resigned as a director overseeing arms transfers to other countries’ militaries in October in protest of the US rushing arms to Israel amid its war in Gaza.

Asked about the allegations from the two, a State Department spokesman, Vedant Patel, said “there is no double standard, and there is no special treatment.”

Israeli officials did not immediately respond to a request for comment. Israel consistently says it follows all laws in its use of US military aid, investigates allegations against its security forces and holds offenders accountable.

Israel historically is the United States’ biggest recipient of military aid, and Biden on Wednesday signed legislation for an additional $26 billion in wartime assistance. But Biden has come under growing pressure over that support as Palestinian deaths mount.

The latest Israel-Hamas war began on Oct. 7, when Hamas and Islamic Jihad, two militant groups backed by Iran, carried out a cross-border attack that killed 1,200 people in Israel. Israel responded with an offensive in Gaza that has caused widespread devastation and killed more than 34,000 people, according to local health officials.

In coming days, the administration says it will announce its official findings from reviews it did into allegations of especially serious human rights abuses by specific Israeli military units. Those units would be barred from receiving US military aid if the US review confirms those allegations.

Separately, the Biden administration also is expected to disclose by May 8 whether it has verified assurances from Israel that the country is not using US military aid in a way that violates international or human rights law. Both Israel’s written assurance and the US verification were mandated by a new presidential national security memo that Biden issued in February.

The February agreement was negotiated between the Biden administration and members of his own Democratic Party, who had been pushing for the US to begin conditioning military aid to Israel on improving treatment of Palestinian civilians.

Panel members released their report Wednesday to urge the US to scrutinize specific attacks in Gaza that the former officials argued should lead to a conclusion that Israel was wrong when it confirmed it was complying with the laws. If that determination is made, the US could then suspend military aid.

Wednesday’s unofficial report points to 17 specific strikes on apartments, refugee camps, private homes, journalists and aid workers for which the former US officials and independent experts allege there’s no evidence of the kind of military target present to justify the high civilian death tolls.

They include an Oct. 31 airstrike on a Gaza apartment building that killed 106 civilians, including 54 children. Israeli officials offered no reason for the strike, and a Human Rights Watch probe found no evidence of a military target there, the officials said. Israel has said in many of the instances that it is investigating.

 


Hamas releases video showing well-known Israeli-American hostage

Updated 25 April 2024
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Hamas releases video showing well-known Israeli-American hostage

  • Goldberg-Polin is one of the most recognized captives. Posters with his image are pinned up across Israel

JERUSALEM: Hamas released a hostage video on Wednesday showing a well-known Israeli-American man who was among scores of people abducted by the militants in the attack that ignited the war in Gaza.
The video was the first sign of life of Hersh Goldberg-Polin since Hamas’ Oct. 7 attack on southern Israel, and its release ignited new protests in Jerusalem calling on the government to do more to secure the captives’ release.
In the video, Goldberg-Polin accused Israel’s government of abandoning the people who are being held hostage by Hamas. He also claimed that some 70 captives have been killed in Israel’s bombing campaign. Goldberg-Polin was clearly speaking under duress, and the claim could not be independently verified. It was not clear when the video was made.
Goldberg-Polin, 23, was at the Tribe of Nova music festival when Hamas launched its attack from nearby Gaza. In the video, Goldberg-Polin is missing part of his left arm.
Witnesses said he lost it when attackers tossed grenades into a shelter where people had taken refuge. He had tied a tourniquet around it before being bundled into the truck by Hamas.
Goldberg-Polin is one of the most recognized captives. Posters with his image are pinned up across Israel. His mother, Rachel Goldberg, has met with world leaders and addressed the United Nations.
Though there was no date on the video, Goldberg-Polin appeared to reference the weeklong Jewish holiday of Passover, which began on Monday.
His parents said they were relieved to see him alive but were concerned about his health and well-being, as well as that of the other hostages.
“We are here today with a plea to all of the leaders of the parties who have been negotiating to date,” said his father, Jon Polin, naming Egypt, Israel, Qatar, the United States and Hamas.
“Be brave, lean in, seize this moment and get a deal done to reunite all of us with our loved ones and end the suffering in this region,” he said.
Hostages’ families have accused Israeli Prime Minister Benjamin Netanyahu’s government of not doing enough to secure the release of their relatives.
After the Hamas video was made public, hundreds of Israelis gathered outside Netanyahu’s official residence in central Jerusalem on Wednesday, calling on the government to strike a deal to bring home hostages. Many held posters of Goldberg-Polin, and some of the protesters set cardboard boxes on fire.
“We are afraid for his life, so we went to protest and call for the government to do whatever is possible to bring him and everybody else back, as soon as possible,” said one of the marchers, Nimrod Madrer. “Bring them back home,” the crowd chanted.
At the nearby Great Synagogue, a large crowd jeered the country’s ultranationalist national security minister, Itamar Ben-Gvir, chanting “shame” as he exited the building following a Passover gathering. One protester banged on Ben-Gvir’s car and was pushed away by police as it drove off.
Hamas and other militants abducted around 250 people in the Oct. 7 attack and killed around 1,200, mostly civilians. They are still believed to be holding around 100 hostages and the remains of some 30 others. Most of the rest were freed in November in exchange for the release of 240 Palestinians imprisoned by Israel.
Khalil Al-Hayya, a senior Hamas official, said Goldberg-Polin’s family had asked mediators to inquire about his fate for humanitarian reasons.
His family was “searching the world for any sign of him,” Al-Hayya said in an interview with Hamas-run Al-Aqsa TV broadcast on Wednesday. Hamas’ armed wing ”sent a strong message by publishing this young man’s message directed at Netanyahu,” Al-Hayya said.
The US, Qatar and Egypt have spent months trying to broker another ceasefire and hostage release, but the talks appear to have stalled. Hamas has said it will not release the remaining hostages unless Israel ends the war, which has killed over 34,000 Palestinians, according to local officials.
Netanyahu has rejected those demands, and says Israel remains committed to destroying Hamas and bringing all the hostages home. He has come under mounting criticism in Israel, where some say it will be impossible to do both.


Wars in Gaza and Sudan ‘drive hunger crisis affecting 280 million worldwide’

Updated 24 April 2024
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Wars in Gaza and Sudan ‘drive hunger crisis affecting 280 million worldwide’

  • New report on global food insecurity says outlook for 2024 is ‘bleak’

JEDDAH: More than 280 million people worldwide suffered from acute hunger last year in a food security crisis driven by conflicts in Gaza and Sudan, UN agencies and development groups said on Wednesday.

Economic shocks also added to the number of victims, which grew by 24 million compared with 2022, according to a report by the Food Security Information Network.

The report, which called the global outlook for this year “bleak,” is produced for an international alliance of UN agencies, the EU and governmental and non-governmental bodies.

Food insecurity is defined as when populations face food deprivation that threatens lives or livelihoods, regardless of the causes or length of time. More geographical areas experienced “new or intensified shocks” and there was a “marked deterioration in key food crisis contexts such as Sudan and the Gaza Strip,” said Fleur Wouterse, a senior official at the UN’s Food and Agricultue Organization.

Since the first report by the Global Food Crisis Network covering 2016, the number of food-insecure people has risen from 108 million to 282 million, Wouterse said. The share of the population affected within the areas concerned had doubled from 11 percent to 22 percent, she said.

Protracted major food crises are ongoing in Afghanistan, the Democratic Republic of Congo, Ethiopia, Nigeria, Syria and Yemen. “In a world of plenty, children are starving to death,” UN Secretary-General Antonio Guterres said.

“War, climate chaos and a cost-of-living crisis, combined with inadequate action, mean that almost 300 million people faced acute food crisis in 2023. Funding is not keeping pace with need.”

According to the report, situations of conflict or insecurity have become the main cause of acute hunger. For 2024, progress would depend on the end of hostilities, said Wouterse, who said aid could rapidly alleviate the crisis in Gaza or Sudan, for example, once humanitarian access to the areas was possible.