Why breast cancer awareness in the Arab world should be a year-round campaign

Like every year, October is being marked around the world with breast cancer awareness campaigns. (Supplied)
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Updated 19 October 2023
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Why breast cancer awareness in the Arab world should be a year-round campaign

  • Self-examination, regular screening and making better behavioral choices seen as key to prevention and early diagnosis
  • Poverty, poor health infrastructure and turmoil blamed for low rates of breast-cancer detection in many Arab countries

DUBAI: The well-known saying “an ounce of prevention is worth a pound of cure” could not be more true than in the case of diagnosis and treatment of many forms of cancer.

Like every year, October is being marked around the world with breast cancer awareness campaigns, which highlight the importance of early detection, self-examination and screening in addition to making better behavioral choices.

In Saudi Arabia, Roshn Group, Saudi Arabia’s leading mixed-asset real estate developer, and Lulu Group are among the many companies partnering with the Zahra Breast Cancer Association for raising awareness about the disease across the Kingdom.

While the phrase “you have cancer” uttered by one’s doctor may be dread-inducing, early intervention has been seen to save many women in the Arab region from further pain and suffering.

Two years ago, 44-year-old schoolteacher and mother of two Hadeel Khwanda, a Syrian living in Dubai, began experiencing shooting pain, itching and other health issues. Despite her doctor saying the problems were stress related and would go away with time, they continued into the summer break.

Still concerned, Khwanda sought a second opinion from another doctor who requested a biopsy. Khwanda was diagnosed with stage two breast cancer, which initially came as a shock.

“There is no history of cancer in my family,” she told Arab News. Though she had to undergo a lumpectomy, four chemotherapy sessions and 35 radiation sessions, Khwanda’s decision to undergo early testing likely saved her life.

INNUMBERS

2.3m New breast cancer cases detected worldwide in 2020.

685,000 Deaths from breast cancer worldwide in 2020.

12.5% Proportion of all new cancer cases per year that are breast cancer.

Breast cancer, according to the World Health Organization, is the most prevalent cancer worldwide, affecting post-pubescent females from all walks of life.

WHO statistics estimate that 2.3 million women were diagnosed with breast cancer in 2020. However, medical specialists say the true figure may be even higher, as fewer women received tests during the COVID-19 pandemic. From 2015 to 2020, a total of 7.8 million women were diagnosed.

“When we were growing up and we heard that someone had cancer, it would be the most shocking news, and it was such a rare thing,” Bina Mathews, an Indian resident of Dubai, told Arab News. “Now, many have it.”

Mathews’ battle with cancer began in October last year. The 52-year-old communication professional and mother of two went for a Pap smear test, which she had done annually since her grandmother passed away from ovarian cancer 17 years ago. The test detected “abnormal cells,” and her gynecologist suggested repeating the test after six months.

During her own personal research, Mathews said she read that “if a woman gets this, it is better to do a mammogram.”

The last mammogram she underwent was uncomfortable and painful as the machines used belonged to an older generation. This time, she opted for ultrasound imaging as well. Her mammogram showed a lump in her left breast, and she was eventually diagnosed with stage one breast cancer.

After a lumpectomy, 16 chemotherapy sessions, and 20 radiation sessions, she finally completed her treatment in August this year.




Female skydivers form a pink ribbon above the Palm Jumeirah Island as part Skydive Dubai’s October Breast Cancer Awareness activity on Sept. 22, 2018 in Dubai. (Skydive Dubai/Getty Images)

Mathews recalled the large number of cancer patients she encountered during treatment. Waiting rooms in oncology departments at hospitals and clinics were crowded.

“The chemo rooms are packed, and the scanning machines are like railway stations. People come out and they (medical staffers) just have time to prepare for the next patient, even in radiation. There are so many people, and so many young ones … this is heartbreaking,” she added.

In the Arab region in particular, researchers now warn that practically all types of cancer, including breast cancer, are being reported at an increasing rate, which will likely continue for the next few years.

“The Gulf States and the Eastern Mediterranean Region countries show a disturbing rise in the number of cancer patients. Long-term projections show that by 2030 there will be a 1.8-fold increase in cancer incidence,” according to a scientific paper written by three medical specialists, including Dr. Mostafa Ahmed Arafa, cancer research chair at the College of Medicine at King Saud University in Riyadh.

There is a correlation between the increasing cancer rates and some factors specific to the Arab region, such as political turmoil, rising poverty, poor health infrastructure and late diagnosis, according to Bashir Abou Reslan, executive director of the Advanced Care Oncology Center in Dubai, a privately owned center established to meet the increasing demand for cancer treatment.

“These factors neither increase nor decrease the number of (cancer) cases, but they do prevent people from knowing if they have cancer” due to lower rates of testing, Abou Reslan told Arab News.




Bashir Abou Reslan, Executive Director of Advanced Care Oncology Center. (Supplied)

ACOC was established in 2017, initially offering PET scan imagery and chemotherapy and expanding later to include radiation therapy. The center has treated nearly 7,000 patients in the past five years, and currently receives between 50 and 100 patients daily for consultation and treatment. Nearly 40 percent of them have breast cancer.

The center is one among many institutions which have pledged to spread awareness of the importance of regular breast cancer screening, and offers free screenings during October and November.

Abou Reslan said he offered free screening packages to some prospective patients. “I knew some of them personally. I asked them later, ‘Why didn’t you come?’ And they replied, ‘We are scared to know,’” he said, adding that recovery rates for cancer detected in early stages are “very high.”

He added: “But when it is detected at later stages, things will become very difficult.”

Moreover, Abou Reslan pointed out, while previous generations of testing machines were less accurate and more painful, today’s instruments are faster and more comfortable, with a 20-minute exam granting women peace of mind for an entire year.

“Myths about breast cancer need to be demystified,” said Dr. Millicent Alache Bello, a breast cancer surgeon at King’s College Hospital London in Dubai.

“People are still scared of biopsies. But breast cancer, if it is picked up early, can be a treatable condition.”




Participants wearing pink shirts form a human ‘pink ribbon’ during a Breast Cancer Marathon in Algiers, Algeria on Oct. 21, 2016. (Anadolu Agency/Getty Images)

Bello said individuals should pay close attention to their lifestyle and maintain healthy habits, such as exercise.

“Awareness shouldn’t be just in the month of October. It should be a regular thing that happens all the time,” she said, adding that governments, the private sector, and other parties should also be involved in spreading awareness of breast cancer.

As the main partner of Zahra Breast Cancer Association’s National Breast Cancer Awareness Campaign, Roshn Group has said it is sponsoring two breast cancer awareness walks, entitled Making Strides Against Breast Cancer, in Riyadh and Jeddah.

“These walks provide a supportive community for breast cancer survivors and metastatic breast cancer thrivers, caregivers and families alike,” the Public Investment Fund-backed giga-project said, adding that it has activated breast cancer awareness and education booths across its offices and sales centers in Riyadh and Jeddah to communicate the importance of early detection.

For its part, Lulu has announced that a portion of the proceeds from sales of reusable shopping bags at the company’s hypermarkets in Saudi Arabia throughout October will result in a donation to the National Breast Cancer Awareness Campaign.

In the UAE, the Pink Caravan initiative, a project of the Friends of Cancer Patients Society launched in 2011 in Sharjah, travels across the country offering free physical exams and X-ray tests.

Patients who have suspicious test results are referred to specialized clinics for further checkups. Should the patient be diagnosed with cancer, the society offers psychological and financial support through its medical partners, including the ACOC.

In a statement sent to Arab News, the Pink Caravan initiative explained that this year’s figures were nearly double that of last year’s, thanks to the caravan “offering free medical tests to all people regardless of their race, nationality, or religion, and the continuous work to cover all parts of the country, including the remote areas, to spread awareness of the importance of early cancer detection.”




Participants walk in honor of breast cancer awareness during day one of the LIV Golf Invitational – Jeddah at Royal Greens Golf & Country Club on Oct. 14, 2022 in King Abdullah Economic City, Saudi Arabia. (LIV Golf via Getty Images)

Rahma Society for Cancer Patients in Abu Dhabi, Sharjah Charity International and the Dubai Charity Society also provide support. To date, 77,271 women and 16,505 men have received these free tests, with 80 of them receiving a cancer diagnosis.

Other private sector entities participating in awareness campaigns and providing financial support to patients include the UAE Marriott Business Council, which supports Al-Jalila Foundation.

Both society and the corporate world can play an effective role in raising awareness about the importance of prevention and routine screening, including girls’ high schools, media outlets and insurance companies, according to Abou Reslan.

Insurance companies tend to look at early screening tests as “none of their business, but actually it is their business, because early cancer detection can save insurance companies a lot of payments for treatment and expensive medications,” he said.

He suggested that insurance companies could, for example, connect insurance policy renewal with annual screenings for the early diagnosis of breast cancer for women over a certain age.

According to statistics from the American Cancer Society, the five-year survival rate for localized breast cancer, or cancer which has not spread outside of the breast, is 99 percent.

“People should come out of the idea that cancer means death … this is a disease that can be firmly controlled if it is detected early,” Abou Reslan said.


Lebanon media says Israel struck Hezbollah eastern stronghold overnight

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Lebanon media says Israel struck Hezbollah eastern stronghold overnight

  • Israel and Hamas ally Hezbollah have exchanged near-daily fire following the Palestinian group’s October 7 attack on southern Israel that sparked the war in Gaza
Beirut: Lebanese state-run media reported Thursday an overnight Israeli air raid on eastern Lebanon, where Hezbollah holds sway, hours after the Iran-backed armed group launched an attack deep into Israeli territory.
Israel and Hamas ally Hezbollah have exchanged near-daily fire following the Palestinian group’s October 7 attack on southern Israel that sparked the war in Gaza, now in its eighth month.
Lebanon’s official National News Agency said that “the outskirts of the eastern Lebanon mountain range, at midnight (2100 GMT Wednesday), was subjected to five enemy raids.”
The strikes in the Baalbek area “slightly injured a citizen” and caused fires, the report added.
A source close to Hezbollah told AFP that one of the strikes “hit a Hezbollah military camp.”
An Israeli army spokesman told AFP: “I can confirm that an airstrike was indeed conducted deep in Lebanon against a terror target related to Hezbollah’s precision missile project.”
The area of Baalbek in the Bekaa valley is a Hezbollah bastion, bordering Syria.
On Wednesday, Hezbollah said it launched drones at a military base near the Israeli city of Tiberias, in one of its deepest attacks into the country since cross-border clashes began on October 8.
It came after Israel said it had killed one of Hezbollah’s field commanders in southern Lebanon.
The cross-border fighting has killed at least 413 people in Lebanon, mostly militants but also including dozens of civilians, according to an AFP tally.
Israel says 14 soldiers and 10 civilians have been killed on its side of the border.
Tens of thousands of people have been displaced in areas on both sides of the border.

The top UN court is holding hearings on the Israeli military’s incursion into Rafah

Updated 16 May 2024
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The top UN court is holding hearings on the Israeli military’s incursion into Rafah

  • It is the fourth time South Africa has asked the ICJ for emergency measures
  • South Africa has asked the court to order Israel to withdraw from Rafah

THE HAGUE: The United Nations’ top court opens two days of hearings on Thursday into a request from South Africa to make sure Israel halts its military operation in the southern Gaza city of Rafah, where more than half of Gaza’s population has sought shelter.
It is the fourth time South Africa has asked the International Court of Justice for emergency measures since the nation launched proceedings alleging that Israel’s military action in its war with Hamas in Gaza amounts to genocide.
According to the latest request, the previous preliminary orders by The Hague-based court were not sufficient to address “a brutal military attack on the sole remaining refuge for the people of Gaza.”
Israel has portrayed Rafah as the last stronghold of the militant group, brushing off warnings from the United States and other allies that any major operation there would be catastrophic for civilians.
South Africa has asked the court to order Israel to withdraw from Rafah; to take measures to ensure unimpeded access for UN officials, humanitarian organizations and journalists to the Gaza Strip; and to report back within one week on how it is meeting these demands.
During hearings earlier this year, Israel strongly denied committing genocide in Gaza and said it does all it can to spare civilians and is only targeting Hamas militants. It says Hamas’ tactic of embedding in civilian areas makes it difficult to avoid civilian casualties.
In January, judges ordered Israel to do all it can to prevent death, destruction and any acts of genocide in Gaza, but the panel stopped short of ordering an end to the military offensive that has laid waste to the Palestinian enclave.
In a second order in March, the court said Israel must take measures to improve the humanitarian situation in Gaza, including opening more land crossings to allow food, water, fuel and other supplies to enter.
Most of Gaza’s population of 2.3 million people have been displaced since fighting began.
The war began with a Hamas attack on southern Israel on Oct. 7 in which Palestinian militants killed around 1,200 people and took about 250 hostages. Gaza’s Health Ministry says over 35,000 Palestinians have been killed in the war, without distinguishing between civilians and combatants in its count.
South Africa initiated proceedings in December 2023 and sees the legal campaign as rooted in issues central to its identity. Its governing party, the African National Congress, has long compared Israel’s policies in Gaza and the occupied West Bank to its own history under the apartheid regime of white minority rule, which restricted most Blacks to “homelands.” Apartheid ended in 1994.
On Sunday, Egypt announced it plans to join the case. The Ministry of Foreign Affairs said Israeli military actions “constitute a flagrant violation of international law, humanitarian law, and the Fourth Geneva Convention of 1949 regarding the protection of civilians during wartime.”
Several countries have also indicated they plan to intervene, but so far only Libya, Nicaragua and Colombia have filed formal requests to do so.


Israeli defense chief challenges Netanyahu over post-war Gaza plans

Updated 16 May 2024
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Israeli defense chief challenges Netanyahu over post-war Gaza plans

  • Defense Minister Yoav Gallant vows to oppose any long-term military rule by Israel over Gaza
  • Netanyahu accuses Gallant of making ‘excuses’ for not yet having destroyed Hamas in the conflict

JERUSALEM: Israeli Prime Minister Benjamin Netanyahu was publicly challenged about post-war plans for the Gaza Strip on Wednesday by his own defense chief, who vowed to oppose any long-term military rule by Israel over the ravaged Palestinian enclave.
The televised statement by Defense Minister Yoav Gallant marked the most vocal dissent from within Israel’s top echelon against Netanyahu during a seven-month-old and multi-front conflict that has set off political fissures at home and abroad.
Netanyahu hinted, in a riposte which did not explicitly name Gallant, that the retired admiral was making “excuses” for not yet having destroyed Hamas in a conflict now in its eight month.
But the veteran conservative premier soon appeared to be outflanked within his own war cabinet: Centrist ex-general Benny Gantz, the only voting member of the forum other than Netanyahu and Gallant, said the defense minister had “spoke(n) the truth.”
While reiterating the Netanyahu government’s goals of defeating Hamas and recovering remaining hostages from the Oct. 7 cross-border rampage by the faction, Gallant said these must be complemented by laying the groundwork for alternative Palestinian rule.
“We must dismantle Hamas’ governing capabilities in Gaza. The key to this goal is military action, and the establishment of a governing alternative in Gaza,” Gallant said.
“In the absence of such an alternative, only two negative options remain: Hamas’ rule in Gaza or Israeli military rule in Gaza,” he added, saying he would oppose the latter scenario and urging Netanyahu to formally forswear it.
Gallant said that, since October, he had tried to promote a plan to set up a “non-hostile Palestinian governing alternative” to Hamas — but got no response from the Israeli cabinet.
The format of his broadside, a pre-announced news conference carried live by Israeli TV and radio, recalled Gallant’s bombshell warning in March 2023 that foment over a judicial overhaul pursued by Netanyahu was threatening military cohesion.
At the time, Netanyahu announced that Gallant would be fired — but backed down amid a deluge of street demonstrations. Some defense analysts believe Gallant’s prediction was borne out by Hamas’ ability to blindside Israeli forces a few months later.
Asked on Wednesday whether he was worried he may again face being ousted, Gallant said: “I’m not blaming anyone. In a democratic country, I believe, it’s appropriate for a person, especially the defense minister who holds a position, to make it public.”
Gallant’s Gaza criticism recalled that of Israel’s chief ally, the United States, which has sought to parlay the war into a role for the internationally backed Palestinian Authority (PA), which wields limited governance in the occupied West Bank.
Netanyahu has refused this, describing the PA as a hostile entity — and repeated this position in a video statement he issued on social media within an hour of Gallant’s remarks.
Any move to create an alternative Gaza government requires that Hamas first be eliminated, Netanyahu said, finishing with the demand that this objective be pursued “without excuses.”
Netanyahu’s ruling coalition includes ultra-nationalist partners who want the PA dismantled and new Jewish settlements in the Gaza Strip. Those partners have at times sparred with Gallant, a member of Netanyahu’s Likud party, over policy.
Netanyahu has said Israel would retain overall security control over Gaza after the war for the foreseeable future. He has stopped short of describing this scenario as an occupation — a status Washington does not want to see emerge — and has signalled opposition to Israelis settling the territory.
Over the last week, Israeli ground forces have returned to some areas of northern Gaza that they overran and quit in the first half of the war. Israel describes the new missions as planned crackdowns on efforts by Hamas holdouts to regroup, while Palestinians see evidence of the tenacity of the gunmen.
Briefing reporters on Tuesday, chief military spokesperson Rear Admiral Daniel Hagari was asked whether the absence of a post-Hamas strategy for Gaza was complicating operations.
“There is no doubt that an alternative to Hamas would generate pressure on Hamas, but that’s a question for the government echelon,” he responded.


Pro-Turkiye Syria mercenaries head to Niger to earn cash

Updated 16 May 2024
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Pro-Turkiye Syria mercenaries head to Niger to earn cash

  • At least 1,000 fighters have been sent to Niger in recent months “to protect Turkish projects and interests,” says Syrian war monitor SOHR
  • Niger borders oil-rich Libya, and in 2020, Washington accused Turkiye-linked SADAT of sending Syrian fighters to Libya

BEIRUT: Like hundreds of other pro-Turkish fighters, Omar left northern Syria for mineral-rich Niger last year, joining Syrian mercenaries sent to the West African nation by a private Turkish military company.

“The main reason I left is because life is hard in Syria,” fighter Omar, 24, told AFP on message app WhatsApp from Niger.
In northern Syria “there are no job opportunities besides joining an armed faction and earning no more than 1,500 Turkish lira ($46) a month,” Omar said, requesting like others AFP interviewed to be identified by a pseudonym for security reasons.
Analysts say Ankara has strong ties with the new military regime in Niamey, in power since a July 2023 coup.
And in recent months, at least 1,000 fighters have been sent to Niger “to protect Turkish projects and interests,” said the Syrian Observatory for Human Rights war monitor.
For the past decade, Turkiye has been increasing its footprint in Niger, mostly through “humanitarian aid, development and commerce,” said Gabriella Korling, a researcher focusing on the Sahel at the Swedish Defense Research Agency.
“The defense component of the relation between Niger and Turkiye has become more important over time with the signing of a military cooperation agreement in 2020 and the sale of armed drones,” Korling said.
Niamey often refers to Turkiye, Russia and China as “partners that are respectful of Niger’s sovereignty,” she added.
Omar, who supports his mother and three siblings, said since leaving his home in August he receives a “very good” monthly salary of $1,500 for his work in the West African nation.
He hopes his earnings will help him start a small business and quit the battlefield, after years working as a fighter for a pro-Ankara faction.
Tens of thousands of young men have joined the ranks of jihadist factions and others loyal to Ankara in Syria’s north and northwest, where four million people, half of them displaced, live in desperate conditions.

Omar said he was among a first batch of more than 200 fighters who left Syria’s Turkish-controlled north in August for Niger.
He is now readying to return home after his six-month contract, renewed once, ended.
He and two other pro-Ankara Syrian fighters who spoke to AFP in recent weeks said they had enlisted for work in Niger with the Sultan Murad faction, one of Turkiye’s most loyal proxies in northern Syria.
They said they had signed six-month contracts at the faction’s headquarters with private firm SADAT International Defense Consultancy.
“SADAT officers came into the room and we signed the contract with them,” said fighter Ahmed.
“They handle everything,” from travel to accommodation, added the 30-year-old, who was readying to travel from northern Syria to Niger.
The company is widely seen as Ankara’s secret weapon in wars across North Africa and the Middle East, although its chief denied the allegation in a 2021 interview with AFP.
Niger borders oil-rich Libya, and in 2020, Washington accused SADAT of sending Syrian fighters to Libya.
Turkiye has sent thousands of Syrian fighters to Libya to buttress the Tripoli government, which it backs against rival Russian-backed authorities in the east according to the Observatory and the Syria Justice and Accountability Center.
The Center said SADAT was “responsible for the international air transport of mercenaries once they crossed into Turkish territory” to go to Libya and Nagorno-Karabakh.
Turkiye has also sent Syrian fighters to bolster Azerbaijan in its conflict with Armenia in Nagorno-Karabakh, but its efforts to send mercenaries to Niger have been shrouded in secrecy.
Turkiye’s defense ministry told AFP: “All these allegations are false and have no truth.”
Omar said his journey took him to Gaziantep in Turkiye, then to Istanbul, where he boarded a military plane to Burkina Faso before being driven under escort to camps in neighboring Niger.
After two weeks of military training, he was tasked with guarding a site near a mine, whose name he said he didn’t know.
He said he and other Syrians worked alongside Nigeriens in military fatigues, but was unable to say if they were soldiers.
“They divided us into several groups of guards and fighters,” he said.
Another group “was sent to fight Boko Haram (jihadists) and another was sent to Lome” in neighboring Togo, he said, without providing details about their mission.
His family collects his monthly salary, minus a $350 fee for his faction.


Ahmed, who has been a fighter for 10 years, said he had been told his mission would consist of “protecting military positions” after undergoing training.
He said “there could be battles” at some point, but did not know who he would be fighting.
The father of three said he spent six months in Libya in 2020 earning more than $2,000 a month.
In July 2023, the army seized power in Niger, ending security and defense agreements with Western countries including France, which has withdrawn forces who were fighting jihadists.
“The coup in 2023 did not disrupt diplomatic relations between Turkiye and Niger,” researcher Korling added, pointing to the appointment of the first Turkish defense attache to Niger earlier this year.
Last year, Turkish state television opened a French-language channel covering Africa, and Ankara operates daily flights to Niamey.
“Turkiye, given its religious proximity and lack of political and historical baggage, is looked upon quite favorably in Niger especially in comparison to” Western countries, said Korling.


Rami Abdel Rahman, who heads the Britain-based Syrian Observatory for Human Rights, said Turkiye was “exploiting” impoverished men in areas under its control “to recruit them as mercenaries in military operations” serving Ankara’s foreign interests.
The war monitor and other human rights groups said promises of lucrative payments to mercenaries sent abroad are not always kept.
Mohammad Al-Abdallah of the Syria Justice and Accountability Center said his organization had for example documented “false promises of granting Turkish citizenship” to those sent to Azerbaijan or Libya.
Abdul Rahman noted reports that about 50 Syrian fighters had been killed in Niger, mostly after they were attacked by jihadists, but he said his organization had only verified nine deaths, with four bodies having been repatriated.
A source within a faction whose members have been dispatched to Niger said about 50 bodies were expected to return in the coming days.
For Abed, a 30-year-old Syrian who has been displaced with his family for more than a decade, death is a risk he has decided to take.
The father of four and sole breadwinner told AFP: “I’m scared of dying... but maybe I could die here” too.
The difference, he said, is that in Syria “I would die for 1,000 Turkish liras ($30), and (in Niger) I would die for $1,500.”
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Tunisian bar association accuses policemen of torturing a lawyer during detention

Updated 16 May 2024
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Tunisian bar association accuses policemen of torturing a lawyer during detention

  • Lawyer Souad Boker said Zagrouba appeared on Wednesday before the investigating judge in a exhausted state
  • Lawyer Mahdi Zagrouba was arrested after he criticized the president for detaining Sonia Dahmani, another lawyer, during the weekend

TUNIS: Tunisian lawyer Mahdi Zagrouba was tortured by police officers after being arrested on Monday, lawyers and a human rights organization said on Wednesday after he collapsed in court and was taken to a hospital.

The Interior Ministry did not immediately respond to a Reuters request for comment.
Lawyer Souad Boker said Zagrouba appeared on Wednesday before the investigating judge in a exhausted state, adding that “he mentioned the names of the policemen who tortured him before he suffered a collapse and coma.”
Witnesses and lawyers said that Zagrouba was taken to the hospital in an ambulance.
TAP state news agency quoted Zarouba’s attorney, Boubaker Ben Thabet, as saying Zagrouba had been subjected to “systematic torture” during his detention.
Toumi Ben Farhat, another lawyer representing Zagrouba, said his colleague “was subjected to extremely severe torture.”
Tunisian police stormed the bar association’s headquarters on Monday for the second time in two days and arrested Zagrouba, who has criticized the president, after detaining Sonia Dahmani, another lawyer, during the weekend.
Bassam Trifi, the head of the Tunisian League for Human Rights, said that “Zagrouba was subjected to brutal torture, and I personally witnessed the torture on his body.”
Without referring to the allegations, President Kais Saied said in a statement after a meeting with Minister of Justice Laila Jafel that the state is responsible for guaranteeing every prisoner the right to treatment that preserves his dignity.
The Bar Association said in a statement late on Wednesday that torture deserves criminal prosecution, and that it held the Ministry of Interior officers responsible. It said a strike was planned for Thursday.
Saied took office after free elections in 2019, but two years later he shut down the elected parliament and has ruled by decree.

The European Union said on Tuesday it was concerned about the wave of imprisonment of many civil society figures, journalists and political activists, and demanded clarifications from Tunisia.