Lebanese emergency services overwhelmed and desperate for supplies

An economic crisis that began in 2019 and a massive 2020 port explosion have left Lebanon struggling to provide basic services such as electricity and medical care. (AFP)
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Updated 02 October 2024
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Lebanese emergency services overwhelmed and desperate for supplies

  • The civil defense forces of one of the world’s most war-torn nations are shocked at the destruction underway in Lebanon
  • An economic crisis that began in 2019 and a massive 2020 port explosion have left Lebanon struggling to provide basic services such as electricity and medical care

BEIRUT: When Israel bombed buildings outside the southern Lebanese city of Sidon, Mohamed Arkadan and his team rushed to an emergency unlike anything they had ever seen.
About a dozen apartments had collapsed onto the hillside they once overlooked, burying more than 100 people. Even after 17 years with the civil defense forces of one of the world’s most war-torn nations, Arkadan was shocked at the destruction. By Monday afternoon — about 24 hours after the bombing — his team had pulled more than 40 bodies — including children’s — from the rubble, along with 60 survivors.
The children’s bodies broke his heart, said Arkadan, 38, but his team of over 30 first responders’ inability to help further pained him more. Firetrucks and ambulances haven’t been replaced in years. Rescue tools and equipment are in short supply. His team has to buy their uniforms out of pocket.
An economic crisis that began in 2019 and a massive 2020 port explosion have left Lebanon struggling to provide basic services such as electricity and medical care. Political divisions have left the country of 6 million without a president or functioning government for more than two years, deepening a national sense of abandonment reaching down to the men whom the people depend on in emergencies.
“We have zero capabilities, zero logistics,” Arkadan said. “We have no gloves, no personal protection gear.”
War has upended Lebanon again
Israel’s intensified air campaign against Hezbollah has upended the country. Over 1,000 people have been killed in Israeli strikes since Sept. 17, nearly a quarter of them women and children, according to the Health Ministry. Hundreds of thousands of people have fled their homes, sleeping on beaches and streets.
The World Health Organization said over 30 primary health care centers around Lebanon’s affected areas have been closed.
On Tuesday, Israel said it began a limited ground operation against Hezbollah and warned people to evacuate several southern communities, promising further escalation.
Lebanon is “grappling with multiple crises, which have overwhelmed the country’s capacity to cope,” said Imran Riza, the UN’s humanitarian coordinator for Lebanon, who said the UN had allocated $24 million in emergency funding for people affected by the fighting.
Exhausted medical staff are struggling to cope with the daily influx of new patients. Under government emergency plans, hospitals and medical workers have halted non-urgent operations.
Government shelters are full
In the southern province of Tyre, many doctors have fled along with residents. In Nabatiyeh, the largest province in southern Lebanon, first responders say they have been working around the clock since last week to reach hundreds of people wounded in bombings that hit dozens of villages and towns, often many on the same day.
After the bombing in Sidon nearly 250 first responders joined Arkadan’s team, including a specialized search-and-rescue unit from Beirut, some 45 kilometers (28 miles) to the north. His team didn’t have the modern equipment needed to pull people from a disaster.
“We used traditional tools, like scissors, cables, shovels,” Arkadan said.
“Anyone here?” rescuers shouted through the gaps in mounds of rubble, searching for survivors buried deeper underground. One excavator removed the debris slowly, to avoid shaking the heaps of bricks and mangled steel.
Many sought refuge in the ancient city of Tyre, 20 kilometers (12 miles) north of the border with Israel, thinking it was likely to be spared bombardment. More than 8,000 people arrived, said Hassan Dbouk, the head of its disaster management unit.
He said that there were no pre-positioned supplies, such as food parcels, hygiene kits and mattresses, and moving trucks now is fraught with danger. Farmers have been denied access to their land because of the bombings and the municipality is struggling to pay salaries.
The humanitarian situation is catastrophic
Meanwhile, garbage is piling up on the streets. The number of municipal workers has shrunk from 160 to 10.
“The humanitarian situation is catastrophic,” Dbouk said.
Wissam Ghazal, the health ministry official in Tyre, said in one hospital, only five of 35 doctors have remained. In Tyre province, eight medics, including three with a medical organization affiliated with Hezbollah, were killed over two days, he said.
Over the weekend, the city itself became a focus of attacks.
Israeli warplanes struck near the port city’s famed ruins, along its beaches and in residential and commercial areas, forcing thousands of residents to flee. At least 15 civilians were killed Saturday and Sunday, including two municipal workers, a soldier and several children, all but one from two families.
It took rescuers two days to comb through the rubble of a home in the Kharab neighborhood in the city’s center, where a bomb had killed nine members of the Al-Samra family.
Six premature babies in incubators around the city were moved to Beirut. The city’s only doctor, who looked after them, couldn’t move between hospitals under fire, Ghazal said.
One of the district’s four hospitals shut after sustaining damage from a strike that affected its electricity supply and damaged the operations room. In two other hospitals, glass windows were broken. For now, the city’s hospitals are receiving more killed than wounded.
“But you don’t know what will happen when the intensity of attacks increases. We will definitely need more.”
Making do with what they have
Hosein Faqih, head of civil defense in the Nabatiyeh province, said that “we are working in very difficult and critical circumstances because the strikes are random. We have no protection. We have no shields, no helmets, no extra hoses. The newest vehicle is 25 years old. We are still working despite all that.”
At least three of his firefighters’ team were killed in early September. Ten have been injured since then. Of 45 vehicles, six were hit and are now out of service.
Faqih said he is limiting his team’s search-and-rescue missions to residential areas, keeping them away from forests or open areas where they used to put out fires.
“These days, there is something difficult every day. Body parts are everywhere, children, civilians and bodies under rubble,” Faqih said. Still, he said, he considers his job to be the safety net for the people.
“We serve the people, and we will work with what we have.”


Israeli military raids in Syria raise tensions as they carve out a buffer zone

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Israeli military raids in Syria raise tensions as they carve out a buffer zone

  • Syria’s interim president, Ahmad Al-Sharaa, who led the rebels who took over the country, said he has no desire for a conflict with Israel
  • Damascus has struggled to push Israel diplomatically to stop its attacks and pull its troops out of a formerly United Nations-patrolled buffer zone
BEIRUT: Qassim Hamadeh woke to the sounds of gunfire and explosions in his village of Beit Jin in southwestern Syria last month. Within hours, he had lost two sons, a daughter-in-law and his 4-year-old and 10-year-old grandsons. The five were among 13 villagers killed that day by Israeli forces.
Israeli troops had raided the village — not for the first time — seeking to capture, as they said, members of a militant group planning attacks into Israel. Israel said militants opened fire at the troops, wounding six, and that troops returned fire and brought in air support.
Hamadeh, like others in Beit Jin, dismissed Israel’s claims of militants operating in the village. The residents said armed villagers confronted Israeli soldiers they saw as invaders, only to be met with Israeli tank and artillery fire, followed by a drone strike. The government in Damascus called it a “massacre.”
The raid and similar recent Israeli actions inside Syria have increased tensions, frustrated locals and also scuttled chances — despite US pressure — of any imminent thaw in relations between the two neighbors.
An expanding Israeli presence
An Israeli-Syria rapprochement seemed possible last December, after Sunni Islamist-led rebels overthrew autocratic Syrian President Bashar Assad, a close ally of Iran, Israel’s archenemy.
Syria’s interim president, Ahmad Al-Sharaa, who led the rebels who took over the country, said he has no desire for a conflict with Israel. But Israel was suspicious, mistrusting Al-Sharaa because of his militant past and his group’s history of aligning with Al-Qaeda.
Israeli forces quickly moved to impose a new reality on the ground. They mobilized into the UN-mandated buffer zone in southern Syria next to the Golan Heights, which Israel captured from Syria during the 1967 Mideast war and later annexed — a move not recognized by most of the international community.
Israeli forces erected checkpoints and military installations, including on a hilltop that overlooks wide swaths of Syria. They set up landing pads on strategic Mt. Hermon nearby. Israeli reconnaissance drones frequently fly over surrounding Syrian towns, with residents often sighting Israeli tanks and Humvee vehicles patrolling those areas.
Israel has said its presence is temporary to clear out pro-Assad remnants and militants — to protect Israel from attacks. But it has given no indication its forces would leave anytime soon. Talks between the two countries to reach a security agreement have so far yielded no result.
Ghosts of Lebanon and Gaza
The events in neighboring Lebanon, which shares a border with both Israel and Syria, and the two-year war in Gaza between Israel and the militant Palestinian group Hamas have also raised concerns among Syrians that Israel plans a permanent land grab in southern Syria.
Israeli forces still have a presence in southern Lebanon, over a year since a US-brokered ceasefire halted the latest Israel-Hezbollah war. That war began a day after Hamas attacked southern Israel on Oct. 7, 2023, with Hezbollah firing rockets into Israel in solidarity with its ally Hamas.
Israel’s operations in Lebanon, which included bombardment across the tiny country and a ground incursion last year, have severely weakened Hezbollah.
Today, Israel still controls five hilltop points in southern Lebanon, launches near-daily airstrikes against alleged Hezbollah targets and flies reconnaissance drones over the country, sometimes also carrying out overnight ground incursions.
In Gaza, where US President Donald Trump’s 20-point ceasefire deal has brought about a truce between Israel and Hamas, similar buffer zones under Israeli control are planned even after Israel eventually withdraws from the more than half of the territory it still controls.
At a meeting of regional leaders and international figures earlier this month in Doha, Qatar, Al-Sharaa accused Israel of using imagined threats to justify aggressive actions.
“All countries support an Israeli withdrawal” from Syria to the lines prior to Assad’s ouster, he said, adding that it was the only way for both Syria and Israel to “emerge in a state of safety.”
Syria’s myriad problems
The new leadership in Damascus has had a multitude of challenges since ousting Assad.
Al-Sharaa’s government has been unable to implement a deal with local Kurdish-led authorities in northeast Syria, and large areas of southern Sweida province are now under a de facto administration led by the Druze religious minority, following sectarian clashes there in mid-July with local Bedouin clans.
Syrian government forces intervened, effectively siding with the Bedouins. Hundreds of civilians, mostly Druze, were killed, many by government fighters. Over half of the roughly 1 million Druze worldwide live in Syria. Most other Druze live in Lebanon and Israel, including in the Golan Heights.
Israel, which has cast itself as a defender of the Druze, though many of them in Syria are critical of its intentions, has also made overtures to Kurds in Syria.
“The Israelis here are pursuing a very dangerous strategy,” said Michael Young, Senior Editor at the Beirut-based Malcolm H. Kerr Carnegie Middle East Center.
It contradicts, he added, the positions of Saudi Arabia, Turkiye, Egypt — and even the United States — which are “all in agreement that what has to come out of this today is a Syrian state that is unified and fairly strong,” he added.
Israel and the US at odds over Syria
In a video released from his office after visiting Israeli troops wounded in Beit Jin, barely 5 kilometers (3 miles) from the edge of the UN buffer zone, Israeli Prime Minister Benjamin Netanyahu said Israel seeks a “demilitarized buffer zone from Damascus to the (UN) buffer zone,” including Mt. Hermon.
“It is also possible to reach an agreement with the Syrians, but we will stand by our principles in any case,” Netanyahu said.
His strategy has proven to be largely unpopular with the international community, including with Washington, which has backed Al-Sharaa’s efforts to consolidate his control across Syria.
Israel’s operations in southern Syria have drawn rare public criticism from Trump, who has taken Al-Sharaa, once on Washington’s terror list, under his wing.
“It is very important that Israel maintain a strong and true dialogue with Syria, and that nothing takes place that will interfere with Syria’s evolution into a prosperous State,” Trump said in a post on Truth Social after the Beit Jin clashes.
Syria is also expected to be on the agenda when Netanyahu visits the US and meets with Trump later this month.
Experts doubt Israel will withdraw from Syria anytime soon — and the new government in Damascus has little leverage or power against Israel’s much stronger military.
“If you set up landing pads, then you are not here for short-term,” Issam Al-Reiss, a military adviser with the Syrian research group ETANA, said of Israeli actions.
Hamadeh, the laborer from Beit Jin, said he can “no longer bear the situation” after losing five of his family.
Israel, he said, “strikes wherever it wants, it destroys whatever it wants, and kills whoever it wants, and no one holds it accountable.”