Beirut: In a south Lebanon hospital, Norwegian doctor Mads Gilbert peered out of the window after bombardment near the Israeli border, four decades after he first worked in the country.
“It’s a horrible experience,” he said in a video call from the southern town of Nabatiyeh.
“It’s been 42 years and nothing has changed,” said Gilbert, who first saw war treating patients during the 1982 Israeli invasion and siege of Beirut.
Below the window paramedics were on standby next to parked ambulances at the hospital behind the front line.
The anaesthetist and emergency medicine specialist said he had seen just a few cases since arriving on Tuesday.
“Most of the cases have been south of us and they have not been able to evacuate them because the attacks have been so vicious,” Gilbert said.
Israel has increased its air strikes against Lebanese militant group Hezbollah since September 23, pounding the south of the country and later staging what it called “limited operations” across the border.
On Thursday the Israeli army warned residents to leave Nabatiyeh.
The escalation has killed more than 1,100 people and wounded at least another 3,600, and pushed upwards of a million people to flee their homes, according to government figures.
Official media have reported some Israeli strikes killing entire families, and AFP has spoken to two people who lost 17 relatives and 10 family members respectively.
Israel’s military “can do whatever they want to health care, to ambulances, to churches, to mosques, to universities, as they’ve been doing in Gaza,” said Gilbert, who has repeatedly volunteered in the Palestinian territory during past conflicts.
“And now we see the same repeat itself in Lebanon in 2024.”
A hospital in the town of Bint Jbeil closer to the border on Saturday said it was hit by heavy overnight Israeli strikes, wounding nine medical and nursing staff, most seriously.
At least four hospitals said they had suspended work amid ongoing Israeli bombardment on Friday, and Hezbollah-affiliated paramedics said 11 personnel were killed in Israeli raids in south Lebanon.
On Thursday, Lebanon’s health minister said more than 40 paramedics and firefighters had been killed by Israeli fire in three days.
UN official Imran Riza on X on Saturday spoke of “an alarming increase in attacks against health care in Lebanon.”
Britain said reports that Israeli strikes had hit “health facilities and support personnel” in Lebanon were “deeply disturbing.”
Israel has claimed Hezbollah uses ambulances for “terrorist purposes.”
In the capital Beirut, British-Palestinian doctor Ghassan Abu-Sittah said he also saw parallels with the conflict in Gaza.
Abu-Sittah has tirelessly campaigned for “justice” since spending weeks in the besieged Palestinian territory treating the wounded at the start of the war.
Now in Lebanon, the plastic and reconstructive surgeon described seeing “kids, families whose houses have been targeted” with blast injuries in the past few weeks.
There were “kids with blast injuries to the face, to the torso, amputated limbs,” he said outside the American University of Beirut’s Medical Center.
Abu-Sittah estimated that more than a quarter of the wounded he had seen in Beirut and other parts of Lebanon were minors.
“I have a girl upstairs who is 13, who had a blast injury to the face, needed reconstruction of her jaw, will need several surgeries,” he said.
“Children who are injured in war need between eight and 12 surgeries by the time they’re adult age.”
According to the UN children’s agency UNICEF, 690 children in Lebanon have been wounded in recent weeks.
It said doctors had reported most suffered from “concussions and traumatic brain injuries from the impact of blasts, shrapnel wounds and limb injuries.”
“It’s just so reminiscent of what was happening in Gaza,” said Abu-Sittah.
“The heartbreaking thing is that this could all have been stopped if they stopped the war in Gaza,” he added.
Desperate deja vu for foreign war doctors in Lebanon
https://arab.news/rystx
Desperate deja vu for foreign war doctors in Lebanon
Iraq’s dreams of wheat independence dashed by water crisis
- Iraq ranks fifth globally for climate risk
- Average temperatures in Iraq have risen nearly half a degree Celsius per decade since 2000
NAJAF: Iraqi wheat farmer Ma’an Al-Fatlawi has long depended on the nearby Euphrates River to feed his fields near the city of Najaf. But this year, those waters, which made the Fertile Crescent a cradle of ancient civilization 10,000 years ago, are drying up, and he sees few options.
“Drilling wells is not successful in our land, because the water is saline,” Al-Fatlawi said, as he stood by an irrigation canal near his parched fields awaiting the release of his allotted water supply.
A push by Iraq — historically among the Middle East’s biggest wheat importers — to guarantee food security by ensuring wheat production covers the country’s needs has led to three successive annual surpluses of the staple grain.
But those hard-won advances are now under threat as the driest year in modern history and record-low water levels in the Tigris and Euphrates rivers have reduced planting and could slash the harvest by up to 50 percent this season.
“Iraq is facing one of the most severe droughts that has been observed in decades,” the UN Food and Agriculture Organization’s Iraq representative Salah El Hajj Hassan told Reuters.
VULNERABLE TO NATURE AND NEIGHBOURS
The crisis is laying bare Iraq’s vulnerability.
A largely desert nation, Iraq ranks fifth globally for climate risk, according to the UN’s Global Environment Outlook. Average temperatures in Iraq have risen nearly half a degree Celsius per decade since 2000 and could climb by up to 5.6 C by the end of the century compared to the period before industrialization, according to the International Energy Agency. Rainfall is projected to decline.
But Iraq is also at the mercy of its neighbors for 70 percent of its water supply. And Turkiye and Iran have been using upstream dams to take a greater share of the region’s shared resource.
The FAO says the diminishing amount of water that has trickled down to Iraq is the biggest factor behind the current crisis, which has forced Baghdad to introduce rationing.
Iraq’s water reserves have plunged from 60 billion cubic meters in 2020 to less than 4 billion today, said El Hajj Hassan, who expects wheat production this season to drop by 30 percent to 50 percent.
“Rain-fed and irrigated agriculture are directly affected nationwide,” he said.
EFFORTS TO END IMPORT DEPENDENCE UNDER THREAT
To wean the country off its dependence on imports, Iraq’s government has in recent years paid for high-yield seeds and inputs, promoted modern irrigation and desert farming to expand cultivation, and subsidised grain purchases to offer farmers more than double global wheat prices.
It is a plan that, though expensive, has boosted strategic wheat reserves to over 6 million metric tons in some seasons, overwhelming Iraq’s silo capacity. The government, which purchased around 5.1 million tons of the 2025 harvest, said in September that those reserves could meet up to a year of demand.
Others, however, including Harry Istepanian — a water expert and founder of Iraq Climate Change Center — now expect imports to rise again, putting the country at greater risk of higher food prices with knock-on effects for trade and government budgets.
“Iraq’s water and food security crisis is no longer just an environmental problem; it has immediate economic and security spillovers,” Istepanian told Reuters.
A preliminary FAO forecast anticipates wheat import needs for the 2025/26 marketing year to increase to about 2.4 million tons.
Global wheat markets are currently oversupplied, offering cheaper options, but Iraq could once again face price volatility.
Iraq’s trade ministry did not respond to a request for comment on the likelihood of increased imports.
In response to the crisis, the ministry of agriculture capped river-irrigated wheat at 1 million dunams in the 2025/26 season — half last season’s level — and mandated modern irrigation techniques including drip and sprinkler systems to replace flood irrigation through open canals, which loses water through evaporation and seepage.
A dunam is a measurement of area roughly equivalent to a quarter acre.
The ministry is allocating 3.5 million dunams in desert areas using groundwater. That too is contingent on the use of modern irrigation.
“The plan was implemented in two phases,” said Mahdi Dhamad Al-Qaisi, an adviser to the agriculture minister. “Both require modern irrigation.”
Rice cultivation, meanwhile, which is far more water-intensive than wheat, was banned nationwide.
RURAL LIVELIHOODS AT RISK
One ton of wheat production in Iraq requires about 1,100 cubic meters of water, said Ammar Abdul-Khaliq, head of the Wells and Groundwater Authority in southern Iraq. Pivoting to more dependence on wells to replace river water is risky.
“If water extraction continues without scientific study, groundwater reserves will decline,” he said.
Basra aquifers, he said, have already fallen by three to five meters.
Groundwater irrigation systems are also expensive due to the required infrastructure like sprinklers and concrete basins. That presents a further economic challenge to rural Iraqis, who make up around 30 percent of the population.
Some 170,000 people have already been displaced in rural areas due to water scarcity, the FAO’s El Hajj Hassan said.
“This is not a matter of only food security,” he said. “It’s worse when we look at it from the perspective of livelihoods.”
At his farm in Najaf, Al-Fatlawi is now experiencing that first-hand, having cut his wheat acreage to a fifth of its normal level this season and laid off all but two of his 10 workers.
“We rely on river water,” he said.
