More People at Risk of Death from Disease Than Bombings in Gaza, Warns WHO 

Palestinians eat outside amid the destruction caused by Israeli strikes in the village of Khuzaa, east of Khan Yunis near the border fence between Israel and the southern Gaza Strip on November 27, 2023, amid a truce in battles between Israel and the Palestinian militant group Hamas. (AFP) 
Palestinians eat outside amid the destruction caused by Israeli strikes in the village of Khuzaa, east of Khan Yunis near the border fence between Israel and the southern Gaza Strip on November 27, 2023, amid a truce in battles between Israel and the Palestinian militant group Hamas. (AFP) 
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More People at Risk of Death from Disease Than Bombings in Gaza, Warns WHO 

Palestinians eat outside amid the destruction caused by Israeli strikes in the village of Khuzaa, east of Khan Yunis near the border fence between Israel and the southern Gaza Strip on November 27, 2023, amid a truce in battles between Israel and the Palestinian militant group Hamas. (AFP) 
Palestinians eat outside amid the destruction caused by Israeli strikes in the village of Khuzaa, east of Khan Yunis near the border fence between Israel and the southern Gaza Strip on November 27, 2023, amid a truce in battles between Israel and the Palestinian militant group Hamas. (AFP) 

More people could die from disease than from bombings in the Gaza Strip if its health system is not repaired, a World Health Organization spokesperson said on Tuesday. 

Gaza health authorities deemed reliable by the United Nations say more than 15,000 people have been confirmed killed in Israel's bombardment of Gaza, around 40% of them children, with many more dead feared to be lost under rubble. 

Israel has sworn to annihilate Hamas, the militant group that rules Gaza, after its gunmen burst across the fence and killed around 1,200 people and seized 240 captives on Oct. 7. 

"Eventually we will see more people dying from disease than we are even seeing from the bombardment if we are not able to put back (together) this health system," said the WHO's Margaret Harris at a UN briefing in Geneva. 

She repeated concerns about a rise in outbreaks of infectious diseases, particularly diarrheal diseases. 

Citing a UN report on the living conditions of displaced residents in northern Gaza, she said: "(There are) no medicines, no vaccination activities, no access to safe water and hygiene and no food. We saw a very high number of cases of diarrhea among infants," she said. 

She described the collapse of Al Shifa Hospital in northern Gaza as a "tragedy" and voiced concern about the detention of some of its medical staff by Israeli forces during a WHO evacuation convoy. 

James Elder, a spokesperson from the UN Children's Agency in Gaza, told reporters by videolink that hospitals in Gaza were full of children with war wounds and gastroenteritis from drinking dirty water. 

"I met a lot of parents... They know exactly what their children need. They don't have access to safe water and it's crippling them," he said. 

He described seeing one child with part of his leg missing lying on the hospital floor for several hours, without receiving treatment for lack of medical staff. 



Al-Sharaa Backs Iraq's Efforts to Bring Weapons Under State Control, Build Strong Army

Syrian President Ahmed al-Sharaa receives Iraqi Prime Minister Ali al-Zaidi in Damascus on Wednesday (Government media)
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Al-Sharaa Backs Iraq's Efforts to Bring Weapons Under State Control, Build Strong Army

Syrian President Ahmed al-Sharaa receives Iraqi Prime Minister Ali al-Zaidi in Damascus on Wednesday (Government media)

Syrian President Ahmed al-Sharaa expressed support for the Iraqi prime minister's efforts to bring weapons under state control, saying the two countries have a historic opportunity to build strong states capable of protecting their interests and achieving development and prosperity.

Al-Sharaa made the remarks in an interview with Iraq's Dijlah TV, broadcast Tuesday evening, marking his first media appearance before an Iraqi audience since assuming the presidency in January 2025.

Observers noted that the interview was conducted by Dijlah TV, which is rumored to be owned by the Iraqi prime minister or one of his brothers, rather than the country's official television network.

Al-Sharaa stressed that the destinies of Iraq and Syria are interconnected historically, in the present and in the future. He called for bilateral relations to be governed by established principles that take into account social ties and shared interests, rather than shifting political attitudes.

He described Syria as a strategic gateway for Iraq to the Mediterranean Sea and a corridor connecting it to the West and extending toward the Arabian Gulf.

Despite objections from Iran-aligned political forces and armed factions in Iraq to rapprochement with Syria following the overthrow of Bashar al-Assad's regime in 2024, al-Sharaa praised the Iraqi government's position, describing it as positive.

He said the previous Iraqi government, headed by Mohammed Shia al-Sudani, had adopted the right approach and that subsequent developments had helped correct the course advocated by certain political forces.

Bringing Weapons Under State Control

Al-Sharaa expressed support for Prime Minister Ali al-Zaidi's efforts to combat corruption and ensure that weapons remain exclusively under state control.

He described al-Zaidi as "serious" about pursuing these objectives and affirmed Syria's support for his efforts.

"Building a unified and strong army is a source of strength and protection for everyone," al-Sharaa said.

Addressing shared security concerns, al-Sharaa said the Iraqi government had understood Syria's messages from the outset, despite attempts to undermine its position.

He emphasized the high level of security coordination between the two countries, noting that their shared border was stable and secure, with continued communication to address any concerns or observations.

Regarding ISIS and other extremist groups, al-Sharaa said threats had gradually diminished compared with previous periods, although this did not mean the two countries could consider themselves entirely safe.

Economic Ties

On economic cooperation, al-Sharaa said Syria and Iraq had made considerable progress in recent months.

"The natural course for two neighboring countries such as Syria and Iraq is to build shared interests that will be difficult to unravel in the future, encompassing security, social and economic matters, so that these interests take precedence over shifting political attitudes or political changes," he said.

Regarding the oil pipeline project, al-Sharaa said several companies had visited Syria over the past year, bringing investment proposals worth hundreds of millions of dollars and exploring opportunities that could benefit both countries.

He stressed the need to rebuild oil pipelines to Baniyas, citing their importance to Iraq and the potential benefits they could bring to Syria.

In recent months, Iraqi authorities have continued efforts to diversify the country's oil export routes, particularly through Syrian territory and the port of Baniyas.

Iraq had previously relied heavily on Gulf waters and the Strait of Hormuz, whose closure inflicted severe damage on the Iraqi economy and oil sector.

Social Relations

Al-Sharaa emphasized Syria's strong willingness to deepen social ties with Iraq and facilitate travel and the movement of people between the two countries.

He stressed that Syrian-Iraqi relations are not based on sectarian or ethnic considerations but on shared history, economic interests and the deep ties between their peoples.

Entry into Iraq

The interview also addressed al-Sharaa's entry into Iraq approximately one week to 10 days before the arrival of US forces in 2003.

He said he had traveled there on his own initiative, motivated by what he described as a sense of responsibility toward the Iraqi people.

Al-Sharaa explained that he was imprisoned in Iraq in 2005 and remained in detention until 2011, when he returned to Syria at the beginning of the Syrian uprising.

He maintained that he had not participated in the fighting that took place in Iraq during those years.

 


Lebanese Remain on Alert for Another War

Children play in front of tents at a temporary displacement shelter at the Sports City complex in Beirut (Asharq Al-Awsat)
Children play in front of tents at a temporary displacement shelter at the Sports City complex in Beirut (Asharq Al-Awsat)
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Lebanese Remain on Alert for Another War

Children play in front of tents at a temporary displacement shelter at the Sports City complex in Beirut (Asharq Al-Awsat)
Children play in front of tents at a temporary displacement shelter at the Sports City complex in Beirut (Asharq Al-Awsat)

"Fear is no longer a passing feeling. It has become part of everyday life, as repeated wars have created a constant state of apprehension and readiness for any sudden escalation."

With these words, Maryam Merhi sums up the reality facing many Lebanese, particularly those in the south, amid reports of a possible return to war.

"Every escalation takes us back into the same cycle of anxiety and uncertainty," she told Asharq Al-Awsat, explaining that her emergency bag remains packed and that one question constantly weighs on her mind: "If something happens, what will we do? Where will we go?"

She said the hardest part of life in Lebanon today is losing the sense of safety within one's own home.

"All I wish for is to return to a normal life, to plan for tomorrow instead of planning an escape, and to feel that our homes are safe places rather than somewhere we fear being forced to leave at any moment. All we hope for is simply a normal life."

Merhi is among thousands of Lebanese for whom any security alert or potential threat triggers what has become known as "Plan B": preparing to flee.

Such preparations are no longer confined to areas that have experienced military escalation. They have spread across much of Lebanon, where people increasingly treat any security development as an early warning.

Emergency bags, evacuation plans and the search for safer places have become part of everyday life as residents brace for another possible escalation.

From Breaking News to Escape Plans

Marwa Jaber said even reports suggesting that hostilities might resume are enough to revive the fear Lebanese experienced during the war, with anxiety often taking hold before the information can be verified.

She recalled how, whenever such news circulates, people immediately begin asking: "Will the war start again?"

Some employees even leave work in anticipation of the worst, only to discover later that the reports were inaccurate.

"I realized that we were thinking about only one thing: how to prepare for war again. We are still living with the effects of war, even when we are far from the fighting," she said.

Farah Samaha described a similar experience, explaining that any security development, even beyond Lebanon's borders, immediately brings back memories of displacement.

"Our thoughts immediately turn to how to protect our families, where we will flee and what we need to prepare," she said.

Samaha believes Lebanese have grown accustomed to keeping a contingency plan for war while people elsewhere make plans for their futures.

"Living with fear has become part of everyday life," she said.

War Does Not End With a Ceasefire

The consequences of war extend beyond destruction and loss of life, shaping how people think and navigate their daily routines.

The experiences described by these women reflect what psychotherapist Dr. Rima Haddad identifies as a lasting psychological consequence of repeated wars in Lebanon.

She said successive conflicts have not only left deep scars on people's memories but have also created a persistent state of psychological hypervigilance, leaving many Lebanese living as though they are waiting for the next war.

"Repeated wars in Lebanon have left profound psychological effects on the population," Haddad told Asharq Al-Awsat.

"Many Lebanese remain in a constant state of alert, even during periods of calm, because of accumulated trauma and the persistent fear that hostilities will resume."

Constant Psychological Hypervigilance

Haddad explained that communities exposed to repeated wars can develop a persistent state of psychological hypervigilance.

"The brain operates as though it is constantly on alert, monitoring every new sound or event and continuously checking whether danger is approaching," she said.

"This affects people's ability to concentrate, work and plan for the future. Many lose their sense of hope even after the fighting stops, while fear, tension and anxiety remain part of their daily lives."

She warned that prolonged exposure to these conditions can lead to chronic stress.

"Successive wars have pushed a large segment of the Lebanese population into a state of chronic anxiety. They remain constantly watchful for new developments, tense, easily irritated and deprived of a sense of stability," she said.

Haddad emphasized that the effects extend well beyond emotional distress.

"This condition affects productivity, the ability to work, decision-making and long-term planning. It also has negative consequences for physical and mental health, as well as social relationships."

Persistent Threats and Chronic Anxiety

According to Haddad, the enduring sense of insecurity stems from two interconnected factors.

The first is "the constant threat under which Lebanese people live," while the second is "the chronic anxiety generated by repeated trauma."

She warned that prolonged exposure to these conditions "weakens people's ability to develop plans for the future and make decisions because they become more preoccupied with anticipating danger than building their lives."

To help mitigate these psychological effects, Haddad recommended limiting continuous exposure to news as much as possible, avoiding sources of negativity, engaging in regular physical activity and setting small, achievable short-term goals to gradually restore a sense of control and stability.

She also stressed the importance of expressing emotions rather than suppressing them.

"Speaking with a mental health professional or trusted family members and friends can help ease fear and anxiety and prevent them from building up," she said.


Houthis Step Up Pressure on Front Lines by Shelling Residential Areas

Residents walk amid debris from their homes after a missile strike in Seina, Taiz, Yemen, Tuesday, Oct. 20, 2026. (AP Photo/Marzouq Al Jabri)
Residents walk amid debris from their homes after a missile strike in Seina, Taiz, Yemen, Tuesday, Oct. 20, 2026. (AP Photo/Marzouq Al Jabri)
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Houthis Step Up Pressure on Front Lines by Shelling Residential Areas

Residents walk amid debris from their homes after a missile strike in Seina, Taiz, Yemen, Tuesday, Oct. 20, 2026. (AP Photo/Marzouq Al Jabri)
Residents walk amid debris from their homes after a missile strike in Seina, Taiz, Yemen, Tuesday, Oct. 20, 2026. (AP Photo/Marzouq Al Jabri)

The humanitarian consequences of the Houthi escalation in Yemen have intensified as the group steps up attacks on residential areas in rural Lahj Governorate and around the city of Taiz, according to government sources. Growing numbers of families are fleeing the fighting, while relief organizations struggle to meet mounting needs in a country already facing one of the world's worst humanitarian crises.

Sources told Asharq Al-Awsat that the Houthis had intensified near-daily missile and drone attacks on villages in Lahj's Al-Mudarabah district after failing to make advances on the battlefield.

The attacks have forced hundreds of families to flee, adding to waves of displacement from the western coast and the outskirts of Lahj.

The sources said they believed the attacks were intended to pressure local tribesmen into withdrawing their support for government forces.

Around Taiz, the sources reported that the Houthis had targeted villages on Mount Sabr with drones and mortar shells in an attempt to weaken resistance from government troops and local volunteers, who have repelled repeated attempts by the group to breach the front lines in recent days.

The developments come as Taiz has been under siege for 20 days, according to the sources. The fighting has made it increasingly difficult for civilians to access essential services and supplies, placing additional strain on local authorities and humanitarian organizations.

Humanitarian Warnings

Amid the humanitarian consequences of the Houthi attacks, the International Federation of Red Cross and Red Crescent Societies (IFRC) warned that the latest escalation had deepened Yemen's prolonged humanitarian crisis.

The IFRC said 22.3 million people across Yemen require humanitarian assistance, including approximately 5.2 million who had already been internally displaced before the latest escalation.

In a recent report, the federation said fighting and insecurity had disrupted access to healthcare, education, markets and essential supplies.

Displaced families are arriving in host communities with few belongings and urgently need shelter, household essentials, food, clean water and healthcare.

The report noted that host communities are also facing severe pressure on services and resources, while repeated displacement is eroding livelihoods, increasing protection risks and raising the likelihood that more families will be forced to leave their homes.

The IFRC stressed the importance of maintaining humanitarian access and ensuring a flexible response that can adapt to changing needs on the ground, particularly in areas where insecurity restricts the movement of people and supplies.

According to the report, displaced households face overlapping barriers to obtaining shelter, food, clean water, sanitation, education and healthcare.

Insecurity and road closures have disrupted markets, supply routes and aid deliveries, while lost income, depleted assets and rising prices have further reduced families' ability to purchase basic necessities.

The federation warned that isolated communities face even greater restrictions, as maintaining commercial supplies and essential services becomes increasingly difficult.

Food insecurity is further exacerbating the vulnerability of households already struggling with inadequate access to food.

Highlighting the scale of the crisis, the report said approximately 2.2 million children under the age of five suffer from acute malnutrition across Yemen.

It warned that continued sieges and interruptions to humanitarian assistance could further worsen conditions, particularly for young children and pregnant and breastfeeding women.

The report added that repeated displacement is exhausting families' ability to cope with successive crises.

A rapid assessment conducted at three displacement sites found that approximately 45% of the households surveyed had previously experienced displacement.

The IFRC emphasized that this figure reflected only the households assessed at those three sites and should not be generalized to Yemen's entire displaced population.

Additional Risks

The IFRC also warned that the loss of property and unstable livelihoods are undermining families' resilience and increasing the risk that they will resort to harmful coping strategies, including child labor.

The federation noted that the humanitarian toll extends beyond shortages of food and shelter to additional challenges facing female-headed households, children separated from their families, older people, persons with disabilities and patients requiring regular medical treatment.

Women and girls face heightened protection risks in areas lacking adequate shelter and sanitation facilities.

Meanwhile, people with limited mobility or financial resources may be unable to leave isolated areas or reach essential services.

The warnings highlight the widening gap between humanitarian needs and the capacity to meet them as fighting continues, families are repeatedly displaced, and roads and supply routes remain disrupted.

Together, these pressures are leaving vulnerable households increasingly exposed to hardship and placing additional burdens on communities receiving displaced families.