HRW: Yemen’s Houthis Obstructing Aid, Exacerbating Cholera

A Yemeni government center for the treatment of cholera and diarrhea in Marib (local media)
A Yemeni government center for the treatment of cholera and diarrhea in Marib (local media)
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HRW: Yemen’s Houthis Obstructing Aid, Exacerbating Cholera

A Yemeni government center for the treatment of cholera and diarrhea in Marib (local media)
A Yemeni government center for the treatment of cholera and diarrhea in Marib (local media)

Human Rights Watch (HRW) on Wednesday accused the Houthis of obstructing aid work and exacerbating a deadly cholera outbreak across Yemen, and called on authorities in various regions to strengthen preventative measures against the epidemic.

The organization said the Yemeni government has quickly responded to the news of the outbreak in October 2023 by working with humanitarian agencies to set up clinics and procure necessary medicines.

“The cholera outbreak will continue to take lives so long as Yemeni authorities obstruct aid and authorities and the international community fail to adequately invest in prevention and mitigation measures,” the non-governmental organization said in a statement.

HRW called on Yemeni authorities to remove obstacles to aid delivery, including to public health information.

It again asked the Houthis to halt arbitrary detentions and release UN and civil society staff and aid workers.

The NGO said Houthis failed to take measures to prevent future cholera outbreaks and they also detained and threatened civil society staff, including humanitarian aid workers, in their recent arrest campaign.

Data collected by aid agencies indicate that between January 1 and July 19 there have been about 95,000 suspected cholera cases, resulting in at least 258 deaths, it showed.

“The obstructions to aid work by Yemen’s authorities, in particular the Houthis, are contributing to the spread of cholera,” said Niku Jafarnia, Yemen and Bahrain researcher at Human Rights Watch. “More than 200 people have already died from this preventable disease, and the Houthis’ detention of aid workers poses a serious threat to further limit the presence of lifesaving aid.”

Houthis Refuse to Announce Cholera Outbreak

The Yemeni government met with HRW and explained that many of their constraints in addressing the cholera outbreak were linked with a lack of funding, HRW said.

Government officials also provided information demonstrating the actions they had taken to inform the Yemeni public about the outbreak.

The organization said that several sources affirm that Yemen’s severely damaged healthcare infrastructure, the lack of safe drinking water, high malnutrition rates, and growing levels of vaccine denial and hesitancy from Houthi vaccine falsehoods have facilitated the spread and impact of cholera in Yemen.

According to a doctor working with a humanitarian aid organization in Houthi-controlled areas, though patients began showing signs of cholera starting in November 2023, Houthi authorities refused to acknowledge the crisis to humanitarian agencies until March 18, 2024, when there were already thousands of cases.

In March, the Houthis finally began providing information about cholera cases in Houthi-controlled territory, but they still have not announced the outbreak publicly, the doctor said.

Houthi authorities have also detained at least a dozen UN and civil society staff since May 31, with informed sources telling HRW that the number of those detained continues to grow.

The arrests have left many agencies questioning whether or how to continue safely providing humanitarian aid in Houthi-controlled territories, which has the potential to further exacerbate the current cholera outbreak, it said.

Government Responds to Outbreak

HRW affirmed that the Yemeni government quickly responded to the news of the outbreak in October 2023 by working with humanitarian agencies to set up clinics and procure necessary medicines.

Though they have continued to share information with humanitarian agencies since the start of the outbreak, an informed source told HRW that they have instructed aid groups not to use the word “cholera” in public statements, particularly in Arabic. This hinders people’s ability to take measures to prevent further spread of the disease.

According to the International Organization for Migration (IOM), during the last cholera outbreak in Yemen from 2016 to 2022, Yemen had 2.5 million suspected cases, constituting “the largest ever reported cholera outbreak in recent history,” with over 4,000 deaths.

Despite that immense toll, HRW said the authorities failed to take measures to prevent future outbreaks.

The New-York based organization said the Houthis and the Yemeni government are obligated to protect everyone’s human rights in territory they control, including the rights to life, to health, and to an adequate standard of living, including food and water.

Their aid obstructions violate these obligations, it added.

Although limited resources and capacity may mean that economic and social rights can only be fully realized over time, the authorities are still obliged to ensure minimum essential levels of health care, including essential primary health care, HRW said.



Behind Sinwar’s Selection: Internal, Regional, and Israeli Factors

Yahya Sinwar participating in a previous march in support of Al-Aqsa Mosque in Gaza City (AFP)
Yahya Sinwar participating in a previous march in support of Al-Aqsa Mosque in Gaza City (AFP)
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Behind Sinwar’s Selection: Internal, Regional, and Israeli Factors

Yahya Sinwar participating in a previous march in support of Al-Aqsa Mosque in Gaza City (AFP)
Yahya Sinwar participating in a previous march in support of Al-Aqsa Mosque in Gaza City (AFP)

Sources familiar with the internal discussions that led to the selection of Yahya Sinwar as the new leader of Hamas in Gaza revealed several key factors behind his appointment.
Sinwar succeeded Ismail Haniyeh, who was assassinated by Israel in Tehran. Sinwar’s own ambitions, Khaled Meshaal's decision to step aside, and strategic considerations involving Israel and regional dynamics were all influential in this decision.
Hamas unanimously chose Sinwar in a decisive meeting on Tuesday after two days of discussions.
Sources told Asharq Al-Awsat that most Hamas leaders abroad, including those from Gaza, the West Bank, and members of the political bureau and Shura Council based in Lebanon, Türkiye, and Qatar, participated in these crucial meetings and supported Sinwar’s appointment.
Initially, Sinwar’s name was not proposed right after Haniyeh’s assassination. The focus was on appointing Khaled Meshaal as a temporary leader until the Gaza conflict ended.
However, Meshaal declined due to health issues and unspecified pressures related to various foreign relations. Some noted that Meshaal was seen as more aligned with the Muslim Brotherhood than with Iran.
Sources revealed that Hamas aimed to send several clear messages with Sinwar’s appointment.
The main message was defiance towards Israel, showing unity within Hamas and dismissing any internal conflicts, including the October 7 attack, which Sinwar and Qassam Brigades leader Mohammed Deif masterminded.
This move also signals a return of leadership to the battlefield and reaffirms Hamas’ role in the Iran-led “axis of resistance.”
Sources, who requested anonymity, stated that Sinwar’s selection was primarily a response to the assassination of Haniyeh.
“The key message to Netanyahu and Israel is that by killing Haniyeh, a negotiator willing to make concessions to stop the war, you now face Sinwar, your primary enemy and a war instigator. If Israel’s government wants to continue the conflict, this is our reply,” explained the sources.
Additionally, the sources mentioned that truce negotiations are now in Sinwar’s hands, meaning Israel must negotiate with him. They also confirmed that with Sinwar’s appointment, the decision was made to resume ceasefire talks in Gaza, with Sinwar personally overseeing them.
Other factors behind Sinwar’s selection involve Hamas’s external situation and its relationships with various countries.
“One reason was to ease the immense pressure on the external leadership from mediators and host countries to expel Hamas leaders. Shifting decision-making to Gaza reduces these pressures,” a source, who asked to remain anonymous, told Asharq Al-Awsat.
“It’s easier to assassinate someone abroad, so choosing a leader from Gaza is the best option to handle the movement’s external challenges. It’s unclear if Sinwar’s appointment will succeed, as some countries welcomed it while others remained silent,” the source explained.
Meanwhile, Israel has vowed to kill Sinwar, using his appointment to justify military control over Gaza and the West Bank.