The Bridge to Crimea Is Crucial to Russia’s War Effort in Ukraine and Asserting Moscow’s Control

 A view through a train window shows the section of a road split and sloping to one side following an alleged attack on the Crimea Bridge, that connects the Russian mainland with the Crimean peninsula across the Kerch Strait, in this still image from video taken July 17, 2023. (Reuters)
A view through a train window shows the section of a road split and sloping to one side following an alleged attack on the Crimea Bridge, that connects the Russian mainland with the Crimean peninsula across the Kerch Strait, in this still image from video taken July 17, 2023. (Reuters)
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The Bridge to Crimea Is Crucial to Russia’s War Effort in Ukraine and Asserting Moscow’s Control

 A view through a train window shows the section of a road split and sloping to one side following an alleged attack on the Crimea Bridge, that connects the Russian mainland with the Crimean peninsula across the Kerch Strait, in this still image from video taken July 17, 2023. (Reuters)
A view through a train window shows the section of a road split and sloping to one side following an alleged attack on the Crimea Bridge, that connects the Russian mainland with the Crimean peninsula across the Kerch Strait, in this still image from video taken July 17, 2023. (Reuters)

The bridge connecting Crimea and Russia carries heavy significance for Moscow, both logistically and psychologically, as a key artery for military and civilian supplies and as an assertion of Kremlin control of the peninsula it illegally annexed in 2014.

An attack on the bridge before dawn Monday, killing a couple and seriously injuring their daughter, left a span of the roadway hanging perilously. The damage initially appeared to be less severe than what was caused by an assault in October, but it highlighted the bridge’s vulnerability.

Russia blamed Ukraine for both attacks. A spokesman for the Ukrainian Security Service on Monday did not directly acknowledge responsibility but said the service would reveal details about organizing the blast once Ukraine achieves victory in the war.

A CRITICAL CONNECTION The Crimean Peninsula extends south from Ukraine’s mainland, with road connections on two isthmuses, one of which is less than 2 kilometers (1 mile) wide, and by a bridge from a narrow spit. Those links to Ukraine go into territory occupied by Russian forces that come under attack from the Ukrainian military.

The bridge, which connects Crimea’s eastern extremity with Russia’s Krasnodar region, provides the only fixed link that steers clear of the disputed territory.

The 19-kilometer (12-mile) bridge over the Kerch Strait that links the Black and Azov seas carries road and rail traffic on separate sections and is vital to sustaining Russia’s military operations in southern Ukraine.

A SYMBOLIC STRUCTURE The bridge is the longest in Europe and a subject of considerable pride in Russia. Construction began in 2016, about two years after Russia's annexation, and was completed in little more than two years. The pace of construction was impressive but led some critics to question whether it was hastily designed and built.

The bridge was constructed despite strong objections from Ukraine and is the most visible and constant reminder of Russia’s claim over Crimea.

President Vladimir Putin drove across the bridge at its formal opening. Putin is also closely connected to construction tycoon Arkady Rotenberg, whose company got the $3.5 billion contract for the bridge.

CONSEQUENCES OF THE ATTACK Rail traffic on the bridge reportedly was restored within a few hours Monday but it was unclear when full road service could be restored. Ferries were being organized to try to ease the burden, but it was not immediately clear whether the vessels could accommodate demand. Crimea’s beaches and mountains are popular with summer tourists.

Russian authorities advised people who wanted to leave Crimea quickly to go via Russian-controlled territory in Ukraine. That would add up to 600 kilometers (350 miles) to their journey and likely raise their anxiety about going through insecure areas.

Russian officials denounced Monday’s attack but did not immediately specify retaliatory measures, although Russia has responded with cruise missiles and drone barrages to other Ukrainian attacks.



Dialysis Patients Struggle to Get Treatment in Blockaded Gaza. Officials Say Hundreds Have Died 

Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
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Dialysis Patients Struggle to Get Treatment in Blockaded Gaza. Officials Say Hundreds Have Died 

Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)

Twice a week, Mohamed Attiya’s wheelchair rattles over Gaza’s scarred roads so he can visit the machine that is keeping him alive.

The 54-year-old makes the journey from a temporary shelter west of Gaza City to Shifa Hospital in the city’s north. There, he receives dialysis for the kidney failure he was diagnosed with nearly 15 years ago. But the treatment, limited by the war's destruction and lack of supplies, is not enough to remove all the waste products from his blood.

“It just brings you back from death,” the father of six said.

Many others like him have not made it. They are some of Gaza’s quieter deaths from the war, with no explosion, no debris. But the toll is striking: Over 400 patients, representing around 40% of all dialysis cases in the territory, have died during the 18-month conflict because of lack of proper treatment, according to Gaza's Health Ministry.

That includes 11 patients who have died since the beginning of March, when Israel sealed the territory's 2 million Palestinians off from all imports, including food, medical supplies and fuel. Israeli officials say the aim is to pressure Hamas to release more hostages after Israel ended their ceasefire.

COGAT, the Israeli military body in charge of coordinating aid, declined to comment on the current blockade. It has said in the past that all medical aid is approved for entry when the crossings are open, and that around 45,400 tons of medical equipment have entered Gaza since the start of the war.

Hardships mount for Gaza patients

Attiya said he needs at least three dialysis sessions every week, at least four hours each time. Now, his two sessions last two or three hours at most.

Israel’s blockade, and its numerous evacuation orders across much of the territory, have challenged his ability to reach regular care.

He has been displaced at least six times since fleeing his home near the northern town of Beit Hanoun in the first weeks of the war. He first stayed in Rafah in the south, then the central city of Deir al-Balah. When the latest ceasefire took effect in January, he moved again to another school in western Gaza City.

Until recently, Attiya walked to the hospital for dialysis. But he says the limited treatment, and soaring prices for the mineral water he should be drinking, have left him in a wheelchair.

His family wheels him through a Gaza that many find difficult to recognize. Much of the territory has been destroyed.

“There is no transportation. Streets are damaged,” Attiya said. “Life is difficult and expensive.”

He said he now has hallucinations because of the high levels of toxins in his blood.

“The occupation does not care about the suffering or the sick,” he said, referring to Israel and its soldiers.

A health system gutted by war

Six of the seven dialysis centers in Gaza have been destroyed during the war, the World Health Organization said earlier this year, citing the territory’s Health Ministry. The territory had 182 dialysis machines before the war and now has 102. Twenty-seven of them are in northern Gaza, where hundreds of thousands of people rushed home during the two-month ceasefire.

“These equipment shortages are exacerbated by zero stock levels of kidney medications,” the WHO said.

Israel has raided hospitals on several occasions during the war, accusing Hamas of using them for military purposes. Hospital staff deny the allegations and say the raids have gutted the territory's health care system as it struggles to cope with mass casualties from the war.

The Health Ministry says over 51,000 Palestinians, mostly women and children, have been killed in Israel's offensive, without saying how many were civilians or combatants. Hamas-led fighters killed some 1,200 people, mostly civilians, and abducted 251 in the Oct. 7, 2023 attack that triggered the war.

Officials say hundreds of patients have died

At Shifa Hospital, the head of the nephrology and dialysis department, Dr. Ghazi al-Yazigi, said at least 417 patients with kidney failure have died in Gaza during the war because of lack of proper treatment.

That’s from among the 1,100 patients when the war began.

Like Attiya, hundreds of dialysis patients across Gaza are now forced to settle for fewer and shorter sessions each week.

“This leads to complications such as increased levels of toxins and fluid accumulation ... which could lead to death,” al-Yazigi said.

Mohamed Kamel of Gaza City is a new dialysis patient at the hospital after being diagnosed with kidney failure during the war and beginning treatment this year.

These days, “I feel no improvement after each session,” he said during one of his weekly visits.

The father of six children said he no longer has access to filtered water to drink, and even basic running water is scarce. Israel last month cut off the electricity supply to Gaza, affecting a desalination plant producing drinking water for part of the arid territory.

Kamel said he has missed many dialysis sessions. Last year, while sheltering in central Gaza, he missed one because of an Israeli bombing in the area. His condition deteriorated, and the next day he was taken by ambulance to Al-Aqsa Martyrs hospital.

“The displacement has had consequences,” Kamel said. “I am tired.”