How the US Strikes a Delicate Balance in Responding to Attacks on Its Forces by Iran-Backed Militias

This image from video provided by the Department of Defense shows a Nov. 8, 2023, airstrike on a weapons warehouse. center, in eastern Syria. (Department of Defense via AP)
This image from video provided by the Department of Defense shows a Nov. 8, 2023, airstrike on a weapons warehouse. center, in eastern Syria. (Department of Defense via AP)
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How the US Strikes a Delicate Balance in Responding to Attacks on Its Forces by Iran-Backed Militias

This image from video provided by the Department of Defense shows a Nov. 8, 2023, airstrike on a weapons warehouse. center, in eastern Syria. (Department of Defense via AP)
This image from video provided by the Department of Defense shows a Nov. 8, 2023, airstrike on a weapons warehouse. center, in eastern Syria. (Department of Defense via AP)

Iranian-backed militants in Iraq and Syria have long battled with US and coalition forces, launching sporadic attacks against bases in the region where troops are deployed to fight ISIS group insurgents.

But since Oct. 17, as civilian deaths in Israel's war against Hamas began to skyrocket, there has been a dramatic spike in attacks by Iran's proxies, operating under the umbrella name of the “Islamic Resistance” in Iraq.

While most of the more than five dozen attacks have been largely ineffective, at least 60 US personnel have reported minor injuries. Most often those have been traumatic brain injuries from the explosions, and all troops have returned to duty, according to the Pentagon.

In response to the attacks, the US has walked a delicate line. The US military has struck back just three times as the Biden administration balances efforts to deter the militants without triggering a broader Middle East conflict.

A look at the attacks and the US response:

ATTACKS — WHEN, WHERE, WHY

According to the Pentagon, Iranian-backed militants have launched 61 attacks on bases and facilities housing US personnel in Iraq and Syria since Oct. 17. Of those, 29 have been in Iraq and 32 in Syria.

The US has about 2,000 US forces in Iraq, under an agreement with the Baghdad government, and about 900 in Syria, mainly to counter IS but also using the al-Tanf garrison farther south to keep tabs on Iranian proxies moving weapons across the border.

The latest jump in attacks began 10 days after Hamas' Oct. 7 incursion into Israel, where at least 1,200 people were killed. Israel’s blistering military response has killed thousands of civilians trapped in Gaza and fueled threats of retaliation by a range of Iran-backed groups, including Hezbollah in Lebanon, Yemen-based Houthis, and militants in Iraq and Syria.

Those threats escalated after an Oct. 17 blast at a Gaza hospital killed hundreds of civilians. Hamas blamed Israel for the explosion, but Israel has denied it, and both Israeli and US officials have blamed it on a missile misfire by Islamic Jihad.

The bulk of the attacks on bases and facilities have been with one-way suicide drones or rockets, and in most cases, there were no injuries and only minor damage. A significant number of the injuries, particularly the traumatic brain injuries, were in the initial attacks between Oct. 17 and 21 at al-Asad air base in Iraq and al-Tanf. One US contractor suffered a cardiac arrest and died while seeking shelter from a possible drone attack.

WHO ARE THESE GROUPS?

With a power vacuum and years of civil conflict following the 2003 US-led invasion of Iraq, militias grew and multiplied in Iraq, some supported by Iran. A decade later, as the ISIS extremist group swept across Iraq, a number of Iran-backed militias came together under the Popular Mobilization Forces umbrella group and fought ISIS.

The groups included the Asaib Ahl al-Haq, the Badr Brigades and Kataeb Hezbollah, or Hezbollah Brigades — a separate group from the Lebanese Hezbollah. A number of the Iraqi militias also operate in Syria, where Iran supports the government of Bashar al-Assad against opposition groups in the uprising-turned-war that began in 2011.

After the outbreak of the Israel-Hamas war, a group of the Iran-backed factions branded itself under the new “Islamic Resistance” in Iraq name, and began the latest spate of attacks on bases housing US forces in Iraq and Syria.

The attacks put Iraqi Prime Minister Mohammed Shia al-Sudani in a difficult position. While he came to power with the Iranian-backed groups' support, he also wants continued good relations with the US and has backed the ongoing presence of American troops in his country.

US Secretary of State Antony Blinken, in a meeting with al-Sudani this month, warned of consequences if Iranian-backed militias continued to attack US facilities in Iraq and Syria. Sudani then traveled to Tehran and met with Iran’s Supreme Leader Ali Khamenei, a meeting US officials suggested was a positive development.

An official with one of the Iranian-backed militias said Sudani put “great pressure” on the militias not to carry out attacks during Blinken's visit. In return, he said, Sudani promised to push the Americans not to retaliate aggressively against militias that have carried out the strikes. The official spoke on condition of anonymity because he was not authorized to comment publicly.

PROPORTIONAL OR NOT ENOUGH?

Since the Oct. 7 Hamas attack, the Biden administration has moved warships, fighter jets, air defense systems and more troops into the Middle East in a campaign to discourage militant groups from widening the conflict.

But the US military response to the attacks on its forces has been minimal. On Oct. 27, US fighter jets struck two weapons and ammunition storage sites in eastern Syria near al-Boukamal that were used by Iran’s Revolutionary Guard Corps and Iranian-backed groups. On Nov. 8, fighter jets dropped bombs on an IRGC weapons storage facility near Maysulun in Deir Ezzor. And on Nov. 12, US airstrikes targeted a training facility and a safe house in the Bulbul district of Mayadin. US officials said IRGC-related personnel were there and likely struck, but provided no details.

There are concerns within the administration that more substantial retaliation could escalate the violence and trigger more deadly attacks. The Pentagon says the strikes have degraded the group's military stockpiles and made the sites unusable.

But critics argue that the US response pales in comparison with the 60 attacks and American injuries, and — more importantly — has obviously failed to deter the groups.

IRAQ GOVERNMENT SENSITIVITIES

Though nearly half of the attacks have been on US bases in Iraq, the US has conducted retaliatory airstrikes only against locations in Syria.

The Pentagon defends the strike decisions by saying the US is hitting Iranian Revolutionary Guard sites, which has a more direct impact on Tehran. Officials say the goal is to pressure Iran to tell the militia groups to stop the attacks. They also say the sites are chosen because they are weapons warehouses and logistical hubs used by the Iran-linked militias, and taking them out erodes the insurgents' attack capabilities.

A key reason the US is concentrating on Syria, however, is that the US doesn't want to risk alienating the Iraqi government by striking within its borders — potentially killing or wounding Iraqis.

In early January 2020, the US launched an airstrike in Baghdad, killing Gen. Qassem Soleimani, the head of Iran’s elite Quds Force, and Abu Mahdi al-Muhandis, deputy commander of Iran-backed militias in Iraq. The strike frayed relations with the Iraqi government and spawned demands for the withdrawal of all US forces from the country.

The US considers its presence in Iraq as critical to the fight against ISIS, its ability to support forces in Syria and its ongoing influence in the region. Military leaders have worked to restore good relations with Baghdad, including providing ongoing support for Iraqi forces.



Lebanese on Edge amid Fears of All-Out Israel-Hezbollah War

A Middle East Airlines commercial aircraft flies near Beirut's southern suburbs as it approaches the airport runway on August 9, 2024. (AFP)
A Middle East Airlines commercial aircraft flies near Beirut's southern suburbs as it approaches the airport runway on August 9, 2024. (AFP)
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Lebanese on Edge amid Fears of All-Out Israel-Hezbollah War

A Middle East Airlines commercial aircraft flies near Beirut's southern suburbs as it approaches the airport runway on August 9, 2024. (AFP)
A Middle East Airlines commercial aircraft flies near Beirut's southern suburbs as it approaches the airport runway on August 9, 2024. (AFP)

Fears of a major escalation between Israel and Hezbollah have left many Lebanese on edge, exacerbating mental health problems and reviving traumas of past conflicts in the war-weary country.

One 29-year-old woman, who lives near the southern city of Sidon, said she dreaded the thunderous, explosive boom of Israeli jets regularly breaking the sound barrier.

"I feel the house will fall down on top of me... Sometimes I freeze... or start crying," said the woman, a contract worker for a non-governmental organization.

She was 11 years old when Israel and Lebanese armed group Hezbollah went to war in the summer of 2006, and said bombs fell near her house.

"Sometimes, unconsciously, you remember it," said the woman, requesting anonymity in a country where mental health issues are often stigmatized.

"These sounds give you flashbacks -- sometimes you feel you're back at that time," she said.

Since Hamas's October 7 attack on Israel sparked the Gaza war, Hezbollah has traded near daily cross-border fire with the Israeli army in support of the Palestinian armed group, sending tensions soaring.

Lebanon has been on a knife's edge since a strike on Beirut's southern suburbs last week killed Hezbollah's top military commander, just hours before the assassination, blamed on Israel, of Hamas's political leader Ismail Haniyeh in Tehran.

Iran and Hezbollah have vowed revenge, amid fears that retaliatory attacks could spiral into all-out war, with airlines suspending flights to Lebanon and countries imploring foreign nationals to leave.

- Panic attacks -

"I already had been suffering from anxiety and depression... but my mental health has deteriorated" since October, said the woman, who can no longer afford therapy because her work has slowed due to the hostilities.

"You feel afraid for the future", she said.

Before the 2006 Israel-Hezbollah war, Lebanon endured a grueling 1975-1990 civil conflict in which Israel invaded the south and in 1982 besieged Beirut.

The current cross-border violence has killed more than 560 people in Lebanon, most of them fighters but also including at least 116 civilians, according to an AFP tally.

On the Israeli side, including in the annexed Golan Heights, 22 soldiers and 26 civilians have been killed, according to army figures.

Laila Farhood, professor of psychiatry and mental health at the American University of Beirut, said "cumulative trauma" has left many Lebanese with stress, anxiety, depression and post-traumatic stress disorder.

"Individuals transmit their anxieties to their children as cross-generational trauma," she told AFP.

"What is happening now triggers previous traumas," causing some people to have panic attacks, said Farhood, who specializes in war trauma and its impact on Lebanese civilians.

On Tuesday, Israeli jets broke the sound barrier over central Beirut, causing intense sonic booms that rattled windows and nerves, just two days after the anniversary of a catastrophic blast at Beirut's port in 2020.

"I had my first panic attack," said Charbel Chaaya, 23, who studies law in France and is living with his family near Beirut.

"I couldn't breathe, my legs felt numb... in that very first moment, you don't know what the sound is -- just like what happened on August 4," he said.

- 'Uncertainty' -

Layal Hamze from Embrace, a non-profit organization that runs a mental health center and suicide prevention hotline, said people in Lebanon now are "more susceptible to any sound".

"Baseline, the adrenaline is already high. It's a stressful situation," said Hamze, a clinical psychologist.

"It's not only the Beirut blast," Hamze added.

"The natural or automatic response" is to be frightened, she said, and while "maybe the older generation... are a bit more used to" such sounds, they could trigger "the collective trauma".

Some on social media have urged people to stop letting off fireworks -- a ubiquitous practice for celebrations -- while humorous skits making light of difficulties like flight cancellations have also circulated.

With coping mechanisms varying greatly, some people are "going partying", while others "are reaching out to the community more", which helps them feel they are not alone, Hamze said.

Dancer Andrea Fahed, 28, whose flat was damaged in the port blast, said she panicked when she heard this week's sonic booms.

She said she felt "lucky" to be a dancer, because with her community "we laugh together, we move together... you let go of a lot of things".

But she said the "uncertainty" was a constant struggle, and now leaves her windows open, fearing another blast could shatter everything.

"Anything can happen," Fahed said.

"If it's happening with that intensity in Gaza, why wouldn't it come here?"