From Gaza to Geneva: Swiss Doctor Evacuates Injured Children

 Geneva-based doctor Raouf Salti holds 17-month-old Zeina, next to 16-year-old Yussef, both of whom were evacuated from Gaza to Switzerland to receive medical treatment, at Geneva airport, Switzerland, February 12, 2024. (Reuters)
Geneva-based doctor Raouf Salti holds 17-month-old Zeina, next to 16-year-old Yussef, both of whom were evacuated from Gaza to Switzerland to receive medical treatment, at Geneva airport, Switzerland, February 12, 2024. (Reuters)
TT

From Gaza to Geneva: Swiss Doctor Evacuates Injured Children

 Geneva-based doctor Raouf Salti holds 17-month-old Zeina, next to 16-year-old Yussef, both of whom were evacuated from Gaza to Switzerland to receive medical treatment, at Geneva airport, Switzerland, February 12, 2024. (Reuters)
Geneva-based doctor Raouf Salti holds 17-month-old Zeina, next to 16-year-old Yussef, both of whom were evacuated from Gaza to Switzerland to receive medical treatment, at Geneva airport, Switzerland, February 12, 2024. (Reuters)

When Swiss doctor Raouf Salti realized he could not go to Gaza to help injured children, he decided he would do everything he could to get them to Geneva to receive medical care.

After dealing with swathes of red tape, Salti got permission to have four children, including a 16-year-old who lost a kidney and has already had his leg amputated, cross into Egypt from Gaza and then fly to Switzerland on Monday.

Salti, who went to Egypt to pick them up, waved as he was greeted by his team at Geneva airport with Zeina, a wide-eyed 17-month-old who was rescued from under the rubble in Gaza, in his arms.

"When I saw that the situation kept getting worse, I decided that my mission this time would be to go there and bring them here," said Salti, who has taken part in several international humanitarian trips to Gaza as well as other parts of the Middle East and Africa over the past 14 years.

Salti, a urological surgeon and himself a descendant of Palestinian refugees, had been scheduled to travel to Gaza on Oct. 19 to carry out operations including a planned kidney surgery on a toddler.

But his humanitarian mission, part of his work as founder of an NGO called Children's Right for Healthcare, was called off due to the Israeli offensive launched in the wake of the Oct. 7 attacks by Hamas gunmen.

The four children who arrived in Geneva on Monday are the second group that Salti has managed to evacuate to Switzerland, bringing their total number to eight. The children have been granted 90-day visas to receive medical care.

"What is important is giving them a normal life, with people, calm, peace and love. A child's life," Salti said after arriving at his office with the children and their mothers.

The four were chosen with help from his contacts in Gaza on the basis that they were well enough to travel and that they could be helped in Switzerland.

Sixteen-year-old Yussef, who lost his left leg and had his kidney crushed in an Israeli attack, is emaciated, weighing less than 30 kg (66 pounds). Doctors in Gaza amputated the remainder of the leg that had been blown off, but he still needs to gain strength and ultimately be given a prosthetic.

Zeina, the 17-month-old, was initially treated at Al-Shifa Hospital, the largest facility in the Gaza Strip, which was raided by Israeli forces in November.

Her tiny left arm, supported by a sling, sustained several fractures that doctors attempted to repair using an external fixation, but the structure had to be removed due to an infection.

"You can't talk about sterile (equipment) there anymore, it doesn't exist," Salti said.



What Has Assad’s Fall Revealed about the Captagon Drug Trade in Syria?

 A Syrian member of the opposition shows amphetamine pills known as Captagon hidden inside an electrical component at a warehouse where the drug was manufactured before the fall of Bashar al-Assad's government at a facility in Douma city, outskirts of Damascus, Syria, Friday, Dec. 13, 2024. (AP)
A Syrian member of the opposition shows amphetamine pills known as Captagon hidden inside an electrical component at a warehouse where the drug was manufactured before the fall of Bashar al-Assad's government at a facility in Douma city, outskirts of Damascus, Syria, Friday, Dec. 13, 2024. (AP)
TT

What Has Assad’s Fall Revealed about the Captagon Drug Trade in Syria?

 A Syrian member of the opposition shows amphetamine pills known as Captagon hidden inside an electrical component at a warehouse where the drug was manufactured before the fall of Bashar al-Assad's government at a facility in Douma city, outskirts of Damascus, Syria, Friday, Dec. 13, 2024. (AP)
A Syrian member of the opposition shows amphetamine pills known as Captagon hidden inside an electrical component at a warehouse where the drug was manufactured before the fall of Bashar al-Assad's government at a facility in Douma city, outskirts of Damascus, Syria, Friday, Dec. 13, 2024. (AP)

Since the fall of former Syrian President Bashar al-Assad, industrial-scale manufacturing facilities of Captagon have been uncovered around the country, which experts say helped flourish a $10 billion annual global trade in the highly addictive drug.

Among the locations used for manufacturing the drug were the Mazzeh air base in Damascus, a car-trading company in Latakia and a former potato chips factory on the outskirts of Damascus.

The factory that once produced the crunchy snack in the suburb of Douma under the name, Captain Corn, was seized by government forces in 2018.

"Assad’s collaborators controlled this place. After the regime fell... I came here and found it on fire," Firas al-Toot, the original owner of the factory, told The Associated Press. "They came at night and lit the drugs on fire but couldn’t burn everything."

"From here, Captagon pills emerged to kill our people," said Abu Zihab, an activist with Hayat Tahrir al-Sham, the main group now ruling the country, as his group gave access to journalists to the site.

Syria's nearly 14-year-old civil war fragmented the country, crumbled the economy and created fertile ground for the production of the drug. Militias, warlords and the Assad government transformed Captagon from a small-scale operation run by small criminal groups into a billion-dollar industrial revenue stream.

The recent ousting of Assad has disrupted these networks and has given a closer look at its operations — revealing the workings of a war economy that sustained Assad’s power over Syria. Experts say the change in Syria might create an opportunity to dismantle the Captagon industry.

How did Syria build its Captagon empire?

Captagon was first developed in Germany in the 1960s as a prescription stimulant for conditions like narcolepsy. It was later outlawed due to heart issues and its addictive properties.

Its amphetamine-like effects made it popular in the Middle East among both elites and fighters, as it enhanced focus and reduced fatigue.

Assad's government recognized an opportunity in the cheaply manufactured drug amid Syria’s economic turmoil and the heavy sanctions imposed on it.

Captagon is produced through a simple chemical process that involves mixing amphetamine derivatives with excipients to form tablets, typically in makeshift labs.

The Captagon trade began industrializing around 2018-2019 as the Assad regime — and other armed groups in Syria -- invested in production facilities, warehouses and trafficking networks. This allowed Syria to emerge as the largest producer of Captagon globally, with some production also occurring in Lebanon.

Most seized consignments of Captagon originated from Syria, according to data by the New Lines Captagon Trade Project, an initiative of the New Lines Institute think tank.

Evidence of the Assad regime’s sponsorship of the Captagon industry is overwhelming, the report published in May said. The Security Office of the 4th Armored Division of the Syrian Arab Army, headed by Bashar al-Assad’s brother Maher oversaw operations and created a coordinated production system, the report added.

Where and how was Captagon smuggled?

Captagon was smuggled across the border using various methods, hiding Captagon in trucks, cargo shipments and goods. Some shipments are concealed in food, electronics and construction materials to evade detection.

The primary smuggling routes were Syria’s porous borders with Lebanon, Jordan and Iraq, from which the drug is distributed throughout the region. Some were also shipped from Latakia port.

In Lebanon, the Captagon trade has flourished, particularly near the Syrian border and in the Bekaa Valley. Lebanese authorities struggled to curb the flow of Captagon from Syria, which analysts say was facilitated by the Hezbollah group, a key Assad ally.

Following the discovery of crates of fruit meticulously packed with bundles of the drug hidden among pomegranates and oranges, Saudi Arabia and the UAE implemented bans on Lebanese agricultural products.

Captagon has also found its way into international markets, reaching as far as Southeast Asia and parts of Europe.

How much revenue did it produce for the Assad regime?

The annual global trade in Captagon has an estimated value of $10 billion, with the ousted Assad family's annual profit reaching around $2.4 billion, according to Caroline Rose, director of the New York-based New Lines Institute Captagon Trade Project.

"Seeing the uncovering of so many industrial-scale facilities affiliated with the regime was shocking but not surprising. There was extensive evidence linking key regime-aligned cronies and Assad family members to the trade," said Rose, whose organization tracks all publicly recorded Captagon seizures and lab raids. The discovery of the facilities, she said, confirmed "the concrete relationship between Captagon and the former regime."

The exact number of factories in Syria remains unclear, but experts and HTS members estimate that there are likely hundreds spread throughout the country.

The future of Captagon in post-Assad Syria

Assad has turned Syria into "the largest Captagon factory in the world," HTS leader Ahmad al-Sharaa stated in a victory speech at Damascus’s Umayyad Mosque on Dec. 8. "Today, Syria is being cleansed, thanks to the grace of Almighty God."

While Assad and his circle may have been the primary beneficiaries, there is also evidence that Syrian opposition groups were involved in drug smuggling, opposition groups, local militias and organized crime networks manufactured and smuggled the drug to finance their operations, analysts say.

"Likely, we will see a short-term supply reduction in the trade, with a decline in the size and frequency of seizures as industrial-scale production is largely halted. However, criminal actors are innovative, likely seeking out new locations to engage in production and smuggling, particularly as demand levels remain stable," Rose said.

They may also "seek out alternative illicit trades to engage in instead," she said.

In addition to dismantling the Captagon trade, the country's transitional government should "establish programs for economic development that will incentivize Syrians to participate in the country’s formal, licit economic sphere," Rose said.