What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
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What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)

Health authorities in the Gaza Strip confirmed the first case of polio in 25 years earlier this month.

The infection and subsequent partial paralysis of the nearly year-old Abdul-Rahman Abu Al-Jidyan has hastened plans for a mass vaccination campaign of children across the Palestinian enclave starting on Sept. 1.

Three-day pauses in fighting in each of Gaza's three zones have been agreed by Israel and Hamas to allow thousands of UN workers to administer vaccines.

ORIGINS

The same strain that later infected the Palestinian baby, from the type 2 vaccine-derived polio virus that has also been detected in wastewater in some developed countries in recent years, was detected in July in six sewage samples taken in Khan Younis and Deir al-Balah.

It is not clear how the strain arrived in Gaza but genetic sequencing showed that it resembles a variant found in Egypt that could have been introduced from September 2023, the WHO said.

The UN health body says that a drop in routine vaccinations in the Occupied Palestinian Territories, including Gaza, has contributed to its re-emergence.

Polio vaccination coverage, primarily conducted through routine immunization, was estimated at 99% in 2022 and fell to 89% in 2023. Health workers say the closure of many hospitals in Gaza, often because of Israeli strikes or restrictions on fuel, has contributed to lower vaccination rates. Israel blames Hamas, saying they use hospitals for military purposes.

Aid workers say poor sanitation conditions in Gaza where open sewers and trash piles are commonplace after nearly 11 months of war have created favorable conditions for its spread.

MASS VACCINATIONS

Israel's military and the Palestinian armed group Hamas have agreed to three separate, zoned three-day pauses in fighting to allow for the first round of vaccinations.

The campaign is due to start in central Gaza on Sunday with three consecutive daily pauses in fighting, then move to southern Gaza, where there would be another three-day pause, followed by northern Gaza. There is an agreement to extend the pause in each zone to a fourth day if needed.

The vaccines, which were released from global emergency stockpiles, have already arrived in Gaza and are due to be issued to 640,000 children under 10 years of age.

They will be given orally by some 2,700 health care workers at medical centers and by mobile teams moving among Gaza's hundreds of thousands of people displaced by the war, UN aid workers say.

The World Health Organization says that a successful roll-out requires at least 95% coverage.

The Israeli military's humanitarian unit (COGAT) said that the vaccination campaign would be conducted in coordination with the Israeli military "as part of the routine humanitarian pauses that will allow the population to reach the medical centers where the vaccinations will be administered".

A second round is planned in late September.

RISKS

The Gaza case which is vaccine-derived is seen as a setback for the global polio fight which has driven down cases by more than 99% since 1988 thanks to mass vaccination campaigns.

Wild polio is now only endemic in Pakistan and Afghanistan although more than 30 countries are still listed by the WHO as subject to outbreaks, including Gaza's neighbors Egypt and Israel.

The World Health Organization has warned of the further spread of polio within Gaza and across borders given the poor health and hygiene conditions there.

Poliomyelitis, which is spread mainly through the faecal-oral route, is a highly infectious virus that can invade the nervous system and cause paralysis and death in young children with those under 2 years old most at risk. In nearly all cases it has no symptoms, making it hard to detect.



Libya Political Process Deadlocked

Col. Muammar Gaddafi
Col. Muammar Gaddafi
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Libya Political Process Deadlocked

Col. Muammar Gaddafi
Col. Muammar Gaddafi

Libya has undergone significant changes since the fall of Col. Muammar Gaddafi in 2011. The Libyans have struggled to establish a stable government, leading to the country being split into two main factions: One in the west backed by Türkiye and another in the east supported by Russia.

However, the reality is more complex than just two competing governments.

This report highlights the main players in the power struggle in Libya today, focusing on the Government of National Unity led by Abdul Hamid Dbeibeh in Tripoli and the eastern government backed by parliament and Marshal Khalifa Haftar’s forces.

The report also explains why the UN-led political process has stalled and explores the influence of five key figures in Libya’s political landscape, the armed groups in Tripoli, and the rise of powerful families in both the east and west.

In 2011, Libyan rebels closed in on Tripoli, Gaddafi’s stronghold, and stormed his heavily fortified complex at Bab al-Aziziya. Armed groups, including some with ties to extremist movements, took over the complex, signaling the collapse of Gaddafi’s rule, though he continued to resist until he was killed near Sirte in October of that year.

Thirteen years after Gaddafi’s fall, Libya remains divided between two rival governments.

The Libyan army, which fell with Gaddafi’s regime, has largely been rebuilt in the east under Haftar’s command. In the west, the situation is more chaotic, with various armed groups operating under Dbeibeh’s government, each controlling different areas.

The conflict is further complicated by foreign involvement: Türkiye supports the western forces with troops and allied Syrian mercenaries, while Russia backs Haftar in the east and south, first through the Wagner Group and now with a direct military presence, raising concerns about a new Russian foothold on the Mediterranean.

The political process to reach a settlement in Libya has been stalled for years. International envoys come and go, but none have succeeded, and there is no solution in sight.

Since Gaddafi’s fall, Libya has changed a lot, but the new system remains unclear. To help explain the current situation, we spoke with Tim Eaton, a top Libya analyst at Chatham House in London.

Political Process... Dead in the Water

When asked about the status of the UN-led political process in Libya, Eaton started by clarifying that it is currently in the hands of Stephanie Khouri, the acting head of the UN mission in Libya (UNSMIL).

She was initially appointed as the deputy to UN envoy Abdoulaye Bathily, but after his resignation, she ended up leading the mission. However, since Khouri wasn’t appointed by the UN Security Council, she’s not an official special envoy, and her role is less defined, coming directly from the UN Secretary-General.

There’s ongoing discussion about who will be the next special envoy to Libya, but given the challenges within the Security Council, appointing someone has been difficult and remains a tough task. In short, it’s increasingly hard to get a new envoy through a Security Council vote.

As for the political stalemate that Libya is suffering from nowadays, Eaton stressed that the reason behind this is that the political process is dead and hasn't moved at all.

In 2021, under the then deputy head of the United Nations Support Mission in Libya (UNSMIL) for political affairs Stephanie Williams, the Government of National Unity (GNU) was formed.

It was the first government since 2014 to be recognized by both eastern and western Libya, and it was supposed to hold elections by the end of that year. But that didn’t happen.

Critics accused the GNU of blocking the elections, and there were disputes over who could run, with Saif al-Islam Gaddafi’s return causing particular controversy.

After the elections failed to happen in 2022, the eastern House of Representatives formed a new government, but it wasn’t accepted by the broader political scene. So, Libyans were back to having two rival governments.

Jan Kubis, who succeeded Williams, couldn’t move the election process forward. When he left, it was clear elections wouldn’t happen. Williams briefly returned, but was then replaced by Abdoulaye Bathily, the UN special envoy.

Instead of pushing the process forward, Bathily decided to take time to assess the situation and engage in shuttle diplomacy. He focused on trying to get agreement among the five key players but hasn’t made much progress.

The Big Five

According to Eaton, Libya’s “Big Five” are Abdul Hamid Dbeibeh, Prime Minister of the Government of National Unity; Mohamed Takala, President of the High Council of State (recently replaced by Khaled al-Mishri); Aguila Saleh, Speaker of the House of Representatives; Mohamed al-Menfi, Head of the Presidential Council; and military leader Khalifa Haftar.

Bathily’s plan focused on getting these five leaders to sit down and agree on the future, but he couldn’t make it happen. Each of them set conditions that blocked progress.

For example, Dbeibeh refused to participate if the talks were about forming a new government, as it would mean replacing him. Haftar demanded that if the western government was involved, the eastern one must be too. These obstacles led Bathily to resign, as there was nothing solid to build on.

This is where things stand now.

Despite seeming like rivals, the Big Five do cooperate in certain areas. For example, Haftar and Dbeibeh have an understanding on dividing oil revenues.

Family Rule

Eaton doesn’t think that the ongoing division between eastern and western Libya could lead to a real split of the country.

The connection between east and west Libya is stronger than many realize, the analyst affirmed.

What’s happening now is more about powerful families and their networks competing for control, rather than just an east-versus-west divide. In the east, those in power are closely linked to Haftar, while in the west, Dbeibeh’s family has strengthened its control and appointed people with ties to them.

Foreign Fighters

Foreign fighters and mercenaries have been involved in Libya since 2011. Initially, they came from places like Darfur and Chad. Recently, the situation has changed significantly.

During Haftar’s attempts to take Tripoli, he relied on Wagner Group mercenaries, which led Tripoli authorities to seek Turkish support. Türkiye established a permanent presence in the west and brought in Syrian mercenaries. Meanwhile, Wagner expanded its presence in Haftar’s areas.

Wagner’s involvement now seems more like a state relationship with Russia rather than just a mercenary group. Russian Deputy Defense Minister Yunus-Bek Yevkurov has visited eastern Libya frequently, and there is significant Russian military equipment flowing into the region. This growing Russian presence is a major concern for the US.

In the west, the situation is more chaotic. No single family controls all security forces, and Türkiye supports specific groups, such as the 444 Brigade in Tripoli. Türkiye also took control of the Al-Watiya airbase.

Both Türkiye and Russia are firmly established in Libya now. Their presence makes a large-scale war less likely, as the costs would be high. Haftar cannot advance on Tripoli due to Turkish opposition, and when Misrata forces considered moving east, they were deterred by Russian aircraft and Egypt’s declared “red line.”

Foreign fighters have become a permanent part of the Libyan landscape and are likely to stay.