Desperate Deja Vu for Foreign War Doctors in Lebanon

Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP
Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP
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Desperate Deja Vu for Foreign War Doctors in Lebanon

Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP
Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP

In a south Lebanon hospital, Norwegian doctor Mads Gilbert peered out of the window after bombardment near the Israeli border, four decades after he first worked in the country.

"It's a horrible experience," he said in a video call from the southern town of Nabatiyeh.

"It's been 42 years and nothing has changed," said Gilbert, who first saw war treating patients during the 1982 Israeli invasion and siege of Beirut.

The anaesthetist and emergency medicine specialist said he had seen just a few cases since arriving on Tuesday.

"Most of the cases have been south of us and they have not been able to evacuate them because the attacks have been so vicious," AFP quoted Gilbert saying.

Israel has increased its airstrikes against in Lebanon since September 23, pounding the south of the country and later staging what it called "limited operations" across the border.

On Thursday the Israeli army warned residents to leave Nabatiyeh.

The escalation has killed more than 1,100 people and wounded at least another 3,600, and pushed upwards of a million people to flee their homes, according to government figures.

Official media have reported some Israeli strikes killing entire families, and AFP has spoken to two people who lost 17 relatives and 10 family members respectively.

- Gaza on 'repeat' -

Israel's military "can do whatever they want to healthcare, to ambulances, to churches, to mosques, to universities, as they've been doing in Gaza," said Gilbert, who has repeatedly volunteered in the Palestinian territory during past conflicts.

"And now we see the same repeat itself in Lebanon in 2024."

A hospital in the town of Bint Jbeil closer to the border on Saturday said it was hit by heavy overnight Israeli strikes, wounding nine medical and nursing staff, most seriously.

At least four hospitals said they had suspended work amid ongoing Israeli bombardment on Friday.

On Thursday, Lebanon's health minister said more than 40 paramedics and firefighters had been killed by Israeli fire in three days.

UN official Imran Riza on X on Saturday spoke of "an alarming increase in attacks against healthcare in Lebanon".

Britain said reports that Israeli strikes had hit "health facilities and support personnel" in Lebanon were "deeply disturbing".

Israel has claimed Hezbollah uses ambulances for "terrorist purposes".

- 'Kids with blast injuries' -

In the capital Beirut, British-Palestinian doctor Ghassan Abu-Sittah said he also saw parallels with the conflict in Gaza.

Abu-Sittah has tirelessly campaigned for "justice" since spending weeks in the besieged Palestinian territory treating the wounded at the start of the war.

Now in Lebanon, the plastic and reconstructive surgeon described seeing "kids, families whose houses have been targeted" with blast injuries in the past few weeks.

There were "kids with blast injuries to the face, to the torso, amputated limbs," he said outside the American University of Beirut's Medical Center.

Abu-Sittah estimated that more than a quarter of the wounded he had seen in Beirut and other parts of Lebanon were minors.

"I have a girl upstairs who is 13, who had a blast injury to the face, needed reconstruction of her jaw, will need several surgeries," he said.

"Children who are injured in war need between eight and 12 surgeries by the time they're adult age."

According to the UN children's agency UNICEF, 690 children in Lebanon have been wounded in recent weeks.

It said doctors had reported most suffered from "concussions and traumatic brain injuries from the impact of blasts, shrapnel wounds and limb injuries".

"It's just so reminiscent of what was happening in Gaza," said Abu-Sittah.

"The heartbreaking thing is that this could all have been stopped if they stopped the war in Gaza," he added.



What to Know about the Tensions between Iran and the US before Their Third Round of Talks

The flags of US and Iran are displayed in Muscat, Oman, 25 April 2025. Iran and US will hold third round of nuclear talks on 26 April 2025, in Muscat. (EPA)
The flags of US and Iran are displayed in Muscat, Oman, 25 April 2025. Iran and US will hold third round of nuclear talks on 26 April 2025, in Muscat. (EPA)
TT

What to Know about the Tensions between Iran and the US before Their Third Round of Talks

The flags of US and Iran are displayed in Muscat, Oman, 25 April 2025. Iran and US will hold third round of nuclear talks on 26 April 2025, in Muscat. (EPA)
The flags of US and Iran are displayed in Muscat, Oman, 25 April 2025. Iran and US will hold third round of nuclear talks on 26 April 2025, in Muscat. (EPA)

Iran and the United States will hold talks Saturday in Oman, their third round of negotiations over Tehran’s rapidly advancing nuclear program.

The talks follow a first round held in Muscat, Oman, where the two sides spoke face to face. They then met again in Rome last weekend before this scheduled meeting again in Muscat.

Trump has imposed new sanctions on Iran as part of his “maximum pressure” campaign targeting the country. He has repeatedly suggested military action against Iran remained a possibility, while emphasizing he still believed a new deal could be reached by writing a letter to Iran’s 85-year-old Supreme Leader Ali Khamenei to jumpstart these talks.

Khamenei has warned Iran would respond to any attack with an attack of its own.

Here’s what to know about the letter, Iran’s nuclear program and the tensions that have stalked relations between Tehran and Washington since the 1979 revolution.

Why did Trump write the letter? Trump dispatched the letter to Khamenei on March 5, then gave a television interview the next day in which he acknowledged sending it. He said: “I’ve written them a letter saying, ‘I hope you’re going to negotiate because if we have to go in militarily, it’s going to be a terrible thing.’”

Since returning to the White House, the president has been pushing for talks while ratcheting up sanctions and suggesting a military strike by Israel or the US could target Iranian nuclear sites.

A previous letter from Trump during his first term drew an angry retort from the supreme leader.

But Trump’s letters to North Korean leader Kim Jong Un in his first term led to face-to-face meetings, though no deals to limit Pyongyang’s atomic bombs and a missile program capable of reaching the continental US.

How did the first round go? Oman, a sultanate on the eastern edge of the Arabian Peninsula, hosted the first round of talks between Iranian Foreign Minister Abbas Araghchi and US Middle East envoy Steve Witkoff. The two men met face to face after indirect talks and immediately agreed to this second round in Rome.

Witkoff later made a television appearance in which he suggested 3.67% enrichment for Iran could be something the countries could agree on. But that’s exactly the terms set by the 2015 nuclear deal struck under US President Barack Obama, from which Trump unilaterally withdrew America.

Witkoff hours later issued a statement underlining something: “A deal with Iran will only be completed if it is a Trump deal.” Araghchi and Iranian officials have latched onto Witkoff’s comments in recent days as a sign that America was sending it mixed signals about the negotiations.

Yet the Rome talks ended up with the two sides agreeing to starting expert-level talks this Saturday. Analysts described that as a positive sign, though much likely remains to be agreed before reaching a tentative deal.

Why does Iran’s nuclear program worry the West? Iran has insisted for decades that its nuclear program is peaceful. However, its officials increasingly threaten to pursue a nuclear weapon. Iran now enriches uranium to near weapons-grade levels of 60%, the only country in the world without a nuclear weapons program to do so.

Under the original 2015 nuclear deal, Iran was allowed to enrich uranium up to 3.67% purity and to maintain a uranium stockpile of 300 kilograms (661 pounds). The last report by the International Atomic Energy Agency on Iran’s program put its stockpile at 8,294.4 kilograms (18,286 pounds) as it enriches a fraction of it to 60% purity.

US intelligence agencies assess that Iran has yet to begin a weapons program, but has “undertaken activities that better position it to produce a nuclear device, if it chooses to do so.”

Ali Larijani, an adviser to Iran’s supreme leader, has warned in a televised interview that his country has the capability to build nuclear weapons, but it is not pursuing it and has no problem with the International Atomic Energy Agency’s inspections. However, he said if the US or Israel were to attack Iran over the issue, the country would have no choice but to move toward nuclear weapon development.

“If you make a mistake regarding Iran’s nuclear issue, you will force Iran to take that path, because it must defend itself,” he said.

Why are relations so bad between Iran and the US? Iran was once one of the US’s top allies in the Middle East under Shah Mohammad Reza Pahlavi, who purchased American military weapons and allowed CIA technicians to run secret listening posts monitoring the neighboring Soviet Union. The CIA had fomented a 1953 coup that cemented the shah’s rule.

But in January 1979, the shah, fatally ill with cancer, fled Iran as mass demonstrations swelled against his rule. The revolution followed, led by Khomeini, and created Iran’s theocratic government.

Later that year, university students overran the US Embassy in Tehran, seeking the shah’s extradition and sparking the 444-day hostage crisis that saw diplomatic relations between Iran and the US severed. The Iran-Iraq war of the 1980s saw the US back Saddam Hussein. The “Tanker War” during that conflict saw the US launch a one-day assault that crippled Iran at sea, while the US later shot down an Iranian commercial airliner that the American military said it mistook for a warplane.

Iran and the US have see-sawed between enmity and grudging diplomacy in the years since, with relations peaking when Tehran made the 2015 nuclear deal with world powers. But Trump unilaterally withdrew America from the accord in 2018, sparking tensions in the Middle East that persist today.