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.



Iran’s Centrifuges: The Long Road Towards a Nuclear Bomb

This photo released on Nov. 5, 2019, by the Atomic Energy Organization of Iran shows centrifuge machines in the Natanz uranium enrichment facility in central Iran. (Atomic Energy Organization of Iran via AP, File)
This photo released on Nov. 5, 2019, by the Atomic Energy Organization of Iran shows centrifuge machines in the Natanz uranium enrichment facility in central Iran. (Atomic Energy Organization of Iran via AP, File)
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Iran’s Centrifuges: The Long Road Towards a Nuclear Bomb

This photo released on Nov. 5, 2019, by the Atomic Energy Organization of Iran shows centrifuge machines in the Natanz uranium enrichment facility in central Iran. (Atomic Energy Organization of Iran via AP, File)
This photo released on Nov. 5, 2019, by the Atomic Energy Organization of Iran shows centrifuge machines in the Natanz uranium enrichment facility in central Iran. (Atomic Energy Organization of Iran via AP, File)

The UN nuclear agency has confirmed that Iran plans to install around 6,000 new centrifuges to enrich uranium, according to a report seen by AFP on Friday.

“Iran informed the Agency that it intended to feed” around 6,000 centrifuges at its sites in Fordo and Natanz to enrich uranium to up to five percent, higher than the 3.67 percent limit Tehran had agreed to in 2015.

The Iranian decision came in response to a resolution adopted on November 21 by the UN nuclear watchdog that censures Tehran for what the agency called lack of cooperation.

On Thursday, Iran had threatened to end its ban on acquiring nuclear weapons if Western sanctions are reimposed.

The country’s foreign minister, Abbas Araghchi, said in an interview that the nuclear debate inside Iran is likely to shift towards the possession of its own weapons if the west goes ahead with a threat to reimpose all UN sanctions,

What are centrifuges?

They are precise devices with cylinders that rotate much faster than the speed of sound, to collect enriched uranium atoms.

To explain how centrifugation works, rotating cylinders are much like medical laboratory equipment used to test blood.

The high rotation speeds exert a rotational force that separates the various components of blood as a function of their density and quantity in the sample.

In the case of uranium, the centrifuge operates using the familiar principle of centrifugal force. This force separates two gases of unequal masses in a spinning cylinder or tube. The heavier uranium-238 isotope collects at the outer edges of the cylinder while the lighter uranium-235 collects near the axis of rotation at the center.

Around 20 kg of uranium enriched to a 90% purity level would be needed for a single nuclear weapon. It would take about 1,500 SWU to produce a weapon-equivalent of 90 percent-enriched uranium from this enriched uranium.

At Fordo, Iran is currently using the two only operating cascades of IR-6 centrifuges there to enrich to 60% from 20%.

There are 1,044 centrifuges active at the Fordo uranium enrichment plant, Iran's President Masoud Pezeshkian said.

He had earlier asked the Iran Atomic Energy Agency to begin inserting uranium gas into newly activated advanced centrifuges.

Early this month, a spokesperson for the US State Department said Iran's expansion of uranium enrichment activities in defiance of key nuclear commitments is "a big step in the wrong direction”.

His statement came after Tehran announced it would start injecting uranium gas into centrifuges at Fordo.

Dispute

The Nuclear Non-Proliferation Treaty, signed in 2015 between Tehran and Western countries, says advanced centrifuges for uranium enrichment could operate until January 2027.

The difference between the first generation of centrifuges (IR-1) and the other generations is speed. The latest generation, IR-6, could enrich uranium up to 10 times faster than the first-generation IR-1, according to Iranian officials.

During the heyday of its nuclear program, Iran operated a total of 10,204 first-generation IR-1 centrifuges at the Natanz and Fordo facilities. But under the deal, Iran's commitments included operating no more than 5,060 IR-1 centrifuges for a period of 10 years.

Although the centrifuges that Iran installed before the 2015 nuclear deal were of the first generation, Tehran’s recent uranium enrichment activity at nuclear sites has reached disturbingly advanced levels, potentially increasing the nuclear proliferation risk.

Major centrifuge activities in Iran

May 2008: Iran installed several centrifuges including more modern models.

March 2012: Iranian media announced 3,000 centrifuges at Natanz.

August 2012: The International Atomic Energy Agency announced that Iran had installed large parts of the centrifuges at Fordo.

November 2012: An IAEA report confirmed that all advanced centrifuges had been installed at Fordo, although there were only four working centrifuges, and another four fully equipped, vacuum tested, and ready to go.

February 2013: IAEA says Iran has operated 12,699 IR-1 centrifuges at the Natanz site.

June 2018: Iran’s supreme leader revealed Tuesday that it ultimately wants 190,000 nuclear centrifuges — a figure 30 times higher than world powers allowed under the 2015 deal.

September 2019: Iran mounted 22 IR-4, one IR-5, 30 IR-6, and three IR-6 for testing, outside the treaty boundaries.

September 2019: Iran announced it started operating advanced and fast centrifuges to enrich uranium.

November 2024: Iranian Foreign Minister Abbas Araghchi announces that his country will operate several thousand advanced centrifuges.

November 2024: Iranian state television broadcasts AEOI Chief Mohammad Eslami announcing that “gasification of a few thousands of new generation centrifuges has been started.”