Desperation amid Search for Survivors of an Israeli Airstrike on a Crowded Area Near Major Beirut Hospital

A view shows a site damaged in an Israeli strike near Rafik Hariri University Hospital, amid ongoing hostilities between Hezbollah and Israeli forces, in Beirut, Lebanon October 22, 2024. (Reuters)
A view shows a site damaged in an Israeli strike near Rafik Hariri University Hospital, amid ongoing hostilities between Hezbollah and Israeli forces, in Beirut, Lebanon October 22, 2024. (Reuters)
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Desperation amid Search for Survivors of an Israeli Airstrike on a Crowded Area Near Major Beirut Hospital

A view shows a site damaged in an Israeli strike near Rafik Hariri University Hospital, amid ongoing hostilities between Hezbollah and Israeli forces, in Beirut, Lebanon October 22, 2024. (Reuters)
A view shows a site damaged in an Israeli strike near Rafik Hariri University Hospital, amid ongoing hostilities between Hezbollah and Israeli forces, in Beirut, Lebanon October 22, 2024. (Reuters)

Nearly 16 hours after an Israeli airstrike hit across the street from Beirut’s main public hospital, rescuers were still removing debris Tuesday from the overcrowded slum area. An excavator was digging at one of the destroyed buildings, picking out twisted metal and bricks in search for bodies.

Residents standing on mounds of debris said an entire family remained missing under the rubble.

Mohammad Ibrahim, a Sudanese national, came looking for his brother. “His mobile phone is still ringing. We are trying to search for him,” he said. “I don’t know if he is dead or alive.”

Hours later, health officials said five bodies had been recovered from under the rubble. At least 18 people were killed, including four children, and at least 60 wounded in the strike that also caused damage across the street at the Rafik Hariri University Hospital, the capital’s main public medical facility.

Jihad Saadeh, director of the Rafik Hariri Hospital, said the strike broke several glass windows and the solar panels of the medical facility, which continued to operate despite the damage and the panic. None of the staff was injured.

Saadeh said the hospital received no warning of the impending strike, just a few meters (yards) across the street. Neither did the residents of the slum area, where several buildings were crammed and which houses several migrant workers as well as working class Lebanese.

The Israeli military said it struck a Hezbollah target, without elaborating. It added it had not targeted the hospital itself.

It was hard for rescue equipment to reach the area of clustered settlements and dusty narrow roads.

Nizar, one of the rescuers, said he had been at the site of the explosion since Monday night. “It was too dark and there was so much panic,” he said, giving only his first name in line with the rescue team’s regulations. “People didn’t understand yet what had happened.”

The overcrowded slum was covered in debris, furniture and remains of life poking out of the twisted metal and broken bricks. Residents who survived the massive explosion were still in shock, some still searching through the debris with their hands for their relatives or what is left of their lives. Gunmen stood guard at the site. The Lebanese Civil Defense said Tuesday five buildings were destroyed and 12 sustained severe damage. The dead included one Sudanese and at least one Syrian.

“This is a very crowded area; buildings are very close. The destruction is massive,” Nizar said, explaining that the scale of the damage made their rescue effort harder.

Across the street, the hospital was still treating a few of the injured. The morgue had received 13 bodies.

Hussein al-Ali, a nurse who was there when the attack happened, said it took him a few minutes to realize it was not the hospital that was hit. Dust and smoke covered the hospital lobby. The glass in the dialysis unit, the pharmacy and other rooms in the hospital was shattered. The false roof fell over his and his colleagues' heads.

“We were terrified. This is a crime,” said al-Ali. “It felt like judgement day.”

It took only minutes for the injured from across the street to start streaming in. Al-Ali said he had little time to breathe or reassure his terrified colleagues and the rattled patients.

“Staff and patients thought the strike was here. We fled outside as the injured were coming in,” he said. And when he was done admitting the injured, “we came out to carry our (killed) neighbors. They are our neighbors.”

Ola Eid survived the strike. She helped dig out her neighbors’ children from under the rubble, before realizing she herself was injured.

“The problem is we didn’t feel it. They didn’t inform us. We heard they want to strike al-Sahel hospital,” said Eid, bandaged and still in shock sitting at the hospital gate. Israel had hinted another hospital miles away could possibly be a target, alleging it is housing tunnels used by the Hezbollah group.

Eid, an actor, said she was playing with her neighbor’s kids when the first explosion hit. It knocked her to the floor and scattered the candy she was handing out to the kids. She stood up, not believing she was still alive, to find her neighbor’s kid soaked in blood. One was killed immediately; the other remained in intensive care.

“I looked ahead and saw the kids torn apart and hurt,” she said. “The gas canisters were on fire. I didn’t know what to do — put out the fire or remove the kids.”



What to Know about Sudden Gains of the Opposition in Syria's 13-year War and Why it Matters

Fighters seize a Syrian Army tank near the international M5 highway in the area Zarbah which was taken over by anti-government factions on November 29, 2024, as Hayat Tahrir al-Sham (HTS) group and allied groups continue their offensive in Syria's northern Aleppo province against government forces. (Photo by Rami al SAYED / AFP)
Fighters seize a Syrian Army tank near the international M5 highway in the area Zarbah which was taken over by anti-government factions on November 29, 2024, as Hayat Tahrir al-Sham (HTS) group and allied groups continue their offensive in Syria's northern Aleppo province against government forces. (Photo by Rami al SAYED / AFP)
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What to Know about Sudden Gains of the Opposition in Syria's 13-year War and Why it Matters

Fighters seize a Syrian Army tank near the international M5 highway in the area Zarbah which was taken over by anti-government factions on November 29, 2024, as Hayat Tahrir al-Sham (HTS) group and allied groups continue their offensive in Syria's northern Aleppo province against government forces. (Photo by Rami al SAYED / AFP)
Fighters seize a Syrian Army tank near the international M5 highway in the area Zarbah which was taken over by anti-government factions on November 29, 2024, as Hayat Tahrir al-Sham (HTS) group and allied groups continue their offensive in Syria's northern Aleppo province against government forces. (Photo by Rami al SAYED / AFP)

The 13-year civil war in Syria has roared back into prominence with a surprise opposition offensive on Aleppo, one of Syria's largest cities and an ancient business hub. The push is among the opposition’s strongest in years in a war whose destabilizing effects have rippled far beyond the country's borders.
It was the first opposition attack on Aleppo since 2016, when a brutal air campaign by Russian warplanes helped Syrian President Bashar Assad retake the northwestern city. Intervention by Russia, Iran and Iranian-allied Hezbollah and other groups has allowed Assad to remain in power, within the 70% of Syria under his control.
The surge in fighting has raised the prospect of another violent front reopening in the Middle East, at a time when US-backed Israel is fighting Hamas in Gaza and Hezbollah in Lebanon, both Iranian-allied groups.
Robert Ford, the last-serving US ambassador to Syria, pointed to months of Israeli strikes on Syrian and Hezbollah targets in the area, and to Israel’s ceasefire with Hezbollah in Lebanon this week, as factors providing Syria’s opposition groups with the opportunity to advance.
Here's a look at some of the key aspects of the new fighting:
Why does the fighting at Aleppo matter? Assad has been at war with opposition forces seeking his overthrow for 13 years, a conflict that's killed an estimated half-million people. Some 6.8 million Syrians have fled the country, a refugee flow that helped change the political map in Europe by fueling anti-immigrant far-right movements.
The roughly 30% of the country not under Assad is controlled by a range of opposition forces and foreign troops. The US has about 900 troops in northeast Syria, far from Aleppo, to guard against a resurgence by the ISIS extremist group. Both the US and Israel conduct occasional strikes in Syria against government forces and Iran-allied militias. Türkiye has forces in Syria as well, and has influence with the broad alliance of opposition forces storming Aleppo.
Coming after years with few sizeable changes in territory between Syria's warring parties, the fighting “has the potential to be really quite, quite consequential and potentially game-changing,” if Syrian government forces prove unable to hold their ground, said Charles Lister, a longtime Syria analyst with the US-based Middle East Institute. Risks include if ISIS fighters see it as an opening, Lister said.
Ford said the fighting in Aleppo would become more broadly destabilizing if it drew Russia and Türkiye— each with its own interests to protect in Syria — into direct heavy fighting against each other. -
What do we know about the group leading the offensive on Aleppo? The US and UN have long designated the opposition force leading the attack at Aleppo — Hayat Tahrir al-Sham, known by its initials HTS — as a terrorist organization.
Its leader, Abu Mohammed al-Golani, emerged as the leader of al-Qaeda's Syria branch in 2011, in the first months of Syria's war. His fight was an unwelcome intervention to many in Syria's opposition, who hoped to keep the fight against Assad's brutal rule untainted by violent extremism.
Golani early on claimed responsibility for deadly bombings, pledged to attack Western forces and sent religious police to enforce modest dress by women.
Golani has sought to remake himself in recent years. He renounced his al-Qaeda ties in 2016. He's disbanded his religious police force, cracked down on extremist groups in his territory, and portrayed himself as a protector of other religions. That includes last year allowing the first Christian Mass in the city of Idlib in years.
What's the history of Aleppo in the war? At the crossroads of trade routes and empires for thousands of years, Aleppo is one of the centers of commerce and culture in the Middle East.
Aleppo was home to 2.3 million people before the war. Opposition forces seized the east side of the city in 2012, and it became the proudest symbol of the advance of armed opposition factions.
In 2016, government forces backed by Russian airstrikes laid siege to the city. Russian shells, missiles and crude barrel bombs — fuel canisters or other containers loaded with explosives and metal — methodically leveled neighborhoods. Starving and under siege, the opposition surrendered Aleppo that year.
The Russian military's entry was the turning point in the war, allowing Assad to stay on in the territory he held.
This year, Israeli airstrikes in Aleppo have hit Hezbollah weapons depots and Syrian forces, among other targets, according to an independent monitoring group. Israel rarely acknowledges strikes at Aleppo and other government-held areas of Syria.