Childhood Cancer Patients in Lebanon Must Battle Disease while Under Fire

Mohammad Mousawi, 8, a displaced boy from the southern suburb of Beirut who suffers from leukaemia, steps out the entrance of the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)
Mohammad Mousawi, 8, a displaced boy from the southern suburb of Beirut who suffers from leukaemia, steps out the entrance of the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)
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Childhood Cancer Patients in Lebanon Must Battle Disease while Under Fire

Mohammad Mousawi, 8, a displaced boy from the southern suburb of Beirut who suffers from leukaemia, steps out the entrance of the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)
Mohammad Mousawi, 8, a displaced boy from the southern suburb of Beirut who suffers from leukaemia, steps out the entrance of the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

Carol Zeghayer gripped her IV as she hurried down the brightly lit hallway of Beirut’s children’s cancer center. The 9-year-old's face brightened when she spotted her playmates from the oncology ward.

Diagnosed with cancer just months before the conflict between Hezbollah and Israel erupted in October 2023, Carol relies on weekly trips to the center in the Lebanese capital for treatment.

But what used to be a 90-minute drive, now takes up to three hours on a mountainous road to skirt the heavy bombardment in south Lebanon, but still not without danger from Israeli airstrikes. The family is just one among many across Lebanon now grappling with the hardships of both illness and war.

“She’s just a child. When they strike, she asks me, ‘Mama, was that far?’” said her mother, Sindus Hamra, The AP reported.

The family lives in Hasbaya, a province in southeastern Lebanon where the rumble of Israeli airstrikes has become part of daily life. Just 15 minutes away from their home, in the front-line town of Khiam, Israeli troops and Hezbollah fighters clash amidst relentless bombardments.

On the morning of a recent trip to Beirut for her treatment, the family heard a rocket roar and its deafening impact as they left their home. Israeli airstrikes have also hit vehicles along the Damascus-Beirut highway, which Carol and her mother have to cross.

The bombardment hasn’t let up even as hopes grew in recent days that a ceasefire might soon be agreed.

More than war, Hamra fears that Carol will miss chemotherapy.

“Her situation is very tricky — her cancer can spread to her head,” Hamra said, her eyes filling with tears. Her daughter, diagnosed first with cancer of the lymph nodes and later leukemia, has completed a third of her treatment, with many months still ahead.

While Carol's family remains in their home, many in Lebanon have been displaced by an intensified Israeli bombardment that began in late September. Tens of thousands fled their homes in southern and eastern Lebanon, as well as Beirut’s southern suburbs — among them were families with children battling cancer.

The Children’s Cancer Center of Lebanon quickly identified each patient’s location to ensure treatments remained uninterrupted, sometimes facilitating them at hospitals closer to the families' new locations, said Zeina El Chami, the center’s fundraising and events executive.

During the first days of the escalation, the center admitted some patients for emergency care and kept them there as it was unsafe to send them home, said Dolly Noun, a pediatric hematologist and oncologist.

“They had no place to go,” she added. "We’ve had patients getting admitted for panic attacks. It has not been easy.”

The war has not only deepened the struggles of young patients.

“Many physicians have had to relocate,” Noun said. “I know physicians, who work here, who haven’t seen their parents in like six weeks because the roads are very dangerous.”

Since 2019, Lebanon has been battered by cascading crises — economic collapse, the devastating Beirut port explosion in 2020, and now a relentless war — leaving institutions like the cancer center struggling to secure the funds needed to save lives.

“Cancer waits for no one,” Chami said. The crises have affected the center’s ability to hold fundraising events in recent years, leaving it in urgent need of donations, she added.

The facility is currently treating more than 400 patients aged from few days to 18 years old, Chami said. It treats around 60% of children with cancer in Lebanon.

For Carol, the war is sometimes a topic of conversation with her friends at the cancer center. Her mother hears her recount hearing the booms and how the house shook.

For others, the moments with their friends in the center's playroom provide a brief escape from the grim reality outside.

Eight-year-old Mohammad Mousawi darts around the playroom, giggling as he hides objects and books for his playmate to find. Too absorbed by the game, he barely answers questions, before the nurse calls him for his weekly chemotherapy treatment.

His family lived in Ghobeiry, a neighborhood in Beirut’s southern suburbs. Their house was marked for destruction in an Israeli evacuation warning weeks ago, his mother said.

“But till now, they haven’t struck it,” said his mother, Suzan Mousawi. “They have hit (buildings) around it — two behind it and two in front of it.”

The family has relocated three times. They first moved to the mountains, but the bitter cold weakened Mohammad’s already fragile immune system.

Now they’ve settled in Ain el-Rummaneh, not far from their home in the southern Beirut suburbs known as Dahiyeh, which has come under significant bombardment. As the Israeli military widened the radius of its bombardment, some buildings hit were less than 500 meters (yards) from their current home.

The Mousawis have lived their entire lives in Dahiyeh, Suzan Mousawi said, until the war uprooted them. Her parents’ home was bombed. “All our memories are gone,” she said.

Mohammad has 15 weeks of treatment left, and his family is praying it will be successful. But the war has stolen some of their dreams.

“When Mohammad fell ill, we bought a house,” she said. “It wasn’t big, but it was something. I bought him an electric scooter and set up a pool, telling myself we’d take him there once he finishes treatment.”

She fears the house, bought with every penny she had saved, could be lost at any moment.

For some families, this kind of conflict is not new. Asinat Al Lahham, a 9-year-old patient of the cancer center, is a refugee whose family fled Syria.

“We escaped one war to another,” Asinat’s mother, Fatima, added.

As her father, Aouni, drove home from her chemotherapy treatment weeks ago, an airstrike happened. He cranked up the music in the car, trying to drown out the deafening sound of the attack.

Asinat sat in the back seat, clutching her favorite toy. “I wanted to distract her, to make her hear less of it,” he said.

In the medical ward on a recent day, Asinat sat in a chair hooked to an IV drip, negotiating with her doctor. “Just two or three small pinches,” she pleaded, asking for flavoring for her instant noodles that she is not supposed to have.

“I don’t feel safe ... nowhere is safe ... not Lebanon, not Syria, not Palestine,” Asinat said. “The sonic booms are scary, but the noodles make it better,” she added with a mischievous grin.

The family has no choice but to stay in Lebanon. Returning to Syria, where their home is gone, would mean giving up Asinat’s treatment.

“We can’t leave here,” her mother said. “This war, her illness ... it’s like there’s no escape.”



Iran Opts for Dialogue with Europe ahead of Trump's Return to Office

President Donald Trump shows a signed Presidential Memorandum after delivering a statement on the Iran nuclear deal from the Diplomatic Reception Room of the White House, Tuesday, May 8, 2018, in Washington. (AP)
President Donald Trump shows a signed Presidential Memorandum after delivering a statement on the Iran nuclear deal from the Diplomatic Reception Room of the White House, Tuesday, May 8, 2018, in Washington. (AP)
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Iran Opts for Dialogue with Europe ahead of Trump's Return to Office

President Donald Trump shows a signed Presidential Memorandum after delivering a statement on the Iran nuclear deal from the Diplomatic Reception Room of the White House, Tuesday, May 8, 2018, in Washington. (AP)
President Donald Trump shows a signed Presidential Memorandum after delivering a statement on the Iran nuclear deal from the Diplomatic Reception Room of the White House, Tuesday, May 8, 2018, in Washington. (AP)

It is difficult to predict what the outcomes will be of the discussions between Iran, France, Britain and Germany about Tehran’s nuclear program in Geneva on Friday.

Last week, the UN atomic watchdog's 35-nation Board of Governors passed a resolution again ordering Iran to urgently improve cooperation with the agency and requesting a "comprehensive" report aimed at pressuring Iran into fresh nuclear talks.

Britain, France, Germany and the United States, which proposed the resolution, dismissed as insufficient and insincere a last-minute Iranian move to cap its stock of uranium that is close to weapons-grade. Diplomats said Iran's move was conditional on scrapping the resolution.

Iran has been weighing its response to the censure, debating whether to increase uranium enrichment or by being open to the proposals expected at the Geneva talks.

The discussions may seek a new nuclear deal instead of the 2015 one with Tehran that is in tatters.

As it stands, Iran is likely to opt for negotiations instead of escalation due to a number of internal, regional and international reasons.

Diplomatic sources in Paris noted US President-elect Donald Trump’s appointments of officials handling Middle East affairs, underscoring their unreserved support to Israel and clear hostility to Iran.

These appointments may lead Iran to think twice before resorting to any escalation.

Even before Trump has taken office, his circles have said that the new president will take “several executive decisions related to Iran and that will be declared on his first day in office.” The decisions will be binding and do not need Congress’ approval.

However, Trump is unpredictable and the sources did not rule out the surprise possibility of him striking a deal with Iran related to its nuclear program and behavior in the Middle East. This means that Tehran will have to make major concessions, including abandoning its policy of “exporting the revolution”.

This remains a far-fatched possibility, however. In all likelihood, Washington under Trump will return to his “maximum pressure” policy against Iran on political, diplomatic and economic levels to make it return to the negotiations table and agree on a deal that completely ends its nuclear ambitions.

So, at the Geneva meeting on Friday, Tehran will seek to achieve two main goals: a nuclear breakthrough during what remains of US President Joe Biden’s time in office, and attempt to lure the European powers away from Trump.

The truth is that Tehran is wading in the unknown. One only has to go back to Trump’s past statements about how Israel should have struck Iran’s nuclear facilities during its October 26 attack on the country.

Trump has already shown Iran his hardline stance when he ordered the assassination of Quds Forces leader Qassem Soleimani near Baghdad airport in January 2020.

Based on this, Tehran is scrambling to avert a joint American-Israeli strike that Israeli Prime Minister Benjamin Netanyahu has been dreaming of.

Iran is vulnerable now due to two main reasons: the Israeli strike in October weakened Iran’s air defenses and Netanyahu has said that Israeli jets can now run rampant over Iran without any worries.

And Tehran can no longer rely on its allied militias to threaten Israel with all-out war. Hamas in Gaza is no longer in a position to threaten Israel and neither is Hezbollah in Lebanon.

So, Iran now finds itself exposed and would rather turn to negotiations with Europe than risk escalation that would cost it dearly with Israel now that it can no longer rely on Hamas and Hezbollah.