Iran Out to Remake Mideast With Arab Enforcer: ‘Hezbollah’

Hezbollah fighters. (AFP)
Hezbollah fighters. (AFP)
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Iran Out to Remake Mideast With Arab Enforcer: ‘Hezbollah’

Hezbollah fighters. (AFP)
Hezbollah fighters. (AFP)

For three decades, “Hezbollah” maintained a singular focus as a Lebanese military group fighting Israel. It built a network of bunkers and tunnels near Lebanon’s southern border, trained thousands of committed fighters to battle Israel’s army and built up an arsenal of rockets capable of striking far across Israel, said a New York Times report on Monday.

But as the Middle East has changed, with conflicts often having nothing to do with Israel flaring up around the region, “Hezbollah” has changed, too.

It has rapidly expanded its realm of operations. It has sent legions of fighters to Syria. It has sent trainers to Iraq. It has backed rebels in Yemen. And it has helped organize a battalion of combattants from Afghanistan that can fight almost anywhere.

As a result, “Hezbollah” is not just a power unto itself, but is one of the most important instruments in the drive for regional supremacy by its sponsor: Iran.

“Hezbollah” is involved in nearly every fight that matters to Iran and, more significantly, has helped recruit, train and arm an array of new militant groups that are also advancing Iran’s agenda.

Founded with Iranian guidance in the 1980s as a resistance force against the Israeli occupation of southern Lebanon, “Hezbollah” became the prototype for the kind of militias Iran is now backing around the region. “Hezbollah” has evolved into a virtual arm of Iran’s Islamic Revolutionary Guards Corps, providing the connective tissue for the growing network of powerful militias.

Months of interviews with officials, fighters, commanders and analysts from nine countries, and with members of “Hezbollah” itself, bring to light an organization with new power and reach that has not been widely recognized. Increasingly, Iranian leaders rely on it to pursue their goals.

Iran and “Hezbollah” complement each other. For Iran, a Persian nation in a mostly Arab region, “Hezbollah” lends not just military prowess but also Arabic-speaking leaders and operatives who can work more easily in the Arab world. And for “Hezbollah”, the alliance means money for running an extensive social services network in Lebanon, with schools, hospitals and scout troops — as well as for weapons, technology and salaries for its tens of thousands of fighters.

The network “Hezbollah” helped build has changed conflicts across the region, said the Times.

In Syria, the gunmen have played a major role in propping up Bashar al-Assad, an important Iranian ally. In Iraq, they are battling the ISIS and promoting Iranian interests. In Yemen, seized the capital Sana’a in support of the insurgents. In Lebanon, they broadcast pro-Iranian news and build forces to fight Israel.

The allied militias are increasingly collaborating across borders. Syria, Iranian-backed forces are pushing to connect with their counterparts in Iraq. And in the battle for Aleppo last year — a turning point in the Syrian war — Iranian-supported fighters hailed from so many countries their diversity amazed even those involved.

“On the front lines, there were lots of nationalities,” said Hamza Mohammed, an Iraqi fighter who was trained by “Hezbollah” and fought in Aleppo. “‘Hezbollah’ was there, Afghans, Pakistanis, Iraqis – everyone was there, with Iranian participation to lead the battle.”

The roots of that network go back to the American invasion of Iraq in 2003, when Iran called on “Hezbollah” to help organize Iraqi Shiite militias that in the coming years killed hundreds of American troops and many more Iraqis.

Recent wars have allowed Iran to revive and expand the web, and some of the groups “Hezbollah” trained in Iraq are now returning the favor by sending fighters to Syria.

More than just a political alliance, “Hezbollah” and its allies have deep ideological ties to Iran. Most endorse vilayat-e-faqih, the concept that Iran’s supreme leader is both the highest political power in the country and the paramount religious authority. They also trumpet their goal of combating American and Israeli interests, while arguing that they fill gaps left by weak governments and fight extremists like al-Qaeda and ISIS.

Many wonder what these tens of thousands of experienced fighters will do after the wars in Syria and Iraq wind down.

For “Hezbollah”, expansion has come with a cost. The grinding war in Syria has saddled it with heavy casualties and growing financial commitments.

In an interview, Sheikh Naim Qassem, “Hezbollah” deputy secretary general, proudly acknowledged his organization’s efforts to pass its rich experience to other Iranian-aligned forces.

“Hezbollah” has become active in so many places and against so many enemies that detractors have mocked it as “the Blackwater of Iran,” after the infamous American mercenary firm.

“Hezbollah” has taken on increasingly senior roles in ventures once reserved for Iran’s Islamic Revolutionary Guards Corps — the force that helped create “Hezbollah” itself.

In Iraq, Iran has redeployed militias originally formed to battle American troops to fight ISIS. It has also recruited Afghan refugees to fight for a militia called the Fatemiyoun Brigade. And it has organized a huge airlift of fighters to fight for Assad in Syria. The Islamic Revolutionary Guards Corps provides the infrastructure, while commanders from Iran and “Hezbollah” focus on training and logistics, said the Times.

Fighters interviewed in Iraq described how they had registered at recruitment offices for Iranian-backed militias to fight ISIS. Some were trained in Iraq, while others went to Iran for 15 days of drills before flying to Syria to fight. More experienced fighters took advanced courses with Iranian and “Hezbollah” commanders in Iran or Lebanon.

Phillip Smyth, a University of Maryland researcher who studies militant groups, said more than 10,000 Iraqi fighters were in Syria during the battle for Aleppo last year, in addition to thousands from other countries.

Officers from Iran coordinated the ground forces with the Syrian military and the Russian air force while “Hezbollah” provided Arabic-speaking field commanders, the fighters said.



New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
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New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)

Scientists studying the new mpox strain that has spread out of Democratic Republic of Congo say the virus is changing faster than expected, and often in areas where experts lack the funding and equipment to properly track it.

That means there are numerous unknowns about the virus itself, its severity and how it is transmitting, complicating the response, half a dozen scientists in Africa, Europe and the United States told Reuters.

Mpox, formerly known as monkeypox, has been a public health problem in parts of Africa since 1970, but received little global attention until it surged internationally in 2022, prompting the World Health Organization to declare a global health emergency. That declaration ended 10 months later.

A new strain of the virus, known as clade Ib, has the world's attention again after the WHO declared a new health emergency.

The strain is a mutated version of clade I, a form of mpox spread by contact with infected animals that has been endemic in Congo for decades. Mpox typically causes flu-like symptoms and pus-filled lesions and can kill.

Congo has had more than 18,000 suspected clade I and clade Ib mpox cases and 615 deaths this year, according to the WHO. There have also been 222 confirmed clade Ib cases in four African countries in the last month, plus a case each in Sweden and Thailand in people with a travel history in Africa.

"I worry that in Africa, we are working blindly," said Dr. Dimie Ogoina, an infectious diseases expert at Niger Delta University Hospital in Nigeria who chairs the WHO's mpox emergency committee. He first raised the alarm about potential sexual transmission of mpox in 2017, now an accepted route of spread for the virus.

"We don’t understand our outbreak very well, and if we don't understand our outbreak very well, we will have difficulty addressing the problem in terms of transmission dynamics, the severity of the disease, risk factors of the disease," Ogoina said. "And I worry about the fact that the virus seems to be mutating and producing new strains."

He said it took clade IIb in Nigeria five years or more to evolve enough for sustained spread among humans, sparking the 2022 global outbreak. Clade Ib has done the same thing in less than a year.

MUTATING 'MORE RAPIDLY'

Mpox is an orthopoxvirus, from the family that causes smallpox. Population-wide protection from a global smallpox vaccine campaign 50 years ago has waned, as the vaccinating stopped when the disease was eradicated.

Genetic sequencing of clade Ib infections, which the WHO estimates emerged mid-September 2023, show they carry a mutation known as APOBEC3, a signature of adaptation in humans.

The virus that causes mpox has typically been fairly stable and slow to mutate, but APOBEC-driven mutations can accelerate viral evolution, said Dr. Miguel Paredes, who is studying the evolution of mpox and other viruses at Fred Hutchison Cancer Center in Seattle.

"All the human-to-human cases of mpox have this APOBEC signature of mutations, which means that it's mutating a little bit more rapidly than we would expect," he said.

Paredes and other scientists said a response was complicated by several mpox outbreaks happening at once.

In the past, mpox was predominantly acquired through human contact with infected animals. That is still driving a rise in Congo in clade I cases – also known as clade Ia - likely due in part to deforestation and increased consumption of bushmeat, scientists said.

The mutated versions, clade Ib and IIb, can now essentially be considered a sexually transmitted disease, said Dr. Salim Abdool Karim, a South African epidemiologist and chair of the Africa CDC’s mpox advisory committee. Most of the mutated clade Ib cases are among adults, driven at first by an epidemic among female sex workers in South Kivu, Congo.

The virus also can spread through close contact with an infected person, which is likely how clusters of children have been infected with clade Ib, particularly in Burundi and in eastern Congo’s displacement camps, where crowded living conditions may be contributing.

Children, pregnant women and people with weakened immune systems or other illnesses may be at greater risk of serious mpox disease and death, say the WHO and mpox scientists.

Clade I has typically caused more severe disease, with fatality rates of 4%-11%, compared to around 1% for clade II. Ogoina said data from Congo suggests few have died of the new Ib version, but he feared some data is being mixed up.

More research is urgently needed, but three teams tracking mpox outbreaks in Africa say they cannot even access chemicals needed for diagnostic tests. Clade Ib can also be missed by some diagnostic tests.

Planning a response, including vaccination strategies, without this is difficult, the scientists said.

Karim said around half of cases in eastern Congo, where Ib is particularly prevalent, are only being diagnosed by doctors, with no laboratory confirmation.

Getting samples to labs is difficult because the healthcare system is already under pressure, he said. And around 750,000 people have been displaced amid fighting between the M23 rebel group and the government.

Many African laboratories cannot get the supplies they need, said Dr. Emmanuel Nakoune, an mpox expert at the Institut Pasteur in Bangui, Central African Republic, which also has clade Ia cases.

"This is not a luxury," he said, but necessary to track deadly outbreaks.