Western Countries Continue to Resist Return of ISIS Children

The refugee camp Al Hol, in northeastern Syria, holds many foreign children and their parents who fled ISIS' last areas of control in the country. Credit: Ivor Prickett for The New York Times
The refugee camp Al Hol, in northeastern Syria, holds many foreign children and their parents who fled ISIS' last areas of control in the country. Credit: Ivor Prickett for The New York Times
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Western Countries Continue to Resist Return of ISIS Children

The refugee camp Al Hol, in northeastern Syria, holds many foreign children and their parents who fled ISIS' last areas of control in the country. Credit: Ivor Prickett for The New York Times
The refugee camp Al Hol, in northeastern Syria, holds many foreign children and their parents who fled ISIS' last areas of control in the country. Credit: Ivor Prickett for The New York Times

Years after their parents left Belgium and France to join ISIS, 18 children were taken from squalid refugee camps in Syria and flown recently to new lives in Belgium and France, drawing widespread attention in those countries as examples of Europe grudgingly accepting the children of its extremists.

But they were the exceptions, not the rule; estimates vary, but 1,300 or more children of European fighters and followers of the self-professed “caliphate” remain trapped in Syria and Iraq. While some European governments have softened their stands on repatriation, marginally, it is still unclear when — or even whether — the children might be able to leave.

The recent airlifts, which took place only after months of negotiation and vetting of the children, illustrate how resistant Western countries still are. On those flights in June, France and Belgium received only children whose extremist parents were dead; most are orphans, and some were taken to ISIS lands by their fathers, who were killed there, while their mothers remained in Europe.

Days earlier, a Belgian team had set up a makeshift clinic in the overcrowded Al Hol camp in northeastern Syria, which holds thousands of current and former ISIS adherents and their family members, providing medical care and psychiatric assessments for the children of Belgian nationals.

“They wanted to come to Belgium,” said Heidi De Pauw, a member of the team. “They kept saying to us, ‘We want to come home.’”

But De Pauw, the chief executive of Child Focus, a center for missing and sexually exploited children, had little hope to offer them, in part because most of them had at least one living parent with them in the camp.

With few exceptions, European countries have refused to take back the adults. The Kurdish authorities who run the major camps have made it plain that they do not want to separate families, and do not want to be left holding stateless parents.

The issue is politically charged across Europe. ISIS survivors, even children, are seen as a threat, no matter how reformed they appear. Theo Francken, a former secretary of state for asylum and migration in Belgium who is a lawmaker for a conservative Flemish party, denounced the recent repatriation, warning that it might signal the return of all ISIS children.

“I say no, no, no,” he tweeted. “Their parents are no longer fellow citizens.”

When ISIS controlled parts of Iraq and Syria, an estimated 41,000 people from other parts of the world left their homes to join the group — about one-third of them from Europe, including the Caucasus. Some took children with them and others had children there. Thousands were killed and thousands more managed to slip away, many of them making their way home and risking prosecution as terrorists.

But as ISIS lost the last of its territory early this year, tens of thousands of survivors crowded into refugee camps that were built for far fewer people. At least 29 children died just in traveling to Al Hol or soon after arriving at the camp, the World Health Organization reported in January.

Violence, disease and despair are common there, and food, medicine — and sometimes even clean water — are scarce. Gerrit Loots, a psychologist who led the Belgian team at Al Hol, said that women still faithful to ISIS threw stones at those who had renounced it.

About 3,000 women and 7,000 children from countries other than Iraq and Syria are held at Al Hol, according to the Kurds and the group Human Rights Watch. Many of them want to return to their home countries. The largest contingents are thought to be Russian and French, while Germany, the Netherlands and Belgium are also among the major nations of origin.

Some women who joined ISIS soured on it, but others believed fervently and even took part in atrocities. Children were indoctrinated and sometimes pressed into service. It can be difficult to determine who is guilty of crimes, who still adheres to radical ideology, and who might change with counseling.

A very few countries, including Kazakhstan and Kosovo, have repatriated many of their people from ISIS territory, including adults. Turkey, Russia and a few others have taken in significant numbers of children recently, mostly orphans, though more remain.

But most countries have taken a harder line. Britain has gone so far as to revoke the citizenship of people who want to return. Many European countries, after first refusing, have said they would take in children, but it has been slow going.

The New York Times



3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)
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3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)

The UN health agency and partners are launching a campaign starting Sunday to vaccinate 640,000 Palestinian children in Gaza against polio, an ambitious effort amid a devastating war that has destroyed the territory's healthcare system.

The campaign comes after the first polio case was reported in Gaza in 25 years — a 10-month-old boy, now paralyzed in the leg. The World Health Organization says the presence of a paralysis case indicates there could be hundreds more who have been infected but aren’t showing symptoms.

Most people who have polio do not experience symptoms, and those who do usually recover in a week or so. But there is no cure, and when polio causes paralysis it is usually permanent. If the paralysis affects breathing muscles, the disease can be fatal.

The vaccination effort will not be easy: Gaza’s roads are largely destroyed, its hospitals badly damaged and its population spread into isolated pockets.

WHO said Thursday that it has reached an agreement with Israel for limited pauses in the fighting to allow for the vaccination campaign to take place. Even so, such a large-scale campaign will pose major difficulties in a territory blanketed in rubble, where 90% of Palestinians are displaced.

How long will it take? The three-day vaccination campaign in central Gaza will begin Sunday, during a “humanitarian pause” lasting from 6 a.m. until 3 p.m., and another day can be added if needed, said Dr. Rik Peeperkorn, WHO’s representative in the Palestinian territories.

In coordination with Israeli authorities, the effort will then move to southern Gaza and northern Gaza during similar pauses, he said during a news conference by video from Deir al-Balah in central Gaza, according to The AP.

Who will receive the vaccine? The vaccination campaign targets 640,000 children under 10, according to WHO. Each child will receive two drops of oral polio vaccine in two rounds, the second to be administered four weeks after the first.

Where are the vaccination sites? The vaccination sites span Gaza, both inside and outside Israeli evacuation zones, from Rafah in the south to the northern reaches of the territory.

The Ramallah-based Health Ministry said Friday that there would be over 400 “fixed” vaccination sites — the most in Khan Younis, where the population density is the highest and there are 239,300 children under 10. Fixed sites include healthcare centers, hospitals, clinics and field hospitals.

Elsewhere in the territory, there will also be around 230 “outreach” sites — community gathering points that are not traditional medical centers — where vaccines will be distributed.

Where are the vaccines now? Around 1.3 million doses of the vaccine traveled through the Kerem Shalom checkpoint and are currently being held in “cold-chain storage” in a warehouse in Deir al-Balah. That means the warehouse is able to maintain the correct temperature so the vaccines do not lose their potency.

Another shipment of 400,000 doses is set to be delivered to Gaza soon.

The vaccines will be trucked to distribution sites by a team of over 2,000 medical volunteers, said Ammar Ammar, a spokesperson for UNICEF.

What challenges lie ahead? Mounting any sort of campaign that requires traversing the Gaza strip and interacting with its medical system is bound to pose difficulties.

The UN estimates that approximately 65% of the total road network in Gaza has been damaged. Nineteen of the strip's 36 hospitals are out of service.

The north of the territory is cut off from the south, and travel between the two areas has been challenging throughout the war because of Israeli military operations. Aid groups have had to suspend trips due to security concerns, after convoys were targeted by the Israeli military.

Peeperkorn said Friday that WHO cannot do house-to-house vaccinations in Gaza, as they have in other polio campaigns. When asked about the viability of the effort, Peeperkorn said WHO thinks “it is feasible if all the pieces of the puzzle are in place. ”

How many doses do children need and what happens if they miss a dose? The World Health Organization says children typically need about three to four doses of oral polio vaccine — two drops per dose — to be protected against polio. If they don’t receive all of the doses, they are vulnerable to infection.

Doctors have previously found that children who are malnourished or who have other illnesses might need more than 10 doses of the oral polio vaccine to be fully protected.

Are there side effects? Yes, but they are very rare.

Billions of doses of the oral vaccine have been given to children worldwide and it is safe and effective. But in about 1 in 2.7 million doses, the live virus in the vaccine can paralyze the child who receives the drops.

How did this outbreak in Gaza start? The polio virus that triggered this latest outbreak is a mutated virus from an oral polio vaccine. The oral polio vaccine contains weakened live virus and in very rare cases, that virus is shed by those who are vaccinated and can evolve into a new form capable of starting new epidemics.