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



Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
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Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed

The baby in Gaza who was recently paralyzed by polio was infected with a mutated strain of the virus that vaccinated people shed in their waste, according to scientists who say the case is the result of “an unqualified failure” of public health policy.
The infection, which marked the first detection of polio in the war-torn Palestinian territory in more than 25 years, paralyzed the lower part of one leg in the unvaccinated 10-month-old child. The baby boy was one of hundreds of thousands of children who missed vaccinations because of the fighting between Israel and Hamas.
Scientists who have been monitoring polio outbreaks said the baby's illness showed the failures of a global effort by the World Health Organization and its partners to fix serious problems in their otherwise largely successful eradication campaign, which has nearly wiped out the highly infectious disease. Separately, a draft report by experts deemed the WHO effort a failure and “a severe setback.”
The polio strain in question evolved from a weakened virus that was originally part of an oral vaccine credited with preventing millions of children worldwide from being paralyzed. But that virus was removed from the vaccine in 2016 in hopes of preventing vaccine-derived outbreaks.
Public health authorities knew that decision would leave people unprotected against that particular strain, but they thought they had a plan to ward off and quickly contain any outbreaks. Instead, the move resulted in a surge of thousands of cases, The Associated Press reported.
“It was a really horrible strategy,” said Columbia University virologist Vincent Racaniello, who was not involved with the report or the WHO. “The decision to switch vaccines was based on an incorrect assumption, and the result is now we have more polio and more paralyzed children.”
A draft copy of the report commissioned by the WHO and independent experts said the plan underestimated the amount of the strain in the environment and overestimated how well officials would be able to squash outbreaks.
The plan led to vaccine-linked polio outbreaks in 43 countries that paralyzed more than 3,300 children, the report concluded.
Even before the Gaza case was detected, officials reviewing the initiative to tinker with the vaccine concluded that “the worst-case scenario has materialized,” the report said.
The report has not yet been published, and some changes will likely be made before the final version is released next month, the WHO said.
The strain that infected the baby in Gaza had lingered in the environment and mutated into a version capable of starting outbreaks. It was traced to polio viruses spreading last year in Egypt, according to genetic sequencing, the WHO said.
In 2022, vaccine-linked polio viruses were found to be spreading in Britain, Israel and the US, where an unvaccinated man was paralyzed in upstate New York.
Scientists now worry that the emergence of polio in a war zone with an under-immunized population could fuel further spread.
Racaniello said the failure to track polio carefully and to sufficiently protect children against the strain removed from the vaccine has had devastating consequences.
“Only about 1% of polio cases are symptomatic, so 99% of infections are silently spreading the disease,” he said.
The oral polio vaccine, which contains a weakened live virus, was withdrawn in the US in 2000. Doctors continued to vaccinate children and eventually moved to an injected vaccine, which uses a dead virus and does not come with the risk that polio will be present in human waste. Such waste-borne virus could mutate into a form that triggers outbreaks in unvaccinated people.
The report's authors faulted leaders at the WHO and its partners, saying they were unable or unwilling “to recognize the seriousness of the evolving problem and take corrective action.”
WHO spokesman Oliver Rosenbauer acknowledged that the vaccine strategy “exacerbated” the risk of epidemics linked to the vaccine.
He said in an email that immunization “was not implemented in such a way to rapidly stop outbreaks or to prevent new strains from emerging.” Rosenbauer said not hitting vaccination targets was the biggest risk for allowing vaccine-linked viruses to emerge.
“You need to reach the children with the vaccines ... regardless of which vaccines are used,” he said.
The WHO estimates that 95% of the population needs to be immunized against polio to stop outbreaks. The UN health agency said only about 90% of Gaza’s population was vaccinated earlier this year.
To try to stop polio in Gaza and the wider region, the WHO and its partners plan two rounds of vaccination campaigns later this week and next month, aiming to cover 640,000 children. Authorities will use a newer version of the oral polio vaccine that targets the problematic strain. The weakened live virus in the new vaccine is less likely to cause vaccine-derived outbreaks, but they are still possible.
Racaniello said it was “unethical” that the WHO and its partners were using a vaccine that is unlicensed in rich countries precisely because it can increase the risk of polio in unvaccinated children.
The oral polio vaccine, which has reduced infections globally by more than 99%, is easy to make and distribute. Children require just two drops per dose that can be administered by volunteers. The oral vaccine is better at stopping transmission than the injected version, and it is cheaper and easier to administer.
But as the number of polio cases caused by the wild virus have plummeted in recent years, health officials have been struggling to contain the increasing spread of vaccine-linked cases, which now comprise the majority of polio infections in more than a dozen countries, in addition to Afghanistan and Pakistan, where transmission of the wild virus has never been stopped.
“This is the result of the Faustian bargain we made when we decided to use" the oral polio vaccine, said Dr. Paul Offit, director of the Vaccine Education Center at the University of Philadelphia. “If we really want to eradicate polio, then we need to stop using the vaccine with live (weakened) virus.”