Lebanon’s Rafik Hariri University Hospital Suffers from Neglect in the Midst of Crises

FILE PHOTO: People wearing face masks walk outside Rafik Hariri hospital in Beirut, Lebanon February 21, 2020. REUTERS/Mohamed Azakir
FILE PHOTO: People wearing face masks walk outside Rafik Hariri hospital in Beirut, Lebanon February 21, 2020. REUTERS/Mohamed Azakir
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Lebanon’s Rafik Hariri University Hospital Suffers from Neglect in the Midst of Crises

FILE PHOTO: People wearing face masks walk outside Rafik Hariri hospital in Beirut, Lebanon February 21, 2020. REUTERS/Mohamed Azakir
FILE PHOTO: People wearing face masks walk outside Rafik Hariri hospital in Beirut, Lebanon February 21, 2020. REUTERS/Mohamed Azakir

All eyes turn to Rafik Hariri University Hospital whenever there is a public health crisis caused by an epidemic. It is also where many of those injured in wars or security incidents are taken for treatment. However, it has been neglected by the Lebanese state, especially the ministry of health, which has taken it out of the list of Lebanon’s most modern hospitals.

With the spread of the coronavirus, however, it has come under the limelight since it is the only health center that is able to treat patients who have caught the virus.

The Rafik Hariri University Hospital building is located on a spacious property in Beirut's Bir Hassan area, and consists of three stories with 400 beds, making it one of the largest hospitals in Lebanon.

The health ministry has equipped a hospital ward, which includes 137 beds, so that it can receive those infected or suspected of being infected with the virus, and it is ready to turn all its departments into a health center for infected people in the event of an increase in the number of patients.

Despite the responsibilities assigned to the hospital, it suffers from two major issues. The first revolves around the need to improve its equipment. The other is the mistreatment of its employees - whether in administrative or medical positions - who suffer from delays in the payment of their salaries compared to other public sector staff.

Hospital personnel protested near its headquarters on Wednesday to remind officials of their demands, and they made their voices heard to Minister of Health Hamad al-Hassan in conjunction with the press conference that was held to update the public on the status of coronavirus patients in Lebanon.

Hospital employees demanded their right to benefit from the pay raises to public sector employees that they are entitled to.

There are many reasons behind the state’s neglect of this hospital, a source from inside the Rafik Hariri University Hospital told Asharq Al-Awsat, the first being that private hospitals in its vicinity are owned by political figures that have no interest in developing the institution. The second is that health ministers have been dealing with the hospital in accordance with their political background and interests. They link any initiative to developing the facility or its medical and nursing staff to political services.

A ministry source denied these claims. “Attending to the needs of Rafik Hariri University Hospital is a top priority for the ministry,” he told Asharq Al-Awsat.

The official also denied that political considerations interfered with its management. “Most of spending on hospitalization goes to this hospital, taking into consideration the share received by private and public universities for treating patients at the ministry's expense”.

He considers that “the employees' objections are shared by public sector staff in general; it is not a problem unique to the ministry of health.”



Fear Stalks Tehran as Israel Bombards, Shelters Fill Up and Communicating Grows Harder

Shops remain shuttered Tehran's historic Grand Bazaar, Monday, June 16, 2025. (AP)
Shops remain shuttered Tehran's historic Grand Bazaar, Monday, June 16, 2025. (AP)
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Fear Stalks Tehran as Israel Bombards, Shelters Fill Up and Communicating Grows Harder

Shops remain shuttered Tehran's historic Grand Bazaar, Monday, June 16, 2025. (AP)
Shops remain shuttered Tehran's historic Grand Bazaar, Monday, June 16, 2025. (AP)

The streets of Tehran are empty, businesses closed, communications patchy at best. With no bona fide bomb shelters open to the public, panicked masses spend restless nights on the floors of metro stations as strikes boom overhead.

This is Iran’s capital city, just under a week into a fierce Israeli blitz to destroy the country's nuclear program and its military capabilities. After knocking out much of Iran's air defense system, Israel says its warplanes have free rein over the city's skies. US President Donald Trump on Monday told Tehran's roughly 10 million residents to evacuate “immediately.”

Thousands have fled, spending hours in gridlock as they head toward the suburbs, the Caspian Sea, or even Armenia or Türkiye. But others — those elderly and infirm — are stuck in high-rise apartment buildings. Their relatives fret: what to do?

Israeli strikes on Iran have killed at least 585 people and wounded over 1,300, a human rights group says. State media, also a target of bombardment, have stopped reporting on the attacks, leaving Iranians in the dark. There are few visible signs of state authority: Police appear largely undercover, air raid sirens are unreliable, and there’s scant information on what to do in case of attack.

Shirin, 49, who lives in the southern part of Tehran, said every call or text to friends and family in recent days has felt like it could be the last.

“We don’t know if tomorrow we will be alive,” she said.

Many Iranians feel conflicted. Some support Israel's targeting of Iranian political and military officials they see as repressive. Others staunchly defend the country and retaliatory strikes on Israel. Then, there are those who oppose Iran’s rulers, but still don't want to see their country bombed.

To stay, or to go? The Associated Press interviewed five people in Iran and one Iranian American in the US over the phone. All spoke either on the condition of anonymity or only allowed their first names to be used, for fear of retribution from the state against them or their families.

Most of the calls ended abruptly and within minutes, cutting off conversations as people grew nervous or because the connection dropped. Iran’s government has acknowledged disrupting internet access. It says it's to protect the country, though that has blocked average Iranians from getting information from the outside world.

Iranians in the diaspora wait anxiously for news from relatives. One, an Iranian American human rights researcher in the US, said he last heard from relatives when some were trying to flee Tehran earlier in the week. He believes that lack of gas and traffic prevented them from leaving.

The most heartbreaking interaction, he said, was when his older cousins with whom he grew up in Iran told him “We don’t know where to go. If we die, we die.”

“Their sense was just despair,” he said.

Some families have made the decision to split up.

A 23-year-old Afghan refugee who has lived in Iran for four years said he stayed behind in Tehran but sent his wife and newborn son out of the city after a strike Monday hit a nearby pharmacy.

“It was a very bad shock for them,” he said.

Some, like Shirin, said fleeing was not an option. The apartment buildings in Tehran are towering and dense. Her father has Alzheimer’s and needs an ambulance to move. Her mother's severe arthritis would make even a short trip extremely painful.

Still, hoping escape might be possible, she spent the last several days trying to gather their medications. Her brother waited at a gas station until 3 a.m., only to be turned away when the fuel ran out. As of Monday, gas was being rationed to under 20 liters (5 gallons) per driver at stations across Iran after an Israeli strike set fire to the world's largest gas field.

Some people, like Arshia, said they are just tired.

“I don’t want to go in traffic for 40 hours, 30 hours, 20 hours, just to get to somewhere that might get bombed eventually,” he said.

The 22-year-old has been staying in the house with his parents since the initial Israeli strike. He said his once-lively neighborhood of Saadat Abad in northwestern Tehran is now a ghost town. Schools are closed. Very few people even step outside to walk their dogs. Most local stores have run out of drinking water and cooking oil. Others closed.

Still, Arshia said the prospect of finding a new place is too daunting.

“We don’t have the resources to leave at the moment,” he said.

Residents are on their own

No air raid sirens went off as Israeli strikes began pounding Tehran before dawn Friday. For many, it was an early sign civilians would have to go it alone.

During the Iran-Iraq war in the 1980s, Tehran was a low-slung city, many homes had basements to shelter in, and there were air raid drills and sirens. Now the capital is packed with close-built high-rise apartments without shelters.

“It's a kind of failing of the past that they didn’t build shelters,” said a 29-year-old Tehran resident who left the city Monday. “Even though we’ve been under the shadow of a war, as long as I can remember.”

Her friend's boyfriend was killed while going to the store.

“You don’t really expect your boyfriend or your anyone, really to leave the house and never return when they just went out for a routine normal shopping trip,” she said.

Those who choose to relocate do so without help from the government. The state has said it is opening mosques, schools and metro stations for use as shelters. Some are closed, others overcrowded.

Hundreds crammed into one Tehran metro station Friday night. Small family groups lay on the floor. One student, a refugee from another country, said she spent 12 hours in the station with her relatives.

“Everyone there was panicking because of the situation,” she said. “Everyone doesn’t know what will happen next, if there is war in the future and what they should do. People think nowhere is safe for them.”

Soon after leaving the station, she saw that Israel had warned a swath of Tehran to evacuate.

“For immigrant communities, this is so hard to live in this kind of situation,” she said, explaining she feels like she has nowhere to escape to, especially not her home country, which she asked not be identified.

Fear of Iran mingles with fear of Israel

For Shirin, the hostilities are bittersweet. Despite being against the theocracy and its treatment of women, the idea that Israel may determine the future does not sit well with her.

“As much as we want the end of this regime, we didn’t want it to come at the hands of a foreign government,” she said. “We would have preferred that if there were to be a change, it would be the result of a people’s movement in Iran.”

Meanwhile, the 29-year-old who left Tehran had an even more basic message for those outside Iran:

“I just want people to remember that whatever is happening here, it’s not routine business for us. People’s lives here — people’s livelihoods — feel as important to them as they feel to anyone in any other place. How would you feel if your city or your country was under bombardment by another country, and people were dying left and right?”

“We are kind of like, this can’t be happening. This can’t be my life.”