In Northeast Syria, US and Russia in Fragile Coexistence

A US military convoy (L) and a Russian patrol are seen in this January picture crossing paths on the key M4 highway in Syria's northeastern Hasakeh province | AFP
A US military convoy (L) and a Russian patrol are seen in this January picture crossing paths on the key M4 highway in Syria's northeastern Hasakeh province | AFP
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In Northeast Syria, US and Russia in Fragile Coexistence

A US military convoy (L) and a Russian patrol are seen in this January picture crossing paths on the key M4 highway in Syria's northeastern Hasakeh province | AFP
A US military convoy (L) and a Russian patrol are seen in this January picture crossing paths on the key M4 highway in Syria's northeastern Hasakeh province | AFP

On a Syrian highway, Hussein Abdel Hamid recently found himself trapped inside his car. A US army patrol had encountered Russian tanks down the road, neither allowing the other passage.

The incident two weeks ago is not a rare sight in war-torn northeastern Syria, where Russian and US forces demonstrate a fragile coexistence despite backing opposite sides in the nine-year conflict.

"We always see US and Russian forces going head-to-head," AFP quoted Abdel Hamid, a 55-year-old Syrian Kurd, as saying.

"Just like taxis," they keep trying to cut each other off on the road, he added.

A staunch opponent of the Syrian regime, Washington first deployed troops in northeast Syria in 2014 as part of a coalition to combat the ISIS group.

Russia, for its part, has militarily backed the government of President Bashar al-Assad since 2015, but did not deploy its forces in the northeast until late last year, following a Turkish invasion against Kurdish fighters.

Turkey's offensive in October was spurred in part by US President Donald Trump who said he was pulling his forces out of border areas in the northeast.

Feeling abandoned by their erstwhile allies in the anti-ISIS battle, the Kurds turned to Damascus and Moscow to prevent a deeper incursion into their region.

Since then, Russian soldiers and American troops have rubbed shoulders in Kurdish-held territories, where their patrols cross paths regularly, flags fluttering simultaneously on opposite sides of the road.

AFP correspondents have often seen soldiers using binoculars to watch each other's movements.

- 'Exceptional situation' -

"I think the joint presence of Russia and the United States in northeastern Syria is an exceptional situation," said Syria researcher Samuel Ramani.

In a video shared on social media in February, a US military vehicle is seen nudging a Russian armored vehicle that was trying to overtake it off the road.

But the presence of Russian troops has also helped US forces avoid a face-off with Syrian regime forces.

In early March, two American armored vehicles found themselves only 50 meters (yards) from a Syrian army position and had to wait for the return of a Russian patrol in order to leave, local sources said.

In February, Moscow said Russia came to the rescue of American troops who came under attack by Assad loyalists who opened fire and tried to block its passage.

Despite all these tensions, Ramani said he thought "the risk of a major confrontation is very limited".

"Russia and the US might not have much experience with close geographical proximity, but they have a history of fighting in tandem on opposite sides in the Syrian civil war," he said.

Charles Thepaut, of the Washington Institute for Near East Policy, agreed that "neither the Russians nor the Americans are interested in direct confrontation".

But these incidents did however "show how fragile the situation is on the ground".

"The concentration of forces hostile to each other... in a small area where everybody has to use the same roads makes things dangerous," he added.

- Competing interests -

Syria is the only country in decades to have seen both American and Russian forces on the ground at the same time.

In February 2018, US-led coalition strikes killed dozens of regime and allied fighters near oil and gas installations in eastern Syria.

Moscow said five Russians were likely among the victims, blaming the incident on a "lack of co-ordination" by the pro-Assad group with Russian command.

But today, deconfliction channels in place since 2015 to prevent any clash between the Russians and the Americans seem to be bearing their fruit.

Any escalation will likely be contained, "unless one of the parties really wants to show strength," Thepaut said.

But long term, both sides have very different goals.

Although Trump in October said he would withdraw US troops from Syria, he later added that at least 500 personnel would remain, including to protect oil installations in the east.

"The goal of Russia is to get all US troops to leave Syria to reinstall the regime in all of Syria, which is impossible with US troops on the ground," Thepaut said.

"Their goal is also to pressure the (Kurdish-led) Syrian Democratic Forces to negotiate with the regime."

Caught between both sides, the SDF find themselves having to deal with both the Russians and the Americans if they want to salvage some of their semi-autonomy in Syria's northeast.

Residents say they hold little hope in either side.

"We no longer trust the Americans or the Russians," said 61-year-old Yaqub Kassar.

"All countries are only looking out for their own interests."



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.”