Hiba Mustapha… An Egyptian Scientist Who Contributed to a Major US Experiment

Hiba Mustapha and Karen Carroll, the doctors who developed a test to diagnose the coronavirus (Johns Hopkins website)
Hiba Mustapha and Karen Carroll, the doctors who developed a test to diagnose the coronavirus (Johns Hopkins website)
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Hiba Mustapha… An Egyptian Scientist Who Contributed to a Major US Experiment

Hiba Mustapha and Karen Carroll, the doctors who developed a test to diagnose the coronavirus (Johns Hopkins website)
Hiba Mustapha and Karen Carroll, the doctors who developed a test to diagnose the coronavirus (Johns Hopkins website)

As scientists raced to confront the coronavirus, Johns Hopkins University’s name stood out as one of the most prominent sources of information on the pandemic’s spread, and the names of the scientists analyzing COVID-19 and studying its symptoms shined, as they developed one of the fastest and accurate tests to diagnose it.

Among those scientists is an Egyptian scientist who started working at Johns Hopkins University a few months ago and contributed to developing the diagnostic test that President Donald Trump considered to have “changed the rules of the game” of fighting the epidemic. Miss Mustapha and Karen Carroll, two epidemiologists at the university, developed the rapid test for detecting the coronavirus, providing a diagnosis within minutes.

Mustafa, an assistant professor of viral pathology at the Johns Hopkins University School of Medicine, spoke to Asharq Al-Awsat in an exclusive interview.

"When we started researching the novel virus, diagnostic tests were only available through the Centers for Disease Control and Prevention (CDC). It used to take a long time, as the tests had to be sent to the main laboratory or state laboratories. So we worked on developing a laboratory for analyzing samples and genetic material of the virus. We purchased the components from a pharmaceutical company and worked on developing the test until we were able to provide the test in mid-March”.

Mustapha considers that the virus spread across the world extensively and at an unexpected speed. Its symptoms resembled those of SARS, which broke out between 2002 and 2003 before research centers and universities managed to control its spread. COVID-19, on the other hand, is characterized by a more rapid spread and has infected many, especially those who have weak immune systems or other diseases that affect their respiratory system. This led some patients to need ventilators.

Dr. Mustafa emphasized that “social distancing is necessary and effective in reducing the spread of the virus and no hospital in the world is capable of providing enough ventilators for the massive number of victims at once”. She adds, “We did not expect this disease to become a pandemic, and so medical laboratories were unable to meet the increasing need for tests.

We worked for three days straight to develop a rapid test and conducted experiments in order to ensure its clinical accuracy. The test is based on a Polymerase Chain Reaction (PCR) that amplifies a small sample of genetic material obtained from the mouth or nose, and this allows the virologist to use specific computer software to determine whether the virus’s genetic material is present in the sample or not”.

The Egyptian scientist says: “On the first day we ran 50 samples, and in the following days our capacity expanded to 180 tests a day, then a thousand, and now we can run 1500 tests a day”.

Dr. Mustapha, who worked quietly alongside her colleagues to move the fight against the pandemic a step forward, comes from an Egyptian family and lived in Alexandria, where she graduated from the University of Alexandria’s Faculty of Medicine in 2004 and then went to the United States with her husband after obtaining a Ph.D. scholarship. She applied for her doctorate five years later, and then worked on "para flu" and influenza research at St. Jude Hospital, Tennessee

Later, Hiba Mustafa applied to a two-year scholarship at the University of Rochester in New York to study chemistry and microbiology and was among 12 scientists who were selected every year across the entire United States. This allowed her to earn a degree in Clinical Microbiology, and when Johns Hopkins University announced a vacancy at its Department of Microbiology, she applied for the job and was accepted in 2019.

Dr. Mustafa ruled out that the virus may evolve into a more dangerous and widespread virus while the death rate declines, but pointed out that eradicating it will not happen before reaching an effective vaccine, which is estimated to take at least one year.

She says: “The current research looks at the effect the virus has on the immune system, and the required medication to fight it, and at what part of the immune system needs to be boosted to fight the virus. We hope that the social distancing policy will continue until the rate of new cases declines and effective treatments and a vaccine are reached”.



UN Resolution 1701 at the Heart of the Israel-Hezbollah Ceasefire

An empty United Nations Interim Force in Lebanon (UNIFIL) observation tower on the Israel-Lebanon border, near the southern Lebanese city of Al-Khiam, as seen from northern Israel, 26 November 2024, amid cross-border hostilities between Hezbollah and Israel. (EPA)
An empty United Nations Interim Force in Lebanon (UNIFIL) observation tower on the Israel-Lebanon border, near the southern Lebanese city of Al-Khiam, as seen from northern Israel, 26 November 2024, amid cross-border hostilities between Hezbollah and Israel. (EPA)
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UN Resolution 1701 at the Heart of the Israel-Hezbollah Ceasefire

An empty United Nations Interim Force in Lebanon (UNIFIL) observation tower on the Israel-Lebanon border, near the southern Lebanese city of Al-Khiam, as seen from northern Israel, 26 November 2024, amid cross-border hostilities between Hezbollah and Israel. (EPA)
An empty United Nations Interim Force in Lebanon (UNIFIL) observation tower on the Israel-Lebanon border, near the southern Lebanese city of Al-Khiam, as seen from northern Israel, 26 November 2024, amid cross-border hostilities between Hezbollah and Israel. (EPA)

In 2006, after a bruising monthlong war between Israel and Lebanon’s Hezbollah armed group, the United Nations Security Council unanimously voted for a resolution to end the conflict and pave the way for lasting security along the border.

But while relative calm stood for nearly two decades, Resolution 1701’s terms were never fully enforced.

Now, figuring out how to finally enforce it is key to a US-brokered deal that brought a ceasefire Wednesday.

In late September, after nearly a year of low-level clashes, the conflict between Israel and Hezbollah spiraled into all-out war and an Israeli ground invasion. As Israeli jets pound deep inside Lebanon and Hezbollah fires rockets deeper into northern Israel, UN and diplomatic officials again turned to the 2006 resolution in a bid to end the conflict.

Years of deeply divided politics and regionwide geopolitical hostilities have halted substantial progress on its implementation, yet the international community believes Resolution 1701 is still the brightest prospect for long-term stability between Israel and Lebanon.

Almost two decades after the last war between Israel and Hezbollah, the United States led shuttle diplomacy efforts between Lebanon and Israel to agree on a ceasefire proposal that renewed commitment to the resolution, this time with an implementation plan to try to reinvigorate the document.

What is UNSC Resolution 1701? In 2000, Israel withdrew its forces from most of southern Lebanon along a UN-demarcated “Blue Line” that separated the two countries and the Israeli-occupied Golan Heights in Syria. UN Interim Force in Lebanon (UNIFIL) peacekeepers increased their presence along the line of withdrawal.

Resolution 1701 was supposed to complete Israel’s withdrawal from southern Lebanon and ensure Hezbollah would move north of the Litani River, keeping the area exclusively under the Lebanese military and UN peacekeepers.

Up to 15,000 UN peacekeepers would help to maintain calm, return displaced Lebanese and secure the area alongside the Lebanese military.

The goal was long-term security, with land borders eventually demarcated to resolve territorial disputes.

The resolution also reaffirmed previous ones that call for the disarmament of all armed groups in Lebanon — Hezbollah among them.

“It was made for a certain situation and context,” Elias Hanna, a retired Lebanese army general, told The Associated Press. “But as time goes on, the essence of the resolution begins to hollow.”

Has Resolution 1701 been implemented? For years, Lebanon and Israel blamed each other for countless violations along the tense frontier. Israel said Hezbollah’s elite Radwan Force and growing arsenal remained, and accused the group of using a local environmental organization to spy on troops.

Lebanon complained about Israeli military jets and naval ships entering Lebanese territory even when there was no active conflict.

“You had a role of the UNIFIL that slowly eroded like any other peacekeeping with time that has no clear mandate,” said Joseph Bahout, the director of the Issam Fares Institute for Public Policy at the American University of Beirut. “They don’t have permission to inspect the area without coordinating with the Lebanese army.”

UNIFIL for years has urged Israel to withdraw from some territory north of the frontier, but to no avail. In the ongoing war, the peacekeeping mission has accused Israel, as well as Hezbollah, of obstructing and harming its forces and infrastructure.

Hezbollah’s power, meanwhile, has grown, both in its arsenal and as a political influence in the Lebanese state.

The Iran-backed group was essential in keeping Syrian President Bashar Assad in power when armed opposition groups tried to topple him, and it supports Iran-backed groups in Iraq and Yemen. It has an estimated 150,000 rockets and missiles, including precision-guided missiles pointed at Israel, and has introduced drones into its arsenal.

Hanna says Hezbollah “is something never seen before as a non-state actor” with political and military influence.

How do mediators hope to implement 1701 almost two decades later? Israel's security Cabinet approved the ceasefire agreement late Tuesday, according to Prime Minister Benjamin Netanyahu's office. The ceasefire began at 4 am local time Wednesday.

Efforts led by the US and France for the ceasefire between Israel and Hezbollah underscored that they still view the resolution as key. For almost a year, Washington has promoted various versions of a deal that would gradually lead to its full implementation.

International mediators hope that by boosting financial support for the Lebanese army — which was not a party in the Israel-Hezbollah war — Lebanon can deploy some 6,000 additional troops south of the Litani River to help enforce the resolution. Under the deal, an international monitoring committee headed by the United States would oversee implementation to ensure that Hezbollah and Israel’s withdrawals take place.

It is not entirely clear how the committee would work or how potential violations would be reported and dealt with.

The circumstances now are far more complicated than in 2006. Some are still skeptical of the resolution's viability given that the political realities and balance of power both regionally and within Lebanon have dramatically changed since then.

“You’re tying 1701 with a hundred things,” Bahout said. “A resolution is the reflection of a balance of power and political context.”

Now with the ceasefire in place, the hope is that Israel and Lebanon can begin negotiations to demarcate their land border and settle disputes over several points along the Blue Line for long-term security after decades of conflict and tension.