9 Years of War in Syria: $530 Billion in Losses, 40% of Infrastructure Destroyed

Children ride in carts past a damaged building on the first day of the Eid al-Fitr holiday in the opposition-held Idlib city in northwest Syria, May 24, 2020. (Reuters)
Children ride in carts past a damaged building on the first day of the Eid al-Fitr holiday in the opposition-held Idlib city in northwest Syria, May 24, 2020. (Reuters)
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9 Years of War in Syria: $530 Billion in Losses, 40% of Infrastructure Destroyed

Children ride in carts past a damaged building on the first day of the Eid al-Fitr holiday in the opposition-held Idlib city in northwest Syria, May 24, 2020. (Reuters)
Children ride in carts past a damaged building on the first day of the Eid al-Fitr holiday in the opposition-held Idlib city in northwest Syria, May 24, 2020. (Reuters)

Nine years of war have cost Syria more than 530 billion dollars, vastly exceeding estimates by United Nations and Syrian experts two years ago. Forty percent of the country’s infrastructure has been destroyed, incurring losses of 65 billion dollars, while poverty reached 86 percent of Syria’s 22 million people.

The fatalities from the conflict have reached 690,000, including 570,000 who were directly killed in the fighting. Thirteen million people have been forced to leave their homes for safety and 2.4 million children are out of school.

These were some of the alarming findings of a report prepared by the Syrian Center for Policy Research (SCPR). Co-founder of the center, Rabie Nasser told Asharq Al-Awsat Tuesday that confronted with these numbers, “we cannot talk about Syria’s reconstructions without first tackling the cause of the conflict, primarily the injustice tied to political, economic and social injustice.”

“Overcoming the conflict is more important than construction,” he added. “This can be achieved through a long-term and gradual process that eliminates injustice and allows society to remove traces of the conflict and build a new future.”

Two years ago, Russian officials said the war cost 400 billion dollars. No doubt today’s new figures pose a major challenge for plans to rebuild Syria, especially given the internal situation in the country and the global economic crises caused by the novel coronavirus pandemic.

One researcher said: “These figures make reconstruction more of a pipedream.”

Economic injustice

The conflict led to the emergence of different economies within the “fragmented state”. A common strategy used by the various warring parties was the misuse of economic resources to fuel the conflict rather than productive economic activities, said the report.

The resources were used to “sustain the violence”, it noted.

Up until the end of 2019, the conflict cost Syria 530.1 billion dollars or 9.7 times the country’s GDP in 2010. The figure covers the loss in local production, estimated at 420.9 billion dollars and a rise in military spending by around 37.8 billion dollars. Government subsidies dropped from 20.2 percent in 2011 to 4.6 percent in 2019.

The Syrian pound also took a hit. It traded at 46 pounds to the dollar in 2011 and lost 43 percent of its value between July 2018 and September 2019. It continued to drop even further between October 2019 and January 2020. The pound now trades at 1,700 to the dollar. The labor force was also largely depleted by the war, dropping from 5.184 million to 3.058 million worker. Unemployment rose from 14.9 to 42.3 percent. The labor market lost 3.7 million jobs.

Social injustice

Syria’s population rose 0.9 percent in 2018 and 1.1 percent in 2019 to reach 19.584 million people. The conflict has led to the displacement of 5.6 million people to Lebanon, Turkey, Jordan and other countries. As of August 2019, the internally displaced are estimates at 6.14 million, the highest such figure in the world.

Millions of Syrians continue to lose years of academic education. According to 2019 estimates, 2.4 million children between the ages of 5 and 17 are out of school. Nasser described the situation as a “disaster” because millions of children will now suffer from a lack of skills and knowledge, as well as the traumas of war.

The involvement of various parties in the conflict has led to the emergence of six different curricula adopted at schools throughout the country.

The report found that 4.4 deaths were reported for each 1,000 people in 2010. That rose to 9.9 per 1,000 and 7 to each 1,000 in 2019. Some 570,000 people were killed by the direct fighting and 120,000 by the lack of medical equipment and necessary living conditions.

Poverty reached its peak at 89.4 percent at the end of 2016 and it has since dropped to 86 percent in 2019. The stifling economic crisis in Lebanon has only exacerbated the economic situation in Syria. The country is in store for even more hardships as the United States moves to implement the Caesar Act in mid-June.

European countries and the US have been demanding the implementation of a political solution in line with United Nations Security Council resolution 2254 to end the crisis. On the other end, Moscow and Damascus have been demanding that sanctions be lifted off the regime. A donor conference on Syria is scheduled to be held in Brussels at the end of June, which may offer the people a glimmer of hope.



New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
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New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)

Scientists studying the new mpox strain that has spread out of Democratic Republic of Congo say the virus is changing faster than expected, and often in areas where experts lack the funding and equipment to properly track it.

That means there are numerous unknowns about the virus itself, its severity and how it is transmitting, complicating the response, half a dozen scientists in Africa, Europe and the United States told Reuters.

Mpox, formerly known as monkeypox, has been a public health problem in parts of Africa since 1970, but received little global attention until it surged internationally in 2022, prompting the World Health Organization to declare a global health emergency. That declaration ended 10 months later.

A new strain of the virus, known as clade Ib, has the world's attention again after the WHO declared a new health emergency.

The strain is a mutated version of clade I, a form of mpox spread by contact with infected animals that has been endemic in Congo for decades. Mpox typically causes flu-like symptoms and pus-filled lesions and can kill.

Congo has had more than 18,000 suspected clade I and clade Ib mpox cases and 615 deaths this year, according to the WHO. There have also been 222 confirmed clade Ib cases in four African countries in the last month, plus a case each in Sweden and Thailand in people with a travel history in Africa.

"I worry that in Africa, we are working blindly," said Dr. Dimie Ogoina, an infectious diseases expert at Niger Delta University Hospital in Nigeria who chairs the WHO's mpox emergency committee. He first raised the alarm about potential sexual transmission of mpox in 2017, now an accepted route of spread for the virus.

"We don’t understand our outbreak very well, and if we don't understand our outbreak very well, we will have difficulty addressing the problem in terms of transmission dynamics, the severity of the disease, risk factors of the disease," Ogoina said. "And I worry about the fact that the virus seems to be mutating and producing new strains."

He said it took clade IIb in Nigeria five years or more to evolve enough for sustained spread among humans, sparking the 2022 global outbreak. Clade Ib has done the same thing in less than a year.

MUTATING 'MORE RAPIDLY'

Mpox is an orthopoxvirus, from the family that causes smallpox. Population-wide protection from a global smallpox vaccine campaign 50 years ago has waned, as the vaccinating stopped when the disease was eradicated.

Genetic sequencing of clade Ib infections, which the WHO estimates emerged mid-September 2023, show they carry a mutation known as APOBEC3, a signature of adaptation in humans.

The virus that causes mpox has typically been fairly stable and slow to mutate, but APOBEC-driven mutations can accelerate viral evolution, said Dr. Miguel Paredes, who is studying the evolution of mpox and other viruses at Fred Hutchison Cancer Center in Seattle.

"All the human-to-human cases of mpox have this APOBEC signature of mutations, which means that it's mutating a little bit more rapidly than we would expect," he said.

Paredes and other scientists said a response was complicated by several mpox outbreaks happening at once.

In the past, mpox was predominantly acquired through human contact with infected animals. That is still driving a rise in Congo in clade I cases – also known as clade Ia - likely due in part to deforestation and increased consumption of bushmeat, scientists said.

The mutated versions, clade Ib and IIb, can now essentially be considered a sexually transmitted disease, said Dr. Salim Abdool Karim, a South African epidemiologist and chair of the Africa CDC’s mpox advisory committee. Most of the mutated clade Ib cases are among adults, driven at first by an epidemic among female sex workers in South Kivu, Congo.

The virus also can spread through close contact with an infected person, which is likely how clusters of children have been infected with clade Ib, particularly in Burundi and in eastern Congo’s displacement camps, where crowded living conditions may be contributing.

Children, pregnant women and people with weakened immune systems or other illnesses may be at greater risk of serious mpox disease and death, say the WHO and mpox scientists.

Clade I has typically caused more severe disease, with fatality rates of 4%-11%, compared to around 1% for clade II. Ogoina said data from Congo suggests few have died of the new Ib version, but he feared some data is being mixed up.

More research is urgently needed, but three teams tracking mpox outbreaks in Africa say they cannot even access chemicals needed for diagnostic tests. Clade Ib can also be missed by some diagnostic tests.

Planning a response, including vaccination strategies, without this is difficult, the scientists said.

Karim said around half of cases in eastern Congo, where Ib is particularly prevalent, are only being diagnosed by doctors, with no laboratory confirmation.

Getting samples to labs is difficult because the healthcare system is already under pressure, he said. And around 750,000 people have been displaced amid fighting between the M23 rebel group and the government.

Many African laboratories cannot get the supplies they need, said Dr. Emmanuel Nakoune, an mpox expert at the Institut Pasteur in Bangui, Central African Republic, which also has clade Ia cases.

"This is not a luxury," he said, but necessary to track deadly outbreaks.