Beirut Blast Trauma Adds New Wounds to Old Scars

A picture taken on August 11, 2020, shows a view of a heavily-damaged traditional Lebanese house due to the Beirut port explosion, in the devastated Gemmayzeh neighborhood across from the harbor. (Photo by JOSEPH EID / AFP)
A picture taken on August 11, 2020, shows a view of a heavily-damaged traditional Lebanese house due to the Beirut port explosion, in the devastated Gemmayzeh neighborhood across from the harbor. (Photo by JOSEPH EID / AFP)
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Beirut Blast Trauma Adds New Wounds to Old Scars

A picture taken on August 11, 2020, shows a view of a heavily-damaged traditional Lebanese house due to the Beirut port explosion, in the devastated Gemmayzeh neighborhood across from the harbor. (Photo by JOSEPH EID / AFP)
A picture taken on August 11, 2020, shows a view of a heavily-damaged traditional Lebanese house due to the Beirut port explosion, in the devastated Gemmayzeh neighborhood across from the harbor. (Photo by JOSEPH EID / AFP)

Tanya can't be alone in a room. Carla, for days, thought a war was starting. Survivors of Beirut's August 4 blast are still in shock over a disaster that disfigured their city.

The earth-shaking explosion killed 171 people and wounded more than 6,000, a sickening blow to a country already in crisis.

Almost every generation in Lebanon has experienced some kind of conflict, whether the 1975-1990 civil war or the 2006 hostilities with Israel.

Those episodes are over, but for some the traumas they left are still vivid -- and last week's explosion has added yet another scar to the collective psyche.

Carla was on her balcony in an old Beirut neighborhood when she felt her building shake.

"I initially thought it was an air raid because I associated the noise with what I remembered from the 2006 war," the 28-year-old told AFP.

After the explosion pulverized her windows, she rushed to the stairwell, petrified.

But before Carla could pull herself together, her elderly neighbor, who had survived the 1975-1990 civil war, was already busy sweeping the floor.

"This is a reflex from the war, whenever something breaks they just sweep it up," Carla said.

She is now staying with her family, and said she is not emotionally ready to move back to her blast-hit home.

Even at her parents' house, she cannot sleep.

"A car driving by on the street becomes the sound of an airplane," she said in English.

"Everything now triggers memories of the 2006 war... I had never realized how much that war actually had traumatized me."

Doctors of the World, an international charity, spent several days in the levelled Karantina district, overlooking blast site.

Its staff knocked on doors in the area to offer residents free psychological support.

In the first days after the explosion, residents were too busy seeking medical treatment or clearing debris from their homes. But as a kind of normality slowly returned, they seemed more ready to speak, said Noelle Jouane, director of the charity's mental health program.

"It helps relieve all of their anger," she told AFP.

But in the devastated district of Mar Mikhael, the slightest thud sparks alarm.

At the entrance to the neighborhood, an old man was startled by the bang of a hammer against an iron plate.

He immediately ducked and pressed his body against the hood of his car.

"It's nothing," a passerby reassured him.

Moments later, fear gripped the entire street, with people scrambling out after rumors spread that the August 4 blast site had once again caught fire.

Panic, fear, and in some cases a certain detachment from reality are among the "normal reactions to abnormal events," said Rima Makki, the mental health activity manager for Doctors Without Borders (MSF) in Lebanon.

The port blast came as Lebanon was grappling with its worst economic crisis in decades -- compounded by the coronavirus pandemic.

"The whole of society was already under psychological pressure," Makki said.

"A traumatic incident of this magnitude, obviously, will have repercussions."

Tanya, 32, was in central Beirut when the explosion tore through buildings around her.

"The first two days I was constantly crying," the accountant said.

"But something inside was telling me: what are you crying about? I am safe, my family is safe, our house is safe."

But the mother of two said she also felt "guilt for surviving."

She said she didn't remember much from the moment of the blast, but the bruises on her body remind her of what happened.

Now, she is too scared to be alone.

"During the day it's easier, but at night I can't. I ask someone to stay by my side," she said.

Omar, a visual artist, believes he could have been killed or disfigured by the explosion that ravaged his neighborhood.

Luckly, the man in his thirties was not at home at the time.

"Knifes flew from the kitchen, the entire glass facade shattered in the house," he said. "Just the image, the possibility of me being here was haunting."

During a massive anti-government rally near parliament on Saturday, a fatigued Omar suddenly felt like demonstrations were going nowhere, although he had participated in several similar rallies since a protest movement emerged in October.

"I felt how can we return to the same place we were a few months ago despite... this catastrophic event," he said.

Two people he knew died in the disaster.

"I don't know how or if one can get over something like that," he added.

"I mean you continue your life, but you continue it differently."



Doctor at the Heart of Türkiye Newborn Baby Deaths Case Says He was a 'Trusted' Physician

A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
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Doctor at the Heart of Türkiye Newborn Baby Deaths Case Says He was a 'Trusted' Physician

A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)

The Turkish doctor at the center of an alleged fraud scheme that led to the deaths of 10 babies told an Istanbul court Saturday that he was a “trusted” physician.

Dr. Firat Sari is one of 47 people on trial accused of transferring newborn babies to neonatal units of private hospitals, where they were allegedly kept for prolonged and sometimes unnecessary treatments in order to receive social security payments.

“Patients were referred to me because people trusted me. We did not accept patients by bribing anyone from 112,” Sari said, referring to Türkiye's emergency medical phone line.

Sari, said to be the plot’s ringleader, operated the neonatal intensive care units of several private hospitals in Istanbul. He is facing a sentence of up to 583 years in prison in a case where doctors, nurses, hospital managers and other health staff are accused of putting financial gain before newborns’ wellbeing, The AP reported.

The case, which emerged last month, has sparked public outrage and calls for greater oversight of the health care system. Authorities have since revoked the licenses and closed 10 of the 19 hospitals that were implicated in the scandal.

“I want to tell everything so that the events can be revealed,” Sari, the owner of Medisense Health Services, told the court. “I love my profession very much. I love being a doctor very much.”

Although the defendants are charged with the negligent homicide of 10 infants since January 2023, an investigative report cited by the state-run Anadolu news agency said they caused the deaths of “hundreds” of babies over a much longer time period.

Over 350 families have petitioned prosecutors or other state institutions seeking investigations into the deaths of their children, according to state media.

Prosecutors at the trial, which opened on Monday, say the defendants also falsified reports to make the babies’ condition appear more serious so as to obtain more money from the state as well as from families.

The main defendants have denied any wrongdoing, insisting they made the best possible decisions and are now facing punishment for unavoidable, unwanted outcomes.

Sari is charged with establishing an organization with the aim of committing a crime, defrauding public institutions, forgery of official documents and homicide by negligence.

During questioning by prosecutors before the trial, Sari denied accusations that the babies were not given the proper care, that the neonatal units were understaffed or that his employees were not appropriately qualified, according to a 1,400-page indictment.

“Everything is in accordance with procedures,” he told prosecutors in a statement.

The hearings at Bakirkoy courthouse, on Istanbul’s European side, have seen protests outside calling for private hospitals to be shut down and “baby killers” to be held accountable.

The case has also led to calls for the resignation of Health Minister Kemal Memisoglu, who was the Istanbul provincial health director at the time some of the deaths occurred. Ozgur Ozel, the main opposition party leader, has called for all hospitals involved to be nationalized.

In a Saturday interview with the A Haber TV channel, Memisoglu characterized the defendants as “bad apples” who had been “weeded out.”

“Our health system is one of the best health systems in the world,” he said. “This is a very exceptional, very organized criminal organization. It is a mistake to evaluate this in the health system as a whole.”

Memisoglu also denied the claim that he shut down an investigation into the claims in 2016, when he was Istanbul’s health director, calling it “a lie and slander.”

Turkish President Recep Tayyip Erdogan said this week that those responsible for the deaths would be severely punished but warned against placing all the blame on the country’s health care system.

“We will not allow our health care community to be battered because of a few rotten apples,” he said.