Warning Message from US to Region: Do Not Weaken Our Ability to Pressure Damascus

US forces patrol oil fields in Syria, Oct. 28, 2019. (AP)
US forces patrol oil fields in Syria, Oct. 28, 2019. (AP)
TT
20

Warning Message from US to Region: Do Not Weaken Our Ability to Pressure Damascus

US forces patrol oil fields in Syria, Oct. 28, 2019. (AP)
US forces patrol oil fields in Syria, Oct. 28, 2019. (AP)

The latest American sanctions against Damascus and the Middle East tour carried out by Joel Rayburn, US Special Envoy for Syria in the US State Department, delivered a strong message that a change in administration in Washington does not mean a change in policy or an end to the regime’s isolation.

Even if tactical changes were to be introduced, strategic changes on Syria will not happen, he said.

The sanctions came with an added “warning” against taking steps that could weaken Washington’s ability to continue its pressure campaign on Damascus.

The recent sanctions “shut the door for the possibility of holding negotiations between the US and Syria” and obstruct the possibility of opening “channels of dialogue.” Rather, they only increase the economic pressure on Damascus with the central bank being among the latest targets. The impact was immediate, with foreign banks declaring that they were halting operations in Damascus.

Coordination with London
Washington blacklisted Asma al-Assad, president Bashar’s wife, her father and two brothers, as well as businesses they own. In addition, it targeted security, economic and executive Syrian officials, including Lina Mohammed Nazir al-Kinayeh, whom the Treasury identified as an official in Assad’s presidential office, her husband, MP Mohammed Hammam Masouti, and their businesses, and others.

The latest sanctions take to 114 the number of individuals and entities that have been targeted since the Caesar Act came into effect in mid-June. Reports have said new sanctions will be announced before US President Donald Trump leaves the White House on January 20.

Rayburn said the latest sanctions were announced a year after Trump signed the Caesar Act.

“The United States remains committed to carrying out a sustained campaign of economic and political pressure to prevent the Assad regime and its staunchest supporters from amassing resources to fuel their war against the Syrian people,” he stressed on Tuesday.

“To that end, the United States is imposing sanctions on 18 more individuals and entities, including the Central Bank of Syria. These individuals and corrupt businesses are impeding efforts to reach a political and peaceful resolution to the Syrian conflict, as called for by UN Security Council Resolution 2254,” he added.

“Among those individuals sanctioned today are Asma al-Assad and some of her immediate relatives, all of whom are based in the United Kingdom. Asma al-Assad has spearheaded efforts on behalf of the regime to consolidate economic and political power, including by using her so-called charities and civil society organizations. Her and her family’s corruption is one of the many reasons that this conflict lingers on,” he remarked.

Rayburn said it was “significant” that Asma and her immediate relatives – her father, Fawaz Akhras; Asma al-Assad’s mother, Sahar Otri Akhras; Asma al-Assad’s brothers, Firas Akhras and Eyad Akhras – were being targeted.

He noted that all of these figures are dual Syrian and UK citizens and are all based in the UK.

“We coordinated this action with our UK counterparts,” he revealed. “Our UK counterparts are very, very close partners of ours on the Syria file. And so we did everything in conjunction with them. We would never surprise them on this because we’re in a very close strategic partnership with the UK on Syria.”

It remains to be seen whether the British government or European Union will also sanction the same individuals.

Tuesday’s sanctions reveal that Washington will continue to exert pressure on the Akhras family, Asma and her entourage. They also send a strong message that Syrians and non-Syrians who cooperate with the regime may be sanctioned. The third message is that anyone anywhere cooperating with the regime may be targeted.

Closing the door
Politically, some of the latest blacklisted figures used to play a role in the “second path” or “second door” of negotiations with American parties. They had held secret meetings in London to tackle western sanctions on Damascus, among other issues.

Their designation makes such talks “legally impossible” in the future. The message of the “Syrian file team” in Washington is that “you cannot be a mediator in London or any other European capital and also a partner to Damascus.”

The Caesar Act bars any dealings with the regime.

Significantly, some of the American officials who were part of this negotiations path will possibly play a role in managing the Syrian file in Joe Biden’s administration. The sanctions, effectively, put an end to this option.

Rayburn had recently concluded a tour of the region that included Turkey, Egypt, Israel, Iraq, northeastern Syria and other countries.

The tour served as a “reminder” and a “warning” to concerned countries of the American goals in Syria: ensuring the defeat of ISIS, pressuring Iran to pull out from the country and pressuring the regime to implement resolution 2254.

These are not the goals of US Secretary of State Mike Pompeo or Raybun, but of America. The change in officials, will not change the goals. A change in administration, does not mean a change in policy.

“I think that those goals already have a consensus behind them in Washington, and I really don’t think you’re going to see a significant change away from those goals. You can – there are different people who will come into different positions; they can have good ideas about how to implement those goals better. But I don’t think you’re going to see a discarding of those goals,” stressed Rayburn.

“I think you can count on the United States as well as the other like-minded countries to continue seeking those goals regardless of who is in the White House,” he added.



Dialysis Patients Struggle to Get Treatment in Blockaded Gaza. Officials Say Hundreds Have Died 

Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
TT
20

Dialysis Patients Struggle to Get Treatment in Blockaded Gaza. Officials Say Hundreds Have Died 

Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)

Twice a week, Mohamed Attiya’s wheelchair rattles over Gaza’s scarred roads so he can visit the machine that is keeping him alive.

The 54-year-old makes the journey from a temporary shelter west of Gaza City to Shifa Hospital in the city’s north. There, he receives dialysis for the kidney failure he was diagnosed with nearly 15 years ago. But the treatment, limited by the war's destruction and lack of supplies, is not enough to remove all the waste products from his blood.

“It just brings you back from death,” the father of six said.

Many others like him have not made it. They are some of Gaza’s quieter deaths from the war, with no explosion, no debris. But the toll is striking: Over 400 patients, representing around 40% of all dialysis cases in the territory, have died during the 18-month conflict because of lack of proper treatment, according to Gaza's Health Ministry.

That includes 11 patients who have died since the beginning of March, when Israel sealed the territory's 2 million Palestinians off from all imports, including food, medical supplies and fuel. Israeli officials say the aim is to pressure Hamas to release more hostages after Israel ended their ceasefire.

COGAT, the Israeli military body in charge of coordinating aid, declined to comment on the current blockade. It has said in the past that all medical aid is approved for entry when the crossings are open, and that around 45,400 tons of medical equipment have entered Gaza since the start of the war.

Hardships mount for Gaza patients

Attiya said he needs at least three dialysis sessions every week, at least four hours each time. Now, his two sessions last two or three hours at most.

Israel’s blockade, and its numerous evacuation orders across much of the territory, have challenged his ability to reach regular care.

He has been displaced at least six times since fleeing his home near the northern town of Beit Hanoun in the first weeks of the war. He first stayed in Rafah in the south, then the central city of Deir al-Balah. When the latest ceasefire took effect in January, he moved again to another school in western Gaza City.

Until recently, Attiya walked to the hospital for dialysis. But he says the limited treatment, and soaring prices for the mineral water he should be drinking, have left him in a wheelchair.

His family wheels him through a Gaza that many find difficult to recognize. Much of the territory has been destroyed.

“There is no transportation. Streets are damaged,” Attiya said. “Life is difficult and expensive.”

He said he now has hallucinations because of the high levels of toxins in his blood.

“The occupation does not care about the suffering or the sick,” he said, referring to Israel and its soldiers.

A health system gutted by war

Six of the seven dialysis centers in Gaza have been destroyed during the war, the World Health Organization said earlier this year, citing the territory’s Health Ministry. The territory had 182 dialysis machines before the war and now has 102. Twenty-seven of them are in northern Gaza, where hundreds of thousands of people rushed home during the two-month ceasefire.

“These equipment shortages are exacerbated by zero stock levels of kidney medications,” the WHO said.

Israel has raided hospitals on several occasions during the war, accusing Hamas of using them for military purposes. Hospital staff deny the allegations and say the raids have gutted the territory's health care system as it struggles to cope with mass casualties from the war.

The Health Ministry says over 51,000 Palestinians, mostly women and children, have been killed in Israel's offensive, without saying how many were civilians or combatants. Hamas-led fighters killed some 1,200 people, mostly civilians, and abducted 251 in the Oct. 7, 2023 attack that triggered the war.

Officials say hundreds of patients have died

At Shifa Hospital, the head of the nephrology and dialysis department, Dr. Ghazi al-Yazigi, said at least 417 patients with kidney failure have died in Gaza during the war because of lack of proper treatment.

That’s from among the 1,100 patients when the war began.

Like Attiya, hundreds of dialysis patients across Gaza are now forced to settle for fewer and shorter sessions each week.

“This leads to complications such as increased levels of toxins and fluid accumulation ... which could lead to death,” al-Yazigi said.

Mohamed Kamel of Gaza City is a new dialysis patient at the hospital after being diagnosed with kidney failure during the war and beginning treatment this year.

These days, “I feel no improvement after each session,” he said during one of his weekly visits.

The father of six children said he no longer has access to filtered water to drink, and even basic running water is scarce. Israel last month cut off the electricity supply to Gaza, affecting a desalination plant producing drinking water for part of the arid territory.

Kamel said he has missed many dialysis sessions. Last year, while sheltering in central Gaza, he missed one because of an Israeli bombing in the area. His condition deteriorated, and the next day he was taken by ambulance to Al-Aqsa Martyrs hospital.

“The displacement has had consequences,” Kamel said. “I am tired.”