The Cost of Ten Years of Devastating War in Syria

A girl stands amidst the rubble of damaged buildings in the northern Syrian town of al-Bab, Syria, February 28, 2017. (Reuters)
A girl stands amidst the rubble of damaged buildings in the northern Syrian town of al-Bab, Syria, February 28, 2017. (Reuters)
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The Cost of Ten Years of Devastating War in Syria

A girl stands amidst the rubble of damaged buildings in the northern Syrian town of al-Bab, Syria, February 28, 2017. (Reuters)
A girl stands amidst the rubble of damaged buildings in the northern Syrian town of al-Bab, Syria, February 28, 2017. (Reuters)

What started as peaceful protests against president Bashar Assad's rule in Syria has spiraled into a decade-old multi-sided conflict that has sucked in neighbors and world powers and caused the largest displacement crisis since World War Two.

As Assad prepares for a fourth term in office, here is a summary of the human and financial cost of the conflict according to data from United Nations bodies, international NGOs and Syrian civil society groups.

THE HUMAN TOLL:
*Death count and detainee estimates:
The Syrian Network for Human Rights (SNHR), which has been documenting the war from outside Syria and briefs UN agencies, has documented 227,749 civilians who were killed from March 2011 until now. This figure includes only documented civilian deaths, while researchers estimate another 250,000 combatants from all sides have also been killed.

The figures are broadly in line with estimates by rights groups and UN-commissioned investigators. They say Syrian and Russian bombing and Iran-backed militias were responsible for the bulk of civilian deaths.

Syria's prisons hold tens of thousands of detainees. Many have been arbitrarily detained for participating in peaceful protests or for expressing dissenting political opinion, according to Human Rights Watch and Amnesty International.

SNHR has documented 149,361 political detainees, of whom 101,678 remain missing. Those figures match estimates by groups such as Human Rights Watch and Amnesty.

*Refugees and Displacement:
Half the Syrian population, which stood at 23 million at the start of the conflict, have been forced to flee their homes, UN bodies say.

Of those, 5.5 million are living as refugees in the region, mostly in Turkey, the UN's refugee body UNHCR says. Hundreds of thousands more are scattered across 130 countries, while 6.7 million have been displaced inside the country, including an estimated 2.5 million children.

DAMAGE ASSESSMENT AND HARDSHIP:
*Losses:
The UN's ESCWA agency estimated physical capital destruction at $117.7 billion and the economic damage in terms of lost GDP (Gross Domestic Product) at $324.5 billion - putting the cost of the conflict at about $442.5 billion.

The report also cites official data which showed by the end of 2018 real GDP had lost 54% of its pre-conflict level.

The World Bank has estimated cumulative GDP losses from 2011 to 2016 at $226 billion and warned that the longer the conflict lasts, the more difficult recovery will be as losses become more persistent over time.

*Battered economy:
Syria's economy is in its worst state since the start of the conflict and economists say the challenge is to stop it deteriorating further. Many industrialists have fled to Turkey, Lebanon and Jordan.

In the past year alone, the Syrian pound has lost three quarters of its value while the cost of food and essential items has rocketed by more than 200%, according to the World Bank.

The COVID-19 pandemic has made an already dire situation worse, analysts say.

Syrians have suffered a dramatic reduction in purchasing power and rising levels of debt, leaving millions incapable of putting food on the table and meeting their basic needs.

*Poverty and worsening conditions:
Today, over 13 million Syrians require humanitarian and protection assistance and almost 90% of the population lives in poverty, according to UN and Western relief agencies.

UK based aid group World Vision International said this year a child's life expectancy in Syria has been reduced by 13 years.



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.