In Times of Crises, Lebanon's Old Must Fend for Themselves

Marie Orfali, 76, left, and her husband Raymond, pose for a photograph in their apartment in Beirut, Lebanon, Tuesday, June 15, 2021. (AP Photo/Hassan Ammar)
Marie Orfali, 76, left, and her husband Raymond, pose for a photograph in their apartment in Beirut, Lebanon, Tuesday, June 15, 2021. (AP Photo/Hassan Ammar)
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In Times of Crises, Lebanon's Old Must Fend for Themselves

Marie Orfali, 76, left, and her husband Raymond, pose for a photograph in their apartment in Beirut, Lebanon, Tuesday, June 15, 2021. (AP Photo/Hassan Ammar)
Marie Orfali, 76, left, and her husband Raymond, pose for a photograph in their apartment in Beirut, Lebanon, Tuesday, June 15, 2021. (AP Photo/Hassan Ammar)

Tiny and bowed by age, Marie Orfali makes the trip five times a week from her Beirut apartment to the local church, a charity and a nearby soup kitchen to fetch a cooked meal for her and her 84-year-old husband, Raymond.

Their only support — Raymond’s $15,000 one-time end-of-service payment from when he retired more than 20 years ago — long ago ran dry.

They have since depended on charity to cover almost everything: rent, cleaning supplies, pain killers and food for their white dog Snoopy. But charity covers less and less as Lebanon’s currency collapses. The cash they get from a benefactor and the church every month, once amounting to $400, is now barely worth $40.

The 76-year-old Marie broke down in tears when asked how she’s doing. “I've become scared, I've become jittery," she said. “I sit and cry and think, I want money. I want to get stuff for the house.”

With virtually no national welfare system, Lebanon’s elderly are left to fend for themselves amid their country’s economic turmoil. In their prime years, they survived 15 years of civil war that started in 1975 and bouts of instability. Now, in their old age, many have been thrown into poverty by one of the world’s worst financial crises in the past 150 years.

Lebanon has the greatest number of elderly in the Middle East — 10% of the population of 6 million is over 65. Around 80% of the population above the age of 65 have no retirement benefits or health care coverage, according to the UN’s International Labor Organization.

Family members and charities, traditionally the prime source of support, are struggling with increasing needs as unemployment rises.

Any dollar savings the elderly had from a lifetime of work are locked up in banks, inaccessible in the banking crisis. The savings lost nearly 90% of their value as the local currency collapsed against the dollar. Imported medicine and basic goods are in jeopardy, and a once reliable health care system is crumbling.

“I don’t have money to buy clothes or shoes,” Marie told The Associated Press, whispering. She didn’t want Raymond to hear her complain. He recently went through a COVID-19 infection and brain surgery and gets agitated, and it’s only worsened by lockdowns and the financial crisis.

Raymond worked for 26 years as an orderly at one of Beirut’s hospitals, and Marie as a custodian at a university.

Over the past two years, more elderly have taken to the streets, searching through trash or begging, said Joe Taoutel, who runs Rafiq el-Darb, or Friends until the End, the charity where Marie gets some of the meals each week.

Taoutel delivers home meals to more than 60 elderly families, up from five before the crisis.

Lebanon is one of only 16 countries in the world with no pension scheme for private sector workers in case of old age, disability and death, according to the ILO. The national social security program covers only 30% of the labor force, mainly giving one-time payments at retirement, and is dangerously underfunded.

As the economy falters, more young Lebanese are migrating, leaving behind aging parents.

The UN estimates that by 2030, those above 65 may make up more than 15% of Lebanon’s population, a trend that could be accelerated with the brain drain and a deteriorating health care system.

“The elderly and those with disabilities are remaining. If society is not aware of this problem, I think we're heading toward more crises,” said Mustafa Helweh, head of Social Services Medical Association, a rehabilitation hospital and nursing home in Tripoli, northern Lebanon.

Thousands of foreign domestic workers — the backbone of the elderly care system — left as dollars became scarce. The overwhelmed health care system is no longer considered reliable.

Back in the Orfalis apartment, Raymond said he can’t afford to hire help. He can barely afford his pain killers.

His equally aging wife is his only caregiver. She changes his diapers and responds to his bell rings in the middle of the night from the room next door.

“She is suffering with me. I don’t want her to suffer,” he said, weeping. “I have nothing. Just God. May He take me back and relieve me."



Gazans’ Daily Struggle for Water After Deadly Israeli Strike

 Palestinians wait for donated food at a community kitchen in Gaza City, in the northern Gaza Strip, Monday, July 14, 2025. (AP)
Palestinians wait for donated food at a community kitchen in Gaza City, in the northern Gaza Strip, Monday, July 14, 2025. (AP)
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Gazans’ Daily Struggle for Water After Deadly Israeli Strike

 Palestinians wait for donated food at a community kitchen in Gaza City, in the northern Gaza Strip, Monday, July 14, 2025. (AP)
Palestinians wait for donated food at a community kitchen in Gaza City, in the northern Gaza Strip, Monday, July 14, 2025. (AP)

The al-Manasra family rarely get enough water for both drinking and washing after their daily trudge to a Gaza distribution point like the one where eight people were killed on Sunday in a strike that Israel's military said had missed its target.

Living in a tent camp by the ruins of a smashed concrete building in Gaza City, the family say their children are already suffering from diarrhea and skin maladies and from the lack of clean water, and they fear worse to come.

"There's no water, our children have been infected with scabies, there are no hospitals to go to and no medications," said Akram Manasra, 51.

He had set off on Monday for a local water tap with three of his daughters, each of them carrying two heavy plastic containers in Gaza's blazing summer heat, but they only managed to fill two - barely enough for the family of 10.

Gaza's lack of clean water after 21 months of war and four months of Israeli blockade is already having "devastating impacts on public health" the United Nations humanitarian agency OCHA said in a report this month.

For people queuing at a water distribution point on Sunday it was fatal. A missile that Israel said had targeted fighters but malfunctioned hit a queue of people waiting to collect water at the Nuseirat refugee camp.

Israel's blockade of fuel along with the difficulty in accessing wells and desalination plants in zones controlled by the Israeli military is severely constraining water, sanitation and hygiene services according to OCHA.

Fuel shortages have also hit waste and sewage services, risking more contamination of the tiny, crowded territory's dwindling water supply, and diseases causing diarrhea and jaundice are spreading among people crammed into shelters and weakened by hunger.

"If electricity was allowed to desalination plants the problem of a lethal lack of water, which is what's becoming the situation now in Gaza, would be changed within 24 hours," said James Elder, the spokesperson for the UN's children's agency UNICEF.

"What possible reason can there be for denying of a legitimate amount of water that a family needs?" he added.

COGAT, the Israeli military aid coordination agency, did not immediately respond to a request for comment.

Last week, an Israeli military official said that Israel was allowing sufficient fuel into Gaza but that its distribution around the enclave was not under Israel's purview.

THIRSTY AND DIRTY

For the Manasra family, like others in Gaza, the daily toil of finding water is exhausting and often fruitless.

Inside their tent the family tries to maintain hygiene by sweeping. But there is no water for proper cleaning and sometimes they are unable to wash dishes from their meager meals for several days at a time.

Manasra sat in the tent and showed how one of his young daughters had angry red marks across her back from what he said a doctor had told them was a skin infection caused by the lack of clean water.

They maintain a strict regimen of water use by priority.

After pouring their two containers of water from the distribution point into a broken plastic water butt by their tent, they use it to clean themselves from the tap, using their hands to spoon it over their heads and bodies.

Water that runs off into the basin underneath is then used for dishes and after that - now grey and dirty - for clothes.

"How is this going to be enough for 10 people? For the showering, washing, dish washing, and the washing of the covers. It's been three months; we haven't washed the covers, and the weather is hot," Manasra said.

His wife, Umm Khaled, sat washing clothes in a tiny puddle of water at the bottom of a bucket - all that was left after the more urgent requirements of drinking and cooking.

"My daughter was very sick from the heat rash and the scabies. I went to several doctors for her and they prescribed many medications. Two of my children yesterday, one had diarrhea and vomiting and the other had fever and infections from the dirty water," she said.