Lebanon’s Economic Crises Affect Fertility Rates

 A pharmacy employee holds a box of medication in Beirut, Lebanon, May 28, 2021. (Reuters)
A pharmacy employee holds a box of medication in Beirut, Lebanon, May 28, 2021. (Reuters)
TT

Lebanon’s Economic Crises Affect Fertility Rates

 A pharmacy employee holds a box of medication in Beirut, Lebanon, May 28, 2021. (Reuters)
A pharmacy employee holds a box of medication in Beirut, Lebanon, May 28, 2021. (Reuters)

Lebanese mother, Hiyam, in her twenties, preferred to undergo an abortion rather than having a second child in a country torn apart by crises, as she told Asharq Al-Awsat.

Despite what she described as a “rational” decision, she expressed her “deep sadness and fear of violating the Sharia.”

But she continued with a series of questions: “How will we secure milk, diapers, and medicines? How will we be able to afford the expenses of two children? And before all that, in which hospital will I deliver the baby and at what cost?”

While no official statistics indicate the number of abortions currently taking place in Lebanon, as such operations are usually kept secret, Hiyam said that the decision was not easy, and she always hoped that her little daughter would have a brother or sister.

“But a crime that's greater than abortion is to bring a helpless child into a country where we do not know from where the strikes will come,” she added.

Stressing that her doctor advised her not to resort to this option, Hiyam said: “We know more about our financial capabilities, and we can hardly secure milk and diapers for my young daughter... We refuse to be unfair with our two children!”

Lebanon has been rocked by a severe economic collapse since 2019, the worst in decades. Its repercussions did not exclude any aspect of the life of the Lebanese citizens, affecting vital needs of food, water, fuel, medicine and hospitalization.

As a result of this collapse, many Lebanese are reluctant to take the step of having children, fearing that this would increase their daily suffering amid the high prices of the needs of newborns on one hand and the severe shortage of medications and vaccines on the other.

The price of a box of infant formula increased from LBP 12,000 to LBP 100,000, while the price of diapers, according to quality, now ranges from LBP 150,000 to LBP 250,000. With the lifting of government subsidies, the prices of medicine and vaccinations for children, if found, have also soared.

Sabine, 36, who has been married for four years, told Asharq Al-Awsat that her dream of motherhood “may have evaporated with all the crises we are witnessing in Lebanon.”

She said that she got married in 2018, and she and her husband chose to postpone the step of having children for two years to be able to pay off the debts of the wedding ceremony and home furniture and also enjoy life before bearing a great responsibility.

Sabine and her husband are looking for a job in an Arab country or for emigration to a European country “to start a better life and a suitable environment for raising children.”

In remarks to Asharq Al-Awsat, Researcher at Information International Mohammad Shamseddine said that 92,957 childbirths were registered in Lebanon in 2018, compared to 86,584 in 2019. The number continued to decline in 2020 and reached 74,049.

Although the numbers for 2021 are not final yet, Shamseddine expects an additional decrease in the number of births in Lebanon, which he said will not exceed 60,000.

Several reasons led to this decline, he explained, including the outbreak of the Covid-19 pandemic and the severe economic crisis.



What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
TT

What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)

Health authorities in the Gaza Strip confirmed the first case of polio in 25 years earlier this month.

The infection and subsequent partial paralysis of the nearly year-old Abdul-Rahman Abu Al-Jidyan has hastened plans for a mass vaccination campaign of children across the Palestinian enclave starting on Sept. 1.

Three-day pauses in fighting in each of Gaza's three zones have been agreed by Israel and Hamas to allow thousands of UN workers to administer vaccines.

ORIGINS

The same strain that later infected the Palestinian baby, from the type 2 vaccine-derived polio virus that has also been detected in wastewater in some developed countries in recent years, was detected in July in six sewage samples taken in Khan Younis and Deir al-Balah.

It is not clear how the strain arrived in Gaza but genetic sequencing showed that it resembles a variant found in Egypt that could have been introduced from September 2023, the WHO said.

The UN health body says that a drop in routine vaccinations in the Occupied Palestinian Territories, including Gaza, has contributed to its re-emergence.

Polio vaccination coverage, primarily conducted through routine immunization, was estimated at 99% in 2022 and fell to 89% in 2023. Health workers say the closure of many hospitals in Gaza, often because of Israeli strikes or restrictions on fuel, has contributed to lower vaccination rates. Israel blames Hamas, saying they use hospitals for military purposes.

Aid workers say poor sanitation conditions in Gaza where open sewers and trash piles are commonplace after nearly 11 months of war have created favorable conditions for its spread.

MASS VACCINATIONS

Israel's military and the Palestinian armed group Hamas have agreed to three separate, zoned three-day pauses in fighting to allow for the first round of vaccinations.

The campaign is due to start in central Gaza on Sunday with three consecutive daily pauses in fighting, then move to southern Gaza, where there would be another three-day pause, followed by northern Gaza. There is an agreement to extend the pause in each zone to a fourth day if needed.

The vaccines, which were released from global emergency stockpiles, have already arrived in Gaza and are due to be issued to 640,000 children under 10 years of age.

They will be given orally by some 2,700 health care workers at medical centers and by mobile teams moving among Gaza's hundreds of thousands of people displaced by the war, UN aid workers say.

The World Health Organization says that a successful roll-out requires at least 95% coverage.

The Israeli military's humanitarian unit (COGAT) said that the vaccination campaign would be conducted in coordination with the Israeli military "as part of the routine humanitarian pauses that will allow the population to reach the medical centers where the vaccinations will be administered".

A second round is planned in late September.

RISKS

The Gaza case which is vaccine-derived is seen as a setback for the global polio fight which has driven down cases by more than 99% since 1988 thanks to mass vaccination campaigns.

Wild polio is now only endemic in Pakistan and Afghanistan although more than 30 countries are still listed by the WHO as subject to outbreaks, including Gaza's neighbors Egypt and Israel.

The World Health Organization has warned of the further spread of polio within Gaza and across borders given the poor health and hygiene conditions there.

Poliomyelitis, which is spread mainly through the faecal-oral route, is a highly infectious virus that can invade the nervous system and cause paralysis and death in young children with those under 2 years old most at risk. In nearly all cases it has no symptoms, making it hard to detect.