ISIS Strikes from Shadows in Vulnerable Syria, Iraq

FILE - US attack helicopter shoots flares in Hasakah, northeast Syria, Wednesday, Jan. 26, 2022.(AP Photo/Baderkhan Ahmad, File)
FILE - US attack helicopter shoots flares in Hasakah, northeast Syria, Wednesday, Jan. 26, 2022.(AP Photo/Baderkhan Ahmad, File)
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ISIS Strikes from Shadows in Vulnerable Syria, Iraq

FILE - US attack helicopter shoots flares in Hasakah, northeast Syria, Wednesday, Jan. 26, 2022.(AP Photo/Baderkhan Ahmad, File)
FILE - US attack helicopter shoots flares in Hasakah, northeast Syria, Wednesday, Jan. 26, 2022.(AP Photo/Baderkhan Ahmad, File)

With a spectacular jail break in Syria and a deadly attack on an army barracks in Iraq, the ISIS group was back in the headlines the past week, a reminder of a war that formally ended three years ago but continues to be fought mostly away from view.

The attacks were some of the boldest since the extremist group lost its last sliver of territory in 2019 with the help of a US-led international coalition, following a years-long war that left much of Iraq and Syria in ruins.

Residents in both countries say the recent high-profile ISIS operations only confirmed what they’ve known and feared for months: Economic collapse, lack of governance and growing ethnic tensions in the impoverished region are reversing counter-ISIS gains, allowing the group to threaten parts of its former so-called caliphate once again, The Associated Press reported.

One Syrian man said that over the past few years, militants repeatedly carried out attacks in his town of Shuheil, a former ISIS stronghold in eastern Syria’s Deir el-Zour province. They hit members of the Kurdish-led security force or the local administration — then vanished.

“We would think it is over and they’re not coming back. Then suddenly, everything turns upside down again,” he said.

They are “everywhere,” he said, striking quickly and mostly in the dark, creating the aura of a stealth omnipresent force. He spoke on condition of anonymity out of fear for his safety.

ISIS lost its last patch of territory near Baghouz in eastern Syria in March 2019. Since that time, it largely went underground and waged a low-level insurgency, including roadside bombings, assassinations and hit-and-run attacks mostly targeting security forces. In eastern Syria, the militants carried out some 342 operations over the last year, many of them attacks on Kurdish-led forces, according to the Britain-based Syrian Observatory for Human Rights.

The Jan. 20 prison break in Syria’s Hasakah region was its most sophisticated operation yet.

The militants stormed the prison aiming to break out thousands of comrades, some of whom simultaneously rioted inside. The attackers allowed some inmates to escape, took hostages, including child detainees, and battled the Kurdish-led Syrian Democratic Forces for a week. It was not clear how many militants managed to escape, and some remain holed up in the prison.

The fighting killed dozens and drew in the US-led coalition, which carried out airstrikes and deployed American personnel in Bradley Fighting Vehicles to the scene. The battle also drove thousands of neighboring civilians from their homes.

It harkened back to a series of jail breaks that fueled ISIS’s surge more than eight years ago, when they overwhelmed territory in Iraq and Syria.

They are “everywhere,” he said, striking quickly and mostly in the dark, creating the aura of a stealth omnipresent force. He spoke on condition of anonymity out of fear for his safety.

ISIS lost its last patch of territory near Baghouz in eastern Syria in March 2019. Since that time, it largely went underground and waged a low-level insurgency, including roadside bombings, assassinations and hit-and-run attacks mostly targeting security forces. In eastern Syria, the militants carried out some 342 operations over the last year, many of them attacks on Kurdish-led forces, according to the Britain-based Syrian Observatory for Human Rights.

The Jan. 20 prison break in Syria’s Hasakah region was its most sophisticated operation yet.

The militants stormed the prison aiming to break out thousands of comrades, some of whom simultaneously rioted inside. The attackers allowed some inmates to escape, took hostages, including child detainees, and battled the Kurdish-led Syrian Democratic Forces for a week. It was not clear how many militants managed to escape, and some remain holed up in the prison.

The fighting killed dozens and drew in the U.S.-led coalition, which carried out airstrikes and deployed American personnel in Bradley Fighting Vehicles to the scene. The battle also drove thousands of neighboring civilians from their homes.

It harkened back to a series of jail breaks that fueled IS’s surge more than eight years ago, when they overwhelmed territory in Iraq and Syria.

Hours after the prison attack began, ISIS gunmen in Iraq broke into a barracks in mountains north of Baghdad, killed a guard and shot dead 11 soldiers as they slept. It was part of a recent uptick in attacks that have stoked fears the group is also gaining momentum in Iraq.

An Iraqi intelligence source said ISIS does not have the same sources of financing as in the past and is incapable of holding ground. “They are working as a very decentralized organization,” said the official, who spoke on condition of anonymity to discuss security information.

The group’s biggest operations are conducted by 7-10 militants, said Iraqi military spokesman Maj. Gen. Yehia Rasool. He said he believes it is currently impossible for ISIS to take over a village, let alone a city. In the summer of 2014, Iraqi forces collapsed and retreated when the militants overran vast swathes of northern Iraq.

On its online channel, Aamaq, ISIS has been putting out videos from the prison attack and glorifying its other operations in an intensified propaganda campaign. The aim is to recruit new members and “reactivate quasi-dormant networks throughout the region,” according to an analysis by the Soufan Group security consultancy.

On both sides of the Syria-Iraq border, ISIS benefits from ethnic and sectarian resentments and from deteriorating economies. In Iraq, the rivalry between the Baghdad-based central government and the autonomous Kurdish region in the north of the country has opened up cracks through which ISIS has crept back.

In Afghanistan, ISIS militants have stepped up attacks on the country’s new rulers, the Taliban, as well as religious and ethnic minorities.

In eastern Syria, the tensions are between the Kurdish-led administration and Arab population. ISIS feeds off Arab discontent with the Kurds’ domination of power and employment at a time when Syria’s currency is collapsing.

The militants have cells extending from Baghouz in the east to rural Manbij in Aleppo province to the west, according to Rami Abdurrahman, the head of the Syrian Observatory.

“They are trying to reaffirm their presence,” he said.

East Syria is also fractured among several competing forces. The Kurdish-led administration runs most of the territory east of the Euphrates, supported by hundreds of US troops. The Syrian government, with its Russian and Iranian allies, is west of the river. Turkey and its allied Syria fighters, who view the Kurds as existential enemies, hold a belt along the countries’ border.

Dareen Khalifa, a senior Syria analyst for the International Crisis Group, said the SDF’s dependence on an “unpredictable US presence” in fighting the militants is one of its biggest challenges.

She said the SDF is viewed as a lame duck that makes local residents reluctant to cooperate with anti-ISIS raids or provide intelligence on ISIS cells, particularly after the group threatened or killed many suspected collaborators in the past.

Moreover, the Kurdish authorities’ claim to be able to govern and provide services to the region and its mixed population “has taken a blow in 2021 as the economic conditions in the area deteriorated,” Khalifa said.

Residents say ISIS is not collecting taxes or actively recruiting people, indicating they are not seeking to seize and control territory like they did in 2014, when they became de-facto rulers of an area that stretched across nearly a third of both Syria and Iraq. Instead, they exploit the security vacuum and lack of governance and resort to intimidation and kidnappings.

The resident of Shuheil in Deir el-Zour said they mostly operate at night, in flash attacks on military posts or targeted killings carried out from speeding motorcycles.

“It is always hit and run,” he said.

He described the area as constantly on edge, under an invisible threat from militants who blend into the population. The fear is so great, no one talks openly about them, whether good or bad, he said.

“Everyone is afraid of assassinations,” he said. “They have prestige, they have a reputation. They will never go away.”



3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)
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3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)

The UN health agency and partners are launching a campaign starting Sunday to vaccinate 640,000 Palestinian children in Gaza against polio, an ambitious effort amid a devastating war that has destroyed the territory's healthcare system.

The campaign comes after the first polio case was reported in Gaza in 25 years — a 10-month-old boy, now paralyzed in the leg. The World Health Organization says the presence of a paralysis case indicates there could be hundreds more who have been infected but aren’t showing symptoms.

Most people who have polio do not experience symptoms, and those who do usually recover in a week or so. But there is no cure, and when polio causes paralysis it is usually permanent. If the paralysis affects breathing muscles, the disease can be fatal.

The vaccination effort will not be easy: Gaza’s roads are largely destroyed, its hospitals badly damaged and its population spread into isolated pockets.

WHO said Thursday that it has reached an agreement with Israel for limited pauses in the fighting to allow for the vaccination campaign to take place. Even so, such a large-scale campaign will pose major difficulties in a territory blanketed in rubble, where 90% of Palestinians are displaced.

How long will it take? The three-day vaccination campaign in central Gaza will begin Sunday, during a “humanitarian pause” lasting from 6 a.m. until 3 p.m., and another day can be added if needed, said Dr. Rik Peeperkorn, WHO’s representative in the Palestinian territories.

In coordination with Israeli authorities, the effort will then move to southern Gaza and northern Gaza during similar pauses, he said during a news conference by video from Deir al-Balah in central Gaza, according to The AP.

Who will receive the vaccine? The vaccination campaign targets 640,000 children under 10, according to WHO. Each child will receive two drops of oral polio vaccine in two rounds, the second to be administered four weeks after the first.

Where are the vaccination sites? The vaccination sites span Gaza, both inside and outside Israeli evacuation zones, from Rafah in the south to the northern reaches of the territory.

The Ramallah-based Health Ministry said Friday that there would be over 400 “fixed” vaccination sites — the most in Khan Younis, where the population density is the highest and there are 239,300 children under 10. Fixed sites include healthcare centers, hospitals, clinics and field hospitals.

Elsewhere in the territory, there will also be around 230 “outreach” sites — community gathering points that are not traditional medical centers — where vaccines will be distributed.

Where are the vaccines now? Around 1.3 million doses of the vaccine traveled through the Kerem Shalom checkpoint and are currently being held in “cold-chain storage” in a warehouse in Deir al-Balah. That means the warehouse is able to maintain the correct temperature so the vaccines do not lose their potency.

Another shipment of 400,000 doses is set to be delivered to Gaza soon.

The vaccines will be trucked to distribution sites by a team of over 2,000 medical volunteers, said Ammar Ammar, a spokesperson for UNICEF.

What challenges lie ahead? Mounting any sort of campaign that requires traversing the Gaza strip and interacting with its medical system is bound to pose difficulties.

The UN estimates that approximately 65% of the total road network in Gaza has been damaged. Nineteen of the strip's 36 hospitals are out of service.

The north of the territory is cut off from the south, and travel between the two areas has been challenging throughout the war because of Israeli military operations. Aid groups have had to suspend trips due to security concerns, after convoys were targeted by the Israeli military.

Peeperkorn said Friday that WHO cannot do house-to-house vaccinations in Gaza, as they have in other polio campaigns. When asked about the viability of the effort, Peeperkorn said WHO thinks “it is feasible if all the pieces of the puzzle are in place. ”

How many doses do children need and what happens if they miss a dose? The World Health Organization says children typically need about three to four doses of oral polio vaccine — two drops per dose — to be protected against polio. If they don’t receive all of the doses, they are vulnerable to infection.

Doctors have previously found that children who are malnourished or who have other illnesses might need more than 10 doses of the oral polio vaccine to be fully protected.

Are there side effects? Yes, but they are very rare.

Billions of doses of the oral vaccine have been given to children worldwide and it is safe and effective. But in about 1 in 2.7 million doses, the live virus in the vaccine can paralyze the child who receives the drops.

How did this outbreak in Gaza start? The polio virus that triggered this latest outbreak is a mutated virus from an oral polio vaccine. The oral polio vaccine contains weakened live virus and in very rare cases, that virus is shed by those who are vaccinated and can evolve into a new form capable of starting new epidemics.