A Western-Arab Visit to ‘Forgotten Syria’

Western and Arab envoys on Syria. Photo: Brigitte Curmi's Twitter account
Western and Arab envoys on Syria. Photo: Brigitte Curmi's Twitter account
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A Western-Arab Visit to ‘Forgotten Syria’

Western and Arab envoys on Syria. Photo: Brigitte Curmi's Twitter account
Western and Arab envoys on Syria. Photo: Brigitte Curmi's Twitter account

Ukraine was once again present at the closed meeting of Western and Arab envoys on Syria. But this time, the attendees discussed the means to deal with a politically “forgotten” Middle Eastern Arab state, mired in its economic crisis and geographical divisions, in light of the Russian-Western fiery clash over the land of an eastern European country and its sea and land neighborhoods.

In theory, the Paris meeting, which was called for by French Envoy Brigitte Curmi, was intended to match the positions of Arab and foreign countries, which are involved in varying degrees and with “different weapons” in Syria.

In fact, understanding the stances of these countries, as well as their public and implicit statements and slogans, was necessary, two months after the outbreak of the Ukrainian war, with Washington’s insistence on assuming a “leading role” in the Syrian file, and ahead of the international donors’ conference in Brussels on May 10, which was initially focused on raising funds for millions of Syrians, back when their crisis prevailed over the international agenda.

On the eve of the meeting, the attendees held bilateral and tripartite consultations, before convening a separate expanded session and another with the participation of UN envoy Geir Pedersen. Many discussions and ideas were said and reiterated in previous rounds by the participants themselves, or by their predecessors during the decade of the Syrian crisis.

What’s new, however, were some of the issues that imposed themselves on the agenda: The first shock was the tragedy of the Tadamon neighborhood massacre in southern Damascus, which was revealed by The Guardian. The newspaper published documented photos of the execution of dozens of civilians in this Syrian quarter in 2013. At the meeting, US envoy Ethan Goldrich and a number of his European counterparts stressed the importance of “accountability for crimes” and adherence to the Caesar Act approved by the US Congress.

The “proponents of normalization” with Damascus were also reminded of the importance to avoid “Arab normalization with the regime,” in addition to the Westerners’ reference to the role played by national courts in Europe in prosecuting “war criminals.”

The second case pertained to the Ukrainian war. Concern prevailed over the Western-Russian division there, which would impede the extension of the international mechanism for cross-border humanitarian aid in July.

The Russian side has indeed pointed to this matter. In fact, the US-Russian dialogue, which was launched after the summit of Presidents Vladimir Putin and Joe Biden in Geneva in mid-June, and during which three sessions focused on the humanitarian file, was completely frozen after the Ukrainian war. What’s left is only an accord on the need to “prevent conflict” between the US and Russian armies between the east and west of the Euphrates.

In the Paris meeting, it was noticeable that Western countries “see the Syrian regime as an extension of Russia, especially after Damascus fully adopted Moscow’s position, and even amplified it.”

Some of these countries are looking for “means to hold Damascus accountable,” in the face of a contradictory and multi-sectarian Arab position.

In this regard, a number of Arab states are openly supportive of Moscow and its position in Ukraine, and may want to expedite normalization with Damascus or to circumvent sanctions to finance reconstruction.

Others expressed “hope that the Western-Russian polarization in Ukraine will not increase the suffering of the Syrians,” while major countries maintained their position that Damascus should meet “Arab and Syrian requirements.”

In any case, Ukraine has become an additional perspective for Arab and Western views on Syria.

The third issue was related to Pedersen’s proposal for a “step for step” approach, based on elements that include humanitarian aid, ceasefire, sanctions, early recovery, refugees, displaced people, and prisoners. Indeed, participants engaged in a detailed discussion about the efficacy of the proposal at the present time, amid the Russian-American division.

Moreover, questions were raised about the seriousness of Moscow and Damascus in agreeing to this proposal, especially in light of stances publicly expressed by the officials of the two countries. The Russian side wants to focus on the constitutional track, and rejects any shadows casting on its “accomplishment,” while Damascus refuses to engage in the new approach or any other, “with the presence of the American and Turkish occupations.”

The two sides are perhaps only interested in the funds that the “step for step” approach can provide through the clause of the “early recovery” support under Resolution 2585.

In general, with the lack of important initiatives by the major powers for the Greater Syria file, the meeting saw acceptance of the details and the continuation of collecting some factors for the “step for step” approach, without setting a specific timetable for this purpose. The participants also expressed support for the constitutional process.

Pedersen called for a meeting of the next round, to be held between May 28 and June 5, based on the mechanism adopted in the previous round.

On April 26, Pedersen sent out invitations to representatives of the government, the opposition and civil society, in which he said: “In implementation of my mandate, I invite you to the eighth session of the Constitutional Committee, led and owned by Syria, based on the same mechanism applied in the sixth and seventh sessions.”
He continued: “I am happy to reiterate that additional principles will be presented before delegations leave for Geneva, and that no less than 4 principles will be discussed during the eighth session.”

The Paris meeting was a Western-Arab visit to “forgotten Syria,” to say that it was “not forgotten.” However, the meeting revealed, once again, that Syria is an attachment to other files, and a captive of the moving or stagnant waters between Moscow and Washington.



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)
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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.”