Iran Pressures Damascus on ‘Sovereign Concessions’

Syrian President Bashar al-Assad during his meeting with the Iranian Supreme Leader, Ali Khamenei, in the presence of Iranian President Ibrahim Raisi in Tehran in May 2022 (Syrian Presidency)
Syrian President Bashar al-Assad during his meeting with the Iranian Supreme Leader, Ali Khamenei, in the presence of Iranian President Ibrahim Raisi in Tehran in May 2022 (Syrian Presidency)
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Iran Pressures Damascus on ‘Sovereign Concessions’

Syrian President Bashar al-Assad during his meeting with the Iranian Supreme Leader, Ali Khamenei, in the presence of Iranian President Ibrahim Raisi in Tehran in May 2022 (Syrian Presidency)
Syrian President Bashar al-Assad during his meeting with the Iranian Supreme Leader, Ali Khamenei, in the presence of Iranian President Ibrahim Raisi in Tehran in May 2022 (Syrian Presidency)

When Syrian President Bashar al-Assad visited Tehran last May, one of the urgent requests he made was to send oil to contribute to resolving his country’s economic crisis. In the past years, it has become customary for ships to violate sanctions and waterways. Assad also discussed broader regional and international issues.

This was Assad’s second visit since 2011- he visited in 2019- to express his thanks to Tehran for standing militarily, economically, and financially on the side of the regime since the outbreak of protests and the crisis more than a decade ago.

During the visit, Assad met with Iran’s Supreme Leader Ali Khamenei and President Ebrahim Raisi. Official media reported Assad saying that “strategic relations between Iran and Syria prevented Israel from extending its control over the region.”

For his part, Khamenei said that “Syria had won an international war, and that its credibility is much greater than it was in the past.”

Assad’s visit dealt with big issues. Among them was the American presence in Syria, the coordination between Ankara, Tehran, and Moscow, and the repeated Israeli raids against Iranian sites in Syria. Moreover, the Syrian leader reviewed agreements between Israel and Arab countries.

Iranian sources quoted Khamenei as saying that “some leaders of neighboring countries of Iran and Syria are sitting with the leaders of Israel, but the people of these countries fill the streets with anti-Israeli crowds and slogans.”

Khamenei’s statement was considered a veiled criticism of Damascus’ position on peace agreements between Tel Aviv and Arab capitals. Syria failed to issue critical statements about the accords. Moreover, Syrian officials held political meetings with their counterparts from these countries.

Away from these major headlines, Assad, during his meetings with Khamenei and Raisi, urged Iran to send oil and oil derivatives to save the economic situation in Syria.

Iran gave a “good word” and promised to send three ships. Nevertheless, these pledged ships are still docked in Iran and have not left for Syrian coasts yet.

Damascus made the request again during the visit of Syrian Foreign Minister Faisal al-Miqdad last July. Iran continued with its delay. The Syrian ambassador in Tehran tried to follow up on the issue a lot, but no answer came from Tehran.

Syria’s economic crisis is exacerbating, and the Iranian “procrastination” continues. Damascus was left bewildered by the delay because it is contrary to what has been the norm during the past decade.

Raisi was slated to visit Damascus on Tuesday.

During the visit’s arrangement, Syrian officials were stunned by Iranian demands and proposed draft agreements. Some of the drafts went back to previous agreements signed during a 2017 visit by Syrian Prime Minister Imad Khamis. Other drafts were new.

The new draft agreement, which surprised Damascus, related to how Iranians are to be treated in hospitals and scientific institutions as well as their ability to own property. In effect, Iranians want to be treated as Syrians, but if they commit a crime, Tehran requested they be tried by Iran’s justice system rather than Syrian judiciary.

This draft is like the agreement between Damascus and Moscow at the end of 2015 regarding the establishment of military bases in Hmeimim and Tartous. The Russians were given wide military, royal and diplomatic privileges, with the exception of the judiciary.

It is also reminiscent of those agreements that existed between Western countries and the Ottoman Empire after its collapse and the establishment of Turkey in the 1920s.

Tehran also insisted on obtaining “sovereign guarantees” for the money it spent. Damascus was surprised by the depth of the Iranian demands and Tehran was taken aback by Syria taking matters slowly. Contacts are still ongoing between the two countries in search of a way out of this “silent crisis” and to arrange a major visit to Damascus.

But this is not the first time that relations have gone through a crisis like this.

Tehran had suspended approval of the appointment of a new Syrian ambassador and froze the sending of oil derivatives in 2017 due to its annoyance at Damascus’ slow implementation of strategic agreements with Tehran and its acceleration with Moscow.

Khamis visited Tehran at the beginning of 2017 and signed strategic agreements. They related to an Iranian company backed by the Revolutionary Guard becoming a third mobile operator in Syria, investing in Syrian phosphate for 99 years, acquiring land for agricultural and industrial purposes, and establishing an “oil port” on the Mediterranean.

Moreover, Khamis signed an agreement for a new line of credit from Iran worth $1 billion, half of which will be used to finance the export of crude oil and oil products.

Since 2013, Tehran has provided direct and indirect support to Damascus. This includes lines of credit that exceeded $6.6 billion to finance the export of crude oil and its byproducts.

But Damascus had lost control of the oil and gas wells in northeast Syria. They are now run by US allies. Damascus’ oil production, which was about 380,000 bpd before 2011, decreased to about 90,000 bpd.

While Syrian businessmen close to Damascus and Iran worked on launching a third mobile phone network, Iran failed to get its hand on the ports in Tartus and Latakia. Rather, Russia assumed control of the ports to avoid repeated Israeli bombing.

Russian companies have also taken over phosphate investments in the center of Syria and are trying to pressure the Kurds into giving up control of oil facilities. They are trying to expand in Damascus airport and other airports. They are also involved in many economic projects.

According to a Western diplomat visiting Damascus, “Syria’s economic crisis is the worst in a decade, and Iran wants to exploit this to its advantage.”

“Tehran wants to obtain major sovereign concessions at the height of Damascus’ current need for them and Russia’s preoccupation with the Ukraine war.”

Iran wants those concessions to make up for the costs it paid during the war, amounting to about $20 billion over the past decade. It also wants to establish its influence for a long time in the face of the escalation of Israeli military pressure in Syria.



New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
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New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)

Scientists studying the new mpox strain that has spread out of Democratic Republic of Congo say the virus is changing faster than expected, and often in areas where experts lack the funding and equipment to properly track it.

That means there are numerous unknowns about the virus itself, its severity and how it is transmitting, complicating the response, half a dozen scientists in Africa, Europe and the United States told Reuters.

Mpox, formerly known as monkeypox, has been a public health problem in parts of Africa since 1970, but received little global attention until it surged internationally in 2022, prompting the World Health Organization to declare a global health emergency. That declaration ended 10 months later.

A new strain of the virus, known as clade Ib, has the world's attention again after the WHO declared a new health emergency.

The strain is a mutated version of clade I, a form of mpox spread by contact with infected animals that has been endemic in Congo for decades. Mpox typically causes flu-like symptoms and pus-filled lesions and can kill.

Congo has had more than 18,000 suspected clade I and clade Ib mpox cases and 615 deaths this year, according to the WHO. There have also been 222 confirmed clade Ib cases in four African countries in the last month, plus a case each in Sweden and Thailand in people with a travel history in Africa.

"I worry that in Africa, we are working blindly," said Dr. Dimie Ogoina, an infectious diseases expert at Niger Delta University Hospital in Nigeria who chairs the WHO's mpox emergency committee. He first raised the alarm about potential sexual transmission of mpox in 2017, now an accepted route of spread for the virus.

"We don’t understand our outbreak very well, and if we don't understand our outbreak very well, we will have difficulty addressing the problem in terms of transmission dynamics, the severity of the disease, risk factors of the disease," Ogoina said. "And I worry about the fact that the virus seems to be mutating and producing new strains."

He said it took clade IIb in Nigeria five years or more to evolve enough for sustained spread among humans, sparking the 2022 global outbreak. Clade Ib has done the same thing in less than a year.

MUTATING 'MORE RAPIDLY'

Mpox is an orthopoxvirus, from the family that causes smallpox. Population-wide protection from a global smallpox vaccine campaign 50 years ago has waned, as the vaccinating stopped when the disease was eradicated.

Genetic sequencing of clade Ib infections, which the WHO estimates emerged mid-September 2023, show they carry a mutation known as APOBEC3, a signature of adaptation in humans.

The virus that causes mpox has typically been fairly stable and slow to mutate, but APOBEC-driven mutations can accelerate viral evolution, said Dr. Miguel Paredes, who is studying the evolution of mpox and other viruses at Fred Hutchison Cancer Center in Seattle.

"All the human-to-human cases of mpox have this APOBEC signature of mutations, which means that it's mutating a little bit more rapidly than we would expect," he said.

Paredes and other scientists said a response was complicated by several mpox outbreaks happening at once.

In the past, mpox was predominantly acquired through human contact with infected animals. That is still driving a rise in Congo in clade I cases – also known as clade Ia - likely due in part to deforestation and increased consumption of bushmeat, scientists said.

The mutated versions, clade Ib and IIb, can now essentially be considered a sexually transmitted disease, said Dr. Salim Abdool Karim, a South African epidemiologist and chair of the Africa CDC’s mpox advisory committee. Most of the mutated clade Ib cases are among adults, driven at first by an epidemic among female sex workers in South Kivu, Congo.

The virus also can spread through close contact with an infected person, which is likely how clusters of children have been infected with clade Ib, particularly in Burundi and in eastern Congo’s displacement camps, where crowded living conditions may be contributing.

Children, pregnant women and people with weakened immune systems or other illnesses may be at greater risk of serious mpox disease and death, say the WHO and mpox scientists.

Clade I has typically caused more severe disease, with fatality rates of 4%-11%, compared to around 1% for clade II. Ogoina said data from Congo suggests few have died of the new Ib version, but he feared some data is being mixed up.

More research is urgently needed, but three teams tracking mpox outbreaks in Africa say they cannot even access chemicals needed for diagnostic tests. Clade Ib can also be missed by some diagnostic tests.

Planning a response, including vaccination strategies, without this is difficult, the scientists said.

Karim said around half of cases in eastern Congo, where Ib is particularly prevalent, are only being diagnosed by doctors, with no laboratory confirmation.

Getting samples to labs is difficult because the healthcare system is already under pressure, he said. And around 750,000 people have been displaced amid fighting between the M23 rebel group and the government.

Many African laboratories cannot get the supplies they need, said Dr. Emmanuel Nakoune, an mpox expert at the Institut Pasteur in Bangui, Central African Republic, which also has clade Ia cases.

"This is not a luxury," he said, but necessary to track deadly outbreaks.