Syria, Türkiye Normalization Takes Shape along Aleppo-Latakia Highway

Children are seen at a refugee camp in Syria's Idlib on January 14. (EPA)
Children are seen at a refugee camp in Syria's Idlib on January 14. (EPA)
TT

Syria, Türkiye Normalization Takes Shape along Aleppo-Latakia Highway

Children are seen at a refugee camp in Syria's Idlib on January 14. (EPA)
Children are seen at a refugee camp in Syria's Idlib on January 14. (EPA)

Open and secret political and security contacts have expanded in recent days to choose the best path to normalize relations with Damascus.

Syria and Türkiye have held security meetings in the Latakia countryside with the aim of reopening the Aleppo-Latakia highway. A Kurdish delegation from Qamishli even visited the Syrian capital to feel out the limits of the Syrian-Turkish cooperation against them.

The United States has also been mediating between Ankara and the Kurds to deter a new Turkish incursion east of the Euphrates River. Iran, meanwhile, is trying to become involved in the Russian mediation between Damascus and Ankara.

Russia

The latest in the Russian efforts is President Vladimir Putin’s insistence on paving the way for Turkish President Recep Tayyip Erdogan and his Syrian counterpart Bashar al-Assad to meet before Turkish presidential and parliamentary elections in May.

Syria’s national security bureau chief Ali Mamlouk and Turkish intelligence chief Hakan Fidan had already held talks. The Syrian, Turkish and Russian defense ministers also met. A meeting between the three countries’ foreign ministers was set to be held in the Russian capital, Moscow.

Moscow sought for the meeting to be held on January 11, but Ankara received “American advice” that it should not agree to attend before Turkish Foreign Minister Mevlut Cavusoglu visited Washington on January 18.

Damascus, for its part, was not willing to hold the meeting for the sake of holding it, but wanted clear outcomes to come of it.

This led to a series of additional contacts. Russia’s presidential envoy to Syria Alexander Lavrentiev visited Damascus for talks with Assad. Russia reiterated its desire to arrange a meeting between Assad and Erdogan, but the former tied such a meeting to Türkiye’s withdrawal from northern Syria or at least setting a timetable for the pullout.

Clearly, Damascus wants to claim some form of “symbolic achievement” before having Assad and Erdogan meet.

Ankara, for its part, informed mediators that its army will not withdraw from Syria “under any circumstance and even if the Americans pull out.” Such a position stands in contrast to its previous announcements when it used to tie it withdrawal to the political solution and the pullout of all foreign forces that entered Syria after 2011.

At this impasse, attention was shifted to the reopening of the Aleppo-Latakia highway, or M4. The route was included in de-escalation agreements reached between Moscow and Ankara over Aleppo. Talks over the highway included deploying Russian and Turkish patrols and establishing a safe zone on either side of it.

After three years, the patrols have since come to a halt and efforts to reopen the highway have stalled. Moscow is no longer exerting pressure on Ankara because it needs it in several other issues, including the war in Ukraine.

Syrian-Turkish security meetings have been held recently in Latakia’s Kasab area to reopen the highway. Türkiye has shown some flexibility in reopening it on condition that it maintain its control over it, while Syria maintains its sovereignty.

Kurdish concern

As Syria and Türkiye inch closer to normalizing their relations, Damascus again turned to the Kurds. Each side wants to feel out the respective party’s stance on the normalization. Indeed, a Kurdish delegation visited Damascus just days ago.

Russia had previously sponsored negotiations and delegations were formed, but the talks then came to a halt. Damascus now wants to feel out where the Kurds, who are allied to the US, stand, while the Kurds want to know the limits of the normalization between Damascus and Ankara.

The meetings were aimed at studying the implementation of the understanding that was signed between the two parties in wake of the sudden American troop withdrawal approved by former US President Donald Trump in late 2019. The agreement included the deployment of Syrian forces east of the Euphrates.

The Kurds are now eager to cooperate with Damascus if it means preventing a new Turkish offensive against them, while Damascus is more than ready to deal with them in their position of weakness.

American mediation

It is no secret that relations between Deputy Assistant to the US President and White House Coordinator for the Middle East and North Africa Brett McGurk and Ankara are very bad. But a Gulf state recently hosted a secret meeting between the US official and Türkiye’s Fidan with aim of clearing the air.

What can be done to avert a new Turkish incursion east of the Euphrates? What can be done to meet some Turkish demands? What can be done to avert a catastrophe in the counter-terrorism efforts that are being carried out by the US-led anti-ISIS coalition that is partnered with the Kurdish Syrian Democratic Forces (SDF)?

In wake of the secret meeting, US State Department Special Envoy to Syria Nicholas Granger carried out a series of secret visits to Ankara and Qamishli. Talks focused on the withdrawal of the Kurdish police, Asayish, 30 kilometers deep into Syrian territory away from the Turkish border or that they lay down their arms. They also tackled the re-formation of a local councils and return of Syrian refugees.

Meanwhile, Turkish FM Cavusoglu was keen on meeting United Nations envoy to Syria Geir Pedersen ahead of his trip to Washington to imply that he was interested in reaching a political solution in Syria.

At any rate, a breakthrough, if reached, has yet to be declared.

Türkiye has repeatedly said it had reached the limit of its patience and that it would take unilateral measures. The US has warned against any measure that would impact the SDF and the war on terror.

Iranian annoyance

Amid all these developments, Iran has expressed its annoyance with the Russian mediation between Damascus and Ankara for a number of reasons.

First, the mediation took place behind its back. In fact, Iranian Foreign Minister Hossein Amir-Abdollahian complained of this in Damascus just days ago, revealing that he had learned of the Syrian-Turkish meetings through the media.

Second, Tehran believes that any progress in Syrian-Turkish ties may take place at the expense of Iran’s military and non-military role in Syria.

Third, the United Arab Emirates has joined efforts in Syria and offered to host or take part in the Syrian-Turkish-Russian meetings, including the upcoming trilateral summit.

Add to the above obstacles that led to the postponement of a visit by Iranian President Ebrahim Raisi to Damascus that was planned for late 2022.

Meanwhile, Damascus, which wants to stand on equal footing with its allies Moscow and Tehran, has expressed its disappointment with the continued Iranian arms shipments to Damascus International Airport that has been the target of a number of Israeli strikes.

It is also upset with the delay in the arrival of three Iranian oil shipments and with draft agreements that include “sovereign concessions” related to the economy and granting Iranians in Syria the same privileges as the Syrians themselves.

These issues were discussed during Abdollahian’s visit to Damascus and some breakthroughs were reached. Tehran pledged to send oil shipments and Damascus pledged to coordinate its normalization with Ankara with Iran. Preparations to arrange for Raisi’s visit to Damascus have resumed. Amid all this, pro-Iran factions shelled the positions of “America’s allies” in the region east of the Euphrates.

The outcomes of the above-mentioned secret and open meetings will emerge on the Aleppo-Latakia highway, the battlefields in northern and eastern Syria and in air raids. Meanwhile, the Syrian people, huddled in their homes and camps, are hoping for an improvement in their living and economic conditions.



Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
TT

Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed

The baby in Gaza who was recently paralyzed by polio was infected with a mutated strain of the virus that vaccinated people shed in their waste, according to scientists who say the case is the result of “an unqualified failure” of public health policy.
The infection, which marked the first detection of polio in the war-torn Palestinian territory in more than 25 years, paralyzed the lower part of one leg in the unvaccinated 10-month-old child. The baby boy was one of hundreds of thousands of children who missed vaccinations because of the fighting between Israel and Hamas.
Scientists who have been monitoring polio outbreaks said the baby's illness showed the failures of a global effort by the World Health Organization and its partners to fix serious problems in their otherwise largely successful eradication campaign, which has nearly wiped out the highly infectious disease. Separately, a draft report by experts deemed the WHO effort a failure and “a severe setback.”
The polio strain in question evolved from a weakened virus that was originally part of an oral vaccine credited with preventing millions of children worldwide from being paralyzed. But that virus was removed from the vaccine in 2016 in hopes of preventing vaccine-derived outbreaks.
Public health authorities knew that decision would leave people unprotected against that particular strain, but they thought they had a plan to ward off and quickly contain any outbreaks. Instead, the move resulted in a surge of thousands of cases, The Associated Press reported.
“It was a really horrible strategy,” said Columbia University virologist Vincent Racaniello, who was not involved with the report or the WHO. “The decision to switch vaccines was based on an incorrect assumption, and the result is now we have more polio and more paralyzed children.”
A draft copy of the report commissioned by the WHO and independent experts said the plan underestimated the amount of the strain in the environment and overestimated how well officials would be able to squash outbreaks.
The plan led to vaccine-linked polio outbreaks in 43 countries that paralyzed more than 3,300 children, the report concluded.
Even before the Gaza case was detected, officials reviewing the initiative to tinker with the vaccine concluded that “the worst-case scenario has materialized,” the report said.
The report has not yet been published, and some changes will likely be made before the final version is released next month, the WHO said.
The strain that infected the baby in Gaza had lingered in the environment and mutated into a version capable of starting outbreaks. It was traced to polio viruses spreading last year in Egypt, according to genetic sequencing, the WHO said.
In 2022, vaccine-linked polio viruses were found to be spreading in Britain, Israel and the US, where an unvaccinated man was paralyzed in upstate New York.
Scientists now worry that the emergence of polio in a war zone with an under-immunized population could fuel further spread.
Racaniello said the failure to track polio carefully and to sufficiently protect children against the strain removed from the vaccine has had devastating consequences.
“Only about 1% of polio cases are symptomatic, so 99% of infections are silently spreading the disease,” he said.
The oral polio vaccine, which contains a weakened live virus, was withdrawn in the US in 2000. Doctors continued to vaccinate children and eventually moved to an injected vaccine, which uses a dead virus and does not come with the risk that polio will be present in human waste. Such waste-borne virus could mutate into a form that triggers outbreaks in unvaccinated people.
The report's authors faulted leaders at the WHO and its partners, saying they were unable or unwilling “to recognize the seriousness of the evolving problem and take corrective action.”
WHO spokesman Oliver Rosenbauer acknowledged that the vaccine strategy “exacerbated” the risk of epidemics linked to the vaccine.
He said in an email that immunization “was not implemented in such a way to rapidly stop outbreaks or to prevent new strains from emerging.” Rosenbauer said not hitting vaccination targets was the biggest risk for allowing vaccine-linked viruses to emerge.
“You need to reach the children with the vaccines ... regardless of which vaccines are used,” he said.
The WHO estimates that 95% of the population needs to be immunized against polio to stop outbreaks. The UN health agency said only about 90% of Gaza’s population was vaccinated earlier this year.
To try to stop polio in Gaza and the wider region, the WHO and its partners plan two rounds of vaccination campaigns later this week and next month, aiming to cover 640,000 children. Authorities will use a newer version of the oral polio vaccine that targets the problematic strain. The weakened live virus in the new vaccine is less likely to cause vaccine-derived outbreaks, but they are still possible.
Racaniello said it was “unethical” that the WHO and its partners were using a vaccine that is unlicensed in rich countries precisely because it can increase the risk of polio in unvaccinated children.
The oral polio vaccine, which has reduced infections globally by more than 99%, is easy to make and distribute. Children require just two drops per dose that can be administered by volunteers. The oral vaccine is better at stopping transmission than the injected version, and it is cheaper and easier to administer.
But as the number of polio cases caused by the wild virus have plummeted in recent years, health officials have been struggling to contain the increasing spread of vaccine-linked cases, which now comprise the majority of polio infections in more than a dozen countries, in addition to Afghanistan and Pakistan, where transmission of the wild virus has never been stopped.
“This is the result of the Faustian bargain we made when we decided to use" the oral polio vaccine, said Dr. Paul Offit, director of the Vaccine Education Center at the University of Philadelphia. “If we really want to eradicate polio, then we need to stop using the vaccine with live (weakened) virus.”