Worse than ‘Years of War’: Syria Hospital Treats Quake Survivors

Civil defense workers and residents search through the rubble of collapsed buildings in the town of Harem near the Turkish border, Idlib province, Syria, Monday, Feb. 6, 2023. (AP)
Civil defense workers and residents search through the rubble of collapsed buildings in the town of Harem near the Turkish border, Idlib province, Syria, Monday, Feb. 6, 2023. (AP)
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Worse than ‘Years of War’: Syria Hospital Treats Quake Survivors

Civil defense workers and residents search through the rubble of collapsed buildings in the town of Harem near the Turkish border, Idlib province, Syria, Monday, Feb. 6, 2023. (AP)
Civil defense workers and residents search through the rubble of collapsed buildings in the town of Harem near the Turkish border, Idlib province, Syria, Monday, Feb. 6, 2023. (AP)

At a hospital in Syria, Osama Abdel Hamid was holding back tears as he recalled on Monday the powerful earthquake that toppled his home and killed his neighbors, along with hundreds of his compatriots.

"We were fast asleep when we felt a huge earthquake," Abdel Hamid told AFP at Al-Rahma hospital in the northwestern Idlib province, where he was being treated for a head injury.

The 7.8-magnitude pre-dawn quake, whose epicenter was near the Turkish city of Gaziantep, wiped out entire sections of cities in Türkiye and war-ravaged Syria. Officials have put the combined death toll at more than 1,900.

When it shook the Abdel Hamid family's home in the village of Azmarin, near Syria's border with Türkiye, "I woke up my wife and children and we ran towards the exit door," the man said.

"We opened the door, and suddenly the entire building collapsed."

Within moments, Abdel Hamid found himself under the rubble of the four-storey building.

All of his neighbors died, but the family made it out alive.

"The walls collapsed over us, but my son was able to get out," Abdel Hamid said. "He started screaming and people gathered around, knowing there were survivors, and they pulled us out from under the rubble."

They were taken to the hospital in Darkush, a town several kilometers (miles) to the south along the Turkish border.

The facility soon had to take in patients far beyond its capacity and received at least 30 dead bodies.

An AFP photographer saw multiple ambulances arriving at Al-Rahma one after the other, carrying casualties including many children.

"The situation is bad," said Majid Ibrahim, general surgeon at the hospital, where by the late morning some 150 people injured in the quake had arrived.

"A lot of people are still under the debris of the buildings," he told AFP.

"We need urgent help for the area, especially medical help."

Many 'still trapped'

At least 810 people were killed across the war-torn country, the Syrian government and rescue workers said.

The health ministry, said at least 430 people were killed and 1,315 injured in government-controlled areas.

The White Helmets rescue group said at least 380 were killed and more than 1,000 injured in opposition-held areas.

It had cautioned earlier on Monday "the toll may increase as many families are still trapped."

In one crowded hospital room, injured people were lying on beds, some with bandages on their heads and others treated for fractures and bruises.

On one of the beds, a boy whose head was covered in a bandage was sleeping next to another patient.

And in another room, a young girl was crying as she received an injection, her hand in a cast.

Mohammad Barakat, 24, was being treated for a broken leg.

"I took my children and got out of the house," recalled the father of four, lying in bed with wounds covering parts of his face.

"My house is an old one, and construction is very old," he told AFP.

"So I got scared it might collapse on us. The walls of the neighboring houses began collapsing when we were out in the street."

'Judgement day'

The earthquake hit near Gaziantep in southeastern Türkiye at 04:17 am (0117 GMT) at a depth of about 17.9 kilometers (11 miles), the US Geological Survey said.

Tremors were also felt in Lebanon and Cyprus, AFP correspondents said.

In the town of Sarmada, in the countryside of Idlib province, a block of buildings had been levelled. The remains of solar panels and water tanks as well as mattresses and blankets were scattered above the ruins.

An AFP photographer saw rescue workers start to clear the rubble and remove big pieces of concrete in the hope of finding survivors.

Anas Habbash said he "ran down the stairs like crazy", carrying his son and ushering his pregnant wife outside of the apartment building in the northern city of Aleppo.

"Once we got to the street, we saw dozens of families in shock and fear," the 37-year-old told AFP.

Some knelt down to pray and other started crying "as if it were judgement day".

"I haven't had that feeling all through the years of the war" in Syria since 2011, Habbash said.

"This was much more difficult than shells and bullets."



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.