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."



What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
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What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)

Health authorities in the Gaza Strip confirmed the first case of polio in 25 years earlier this month.

The infection and subsequent partial paralysis of the nearly year-old Abdul-Rahman Abu Al-Jidyan has hastened plans for a mass vaccination campaign of children across the Palestinian enclave starting on Sept. 1.

Three-day pauses in fighting in each of Gaza's three zones have been agreed by Israel and Hamas to allow thousands of UN workers to administer vaccines.

ORIGINS

The same strain that later infected the Palestinian baby, from the type 2 vaccine-derived polio virus that has also been detected in wastewater in some developed countries in recent years, was detected in July in six sewage samples taken in Khan Younis and Deir al-Balah.

It is not clear how the strain arrived in Gaza but genetic sequencing showed that it resembles a variant found in Egypt that could have been introduced from September 2023, the WHO said.

The UN health body says that a drop in routine vaccinations in the Occupied Palestinian Territories, including Gaza, has contributed to its re-emergence.

Polio vaccination coverage, primarily conducted through routine immunization, was estimated at 99% in 2022 and fell to 89% in 2023. Health workers say the closure of many hospitals in Gaza, often because of Israeli strikes or restrictions on fuel, has contributed to lower vaccination rates. Israel blames Hamas, saying they use hospitals for military purposes.

Aid workers say poor sanitation conditions in Gaza where open sewers and trash piles are commonplace after nearly 11 months of war have created favorable conditions for its spread.

MASS VACCINATIONS

Israel's military and the Palestinian armed group Hamas have agreed to three separate, zoned three-day pauses in fighting to allow for the first round of vaccinations.

The campaign is due to start in central Gaza on Sunday with three consecutive daily pauses in fighting, then move to southern Gaza, where there would be another three-day pause, followed by northern Gaza. There is an agreement to extend the pause in each zone to a fourth day if needed.

The vaccines, which were released from global emergency stockpiles, have already arrived in Gaza and are due to be issued to 640,000 children under 10 years of age.

They will be given orally by some 2,700 health care workers at medical centers and by mobile teams moving among Gaza's hundreds of thousands of people displaced by the war, UN aid workers say.

The World Health Organization says that a successful roll-out requires at least 95% coverage.

The Israeli military's humanitarian unit (COGAT) said that the vaccination campaign would be conducted in coordination with the Israeli military "as part of the routine humanitarian pauses that will allow the population to reach the medical centers where the vaccinations will be administered".

A second round is planned in late September.

RISKS

The Gaza case which is vaccine-derived is seen as a setback for the global polio fight which has driven down cases by more than 99% since 1988 thanks to mass vaccination campaigns.

Wild polio is now only endemic in Pakistan and Afghanistan although more than 30 countries are still listed by the WHO as subject to outbreaks, including Gaza's neighbors Egypt and Israel.

The World Health Organization has warned of the further spread of polio within Gaza and across borders given the poor health and hygiene conditions there.

Poliomyelitis, which is spread mainly through the faecal-oral route, is a highly infectious virus that can invade the nervous system and cause paralysis and death in young children with those under 2 years old most at risk. In nearly all cases it has no symptoms, making it hard to detect.