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."



Syrians in Libya Struggle to Escape ‘Exile in Limbo’

A photo shows young Syrian men who drowned after their boat capsized off the coast of Libya. Credit: Rights activist Tarek Lamloum
A photo shows young Syrian men who drowned after their boat capsized off the coast of Libya. Credit: Rights activist Tarek Lamloum
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Syrians in Libya Struggle to Escape ‘Exile in Limbo’

A photo shows young Syrian men who drowned after their boat capsized off the coast of Libya. Credit: Rights activist Tarek Lamloum
A photo shows young Syrian men who drowned after their boat capsized off the coast of Libya. Credit: Rights activist Tarek Lamloum

About seven months ago, a group of 25 Syrian youths, including minors, set off from Libya on an irregular migration journey toward Europe. Only four made it back alive. The rest drowned in the Mediterranean.

The tragedy, which left a deep mark on Syrian communities both in Libya and abroad, has drawn renewed attention to the large and diverse Syrian population now living in the North African country, some fleeing the war in Syria under former President Bashar al-Assad, others settled there long before.

Syria’s presence in Libya is far from monolithic. It spans businessmen, migrant laborers, families who settled during the rule of Muammar Gaddafi, and former fighters now working as mercenaries. Many also see Libya as a temporary stop on the perilous path to Europe.

For most, Libya is not the destination but a gateway. The recent drowning of 21 Syrians in the Mediterranean was not an isolated tragedy, but part of a pattern of loss that has haunted the community for years.

Reports from local and international migration watchdogs have documented repeated drownings and arrests of Syrians at sea, with many captured by Libya’s coastguard and detained in overcrowded jails.

Despite the risks, many Syrians have managed to adapt to life in Libya, integrating into local communities and participating in its economy.

Yet numerous challenges persist, particularly for undocumented workers and those living without valid residency papers. Many report facing discrimination, abuse, and difficult working conditions.

As thousands of Syrian refugees across the Middle East prepare to return home amid improving conditions and relaxed restrictions, Syrians in Libya remain stuck, unable to stay, and unable to leave.

“We’re caught in the middle,” said one Syrian resident in Tripoli. “We can’t endure much longer, but we also can’t afford to go back.”

Many Syrians in Libya say they are increasingly vulnerable to exploitation, including passport confiscation and harassment by armed groups and criminal gangs operating with impunity.

Several Syrian residents told Asharq Al-Awsat they are facing rising unemployment, frequent kidnappings, and demands for ransom by militias. For those who now wish to return to Syria, doing so has become financially prohibitive due to hefty fines for visa violations.

Steep Penalties for Overstaying

Under a revised Libyan immigration law enacted on March 14, 2024, foreigners who overstay their visas or residency permits are charged 500 Libyan dinars - around $90 - per month. The regulation adds a significant burden for many Syrians whose legal documents have expired and who lack the resources to renew them or pay the fines required to exit the country legally.

Due to the political division in Libya since 2014, no official statistics exist on the number of foreign residents. However, the UN refugee agency (UNHCR) reported in 2020 that approximately 14,500 Syrian refugees and asylum seekers were living in Libya.

Ten years after arriving in Libya, Ahmed Kamal Al-Fakhouri says he is now trapped, unable to afford life in the country or the high costs of leaving it.

“They’ve imposed fines on us that are beyond reason - nearly $1,500 per person,” said Fakhouri, a restaurant worker in Tripoli, echoing a growing outcry among Syrians in Libya burdened by mounting penalties and legal uncertainties. “Sometimes, I can’t even afford a day’s meal.”

Fakhouri fled Derna after the deadly floods of August 2023 and resettled in Tripoli.

“I saw death with my own eyes,” he told Asharq Al-Awsat, describing the trauma of losing his home. “Now we’re living in misery. We want the world to hear our voice - we want to go back to our country.”

Libya hosts thousands of Syrians, including doctors, engineers, university students, and day laborers who fill the country’s markets in search of work to support their families.

Yet many say they now find themselves stuck, facing visa penalties they can’t afford and no clear path home - even as the fall of Assad’s regime renews hopes for return.

“Exit Tax” Burdens Families

While Libya’s labor ministries have issued no formal statement on the matter, members of the Syrian community say they are being charged an "exit tax" calculated based on their overstay period. No official decree has been published, but testimonies suggest the fees are acting as a de facto barrier to departure.

Following Assad’s ouster, many Syrians are reconsidering return, describing exile as a “prison,” but are deterred by the financial burden of settling overstays.

Asharq Al-Awsat reached out to both of Libya’s rival labor ministries to clarify policies affecting Syrians and the reported fines for expired documents, but received no response.

Zekeriya Saadi, another Syrian living in Tripoli, has publicly called on authorities in both eastern and western Libya to cancel the exit tax and allow those wishing to return to Syria to do so.

“In these unbearable conditions, it’s unreasonable to ask refugees to pay such high fees just to leave the country,” he said. “This tax is a major obstacle, it exceeds our capacity, especially given our financial hardships.”

Saadi said most Syrians in Libya are low-income families without stable jobs. “Many are at risk of eviction, kidnapping, or exploitation. Leaving has become a matter of survival,” he said. “How can a displaced person be treated like a tourist or a wealthy expat?”

He urged Syria’s Foreign Ministry to take a clear stance and negotiate with Libyan authorities for fee exemptions and coordinated return efforts, while also working to protect Syrians who remain in the country.

Passport Problems Bar Education

Beyond financial barriers, expired passports are also stranding Syrians in legal limbo. Many have lost access to services, and the issue is now affecting the next generation.

According to Syrian media reports, education officials in Misrata barred at least 100 Syrian children from enrolling in public schools because their parents’ passports had expired, highlighting how bureaucratic obstacles are deepening the crisis for displaced families.