Earthquake Stuns Syria’s Aleppo Even after War’s Horrors

A member of the Algerian rescue team stands on rubble as the search for survivors continues, in the aftermath of an earthquake, in Aleppo, Syria February 9, 2023. (Reuters)
A member of the Algerian rescue team stands on rubble as the search for survivors continues, in the aftermath of an earthquake, in Aleppo, Syria February 9, 2023. (Reuters)
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Earthquake Stuns Syria’s Aleppo Even after War’s Horrors

A member of the Algerian rescue team stands on rubble as the search for survivors continues, in the aftermath of an earthquake, in Aleppo, Syria February 9, 2023. (Reuters)
A member of the Algerian rescue team stands on rubble as the search for survivors continues, in the aftermath of an earthquake, in Aleppo, Syria February 9, 2023. (Reuters)

For years, the people of Aleppo bore the brunt of bombardment and fighting when their city, once Syria’s largest and most cosmopolitan, was among the war’s fiercest battle zones. Even that didn’t prepare them for the new devastation and terror wreaked by this week’s earthquake.

The natural disaster piled on many human-made ones, multiplying the suffering in Aleppo and Syria more broadly.

Fighting largely halted in Aleppo in 2016, but only a small number of the numerous damaged and destroyed buildings had been rebuilt. The population has also more recently struggled with Syria's economic downslide, which has sent food prices soaring and residents thrown into poverty.

The shock of the quake is all too much.

Hovig Shehrian said that during the worst of the war in Aleppo, in 2014, he and his parents fled their home in a front-line area because of the shelling and sniper fire. For years, they moved from neighborhood to neighborhood to avoid the fighting.

“It was part of our daily routine. Whenever we heard a sound, we left, we knew who to call and what to do,” the 24-year-old said.

“But … we didn’t know what to do with the earthquake. I was worried we were going to die.”

Monday’s pre-dawn 7.8-magnitude quake, centered about 70 miles (112 kilometers) away in Türkiye, jolted Aleppans awake and sent them fleeing into the street under a cold winter rain. Dozens of buildings across the city collapsed. More than 360 people were killed in the city and hundreds of others were injured.

Workers were still digging three days later through the rubble, looking for the dead and the survivors. Across southern Türkiye and northern Syria, more than 11,000 were killed.

Even those whose buildings still stood remain afraid to return. Many are sheltering in schools. A Maronite Christian monastery took in more than 800 people, particularly women, children and the elderly, crammed into every room.

“Until now we are not sleeping in our homes. Some people are sleeping in their cars,” said Imad al-Khal, the secretary-general of Christian denominations in Aleppo, who was helping organize shelters.

For many, the earthquake was a new sort of terror — a shock even after what they endured during the war.

For Aleppo, the war was a long and brutal siege. Opposition factions captured the eastern part of the city in 2012, soon after Syria’s war began. For the next years, Russian-backed government forces battled to uproot them.

Syrian and Russian airstrikes and shelling flattened entire blocks. Bodies were found in the river dividing the two parts of the city. On the government-held western side, residents faced regular mortar and rocket fire from opposition fighters.

A final offensive led to months of urban fighting, finally ending in December 2016 with government victory. Opposition fighters and supporters were evacuated, and government control imposed over the entire city. Activist groups estimate some 31,000 people were killed in the four years of fighting, and almost the entire population of the eastern sector was displaced.

Aleppo became a symbol of how President Bashar Assad succeeded in clawing back most opposition-held territory around Syria’s heartland with backing from Russia and Iran at the cost of horrific destruction. The opposition holds a last, small enclave in the northwest, centered on Idlib province and parts of Aleppo province, which was also devastated by Monday’s quake.

But Aleppo never recovered. Any reconstruction has been by individuals. The city’s current population remains well below its pre-2011 population of 4.5 million. Much of the eastern sector remains in ruins and empty.

Buildings damaged during the war or built shoddily during the fighting regularly collapse. One collapse, on Jan. 22, left 16 people dead. Another in September killed 11 people, including three children.

Aleppo was once the industrial powerhouse of Syria, said Armenak Tokmajyan, a non-resident fellow at Carnegie Middle East who is originally from the city. Now, he said, it’s economically marginalized, basic infrastructure in gas and electricity is lacking, and its population – which had hoped for improvements after fighting ended – only saw things get worse.

They have also now experienced the physical — and psychological — blow of the earthquake, Tokmajyan said. “It left them wondering, do they really deserve this fate or not? I think the trauma is big and it will take some time until they swallow this really bitter pill after (more than) 10 years of war.”

Rodin Allouch, an Aleppo native, covered the war for a Syrian TV station.

“I used to be on the front line, getting video shots, getting scoops. I was never scared. Rockets and shells were falling and everything, but my morale was high,” he recalled.

The earthquake was different. “I don’t know what the earthquake did to us exactly. We felt we were going to join God. It was the first time in my life I got scared.”

During the war, he had to leave his neighborhood in the eastern sector and rent an apartment on the western side. But the quake has displaced him yet again. As their building shook, he, his wife and four children fled to a nearby garden.

Allouch said he won't return until the building is inspected and repaired. It still stands, but has many cracks. The family will instead stay in a ground-floor store front nearby that he rented.

“It is safer to be down (on ground floor) if there is an earthquake,” he said, but complained that there is no fuel for heating. “Life is so miserable.”

Many others in Aleppo have been displaced more than once.

Farouk al-Abdullah fled his farm south of Aleppo city during the war. Since then, he has been living with his two wives, 11 children and 70-year-old mother in Jenderis, an opposition-held town in Aleppo province.

Their building there collapsed completely in the earthquake, though the entire family was able to escape.

He said the earthquake, with its destruction everywhere and its aftermath — watching rescue crews pull bodies out of the rubble — “are much more horrible than during the war.”

And while war may be senseless, those in it often have a cause they are sacrificing for and wrest some meaning out of the death and destruction.

The war’s devastation in Aleppo at least “is somehow a proof that we weren’t defeated easily,” said Wissam Zarqa, an opposition supporter from the city who was there throughout the siege and now lives in the Turkish capital Ankara.

“But the destruction of natural disasters is all pain and nothing else but pain.”



Doctors and Moms Say Babies in Gaza May Die without More Formula, Blame Israel’s Blockade

 Seham Fawzy Khodeir watches her son, Hisham, who is just days old and was born prematurely, lying in an incubator at the neonatal intensive care unit of Nasser Hospital in Khan Younis, southern Gaza Strip, Thursday, June 19, 2025. (AP)
Seham Fawzy Khodeir watches her son, Hisham, who is just days old and was born prematurely, lying in an incubator at the neonatal intensive care unit of Nasser Hospital in Khan Younis, southern Gaza Strip, Thursday, June 19, 2025. (AP)
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Doctors and Moms Say Babies in Gaza May Die without More Formula, Blame Israel’s Blockade

 Seham Fawzy Khodeir watches her son, Hisham, who is just days old and was born prematurely, lying in an incubator at the neonatal intensive care unit of Nasser Hospital in Khan Younis, southern Gaza Strip, Thursday, June 19, 2025. (AP)
Seham Fawzy Khodeir watches her son, Hisham, who is just days old and was born prematurely, lying in an incubator at the neonatal intensive care unit of Nasser Hospital in Khan Younis, southern Gaza Strip, Thursday, June 19, 2025. (AP)

Seham Fawzy Khodeir watches as her son lies inside a dilapidated incubator and listens to his faint cry, mixed with the muted sound of the equipment.

The mother of six is increasingly concerned about the survival of Hisham al-Lahham, who was just days old, breathing with the help of equipment and being fed through a tube in his tiny nose.

Most alarming is that the medical-grade formula he needs to survive is running out.

"There is no milk," the 24-year-old mother told The Associated Press. He needs it to "to get better, to live and to see life."

Hisham is among 580 premature babies at risk of death from starvation across the war-battered Gaza Strip, according to the Gaza Health Ministry. Khodeir and others blame Israel’s blockade for the plight of their children. Doctors say that although some formula has been delivered, the situation is dire. Their desperation comes as the war in Gaza has been overshadowed by the Israel-Iran war.

"These babies have no time ... and no voice," said Dr. Ahmed al-Farah, head of the pediatrics and obstetrics department at Nasser Hospital, the main medical facility still partially functional in southern Gaza.

'An avoidable disaster'

Khodeir's son is one of 10 babies in incubators at Nasser's neonatal intensive care unit. Last week, al-Farah rang the alarm, saying the hospital’s stock of medical-grade formula was "completely depleted."

He said the tiny babies who relied on it would face "an avoidable disaster" in two to three days.

His pleas were answered, in part, by the delivery of 20 boxes of formula sent over the weekend by a US aid group, Rahma Worldwide. The new delivery is enough to cover the needs for the 10 infants for up to two weeks, al-Farah said.

Al-Farah, however, expressed concern about future deliveries, saying that it wasn’t guaranteed that more formula would be allowed into Gaza.

"This is not enough at all," he said. "It solved the problem temporarily, but what we need is a permeant solution: Lift the siege."

Meanwhile, fortified formula required for newborns is already out of stock at Al-Rantisi Hospital in Gaza City, its director, Dr. Jamil Suliman, said.

"Many mothers are unable to breastfeed due to severe malnutrition," he said, warning of a looming crisis.

Infants are among the hardest hit by Israel’s blockade, which started on March 2 with the complete ban of any food, water, shelter or medication.

Under mounting international pressure and repeated warnings of famine from the United Nations, Israel began allowing what Prime Minister Benjamin Netanyahu called "minimal" aid, starting May 19.

Since then, more than 1,000 tons of baby food, including formula, have entered Gaza, according to COGAT, the Israeli defense agency in charge of aid coordination in the Palestinian territory.

"Food for babies is certainly entering (the Gaza Strip), as the organizations are requesting it, we are approving it, and there is no withholding of food for babies," a COGAT spokesperson said.

But Gaza’s health officials say that for these babies, that aid hasn't included enough critical medicine, formula, medical equipment, and spare parts to keep the existing equipment operational.

The Palestinian Center for Human Rights said in a report Monday that fortified infant formula was nearly depleted from local markets, with several types already completely out of stock.

"Any limited quantities available in some pharmacies are being sold at skyrocketing prices, far beyond the purchasing power of most families," it said.

COGAT said the baby food is being distributed mostly through international organizations — not via the Gaza Humanitarian Foundation, an Israeli-backed private contractor that has drawn criticism from other groups. Palestinian witnesses and health officials say Israeli forces have opened fire on crowds heading to GHF sites. The Israeli military says it has fired warning shots.

Israel has defended its blockade

Israel has said the blockade aims to pressure Hamas into releasing the 50 hostages it still holds from its Oct. 7, 2023, attack on southern Israel that sparked the war. Fewer than half are still believed to be alive.

Israel has accused Hamas of siphoning aid, without providing evidence. The United Nations says there's been no significant diversion of aid.

Gunmen killed around 1,200 people, mostly civilians, and took 251 hostage on Oct. 7. Most of the hostages have been released by ceasefire agreements.

The war has unleashed unrelenting destruction, with more than 56,000 Palestinians killed and more than 131,00 wounded in Israel's offensive, according to Gaza health officials. The officials don't distinguish between combatants and civilians but say more than half the casualties are women and children.

The war and the blockade have sparked a humanitarian crisis, creating shortages of the most basic necessities and pushing Gaza’s health care system to the brink of collapse.

Seventeen of the enclave's 36 hospitals remain partially functioning, providing health care to more than 2 million people amid bombings, rising malnutrition rates and dwindling medical supplies.

"Starvation is increasing," said Jonathan Whittall, head of the UN's humanitarian affairs office for the occupied Palestinian territories. More than 110 children have been admitted for treatment for malnutrition every day since the start of this year, he said.

"Our warehouses stand empty while Israel restricts shipments to minimal quantities of mainly medical supplies and food," Whittall added.

A crisis at Gaza's hospitals

Human Rights Watch said in a recent report that all medical facilities in Gaza are operating in unsanitary and overcrowded conditions and have serious shortages of essential health care goods, including medicine and vaccines.

"Since the start of the hostilities in Gaza, women and girls are going through pregnancy lacking basic health care, sanitation, water, and food," said Belkis Wille, associate crisis, conflict and arms director at Human Rights Watch. "They and their newborns are at constant risk of preventable death."

The Health Ministry has repeatedly warned that medical supplies and fuel were running out at hospitals, which use fuel-powered generators amid crippling power outages.

Whittall said hospitals were forced to ration the little fuel they have "to prevent a complete shutdown of more life-saving services."

"Unless the total blockade on fuel entering Gaza is lifted, we will face more senseless and preventable death," he said.

Nasser Hospital was forced to cut off electricity for some departments, despite the nonstop flow of patients, as part of a plan to save fuel, said Ismail Abu-Nimer, head of engineering and maintenance.

Supplies have been running out amid the influx of wounded people, many coming from areas close to aid distribution centers, said Dr. Mohammad Saqer, Nasser's director of nursing.

"The situation here is terrifying, immoral, and inhumane," he said.