Asharq Al-Awsat in Quake-Stricken Jindires: Levelled Neighborhoods, Refugees under the Rubble

08 February 2023, Syria, Jindires: A general view of the destruction caused by the deadly earthquake that tore through the Turkish-Syrian border. (dpa)
08 February 2023, Syria, Jindires: A general view of the destruction caused by the deadly earthquake that tore through the Turkish-Syrian border. (dpa)
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Asharq Al-Awsat in Quake-Stricken Jindires: Levelled Neighborhoods, Refugees under the Rubble

08 February 2023, Syria, Jindires: A general view of the destruction caused by the deadly earthquake that tore through the Turkish-Syrian border. (dpa)
08 February 2023, Syria, Jindires: A general view of the destruction caused by the deadly earthquake that tore through the Turkish-Syrian border. (dpa)

Teams from Syria’s Civil Defense (White Helmets), as well as civilian volunteers, have continued their search and rescue efforts of survivors of the devastating earthquake that struck the country and neighboring Türkiye on Monday.

They are carrying out their efforts in the opposition-held regions in Syria's northwest.

They are in a race against time to rescue as many people as possible from under the rubble. The 7.8 magnitude earthquake has killed at least 20,000 people in Syria and Türkiye. Hopes are dwindling to find survivors.

In the Idlib’s Jindires region, Umm Mahmoud, 51, tearily look on at what was once her neighborhood. She looks at the rubble that was once her neighbors’ homes. They did not survive the quake.

She spoke to Asharq Al-Awsat about the early moments when the earthquake struck.

“We were asleep. My husband, son and I. We almost lost our minds from fright. The trembling started and parts of our house began to fall on us. We managed to escape and run to an area that is not surrounded by buildings,” she recalled.

Screams and shouts soon began to rise from the houses nearby.

“Dust and pitch darkness soon pervaded the area. The screams then started to die down. We soon realized that an earthquake had destroyed everything in the city,” Umm Mahmoud said.

She added that her family tried to head back to its home to retrieve some clothes and blankets, but the roads leading to it were blocked by piles of rubble. “It was then that we realized the extent of the calamity,” she remarked.

Hundreds of buildings were turned to rubble in the quake. Dozens of heavy vehicles and Civil Defense teams are working tirelessly on the rescue efforts.

Hassan, 33, is a refugee from the Hama countryside. He is leading a group of civilian volunteers in the rescue efforts in the eastern section of Jindires.

He only has simple tools and hammers at his disposal. Along with a number of his friends, he joined rescue efforts after witnessing the extent of the devastation and the limited means of the Civil Defense teams.

The chances of finding surviving are dropping by the hour, he stated. Every delay may take place at the cost of losing a life.

The latest figures showed that 513 people were killed and 831 wounded in Jindires. Dozens of families remain trapped under the rubble.

Given the limited means, the rescue operations are painfully slow. Some 233 houses were completely destroyed and 120 were partially damaged and are susceptible to collapse at any moment.

Predominantly Kurdish Jindires is located in northwestern Aleppo. Its population stood at nearly 13,000 people before the eruption of the Syrian conflict in 2011.

It was held by the Kurdish People’s Protection Units (YPG) for years before Turkish forces and their allied Syrian armed factions seized control of it in March 2018 during Türkiye’s Operation Olive Branch.

Since then, it became home to over 30,000 refugees from the Aleppo and Idlib countrysides who had fled the regime. Now, many of these refugees have died in the earthquake.



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.