Türkiye's Quakes Revive Concern for Northwestern Industrial Hub

Maiden's Tower, an islet on the Bosphorus, is pictured with the city's skyscrapers in the background in Istanbul, Türkiye, February 23, 2020. (Reuters)
Maiden's Tower, an islet on the Bosphorus, is pictured with the city's skyscrapers in the background in Istanbul, Türkiye, February 23, 2020. (Reuters)
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Türkiye's Quakes Revive Concern for Northwestern Industrial Hub

Maiden's Tower, an islet on the Bosphorus, is pictured with the city's skyscrapers in the background in Istanbul, Türkiye, February 23, 2020. (Reuters)
Maiden's Tower, an islet on the Bosphorus, is pictured with the city's skyscrapers in the background in Istanbul, Türkiye, February 23, 2020. (Reuters)

Earthquakes in southeastern Türkiye that destroyed cities and killed 44,000 people have prompted authorities to look again at how the quake-prone nation might cope with a similar tremor in Türkiye's densely populated, northwestern industrial heartland.

Istanbul, Türkiye's biggest city with a population of 16 million and the country's commercial engine, lies near fault lines that criss-cross the country. Two earthquakes three months apart killed nearly 20,000 in the northwest in 1999. Geologists say another could strike.

The Feb. 6 earthquake has caused about $34 billion in direct physical damage, the World Bank estimated on Monday, but total reconstruction and recovery costs could be twice as high. The southeast region has a sizeable manufacturing sector, albeit smaller than Türkiye's northwest.

A tremor on the scale of February's quake in Istanbul, one of the world's mega cities that lies on the strategic Bosphorus waterway, could wreak havoc and so require more preparation.

"This is (Türkiye's) industrial center. Destruction of that magnitude here could have much graver consequences that could lead to the country's destruction," said Bugra Gokce, deputy secretary-general of the opposition-run Istanbul municipality.

"The state should view this as a national security problem and should prioritize and allocate resources here," said Bugra, responsible for the municipality's earthquake risk management.

This month's earthquakes and the issue of preparedness for a major one in the northwestern Marmara region around Istanbul are set to be key issues in presidential and parliamentary elections which Türkiye is scheduled to hold by June.

President Recep Tayyip Erdogan's two-decade rule has been defined by a construction boom. He is now expected to face his biggest ever political challenge in those votes and has pledged a swift campaign to rebuild tens of thousands of homes after more than 180,000 buildings were destroyed in the latest quakes.

The Marmara region is home to 25 million people and accounts for just over 40 percent of the country's gross domestic product (GDP) as of 2021, according to figures from Türkiye's Statistics Institute.

Rapid urbanization

It hosts many factories producing goods such as cement, textiles, automotive items and oil. It is a transit channel for international trade with numerous commercial and passenger ports and the Istanbul straits linking the Black Sea and the Mediterranean.

Türkiye sits across several active fault lines, leaving it prone to large earthquakes. A branch of the North Anatolia faultline runs though the Marmara Sea, south of Istanbul.

Experts say attention needs to be focused once again on Istanbul's readiness for a major quake, something that has been a matter of public debate periodically since the 1999 disaster.

"(Building) Standards could have improved over the past 25 years if steps had been taken systematically, but...that hasn't happened," Bugra said, warning that preparation for an earthquake in or near Istanbul was not a task for a single governmental entity and required a nation-wide effort.

"We need a mobilization by all the state institutions....and have to transform policies and do this within the next 5-6 years," Bugra said.

Since 1999, Istanbul has undergone a rapid wave of urbanization, much of it under Erdogan's rule. In 2018, the government introduced a so-called zoning amnesty across Türkiye to legalize unregistered construction work, which engineers and architects warned could endanger lives.

The government denies criticism that it has been systematically lax on safety standards, but last week Turkish Justice Minister Bekir Bozdag acknowledged Türkiye should no longer implement the amnesty and should review penalties on sub standard construction.

Bugra's municipality is run by mayor Ekrem Imamoglu from the main opposition Republican People's Party (CHP), who has clashed with Erdogan in the past and who is seen as a potential challenger to him in the presidential election.

He is set to announce a "mobilization plan" for Istanbul on Wednesday.

Preparations for an earthquake hitting Istanbul should not be limited to evaluating and strengthening the buildings but also should expand to infrastructure work to secure the flow of energy and water, Bugra said.

Since the quake in the southeast, Istanbul municipality has received more than 100,000 applications for building resilience assessments, triggering the web site to crash, he said.



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.