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.



Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
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Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed

The baby in Gaza who was recently paralyzed by polio was infected with a mutated strain of the virus that vaccinated people shed in their waste, according to scientists who say the case is the result of “an unqualified failure” of public health policy.
The infection, which marked the first detection of polio in the war-torn Palestinian territory in more than 25 years, paralyzed the lower part of one leg in the unvaccinated 10-month-old child. The baby boy was one of hundreds of thousands of children who missed vaccinations because of the fighting between Israel and Hamas.
Scientists who have been monitoring polio outbreaks said the baby's illness showed the failures of a global effort by the World Health Organization and its partners to fix serious problems in their otherwise largely successful eradication campaign, which has nearly wiped out the highly infectious disease. Separately, a draft report by experts deemed the WHO effort a failure and “a severe setback.”
The polio strain in question evolved from a weakened virus that was originally part of an oral vaccine credited with preventing millions of children worldwide from being paralyzed. But that virus was removed from the vaccine in 2016 in hopes of preventing vaccine-derived outbreaks.
Public health authorities knew that decision would leave people unprotected against that particular strain, but they thought they had a plan to ward off and quickly contain any outbreaks. Instead, the move resulted in a surge of thousands of cases, The Associated Press reported.
“It was a really horrible strategy,” said Columbia University virologist Vincent Racaniello, who was not involved with the report or the WHO. “The decision to switch vaccines was based on an incorrect assumption, and the result is now we have more polio and more paralyzed children.”
A draft copy of the report commissioned by the WHO and independent experts said the plan underestimated the amount of the strain in the environment and overestimated how well officials would be able to squash outbreaks.
The plan led to vaccine-linked polio outbreaks in 43 countries that paralyzed more than 3,300 children, the report concluded.
Even before the Gaza case was detected, officials reviewing the initiative to tinker with the vaccine concluded that “the worst-case scenario has materialized,” the report said.
The report has not yet been published, and some changes will likely be made before the final version is released next month, the WHO said.
The strain that infected the baby in Gaza had lingered in the environment and mutated into a version capable of starting outbreaks. It was traced to polio viruses spreading last year in Egypt, according to genetic sequencing, the WHO said.
In 2022, vaccine-linked polio viruses were found to be spreading in Britain, Israel and the US, where an unvaccinated man was paralyzed in upstate New York.
Scientists now worry that the emergence of polio in a war zone with an under-immunized population could fuel further spread.
Racaniello said the failure to track polio carefully and to sufficiently protect children against the strain removed from the vaccine has had devastating consequences.
“Only about 1% of polio cases are symptomatic, so 99% of infections are silently spreading the disease,” he said.
The oral polio vaccine, which contains a weakened live virus, was withdrawn in the US in 2000. Doctors continued to vaccinate children and eventually moved to an injected vaccine, which uses a dead virus and does not come with the risk that polio will be present in human waste. Such waste-borne virus could mutate into a form that triggers outbreaks in unvaccinated people.
The report's authors faulted leaders at the WHO and its partners, saying they were unable or unwilling “to recognize the seriousness of the evolving problem and take corrective action.”
WHO spokesman Oliver Rosenbauer acknowledged that the vaccine strategy “exacerbated” the risk of epidemics linked to the vaccine.
He said in an email that immunization “was not implemented in such a way to rapidly stop outbreaks or to prevent new strains from emerging.” Rosenbauer said not hitting vaccination targets was the biggest risk for allowing vaccine-linked viruses to emerge.
“You need to reach the children with the vaccines ... regardless of which vaccines are used,” he said.
The WHO estimates that 95% of the population needs to be immunized against polio to stop outbreaks. The UN health agency said only about 90% of Gaza’s population was vaccinated earlier this year.
To try to stop polio in Gaza and the wider region, the WHO and its partners plan two rounds of vaccination campaigns later this week and next month, aiming to cover 640,000 children. Authorities will use a newer version of the oral polio vaccine that targets the problematic strain. The weakened live virus in the new vaccine is less likely to cause vaccine-derived outbreaks, but they are still possible.
Racaniello said it was “unethical” that the WHO and its partners were using a vaccine that is unlicensed in rich countries precisely because it can increase the risk of polio in unvaccinated children.
The oral polio vaccine, which has reduced infections globally by more than 99%, is easy to make and distribute. Children require just two drops per dose that can be administered by volunteers. The oral vaccine is better at stopping transmission than the injected version, and it is cheaper and easier to administer.
But as the number of polio cases caused by the wild virus have plummeted in recent years, health officials have been struggling to contain the increasing spread of vaccine-linked cases, which now comprise the majority of polio infections in more than a dozen countries, in addition to Afghanistan and Pakistan, where transmission of the wild virus has never been stopped.
“This is the result of the Faustian bargain we made when we decided to use" the oral polio vaccine, said Dr. Paul Offit, director of the Vaccine Education Center at the University of Philadelphia. “If we really want to eradicate polio, then we need to stop using the vaccine with live (weakened) virus.”