Lebanon’s Empty Schools Bode Long-term Damage From Crisis

An empty classroom in a closed public school is seen in Beirut, Lebanon, Thursday, March 2, 2023. (AP Photo/Hussein Malla)
An empty classroom in a closed public school is seen in Beirut, Lebanon, Thursday, March 2, 2023. (AP Photo/Hussein Malla)
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Lebanon’s Empty Schools Bode Long-term Damage From Crisis

An empty classroom in a closed public school is seen in Beirut, Lebanon, Thursday, March 2, 2023. (AP Photo/Hussein Malla)
An empty classroom in a closed public school is seen in Beirut, Lebanon, Thursday, March 2, 2023. (AP Photo/Hussein Malla)

On a recent school day, the Rene Mouawad High School in Beirut was empty, its classrooms dark, just like all of Lebanon’s public schools have been for most of the past three months. Its striking teachers were protesting in front of the Education Ministry, not far away.

About a hundred teachers joined the demonstration outside the ministry, blocking traffic and holding placards demanding pay raises. “We are done with charity,” said Nisreen Chahine, the head of the union for contractor teachers.

“We are not negotiating anymore. They should either rightfully pay us or go home,” The Associated Press quoted Chahine as saying.

The teachers gave speeches demanding officials come out and talk to them. But as usual in these regular protests, no one from the ministry emerged. After several hours, the teachers packed up and went home.

Lebanon’s schools are crumbling under the weight of the country’s economic collapse as the political leadership — which caused the crisis through decades of corruption and mismanagement — balks at taking any measures to resolve it. Since the meltdown began in late 2019, over three-quarters of Lebanon’s 6 million people have been plunged into poverty, their assets evaporating as the currency’s value shrivels and inflation rises at one of the world’s highest rates.

Most of the country’s children have not been in school for months — many since even before teachers, who say they can no longer live on their salaries, went on strike in December. Lebanon was once known for producing a highly skilled, educated work force. But now an entire generation is missing out on schooling, wreaking long-term damage on prospects for the country’s economy and future.

Teachers called their strike because their salaries, in Lebanese pounds, have became too low to cover rent and other basic expenses. The pound has gone from 1,500 to the dollar before the crisis to 100,000 to the dollar currently. Most teachers are now paid the equivalent of about $1 an hour, even after several raises since 2019. Grocery stores and other businesses now usually price their goods in dollars.

Teachers are demanding adjusted salaries, a transportation stipend, and health benefits. The government only offered to partially cover transportation, saying it didn’t have the budget for more. Though schools partially reopened last week after some teachers returned to work, most chose to continue striking.

Even before the crisis, Lebanon’s investment in public schools was limited. In 2020, the government’s spending on education was equivalent only to 1.7% of Lebanon’s GDP, one of the lowest rates in the world, according to the World Bank. The 2022 budget allocated 3.6 trillion Lebanese lira for education — the equivalent of around $90 million at the time the budget was passed in October, less than half the $182 million budget on education from a donor-funded humanitarian program.

Instead, the government has relied for years on private and charity schools to educate children. Humanitarian agencies paid to cover salaries and keep decrepit infrastructure functioning. Two-thirds of Lebanese children once went to private schools, but hundreds of thousands dropped out in recent years because private schools have had to increase tuition to cover soaring costs. Public and private schools struggle to keep lights on as fuel costs mount.

Even before the strike, more than 700,000 children in Lebanon, many of them Syrian refugees, were not in school because of the economic crisis. With the strike, an additional 500,000 joined their ranks, according to UNICEF.

“It means we now see children ages 10, 12, 14 and they are not able to even write their own names or write basic sentences,” Ettie Higgins, UNICEF deputy representative for Lebanon, told the AP. UNICEF said that last week it gave almost $14 million to help more than 1,000 public schools pay staff.

Rana Ghalib, a mother of four, said it makes her anxious to see her children at home when they should be in school. Her 14-year-old son had to repeat the 6th grade because he has fallen behind during previous disruptions.

“The classrooms are basically empty because teachers are demanding their rights and they’re dark because there is no fuel,” Ghalib told the AP.

The international community has been pushing Lebanon’s leaders to carry out wide-ranging reforms in the economy, financial system and governance in order to receive a $3 billion bailout package from the International Monetary Fund and unlock development aid. The political elite, which has run the country since 1990, has stalled — because, critics say, reforms would undermine its grip on power and wealth. Amid political deadlock, there hasn’t been a president for months, and the government only functions in a limited caretaker capacity.

Education, meanwhile, is joining banks, medicine and electricity in the ranks of Lebanon’s failing institutions. That could cause long-term damage: Lebanon has traditionally relied on its educated and skilled diaspora population abroad to send remittances back home to support families, invest and feed dollars into the banking system. The exodus of skilled people skyrocketed during the economic crisis, leaving remittances as Lebanon’s last economic lifeline.

Hussein Cheaito, an economist and nonresident fellow at The Tahrir Institute for Middle East Policy, a Washington-based think tank, says the crippled education system will further “deteriorate the social fabric” of Lebanon and deepen poverty.

“This will have a effect on the longer-term growth of the economy,” he told the AP. “This means there will be less access to jobs in the future … (and) weaken the labor market in general.”

Ghalib, meanwhile, checks on her children, who are watching TV and playing with their cellphones at a time when they would usually be studying. Even her 9-year-old daughter is aware that her future is in jeopardy, she said.

“My youngest daughter tells me, ‘I want to be a doctor, but how can I do that if I’m sitting at home?’” Ghalib said. “I don’t know what to tell her.”



New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
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New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)

Scientists studying the new mpox strain that has spread out of Democratic Republic of Congo say the virus is changing faster than expected, and often in areas where experts lack the funding and equipment to properly track it.

That means there are numerous unknowns about the virus itself, its severity and how it is transmitting, complicating the response, half a dozen scientists in Africa, Europe and the United States told Reuters.

Mpox, formerly known as monkeypox, has been a public health problem in parts of Africa since 1970, but received little global attention until it surged internationally in 2022, prompting the World Health Organization to declare a global health emergency. That declaration ended 10 months later.

A new strain of the virus, known as clade Ib, has the world's attention again after the WHO declared a new health emergency.

The strain is a mutated version of clade I, a form of mpox spread by contact with infected animals that has been endemic in Congo for decades. Mpox typically causes flu-like symptoms and pus-filled lesions and can kill.

Congo has had more than 18,000 suspected clade I and clade Ib mpox cases and 615 deaths this year, according to the WHO. There have also been 222 confirmed clade Ib cases in four African countries in the last month, plus a case each in Sweden and Thailand in people with a travel history in Africa.

"I worry that in Africa, we are working blindly," said Dr. Dimie Ogoina, an infectious diseases expert at Niger Delta University Hospital in Nigeria who chairs the WHO's mpox emergency committee. He first raised the alarm about potential sexual transmission of mpox in 2017, now an accepted route of spread for the virus.

"We don’t understand our outbreak very well, and if we don't understand our outbreak very well, we will have difficulty addressing the problem in terms of transmission dynamics, the severity of the disease, risk factors of the disease," Ogoina said. "And I worry about the fact that the virus seems to be mutating and producing new strains."

He said it took clade IIb in Nigeria five years or more to evolve enough for sustained spread among humans, sparking the 2022 global outbreak. Clade Ib has done the same thing in less than a year.

MUTATING 'MORE RAPIDLY'

Mpox is an orthopoxvirus, from the family that causes smallpox. Population-wide protection from a global smallpox vaccine campaign 50 years ago has waned, as the vaccinating stopped when the disease was eradicated.

Genetic sequencing of clade Ib infections, which the WHO estimates emerged mid-September 2023, show they carry a mutation known as APOBEC3, a signature of adaptation in humans.

The virus that causes mpox has typically been fairly stable and slow to mutate, but APOBEC-driven mutations can accelerate viral evolution, said Dr. Miguel Paredes, who is studying the evolution of mpox and other viruses at Fred Hutchison Cancer Center in Seattle.

"All the human-to-human cases of mpox have this APOBEC signature of mutations, which means that it's mutating a little bit more rapidly than we would expect," he said.

Paredes and other scientists said a response was complicated by several mpox outbreaks happening at once.

In the past, mpox was predominantly acquired through human contact with infected animals. That is still driving a rise in Congo in clade I cases – also known as clade Ia - likely due in part to deforestation and increased consumption of bushmeat, scientists said.

The mutated versions, clade Ib and IIb, can now essentially be considered a sexually transmitted disease, said Dr. Salim Abdool Karim, a South African epidemiologist and chair of the Africa CDC’s mpox advisory committee. Most of the mutated clade Ib cases are among adults, driven at first by an epidemic among female sex workers in South Kivu, Congo.

The virus also can spread through close contact with an infected person, which is likely how clusters of children have been infected with clade Ib, particularly in Burundi and in eastern Congo’s displacement camps, where crowded living conditions may be contributing.

Children, pregnant women and people with weakened immune systems or other illnesses may be at greater risk of serious mpox disease and death, say the WHO and mpox scientists.

Clade I has typically caused more severe disease, with fatality rates of 4%-11%, compared to around 1% for clade II. Ogoina said data from Congo suggests few have died of the new Ib version, but he feared some data is being mixed up.

More research is urgently needed, but three teams tracking mpox outbreaks in Africa say they cannot even access chemicals needed for diagnostic tests. Clade Ib can also be missed by some diagnostic tests.

Planning a response, including vaccination strategies, without this is difficult, the scientists said.

Karim said around half of cases in eastern Congo, where Ib is particularly prevalent, are only being diagnosed by doctors, with no laboratory confirmation.

Getting samples to labs is difficult because the healthcare system is already under pressure, he said. And around 750,000 people have been displaced amid fighting between the M23 rebel group and the government.

Many African laboratories cannot get the supplies they need, said Dr. Emmanuel Nakoune, an mpox expert at the Institut Pasteur in Bangui, Central African Republic, which also has clade Ia cases.

"This is not a luxury," he said, but necessary to track deadly outbreaks.