Young Palestinians in Lebanon Dream of a Future Abroad

In this picture taken on April 19, 2023, Nirmeen Hazineh, a young Palestinian refugee in Lebanon, poses atop a rooftop at the Shatila camp for Palestinian refugees in the southern suburbs of Beirut. (Photo by ANWAR AMRO / AFP)
In this picture taken on April 19, 2023, Nirmeen Hazineh, a young Palestinian refugee in Lebanon, poses atop a rooftop at the Shatila camp for Palestinian refugees in the southern suburbs of Beirut. (Photo by ANWAR AMRO / AFP)
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Young Palestinians in Lebanon Dream of a Future Abroad

In this picture taken on April 19, 2023, Nirmeen Hazineh, a young Palestinian refugee in Lebanon, poses atop a rooftop at the Shatila camp for Palestinian refugees in the southern suburbs of Beirut. (Photo by ANWAR AMRO / AFP)
In this picture taken on April 19, 2023, Nirmeen Hazineh, a young Palestinian refugee in Lebanon, poses atop a rooftop at the Shatila camp for Palestinian refugees in the southern suburbs of Beirut. (Photo by ANWAR AMRO / AFP)

In Lebanon's impoverished Palestinian refugee camps, young people say they dream of leaving a struggling country where their families took refuge generations ago and where their futures remain bleak.

Nirmeen Hazineh is a descendant of survivors of what Palestinians call the Nakba -- the "catastrophe" -- when more than 760,000 Palestinians fled or were forced from their homes by the 1948 war over Israel's creation.

She proudly considers herself from Jaffa -- now south of Tel Aviv -- and talks as if she has lived there all her life, instead of in the ramshackle Shatila refugee camp south of Beirut.

"Emigration has become the main solution for young people," said Hazineh, 25.

"Whoever you speak to, they'll tell you 'I want to leave', whether legally or illegally, it doesn't matter," she told AFP.

Lebanon has been grappling with a devastating economic crisis since late 2019.

Most of the population is now in poverty, according to the United Nations, and many Lebanese have quit the country for better prospects abroad.

Hazineh is a sociology graduate but is not allowed to practice in her field, as Lebanon bars Palestinians from working in 39 professions, including as doctors, lawyers and engineers.

Instead she helps to raise awareness of the dangers of drugs, which add to the daily misery of Shatila.

"There is a kind of despair among young people in the camp," said Hazineh, who despite the difficulties maintains a radiant smile.

She said she wanted to live "in a country that respects me, that gives me a chance, a job".

Tiny Lebanon hosts an estimated 250,000 Palestinian refugees, according to UNRWA, the UN agency for Palestinian refugees, while almost double that number are registered for the organization's services.

Most Palestinians, including more than 30,000 who fled the war in neighboring Syria after 2011, live in one of Lebanon's 12 official camps, now bustling but impoverished urban districts.

Shatila is a warren of tumbledown homes where tangled electricity cables criss-cross tight alleyways.

Walid Othman, 33, says he spends his spare time in political activism with the Popular Front for the Liberation of Palestine, which is banned in Israel.

Othman said he would have liked to study political science and dedicate his life to "defending the Palestinian cause on an international level".

But he had to stop his studies because of "the difficult economic situation" and instead became a blacksmith.

In Lebanon, Palestinians' "denied right to own property... further complicates employment and income generation activities", said Dorothee Klaus, director of UNRWA affairs for Lebanon.

Lebanon says restrictions on Palestinians are justified by their right to return to their country.

In neighboring Syria, some 400,000 Palestinians are registered with UNRWA, where they have access to the job market.

In Jordan, more than half of the around 10 million population is of Palestinian origin, while some 2.3 million Palestinians are registered with UNRWA but have the same rights as Jordanians.

"With no prospect of meaningful future", Palestinian refugees in Lebanon have "attempted to migrate whenever possible", Klaus said.

But their travel documents "may not be recognized", and they may be "required to file visas related to stateless persons", she added.

Mohammad Abdel Hafiz lamented that Palestinians in Lebanon "don't even enjoy the most basic rights".

"Everybody is born in a country, while we are born where our heart is," said the 29-year-old, who volunteers for the Palestinian civil defense in Shatila.

As he zips through its alleys on his moped, he dreams of leaving, but his chances of getting a visa to a Western country are slim.

And he is haunted by the memory of three young camp residents who drowned when a boat carrying would-be migrants sank off the Lebanese coast last year.

"They died because they wanted to have a future," Abdel Hafiz said.

"Here, our aim is just to survive."



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.