Lives Lost: Doctor Chose to Stay, Work in War-Torn Syria

This undated photo provided by his son Kenan Aljasem shows Dr. Adnan Jasem in Albad, Syria. Jasem had every reason to leave war-torn Syria after surviving a bomb blast that broke his legs four years earlier and receiving job offers from abroad. Still, Jasem stayed, committed to treating the people in his homeland. It was no surprise that he would be on the front lines when the first coronavirus cases appeared in northwest Syria this summer. By Sept. 6, 2020, Jasem started feeling ill. Four days later, the 58-year-old was dead. (Kenan Aljasem via AP)
This undated photo provided by his son Kenan Aljasem shows Dr. Adnan Jasem in Albad, Syria. Jasem had every reason to leave war-torn Syria after surviving a bomb blast that broke his legs four years earlier and receiving job offers from abroad. Still, Jasem stayed, committed to treating the people in his homeland. It was no surprise that he would be on the front lines when the first coronavirus cases appeared in northwest Syria this summer. By Sept. 6, 2020, Jasem started feeling ill. Four days later, the 58-year-old was dead. (Kenan Aljasem via AP)
TT

Lives Lost: Doctor Chose to Stay, Work in War-Torn Syria

This undated photo provided by his son Kenan Aljasem shows Dr. Adnan Jasem in Albad, Syria. Jasem had every reason to leave war-torn Syria after surviving a bomb blast that broke his legs four years earlier and receiving job offers from abroad. Still, Jasem stayed, committed to treating the people in his homeland. It was no surprise that he would be on the front lines when the first coronavirus cases appeared in northwest Syria this summer. By Sept. 6, 2020, Jasem started feeling ill. Four days later, the 58-year-old was dead. (Kenan Aljasem via AP)
This undated photo provided by his son Kenan Aljasem shows Dr. Adnan Jasem in Albad, Syria. Jasem had every reason to leave war-torn Syria after surviving a bomb blast that broke his legs four years earlier and receiving job offers from abroad. Still, Jasem stayed, committed to treating the people in his homeland. It was no surprise that he would be on the front lines when the first coronavirus cases appeared in northwest Syria this summer. By Sept. 6, 2020, Jasem started feeling ill. Four days later, the 58-year-old was dead. (Kenan Aljasem via AP)

Dr. Adnan Jasem had every reason to leave war-torn Syria after surviving a bomb blast that broke his legs four years ago and receiving job offers from abroad.

Still, Jasem stayed, committed to treating the people in his homeland. It was no surprise that he would be on the front lines when the first coronavirus cases appeared in northwest Syria this summer.

By Sept. 6, Jasem started feeling ill. Four days later, the 58-year-old was dead.

"It´s just so tragic," said Jasem's cousin, Dr. Ziad Alissa, who lives in Paris.

Alissa called doctors to get Jasem on a ventilator, but it was too late and he died the next day.

"He cared for so many people and saved so many lives, but we couldn't save him," said Alissa, director of the French chapter of the Union of Medical Care and Relief Organizations, or UOSSM, a group founded by Syrian doctors in 2012 to provide free medical care, equipment and other aid to hospitals and clinics inside Syria.

Jasem is the reason Alissa, who is five years younger, became a doctor.

The two grew up in a farming region. Jasem's father was the first to break from the family's long history of wheat and cotton farming and go to college. He came back home to teach.

His father instilled in Jasem the sense of duty to serve your community. Jasem, too, returned after finishing medical school in Damascus, specializing in anesthesia.

He and his wife, a gynecologist, had four children and worked as local doctors in eastern Syria´s Deir ez-Zour region, near the border with Iraq.

Syria's civil war erupted after an Arab Spring-inspired uprising, which began with peaceful protests in 2011 and escalated into an armed rebellion following a government crackdown.

Their lives were constantly under threat: As doctors, they were seen with suspicion every time a new group - from government forces to ISIS fighters - took control of an area.

In the past year alone, 85 medical facilities in northern Syria have been attacked, according to UOSSM.

Medical equipment was regularly moved to hospital basements to protect it from bombings. With the sound of planes conducting airstrikes overhead, briefly hiding in a safe place was a routine part of Jasem's workday. Sometimes he treated fellow doctors who were injured in the blasts.

Syria's nine-year war has killed about a half-million people, wounded more than a million and forced about 5.6 million to flee as refugees, mostly to neighboring countries. Another 6 million of Syria´s prewar population of 23 million are internally displaced.

Jasem and his family were uprooted several times because of the violence, including when a bomb blast destroyed his home four years ago as he huddled with his wife and children in the basement. Both his legs were broken and he underwent surgeries to walk again.

Jasem received job offers from doctors who had left the country, inviting him to join them in Turkey and raise his family there.

His cousin said Jasem's response was always the same: "If there are no doctors here, who was going to help the people?"

Syria's health care system was already struggling when the first coronavirus cases appeared. Jasem had been working since 2017 in the intensive care unit at the hospital in al-Bab, a Turkish-controlled zone in northwestern Syria. Turkey supports opposition fighters battling Syrian President Bashar Assad.

Jasem did his best to teach his co-workers and patients how to protect themselves against the virus, his cousin said, but there was a shortage of masks, gloves, gowns, disinfectant, even soap.

When Jasem came homesick, he told his family not to worry, that he would rest and recover while quarantining. He figured he had survived so much already.

But within days, he struggled to breathe and ended up in the same intensive care unit where he had treated numerous patients. He spent only one night there before he died.

"During this war, thousands of doctors have left because they couldn´t live there, couldn´t tolerate the life there," Alissa said. "He did it despite everything - despite the danger, the fear, the attacks, the bombings. He knew the people needed him. That is what made him an extraordinary human being. Those doctors are very few."

Jasem dreamed of someday opening a hospital in Syria that would offer free medical services to everyone. His family hopes to make that dream a reality in his honor.

Jasem´s wife, Dr. Ruba Alsayed, plans to keep working as a doctor in Syria, raising their 14-year-old son on her own. Their 18-year-old son wants to be a doctor as well. He is considering studying medicine in Europe but plans to return to his homeland to continue his father´s work.

Jasem inspired so many, said Alissa, who returns regularly to Syria to volunteer as a doctor.

"He loved his country, loved his home," Alissa said. "Above all, he loved to help his people."



With No Exit Strategy for Israel in Gaza, Critics Fear an Open-Ended Stay

 Displaced Palestinian children sit amid the rubble of a destroyed building in the Nasser district of Gaza City, in the northern Gaza Strip on October 25, 2024, amid the ongoing war between Israel and Hamas. (AFP)
Displaced Palestinian children sit amid the rubble of a destroyed building in the Nasser district of Gaza City, in the northern Gaza Strip on October 25, 2024, amid the ongoing war between Israel and Hamas. (AFP)
TT

With No Exit Strategy for Israel in Gaza, Critics Fear an Open-Ended Stay

 Displaced Palestinian children sit amid the rubble of a destroyed building in the Nasser district of Gaza City, in the northern Gaza Strip on October 25, 2024, amid the ongoing war between Israel and Hamas. (AFP)
Displaced Palestinian children sit amid the rubble of a destroyed building in the Nasser district of Gaza City, in the northern Gaza Strip on October 25, 2024, amid the ongoing war between Israel and Hamas. (AFP)

Retired Israeli general Giora Eiland believes Israel faces months of fighting in Gaza unless Prime Minister Benjamin Netanyahu uses the chance offered by the death of Hamas leader Yahya Sinwar to end the war.

Since Sinwar's death this month, Eiland has been one of a chorus of former senior army officers questioning the government's strategy in Gaza, where earlier this month troops went back into areas of the north that had already been cleared at least twice before.

For the past three weeks, Israeli troops have been operating around Jabalia, in northern Gaza, the third time they have returned to the town and its historic refugee camp since the beginning of the war in October 2023.

Instead of the Israeli military's preferred approach of quick decisive actions, many former security officials say the army risks being bogged down in an open-ended campaign requiring a permanent troop presence.

"The Israeli government is acting in total opposition to Israel's security concept," Yom-Tov Samia, former head of the military's Southern Command, told Kan public radio.

Part of the operation has involved evacuating thousands of people from the area in an effort to separate civilians from Hamas fighters. The military says it has moved around 45,000 civilians from the area around Jabalia and killed hundreds of militants during the operation. But it has been heavily criticized for the large number of civilian casualties also reported, and faced widespread calls to get more aid supplies in to alleviate a humanitarian crisis in the area.

Eiland, a former head of Israel's National Security Council, was the lead author of a much-discussed proposal dubbed "the generals' plan" that would see Israel rapidly clear northern Gaza of civilians before starving out surviving Hamas fighters by cutting off their water and food supplies.

The Israeli moves this month have aroused Palestinian accusations that the military has embraced Eiland's plan, which he envisaged as a short-term measure to take on Hamas in the north but which Palestinians see as aimed at clearing the area permanently to create a buffer zone for the military after the war.

The military has denied it is following any such plan and Eiland himself believes the strategy adopted is neither his plan, nor a classical occupation.

"I don't know exactly what is happening in Jabalia," Eiland told Reuters. "But I think that the IDF (Israel Defense Forces) is doing something which is in between the two alternatives, the ordinary military attack and my plan," he said.

NO PLAN TO STAY

From the outset of the war, Netanyahu declared Israel would get hostages home and dismantle Hamas as a military and governing force, and did not intend to stay in Gaza.

But his government never articulated a clear policy for the aftermath of the campaign, launched following the attack on Oct. 7, 2023 on southern Israeli communities by Hamas gunmen who killed some 1,200 people and took more than 250 hostages.

The Israeli onslaught has killed nearly 43,000 Palestinians, according to Gaza health officials, and the enclave has been largely reduced to a wasteland that will require billions of dollars in international assistance to rebuild.

For months there have been open disagreements between Netanyahu and Defense Minister Yoav Gallant that reflect a wider division between the governing coalition and the military, which has long favored reaching a deal to end the fighting and bring the hostages home.

With no agreed strategy, Israel risks being stuck in Gaza for the foreseeable future, said Ofer Shelah, director of the Israel National Security Policy research program at the Institute for National Security Studies in Tel Aviv.

"The situation for Israel is very precarious right now. We are sliding towards a situation where Israel is considered the de facto ruler in Gaza," he said.

The Israeli government did not immediately respond to a request for a comment on suggestions that the military is getting bogged down in Gaza.

HIT AND RUN RAIDS

With Israel's military focus now directed against the Iranian-backed Hezbollah movement in Lebanon, the number of army divisions engaged in Gaza is down to two, compared with five at the start of the war. According to estimates from Israeli security sources there are 10,000-15,000 troops in each IDF division.

The Israeli military estimates that the 25 Hamas battalions it assessed Hamas possessed at the start of the war have been destroyed long ago, and around half the force, or some 17,000-18,000 fighters have been killed. But bands of fighters remain to conduct hit and run raids on Israeli troops.

"We don't engage with tanks on the ground, we choose our targets," said one Hamas fighter, contacted through a chat app. "We are acting in a way that keeps us fighting for the longest time possible."

Although such tactics will not prevent Israel's military from moving around Gaza as it wants, they still have the potential to impose a significant cost on Israel.

The commander of Israel's 401st Armored Brigade was killed in Gaza this week when he got out of his tank to talk to other commanders at an observation point where militants had rigged up a booby trap bomb. He was one of the most senior officers killed in Gaza during the war. Three soldiers were killed on Friday.

"With the killing of Sinwar, there is no logic in remaining in Gaza," said a former top military official with direct experience of the enclave, who asked not to be named. "Methodical" pinpointed operations going forward should be carried out if Hamas regroups and resumes any war on Israel, but the risk of leaving troops permanently in Gaza was a major danger, the former official said, advocating securing the hostages and getting out.

Netanyahu's office said on Thursday that Israeli negotiators would fly to Qatar this weekend to join long-stalled talks on a ceasefire deal and the release of hostages. But what Hamas' position will be and who Israel will allow to run the enclave when the fighting stops remains unclear.

Netanyahu has denied any plans to stay on in Gaza or to allow Israeli settlers to return, as many Palestinians fear.

But the hardline pro-settler parties in his coalition and many in his own Likud party would like nothing more than to reverse the 2005 unilateral removal of Israeli settlers by former Prime Minister Ariel Sharon.

Finance Minister Bezalel Smotrich, who heads one of the pro-settler parties, said on Thursday - at the close of the Jewish holiday of Simchat Torah - that he hoped to celebrate the festival next year in the old Gaza settlement bloc of Gush Katif.