After Medicine Shortage, Lebanese Now Scramble to Find Baby Milk

Pharmacist Siham Itani wearing a protective mask looks at her mobile phone inside her pharmacy in Beirut, Oct. 6, 2020. (Reuters)
Pharmacist Siham Itani wearing a protective mask looks at her mobile phone inside her pharmacy in Beirut, Oct. 6, 2020. (Reuters)
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After Medicine Shortage, Lebanese Now Scramble to Find Baby Milk

Pharmacist Siham Itani wearing a protective mask looks at her mobile phone inside her pharmacy in Beirut, Oct. 6, 2020. (Reuters)
Pharmacist Siham Itani wearing a protective mask looks at her mobile phone inside her pharmacy in Beirut, Oct. 6, 2020. (Reuters)

The sight of empty shelves in the majority of pharmacies throughout Lebanon demonstrates the extent of the crisis the country’s health sector is enduring.

Pharmacies have been suffering from the drop in the value of the local currency and the people’s hording of medicine before the state stops subsidizing them, which would lead to their prices increasing a whopping six-fold.

The hording continued in spite of assurances from the health minister and parliamentary health committee that the subsidies will not be lifted. They explained that the prices of medicine to treat chronic diseases will remain the same, while over the counter drugs and others that need a prescription will increase by 2.5 their original price and based on the Central Bank exchange rate of 3,900 pounds to the dollar.

The Lebanese have stocked up on medicine that they need and those that they don’t need, making them among the main reason for the drop in supplies.

“There are more medicines at homes than at our warehouses,” said head of the Pharmacists Syndicate, Ghassan al-Amin.

Head of Pharmaceuticals Importers Association, Karim Jebara said that within 15 days, some 200,000 boxes of aspirin and 250,000 boxes of its substitute, Aspicot, were imported. They are now practically out of stock in pharmacies.

The medicine shortage has even affected supplies of baby milk, which is exclusively sold at pharmacies.

One pharmacy owner said a real crisis is unfolding because the people are hording the milk at home, fearing a shortage in supplies and hike in price.

A pediatrician told Asharq Al-Awsat that the milk that is in short supply is primarily given to one-year-olds and above. This product is unsubsidized and is likely being stored by pharmacies so that they can sell it at increased prices once the health ministry announces a new price list.

One father revealed that he had purchased 70 boxes of baby milk for his newborn child. Now, however, he has been confronted with a shortage in baby food, which the infant should take when he reaches the age of six months.

“I even offered one pharmacy some of the boxes I had bought in exchange for some of the baby food, but the told me that they are out,” he told Asharq Al-Awsat on condition of anonymity.

Amin told Asharq Al-Awsat that the Lebanese people can rest easy whenever they have stocks of medicine at their homes, blaming the Central Bank’s announcement that it will lift subsidies for sparking the panic-buying among the population.

The solution lies in the prime minister-designate and Central Bank governor declaring frankly to the people that medicine supplies will be kept away from political tensions, he suggested.

Jebara said the lack of trust between the people and state has led to the panic-buying. He urged the Central Bank to declare that it has enough funds to continue to subsidize medicine until the end of 2021 so the people can be at ease.



How Long Will It Take and How Much Will It Cost to Rebuild Gaza?

A young Palestinian girl walks along a street on a misty morning in Khan Younis in the northern Gaza Strip on January 17, 2025, as Israel's security cabinet is expected to approve a Gaza ceasefire and hostage release deal. (AFP)
A young Palestinian girl walks along a street on a misty morning in Khan Younis in the northern Gaza Strip on January 17, 2025, as Israel's security cabinet is expected to approve a Gaza ceasefire and hostage release deal. (AFP)
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How Long Will It Take and How Much Will It Cost to Rebuild Gaza?

A young Palestinian girl walks along a street on a misty morning in Khan Younis in the northern Gaza Strip on January 17, 2025, as Israel's security cabinet is expected to approve a Gaza ceasefire and hostage release deal. (AFP)
A young Palestinian girl walks along a street on a misty morning in Khan Younis in the northern Gaza Strip on January 17, 2025, as Israel's security cabinet is expected to approve a Gaza ceasefire and hostage release deal. (AFP)

Palestinians in the Gaza Strip are eager to leave miserable tent camps and return to their homes if a long-awaited ceasefire agreement halts the Israel-Hamas war, but many will find there is nothing left and no way to rebuild.

Israeli bombardment and ground operations have transformed entire neighborhoods in several cities into rubble-strewn wastelands, with blackened shells of buildings and mounds of debris stretching away in all directions. Major roads have been plowed up. Critical water and electricity infrastructure is in ruins. Most hospitals no longer function.

And it's unclear when — or even if — much will be rebuilt.

The agreement for a phased ceasefire and the release of hostages held by Hamas-led fighters does not say who will govern Gaza after the war, or whether Israel and Egypt will lift a blockade limiting the movement of people and goods that they imposed when Hamas seized power in 2007.

The United Nations says that it could take more than 350 years to rebuild if the blockade remains.

Two-thirds of all structures destroyed

The full extent of the damage will only be known when the fighting ends and inspectors have full access to the territory. The most heavily destroyed part of Gaza, in the north, has been sealed off and largely depopulated by Israeli forces in an operation that began in early October.

Using satellite data, the United Nations estimated last month that 69% of the structures in Gaza have been damaged or destroyed, including over 245,000 homes. The World Bank estimated $18.5 billion in damage — nearly the combined economic output of the West Bank and Gaza in 2022 — from just the first four months of the war.

Israel blames the destruction on Hamas, which ignited the war with its Oct. 7, 2023, attack into Israel, killing some 1,200 people, mostly civilians, and abducting another 250. Israel's retaliatory offensive has killed over 46,000 Palestinians, more than half of them women and children, according to Gaza's Health Ministry, which does not say how many of the dead were fighters.

Israel says it has killed over 17,000 fighters, without providing evidence. The military has released photos and video footage showing that Hamas built tunnels and rocket launchers in residential areas, and often operated in and around homes, schools and mosques.

Mountains of rubble to be moved

Before anything can be rebuilt, the rubble must be removed — a staggering task in itself.

The UN estimates that the war has littered Gaza with over 50 million tons of rubble — roughly 12 times the size of the Great Pyramid of Giza. With over 100 trucks working full time, it would take over 15 years to clear the rubble away, and there is little open space in the narrow coastal territory that is home to some 2.3 million Palestinians.

Carting the debris away will also be complicated by the fact that it contains huge amounts of unexploded ordnance and other harmful materials, as well as human remains. Gaza's Health Ministry says thousands of people killed in airstrikes are still buried under the rubble.

No plan for the day after

The rubble clearance and eventual rebuilding of homes will require billions of dollars and the ability to bring construction materials and heavy equipment into the territory — neither of which is assured.

The ceasefire agreement calls for a three- to five-year reconstruction project to begin in its final phase, after all the remaining 100 hostages have been released and Israeli troops have withdrawn from the territory.

But getting to that point will require agreement on the second and most difficult phase of the deal, which still must be negotiated.

Even then, the ability to rebuild will depend on the blockade, which critics have long decried as a form of collective punishment. Israel says it is needed to prevent Hamas from rebuilding its military capabilities, noting that cement and metal pipes can also be used for tunnels and rockets.

Israel might be more inclined to lift the blockade if Hamas were no longer in power, but there are no plans for an alternative government.

The United States and much of the international community want a revitalized Palestinian Authority to govern the West Bank and Gaza with the support of Arab countries ahead of eventual statehood. But that's a nonstarter for Israel's government, which is opposed to a Palestinian state and has ruled out any role in Gaza for the Western-backed authority.

International donors are unlikely to invest in an ungoverned territory that has seen five wars in less than two decades, which means the sprawling tent camps along the coast could become a permanent feature of life in Gaza.