Worse than ‘Years of War’: Syria Hospital Treats Quake Survivors

Civil defense workers and residents search through the rubble of collapsed buildings in the town of Harem near the Turkish border, Idlib province, Syria, Monday, Feb. 6, 2023. (AP)
Civil defense workers and residents search through the rubble of collapsed buildings in the town of Harem near the Turkish border, Idlib province, Syria, Monday, Feb. 6, 2023. (AP)
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Worse than ‘Years of War’: Syria Hospital Treats Quake Survivors

Civil defense workers and residents search through the rubble of collapsed buildings in the town of Harem near the Turkish border, Idlib province, Syria, Monday, Feb. 6, 2023. (AP)
Civil defense workers and residents search through the rubble of collapsed buildings in the town of Harem near the Turkish border, Idlib province, Syria, Monday, Feb. 6, 2023. (AP)

At a hospital in Syria, Osama Abdel Hamid was holding back tears as he recalled on Monday the powerful earthquake that toppled his home and killed his neighbors, along with hundreds of his compatriots.

"We were fast asleep when we felt a huge earthquake," Abdel Hamid told AFP at Al-Rahma hospital in the northwestern Idlib province, where he was being treated for a head injury.

The 7.8-magnitude pre-dawn quake, whose epicenter was near the Turkish city of Gaziantep, wiped out entire sections of cities in Türkiye and war-ravaged Syria. Officials have put the combined death toll at more than 1,900.

When it shook the Abdel Hamid family's home in the village of Azmarin, near Syria's border with Türkiye, "I woke up my wife and children and we ran towards the exit door," the man said.

"We opened the door, and suddenly the entire building collapsed."

Within moments, Abdel Hamid found himself under the rubble of the four-storey building.

All of his neighbors died, but the family made it out alive.

"The walls collapsed over us, but my son was able to get out," Abdel Hamid said. "He started screaming and people gathered around, knowing there were survivors, and they pulled us out from under the rubble."

They were taken to the hospital in Darkush, a town several kilometers (miles) to the south along the Turkish border.

The facility soon had to take in patients far beyond its capacity and received at least 30 dead bodies.

An AFP photographer saw multiple ambulances arriving at Al-Rahma one after the other, carrying casualties including many children.

"The situation is bad," said Majid Ibrahim, general surgeon at the hospital, where by the late morning some 150 people injured in the quake had arrived.

"A lot of people are still under the debris of the buildings," he told AFP.

"We need urgent help for the area, especially medical help."

Many 'still trapped'

At least 810 people were killed across the war-torn country, the Syrian government and rescue workers said.

The health ministry, said at least 430 people were killed and 1,315 injured in government-controlled areas.

The White Helmets rescue group said at least 380 were killed and more than 1,000 injured in opposition-held areas.

It had cautioned earlier on Monday "the toll may increase as many families are still trapped."

In one crowded hospital room, injured people were lying on beds, some with bandages on their heads and others treated for fractures and bruises.

On one of the beds, a boy whose head was covered in a bandage was sleeping next to another patient.

And in another room, a young girl was crying as she received an injection, her hand in a cast.

Mohammad Barakat, 24, was being treated for a broken leg.

"I took my children and got out of the house," recalled the father of four, lying in bed with wounds covering parts of his face.

"My house is an old one, and construction is very old," he told AFP.

"So I got scared it might collapse on us. The walls of the neighboring houses began collapsing when we were out in the street."

'Judgement day'

The earthquake hit near Gaziantep in southeastern Türkiye at 04:17 am (0117 GMT) at a depth of about 17.9 kilometers (11 miles), the US Geological Survey said.

Tremors were also felt in Lebanon and Cyprus, AFP correspondents said.

In the town of Sarmada, in the countryside of Idlib province, a block of buildings had been levelled. The remains of solar panels and water tanks as well as mattresses and blankets were scattered above the ruins.

An AFP photographer saw rescue workers start to clear the rubble and remove big pieces of concrete in the hope of finding survivors.

Anas Habbash said he "ran down the stairs like crazy", carrying his son and ushering his pregnant wife outside of the apartment building in the northern city of Aleppo.

"Once we got to the street, we saw dozens of families in shock and fear," the 37-year-old told AFP.

Some knelt down to pray and other started crying "as if it were judgement day".

"I haven't had that feeling all through the years of the war" in Syria since 2011, Habbash said.

"This was much more difficult than shells and bullets."



What Would Lifting US Sanctions on Syria Mean to the War-Torn Country?

People walk past a billboard displaying Prince Mohammed bin Salman, Saudi Crown Prince and Prime Minister, and US President Donald Trump with a slogan thanking Saudi Arabia and the United States, in Damascus on May 14, 2025. (AFP)
People walk past a billboard displaying Prince Mohammed bin Salman, Saudi Crown Prince and Prime Minister, and US President Donald Trump with a slogan thanking Saudi Arabia and the United States, in Damascus on May 14, 2025. (AFP)
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What Would Lifting US Sanctions on Syria Mean to the War-Torn Country?

People walk past a billboard displaying Prince Mohammed bin Salman, Saudi Crown Prince and Prime Minister, and US President Donald Trump with a slogan thanking Saudi Arabia and the United States, in Damascus on May 14, 2025. (AFP)
People walk past a billboard displaying Prince Mohammed bin Salman, Saudi Crown Prince and Prime Minister, and US President Donald Trump with a slogan thanking Saudi Arabia and the United States, in Damascus on May 14, 2025. (AFP)

President Donald Trump’s announcement that the US will ease sanctions on Syria could eventually facilitate the country’s recovery from years of civil war and transform the lives of everyday Syrians.

But experts say it will take time, and the process for lifting the sanctions — some of which were first introduced 47 years ago — is unclear.

“I think people view sanctions as a switch that you turn on and off,” said Karam Shaar, a Syrian economist who runs the consultancy firm Karam Shaar Advisory Limited. “Far from it.”

Still, the move could bring much-needed investment to the country, which is emerging from decades of autocratic rule by the Assad family as well as the war. It needs tens of billions of dollars to restore its battered infrastructure and pull an estimated 90% of the population out of poverty.

And Trump’s pledge has already had an effect: Syrians celebrated in streets across the country, and Arab leaders in neighboring nations that host millions of refugees who fled Syria’s war praised the announcement.

What are the US sanctions on Syria? Washington has imposed three sanctions programs on Syria. In 1979, the country was designated a “state sponsor of terrorism” because its military was involved in neighboring Lebanon's civil war and had backed armed groups there, and eventually developed strong ties with the Iran-backed Hezbollah group.

In 2003, then-President George W. Bush signed the Syria Accountability Act into law, as his administration faced off with Iran and Tehran-backed governments and groups in the Middle East. The legislation focused heavily on Syria's support of designated terror groups, its military presence in Lebanon, its alleged development of weapons of mass destruction, as well as oil smuggling and the backing of armed groups in Iraq after the US-led invasion.

In 2019, during Trump's first term, he signed the Caesar Act, sanctioning Syrian troops and others responsible for atrocities committed during the civil war.

Caesar is the code name for a Syrian photographer who took thousands of photographs of victims of torture and other abuses and smuggled them out of the country. The images, taken between 2011 and 2013, were turned over to human rights advocates, exposing the scale of the Syrian government’s brutal crackdown on political opponents and dissidents during countrywide protests.

What has been the impact of US sanctions on Syria? The sanctions — along with similar measures by other countries — have touched every part of the Syrian economy and everyday life in the country.

They have led to shortages of goods from fuel to medicine, and made it difficult for humanitarian agencies responding to receive funding and operate fully.

Companies around the world struggle to export to Syria, and Syrians struggle to import goods of any kind because nearly all financial transactions with the country are banned. That has led to a blossoming black market of smuggled goods.

Simple tasks like updating smartphones are difficult, if not impossible, and many people resort to virtual private networks, or VPNs, which mask online activity, to access the internet because many websites block users with Syrian IP addresses.

The impact was especially stark after a devastating 7.8 magnitude earthquake hit Türkiye and northern Syria in February 2023, compounding the destruction and misery that the war had already brought.

Though the US Treasury issued a six-month exemption on all financial transactions related to disaster relief, the measures had limited effect since banks and companies were nervous to take the risk, a phenomenon known as over-compliance.

Interim Syrian President Ahmed al-Sharaa — who led the insurgency that ousted President Bashar al-Assad — has argued the sanctions have outlived their purpose and are now only harming the Syrian people and ultimately preventing the country from any prospect of recovery.

Trump and Sharaa met Wednesday.

Washington eased some restrictions temporarily in January but did not lift the sanctions. Britain and the European Union have eased some of their measures.

What could lifting the sanctions mean for Syria? After Trump’s announcement, Syria's currency gained 60% on Tuesday night — a signal of how transformational the removal of sanctions could be.

Still, it will take time to see any tangible impact on Syria's economy, experts say, but removing all three sanctions regimes could bring major changes to the lives of Syrians, given how all-encompassing the measures are.

It could mean banks could return to the international financial system or car repair shops could import spare parts from abroad. If the economy improves and reconstruction projects take off, many Syrian refugees who live in crowded tented encampments relying on aid to survive could decide to return home.

“If the situation stabilized and there were reforms, we will then see Syrians returning to their country if they were given opportunities as we expect,” says Lebanese economist Mounis Younes.

The easing of sanctions also has an important symbolic weight because it would signal that Syria is no longer a pariah, said Shaar.

Mathieu Rouquette, Mercy Corps’ country director for Syria, said the move “marks a potentially transformative moment for millions of Syrians who have endured more than 13 years of economic hardship, conflict, and displacement.”

But it all depends on how Washington goes about it.

“Unless enough layers of sanctions are peeled off, you cannot expect the positive impacts on Syria to start to appear,” said Shaar. “Even if you remove some of the top ones, the impact economically would still be nonexistent.”