Syrians Still Endure Poverty Despite Relative Calm

Nesma Daher sits with her children inside a room in Douma, Syria June 19, 2023. REUTERS/Firas Makdesi
Nesma Daher sits with her children inside a room in Douma, Syria June 19, 2023. REUTERS/Firas Makdesi
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Syrians Still Endure Poverty Despite Relative Calm

Nesma Daher sits with her children inside a room in Douma, Syria June 19, 2023. REUTERS/Firas Makdesi
Nesma Daher sits with her children inside a room in Douma, Syria June 19, 2023. REUTERS/Firas Makdesi

Nesma Daher survived years of war in a Damascus suburb that was on the frontlines of Syria's conflict. But well after the guns fell silent in her area and even as her country's regional isolation thaws, she says life only gets harder.

A widow from Douma, an opposition-held town until 2018 when government forces took it back, Daher says sometimes she can only feed her four children one meal a day. The family survives on cash assistance from an NGO equivalent to about $7 a month.

Her youngest son, 12, has quit school to work at a factory. "From the day of their father's passing, the days were hard and only got harder," said Daher, 35.

It is a snapshot of the poverty afflicting Syria after more than 12 years of conflict, which mushroomed out of protests against President Bashar al-Assad's rule in 2011.

Though the main frontlines have barely moved in years, with Assad controlling most of the country, humanitarian needs are at their greatest yet, according to Reuters.

The United Nations says more than 15 million people need aid across the country - a record number.

GDP has dropped by more than a half between 2010 and 2020, the World Bank says, and an ever-declining local currency fuels inflation.

Amid other international emergencies, the United Nations is struggling to fund its support to Syrians in need. In June, it said its appeal for humanitarian work in Syria this year - $5.4 billion - had only been 11% funded.

Since then, at least 350,000 people have been killed, millions uprooted and public infrastructure left in ruins.

The devastating earthquake that hit Syria and neighbouring Türkiye in February only compounded the suffering.

The World Bank lists sanctions among several shocks that have hit economic conditions, alongside armed conflict, drought, and the effects of a financial crisis in neighbouring Lebanon.

Jihad Yazigi, an expert on Syria's economy, said even Syrians for whom sanctions are not a worry do not invest due to a difficult business climate, citing corruption, along with shortages of manpower and inputs for production.

The United States says the sanctions aim to put pressure on Damascus for a political solution.

Obeida Abu Mohamed, 33, opened a car spare parts workshop in Douma in 2019. Business has declined, particularly in the last six months as people fix rather than buy new ones.

"Nobody can afford them," said the father of two.

Today, he does not make enough to cover the rent on the premises or feed his family, he said.

"I don't have enough money to buy all the food we need."



What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
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What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)

Health authorities in the Gaza Strip confirmed the first case of polio in 25 years earlier this month.

The infection and subsequent partial paralysis of the nearly year-old Abdul-Rahman Abu Al-Jidyan has hastened plans for a mass vaccination campaign of children across the Palestinian enclave starting on Sept. 1.

Three-day pauses in fighting in each of Gaza's three zones have been agreed by Israel and Hamas to allow thousands of UN workers to administer vaccines.

ORIGINS

The same strain that later infected the Palestinian baby, from the type 2 vaccine-derived polio virus that has also been detected in wastewater in some developed countries in recent years, was detected in July in six sewage samples taken in Khan Younis and Deir al-Balah.

It is not clear how the strain arrived in Gaza but genetic sequencing showed that it resembles a variant found in Egypt that could have been introduced from September 2023, the WHO said.

The UN health body says that a drop in routine vaccinations in the Occupied Palestinian Territories, including Gaza, has contributed to its re-emergence.

Polio vaccination coverage, primarily conducted through routine immunization, was estimated at 99% in 2022 and fell to 89% in 2023. Health workers say the closure of many hospitals in Gaza, often because of Israeli strikes or restrictions on fuel, has contributed to lower vaccination rates. Israel blames Hamas, saying they use hospitals for military purposes.

Aid workers say poor sanitation conditions in Gaza where open sewers and trash piles are commonplace after nearly 11 months of war have created favorable conditions for its spread.

MASS VACCINATIONS

Israel's military and the Palestinian armed group Hamas have agreed to three separate, zoned three-day pauses in fighting to allow for the first round of vaccinations.

The campaign is due to start in central Gaza on Sunday with three consecutive daily pauses in fighting, then move to southern Gaza, where there would be another three-day pause, followed by northern Gaza. There is an agreement to extend the pause in each zone to a fourth day if needed.

The vaccines, which were released from global emergency stockpiles, have already arrived in Gaza and are due to be issued to 640,000 children under 10 years of age.

They will be given orally by some 2,700 health care workers at medical centers and by mobile teams moving among Gaza's hundreds of thousands of people displaced by the war, UN aid workers say.

The World Health Organization says that a successful roll-out requires at least 95% coverage.

The Israeli military's humanitarian unit (COGAT) said that the vaccination campaign would be conducted in coordination with the Israeli military "as part of the routine humanitarian pauses that will allow the population to reach the medical centers where the vaccinations will be administered".

A second round is planned in late September.

RISKS

The Gaza case which is vaccine-derived is seen as a setback for the global polio fight which has driven down cases by more than 99% since 1988 thanks to mass vaccination campaigns.

Wild polio is now only endemic in Pakistan and Afghanistan although more than 30 countries are still listed by the WHO as subject to outbreaks, including Gaza's neighbors Egypt and Israel.

The World Health Organization has warned of the further spread of polio within Gaza and across borders given the poor health and hygiene conditions there.

Poliomyelitis, which is spread mainly through the faecal-oral route, is a highly infectious virus that can invade the nervous system and cause paralysis and death in young children with those under 2 years old most at risk. In nearly all cases it has no symptoms, making it hard to detect.