Shadow Battles in Syria: Fighting ISIS, Rebuilding the State 

An aerial photograph shows thousands of people celebrating the first anniversary since the ousting of longtime ruler Bashar al-Assad near The Damascus Sword monument in Umayyad Square, in the Syrian capital Damascus on December 8, 2025. (AFP)
An aerial photograph shows thousands of people celebrating the first anniversary since the ousting of longtime ruler Bashar al-Assad near The Damascus Sword monument in Umayyad Square, in the Syrian capital Damascus on December 8, 2025. (AFP)
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Shadow Battles in Syria: Fighting ISIS, Rebuilding the State 

An aerial photograph shows thousands of people celebrating the first anniversary since the ousting of longtime ruler Bashar al-Assad near The Damascus Sword monument in Umayyad Square, in the Syrian capital Damascus on December 8, 2025. (AFP)
An aerial photograph shows thousands of people celebrating the first anniversary since the ousting of longtime ruler Bashar al-Assad near The Damascus Sword monument in Umayyad Square, in the Syrian capital Damascus on December 8, 2025. (AFP)

At the entrances to Damascus branching off the Mezzeh highway, just before Umayyad Square, young men with a quasi-military appearance line both sides of the road, selling flags and banners for “Liberation Day.”

In narrower streets and at intersections leading deeper into the city, they are met by women in long dresses, some with headscarves pulled halfway across their faces. The women drag one or two children behind them and carry loaves of bread for sale, stacking them openly and thrusting them toward passersby and car windows — unwrapped, exposed to diesel fumes and the dust rising from the rubble encircling the capital.

Selling bread in this manner has gradually become a “profession,” largely female, expanding as poverty deepens. Women queue at bakeries to purchase their ration, resell it for a small margin, then return to the lines, repeating the cycle late into the night.

This scene is not confined to Damascus; it recurs across Syrian cities and regions I visited, from Homs and Idlib to Aleppo. Over time, this female presence has become woven into the landscape of a prolonged crisis, a quiet pillar of daily survival.

Widespread destruction

If women’s exhausted faces and roughened hands are the clearest witnesses to a catastrophe now nearing its fifteenth year, the unrelenting destruction bears equally stark testimony. Entire neighborhoods and suburbs, flattened to the ground, ring Damascus, choking it in dust and debris.

The same gray desolation dominates major cities and their surrounding countryside, stretching across vast expanses of the country. Driving more than 350 kilometers without encountering a single intact tree, neighborhood, or home offers a visceral sense of what over a decade of killing, destruction, and vengeance has left behind.

The scale of devastation reflects not only military confrontations or the superiority of one side, but a deliberate effort to annihilate people and livelihoods, to extinguish even the faintest hope of return. What bombs spared was often burned, looted, or rendered uninhabitable. And yet, returns are taking place slowly, haltingly, through sheer individual persistence.

Only a few enclaves have endured in Damascus and its markets, or beyond in certain towns and districts, some even prospering, driven by sectarian calculations or political and commercial interests, most notably those tied to the production and trafficking of captagon.

A view of Damascus, Syria. (Asharq Al-Awsat)

Damascus: The polished façade

Damascus was preparing for exceptional celebrations marking the first anniversary of Bashar al-Assad’s ouster. Preparations were extensive: stages erected, loudspeakers installed, traffic rerouted, and banners raised proclaiming national unity, “One people... one nation”, and announcing that “the dark era has ended.”

Programs circulated via text messages urging citizens to participate and “celebrate freedom and hope... and complete the story.” But which story? The question reverberates through streets where bread is sold on bare asphalt while victory celebrations unfold.

Here, narratives multiply and diverge, sometimes to the point of contradiction, like neighboring bubbles that coexist without touching. A sharp vertical divide in perspectives remains, recalling 2011, when Syrians split to the brink between supporters and opponents, even as official discourse insists on projecting a seamless image of a new phase.

Silent security battle

Behind the celebratory façade, another battle is underway, which is quieter and more complex. “ISIS, especially the muhajireen [foreign fighters], poses our most serious challenge,” a senior Syrian security source who requested anonymity told Asharq Al-Awsat, noting that arrests and “neutralizations” are carried out regularly.

Another source explained that “security operations are conducted with precision and professionalism. Lists of those affiliated with extremist organizations under the broad ISIS umbrella are already in the hands of the security services.”

He added: “We know them individually. We monitor them closely. The former regime left behind an extremely detailed surveillance system that we continue to rely on.”

I met both sources days before the recent Palmyra incident. When it occurred, it appeared unsurprising; officials and those in sensitive positions had anticipated such scenarios as among several looming security risks, especially after Syria formally joined the counterterrorism coalition.

One source summarized these risks as three simultaneous confrontations: “First, the fight against ISIS and its offshoots, handled with extreme caution because it poses a personal threat to President Ahmed al-Sharaa. Second, the confrontation with the Syrian Democratic Forces (SDF), which threatens the emerging state and its identity over the long term. Third, a colder, less intense standoff with Israel linked to developments in Sweida.”

In a semi-official assessment, the security source did not rule out that those released from al-Hol camp could become “time bombs,” exploited to destabilize internal security and serve the agendas of extremists rejecting the current transition of power.

Such incidents could also signal abroad that stripping the SDF of its “counterterrorism” duties would be futile, potentially “opening the door to packs of lone wolves.”

Destruction from fighting between the regime forces and opposition is seen in the Yarmuk camp on the outskirts of Damascus. (EPA)

Is a security approach enough?

The challenge confronting the state is not purely a security one, and a strictly securitized approach lacks consensus even within governing circles.

Contrary to those who view ISIS and extremism as a “technical problem” solvable through force alone, a figure close to the political leadership argues that “the core issue lies in absorbing a massive human bloc that spent years outside any normal social framework, without education, stable families, or organized structures of life.”

“The real challenge,” he added, “is integrating them into the idea of the state and rehabilitating them accordingly. Just as these adolescents were once pulled toward a specific form of extremism, today we must work to move them toward a middle ground.”

“If the president says we are leaving a factional phase and entering a state-based one, how does that happen at the grassroots level? Is it merely individual and security-driven, or is it societal as well?” he wondered.

In this light, one observer interpreted al-Sharaa’s statement — “Obey me so long as I obey God among you” — delivered from the Umayyad Mosque on the night of the grand celebration and widely criticized by civil and secular circles, as a message aimed at a different audience: a segment the state seeks to reassure through a religious call to obedience and rejection of rebellion.

If words come easily, lived reality does not.

Security is tightly enforced in major cities, such as Damascus and Aleppo, through heavy deployments and modern technologies, including drones, especially during sensitive periods like mass anniversary celebrations.

Beyond the cities, however, vast rural areas remain largely neglected, marked by immense destruction, extreme poverty, and rampant unemployment. Checkpoints line major inter-provincial roads, but side towns and village alleys are often left to fend for themselves.

Idlib, once cited as an exception for its services and administrative capacity, has lost much of that distinction since liberation. Opening to the rest of Syria exposed the city and its devastated countryside to the demands of ordinary life, revealing governance that had amounted largely to crisis management. That legacy persists even in everyday language: soldiers addressing civilians as “sheikh,” or telling them to “seek God’s help” as shorthand for “move along.”

Between Idlib’s countryside and Aleppo, villages and small towns are known for particular loyalties and affiliations — some far removed from the moderation celebrated on Damascus stages. Their reputations lead drivers to take longer routes considered “safer.”

In this belt, young men, especially the youngest, have long served as fuel for armed factions. In recent years, only Hayat Tahrir al-Sham maintained dominance on the ground.

After the fall of the regime, thousands joined the general security forces or the army, often for lack of alternatives. Many cannot afford to rebuild destroyed homes or recover looted livelihoods; barracks, offering food and shelter, remain preferable to civilian life.

A fabric of clashing identities

These identities crystallized during years of militarization, particularly after 2013, though their social roots run deeper. Today, anyone associated with the new authority is often labeled “Idlibi,” after Idlib — the stronghold of Hayat Tahrir al-Sham for nine years — a term frequently tinged with condescension in Damascus and Aleppo. Understanding the social and economic distinctions among these rural communities helps explain their divergent political and military choices.

Some towns, organized around extended families, land ownership, and later labor migration beginning in the mid-1980s, invested in education and professional paths while maintaining a socially rooted religiosity. These communities had previously experienced nationalist and Arabist currents before Baathist authoritarianism took hold.

Others, smaller towns built around sub-clans, relied on seasonal agriculture and service in the police and security apparatus of the former regime. They welcomed their sons’ joining the Nusra Front when it began recruiting, seeing in it both as an organized military path against Assad and a religious identity long suppressed.

Added to this are vast desert regions governed by tribal structures and shifting systems of mutual aid.

Though all are Arab Sunnis, their behaviors, loyalties, and alignments differed, shaping how radical factions penetrated some communities while failing in others, often setting one group against another.

Syrian security forces detain a suspect during an anti-ISIS operation in the Idlib countryside on December 1. (Syrian Interior Ministry)

Idlib and the keys to Damascus

When security officials say today they know extremists “one by one,” they rely partly on Hayat Tahrir al-Sham’s security apparatus and its accumulated knowledge of radical factions it fought in recent years, such as Jund al-Aqsa and the al-Qaeda-aligned Hurras al-Din, along with informant networks.

Idlib remains, to a significant extent, a secure stronghold holding key levers of power. Courts, administrative bodies, and civil registries still operate under the “Sharia courts” established in mid-2013, unlike other regions, especially Damascus, where transactions are centralized.

Sources identify three main recruitment pathways used by ISIS and its offshoots: ideological recruitment, the fastest and most effective, especially among youth who embraced extremism and have yet to absorb Syria’s rapid changes; recruitment driven by money and revenge amid pervasive poverty and lost status; and recruitment among foreign fighters, embittered by abandonment and with little left to lose.

The emerging state and the ‘Sahwa’ model

When President al-Sharaa returned from Washington, he carried a daunting mandate: to “confront and dismantle terrorist networks” linked to remnants of ISIS, Iran’s Revolutionary Guard, Hezbollah, and Hamas, according to US envoy to Syria Tom Barrack.

While Israel has targeted Hezbollah in Lebanon and Hamas in Gaza, Syria must contend with their residual networks. Yet the greater challenge remains ISIS and its offshoots, fighters who, until recently, were close “brothers in arms” to Hayat Tahrir al-Sham.

As observers await the form this confrontation will take, particularly in the absence of a unified army with a clear doctrine, Washington’s earlier experiment in post-Saddam Iraq looms large: the Sunni-on-Sunni “Awakening” (Sahwa).

The Sahwa rested on what an informed Iraqi source described as a “coalition of the harmed” from al-Qaeda, centered in Anbar province with its Sunni Arab identity and traditional religiosity. A similar model could emerge in Syria through an alliance of communities damaged by ISIS in the north and northeast, led by the emerging state that wants to fight extremism.

The Iraqi source, who closely followed the Sahwa’s rise and subsequent decline under then Prime Minister Nouri al-Maliki, noted that tribes around Ramadi, especially al-Bourisha, al-Buallwan, al-Bou Fahd, and to a lesser extent al-Dulaim, formed the backbone of the fight after al-Qaeda devastated their trade and social fabric.

Syria's interim president, Ahmed al-Sharaa, greets people as he attends celebrations marking the first anniversary of the ousting of former President Bashar al-Assad in Damascus, Syria, Monday, Dec. 8, 2025. (AP)

Though some were coerced into allegiance, clashes never fully ceased, culminating in atrocities such as the massacre of the al-Bu Nimr tribe, where nearly 2,000 men were executed. A Syrian parallel is the al-Shaitat tribe, which resisted ISIS and suffered one of the largest massacres, with around 1,800 young men killed.

Those who joined the Sahwa were required to publicly renounce al-Qaeda and integrate into security forces coordinated with US troops, in hopes of transforming that tribal bloc into a political actor.

From arms to politics

The Iraqi source highlighted a central lesson: despite the Sahwa’s security successes, it failed to transition into meaningful political participation. When its leaders entered elections, they achieved little representation and failed to build durable popular support.

That failure mirrors Syria’s core dilemma today: the collective transition from a factional, militarized reality confined to limited geography toward a state defined by broader political and administrative principles — and, militarily, by the monopoly of force within a single national army.

Between a woman selling bread on a street corner, a young man dancing in a public square, and institutions struggling to impose order and define the state, Syria appears as a country of overlapping bubbles: a glossy façade prepared for celebration, like a carefully designed postcard, and beneath it a fragile social and security depth whose battles remain unresolved.



‘If Ebola Comes, We’ll Be Wiped Out’: Fear Grips Camps in DR Congo

A staff member hangs up protective equipment to dry after washing them at the Ebola Treatment Center (ETC) in Munigi on June 2, 2026. (AFP)
A staff member hangs up protective equipment to dry after washing them at the Ebola Treatment Center (ETC) in Munigi on June 2, 2026. (AFP)
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‘If Ebola Comes, We’ll Be Wiped Out’: Fear Grips Camps in DR Congo

A staff member hangs up protective equipment to dry after washing them at the Ebola Treatment Center (ETC) in Munigi on June 2, 2026. (AFP)
A staff member hangs up protective equipment to dry after washing them at the Ebola Treatment Center (ETC) in Munigi on June 2, 2026. (AFP)

Dorcas Mapenzi fears the worst if Ebola comes to the Kingonze camp, where she lives alongside more than 25,000 other displaced people in the conflict-hit eastern Democratic Republic of Congo.

"If Ebola comes, we'll be wiped out as we're packed like sardines," the displaced woman told AFP at the sprawl of tarpaulin and tents on the outskirts of Bunia, the capital of the northeastern Ituri province, the epicenter of the latest outbreak.

Spread by close contact, the deadly viral disease has spread like wildfire in the vast central African country's east, where decades of armed conflicts have forced millions of people from their homes and into camps where they live cheek-by-jowl.

Nearly a million of those displaced are in Ituri -- among the provinces of the desperately impoverished DRC most prey to the east's litany of armed groups -- where the prospect of the epidemic spreading throughout the refugee camps has sparked alarm.

The World Health Organization's director general, Tedros Adhanom Ghebreyesus has warned that the eastern DRC "faces a catastrophic collision of disease and conflict", with the fighting hampering efforts to tackle the epidemic.

Visiting Bunia on Saturday, Tedros called for more international help and financial aid to combat the spread of Ebola.

He also said it was essential to assuage fears among affected communities who are deeply distrustful of authorities and halt the spread of false information about the virus.

The current outbreak was officially declared in the DRC and neighboring Uganda on May 15.

As of May 31, the WHO said 321 cases had been confirmed in the DR Congo, including 48 deaths. Thjere are nine confirmed cases in Uganda, including one fatality.

- 'Everyone will die' -

No infection has yet been recorded at the Kingonze displaced persons' camp, where Mapenzi now lives.

But conditions in the camp are ripe for a disease passed on through close physical contact and bodily fluids.

"I've already heard of Ebola and it's a disease that scares me a lot," Mapenzi said as she washed her laundry in a basin on the ground.

"We displaced people here have no hygiene.

"Our children play next to filthy toilets and even relieve themselves on the ground, in the middle of the tarpaulins that serve as our homes," the young woman said.

Deborah Nzale, a widow and head of her family, lives with nine people in a small tarpaulin shelter of barely three square meters (32 square feet).

"Given these conditions, how are we going to protect ourselves against this disease, when everyone tells us we need to distance ourselves to fight Ebola?" she asked.

No vaccine or treatment exists for the Bundibugyo strain of Ebola responsible for the latest outbreak.

So attempts to contain the virus's spread have had to rely mainly on protective measures and rapid contact tracing.

"We sleep piled on top of each other, with everyone's sweat," Nzale said.

"If a single person gets infected here in this camp, everyone will die."

- 'Ebola really kills' -

So far, Kingonze's displaced residents have not received any protective gear.

"Ebola really kills," a poster at the entrance warns.

"People looking to raise awareness come through here with messages but, surprisingly, we don't have the kit we need to protect ourselves," Budjo Amos complained.

"I don't even have soap to wash my hands," said Amos, who fled the province's common communal violence.

"The most urgent thing is to give us clean water," he insisted.

There is just a single borehole in Kigonze. Empty jerrycans pile up in front. Water flows from the tap for just a few hours a day.

"The state has to intervene urgently," Amos pleaded.

Already long absent from swathes of Ituri, the Congolese state has been criticized for its delayed response to the outbreak, which was declared several weeks after the first cases emerged.

Many hospitals in the region still lack essential equipment, especially isolation tents for patients.

According to Ituri's military governor, the province counts around 61 displaced persons camps housing nearly 970,000 people.

"We need to deploy equipment and qualified, specialist medical staff as quickly as possible," Lieutenant General Johnny Luboya Nkashama told AFP on Friday, "to spare this province from disaster".


Beirut Southern Suburbs Residents Live Between Displacement, Return

Vehicles drive on the highway as people leave Beirut's southern suburbs after Israel ordered strikes on Dahiyeh, in Beirut, Lebanon, 01 June 2026. EPA/WAEL HAMZEH
Vehicles drive on the highway as people leave Beirut's southern suburbs after Israel ordered strikes on Dahiyeh, in Beirut, Lebanon, 01 June 2026. EPA/WAEL HAMZEH
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Beirut Southern Suburbs Residents Live Between Displacement, Return

Vehicles drive on the highway as people leave Beirut's southern suburbs after Israel ordered strikes on Dahiyeh, in Beirut, Lebanon, 01 June 2026. EPA/WAEL HAMZEH
Vehicles drive on the highway as people leave Beirut's southern suburbs after Israel ordered strikes on Dahiyeh, in Beirut, Lebanon, 01 June 2026. EPA/WAEL HAMZEH

The latest Israeli threat threw Beirut’s southern suburbs into turmoil within hours. Schools were evacuated, parents rushed to pull their children out of classrooms, and many residents fled their homes in haste. Roads filled with a new wave of displacement, reviving scenes the Lebanese have endured repeatedly in recent months.

But the threat did not end when the warning did. The alert was lifted, but the anxiety stayed. Some people returned to work, but not to a sense of safety. For many, the question is no longer when the strike will come, but how to live under the constant expectation of the next warning.

The home that is no longer safe

Layla Hassan told Asharq Al-Awsat that the latest threat to the southern suburbs did not end for her when the warning expired. The feeling it left behind still follows her. The problem, as she sees it, is no longer tied to a single security incident, but to a permanent state of uncertainty.

She said the natural bond between people and their homes has changed radically. “The home, which once represented the safe space people turned to in fear or danger, has now become one of the sources of anxiety.”

The warning, she said, made returning more complicated than leaving, especially for those responsible for children or other family members.

Life in displacement, despite its hardship and lack of services, can sometimes feel less cruel than the anxiety of returning, she said. Electricity, water, cramped spaces and the strain of daily life become secondary details beside one overriding concern, keeping the family safe.

She added that repeated displacement gradually pushes people to adapt to abnormal conditions, until the mere feeling of safety becomes a goal in itself, even at the cost of the life they once knew.

People leave Beirut's southern suburbs after Israel ordered strikes on Dahiyeh, in Beirut, Lebanon, 01 June 2026. EPA/WAEL HAMZEH

Every day begins with fear

Fatima Shams has not returned to the southern suburbs since Monday’s threat. She told Asharq Al-Awsat that “the Lebanese are living today in a state of constant anticipation that has made fear part of the daily routine. Every morning begins with a different question, but the meaning is the same, will this day pass safely?”

She described how the latest threat disrupted the daily lives of families. Her sister was at school when exams were halted and students were urgently evacuated. Within minutes, parents had to leave work and head to schools, caught between traffic-clogged roads and fear of a sudden security development.

“The hardest thing people are living through is not only the fear of strikes, but the constant feeling of instability,” she said. “Families are no longer able to plan their day or their week, because any new warning can overturn everything.”

She said the danger no longer feels confined to one area after warnings and tensions spread to different parts of Lebanon, making insecurity more widespread than ever.

Anticipation is wearing people down

Ali Noureddine, from the southern town of Toul and a resident of Beirut’s southern suburbs, described life for residents as “deadly anticipation.”

He told Asharq Al-Awsat that “the crisis is no longer linked to the warning itself, but to the psychological state that follows it. After every threat, people remain trapped between the possibility of returning to normal life and the possibility of a new escalation.”

He said this constant anxiety drains residents more than direct security incidents, because it turns life into an open-ended wait that no one knows when it will end.

The anxiety, he added, is not limited to the southern suburbs. It reaches the south as well, where families follow news of their towns, homes and areas with no clarity over what comes next.

People leave Beirut's southern suburbs after Israel ordered strikes on Dahiyeh, in Beirut, Lebanon, 01 June 2026. EPA/WAEL HAMZEH

We carry our memories in a bag

Layan Abdullah has not returned to the southern suburbs since the latest threat. For the university student, campus life is no longer about lectures, exams and ambitions. It is about displacement and the search for safety.

She told Asharq Al-Awsat that “her life has become a matter of packing belongings into a bag, moving to a new place, then preparing for the possibility of doing it again.”

Her generation, she said, can no longer think about future projects or career plans. The priority has narrowed to getting through the day safely.

She spoke of the harsh feeling that accompanies each displacement, reducing an entire life to a single bag. “A person does not leave behind only walls and furniture, but memories, details and relationships tied to a place.”

She also pointed to the added suffering of families with patients who need continuous medical care. Every move brings new questions about safe roads, access to hospitals and securing treatment, adding another layer of pressure to the psychological burden everyone is carrying.

Displacement from the southern suburbs and fear of losing Bint Jbeil forever

Hassan Bazzi does not describe the latest threat to Beirut’s southern suburbs as a passing security incident. For him, it was a moment that revived deeper fears about his future and the future of his hometown, Bint Jbeil.

He told Asharq Al-Awsat that “he found himself, like thousands of others, facing the prospect of another displacement from the southern suburbs, while carrying the feeling that the distance between him and his southern town, where he had spent years planning to return and settle, is growing day by day.”

“After the latest threat to the southern suburbs, the same feeling returned, that our entire lives have become suspended,” he said. “It is no longer only about where we live today or tomorrow, but about an entire future that we do not know whether we will be able to reclaim.”

He said he owns land and property in Bint Jbeil that he had seen as his life project and source of stability after more than three decades of work. But with the war continuing and the political and military scene growing more complicated, he now feels those plans slipping farther away.

“I imagined I would return to live on my land and take care of what I had built over the years. I thought the hardship of 30 years would give me a chance to rest and settle down. Today, I feel all of that has been postponed indefinitely,” he said.

He said repeated threats and continued displacement from the southern suburbs and the south have left people in a state of accumulated psychological exhaustion, making it hard to think about the future or make any long-term plans.

“I fear our children will grow up not knowing these villages as we knew them, and I fear that waiting to return will become a permanent state,” he said. “That is why displacement from the southern suburbs alone is not what worries me. What worries me more is that a day may come when I feel Bint Jbeil has become just a memory.”


‘Life and Hope’: Lebanon Hospital Resilient After Israeli Attack

02 June 2026, Lebanon, Tyre: Debris and extensive damage are pictured inside the Jabal Amel Hospital in Tyre after Monday's Israeli strike. (dpa)
02 June 2026, Lebanon, Tyre: Debris and extensive damage are pictured inside the Jabal Amel Hospital in Tyre after Monday's Israeli strike. (dpa)
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‘Life and Hope’: Lebanon Hospital Resilient After Israeli Attack

02 June 2026, Lebanon, Tyre: Debris and extensive damage are pictured inside the Jabal Amel Hospital in Tyre after Monday's Israeli strike. (dpa)
02 June 2026, Lebanon, Tyre: Debris and extensive damage are pictured inside the Jabal Amel Hospital in Tyre after Monday's Israeli strike. (dpa)

In a south Lebanon hospital heavily damaged by deadly Israeli strikes nearby, Dr. Nasser al-Masri held a new-born baby, calling him "a message of life and hope" despite the war.

Israeli strikes near the Jabal Amel hospital in Tyre on Monday killed four people and wounded 127, including four doctors, 27 nurses, and eight administrative employees, Lebanon's health ministry said.

They also caused "severe and extensive damage" to the facility, it added.

"Despite everything that happened yesterday, there was a scheduled delivery today... (and) the mother insisted on delivering at the hospital," Masri said.

"This baby was born today, he's just a few minutes old... He brought us a message of life and a message of hope for the future."

Glass was scattered across some hospital rooms on Tuesday, while dust and debris covered beds and tables.

Medication was strewn on corridor floors, and staff tried to work as others cleaned up around them.

"We're taking in any patient that comes to us," Masri said, adding that "even two hours after the raids, we were able to work normally, and the administration is determined to stay and work".

Around the hospital, the devastation was stark: a nearby building had been levelled, others were severely damaged and debris was scattered round near parked ambulances.

The roof of the hospital's parking collapsed, crushing several vehicles. Bulldozers worked to clear away the rubble.

- 'Steadfast' -

Inspecting the damage, Mohammad Derbaj, head of the hospital's maintenance department, said that "the civilian buildings were not the intended target, but rather Jabal Amel was targeted in order to put it out of service, but we are steadfast".

"What happened has increased our determination and strength," he added, as the hospital administration "made a decision yesterday that the hospital will return... We will work day and night to restore the hospital to what it was".

Israeli strikes have not spared Lebanese hospitals since the start of the latest Israel-Hezbollah war on March 2.

The health ministry says 17 hospitals have been damaged, with three forced to close, and 128 rescuers and medical personnel have been killed.

The Lebanese Italian hospital in Tyre was also damaged by an Israeli attack in April.

A strike last month near the city's Hiram hospital wounded 13 staff and damaged it, according to the ministry.

At Jabal Amel hospital on Tuesday, Hussein Qassir, head of the intensive care unit, told AFP they transferred patients from one ICU ward after it sustained significant damage in the airstrikes.

"We were expecting a strike near or adjacent to the hospital... but I didn't expect that the intensive care unit would be this damaged (but) the situation could have been so much worse.

"Despite this, we continue... it is our duty."

- 'Criminality' -

Abdinasir Abubakar, World Health Organization Representative to Lebanon, said on Tuesday that "two out of three hospitals" in the Tyre district, Jabal Amel and Hiram, "are damaged although continuing to function, and the third hospital is overwhelmed as it deals with an influx of injured patients".

The historic city in southern Lebanon, which still hosts thousands of displaced people from nearby areas, has been subject to repeated Israeli strikes that have continued despite an April 17 ceasefire agreement that has not been respected by either Israel or Hezbollah.

Israel's military has repeatedly warned residents of Tyre and its surroundings to evacuate in preparation for what it said are operations against Hezbollah.

Staffer Khalil Mustapha, displaced from the border town of Aitaroun, took shelter in the hospital after losing his home.

"I no longer have a home. Israel destroyed it and I came to the hospital. I never expected their level of criminality would reach this point," he said.

Zainab Fakih, who works in the laboratory, was sitting with her colleagues when the attack came.

"We were terrified... We opened the doors and rubble rained down on us, but luckily no one was hurt," she said.

"We didn't think they would bomb the area around the hospital. But we come here because this is our job, even though our families object", fearing for their safety.