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Costly odyssey for cancer care in war-torn Sudan

Costly odyssey for cancer care in war-torn Sudan
The fighting in Sudan broke out in April 2023 between the regular army, headed by Sudan’s de facto leader Abdel Fattah Al-Burhan, and the paramilitary Rapid Support Forces (RSF) led by his former deputy Mohamed Hamdan Dagalo. (AFP)
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Updated 26 June 2024

Costly odyssey for cancer care in war-torn Sudan

Costly odyssey for cancer care in war-torn Sudan
  • Fewer than 30 percent of hospitals remain functional
  • Its two main oncology centers — in the capital Khartoum and just south in Wad Madani — have closed

Gedaref: Doctors in eastern Sudan say Mohammed Al-Juneid’s wife, displaced and diagnosed with cancer, needs treatment elsewhere in the war-torn country. But the road is long and dangerous, and the journey expensive.
“Even if we make it to Meroe in the north, who knows how long we’ll have to wait until it’s her turn,” the 65-year-old told AFP in Gedaref, where he and his wife have sought safety from the country’s raging war.
Since April 2023, fighting between the army and the paramilitary Rapid Support Forces has shattered Sudan’s already fragile health care system.
Fewer than 30 percent of hospitals remain functional, “and even so at a minimal level,” according to the World Health Organization (WHO).
For tens of thousands of patients with chronic illnesses, that has meant embarking on long, dangerous odysseys across front lines, often just to reach an overwhelmed and under-equipped health care facility.
Many have flocked to Gedaref in the east, where more than half a million people fled to escape the fighting.
In its single oncology facility — one of the country’s last — women draped in colorful traditional veils lie on beds, chemotherapy needles in their arms.
Among them is Juneid’s wife, who used to undergo radiation therapy at Wad Madani hospital in central Sudan before “it closed because of the war,” her husband said.
“Now the doctors say she needs radiation again, which is only available at Meroe hospital” — a 900-kilometer (560-mile) drive that is actually far longer if you want to avoid the fighters on the way.
The couple found a driver who agreed to take them on the bumpy, checkpoint-marked road. He would do it for $4,000 — a small fortune that Juneid cannot afford.
Lying on a nearby bed, schoolteacher Fatheya Mohammed said her cancer had become more aggressive “since the war began.”
“They give me chemo injections here,” she told AFP. But at bare minimum, she needs CT scans that are “only available in Kassala,” 200 kilometers (125 miles) to the northeast.
That might as well be half a world away. Over the past year, Mohammed has received only three months of her government salary, and can’t afford to go anywhere.
Sudan, one of the world’s poorest countries even before the war, already had an under-funded and overwhelmed health care system before the war dealt the final blow.
Its two main oncology centers — in the capital Khartoum and just south in Wad Madani — have closed.
Smaller facilities, like the 27-bed East Oncology Hospital in Gedaref, have been overwhelmed by the influx.
In 2023 “we took in around 900 new patients,” the center’s director Motassem Mursi told AFP — up from their annual patient load of “around 300 to 400.”
In the first three months of 2024 alone “we’ve taken in 366 patients,” he said.
Of Sudan’s 15 oncology centers, only the one in Meroe still offers radiation therapy, an October article published in the online medical journal ecancermedicalscience confirmed.
The costs associated with treatment, transportation and accommodation are out of reach for many, “forcing them to confront their impending death without proper care,” wrote the authors, four doctors in Sudanese and Canadian hospitals.
“The limited access to oncology services during the current war endangers the lives of more than 40,000 Sudanese cancer patients,” they concluded.
Even if terminal patients were to accept their fate — at the hands of both disease and the war’s devastation — there is no respite from their daily physical agony.
Dire shortages of medicines, including painkillers, mean patients must “endure excruciating pain without recourse,” the authors wrote.
According to the WHO, “about 65 percent of the Sudanese population lack access to health care” entirely, in a country where upwards of 10 million people have been forced to flee their homes.
Shuttered hospitals and dire shortages place a “significant strain on and risks overwhelming the remaining facilities due to the influx of people seeking care,” the WHO has warned.
In Meroe, the last hope for patients in need of radiation treatment, the nightmare has come true.
“We have two radiation machines that work 24 hours a day,” a doctor at the Eldaman Oncology Center told AFP over the phone, requesting anonymity because he was not authorized to speak to the media.
“If one of them goes down, even just for maintenance, it causes an even bigger backlog of patients,” he said, exhaustion clear in his voice.


Lebanon security official says Israel struck central Beirut

Lebanon security official says Israel struck central Beirut
Updated 27 sec ago

Lebanon security official says Israel struck central Beirut

Lebanon security official says Israel struck central Beirut
BEIRUT: A Lebanese security official told AFP that an Israeli strike hit a central neighborhood of the capital Beirut on Monday, the third such attack in the last 24 hours.
“An Israeli air strike hit close to the Al-Zahraa Husseiniya in Zuqaq Al-Blat,” he told AFP requesting anonymity, referring to a Shiite place of worship in the densely-populated district. An AFP correspondent in a nearby area heard two blasts, while reporters in another part of Beirut heard ambulance sirens.

US hits Israeli settler group with sanctions over West Bank violence

US hits Israeli settler group with sanctions over West Bank violence
Updated 8 min 1 sec ago

US hits Israeli settler group with sanctions over West Bank violence

US hits Israeli settler group with sanctions over West Bank violence
  • Sanctions block Americans from any transactions with Amana and freeze its US-held assets
  • Settler violence had been on the rise prior to the eruption of the Gaza war, and has worsened since the conflict began

WASHINGTON: The United States imposed sanctions on Monday on an Israeli settler group it accused of helping perpetrate violence in the occupied West Bank, which has seen a rise in settler attacks on Palestinians.
The Amana settler group “a key part of the Israeli extremist settlement movement and maintains ties to various persons previously sanctioned by the US government and its partners for perpetrating violence in the West Bank,” the Treasury Department said in a statement announcing the sanctions.
The sanctions also target a subsidiary of Amana called Binyanei Bar Amana, described by Treasury as a company that builds and sell homes in Israeli settlements and settler outposts.
The sanctions block Americans from any transactions with Amana and freeze its US-held assets. The United Kingdom and Canada have also imposed sanctions on Amana.
Israel has settled the West Bank since capturing it during the 1967 Middle East war. Palestinians say the settlements have undermined the prospects for the establishment of a Palestinian state in the West Bank and the Gaza Strip with East Jerusalem as its capital.
Israel views the West Bank as the biblical Judea and Samaria, and the settlers cite biblical ties to the land.
Settler violence had been on the rise prior to the eruption of the Gaza war, and has worsened since the conflict began over a year ago.
Most countries deem the settlements illegal under international law, a position disputed by Israel which sees the territory as a security bulwark. In 2019, the then-Trump administration abandoned the long-held US position that the settlements are illegal before it was restored by President Joe Biden.
Last week, nearly 90 US lawmakers urged Biden to impose sanctions on members of members of Israeli Prime Minister Benjamin Netanyahu’s government over anti-Palestinian violence in the West Bank.


Around 100 projectiles fired from Lebanon into Israel: army

Israel’s Iron Dome missile defence system intercepts incoming projectiles over Tel Aviv. (File/AFP)
Israel’s Iron Dome missile defence system intercepts incoming projectiles over Tel Aviv. (File/AFP)
Updated 11 min 32 sec ago

Around 100 projectiles fired from Lebanon into Israel: army

Israel’s Iron Dome missile defence system intercepts incoming projectiles over Tel Aviv. (File/AFP)
  • Israel’s first responders said two people, including a 65-year-old woman with a shrapnel wound to the neck, sustained light injuries in northern Israel

JERUSALEM: The Israeli military said Hezbollah fired around 100 projectiles from Lebanon into northern Israel on Monday, with the country’s air defense system intercepting some of them.
Israel’s first responders said two people, including a 65-year-old woman with a shrapnel wound to the neck, sustained light injuries in northern Israel and were taken to hospital.
The military said in a first statement that “as of 15:00 (1300 GMT), approximately 60 projectiles that were fired by the Hezbollah terrorist organization have crossed from Lebanon into Israel today.”
Later it said, “following the sirens that sounded between 15:09 and 15:11 in the Western Galilee area, approximately 40 projectiles were identified crossing from Lebanon into Israeli territory.”
Israel has escalated its bombing of targets in Lebanon since September 23 and has since sent in ground troops, following almost a year of limited, cross-border exchanges of fire begun by the Iran-backed Hezbollah militants in support of Hamas in Gaza.


‘No plan B’ to aid Palestinian refugees: UNRWA chief

‘No plan B’ to aid Palestinian refugees: UNRWA chief
Updated 12 min 5 sec ago

‘No plan B’ to aid Palestinian refugees: UNRWA chief

‘No plan B’ to aid Palestinian refugees: UNRWA chief
  • Israel ordered ban on organization that coordinates nearly all aid in war-ravaged Gaza
  • UNRWA provides assistance to nearly six million Palestinian refugees

GENEVA: There is no alternative to the UN agency supporting Palestinian refugees, its chief said Monday, following Israel’s order to ban the organization that coordinates nearly all aid in war-ravaged Gaza.
“There is no plan B,” the head of the United Nations Relief and Works Agency for Palestine Refugees, Philippe Lazzarini, told reporters in Geneva.
Within the UN “there is no other agency geared to provide the same activities,” providing not only aid in Gaza but also primary health care and education to hundreds of thousands of children, he said.
He has called on the UN, which created UNRWA in 1949, to prevent the implementation of a ban on the organization in Israel and occupied East Jerusalem, which was approved by the Israeli parliament last month.
The ban, which is due to take effect in January, sparked global condemnation, including from key Israeli backer the United States.
UNRWA provides assistance to nearly six million Palestinian refugees across Gaza, the West Bank, Lebanon, Jordan and Syria.
Israel has long been critical of the agency, but tensions escalated after Israel in January accused about a dozen of its staff of taking part in Hamas’s attack on southern Israel on October 7, 2023.
A series of probes found some “neutrality related issues” at UNRWA and determined that nine of the agency’s roughly 13,000 employees in Gaza “may have been involved” in the attack, but found no evidence for Israel’s central allegations.
Lazzarini was in Geneva for a meeting of UNRWA’s advisory commission to discuss the way forward at the organization’s “darkest moment.”
“The clock is ticking fast,” he told the commission, according to a transcript.
Describing Gaza as “an unrelenting dystopian horror,” he warned that “what hangs in the balance, is the fate of millions of Palestine refugees and the legitimacy of the rules-based international order that has been in place since the end of the Second World War.”
Anton Leis, head of Spain’s international cooperation and development agency and chair of the advisory committee, told reporters that there was “simply no alternative to UNRWA,” which he said had seen more than 240 staff members killed in Gaza since the start of the war.
“It is the only organization that possesses the staff, the infrastructure and the capacity to deliver lifesaving assistance to Palestinian refugees at the scale needed, especially in Gaza,” he said.
Lazzarini agreed, saying that “If you are talking about bringing in a truck with food, you will surely find an alternative,” but “the answer is no” when it comes to education and primary health care.
Lazzarini warned that a halt to UNRWA’s activities in Israel and East Jerusalem would block it from coordinating massive aid efforts inside Gaza.
“This would mean we could not operate in Gaza,” he said, adding that it would not be possible to coordinate the deconfliction with Israeli authorities to ensure aid convoys can move safely.
“The environment would be much too dangerous,” he said.
The UNRWA chief has charged that Israel’s main objective in its attacks on the agency is to strip Palestinians of their refugee status, undermining efforts toward a two-state solution.
“We have to be clear, even if UNRWA today would cease its operation, the statue of refugee would remain,” he said.
Without the agency, he said, the responsibility for providing services to the Palestinian refugees “will come back to the occupying power, being Israel.”
If no one steps in to fill the void, he said, it “will create a vacuum ... (and) sow the seeds for more extremism, more hate in the future.”
He called on the international community to go beyond statements of condemnation and put far more pressure on Israel.
“We feel alone.”


‘Jordan stands firm against Israeli aggression on Gaza,’ King Abdullah says as he opens parliament

King Abdullah addresses newly elected parliamentarians at the start of their four-year term on Monday. (Jordan News Agency)
King Abdullah addresses newly elected parliamentarians at the start of their four-year term on Monday. (Jordan News Agency)
Updated 30 min 8 sec ago

‘Jordan stands firm against Israeli aggression on Gaza,’ King Abdullah says as he opens parliament

King Abdullah addresses newly elected parliamentarians at the start of their four-year term on Monday. (Jordan News Agency)
  • Addressing lawmakers, King Abdullah said Jordan was working tirelessly through Arab and international efforts to stop the war

RIYADH: Jordan stands firm against the “aggression on Gaza and Israeli violations in the West Bank,” the country’s King Abdullah said on Monday as he opened a newly elected parliament.

Addressing lawmakers, he said Jordan was working tirelessly through Arab and international efforts to stop the war.

“Jordan has exerted tremendous efforts, and Jordanians have valiantly been treating the wounded in the direst of circumstances. Jordanians were the first to deliver aid by air and land to people in Gaza, and we will remain by their side, now and in the future,” he said.

In his speech, the king told newly elected parliamentarians at the start of their four-year term that the current parliament was “the first step in the implementation of the political modernization project, on a track to bolster the role of platform-based parties and the participation of women and young people.”

“This requires parliamentary performance, collective action, and close cooperation between the government and parliament, in accordance with the constitution,” the king was reported as saying by Jordan News Agency.

King Abdullah said the government aimed to provide Jordanians with a decent life and empower youths while equipping them for the jobs of the future.

“We must continue implementing the Economic Modernisation Vision to unleash the potential of the national economy and increase growth rates over the next decade, capitalising on Jordan’s human competencies and international relations as catalysts for growth,” the king said.