Lebanon's health care system in tatters but still preparing for a possible wider war with Israel

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Lebanon's health care system in tatters but still preparing for a possible wider war with Israel

2024-08-13 09:50 Last Updated At：10:01

BEIRUT (AP) — Lebanon’s crisis-battered health care system is now preparing for the possibility of a devastating wider conflict with Israel, the country’s health minister told The Associated Press in an interview Monday.

Israel's military and Lebanon’s powerful Hezbollah militant group have traded strikes since the current war in Gaza began, but tensions have escalated since an Israeli strike in a Beirut suburb killed a top Hezbollah commander last month. Hezbollah has vowed to retaliate.

Lebanon’s caretaker government, amid diplomatic maneuvering for de-escalation, is trying to prepare for the worst with a tattered budget, a deeply divided parliament and no president.

“The Lebanese health system had to adjust to multiple crises,” caretaker Health Minister Firas Abiad said. Health care facilities cut costs by keeping inventory at a minimum, leaving little backup for emergencies, he said. Now inventory has been built up to four months' worth of critical supplies.

“We hope that all the efforts we are doing for preparing for this emergency go to waste" and a wider war is averted, Abiad said. "The best thing that we want is for all of this to turn out to be unnecessary.”

Inside Gaza, the health system has been decimated. Abiad said Lebanese health authorities take the possibility of hospitals being targeted in a wider conflict “very seriously.”

Already, he said, almost two dozen paramedics and health care workers in southern Lebanon have been killed in Israeli strikes. They include paramedics from medical groups affiliated with Hezbollah and allied groups that have filled the gaps in areas with limited state services.

Israeli strikes have hit deeper into Lebanon in recent weeks, and sonic booms from military jets rattle Beirut. Much of the border region is in rubble.

The Mediterranean country’s health sector was once renowned as one of the best in the region. But Lebanon has faced compounding crises since 2019, including a fiscal one that followed decades of corruption and mismanagement. Other challenges include the COVID-19 pandemic, the 2020 Beirut Port explosion that damaged or destroyed key healthcare infrastructure and dwindling international aid to help Lebanon host more than 1 million Syrian refugees.

Lebanese hospitals in 2021 were at breaking point, barely able to keep the lights on and short on medicine.

Abiad said the health sector has shown resilience before, and he hopes it will again.

“During the (port) blast, the system was able to absorb an excess of 6,000 casualties in a matter of 12 hours,” he said. “There is, I would say, a determination within our health care system to provide the needed care to all the people who require it."

But resilience might not be enough for the troubled country and its 6 million people. The financial crisis has left government agencies beholden to humanitarian organizations for cash injections and supplies.

Last week, the health ministry received 32 tons of emergency medical aid from the World Health Organization. But U.N. agencies and other humanitarian groups have had to reallocate funds from existing work to provide aid to about 100,000 people who have fled southern Lebanon since the current war in Gaza began.

Abiad said some issues are out of the ministry’s control, including securing fuel for electricity and petrol for ambulances, as well as supporting the almost 800,000 U.N.-registered Syrian refugees in the country.

Health care resources are not sufficient for refugees in particular, Abiad said: “The international community really has to pull its weight and chip in with this particular issue.”

South and Midwest pounded by rains and floods while still reeling from tornadoes

2025-04-05 06:28 Last Updated At：06:32

HOPKINSVILLE, Ky. (AP) — Torrential rains and flash flooding battered parts of the Midwest and South on Friday, killing a boy in Kentucky who was swept away as he walked to catch his school bus. Many communities were left reeling from tornadoes that destroyed entire neighborhoods and killed at least seven people earlier this week.

Round after round of heavy rains have pounded the central U.S. for days, and forecasters warned that it could persist through Saturday. Satellite imagery showed thunderstorms lined up like freight trains over communities in Arkansas, Tennessee and Kentucky, according to the national Weather Prediction Center in Maryland.

In Frankfort, Kentucky, a 9-year-old boy died in the morning after floodwaters swept him away while he was walking to a school bus stop, Gov. Andy Beshear said on social media. Officials said Gabriel Andrews' body was found about a half-mile from where he went missing.

The downtown area of Hopkinsville, Kentucky — a city of 31,000 residents 72 miles (116 kilometers) northwest of Nashville — was submerged. A dozen people were rescued from homes, and dozens of pets were moved away from rising water, a fire official said.

“The main arteries through Hopkinsville are probably 2 feet under water,” Christian County Judge-Executive Jerry Gilliam said earlier.

Tony Kirves and some friends used sandbags and a vacuum to try to hold back rising waters that covered the basement and seeped into the ground floor of his photography business in Hopkinsville. Downtown was “like a lake,” he said.

“We’re holding ground,” he said. “We’re trying to maintain and keep it out the best we can."

A corridor from northeast Texas through Arkansas and into southeast Missouri, which has a population of about 2.3 million, could see clusters of severe thunderstorms late Friday. The National Weather Service’s Oklahoma-based Storm Prediction Center warned of the potential for intense tornadoes and large hail.

The seven people killed in the initial wave of storms that spawned powerful tornadoes on Wednesday and early Thursday were in Tennessee, Missouri and Indiana.

Tennessee Gov. Bill Lee said entire neighborhoods in the hard-hit town of Selmer were “completely wiped out” and it was too early to know whether there were more deaths as searches continued.

Heavy rains were expected to continue in parts of Missouri, Kentucky and elsewhere in the coming days and could produce dangerous flash floods. The weather service said 45 river locations in multiple states were expected to reach major flood stage, with extensive flooding of structures, roads and other critical infrastructure possible.

In Christian County, which includes Hopkinsville, 6 to 10 inches (15.2 to 25.4 centimeters) fell since Wednesday evening, the National Weather Service said Friday afternoon. The rain caused the Little River to surge over its banks, and 4 to 8 inches (10.2 to 20.3) centimeters more could fall by Sunday, it said.

A pet boarding business was under water, forcing rescuers to move dozens of dogs to a local animal shelter, said Gilliam, the county executive. Crews rescued people from four or five vehicles and multiple homes, mostly by boat, said Randy Graham, the emergency management director in Christian County.

“This is the worst I’ve ever seen downtown,” Gilliam said.

Hundreds of Kentucky roads were impassable because of floodwaters, downed trees or mud and rock slides, and the number of closures were likely to increase with more rain late Friday and Saturday, Beshear said.

A landslide blocked a nearly 3-mile (4.8-kilometer) stretch of Mary Ingles Highway in the state's north, according to the Kentucky Transportation Cabinet. A landslide closed the same section of road in 2019, and it reopened last year, WLWT-TV reported.

Flash flooding is particularly worrisome in rural Kentucky where water can rush off the mountains into the hollows. Less than four years ago, dozens died in flooding in the eastern part of the state.

Extreme flooding across a corridor that includes Louisville, Kentucky, and Memphis — which have major cargo hubs — could also lead to shipping and supply chain delays, said Jonathan Porter, chief meteorologist at AccuWeather.

Forecasters attributed the violent weather to warm temperatures, an unstable atmosphere, strong wind shear and abundant moisture streaming from the Gulf. At least 318 tornado warnings have been issued by the National Weather Service since this week’s outbreak began Wednesday.

The outburst comes at a time when nearly half of National Weather Service forecast offices have 20% vacancy rates after Trump administration job cuts — twice that of just a decade ago.

Homes were ripped to their foundations this week in Selmer, which was hit by a tornado with winds estimated up to 160 mph (257 kph), according to the weather service. Advance warning of storms likely saved lives, as hundreds of people sheltered at a courthouse, the governor said.

In neighboring Arkansas, a tornado near Blytheville lofted debris at least 25,000 feet (7.6 kilometers) high, according to weather service meteorologist Chelly Amin. The state’s emergency management office reported damage in 22 counties from tornadoes, wind, hail and flash flooding.

Workers on bulldozers cleared rubble along the highway that crosses through Lake City, where a tornado with winds of 150 mph (241 kph) sheared roofs off homes, collapsed brick walls and tossed cars into trees.

Mississippi's governor said at least 60 homes were damaged. And in far western Kentucky, four people were injured while taking shelter in a vehicle under a church carport, according to the emergency management office in Ballard County.

Schreiner reported from Shelbyville, Kentucky. Associated Press writers Andrew DeMillo in Little Rock, Arkansas, Jonathan Mattise in Nashville, Tennessee, Adrian Sainz in Memphis, Tennessee, Jeff Martin in Marietta, Georgia, Obed Lamy in Hopkinsville, and John Raby in Charleston, West Virginia, contributed.