The Saudi-led international coalition intervened in the Yemen conflict in 2015. It has also imposed a land and sea blockade. According to UNICEF, around 11 million Yemeni children are directly affected by the war and around 2.2 million are extremely malnourished / credit: Press TV
Editor’s Note: This article originally appeared in Peoples Dispatch.
More than 11,000 Yemeni children have been killed or injured since the escalation of fighting in Yemen in 2015, the United Nations International Children’s Fund (UNICEF) reported on Sunday, December 11. The Saudi-led international coalition intervened in the conflict in Yemen in 2015.
Commenting on the number of children killed or maimed in the Yemen war, Catherine Russell, executive director of the UNICEF, noted that this was at best a conservative figure and that “the truce toll of this conflict is likely to be far higher.”
Russell was on a visit to the country where the Saudi-led international coalition, backed by the United States and its European allies such as the United Kingdom and France, is waging a war against the Houthi forces who control capital Sanaa since March 2015. The war has killed hundreds of thousands of people and devastated what was already the poorest country in the Arab world.
Saudi Arabia accuses the Houthis of being an Iranian proxy, responsible for displacing Yemen’s rightful government in 2014-15. The Houthis have denied the Saudi allegations and claimed that they are fighting against the corrupt ruling classes of their country, who do not serve the people but act as facilitators of international loot of Yemeni resources.
Russell called for the immediate resumption of the UN-mediated ceasefire which had ended in October this year. In April this year, for the first time in seven years of war, both the warring sides had agreed to a two-month ceasefire. The ceasefire was extended twice, and the country experienced a rare six months of relative peace. However, both parties refused to extend the ceasefire beyond October after the UN failed to devise substantial grounds for its indefinite extension.
Millions on the Verge of Death
Russell noted that in the period since the ceasefire ended, 62 Yemeni children have been killed and “hundreds of thousands more remain at risk of death from preventable diseases or starvation.”
According to the UNICEF, around 11 million Yemeni children are directly affected by the war and around 2.2 million of them are extremely malnourished. A quarter of these 2.2 million children are below the age of five and extremely susceptible to deadly diseases such as cholera and measles, among others.
UNICEF also noted that regular immunization in the country has been badly affected due to the war, with over 28 percent children missing their routine vaccinations.
The Saudi-led coalition, apart from waging its ground and air offensive in populated areas, has also imposed a crippling air, sea and land blockade of the country since 2015, preventing the supply of essentials including food, fuel, and medicine. The blockade has been identified as the main reason for the large-scale starvation in Yemen, which has pushed millions to the verge of death due to hunger and lack of medicines and healthcare equipment.
Underlining the causes of their refusal to extend the UN-mediated ceasefire, the Houthis highlighted the failure to address the central issue of the Saudi blockade which would have “alleviated the suffering of Yemeni people.” Throughout the period of the ceasefire, the Houthis had been raising the issue of insufficient easing of the blockade and had accused the Saudi-backed forces of violating the norms of the truce.
The scale of destruction caused by the war and the blockade has forced the UN to categorize Yemen as “the world’s worst humanitarian crisis.”
Tens of thousands of Czech people protested October 28, demanding the current government resign and sanctions against Russia end / credit: Screenshot from video
Editor’s Note: This article originally appeared on Antiwar.com.
Amid ever escalating tensions over the West’s proxy war in Ukraine and the devastating inflation ripping Europe apart, Czech protesters gathered October 28 in Prague demanding the coalition government’s resignation, the Associated Press reports.
The rally saw tens of thousands of citizens condemning their government’s support for Kiev, including the provision of heavy weapons, as well as sanctions on Russia. A smaller, similar rally was held in Brno, the country’s second-largest city.
The demonstrators’ slogan was “Czech Republic First.” As with other recent protests throughout the continent, the left and right are uniting in their opposition to the West’s economic and proxy warfare against Russia.
One speaker said “Russia’s not our enemy, the government of warmongers is the enemy,” according to the AP.
Protesters “repeatedly condemned the government for its support of Ukraine and the European Union sanctions against Russia, opposed Czech membership in the EU, NATO and other international organizations,” the report said.
Leaders in Prague dismissed the protests. Interior Minister Vit Rakusan tweeted “[w]e know who’s our friend and who’s bleeding for our freedom,” adding “we also know who’s our enemy.”
The Washington-led sanctions blitz has cut Europe off from cheap Russian gas upon which it has long relied. In the Czech Republic, energy, housing, and food prices soaring. The inflation rate is 17.8 percent.
Similar protests are occurring in Italy, Germany, and France. “Strikes and protests over the rising cost of living proliferate, ushering in a period of social and labor unrest not seen since at least the 1970s,” the New York Times reported earlier this month.
In September, Prague saw massive demonstrations of 70,000 people, again from the left and right, protesting against NATO’s proxy war in Ukraine and rising energy prices caused by the sanctions campaign. Those protesters also called for the resignation of Prime Minister Petr Fiala’s center-right coalition government. “We intensively support the justified fight of the Ukrainian people,” Fiala has declared.
Wow. Absolutely massive protest in Prague, Czech Republic today demanding an end to anti-Russia sanctions. pic.twitter.com/GtjHWdEhl4
Connor Freeman is the assistant editor and a writer at the Libertarian Institute, primarily covering foreign policy. He is a co-host on the “Conflicts of Interest” podcast. His writing has been featured in media outlets such as Antiwar.com, Counterpunch, and the Ron Paul Institute for Peace and Prosperity. He has also appeared on “Liberty Weekly,” “Around the Empire” and “Parallax Views.” You can follow him on Twitter at @FreemansMind96.
Firefighters in Gaza tackled in 2014 a fire caused by an Israeli missile strike on an United Nations Relief and Works Agency for Palestine Refugees in the Near East storehouse / credit: Ashraf Amra / APA images
Kamel Arafa’s family is in constant fear that something bad could happen to him. Relatives of the firefighter from the Jabaliya refugee camp in Gaza City have therefore decided to try to stay in constant touch with him during emergencies.
It doesn’t quite suit Arafa, 38, even if he appreciates the concern.
“It is better not to call. I’ve asked my family to calm down. They just can’t. They are right as well. What we go through is brutal.”
The father of four has been an emergency responder for 15 years. He joined rescue crews during all recent major Israeli aggressions against Gaza, starting in 2008.
“Every time I hear my phone ringing during escalations, I instantly understand it is work with a new emergency and probably more casualties,” he told The Electronic Intifada.
He answers such calls with mixed feelings.
“We throw ourselves into dangerous situations to rescue people from death but we know we might be dead ourselves at any moment.”
During Israeli offensives, Arafa works from early morning until late night to rescue people and their belongings, especially those buried under rubble. He sometimes does not return to his house for five or more consecutive nights.
“Once we get a chance to rest before heading to a new task, we nap anywhere. Anywhere. On any piece of cloth, on the sidewalk, in the car.”
Despite all the challenges, he said, they will continue to work. No matter the danger, every first responder will only work harder when they hear people crying for help from under rubble, he said.
2014 Trauma
During challenging times, Arafa wants to be next to his children, aged between 6 and 12, and wife to reassure them. “I sometimes hug them so hard before leaving home, a goodbye hug as if I might not return.”
First responders usually carry traumatic memories around with them. Arafa has his share.
The 2014 massacre which Israel carried out in the Shujaiya neighborhood of Gaza City proved particularly harrowing.
“In 2014, we were able to enter Shujaiya after Israel declared a humanitarian truce. The truce was violated immediately by the Israeli forces. The whole scene was awful. Many bodies were strewn on the ground. Some were fully burnt. There were also the bodies of animals.”
During the same assault, he still vividly remembers the aftermath of the Wahdan family massacre in the northern Gaza town Beit Hanoun. Israeli soldiers had kept the family inside and used their home as a military base.
Twelve people died there, and Arafa vividly remembers specifically how the women’s bodies were burnt.
“I cannot forget at all. It was horrifying,” he told The Electronic Intifada.
“We saw women besides their children, all dead under the rubble. I sometimes think of their last moments, what they were thinking of, and how they felt. It is a bad ending.”
Like Arafa, Mohammad Abu Shaqfa worked throughout all Israel’s wars on the Gaza Strip. He remembers them all simply as bloody conflicts filled with people in need of his help, except for 2014, when it got more personal, and he lost two of his closest colleagues in front of his eyes.
Abu Shaqfa, 34, and five of his colleagues had been called to the Shujaiya neighborhood, and thought at first that the shelling had stopped.
“All of a sudden, a series of heavy explosive tank shells were fired directly at us. Our colleagues Rami Thaher and Ahed Dahduh were killed in front of my eyes,” said Abu Shaqfa.
He took a small pause to collect himself before he continued.
“It was a shock. I was in disbelief,” Abu Shaqfa told The Electronic Intifada. “It was a huge loss for me.”
No Protection
For Abu Shaqfa, the job is just that, a job.
“I have no difficulty rescuing people I don’t know.”
But it was different with his colleagues. “It was much harder,” he said. “We were six on that mission. Only four came back.”
He had done his best to deal with the situation and continue working. But he concedes that “I did not give myself enough time” to process what he had just seen.
There were other people to rescue, he said. “Under pressure, I returned to reality and started to work again.”
With limited staff and equipment, Gaza’s civil defence sometimes calls on volunteers to assist in a rescue operation, like in the Wihda Street massacre in Gaza City last year, where residential buildings belonging to the Abu al-Ouf and al-Qawlaq families were bombed at nearly the same time.
“Calling more people to join us was important as the destruction was massive, and we needed to avoid a high rate of civilian casualties,” Abu Shaqfa said.
It is the ever-present danger of Israeli aggression, and the high price such aggression exacts, that makes the work of first responders in Gaza so demanding and dangerous. Add to this, an Israeli-imposed siege on Gaza prevents necessary equipment from helping the civil defense forces modernize.
Thus, Gaza’s firefighters are unable to secure vital items like fire hoses, firefighter lights or spears under Israel’s so-called dual-use lists of banned products.
The poor resources available to Gaza’s firefighters were briefly noted by Western media last month.
The New York Times reported, for example, that the first two fire trucks which reached the scene of a major fire in Jabaliya refugee camp did not even have a ladder between them. That was despite how the building where the fire occurred had a number of floors.
A total of 21 people were killed in the Jabaliya fire.
Better equipment could allow first responders in Gaza to “save thousands of lives,” Samir al-Khatib, deputy director of Gaza’s civil defense, said.
“We have not been able to keep pace with developments abroad. “
In all, according to al-Khatib, Gaza has between 450 and 500 emergency responders, including firefighters.
First responders are supposed to be protected under the Geneva Conventions. However, according to al-Khatib, 34 have been killed during Israel’s aggressions against Gaza since 2008.
“We have been targeted multiple times even though we always wear our uniforms. Our cars are known to the Israeli side,” said al-Khatib. But, “we cannot trust the Israeli soldiers. We fear the treachery of the occupation forces.”
More than 3,000 Accredited Social Health Activists (ASHAs) protested in the city of Kolhapur in India’s Maharashtra state on October 26 after several of their demands, such as the legal status of full-time workers, better working conditions, adequate pay, medical insurance, and others, weren’t met / credit: Sanket Jain
Prajakta Khade walked into a public health center daily for three months in early 2021, without ever receiving medical care. The healthcare worker’s 26 notebooks—containing more than 3,000 pages of community health records—point to why she couldn’t seek treatment for her ailments. She was simply too busy.
In March 2020, India’s health ministry tasked 1 million Accredited Social Health Activists (ASHAs) like Khade with COVID-19 duty in rural areas. This, in a country where 65 percent of its 1.38 billion people live outside cities. Suddenly, ASHAs’ workload increased exponentially. Yet, they remain underpaid and now suffer stress-related chronic ailments.
“If a positive case was found in the area, we had to visit the patient, contact trace, arrange medical facilities, measure their oxygen and temperature levels daily, and ensure they complete quarantine,” Khade explained about the added duties to treat the infectious respiratory disease. But all Khade was given to do her job in the assigned area in India’s Maharashtra state was a single N95 mask and 200 milliliters of sanitizer.
ASHAs, an all-women healthcare cadre, remain the foot soldiers of India’s rural healthcare. One worker is appointed for every 1,000 citizens under India’s 2005 National Rural Health Mission. ASHAs are responsible for more than 70 tasks, including providing first-contact healthcare, counsel regarding birth preparedness, and pre- and post-natal care. Plus, they help the population access public healthcare and ensure universal immunization, among other things.
The World Health Organization announced a pandemic in March 2020. But in many countries, lack of adequate healthcare and no social safety nets amid lockdowns wrecked the lives of ordinary people. In India, for example, an additional 150 million to 199 million people are expected to enter poverty in 2021 and 2022.
Chronic Illnesses Spike
One day about a year ago, while surveying people in her village of Vhannur in India’s Maharashtra state, 40-year-old Khade felt dizzy. But she couldn’t take a break. “At one point, my face was swollen, and I could barely see anything.” It turned out her blood pressure level had surged to 252/180 mmHg (millimeter of Mercury), much higher than the standard limit of 120/80. That is how she got diagnosed with hypertension.
However, a month’s worth of medications didn’t help because she continued to experience stress as her workload increased. Senior officials at the health center had early on issued an order to submit patient records daily by noon.
ASHAs, who aren’t considered full-time workers, receive performance-based incentives paid on the number of tasks completed. “For COVID duty, the government decided our worth as merely 33 Indian Rupees per day (43 U.S. cents),” she said. “We received this amount only for three months in the past two years.”
Moreover, during the peak of COVID-19 cases in 2021, salaries for Maharashtra’s ASHAs were delayed by five months, according to Khade. Netradipa Patil, an ASHA from Maharashtra’s Kolhapur district and leader of a union that represents more than 3,000 ASHAs, confirmed this.
One day last year, Khade’s supervisor asked for a list of hypertension and diabetes patients from her village of about 1,200 people—at 10 o’clock at night.
“How could I survey the entire community in the night?” she asked.
Often, such orders meant skipping lunch and staying hungry for 11 hours at a stretch. ASHAs worked four hours prior to the pandemic. Now, 12-hour days are normal.
When medications didn’t help, Khade consulted two private doctors. “After six months of hassle, the doctor doubled my dose to 50 milligrams.” Khade lost over 10 kilograms (22 pounds) of weight and was placed on medications to address anxiety. Even today, she suffers from fatigue.
“I was never this weak,” she asserted.
Chronic diseases among ASHAs are rising rapidly because of the workload, says Patil. “We protect the entire community, but there’s no one to look after our health.” ASHAs in Maharashtra, she says, average a monthly income of Rs 3,500 to 5,000 ($45 to $66 USD).
This reporter spoke to ASHAs’ senior officials from Maharashtra’s Kagal block. (In India, a cluster of villages form a block and several blocks form a district. Vhannur village is in the Kagal block of Maharashtra’s Kolhapur district.) Senior officials said they are not responsible for ASHAs’ deteriorating mental and physical health, and pointed to the Indian government’s order to submit data. The officials didn’t want to be named. Instead, they relayed that they also are overworked.
“ASHAs do the majority of the health department’s work, and they are massively underpaid for their duty,” said Dr. Jessica Andrews, a medical officer at Kolhapur’s Shiroli Primary Health Center. She has been handling mental health cases. “Without them, the health system will collapse.”
‘Not Treated As Humans’
Several ASHAs across India have worked for over a year without a break. One of them is Pushpavati Sutar, 46, diagnosed with hypotension (low blood pressure) and diabetes within seven months of COVID-19 duty in November 2020. Like Khade, she experienced constant spells of dizziness.
“Often, there was fake news of community COVID transmission in my area,” she said.
Every day, senior officials at the health center hounded her to find more details about such instances.
An ASHA for 13 years, she’s never made an error in her surveys and was sure of no community transmission. “After investigating, I found that the accused was COVID negative. Instead, two of his relatives were positive.”
She had to clear such misconceptions almost every day, answer senior officials’ questions, collect records and perform her regular duty. “For several days, I couldn’t sleep,” she remembered.
Further, fearing COVID-19 guidelines and quarantine rules, community members began demanding ASHAs hide COVID-19 cases. “People even accused us of spreading COVID as we would survey the entire village,” Sutar recounted. Moreover, she said senior officials asked ASHAs to visit the families of COVID-19 patients—instead of allowing data collection over the phone—putting them at risk of infection.
“At several places, there have been instances of community violence, where ASHAs were beaten up,” said Patil, who has filed legal complaints on behalf of the assaulted workers and is helping them mentally recover.
Kolhapur’s ASHA union has written to several government authorities, including Maharashtra’s chief minister and Indian Prime Minister Narendra Modi, highlighting the mental toll of COVID-19 duty. Still, none of their letters have garnered a helpful response.
“Forget adequate pay,” said Khade, as she continued surveying, juggling between completing her task and trying to keep her mind at ease. “We are not even treated as humans.”
ASHA Rehana Mujawar, of Maharashtra’s Tardal village, shows COVID-19 records she is required to fill out every day by visiting her community of more than 1,000 members / credit: Sanket JainASHA workers Rekha Dorugade and Mandakini Kodak trekking the Dhangarwada hill to complete their survey, a steep patch of 5 kilometers (3.1 miles) in Kolhapur’s Pernoli village / credit: Sanket JainAn ASHA worker took a selfie as part of their protest on July 21 in Maharashtra’s Kolhapur city / credit: Sanket JainASHA workers protest outside the district collector’s office in Kolhapur city with placards mentioning their workload. In the center, wearing a red saree, is ASHA union leader Netradipa Patil, who has been fighting for better working conditions for over a decade / credit: Sanket JainASHAs across India have been protesting for better pay, full-time worker status and proper working conditions / credit: Sanket JainIndia has 810 district hospitals for 833 million rural people. In mountainous regions like Kolhapur’s Masai Pathar, ASHAs often trek, risking their lives to save pregnant women and make healthcare facilities accessible / credit: Sanket JainAn ASHA worker explains breastfeeding and taking care of a newborn to a community woman in Maharashtra’s Khutwad village / credit: Sanket JainIn Kolhapur’s Khutwad village, ASHA Maya Patil informs a migrant sugarcane cutter, whose relative gave birth to a child a month prior, about post-natal care and how they can access public healthcare facilities / credit: Sanket JainTo inspire fellow ASHAs, Netradipa Patil shares a WhatsApp status quoting lyricist and poet Gulzar: “Milta To Bahut Kuch Hai Is Zindagi Me, Bas Ham Ginti Usi Ki Karte Hain, Jo Hasil Na Ho Saka. (We get many things in life, but we only count the things we couldn’t achieve) / credit: Sanket JainASHAs also distribute iron, calcium, and vitamin tablets, among others, to community women and children every month. “For distributing these medicines, we’re merely paid Rs 100 ($1.30 USD),” says ASHA Netradipa Patil / credit: Sanket JainASHA Prajakta Khade collected the sputum of a patient she suspects to be a tuberculosis patient / credit: Sanket Jain“Be it any health record, the health department relies on our surveys and fieldwork,” says Khade, who has been an ASHA since 2009 / credit: Sanket JainWomen often share their health and mental issues with ASHA workers, as they have built a safe bond over the past decade / credit: Sanket JainAs part of the Health Ministry’s program of reducing non-communicable diseases, ASHAs across Maharashtra are tasked with surveying communities by asking them more than 60 questions. “We will merely be paid Rs 5 (6 U.S. cents) per form for collecting and filling in all the details,” says Khade / credit: Sanket JainA significant part of Khade’s time goes into filling out by hand medical records. “If any record is incomplete, our seniors immediately probe an inquiry, and even the pay is deducted,” she says / credit: Sanket JainSo far, Khade has spent over Rs 10000 ($131 USD) on doctors, medical tests, and medications, an equivalent of three months of her salary. “ASHAs don’t receive any health support system from the government, nor any medical insurance,” she says / credit: Sanket JainASHA Jayashree Khade from Kolhapur’s Vhannur village tested positive for COVID-19 in May 2021. “None of my seniors even once asked about my health. It was only the fellow ASHAs who helped me,” she says / credit: Sanket JainPrajakta Khade gives a plastic bottle to a community woman asking her to submit sputum for tuberculosis detection / credit: Sanket JainPushpavati Sutar, as part of postnatal visits, often counsels women on breastfeeding, seeks regular updates on the health of both the mother and the newborn, and provides the required medications / credit: Sanket JainAn ASHA worker filling out health records of a newborn in Kolhapur’s Shirol region, noting important details / credit: Sanket JainSutar distributes iron and folic acid tablets to her community members / credit: Sanket JainTo ensure community members take medications and supplements on a schedule, ASHAs often write instructions in the native language on the box / credit: Sanket JainSutar ignored her hypotension symptoms for several months and continued the survey because of the tremendous workload / credit: Sanket JainASHA workers always counsel community members on proper healthcare. Here, she is talking to a woman in Kolhapur’s Shirol region about early childhood health / credit: Sanket JainAs part of the health ministry’s Anemia Free India program, ASHAs are given a long notebook to maintain the records of 6- to 51-week-old children and 5- to 10-year-old children from their community. ASHAs regularly provide tablets to prevent anemia / credit: Sanket JainASHAs’ role doesn’t end with distributing medications. They answer questions people raise / credit: Sanket JainASHA Rani Koli, from Kolhapur’s flood-affected Bhendavade village, surveying her community after the July floods. “Even my house was ravaged by the 2019 and 2021 floods, but we keep working to make sure everyone remains safe,” she said / credit: Sanket JainASHA Kavita Patil talking to senior citizens in Kolhapur’s Bhendavade village to understand the mental toll of living through two floods / credit: Sanket JainASHA workers Netradipa Patil and Maya Patil surveying a community to learn more about how two floods and lockdowns affected the lives of rural community women / credit: Sanket Jain
Sanket Jain is an independent journalist based in the Kolhapur district of the western Indian state of Maharashtra. He was a 2019 People’s Archive of Rural India fellow, for which he documented vanishing art forms in the Indian countryside. He has written for Baffler, Progressive Magazine, Counterpunch, Byline Times, The National, Popula, Media Co-op, Indian Express and several other publications.
