NEWS
Meet Dr.Ahmad, one of the medical professionals fighting on the COVID-19 front in Syria
My name is Ahmad Sayeyd Yusef, I live in Idlib in the northwest of Syria. I graduated medical school and I used to be an orthopedics surgery resident. Currently I’m working as an Internist and on the frontlines of COVID-19 in Syria.
I’ll start by introducing the idea of the isolation centers. Each center consists of four female and four male nurses, infection control officers, janitors, a manager, and an on call doctor. We are three doctors, each one of us takes two 24-hours shifts to cover the isolation center for the whole week. We start everyday by the morning rounds, we check up on the patients and conduct a clinical examination for each one of them, and then we update their meds list in accordance with test and examination results.
Here’s how the morning rounds usually go, we start by wearing a protective suit and a N95 mask suitable for the pandemic. We start from the area designated for the people suspecting a COVID-19 infection, and then we move on to the area of the confirmed cases. During this time, one of the nurses keeps registering new patients. We accept patients or refuse to do so depending on the center’s capacity as well as the severity of each case.
We accept the cases that we can handle. We start by clinically examining the patient and then performing a PCR test. If the result is positive we give the people a choice, they can either isolate themselves at the center, or at home if possible. Most people prefer to isolate themselves at the center, only a few expressed their ability to do self-isolation at home. When they choose to do so and prove that their home is suitable for isolation, we provide the needed instructions and we let them sign a pledge to complete all of the isolation days at home.
Generally, we only accept non-critical and moderate cases of COVID to our center. We don’t accept critical cases in an isolation center as these kinds of cases need a hospital to get the proper care. According to WHO’s protocols critical cases should be treated in a hospital and not in an isolation center. Though we do follow those protocols, one day a patient came to our center. He was an elderly with blood pressure problems and an oxygenation level below 50. He had roamed all the hospitals and isolation centers with no luck of finding an available bed. We didn’t even have any oxygen cylinders at the time, but we had to accept him and do whatever we could to save his life. The whole center started working to acquire an oxygen cylinder at any cost, and we stayed all night providing care for him until we were able to find a slot for him in a hospital the next morning. This was one of the hardest days for us as a team, full of pressure, stress and heroic efforts. It was an example of how we sometimes have to do things we don’t do under normal circumstances. Thankfully, that patient recovered completely, Abu Ramiz is now back to his little shop.
We faced a lot of difficulties while responding to the COVID-19 crisis. For example, some lockdown rules should’ve been deployed in the area to slow down the spread, but that didn’t happen. At first COVID started spreading quickly among the youth filling the isolation centers with patients, but then COVID made its way to the elderly which was a huge disaster. During that period, as the number of deaths started to fly we started to feel helpless and guilty. There were some attempts to hide the number of deaths at first, but after a short period of time the correct numbers started to show.
I can summarize a part of the challenges we faced as follows: The insufficient number of beds in hospitals in general and more especially ICU beds. The lack of enough oxygen sources. The lack of enough medicine. Insufficient resources in general was one of the hardest challenges. At one point it was difficult to get our hands on protective suits to protect ourselves while treating patients. Some of the challenges were even more basic, like the lack of proper heating in the medical centers. Something as fundamental as food was even a problem during the pandemic as all patients were eating the same meals. Normally, you’d have special meals for each patient depending on their medical status, so you’d have a meal specially prepared for cardiac patients, one that’s specially prepared for diabetic patients and so on. In our case during the pandemic we offered the same meals to all patients no.
Here’s how all our week looks like: At the end of the week all of Idlib’s hospitals, isolation centers, and ICUs get packed with patients. Then someone brings a member of their families as they are in the jaws of death with an oxygen level in the 50s, and asks us to accept them into the center. We don’t have the capacity to handle such cases, we don’t have the needed equipment. That patient gets stuck between packed hospitals where there are no available beds, and isolation centers that can’t provide them with the proper care.
Note: We had this conversation with Dr Ahmad at the beginning of 2021, COVID had recently made its way into Syria back then. We tried to get a new update about the current situation from Dr Ahmad, but he’s very busy dealing with a huge surge in cases in Syria as the Delta variant started spreading in Syria worsening the situation dramatically. We’ll try to get as many updates as we can about the matter and share them with our audience soon.
We met Dr.Ahmad through our friends at Violet as he works in one of their isolation centers. Huge thanks to all of the health workers in Syria and around the world for their huge efforts in fighting the pandemic.
COVID-19 IN SYRIA: The number of vaccine doses that were provided for northern Syria is incredibly low compared to the population.
My name is Noor Asidi, I studied nursing and midwifery. I currently work at Early Warning, Alert and Response Network (EWARN), where I take swabs and conduct COVID-19 tests.
First we prepare the testing devices and the necessary forms, then we start reaching out to isolation centers as well as individual patients who were showing symptoms but were not admitted to a healthcare center.
Noor Asidi at the COVID-19 testing center in Idlib / Abdullah Hammam
We health workers fighting COVID are in immediate danger, so we have to take all possible precautions. That’s why I put on all my protective gear before I begin taking swabs. After I take a swab from the patient, our team provides the patient with information about the virus, how it spreads, how they can isolate themselves, and we advise them to stay in isolation until the swab results come back. If the swab is positive, we tell them to self- isolate either at home, without coming in contact with anyone, or at one of the available isolation centers. We also explain to COVID-19 positive patients how important it is to wear a mask and take the prescribed medication.
Noor Asidi taking nose swab from a patient in Idlib / Abdullah Hammam
One of the biggest issues we face in northern Syria is the lack of oxygen supplies in the isolation centers. If an elderly person or someone with chronic illness comes to us, there would still be no possibility of admitting them into the center due to either the lack of doctors or the lack of enough oxygen.
What I think people can do is collaborate and work towards expanding the oxygen capacity that our isolation centers have. This could perhaps be done by providing small mobile oxygenating devices or by supporting oxygen-generating plant projects in the area.
The number of vaccine doses that were provided for northern Syria is incredibly low compared to the population.
When the vaccine was first announced, most people had their doubts about it, some people even refused to take it. Now, after we have seen the positive effects the vaccine has carried with it to other countries, and as studies keep confirming that the vaccines are created in accordance with WHO, we’re changing our minds and leaning more towards having the vaccine.
Personally, I took the first dose of the vaccine about four weeks ago, I didn’t get any of the side effects or symptoms that some people are spreading fear about. I plan on taking the second dose, of course, to achieve the best protection possible, and I do advise everyone to comply with their healthcare provider and take the vaccine if they’ve been advised to.
Photos credit: Abdullah Hammam
‘After 9 years of Disasters in Syria, I fear the arrival of Coronavirus'
I’m Nabil. I currently live in the northern countryside of Aleppo and I have been working in the medical cases department in Molham Volunteering Team since 2017.
Now we are watching the spread of Coronavirus around the world. The area I live in is in huge danger if the virus reaches it, because there are a lot of camps where it is so hard for people to isolate themselves. There is also a lack of knowledge in regards to how dangerous Coronavirus is. Despite this danger, I’m still working. I have to. I visit the medical cases both in houses and tents and I’m following the basic safety guidelines - I’m wearing medical masks and gloves, disinfecting, preventing crowding during patient visiting time, and raising awareness about the Covid-19 and the danger of its spread.
I’m currently working with Dr.Hatem, who used to be in Al-Quds hospital before with us. Now he is the head of Al-Amal hospital (“Al-Amal” means hope in Arabic) - a hospital which specialises in children and women’s health. In the hospital it is hard to avoid direct contact with patients, but we always use basic protection and we continually disinfect the whole hospital. There is also a group of the staff who work solely on raising patients’ awareness and organising the space to make sure there is no crowding.
The danger of the Coronavirus is threatening the whole world. I feel sad about this. I fear the arrival of the Coronavirus to the northern parts of Syria. We’ve already lived through 9 years of disasters: the regime’s crimes, killings and forced displacement. I’m afraid of the spread of Coronavirus because there are many people living in tents, and the difficult economic situation of some families doesn’t allow them to stay in during the pandemic - they have to work to feed their children.
I fear for the repetition of what we went through in Aleppo. The cruelty of all the death we saw there still chases us. The crimes committed against children, women, the elderly. The blood and the massacres. I’m afraid that the same horrible things will come back in different ways, and I fear standing helplessly in front of them.
But I’m still here, with my friends and my family. I will always be prepared to give medical assistance, even when it becomes a danger to our lives. That is our job - our mission.
Finally, I wish for everyone to stand with the families inside of Syria so they could stay in their homes or tents. So they don’t leave and become a danger to themselves and others.
Read More:
WHY CORONAVIRUS IS A TICKING BOMB IN WAR-RAVAGED NORTHERN SYRIA by Arab News
'Watching Covid-19 footage from the hospitals reminds me of Aleppo'
There are many individuals - friends and colleagues of Waad and Hamza - that you will recognise from For Sama. Here is an update from Abd, who shares his reflections from his time in Aleppo in light of the recent Coronavirus situation…
There are multiple ways to die, but the result is always the same. From inside Syria - from what’s left of areas not controlled by the terrorist regime of Al-Assad - I wish for this terrible period to end without you losing a loved one.
I’ve been following the news about the Coronavirus and how it’s affecting the whole world - the panic and fear, how everyone could lose a loved one and how the whole world is sharing the same suffering, even if the danger depends on their living situation and age.
It may be hard for you to imagine the crimes the regime committed in Syria, but it’s very similar to what Corona is doing now - separating loved ones from one another. The difference is that the Assad and Russian regimes are only attacking Syrian people, while the virus is attacking the whole world.
The warplanes fly over us in the evening, warnings come from walkie talkies to clear the streets and the markets, and move towards basements and shelters. Some seconds later, you hear a big bomb. The warplanes hit yet another civilian area. The first responders, along with a group of civilians, move quickly towards the hit site to save whoever they can. The lucky ones from the injured people are the ones that get to the hospital first, because as a couple of minutes pass, the hospital wards are drawn completely with injured people. The race with time begins to save as many people as possible. The ER team works relentlessly for long hours after the massacre; strained eyes, bloodied hands, and tired faces. Nothing is heard except for medical devices and procedures’ names as well as the screams of the injureds’ families. Some people lose their lives before reaching the hospital because it can take the civil defense too much time to remove people from under the rubble of their houses.
On the 18th of November and due to the heavy airstrikes on the city, as well as the shelling particularly on the hospitals, only one hospital remained taking care of the injured. All the medical staffers gathered in that hospital. I was passing a friend in the ER corridor and he shouted at me. I felt like he had someone injured in the hospital and he told me his mother had died. I told him may she rest in peace and kept going. Even though I’m not a medical staffer, I was hoping to lend a hand and help to save people. There was no time to give condolences to my friend at that moment. It’s very hard to lose someone we love but what’s even harder is watching someone we love die without being able to help them at all.
As I’m watching the footage from the hospitals in the countries that have the most cases of Coronavirus, it reminds me of what was happening in Aleppo years ago. The doctors’ faces that have medical mask scars carved into them reminds me of the medical staffers’ faces as they’re trying to save lives after every massacre. The news about cases among the medical staffers reminds me of all the doctors, first responders, and civil defense members that we lost because the airstrikes targeted them while they were trying to save lives.
In the last days of the siege in Aleppo, some friends created a WhatsApp group and it was named, “The same fate holders,” because we were in the same city and we were going to share the same fate that is going to hit the city. We lost some of the friends who were in the group due to the airstrikes or the snipers’ bullets from the regime forces. Today, everyone is in “The same fate holders” because we’re all humans, we’re all being attacked by a virus, we’re all watching social media and following the news closely, and we’re all wishing for the moment that we hear a vaccine or medicine is found. Someday, we still hope to hear the international community will make a stand and take action to stop the regime’s crimes; to help us reach our dreams as free people.
My friends, I wish for you to stay safe and that the virus doesn’t find its way to you. I look forward to the day that Social media and TV programs will announce the virus’s defeat. Everyone on this planet deserves to live safely without any virus, and the people of Syria deserve to live safely without the dictator and criminal regime over them.
Abd
Why coronavirus is a ticking bomb in war-ravaged northern Syria
ERBIL, Iraqi Kurdistan: As the coronavirus pandemic cuts a wide and deadly swathe through the Middle East and Asia, people in war-torn areas are pretty much sitting ducks, waiting to contract the infection.
Nowhere are crisis-ravaged communities more exposed to the deadly virus than in large expanses of Syria, especially in the country’s northwest and northeast.
Northern Syria is particularly vulnerable owing to dire humanitarian conditions and the risk of further conflict, analysts told Arab News.
The northwestern governorate of Idlib and the mostly Kurdish-controlled northeast, the two remaining areas outside the Syrian regime’s control, now face an invisible enemy.
Syria confirmed its first case on March 23, after insisting for weeks that the virus had not reached the country.
The regime had been waging an aggressive military campaign to retake territory in Idlib. For the past several weeks fighting has abated, especially after Turkey, which backs several rebel groups, reached a cease-fire deal with Russia, Syrian President Bashar Assad’s main military backer.
The hundreds of thousands displaced by the fighting have sought shelter in already overcrowded displacement camps, where conditions make it impossible for residents to practice social distancing or self-isolation.
Out of Idlib’s 2 million-plus population, at least 900,000 were displaced by the latest round of fighting between the regime and rebels.
Furthermore, many people in Idlib have no access to clean or hot water, or necessities such as soap that can help prevent the spread of the virus.
To compound the crisis, the regime’s Russian-backed air campaign in Idlib saw repeated bombing of hospitals and health facilities, which has crippled the local health infrastructure and rendered it incapable of handling any outbreak.
When it comes to a COVID-19 outbreak, Idlib’s fears and vulnerabilities are mirrored by those of northeast Syria, most of which is controlled by the Kurdish-led Syrian Democratic Forces (SDF).
The news of the first death here — in a hospital in the city of Qamishli, which is under the regime’s authority — drew a strong reaction from the Kurdish Red Crescent and the SDF-backed Autonomous Administration of North and East Syria (NES) on Friday.