A doctor in an earthquake-stricken region of northern Syria described the hospital he was working at as “reminiscent of a warzone”.
Frantic efforts to rescue hundreds trapped under rubble are continuing after a huge earthquake hit southeastern Turkey and northern Syria early on Monday, killing more than 3,500.
Dr Osama Sallom, of the Syrian American Medical Society (SAMS), is working at the Bab Al Hawa Hospital, which has received over 400 casualties and reported over 50 deaths.
“Most of the patients are children who are bleeding and dying from the cold [after being stuck under debris],” Dr Sallom said.
“We are looking under the rubble, but it’s very cold. It’ll be -1 or -2C for rescue teams working overnight.
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Rescuers dug through the rubble of destroyed buildings in Idlib, Syria searching for survivors following a deadly earthquake
“We receive more and more patients every hour and our hospital is overwhelmed with patients filling the hallways.”
Dr Sallom said there is a “huge lack of staff and equipment” at the hospital and all the wards were occupied by patients, mainly women and children.
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“All our beds are full – people are having to lie on the ground. After a few hours we will have no space left on the ground,” he said.
“It’s reminiscent of a warzone – it’s giving many people traumatic memories.
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“Every moment I hear ambulances come in with more casualties. The chance to save people goes down every hour.”
Image: Rescuers work near the site of a collapsed building, following an earthquake, in Hama, Syria
SAMS responded to the 7.8 magnitude earthquake that hit Syria, Turkey, and the region of Atareb, where the hospital is located, on Monday morning.
Dr Sallom said the border was completely closed and patients could not be referred to Turkey, which has put a lot of strain on the hospital he is working in.
He said: “We have to deal with complicated injuries ourselves – we only have one CT scanner and we don’t have specialist equipment. There’s a huge need for the CT scan, but [patients] have to wait three or four hours for a scan.”
He also spoke of the continuous aftershocks which came along “every five minutes” and were “very strong”.
He added: “It’s catastrophic and we are afraid ourselves. My friend, the manager of the hospital, lost his family while my wife and child are in Turkey.”
‘I’m so sad’
The situation reminded Dr Sallom of the Aleppo bombings in 2016 which destroyed hospitals, houses and killed hundreds of civilians.
Image: The 2016 Aleppo bombings killed hundreds of civilians Pic: AP
He said: “I’m so sad – this incident is worse for Syrians because we have lived a lot of years as a war-torn country.
“Now we have the same feeling.
“We are losing hope to rescue children because of a huge need for consumables and medication which will run out in the coming hours.”
A famine has been declared in Gaza City and the surrounding neighbourhoods.
The Integrated Food Security Phase Classification (IPC) – a globally recognised system for classifying the severity of food insecurity and malnutrition – has confirmed just four famines since it was established in 2004.
These were in Somalia in 2011, and in Sudan in 2017, 2020, and 2024.
The confirmation of famine in Gaza City is the IPC’s first outside of Africa.
“After 22 months of relentless conflict, over half a million people in the Gaza Strip are facing catastrophic conditions characterised by starvation, destitution and death,” the report said, adding that more than a million other people face a severe level of food insecurity.
Image: Israel Gaza map
Over the next month conditions are also expected to worsen, with the famine projected to expand to Deir al-Balah and Khan Younis, the report said.
Nearly a third of the population (641,000 people) are expected to face catastrophic conditions while acute malnutrition is projected to continue getting worse rapidly.
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What is famine?
The IPC defines famine as a situation in which at least one in five households has an extreme lack of food and face starvation and destitution, resulting in extremely critical levels of acute malnutrition and death.
Famine is when an area has:
• More than 20% of households facing extreme food shortages
• More than 30% of children suffering from acute malnutrition
• A daily mortality rate that exceeds two per 10,000 people, or four per 10,000 children under five
Over the next year, the report said at least 132,000 children will suffer from acute malnutrition – double the organisation’s estimates from May 2024.
Israel says no famine in Gaza
Volker Turk, the UN Human Rights chief, said the famine is the direct result of actions taken by the Israeli government.
“It is a war crime to use starvation as method of warfare, and the resulting deaths may also amount to the war crime of wilful killing,” he said.
COGAT, the Israeli military agency that coordinates aid, has rejected the findings.
Israel accused of allowing famine to fester in Gaza
Tom Fletcher, speaking on behalf of the United Nations, did not mince his words.
Gaza was suffering from famine, the evidence was irrefutable and Israel had not just obstructed aid but had also used hunger as a weapon of war.
His anger seeped through every sentence, just as desperation is laced through the report from the Integrated Food Security Phase Classification (IPC).
Conditions are expected to worsen, it says, even though the Gaza Strip has been classified as a level 5 famine. There is no level 6.
But it took only moments for the Israeli government to respond in terms that were just as strident.
Israel’s foreign ministry said there is no famine in Gaza: “Over 100,000 trucks of aid have entered Gaza since the start of the war, and in recent weeks a massive influx of aid has flooded the Strip with staple foods and caused a sharp decline in food prices, which have plummeted in the markets.”
Another UN chief made a desperate plea to Israel’s prime minister to declare a ceasefire in the wake of the famine announcement.
Tom Fletcher, UN under-secretary general for humanitarian affairs, said famine could have been prevented in the strip if there hadn’t been a “systematic obstruction” of aid deliveries.
“My ask, my plea, my demand to Prime Minister Netanyahu and anyone who can reach him. Enough. Ceasefire. Open the crossings, north and south, all of them,” he said.
The IPC had previously warned famine was imminent in parts of Gaza, but had stopped short of a formal declaration.
Image: Palestinians struggle to get aid at a community kitchen in Gaza City. Pic: AP
The latest report on Gaza from the UN Office for the Coordination of Humanitarian Affairs (OCHA) says there were almost 13,000 new admissions of children for acute malnutrition recorded in July.
The latest numbers from the Gaza health ministry are 251 dead as a result of famine and malnutrition, including 108 children.
But Israel has previously accused Hamas of inflating these figures, saying that most of the children who died had pre-existing health conditions.
The Ukrainian suspected of coordinating attacks on the Nord Stream pipelines had served in Ukraine’s Secret Service and in the Ukrainian Army’s special forces, Sky News understand.
Serhii K., 49, was arrested in northern Italy on Thursday following the issuance of a European arrest warrant by German prosecutors.
It is not known whether he was still serving at the time of the pipeline attack in 2022 and Ukraine’s government has always denied any involvement in the explosions.
According to sources close to the case, the suspect has been found in a three-star bungalow hotel named La Pescaccia in San Clemente, in the province of Rimini.
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Man arrested over Nord Stream attacks
When military officers from Italy’s Carabinieri investigative and operational units raided his bedroom, he didn’t try to resist the arrest.
The hotel’s employees have been questioned, but no further evidence or any weapons were found, the sources added.
Serhii arrived on Italy’s Adriatic coast earlier this week, and the purpose of his trip was a holiday. He was found with his two children and his wife.
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At least one of the four people within his family had a travel ticket issued in Poland. He crossed the Italian border with his car with a Ukrainian license plate last Tuesday.
He was travelling with his passport, and he used his real identity to check into the hotel, triggering an emergency alert on a police server, we have been told.
Image: A satellite image shows gas from the Nord Stream pipeline bubbling up in the Baltic Sea. File pic: Roscosmos via Reuters
After the arrest, he was taken to the Rimini police station before being moved to a prison in Bologna, the regional capital, on Friday.
Deputy Bologna Prosecutor Licia Scagliarini has granted the German judicial authorities’ requests for Serhii’s surrender, but Sky News understands the man told the appeal court that he doesn’t consent to being handed over to Germany.
He also denied the charges and said he was in Ukraine during the Nord Stream sabotage. He added that he is currently in Italy for family reasons.
While leaving the court, he was seen making a typical Ukrainian nationalist ‘trident’ gesture to the reporters.
The next hearing is scheduled for 3 September, when the Bologna appeal court is set to decide whether Serhii will be extradited to Germany or not. He will remain in jail until then.
In Germany, he will face charges of collusion to cause an explosion, anti-constitutional sabotage and the destruction of structures.
German prosecutors believe he was part of a group of people who planted devices on the pipelines near the Danish island of Bornholm in September 2022.
Serhii and his accomplices are believed to have set off from Rostock on Germany’s north-eastern coast in a sailing yacht to carry out the attack.
The explosions severely damaged three pipelines transporting gas from Russia to Europe. It represented a significant escalation in the Ukraine conflict and worsening of the continent’s energy supply crisis.
According to a US intelligence report leaked in 2023, a pro-Ukraine group was behind the attack. Yet, no group has ever claimed responsibility.
Image: Spare pipes for the Nord Stream 2 gas pipeline. File pic: Reuters/Fabian Bimmer
Sky News understands Genoa’s Prosecutor’s Office in northern Italy has requested their colleagues in Bologna to share the information related to Serhii.
Anti-terrorism prosecutors are investigating another alleged sabotage linked to the Russian shadow fleet oil tanker Seajewel, which sank off the port of Savona last February.
On Thursday, they asked an investigative police unit to figure out whether there is a link between that episode and the Nord Stream attacks.