“I will never be able to forget what happened – I can still feel the earth shaking,” says Rana Bitar, her voice catching in her throat.
The charity boss says she lost 72 members of her extended family in the devastating earthquake that struck Turkey and Syria last year.
“I felt terror, fear and worry,” she tells Sky News, appearing close to tears as she recalls the moment the 7.8-magnitude quake hit the region, killing tens of thousands of people.
“At first, I did not know what was happening. I thought it was a war, that we were being bombed. I heard the sounds of explosions.”
At the time, Ms Bitar was alone at home with her two-and-a-half-year-old son in Gaziantep in Turkey, close to the epicentre.
As her flat shook, she picked up the toddler and rushed down seven flights of stairs and out into the “extremely cold weather” and snow. They were dressed in pyjamas and Ms Bitar was walking barefoot.
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0:59
February 2023: Drone footage shows devastation in Antakya
“It was horrible,” she says. “I was only thinking about my child, my parents, my family members.
“I recalled my whole life. I called my mother in Belgium and told her: ‘If something happens to me, I just wanted to say goodbye.'”
Ms Bitar, her husband and their son spent the next eight days living in their car and a nearby mosque.
At first, they did not know what had happened or how much death and destruction the earthquake had caused.
After learning the extent of the disaster on the news and discovering she had lost family, friends and colleagues, Ms Bitar says she had a nervous breakdown.
The 72 members of her extended family who died were related to her from her father’s side, she says. They had fled together from Latakia in Syria to Hatay in Turkey, which was the hardest-hit province.
Image: Homes were destroyed in Antakya in Turkey’s Hatay province. Pic: AP
Whole families were wiped out, including Ms Bitar’s uncle and aunt and their children and grandchildren, she says. The youngest relative to die was five, while the oldest was 79.
“Losing so many loved ones and relatives was very sad and painful. I cried a lot,” she says. “I cannot explain the fear I have felt since the day of the earthquake.
“A few days ago I was having lunch with my husband and he started shaking his leg – I was terrified and asked him whether another earthquake was happening.”
Hidden health problems
More than a year since the earthquake struck on 6 February 2023, many survivors are struggling with the trauma of losing loved ones and suffering from hidden health problems.
The earthquake killed more than 50,000 people in Turkey and some 5,900 people in Syria, while leaving millions homeless.
Image: Hatay in Turkey was the hardest-hit province. Pic: AP
As well as physical injuries sustained in the disaster, survivors have suffered psychological problems, including insomnia and eating disorders, according to Madara Hettiarachchi, director of programmes at the Disasters Emergency Committee (DEC).
She says there was a noticeable increase in psychological issues as the anniversary approached, telling Sky News: “The aftershocks don’t help and being cloistered in container camps is a double whammy.”
Many survivors found themselves breaking down into tears, Ms Hettiarachchi says, adding: “There was a lot of crying, a lot of feeling fragile.
“Some people thought they had moved on. One woman said, ‘I thought I was strong, I thought I was coping okay, but I feel really emotional and like it’s going backwards’.”
‘Easy for diseases to spread’
More than three million people were displaced by the earthquake, which flattened towns and caused widespread destruction in cities, leaving many who lost their homes living in temporary accommodation while struggling to find new places to live.
The DEC says some 787,000 people are still living in shelters, flimsy tents and so-called container cities in Turkey, as of December last year, where they are at greater risk of respiratory illnesses and seasonal flu, as well as scabies, lice and cholera.
Image: A child in Antakya in Hatay, Turkey, in January. Pic: AP
Image: Many displaced people live in containers. Pic: Reuters
“They’re small crowded spaces with very limited water and sanitation, so it’s easy for diseases to spread,” warns Ms Hettiarachchi. She says aid agencies have been focused on promoting hygiene and offering disaster relief such as hygiene kits, which include bathing soap, laundry soap, toothbrushes and sanitary pads.
Some 15 million people in Syria were already in need of humanitarian assistance before the disaster struck, with damage to pipes and water tanks increasing the risk of waterborne diseases such as cholera and dysentery.
Several relief workers say there has been an increase in miscarriages and early births after the earthquake, while some mothers had trouble breastfeeding.
Image: A tent camp in the rebel-held Syrian town of Jandaris. Pic: Reuters
“Earthquakes and other disasters have a profound impact on the stress levels not only within communities but particularly among pregnant women,” Ozlem Kudret Cokmez, a sexual and reproductive health counsellor at Doctors Of The World Turkey, tells Sky News.
“Pregnancy and childbirth, already stress-inducing on their own, become even more challenging when coupled with factors like the degree of exposure to earthquakes, the loss of relatives, family breakdown, or relocation to new environments.”
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Ms Cokmez says there have been increases in gender-based violence, including domestic abuse and sexual assault, as well as early marriages and child labour, amid unemployment, limited access to basic needs, mental health issues and trauma.
In response to such risks, charities like Space Of Peace – the organisation led by Ms Bitar – have been offering safe spaces and psychological and social support to women, as well as offering workshops for them to learn English and other skills to help them find jobs amid the worsening economic situation.
Syrian refugees – having fled nearly 13 years of civil war to Turkey – saw the earthquake heap further misery upon their plight. “These people lost their homes many times,” Ms Bitar says. “First when they went from Syria to Turkey, then again after the earthquake. They are struggling on so many levels.”
As well as the psychological damage of the disaster, around 70% of the 118,000 people injured in the earthquake have long-term rehabilitation issues, according to the World Health Organisation. In response, charities have been providing physical therapy, wheelchairs and crutches.
Turkey’s President Recep Tayyip Erdogan has pledged to provide 200,000 homes across the area affected by the earthquake by the end of the year.
Ms Hettiarachchi believes there is some cause for optimism, saying: “Hearing stories both from aid workers as well as people who have benefited from humanitarian assistance, there is some sort of relief, there is progress.”
But she adds: “It’s worth remembering the scale of it. Any response, either by the government or by humanitarian agencies, pales by comparison. It just feels like we’re scratching the surface.”
Settlements are illegal under international law and have been condemned by the UN. They are, however, authorised by the Israeli government.
As well as official, government-approved settlements, there are also Israeli outposts.
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1:03
Israeli settlers attack Palestinian villages
These are established without government approval and are considered illegal by Israeli authorities. But reports suggest the government often turns a blind eye to their creation.
Israel began building settlements shortly after the 1967 Six-Day War.
The Etzion Bloc in Hebron, which was established that year, now houses around 40,000 people.
According to the Israel Policy Forum, the settlement programme is intended to protect Israel’s security, with settlers acting as the first line of defence “against an invasion”.
The Israeli public appears divided on the effectiveness of the settlements, however.
Image: A Palestinian man walks next to a wall covered with sprayed Hebrew slogans. Pic: Reuters
A 2024 Pew Research Centre poll found that 40% of Israelis believe settlements help Israeli security, 35% say they hurt it, and 21% think they make no difference.
Why are they controversial?
Israeli settlements are built on land that is internationally recognised as Palestinian territory.
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4:03
The activists trying to stop Israeli settlers
Sky News has spoken to multiple Palestinians who say they were forced out of their homes by Israeli settlers, despite having lived there for generations.
“They gradually invade the community and expand. The goal is to terrorise people, to make them flee,” Rachel Abramovitz, a member of the group Looking The Occupation In The Eye, told Sky News in May.
Settlers who have spoken to Sky News say they have a holy right to occupy the land.
American-born Israeli settler Daniel Winston told Sky’s chief correspondent Stuart Ramsay: “God’s real, and he wrote the Bible, and the Bible says, ‘I made this land, and I want you to be here’.”
Settlers make up around 5% of Israel’s population and 15% of the West Bank’s population, according to data from Peace Now.
How have things escalated since 7 October 2023?
Since the Hamas-led attacks on 7 October 2023 and Israel’s subsequent military bombardment of Gaza, more than 100 Israeli outposts have been established, according to Peace Now.
In May, Prime Minister Benjamin Netanyahu’s government approved 22 new settlements, including the legalisation of outposts that had previously been built without authorisation.
Settler violence against Palestinians has also increased, according to the UN, with an average of 118 incidents each month – up from 108 in 2023, which was already a record year.
The UN’s latest report on Israeli settlements notes that in October 2024, there were 162 settler attacks on Palestinian olive harvesters, many of them in the presence of IDF soldiers.
Of the 174 settler violence incidents studied by the UN, 109 were not reported to Israeli authorities.
Most Palestinian victims said they didn’t report the attacks due to a lack of trust in the Israeli system; some said they feared retaliation by settlers or the authorities if they did.
Madonna has urged the Pope to go to Gaza and “bring your light” to the children there.
In a plea shared across her social media channels, the pop star told the pontiff he is “the only one of us who cannot be denied entry” and that “there is no more time”.
“Politics cannot affect change,” wrote the queen of pop, who was raised Catholic.
“Only consciousness can. Therefore I am reaching out to a Man of God.”
The Like A Prayer singer told her social media followers her son Rocco’s birthday prompted her post.
“I feel the best gift I can give to him as a mother – is to ask everyone to do what they can to help save the innocent children caught in the crossfire in Gaza.
“I am not pointing fingers, placing blame or taking sides. Everyone is suffering. Including the mothers of the hostages. I pray that they are released as well.”
Image: Pope Leo XIV leads a Mass for young people in Rome. File pic: AP
Pope Leo has been outspoken about the crisis in Gaza since his inauguration, calling for an end to the “barbarity of war”.
“I appeal to the international community to observe humanitarian law and respect the obligation to protect civilians as well as the prohibition of collective punishment, of indiscriminate use of force and forced displacement of the population,” he said in July.
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Gaza: ‘This is a man-made crisis’
WHO chief thanks Madonna
Every child under the age of five in Gaza is now at risk of acute malnutrition, according to UNICEF – “a condition that didn’t exist in Gaza just 20 months ago”.
At the end of May, the NGO reported that more than 50,000 children had been killed or injured since October 2023.
World Health Organisation director general Tedros Adhanom Ghebreyesus thanked Madonna for her post, saying: “humanity and peace must prevail”.
“Thank you, Madonna, for your compassion, solidarity and commitment to care for everyone caught in the Gaza crisis, especially the children. This is greatly needed,” he wrote on X.
Sky News has obtained shocking CCTV from inside the main hospital in the city of Sweida in southern Syria – where our team found more than 90 corpses laid out in the grounds following a week of intense fighting.
Warning this article shows images of a shooting
The CCTV images show men in army fatigues shooting dead a volunteer dressed in medical scrubs at point-blank range while a crowd of other terrified health workers are held at gunpoint with their hands in the air.
The mainly Druze city of Sweida was the scene of nearly a week of violent clashes, looting and executions last month which plunged the new authorities into their worst crisis since the toppling of the country’s former dictator Bashar al Assad.
The new Syrian government troops were accused of partaking in the atrocities they were sent in to quell between the Druze minority and the Arab Bedouin minority groups.
The government troops were forced to withdraw when Israeli jets entered the fray, saying they were protecting the Druze minority and bombed army targets in Sweida and the capital Damascus.
Image: Men in military fatigues enter the hospital.
Image: The hospital volunteer is seen on the floor moments before he was shot
Image: A second man fires with a handgun
Days of bloodletting ensued, with multiple Arab tribes, Druze militia and armed gangs engaging in pitched battles and looting before a ceasefire was agreed.
More from World
The government troops then set up checkpoints and barricades encircling Sweida to prevent the Arab tribes re-entering.
The extrajudicial killing captured on CCTV inside the Sweida hospital is corroborated by eyewitnesses we spoke to who were among the group, as well as other medics in the hospital and a number of survivors and patients.
Image: Body bags in the grounds of hospital
The CCTV is date- and time-stamped as mid-afternoon on 16 July and the different camera angles show the men (who tell the hospital workers they are government troops) marauding through the hospital; and in at least one case, smashing the CCTV cameras with the butt of a rifle.
One of the nurses present, who requested anonymity, told us: “They told us if we talked about the shooting or showed any film, we’d be killed too. I thought I was going to die.”
Dr Obeida Abu Fakher, a doctor who was in the operating section at the time, told us: “They told us they were the new Syrian army and interior police. We cannot have peace with these people. They are terrorists.”
Multiple patients and survivors told us when we visited the hospital last month that government troops had participated in the horror which swept through Sweida for days but this is the first visual evidence that some took part in atrocities inside the main hospital.
In other images, one of the men can be seen smashing the CCTV camera with the butt of his rifle – and another is wearing a black sweater which appears to be the uniform associated with the country’s interior security.
One survivor calling himself Mustafa Sehnawi, an American citizen from New Jersey, told us: “It’s the government who sent those troops, it’s the government of Syria who killed those people… we need help.”
Image: Mustafa Sehnawi speaks to Sky’s Alex Crawford
Image: A destroyed tank in Sweida
The government responded with a statement from the interior ministry saying they would be investigating the incident which they “denounced and condemned” in the strongest terms.
The statement went on to promise all those involved would be “held accountable” and punished.
The new Syrian president Ahmed al Sharaa is due to attend the United Nations General Assembly next month in New York – the first time a Syrian leader has attended since 1967 – and what happened in Sweida is certain to be among the urgent topics of discussion.