“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.”
Donald Trump has said he is “thinking” of going to Turkey on Thursday for potential peace talks between Ukraine and Russia’s leaders.
The US president, who previously claimed he could end the conflict in a day, has pushed for both sides to meet to bring the fighting to an end.
On Sunday, Ukraine’s Volodymyr Zelenskyy called out Vladimir Putin to meet him on Thursday in Istanbul, but the Kremlin leader has yet to respond.
Speaking late on Monday, Mr Trump said: “I was thinking about flying over. I don’t know where I am going be on Thursday.
“I’ve got so many meetings.
“There’s a possibility there I guess, if I think things can happen.”
Mr Trump has headed to the Middle East this week on the first major foreign trip of his second administration, visiting Saudi Arabia, Qatar and the UAE.
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Mr Zelenskyy backed the prospect of Mr Trump attending the talks.
He said: “I supported President Trump with the idea of direct talks with Putin. I have openly expressed my readiness to meet.
“And of course, all of us in Ukraine would appreciate it if President Trump could be there with us at this meeting in Turkey.”
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15:58
Trump 100: Could Putin, Zelenskyy and Trump really meet?
Russia playing for time?
However, Kremlin spokesperson Dmitry Peskov, speaking on Monday, refused to say who, if anyone, would be travelling to Turkey from the Russian side.
“Overall, we’re determined to seriously look for ways to achieve a long-term peaceful settlement. That is all,” Mr Peskov said.
This came after the “coalition of the willing”, including Sir Keir Starmer, threatened Russia with fresh sanctions if it failed to comply with an unconditional 30-day ceasefire starting on Monday.
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It has been an extraordinary few hours which may well set the tone for a hugely consequential week ahead.
In the time that it took me to fly from London to Saudi Arabia, where President Donald Trump will begin a pivotal Middle East tour this week, a flurry of news has emerged on a range of key global challenges.
• On the Ukraine war: President Volodymyr Zelenskyy has said he is prepared to meet Russian President Vladimir Putin in Istanbul – this announcement came minutes after Trump urged Zelenskyy to agree to the meeting.
• On the China-US trade war: The White House says the two countries have agreed to a “trade deal”. China said the talks, in Geneva, were “candid, in-depth and constructive”.
All three of these developments represent dramatic shifts in three separate challenges and hint at the remarkable influence the US president is having globally.
This sets the ground for what could be a truly consequential week for Trump’s presidency and his ability to effect change.
On Ukraine, Putin held a late-night news conference at the Kremlin on Saturday at which he made the surprise proposal of talks with Zelenskyy in Istanbul this Thursday.
But he rejected European and US calls for an immediate ceasefire.
The move was widely interpreted as a delay tactic.
Trump then issued a social media post urging Zelenskyy to accept the Russian proposal; effectively to call Putin’s bluff.
The American president wrote: “President Putin of Russia doesn’t want to have a Cease Fire Agreement with Ukraine, but rather wants to meet on Thursday, in Turkey, to negotiate a possible end to the BLOODBATH. Ukraine should agree to this, IMMEDIATELY. At least they will be able to determine whether or not a deal is possible, and if it is not, European leaders, and the U.S., will know where everything stands, and can proceed accordingly! I’m starting to doubt that Ukraine will make a deal with Putin, who’s too busy celebrating the Victory of World War ll, which could not have been won (not even close!) without the United States of America. HAVE THE MEETING, NOW!!!”
“We await a full and lasting ceasefire, starting from tomorrow, to provide the necessary basis for diplomacy. There is no point in prolonging the killings. And I will be waiting for Putin in Türkiye on Thursday. Personally. I hope that this time the Russians will not look for excuses,” Zelenskyy wrote on X.
The prospect of Putin and Zelenskyy together in Istanbul on Thursday is remarkable.
It raises the possibility that Trump would want to be there too.
Image: President Volodymyr Zelenskyy welcomes other world leaders to Kyiv. Pic: Presidential Office of Ukraine/dpa/AP Images
Israel’s war in Gaza
On Gaza, it’s been announced that US envoy Steve Witkoff will arrive in Israel on Monday to finalise details for the release of Idan Alexander, an Israeli-American hostage being held by Hamas.
The development comes after it was confirmed that Mr Witkoff has been holding discussions with Israel, Qatar and Egypt and, through them, with Hamas.
The talks focused on a possible Gaza hostage deal and larger peace discussions for a ceasefire.
Meanwhile, officials from the United States and China have been holding talks in Geneva, Switzerland, to resolve their trade war, which was instigated by Trump’s tariffs against China.
Late on Sunday evening, the White House released a statement claiming that a trade deal had been struck.
In a written statement, titled “U.S. Announces China Trade Deal in Geneva”, treasury secretary Scott Bessent said: “I’m happy to report that we made substantial progress between the United States and China in the very important trade talks… We will be giving details tomorrow, but I can tell you that the talks were productive. We had the vice premier, two vice ministers, who were integrally involved, Ambassador Jamieson, and myself. And I spoke to President Trump, as did Ambassador Jamieson, last night, and he is fully informed of what is going on. So, there will be a complete briefing tomorrow morning.”
Beijing Global Times newspaper quoted the Chinese vice premier as saying that the talks were candid, in-depth and constructive.
However, the Chinese fell short of calling it a trade deal.
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In a separate development, US media reports say that Qatar is preparing to gift Trump a Boeing 747 from its royal fleet, which he would use as a replacement for the existing and aging Air Force One plane.
The Qatari government says no deal has been finalised, but the development is already causing controversy because of the optics of accepting gifts of this value.
Of all the fronts in Donald Trump’s trade war, none was as dramatic and economically threatening as the sky-high tariffs he imposed on China.
There are a couple of reasons: first, because China is and was the single biggest importer of goods into the US and, second, because of the sheer height of the tariffs imposed by the White House in recent months.
In short, tariffs of over 100% were tantamount to a total embargo on goods coming from the United States’ main trading partner. That would have had enormous economic implications, not just for the US but every other country around the world (these are the world’s biggest and second-biggest economies, after all).
So the truce announced on Monday by treasury secretary Scott Bessent is undoubtedly a very big deal indeed.
In short, China will still face an extra 30% tariffs (the 20% levies cast as punishment for China’s involvement in fentanyl imports and the 10% “floor” set on “Liberation Day”) on top of the residual 10% average from the Biden era.
But the rest of the extra tariffs will be paused for 90 days. China, in turn, has suspended its own retaliatory tariffs on the US.
The market has responded as you would probably have expected, with share prices leaping in relief. But that raises a question: is the trade war now over? Now that the two sides have blinked, can globalisation continue more or less as it had before?
That, it turns out, is a trickier and more complex question than it might first seem.
Image: Pic: AP
For one thing, even if one were to assume this is a permanent truce rather than a suspended one, it still leaves tariffs considerably higher than they were only last year. And China faces tariffs far higher than most other countries (tot up the existing ones and the Trump era ones and China faces average tariffs of around 40%, while the average for most countries is between 8% and 14%, according to Capital Economics).
In other words, the US is still implementing an economic policy designed to increase the cost of doing business with China, even if it no longer attempts to prevent it altogether. The fact that last week’s trade agreement with the UK contains clauses seemingly designed to encourage it to raise trade barriers against China for reasons of “security” only reinforces this suspicion. The trade war is still simmering, even if it’s no longer as hot as it was a few days ago.
And more broadly, the deeper impact of the trade rollercoaster in recent months is unlikely to disappear altogether. Companies remain more nervous about investing in factories and expansions in the face of such deep economic instability. No-one is entirely sure the White House won’t just U-turn once again.
That being said, it’s hard not to escape the conclusion that the US president has blinked in this trade war. In the face of a potential recession, he has pulled back from the scariest and most damaging of his tariffs, earlier and to a greater extent than many had expected.