“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.
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.
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.
“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.
“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.”
Russia has been accused by European governments of escalating hybrid attacks on Ukraine’s Western allies after two fibre-optic telecommunication cables in the Baltic Sea were severed.
“Russia is systematically attacking European security architecture,” the foreign ministers of the UK, France, Germany, Italy and Poland said in a joint statement.
“Moscow’s escalating hybrid activities against NATO and EU countries are also unprecedented in their variety and scale, creating significant security risks.”
The statement was not made in direct response to the cutting of the cables, Reuters reported, citing two European security sources.
One cable was damaged on Sunday morning and the other went out of service on Monday.
The Swedish Prosecution Authority has launched a preliminary criminal investigation into the damaged cables on suspicion of possible sabotage.
The country’s civil defence minister Carl-Oskar Bohlin said its armed forces and coastguard had picked up ship movements corresponding with the damage to the cables.
“We of course take this very seriously against the background of the serious security situation,” he said.
Finland’s National Bureau of Investigation said it had also launched an investigation, but Sweden would lead the probe.
NATO’s Maritime Centre for the Security of Critical Undersea Infrastructure was working closely with allies in the investigation, an official said.
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It is not the first time such infrastructure has been damaged in the Baltic Sea.
In September 2022, three Nord Stream gas pipelines between Russia and Germany were destroyed seven months after Moscow invaded Ukraine.
No one took responsibility for the blasts and while some Western officials initially blamed Moscow, which the Kremlin denied, US and German media reported pro-Ukrainian actors may have been responsible.
The companies owning the two cables damaged earlier this week have said it was not yet clear what caused the outages.
More than 100 politicians from 24 different countries, including the UK, the US and the EU, have written a joint letter condemning China over the “arbitrary detention and unfair trial” of Jimmy Lai, a tycoon and pro-democracy campaigner.
The parliamentarians, led by senior British Conservative MP Alicia Kearns, are “urgently” demanding the immediate release of the 77-year-old British citizen, who has been held in solitary confinement at a maximum security prison in Hong Kong for almost four years.
The letter – which will be embarrassing for Beijing – was made public on the eve of Mr Lai’s trial resuming and on the day after British Prime Minister Keir Starmer met Chinese President Xi Jinping on the sidelines of a G20 summit of economic powers in Brazil.
The group of politicians, who also include representatives from Canada, Australia, Spain, Germany, Ukraine and France, said Mr Lai’s treatment was “inhumane”.
“He is being tried on trumped-up charges arising from his peaceful promotion of democracy, his journalism and his human rights advocacy,” they wrote in the letter, which has been seen by Sky News.
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Starmer meets Chinese president
“The world is watching as the rule of law, media freedom and human rights in Hong Kong are eroded and undermined.
“We stand together in our defence of these fundamental freedoms and in our demand that Jimmy Lai be released immediately and unconditionally.”
Sir Keir raised the case of Mr Lai during remarks released at the start of his talks with Mr Xi on Monday – the first meeting between a British prime minister and the Chinese leader in six years.
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The prime minister could be heard expressing concerns about reports of Mr Lai’s deteriorating health. However, he did not appear to call for his immediate release.
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From October: ‘This is what Hong Kong is’
Ms Kearns, the MP for Rutland and Stamford in the East Midlands, said the meeting had been an opportunity to be unequivocal that the UK expects Mr Lai to be freed.
“Jimmy Lai is being inhumanely persecuted for standing up for basic human values,” she said in a statement, released alongside the letter.
“He represents the flame of freedom millions seek around the world.
“We have a duty to fight for Jimmy Lai as a British citizen, and to take a stand against the Chinese Community Party’s erosion of rule of law in Hong Kong.
“This letter represents the strength of international feeling and commitment of parliamentarians globally to securing Jimmy Lai’s immediate release and return to the UK with his family.”
Mr Lai was famously the proprietor of the Chinese-language newspaper Apple Daily in Hong Kong, which wrote scathing reports about the local authorities and the communist government in mainland China after Britain handed back the territory to Beijing in 1997.
The tabloid was a strong supporter of pro-democracy protesters who took to the streets of Hong Kong to demonstrate against the government in 2019.
But the media mogul was arrested the following year – one of the first victims of a draconian new security law imposed by the Chinese Communist Party.
His newspaper was closed after his bank accounts were frozen.
Mr Lai has since been convicted of illegal assembly and fraud. He is now on trial for sedition over articles published in Apple Daily.
Forty-five pro-democracy activists have been jailed in Hong Kong’s largest ever national security trial.
The activists sentenced with jail terms ranging from four years to ten years were accused of conspiracy to commit subversion after holding an unofficial primary election in Hong Kong in 2020.
They were arrested in 2021.
Hong Kong authorities say the defendants were trying to overthrow the territory’s government.
Democracy activist Benny Tai received the longest sentence of ten years. He became the face of the movement when thousands of protesters took to the city’s streets during the “Umbrella Movement” demonstrations.
However, Hong Kong officials accused him of being behind the plan to organise elections to select candidates.
Tai had pleaded guilty, his lawyers argued he believed his election plan was allowed under the city’s Basic Law.
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Another prominent activist Joshua Wong received a sentence of more than four years.
Wong became one of the leading figures in the protests. His activism started as a 15 year old when he spearheaded a huge rally against a government plan to change the school curriculum.
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Then in 2019 Hong Kong erupted in protests after the city’s government proposed a bill that would allow extradition to mainland China. It peaked in June 2019 when Amnesty International reported that up to two million people marched on the streets, paralysing parts of Hong Kong’s business district.
The extradition bill was later dropped but it had ignited a movement demanding political change and freedom to elect their own leaders in Hong Kong.
China’s central government called the protests “riots” that could not continue.
Hong Kong introduced a national security law in the aftermath of the protests.
The US has called the trial “politically motivated”.
Dozens of family and friends of the accused were waiting for the verdict outside the West Kowloon Magistrates Court.
British citizen and media mogul Jimmy Lai is due to testify on Wednesday.
Meeting on the sidelines of the G20 in Brazil, British Prime Minister Keir Starmer told China’s President Xi Jinping he’s concerned about the health of Lai.
He faces charges of fraud and the 2019 protests. He has also been charged with sedition and collusion with foreign forces.