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“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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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.

Two men walk past a  destroyed row of houses in Hatay province in Antakya.
Pic: AP
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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.

Antakya in the Turkish region of Hatay. Pic: AP
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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.

Daily life in Antakya, the Turkish region of Hatay. Pic: AP
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A child in Antakya in Hatay, Turkey, in January. Pic: AP

Pic: Reuters
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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.

A tent camp in the rebel-held Syrian town of Jandaris. Pic: Reuters
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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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Rise in gender-based violence

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.

Read more:
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Anger over building standards in wake of deadly earthquake

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.”

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Over 100 people killed in Gaza in 24 hours, officials say, marking deadliest day in a week

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Over 100 people killed in Gaza in 24 hours, officials say, marking deadliest day in a week

More than 100 people have been killed in Gaza within 24 hours, officials there have said – the deadliest day recorded in a week.

The Gaza health ministry said 123 people were killed, adding to the tens of thousands of fatalities during the near two-year war raging in the Strip.

It comes as officials said Israel’s planned re-seizure of Gaza City, which it took in the early days of the war before withdrawing, is likely weeks away.

Follow the latest: Netanyahu accused of having ‘lost the plot’

Palestinians shelter at a tent camp on a beach amid summer heat in Gaza City. Pic: Reuters/Mahmoud Issa
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Palestinians shelter at a tent camp on a beach amid summer heat in Gaza City. Pic: Reuters/Mahmoud Issa

Eastern areas of Gaza City were bombed heavily by Israeli planes and tanks, according to residents, who said that many homes were destroyed in the Zeitoun and Shejaia neighbourhoods overnight.

Al-Ahli hospital said 12 people were killed in an airstrike on a house in Zeitoun.

Israeli tanks also destroyed several homes in the southern Gaza city of Khan Younis, Palestinian medics said.

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Netanyahu vows to ‘finish the job’ in Gaza

They added that in central Gaza, Israeli gunfire killed nine people seeking aid in two separate incidents. The Israel Defence Forces (IDF) did not comment on this.

The number of Palestinians who died of starvation and malnutrition in Gaza has risen to 235, including 106 children, since the war began, following the death of eight more people, including three children, in the past 24 hours, the Gaza health ministry said.

Palestinians scramble to collect aid from trucks that entered through Israel, in Khan Younis. Pic: Reuters
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Palestinians scramble to collect aid from trucks that entered through Israel, in Khan Younis. Pic: Reuters

The malnutrition and hunger death figures have been reported by the Hamas-run ministry and have been disputed by Israel.

Israeli Prime Minister Benjamin Netanyahu said on Sunday: “If we had a starvation policy, no one in Gaza would have survived after two years of war.”

He also repeated the allegation that Hamas has been looting aid trucks and claimed uncollected food has been “rotting” at the border, blaming the UN for not distributing it.

Aid packages being dropped from a plane in Deir Al-Balah. Pic: Reuters
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Aid packages being dropped from a plane in Deir Al-Balah. Pic: Reuters

A Palestinian boy jumps over wastewater in Gaza City. Pic: Reuters
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A Palestinian boy jumps over wastewater in Gaza City. Pic: Reuters

The latest death figures come as Hamas held further talks with Egyptian mediators in Cairo with a focus on stopping the war, delivering aid and “enduring the suffering of our people in Gaza”, an official for the group said in a statement.

Egyptian security sources said the possibility of a comprehensive ceasefire would also be discussed.

This would see Hamas relinquish governance in Gaza and concede its weapons, with a Hamas official saying the group was open to all ideas as long as Israel would end the war and pull out of Gaza.

But the official added that “laying down arms before the occupation is dismissed as impossible”.

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Meanwhile, Mr Netanyahu reiterated that Palestinians should simply leave Gaza, an idea which has also been enthusiastically floated by US President Donald Trump.

“They’re not being pushed out, they’ll be allowed to exit,” Mr Netanyahu told Israeli television channel i24NEWS. “All those who are concerned for the Palestinians and say they want to help the Palestinians should open their gates and stop lecturing us.”

World leaders have rejected the idea of displacing the Gaza population, and Mr Netanyahu’s plan to expand military control over Gaza, which Israeli sources said could be launched in October, has increased global outcry over the widespread devastation, displacement and hunger in the enclave.

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‘See with your eyes the reality’

The humanitarian crisis in Gaza is at “unimaginable levels”, Britain and 26 partners said in a statement on Tuesday, warning: “Famine is unfolding before our eyes.”

The statement added: “Urgent action is needed now to halt and reverse starvation. Humanitarian space must be protected, and aid should never be politicised.”

It was signed by the foreign ministers of Australia, Belgium, Canada, Cyprus, Denmark, Estonia, Finland, France, Greece, Iceland, Ireland, Japan, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Portugal, Slovakia, Slovenia, Spain, Sweden, Switzerland and the UK.

Read more from Sky News:
West Bank: The city locked down by armed troops
Who were the journalists killed by Israel in Gaza?

The war in Gaza began on 7 October 2023 when Hamas killed about 1,200 people – mostly civilians – and abducted 251 others in its attack.

Most of the hostages have been released in ceasefires or other deals. It is believed Hamas is still holding 50 captives, with 20 believed to be alive.

Israel’s retaliatory offensive has killed more than 61,000 Palestinians, according to Gaza’s Hamas-run health ministry, which does not differentiate between militants and civilians in its count.

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Trump-Putin summit starting to feel quite ‘Midnight Sun’ – as White House confirms location

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Trump-Putin summit starting to feel quite 'Midnight Sun' - as White House confirms location

It’s beginning to feel like “Midnight Sun” diplomacy.

In parts of Alaska, the sun doesn’t set in summer, casting light through the night but leaving you disorientated.

Ukraine latest: Zelenskyy reject’s Putin’s proposal

The Trump-Putin summit is pitched as “transparent” but it’s difficult to find any path to peace right now.

White House press secretary Karoline Leavitt has reduced it to a “listening exercise” where Donald Trump will seek a “better understanding” of the situation.

There isn’t much to understand – Russia wants territory, Ukraine isn’t ceding it – but Ms Levitt rejects talk of them “tempering expectations”.

It’s possible to be both hopeful and measured, she says, because Mr Trump wants peace but is only meeting one side on Friday.

It’s the fact that he’s only meeting Vladimir Putin that concerns European leaders, who fear Ukraine could be side-lined by any Trump-Putin pact.

Volodymyr Zelenskyy claims Mr Putin wants the rest of Donetsk and, in effect, the entire Donbas region in eastern Ukraine.

He’s ruled out surrendering that because it would rob him of key defence lines and leave Kyiv vulnerable to future offensives.

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‘Steps have been taken to remedy the situation’ in Pokrovsk

European leaders – including Sir Keir Starmer – will hold online talks with Mr Zelenskyy twice on Wednesday, on either side of a virtual call with Mr Trump and US Vice President JD Vance.

Their concerns may be getting through, hence the White House now framing the summit as a cautious fact-finding exercise and nothing more.

The only thing we really learned from the latest news conference is that the first Trump-Putin meeting in six years will be in Anchorage.

A White House official later confirmed it would be at Joint Base Elmendorf-Richardson, a US military facility.

Read more:
The land Ukraine could be forced to give up
Trump gaffe reveals how central Putin is to his narrative

The US base where the talks will take place. Pic: Reuters
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The US base where the talks will take place. Pic: Reuters

Alaska itself, with its history and geography, is a layered metaphor: a place the Russians sold to the US in the 1800s.

A remote but strategic frontier where the lines of ownership and the rules of negotiation are once again being sketched out.

On a clear day, you can see Russia from Alaska, but without Mr Zelenskyy in the room, it’s difficult to see them conquering any summit.

In the place where the sun never sets, the deal might never start.

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Explained: The land Ukraine could be forced to give up – and will Russia have to concede anything?

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Explained: The land Ukraine could be forced to give up - and will Russia have to concede anything?

Any agreement between Donald Trump and Vladimir Putin when they meet on Friday could leave Ukraine in an impossible position after three years of brutal, grinding war for survival.

There has been speculation the two leaders could agree a so-called ‘land for peace’ deal which could see Ukraine instructed to give up territory in exchange for an end to the fighting.

That would effectively be an annexation of sovereign Ukrainian territory by Russia by force.

Ukrainian President Volodymyr Zelenskyy said on Tuesday evening that Mr Putin wants the rest of Donetsk – and in effect the entire eastern Donbas region – as part of a ceasefire plan.

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Sky’s Michael Clarke explains in more detail what territories are under possible threat.

But the Ukrainian leader said Kyiv would reject the proposal and explained that such a move would deprive them of defensive lines and open the way for Moscow to conduct further offensives.

Russia currently occupies around 19% of Ukraine, including Crimea and the parts of the Donbas region it seized prior to the full-scale invasion in February 2022.

President Trump has said he hopes to get “prime territory” back for Ukraine, though it’s uncertain what President Putin would agree to.

More on Russia

In this story, Sky News speaks to experts about what the highly-anticipated meeting between the Russian and American presidents could mean for the battlefield.

Donald Trump and Vladimir Putin are set to meet in Alaska. Pic: Reuters
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Donald Trump and Vladimir Putin are set to meet in Alaska. Pic: Reuters

A ceasefire along the frontline?

The range of outcomes for the Trump-Putin meeting is broad, with anything from no progress to a ceasefire possible.

Polish Prime Minister Donald Tusk, for instance, said this week that he has “many fears and a lot of hope” for what could come out of it.

Military analyst Michael Clarke told Sky News that the summit “certainly won’t create peace, but it might create a ceasefire in place if Putin decides to be flexible”.

“So far he hasn’t shown any flexibility at all,” he added.

A ceasefire along the frontline, with minimal withdrawals on both sides, would be “structurally changing” and an “astonishing outcome”, he said.

However he doubts this will happen. Mr Clarke said a favourable outcome could be the two sides agreeing to a ceasefire that would start in two weeks time (for instance) with threats of sanctions from the US if Russia or Ukraine breaks it.

Read more:
What Trump’s Putin gaffe reveals about upcoming meeting

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President Zelenskyy: ‘Path to peace must be determined together’

Will Ukraine be forced to give up territory to Russia?

While President Trump’s attitude to Ukrainian resistance appears possibly more favourable from his recent comments, it’s still possible that Kyiv could be asked to give up territory as part of any agreement with Russia.

Moscow has been focussed on four oblasts (regions) of Ukraine: Luhansk and Donetsk (the Donbas), Zaporizhzhia and Kherson.

President Putin’s forces control almost all of Luhansk, but about 30% of the others remain in Ukrainian hands and are fiercely contested.

“Russian rates of advance have picked up in the last month, but even though they are making ground, it would still take years (three or more) at current rates to capture all this territory,” Matthew Savill, director of military sciences at the RUSI thinktank, told Sky News.

He says it “wouldn’t be surprising” if Russia tried to acquire the rest of the Donbas as part of negotiations – something that is “highly unattractive” for Ukraine that could leave them vulnerable in future.

This would include surrendering some of the ‘fortress belt’ – a network of four settlements including Kramatorsk and Sloviansk – that has held back Russian forces for 11 years.

Michael Clarke said this might well satisfy President Putin “for now”, but many believe that he would return for the rest of Ukraine – possibly after President Trump leaves office.

It’s unclear if President Volodymyr Zelenskyy could accept such a painful concession – or indeed, survive it politically – or if the wider Ukrainian public would support it in return for a pause in the fighting.

Would Russia have to return any territory to Ukraine?

The White House appears to have been briefing that it might, though the situation is very unclear.

Mr Savill added: “The Ukrainians might want to even up the situation in the north, by removing Russian incursions into Sumy and near Kharkiv, but of greater importance would be getting the Zaporizhzhia Nuclear Power Plant back under Ukrainian control, given how much it would contribute to Ukrainian power needs.”

It’s also possible that Russia could be willing to withdraw from the areas of Kherson region that it controls.

It’s “plausible” they could get the power plant back, Mr Clarke said, but Russia would likely insist on maintaining access to Crimea by land.

This would mean that cities Mariupol and Melitopol – would remain in Russian hands, with all that that entails for the people living there.

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