Toronto Star

The world’s worst humanitari­an crisis

- SHUAIB ALMOSAWA, BEN HUBBARD AND TROY GRIGGS THE NEW YORK TIMES

“We’re just waiting for doom or for a breakthrou­gh from heaven.” YAKOUB AL-JAYEFI YEMENI SOLDIER WHOSE DAUGHTER IS BEING TREATED FOR MALNUTRITI­ON

SANAA, YEMEN— After 2- 1⁄ years of war, little is func

2 tioning in Yemen.

Repeated bombings have crippled bridges, hospitals and factories. Many doctors and civil servants have gone unpaid for more than a year. Malnutriti­on and poor sanitation have made the Middle Eastern country vulnerable to diseases that most of the world has confined to the history books.

In just three months, cholera has killed nearly 2,000 people and infected more than half a million, one of the world’s largest outbreaks in the past 50 years.

“It’s a slow death,” said Yakoub al-Jayefi, a Yemeni soldier who has not collected a salary in eight months, and whose 6-year-old daughter, Shaima, was being treated for malnutriti­on at a clinic in the Yemeni capital, Sanaa.

Since the family’s savings ran out, they had lived mostly off milk and yogurt from neighbours. But that wasn’t enough to keep his daughter healthy, and her skin went pale as she grew thin.

Like more than half of Yemenis, the family did not have immediate access to a working medical centre, so Jayefi borrowed money from friends and relatives to take his daughter to the capital.

“We’re just waiting for doom or for a breakthrou­gh from heaven,” he said.

How did a country in a region with such great wealth, and under the close watch of the United States and Saudi Arabia, fall so swiftly into crisis? Anation split in two Yemen has long been the Arab world’s poorest country and suffered from frequent local armed conflicts. The most recent trouble started in 2014, when the Houthis, rebels from the north, allied with parts of the Yemeni military and stormed the capital, forcing the internatio­nally recognized government into exile.

In March 2015, Saudi Arabia and a coalition of Arab nations launched a military campaign aimed at pushing back the Houthis and restoring the government.

The campaign has so far failed to do so, and the country remains split between Houthi-controlled territory in the west and land controlled by the government and its Arab backers in the south and east. Acollapsed state Many coalition airstrikes have killed and wounded civilians. The bombings have also heavily damaged Yemen’s infrastruc­ture, including a crucial seaport and important bridges, as well as hospitals, sewage facilities and civilian factories.

Services that Yemenis have depended on are gone, and the destructio­n has undermined the country’s already weak economy.

The Saudi-led coalition has also kept Sanaa’s internatio­nal airport closed to civilian air traffic for more than a year, meaning that merchants cannot fly goods in, and sick and wounded Yemenis cannot fly abroad for treatment. Many of them have died. Meanwhile, neither of Yemen’s two competing administra­tions has paid regular salaries to many civil servants in more than a year, impover- ishing their families as there is little other work to be found. Among those affected are profession­als whose work is essential to dealing with the crisis, leading to the near collapse of their sectors. The devastatio­n of cholera Damage from the war has turned Yemen into a fertile environmen­t for cholera, a bacterial infection spread by water contaminat­ed with feces. As garbage has piled up and sewage systems have failed, more Yemenis are relying on easily polluted wells for drinking water. Heavy rains since April accelerate­d the wells’ contaminat­ion.

In developed countries, cholera is not life-threatenin­g and can be easily treated, with antibiotic­s if severe. But in Yemen, rampant malnutriti­on has made many people, particular­ly children, especially vulnerable to the disease.

“With the malnutriti­on we have among children, if they get diarrhea, they are not going to get better,” said Meritxell Relano, the United Nations Children’s Fund representa­tive in Yemen.

The United Nations has called the situation the world’s largest humanitari­an crisis, with more than10 million people who require immediate assistance. And the situation could become even worse.

Peter Salama, the executive director of the World Health Organizati­on’s health emergencie­s program, warned that as the state fails, “the manifestat­ion of that now is cholera, but there could be in the future other epidemics that Yemen could be at the centre of.” Internatio­nal involvemen­t The United Nations says that Yemen needs $2.3 billion in humanitari­an aid this year, but that only 41 per cent of that amount has been received. The warring parties are among the greatest aid donors, with Saudi Arabia and the United Arab Emirates both giving significan­t sums. But critics note that the countries spend much more on the war effort.

The United States is also a major donor, as well as a primary supplier of arms to the members of the Saudi-led coalition. None of this bodes well for civilians.

“The war still haunts us from all directions,” said Saleh al-Khawlani, who fled his home in northern Yemen with his wife and six children after the Saudi-led coalition began its bombings. They then fled again, to Sanaa, after an airstrike hit the camp where they had sought shelter, and killed a number of his relatives.

They lived on the street for a while and had to beg for most of their food.

“Most of the time, we had only lunch and sometimes we don’t,” he said. “If we have lunch at noon, we don’t have dinner at night.”

 ?? HANI MOHAMMED/THE ASSOCIATED PRESS PHOTOS ?? An elderly woman is treated for a suspected cholera infection at a hospital in Sanaa, Yemen. The country’s raging two-year conflict has served as an incubator for the potentiall­y lethal disease.
HANI MOHAMMED/THE ASSOCIATED PRESS PHOTOS An elderly woman is treated for a suspected cholera infection at a hospital in Sanaa, Yemen. The country’s raging two-year conflict has served as an incubator for the potentiall­y lethal disease.
 ??  ?? A girl scavenges for recyclable items at a garbage dump in a street in Sanaa, Yemen.
A girl scavenges for recyclable items at a garbage dump in a street in Sanaa, Yemen.

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