San Francisco Chronicle

Cancer patients in frantic search for medication

- By Bassem Mroue and Fay Abuelgasim Bassem Mroue and Fay Abuelgasim are Associated Press writers.

QLEIAT, Lebanon — Saydi Mubarak and her mother share a bond that goes beyond a close mother-daughter relationsh­ip: They were both diagnosed with breast cancer a year ago and underwent months of chemothera­py at a Beirut hospital, together facing the anxiety, the hair loss and the uncertaint­y for the future.

Now they share the fear of not being able to get the medication they need to complete their treatment because in Lebanon, where a devastatin­g economic crisis has upended daily life, there are almost no drugs to be found.

The small Mediterran­ean country — once a medical hub in the Middle East — is grappling with severe shortages in medical supplies, fuel and other necessitie­s. The economic crisis, described as one of the world’s worst of the past 150 years, is rooted in decades of corruption and mismanagem­ent by a political class that has accumulate­d debt and done little to encourage local industries, forcing the country to rely on imports for almost everything.

But those imports are hard to come by since the Lebanese pound has lost more than 90% of its value since 2019, and the Central Bank’s foreign reserves are drying up. The crisis was worsened by a massive explosion that destroyed the country’s main port last year.

For months, pharmacy shelves have been bare, exacerbate­d by panic buying and suppliers holding back drugs, hoping to sell them later for higher prices amid the uncertaint­y. Hospitals are at a breaking point, barely able to secure diesel to keep generators and life-saving machines operating day to day.

The drug shortages threaten tens of thousands of people, including cancer patients. In desperatio­n, many have taken to social media or turned to travelers coming from abroad. Visitors and Lebanese expats these days often arrive with suitcases full of pills, vials and other medical supplies for relatives and friends.

Mubarak, a 36-year-old highschool teacher and mother of two boys, says she was diagnosed with breast cancer in July last year, a few weeks before her mother, Helen Akiki, discovered a lump in her breast.

After months of chemo, Mubarak had a mastectomy in December. She is now undergoing a therapy that’s supposed to take 10 years, consisting of a daily pill and a monthly hormone injection to make sure the cancer doesn’t return.

Getting the medicine is not the last hurdle for Mubarak and her mother. Because of Lebanon’s fuel crisis, they worry about whether they will find enough gasoline each time they need to drive into Beirut for treatment.

Akiki says the two have found strength in facing the battle together.

 ?? Bilal Hussein / Associated Press ?? Cancer patients hold placards last month during a sit-in at the U.N. headquarte­rs in Beirut to protest shortages of medication­s amid Lebanon's severe economic crisis.
Bilal Hussein / Associated Press Cancer patients hold placards last month during a sit-in at the U.N. headquarte­rs in Beirut to protest shortages of medication­s amid Lebanon's severe economic crisis.

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