Mass Murder in Slow Motion (II): Siege Economies

This is the second in a series of posts on East Ghouta (Damascus); the first, providing essential background, is here.

The logic of the siege warfare pursued by Syria and its allies has been to cordon off areas under rebel control; to restrict, disrupt and ultimately prevent movement across the siege lines (including food, fuel and medical supplies); to subject the besieged population to sustained and intensifying military violence from aircraft, ground ordnance (artillery, missiles and mortars) and sniper fire; and to outlaw the provision of medical aid to those inside the besieged areas and limit the evacuation of the sick and wounded.

You can find more on the reincarnation of siege warfare as a tactic of counterinsurgency in later modern war herehere, here and here.

Precarious lines and precarious lives

In this post I examine the siege economies that emerged in East Ghouta from 2012 and their transformation over the next six years (to March 2018).

The restrictions on movement imposed on the besieged population varied in time and space.  This map from the New York Times plots incidents between the Syrian Arab Army and various rebel groups from September to November 2012:

As the clashes intensified the Syrian Arab Army (SAA) and its allies established a series of checkpoints in November-December to regulate the movement of people and supplies between Damascus and East Ghouta, though Amnesty International reported that anyone crossing ‘ran the risk of being detained or shot by government snipers’ and there were also reports of goods being confiscated or pilfered.  Access to those crossing points was also controlled from within the besieged area by armed opposition groups whose actions affected both entrance and exit.

The restrictions increased, along with the dangers, until in August 2013 the two crossing points at al-Mleha and Douma were closed by the SAA.  One woman recalled how she ‘didn’t understand’ what was happening when the road out of Ghouta was first blocked::

What did it mean that we were trapped? Then stores’ shelves gradually went empty. Food, fuel, the most basic essentials … everything began to vanish.

But some trucks were still allowed through a third crossing point at al-Wafideen, and the ensuing geography of closure was intricate.

A series of semi-clandestine routes was established between East Ghouta and the suburban towns of al-Qaboun and Barzeh on the other side of the Damascus-Homs highway; an uneasy truce was concluded with rebels in those two towns in January and February 2014, and these routes became vital conduits for smuggling goods into East Ghouta.

People in al-Qaboun and Barzeh relied on conditional access to regime-controlled neighbourhoods beyond the checkpoints.  ‘The residents of al-Qaboun and Barzeh live as though they are trapped in a limbo,’ wrote Rafia Salameh, ‘at the mercy of checkpoints.’

The ʻmoodʼ of these checkpoints is measured in the distance between the guards’ pockets – as they are hungry and poor – and their strict application of the law within the presence of superior officers, punishing those who try to smuggle past them simple materials for survival…

Lighters, batteries, light bulbs and any other electrical devices are forbidden. Salt and citric acid, which may be used in the manufacture of explosives, are also forbidden. Gas, milk bottles, and diapers are allowed through if the family carries around the proper documentation in which checkpoint transits are recorded by date, to prove they are not smugglers. However, all these regulations frequently fell silent by paying a bribe at the Barzeh checkpoint.

Salim, a 13-year-old young merchant of sugar says: “They beat us and chase us when the main officer is present.” He went on to explain how his sales decisions are driven by what he can or cannot afford to pay at the checkpoint. His profit per kilogram of sugar is 100 Syrian pounds (SYP), or $0.20 on the black market. He can carry eight kilograms of sugar, and he dips into his profits to purchase a pack of cigarettes for the security officers to allow him through their inspection. The cigarette pack costs 300 SYP, or $0.60. That means he ends the day with less than 500 SYP of profit, which amounts to one US dollar.

Some of these goods ultimately found their way through the tunnels into East Ghouta, but the price differentials between Damascus (which was not without economic problems of its own) and the Ghouta were stark.  Aron Lund posted this chart for March 2015 (prices are all in Syrian Pounds):

On 17 February 2017 the Syrian Arab Army backed by the Russian Air Force opened a new offensive against al-Qaboun (below) and Barzeh and eventually sealed them off from the Ghouta.

The only route that remained open was the al-Wafideen crossing; it had been subjected to intermittent, temporary closures, but on 21 March 2017 it too was finally sealed.  The siege of East Ghouta immediately became absolute until the cordon was breached by the renewed SAA offensive in February 2018 and, the following month, by evacuation corridors for the besieged population.

The closure of al-Wafideen had a catastrophic effect.  Here is a second price comparison, this time for May 2017 (when the exchange rate was 500 SYP to $1):

Such price comparisons are inevitably difficult and shot through with all sorts of difficulties, but similar data on food security from the World Food Programme makes it clear that price inflation on this scale made life immensely precarious for those inside the besieged areas – lives then made even more precarious by the escalation of military and paramilitary violence (my next post) and the disruption of medical provision (my final post in this series).  According to the WFP in October 2017:

Since the Al-Wafideen crossing closed in September, all food supply routes to eastern Ghouta have been completely closed. Food prices have soared as a consequence, with particularly grave consequences for the poorest and most vulnerable people. During the WFP market assessment conducted in Kafr Batna (in eastern Ghouta) at the end of October, the remaining food stock was found to be very limited, with severe shortages of staple foods such as rice, pulses, sugar and oil.

Based on the market assessment data, the cost of the standard food basket in October 2017 reached SYP327,000, which is 204 percent higher than in September and more than five times higher than in August 2017 (before the crossing closed). The eastern Ghouta food basket currently is almost ten times more expensive than the national average.

According to key informants, the only available cooking fuel in eastern Ghouta is liquid melted plastic, which costs SYP 3,500/litre – ten times more than the national average price of diesel. Some households also reported burning animal remains and even used diapers to boil vegetables.

A bundle of bread in Kafr Batna is being sold at SYP2,000, which is more than 35 times the average price in accessible markets.

Food security is likely to deteriorate rapidly in the coming weeks if the siege continues. It is estimated that food stocks will be totally depleted by end November 2017.

Local resources and improvisations

Faced with the shortages and high prices imposed by the siege, the people of East Ghouta had limited resources to fall back on (see my previous post here), and these contracted sharply after the Syrian Arab Army finally seized control of the rich agricultural lands in the south of the Ghouta (the Marj) in May 2016, near the start of the harvest season.  People throughout the besieged area were forced to improvise and to devise ever more exacting economies.

The survival strategies listed by the WFP included reducing the number of meals, reducing portion size and limiting adult consumption, but once the siege became absolute – crossings closed, tunnels blown – many were reduced to far worse than those.  The designation of East Ghouta as one of four ‘de-escalation zones’ during the summer of 2017 only opened what Reuters called ‘the doors of starvation’:

‘When people in the Ghouta learned of the deal and thought it would bring relief, many began using up their food reserves at home, said Khalil Aybour, head of the local council in the town of Douma. “After they saw it was all rumors,” he said, “the misery grew immensely.”

Here is a report from November 2017:

The sight of a woman weeping as she drags her malnourished children into a clinic is not rare in eastern Ghouta…. But when one mother told Abdel Hamid, a doctor, that she had fed her four starving children newspaper cutouts softened with water to stop them from screaming into the night, even he was stunned.  “I could try to describe to you how terrible the conditions are in which we are living, but the reality would still be worse,” [he] said.

Another young widow described how she rationed food between her three young daughters:

My girls take turns eating now. We barely have any food so each one eats one meal every three days. It breaks my heart because they go to bed hungry and wake up with no energy.

Stories like these are what lie behind the distanced prose of an interagency assessment of food security conducted for the World Food Programme that same month, which reported:

Due to the lack of available food and the high food needs, a food basket meant to support a five member household for a month [supplied by the UN] is being shared among six different households (approximately 30 people).

Due to lack of staple food commodities and severe shortfall of cooking fuel (firewood, diesel and gas) in addition to their high prices, residents have been reduced to subsist on raw vegetables such as maize corn, cabbage and cauliflower with no more than one meal per day. In many households with multiple mouths to feed, priority is given to children with adults often skipping entire days without eating. Some households are even resorting to rotation strategies whereby the children who ate yesterday would not eat today and vice-versa.

Cases of severe acute malnutrition among children were identified by the UNICEF team…

Three months later, once the offensive started in deadly earnest, the situation deteriorated still further.  By March 2018, when thousands of people were huddled in basements and cellars sheltering from the incessant bombing and artillery fire, some of those that could find food were reluctant to eat in front of other people in the face of such widespread hunger.  Others shared what little they had.

In fact food was the central concern throughout the siege.  In the beginning some residents started to grow vegetables on their roofs to supplement local production and avoid the soaring prices in local markets:

“The blockade has forced us to find alternatives, especially in towns like al-Buwaidah, hijjera, and al-Sbeneh, where all the surrounding farming lands were destroyed, and many farmers were killed,” said Ahmad Abu Farouq, a 19-year-old who lives in Ghouta with his family of nine.

Ahmad said he and his family have turned their 1,600-square-foot (150 sq meter) rooftop into a year-round farm, planting zucchini and pumpkin in the winter, and lettuce and parsley in the summer [see the image below]. “I throw in a mix of eggplant, peppers and cucumbers when I can,” he added.

Eastern Ghouta is frequently and heavily hit by government airstrikes. To protect themselves and their crops, according to Ahmad, most people who have chosen to take up alternative farming find ways to hide their box planters so as not to make them entirely visible from up above.

This proved to be a short-term solution: when the Assad regime cut electricity supply to the Ghouta it had serious spill-over effects, and ‘on rooftops, as in the agricultural fields, the [consequent] lack of an irrigation system providing clean water caused the end of this semi-autonomous way of surviving the siege.’

So fuel was a second major concern, but there too there were improvisations. Mark Hanrahan and Bhassam Khabieh described an elaborate scheme in Douma to convert plastic waste into fuel.  Using methods he learned from YouTube videos, Abu Kassem and his family collected plastic bottles, rubble from damaged buildings, plastic cooking utensils, even plastic water and sewage pipes; they burned them all in a makeshift refinery, and sold the gas for domestic and commercial use or condensed the gas and refined the liquid into fuel for generators and vehicles.

At its height the workshop was running 15 hours a day six days a week; on an average day it burned 800 – 1,000 kg of plastic waste to produce around 850 litres of fuel. This was a dangerous, noxious business:

“Working here is very tiring, but we feel that we are providing a great service to people. I have been working here for a short time and have begun to adapt to the atmosphere here,” said Abu Ahmed, 28, [one] of the workers.

And the products were snapped up:

“When the siege began on eastern Ghouta at the end of 2013 fuel prices rose madly and we were no longer able to water crops as in the past,” Abu Firas, 33, an agricultural worker in the district told Reuters. “When we started producing local fuel, and water engines could be powered by this fuel, … life returned to agricultural land.”

Abu Talal had the same idea:

“We get plastic materials from areas and buildings that are deserted after being shelled by the regime forces. We collect all the plastic we find, such as water tanks and drainage pipes.”

After Talal and his team gather the plastic, they cut it into smaller pieces and put 50 kilograms in each barrel, along with 20 meters of piping to cool the water that runs in and out of the barrel. They contain narrower tubes, which contain the fumes that come from the burned plastic. Then they light a fire.

“It takes two to three hours to extract as much as possible from one batch of plastic,” he says. “In the last stage, we get the temperature to 100 to 115 degrees to extract a kind of diesel. The temperature must be accurate for the diesel to come out and for it to burn well, so it can be used in cars and motorcycles.”

Ammar al-Bushy described a similar operation at Erbin here.  ‘People are aware that the fuel extracted from burning plastic [is of a lower] quality than that extracted from oil,’ he reported, and it ’causes long-term problems for engines, but it meets the purpose for people living in a dire situation, in addition to the lower cost than fuel extracted from oil.’

The economics of the operation were explained by Abu Hassan:

“Gasoline reached the price of 4000-4200 Syrian Pounds ($20-$21), and the amounts available were minimal. However, we found a substitute by heating plastic and extracting methane, gasoline, and diesel.

“The price of diesel was 3200-3500 Syrian Pounds ($16-$18.50) per liter, which is considered very expensiv. So people were no longer able to purchase it, but after we started operating on plastic and started extracting diesel from it, the price decreased to 1200-1500 SP and it became more available.”

There were other manufactories too: there is a remarkably detailed analysis of the manufacture of weapons by Jaish al-Islam here, including improvised mortars, rockets, grenades and rifles.

But my focus here is on those resources basic to civilian survival in the besieged area. There were all sorts of other substitution strategies in East Ghouta  – I’ll deal with the improvisation of medical supplies and anaesthetics in the final post in this series – but the two examples I’ve provided show concerted attempts to devise solutions to the supply shortages and high prices that were the immediate products of the tightening siege.

Those economic conditions were also affected by cross-cordon transactions: by merchants who were allowed to bring goods in through the al-Wafideen checkpoint, and by smugglers who (until the offensives against Barzeh and al-Qaboun) operated a series of clandestine tunnels that gave access to markets on the suburban fringe.  I’ll consider each in turn, but in both cases there was an elaborate administration of precarity: an apparatus of permissions and permits, exactions and kick-backs, through which the local economy was manipulated and political and (para)military relations were managed.

There was another set of cross-border transactions: these were non-commercial flows of humanitarian aid.  The Syrian government put in place an intensely bureaucratic system  to regulate aid convoys which was also part of the administration of precarity.  It proved to be (and was intended to be) so restrictive that these flows had precious little sustained impact on economic conditions in Ghouta.  But, as I’ll show, these transactions were entangled in a wider and intrinsically partisan geography of precarity that magnified the marginality of Ghouta and effectively enlarged the power of the regime to dictate the terms of its ‘surrender or starve‘ strategy.

Merchants and the Million Checkpoint

One of Amnesty International‘s informants described how the importation of food into East Ghouta was slowly restricted:

By April  2013, you were not allowed to take any food into Eastern Ghouta. Security forces would beat women and men when they found bread or vegetables hidden in the boot of the car or under clothes. As I passed by a checkpoint, I remember seeing food piled up and people being beaten up or humiliated. The Syrian authorities did not allow any bread, vegetables, fruits, pasta, sugar or eggs to enter.

As individual transactions were banned, so selected merchants were allowed to organise much larger shipments. The al-Wafideen crossing became the most important external source of food and fuel for East Ghouta – often described as the ‘lung’ through which the Ghouta breathed – and the central figure in commercial transactions through the checkpoint was Mohyeddin al-Manfoush (‘Abu Ayman’), one of what the Economist called ‘Syria’s new war millionaires’: the ‘dairy godfather’.

Before the war Manfoush lived in Mesraba near Douma, where he owned a small herd of cows and a cheese factory, and traded as al-Marai al-Dimashqiya (Damascus Pastures).  Once the siege began he quickly struck a deal with the Syrian government.  The Economist again:

He began to bring cheap milk from rebel territory in Eastern Ghouta to regime-held Damascus, where he could sell it for double the price. The regime received a cut of the profit. Mr Manfoush reinvested his share. He snapped up the region’s best cows and dairy machinery from farmers and businessmen whose livelihoods had been hammered by the siege. As the business evolved, the trucks that left Ghouta with milk and cheese came back laden with the barley and wheat he needed to feed his growing dairy herd there and run the bakeries he bought.

It was immensely profitable; with a captive market of 400,000 people and runaway prices Manfoush not only expanded his business (under the umbrella Manfoush Trading Company) but also moved to a new house in Damascus and even established his own private militia.

Others profited too.  The security forces controlling the crossing (above, in February 2018) received ‘extra payments’ from Manfoush; there have been reports that they charged 200-300 Syrian pounds ($1 – $1.40) and sometimes as much as 750 Syrian pounds for each kilogram of goods passing through the checkpoint.  Local people came to refer to al-Wafideen as ‘the Million Crossing’ because it supposedly generated one million Syrian pounds per hour in bribes for its soldiers and security officers.  In March 2015 researchers were told a fee of one million Syrian pounds allowed a vehicle to pass through the checkpoint.  And Manfoush dispatched convoys not single trucks:

But the kickbacks almost certainly went much higher than those operating the checkpoint.  Roger Asfar has claimed that Manfoush’s web of companies is linked to the business empire of President Assad’s brother, Maher al-Assad (who also usefully heads the Republican Guard).  Be that as it may, the regime had more than a commercial interest in Manfoush’s transactions because it was able to leverage its control over al-Wafideen and ‘exploit its ability to turn trade on and off in order to sow enmity among [different] rebel [groups].’

The state’s ability to goad its enemies in this way depended not only on the rivalries between different rebel groups, however, but also on those groups’ own stakes in the siege economy.  These derived, in part, from the revenues generated through their ancillary checkpoints.  Many informants testified that another set of ‘fees’ were exacted there, though what eventually became the major rebel group in Douma, Jaish al-Islam [JAI], denied having any stake in Manfoush’s operations at al-Wafideen:

“Manfoush does not serve the Islam Army [JAI], he serves the Ghouta in its entirety,” said the Islam Army official Mohammed Bayraqdar. “Our interests are in harmony with the interests of the people and our relationship is merely that of facilitating his services. If there were another person [who performed the same function], we would provide the same services to him in return for his services to the people of the Ghouta.”

Those ‘facilitations’ and ‘services’ involved granting Manfoush’s convoys safe passage into East Ghouta, and it seems highly unlikely that this was a purely philanthropic gesture.  In June 2015 one of Amnesty International‘s informants explained:

Since the end of 2014, the Army of Islam [JAI] has controlled the supply route from al- Wafedine camp and Ajnad al-Sham, the underground tunnels in Harasta. The Army of Islam is responsible for regulating the prices. During the winter, the Army of Islam collects most of the food supplies from the market, increasing the prices threefold. You sleep one night and wake up the next day to find there is no food and prices are high.  The Army of Islam in collaboration with suppliers store food and non-food items in [its] warehouses. 

Siege Watch was even more blunt in its assessment for May-July 2017: ‘the corrupt trading monopoly run by al-Manfoush at the al-Wafideen checkpoint lined the pockets of the Syrian miilltary and JAI’.

There is no doubt that Jamash al-Islam’s provision of ‘services’, whether corrupt or not, was far from disinterested: facilitating the importation of food, fuel and other supplies gave it leverage over the besieged population. It was able to extend its control over the local labour market in Douma – determining which shops were allowed to open, for example – and gave those on its payroll privileged access to imported goods from its own warehouses. JAI was not the only group to take advantage of the siege economy.  In Harasta, Fajr al-Umma reportedly ‘gave away free food and a tank of propane … in [an] attempt to strengthen its popularity in the area.’  In short, food and fuel became vital currencies not only for the counterinsurgency but also for the insurgency.  ‘Joining one of the armed groups can provide a monthly salary of an average of USD 50,’ Rim Turkmani and her collaborators in the LSE’s ‘Security in Transition’ programme (including Mary Kaldor) found, ‘in addition to food parcels.’  And at times, they continued, ‘fighters are only paid in food.’

Putting all this together, Rim produced this diagram which traces the journey of a loaf of bread from Damascus into East Ghouta and shows how extensive was the system of exchange whose fulcrum was al-Wafideen:

Underground economies

In his detailed analysis of the tunnels excavated and operated by the armed opposition groups in the Ghouta, Aron Lund explains:

Apart from the Wafideen Crossing, the Eastern Ghouta has been supplied through a system of secret tunnels and semi-informal frontline crossings. While the crossings can bring in a far greater volume of trade, the tunnels serve to import goods that are restricted or banned by the government (including fuel, medical supplies, and arms), to move people in and out of the enclave, and to challenge and undercut food prices set by the Wafideen monopolists.

Digging the tunnels was difficult and dangerous work – but in a place where the economy was collapsing, where there were so few jobs to be had, and where some rebel groups resorted to more directly coercive methods of recruitment the work proceeded apace:

Men of Douma work in three shifts a day to finish their job, using primitive tools. “Each worker has one meal – either breakfast with an egg and a piece of bread, or lunch with rice and bread. The digging never stops. When we hit a large rock or anything like it, we turn on the generator and use a jackhammer,” said Abdullah, a tunnel digger. When asked about the reason that men take this job and whether it pays well, Abdullah said: “Many have lost their job because of the ongoing war, so we have no means to earn money to buy food. Prices are also very high because of the prolonged siege. They pay around 1,000 Syrian pounds per worker, which covers the price of a kilo of flour….”

“When we first started digging tunnels, we faced many difficulties; however, we found solutions and continued the operation. For example, we pumped oxygen at certain points inside the tunnels, which is very important for the workers. We also set up pillars inside the tunnel to prevent them from collapsing over the workers, which had happened often earlier, and killed and trapped many workers for many hours before we could rescue them,” said Abu Mahmoud.

There were five main tunnels (I’ve taken most of these details and the maps from a report by Enab Baladi‘s Investigative Unit on ‘The economic map of Ghouta‘).  

The first (the Zahteh or Central Tunnel) ran 800 metres from Harasta under the Damascus–Homs highway to Qaboun; construction was started by Fajr al-Umma towards the end of 2013, and the tunnel opened the following summer.  It soon emerged as ‘the primary [clandestine] artery for the Eastern Ghouta’s siege economy’.

In January 2015 Jaish al-Umma opened a second, parallel tunnel, but Fajr al-Umma soon controlled this route too:

In May 2015 two other rebel groups, Failaq al-Rahman and al-Liwan al-Awwal, dug the so-called ‘Mercy Tunnel’ from Arbin to Qaboun; this was much longer than the previous two (2,800 metres) and wide enough to allow the passage of cars and even Kia 2400 trucks.

In June 2015 Jaish al-Islam constructed a 3km tunnel from Arbin and Zamalka to Qaboun; it too was wide enough to accommodate small trucks.

In September 2015 Falaq al-Rahman joined with Jabhat al-Nusra in Qaboun to establish a third tunnel under its control, the ‘Nour [Light] Tunnel’, from Arbin to Qaboun for foot traffic only.

These were the main tunnels, but several smaller tunnels were dug between the Ghouta and Jobar, and others were dug primarily for (para)military purposes to move personnel, ammunition and armaments.  Other tunnels were dug within the Ghouta as defences against air strikes; they served multiple purposes, not least connecting the dispersed facilities of underground field hospitals (more on this in a later post).  One SAA informant described to Robert Fisk what he saw when he entered Douma in March 2018:

I have never seen so many tunnels. They had built tunnels everywhere. They were deep and they ran beneath shops and mosques and hospitals and homes and apartment blocks and roads and fields. I went into one with full electric lighting, the lamps strung out for hundreds of yards. I walked half a mile through it. They were safe there. So were the civilians who hid in the same tunnels.

The main cross-line tunnels were used for multiple purposes too: but commercial traffic was always an important consideration.

I describe this as commercial not only because the goods were sold at stores inside Ghouta but also because the tunnels provided the groups that controlled them (often through nominally civilian front organisations or ‘foundations’) with income and resources.  This caused considerable jockeying between them;  Aron Lund provides a superbly detailed analysis of the rivalries, deals and counter-deals that ensued.

The tunnels were considerable undertakings.  The director of the organisation set up to operate the Mercy Tunnel told Enab Baladi that it cost 30,000,000 Syrian Pounds each month to cover ‘the expenses of nine Kia 2400 trucks that work between 3 p.m. and 6 a.m. and the salaries of 450 employees, including drivers, workers, administrators, officials and custodians, in addition to security officials.’

There were three streams of commercial transactions.  The first involved the passage of civilians and, like all movement through the tunnels, was closely controlled by the rebel groups.  One of Enab Baladi‘s informants outlined the rules:

Those passing through the tunnels must be born before 1970, since the factions are in need of young fighters.

The person passing must provide clearance from the Unified Judiciary, to prove that there are no cases outstanding against him or her, and a clearance from the Housing Bureau.

Fighters must provide an official permit  (below) from their faction.

All documents must be submitted to the Crossing Office, which will assign the person a date to pass.

Medical emergencies are exempted from the waiting period, but must provide a report from the Unified Medical Bureau.

Under no circumstances are weapons allowed to leave Ghouta.

No goods other than clothes and basic supplies are allowed (not to exceed two bags).

Abu Ali described how he and his family made their escape:

The process of applying to use the tunnel, he said, was strangely bureaucratic for such a risky method of escape: He submitted an official request at a Jaish al-Islam office and was informed two weeks later that it had been granted… [He] and three other families granted access to the tunnel started their journey on a bus from the city of Hamouriyya.

“The bus took us to the city of Arbin. In Arbin, the bus took side streets, so that we wouldn’t be noticed. We finally arrived at a house where our identification cards were checked, and our luggage was searched. We were told that we had to be very careful, so no one would discover where the tunnel was,” he said.

The tunnel “was very tight – there was barely enough room for two people to walk side by side and it was about two meters in height. In addition to lights, the tunnel had turbines for ventilation purposes.”

These rules were never set in stone, still less once the co-operation implied by the ‘Unified Medical Bureau’ and the ‘Unified Judiciary’ [established in the summer of 2014] broke down and in-fighting between the groups controlling the tunnels became commonplace.  Despite the age restrictions, some of them were willing to allow young people to pay for a permit: the cost varied between 100,000 and 200,000 Syrian pounds.  If they wished to escape Qaboun or Barzeh, they would then pay further bribes to the soldiers and security officers controlling the regime’s checkpoints into Damascus.

There was one constant: the rules allowed for the evacuation of medical emergencies but no medical staff – doctors, nurses, pharmacists – were permitted to leave.  In fact it seems unlikely that many serious medical cases were evacuated through the tunnels either. They would not have found better treatment in Barzeh or Qaboun, but during the early stages of the truce some patients were allowed to cross from those besieged districts into Damascus.   Dr Immad al-Kabbani testified that ‘for a period beginning in September 2014 we were able to evacuate a minimum of 20 patients and their families each week’ through the tunnels (and even ‘to send biopsies from cancer patients to cooperative labs in Damascus for diagnosis’) but by March 2016 the clandestine system was already failing. One cancer patient was allowed to leave for radiation therapy which was unavailable at the Dar al-Rahma Center for Cancer in Ghouta, but her journey turned out to be fruitless:

 I received no care at hospitals [in Damascus] so I relapsed and the tumour returned to its previous status. I decided to go back to Eastern Ghouta through the same tunnels to have the chemical doses.

That same month patients were travelling in the opposite direction.  A doctor from the Syrian-American Medical Society testified:

Now, as access to Damascus has been cut off, the 35,000 civilians inside Barzeh have extremely limited access to healthcare, and must travel to East Ghouta to obtain treatment. Even the dialysis patients in Barzeh are traveling to East Ghouta [via the tunnels] to obtain treatment with the extremely limited supplies.

For a time the tunnels were a two-way street of sorts for cancer patients: those who needed chemotherapy were treated at the Dar al-Rahma Center in Ghouta, using medical supplies smuggled through the tunnels [below], while those needing radiotherapy were taken through the tunnels to al-Nawawi hospital in Damascus.  According to the director of the Dar al-Rahma, ‘after the closure of the tunnels, there is no possibility of providing either of the treatments.’

By the time the tunnels were closed in February 2017 the UN estimated that around 80 patients out of 700 estimated to be in need of urgent treatment had been evacuated from East Ghouta through the tunnels.  Some were transferred because there were no specialists available inside the besieged area, others because clinics there had been denied the medicines and equipment needed to treat them.  But the numbers were small when set against the extensive record of seriously injured or ill patients being placed on evacuation lists from the Ghouta only to have their doctors’ requests refused or ignored by the Syrian government.  Once the tunnels were closed ‘all movement of patients was halted.’

The second stream of traffic involved everyday supplies of all kinds, including food and fuel.  Some rebel groups limited their dealings to particular merchants but in every case a tunnel ‘tax’ was levied.  The usual fee seems to have been 10 per cent but there were times when 25 per cent and even 45 per cent of the value of the goods was levied.  The ‘tax’ was paid in cash or in kind: the different factions maintained their own warehouses and usually gave their own fighters and supporters privileged access to the supplies they skimmed from the shipments.  During the first two months that the Mercy Tunnel was in operation, for example, Falaq al-Rahman allegedly ‘filled its warehouses with more than 12 tons of goods, claiming that it had to secure its fighters first.’  As this implies, the totals involved were small – they paled into insignificance alongside the commercial shipments through al-Wafideen – but they provided the armed opposition groups with significant financial gains.  Enab Baladi again, citing one of the directors of the Mercy Foundation:

“Everyone finds in the tunnel the perfect opportunity to make money. Since the very first tunnel was completed, Fajr al-Umma, the faction that had dug the tunnel, took control of all incoming goods and sold them for extremely high prices. In 2014, for example, 1kg of sugar was sold for 60-70 Syrian pounds [around 30 cents] in Damascus, but Fajr al-Umma sold it for 3, 500 Syrian pounds [more than $16] within Ghouta.”

These exactions – and the subterranean monopolies that underwrote them – prompted endless negotiations (and worse) between the groups over shared access.  Kholoud al-Shami suggested that Jabhat al-Nusra planned the Nour Tunnel explicitly to undercut its rivals, bring prices down, and so boost its support among the besieged population.  One local resident told her:

It appears that Nusra’s goal is to reduce the suffering of the besieged residents, who had begun cursing the revolution and the rebels because of Falaq al-Rahman and Fajar al-Umma keeping prices high. All factions want to build up their popular support, which is what Nusra is doing… Local residents have viewed the drastic drop in prices positively and stood in solidarity with Jabhat a-Nusra when Falaq al-Rahman prevented them from selling gasoline at reduced prices when they were still sharing a tunnel.

Similarly, Jaish al-Islam apparently pressured Fajar al-Ummah to lower its prices. It was an intricate and constantly changing story, but running through all these deals was the imbrication of the political with the economic.  The attempts to lower prices were all about more than the high-minded desire to ‘reduce suffering’: they were also aimed at boosting support for one faction over another.

The third stream of traffic consisted of medical supplies.  I have separated these from other supplies because they were categorically barred from the al-Wafidden crossing; even UN convoys with the appropriate authorisations had them removed at the checkpoint.  Yet they were vital.  Inside Ghouta doctors were struggling with often catastrophic injuries from shelling and bombing, and doing their best to treat seriously ill patients with chronic conditions (how often we forget that people still get sick in war zones).  With no provision possible through the overland crossings, doctors had to use the tunnels.  A team from the Union of Free Syrian Doctors worked around the clock in Barzeh to obtain vital medical supplies for hospitals and clinics in Ghouta, but by the time they had paid Syrian Arab Army soldiers controlling checkpoints on the highway and then the tunnel tax – medicines were not exempt but were charged ‘only’ 5 per cent – the costs of even routine medications had soared.  Students from the Columbia School of Journalism reported:

By the time all the fees are paid, the price of medical supplies in Eastern Ghouta “is three times higher, sometimes as much as five times, than what’s in the north or south of Syria,” said [Mahmoud] al-Sheikh [director of the Unified Revolutionary Medical Bureau in Eastern Ghouta]. A liter of serum, which is used to help the body replenish lost blood, goes for about $1 in regime-controlled areas (one liter is about one fluid quart). But health workers say they’ve paid anywhere from $3.50 to $10 for one liter of serum brought in from Barzeh.

[Osama] Abu Zayd [a medical equipment engineer with the Union of Free Syrian Doctors] estimates that Ghouta, with its many neighborhoods, needs about 10,000 liters (more than 2,600 gallons) of serum per month.

Whatever came through the tunnels, it was never enough, and all three traffic streams came to a juddering halt as the offensive against Barzeh and Qaboun was renewed.  During the winter of 2016-17 the regime sought to amend the terms of the truce, stipulating that the smuggling trade had to stop; then in February 2017 it peremptorily closed the checkpoints so that supplies from Damascus dried up, and within days nothing was moving through the tunnels to Ghouta.

The fighting that followed was protracted and bloody, and thousands fled through the tunnels to find refuge in East Ghouta.  But by the end of February the Syrian Arab Army occupied the warehouse concealing the portal to the Zahteh Tunnel, and by the middle of May, when the remaining opposition fighters in Barzeh and Qaboun had surrendered and the population was forcibly evacuated, all the major tunnels had been breached.  

State media published videos showing the army cutting the tunnels and carrying out controlled explosions.  The ultimate objective was not only to take down Barzeh and Qaboun but ‘to strangle the Ghouta … by closing off the crossings and tunnels,’ a spokesman for Jaish al-Islam explained.  ‘Trade through the tunnels has completely stopped.’

The loss of the tunnels triggered panic buying in Ghouta, driving prices still higher, and triggered a new round of fighting between the two major blocs of rebel fighters (Jaish al-Islam based in Douma and Falaq al-Rahman in fractious and as it turned out temporary alliance with Hay’at Tahrir a-Sham, which later became Jabhat al-Nusra, which were based in the so-called ‘Central Section’ to the south and the west).

Residents of the Ghouta demonstrated against the infighting – and, in a displaced and horrifying repetition of the tactics employed by regime’s security forces, Jaish al-Islam opened fire on the crowd – and the deepening tension served only to aggravate the economic crisis.  In July 2017 Alaa Nassar reported:

Dozens of recently erected checkpoints and berms split the suburbs [of East Ghouta] in half. For residents trapped inside the Central Section, this means a lack of access to the Wafideen crossing and, therefore, to outside resources.

By September 2017 the Syrian-American Medical Society‘s report on the siege of East Ghouta described a truly dreadful predicament:

In a report for the Middle East Institute, ‘Sieges in Syria: Profiteering from misery‘ (2016) Will Todman summarises the two sets of cross-cordon transactions I’ve described so far – overt commercial transactions through al-Wafideen and clandestine transactions through the tunnels – like this:

It’s an effective summary but, as I now need to show, the bottom line (sic), in which UN convoys are described as ‘an effective means to get goods to civilians at a lower price,’ is problematic.

Aid convoys

Like the commercial convoys of merchandise that were allowed in to East Ghouta, humanitarian aid came in through al-Wafideen (above).  Unlike the commercial flows, however, humanitarian aid was rigorously policed, strictly limited and utterly spasmodic. In Douma, for example, which had been under siege since 2013, the first UN interagency aid convoy did not arrive until 10 June 2016 (below). Its 36 trucks provided emergency food, wheat flour, and nutrition supplies for only 17 per cent of the population.  Those stocks were supposed to last for one month, but the next convoy did not arrive until 19 October 2016, with 44 trucks carrying food supplies for 24 per cent of the population (baby milk had been removed at the checkpoint).  Those supplies were also intended to last for one month, and a third convoy duly arrived at al-Wafideen with supplies for 49 per cent of the population on 17 November 2016.  But the mission was aborted because ‘it lacked specific approval needed to proceed without dog searches and unsealing of the trucks.’  The next UN convoy arrived on 30 October 2017.

I have extracted most of these details from a report prepared by Elise Baker for Physicians for Human Rights with the dismally appropriate title Access Denied.  The report describes a system of deliberate obstruction of humanitarian aid by the Assad regime that imposed – by design, remember – ‘slow, painful death by starvation’ on populations in areas besieged by its forces: what the report also calls ‘murder by siege’.

There have been two main modalities of obstruction.  The first has involved a byzantine process through which UN agencies have been required to obtain formal permission from the government to deliver humanitarian aid.  Following the establishment of a joint working group to facilitate (sic) the process in 2014, it was agreed that each convoy would need approval from the Ministry of Foreign Affairs and ‘facilitation letters’ from the Ministry of Social Affairs, the Syrian Arab Crescent and (in the case of medical supplies) the Ministry of Health.  The process was described by the UN Humanitarian Coordinator as ‘extremely complex and time-consuming’, and matters were not improved by the introduction of additional clearance requirements from the High Relief Committee and the National Security Office.

After repeated protests from the UN the Syrian government finally agreed to ‘simplified procedures for the approval of interagency convoys across conflict lines‘ in March 2016, that should have reduced an eight-step process to a two-step process, with all approvals (or refusals) being issued within seven working days.  In practice, the two-step became a ten– or even eleven-step process.  In January 2017 the UN Security Council was advised of ‘subsequent administrative delays on the part of the government, including in the approval of facilitation letters, approval by local governors and security committees, as well as broader restrictions by all parties [that] continue to hamper our efforts’ to deliver humanitarian aid to besieged populations.  Even with approvals from the authorities in Damascus, protocols were routinely violated at checkpoints.   Stephen O’Brien elaborated:

We continue to be blocked at every turn, by lack of approvals at central and local levels, disagreements on access routes, and by the violation of agreed procedures at checkpoints by parties to the conflict. Are these important? Yes. We can’t – and if I may quote – “just plough on” or “just get on with it” as I’ve heard one member sitting around this say table to me. Because if one brave aid worker drives through the checkpoint without the facilitation letter and the command transmitted down the line, the check-point guard or their sniper takes the shot.

In a statement two months later he bluntly declared: ‘The current bureaucratic architecture is at best excessive and at its worst, deliberately intended to prevent convoys from proceeding.’

The second modality of obstruction was to withhold permission altogether.  The chart below was compiled for PHR’s Access denied; notice the substantial differences between the populations for whom the UN requested access and the populations for whom access was approved, a difference that was the product of both outright rejection and a calculated failure to respond.

Notice too the still smaller population eventually reached by the aid convoys:

From May through December 2016, on average, Syrian authorities authorized UN interagency convoys to deliver aid to approximately two thirds of the besieged and hard-to-reach populations that UN authorities requested access to each month – a figure which, in itself, represents a fraction of the entire besieged and hard-to-reach population. However, UN convoys only reached 38 percent of that smaller approved population, due to additional approval procedures and other delays imposed overwhelmingly by government officials…  At worst, this pattern reflects an effort by Syrian authorities to appear cooperative while still ensuring that access to besieged areas remained blocked.

The approval process allowed the authorities not only to veto the populations permitted to receive humanitarian aid but also to restrict the amount and composition of that aid.  In November 2017, for example, a UN convoy of 24 trucks was allowed in to Douma – the first since August – with food for an estimated 21,500 people (the original request had been for supplies for 107,500); medical supplies had been removed from the convoy.  In March 2018 another, much delayed convoy reached Douma with food for 27,500 people (below); deliveries were interrupted by renewed shelling and 10 of the 46 trucks were forced to return with their loads.  Marwa Awad, who accompanied the convoy with the World Food Programme, described what she found:

Volunteers gathered to help offload the aid from the trucks, including WFP’s wheat flour which the men were offloading into underground cellars. Speaking with the local council, we learned that there were more than 200,000 people in Douma, many of them displaced from nearby villages and other areas within Eastern Ghouta, and all of them needing food and medicine….

Leaving the devastation above, we took a long and narrow staircase deep into Douma’s underworld: a network of basements that has become fertile ground for disease and infection.  Many residents are forced to live underground, crammed together in packed spaces to avoid airstrikes…

There we met Mustafa, a man in his twenties.

“The food aid trickles in very slowly, drop by drop. Many families here are struggling. I hope whoever is hungry gets help,” he said. Because of the increasing demand for food and limited quantities allowed inside, residents of Douma have had to split the food assistance WFP delivered during an earlier convoy in order to reach as many people as possible.

The convoy took place at the height of the final military offensive against the Ghouta: yet the World Health Organisation said that Syrian government officials had ordered the removal of 70 percent of the medical supplies it had prepared for the convoy, including all trauma kits, surgical supplies, dialysis equipment and insulin.

The control exercised by the Assad regime over humanitarian aid derived not only from formal procedures, or the subsequent ‘deletions’ and on occasion, even contamination of supplies at checkpoints; it also depended on the system of clandestine intelligence built in to the architecture of the authoritarian state. The head of one UN agency working out of Damascus told one US/UK investigation team:

We were spied on, followed, our computer traffic was monitored, our notebooks stolen, they knew what we were doing. I’m not sure anyone appreciates how hard all of this was . . . the daily grind of getting a tiny concession of access or movements of goods. The SARC [Syrian Arab Red Crescent] were used as a proxy to control and spy on us and contain us.

So many controls.  And yet UN Security Council resolutions 2139 (2014), 2165 (2014), 2191 (2014) and 2258 (2015) authorized the unconditional delivery of humanitarian assistance, including medical assistance, to besieged and hard-to-reach communities countrywide.  The emphasis is mine; the wording is the UN’s.  But the Assad regime clearly called the shots and imposed the most exacting conditions on the delivery of humanitarian aid to besieged areas like the Ghouta.  The UN even deferred to the Syrian government over the identification of what constituted a siege; its mappings of besieged and ‘hard-to-reach’ areas were far more restrictive than those conducted by Siege Watch or the Syrian-American Medical Society.  Its in-country contracts had to be approved by the government, and not surprisingly many of them – individually worth tens of millions of dollars for accommodation, trucks, fuel, and cellphone service – were with businesses closely tied to the Assad regime.   As Reinoud Leenders put it, ‘the Syrian regime’s aggressive assertions of state sovereignty have locked UN aid agencies into a disturbingly submissive role.’

A report from the Syria CampaignTaking Sides – found that humanitarian aid delivered under the auspices of the UN was disproportionately directed towards areas under the direct control of the Assad regime.  Here is the distribution of aid through the World Food Programme – the largest UN agency handling food aid – shortly after the passage of UNSC 2139, revealing what John Hudson described as ‘Assad’s starvation campaign’:

The following month (April 2014) 75 per cent of food aid delivered from inside Syria went into government-controlled areas.  Two years later (April 2016) 88 per cent of food aid delivered from inside Syria went into government-controlled territory; once cross-border deliveries from Iraq, Jordan, Lebanon and Turkey were taken into account – now authorised by further UN Security Council resolutions – the (dis)proportion going into government-controlled territories fell to 72 per cent.  But by April 2017 it had increased to 82 per cent.  

Still, these raw figures conceal as much as they reveal; humanitarian aid for government-controlled areas has not been subject to the same restrictions, deletions and delays as aid for areas outside the regime’s direct control.  Convoys were far more frequent, loads were larger, and medical supplies were not removed.  The Assad regime frequently represented aid to areas under its control as both a gift from the government (through granting access to international agencies) and a gift of the government: at its highest levels, the Syrian Arab Red Crescent (a central and compulsory actor in these deliveries) is a de facto arm of the state.  There was and continues to be an undoubted need for aid throughout Syria, but according to the UN’s own figures 54 per cent of the population in need lived in government-controlled areas in 2016.  Accordingly, Taking Sides argues that 

The effective subsidy of government areas releases resources that are likely used by the government in its war effort. The UN has enabled one side in the conflict to shift more of its resources away from providing for the needs of its people and into its military campaign.

The official position was always that the UN had to comply with the Assad regime’s predilections and stipulations as a necessary price for access to the besieged areas, but David Miliband (President of the International Rescue Committee) countered that ‘the Assad regime can’t afford to kick the UN out of Damascus [because] the UN is feeding so many of [Assad’s] own people.’  

Conversely, the carefully calibrated restrictions placed by the regime on flows of goods through al-Wafideen into the Ghouta amounted to an assertion of continued control over the besieged population.  Esther Meinghaus [‘Humanitarianism in intra-state conflict: aid inequality and local governance in government and opposition-controlled areas in the Syrian war’, Third World Quarterly 37 (8) (2016) 1454-82] argues that in those areas where the regime was not able to maintain military control it exercised effective ‘humanitarian control’ by continuing to dictate the parameters within which the population lived (and died).  In consequence, like Esther, José Ciro Martinez and Brett Eng [‘The unintended consequences of emergency food aid: neutrality, sovereignty and politics in the Syrian civil war, 2012-15’, International Affairs 92 (1) (2016) 153-73; also available here] describe besieged areas like the Ghouta as spaces of exception.  They reveal a persistent attempt by the Assad regime to separate those ‘included in a juridical order and those stripped of juridical-political protections – a separation between life that is politically qualified and one that is “bare” or naked.’  But as José and Brett emphasise, actors inside the Ghouta (and outside) have repeatedly called into question the actions of the Syrian government and its allies and sought to confound them.   The political salience of those counter-strategies is itself compromised, they insist, by treating humanitarian aid as a ‘neutral’ and essentially technical matter of alleviating physical distress and deprivation – the register within which UN agencies conceive their interventions – because that is to become complicit in the reduction of besieged populations to ‘bare life’: ‘Those receiving assistance are valued strictly in terms of their biological life not their political voice’ (p. 165).

The administration of precarity

Throughout this essay I’ve written about ‘the administration of precarity’ because – following David Nally‘s wonderful example – the siege economy was administered by multiple actors whose regulations and restrictions made them responsible for delivering precarity to the besieged population.  That the Assad regime and its allies had a direct interest in doing so followed directly from their strategy of ‘surrender or starve’, and there was an elaborate web of exactions and extortions reaching from the highest levels of the state down to the foot soldiers who controlled the checkpoints and crossings.  The rebel groups were involved too, but they had a more direct interest in the subterranean smuggling economy, levying fees in cash or in kind on flows through the tunnels to boost their coffers and secure their own supporters.  But the United Nations and its agencies were also culpable in acceding to the demands of the Assad regime, allowing it to funnel most humanitarian aid to areas under its control and condemning the civilian populations in besieged areas to half-chance lives of ever increasing precarity.

Yet precarity does not mean passivity, and a ‘siege economy’ is always more than a political economy: it is also and always what E.P. Thompson would have called a moral economy.  The rebel groups in the Ghouta were chronically incapable (or uninterested) in finding common ground, and their support amongst the besieged population was uneven and variable.  As the siege wore on, protests against their exactions and impositions – and the infighting amongst them – multiplied.  For all that, many (and probably most) civilians remained opposed to the Assad regime, and we should remember too that the war emerged out of the violent response of the state to peaceful protests by ordinary people in the Ghouta and elsewhere calling for democratic reforms.  This matters because as I worked on this essay – watching the videos, reading the reports, unearthing the testimonies – I became aware of an extraordinary resilience and communal solidarity forged within the population.  I think of the ingenuity of the rooftop farmers, the fuel distillers, and the makers of gauze and medicines; the dedication of the doctors, nurses, ambulance drivers and rescue workers faced with so many grievously wounded and seriously ill people; the courage of mothers sharing blankets and what little food they had and singing songs and sharing stories as they huddled with their children in the crowded basements sheltering from the bombs and missiles (see here).

I wrote those words last night; this morning I read this moving letter from the Syria Campaign on ‘Leaving Ghouta‘:

Over the past five years, Ghouta has faced terrible violence including the sarin gas chemical attack that took the lives of hundreds in their sleep. And despite it all they have taught the world a lesson in courage and resilience. When the regime lost control of Ghouta its people built new forms of local governance and held free elections for the first time in Syria’s history. When the bombs started falling on neighbourhoods its teachers and doctors took schools and hospitals underground and ordinary residents put on white helmets and rushed to rescue their friends and neighbours. The people of Ghouta launched inspiring civil society projects, often women-led. They created new media platforms and produced award-winning photojournalism. They created alternative energy resources and introduced new farming techniques.

But after this latest, relentless onslaught, people were truly left with no choice. If they remained in Ghouta they risked being detained and tortured as the Syrian regime closed in, particularly the ones who decided to teach, treat the wounded, or post updates to Facebook. So now many are leaving behind everything they’ve ever known to go to a place that isn’t that much safer. The province of Idlib, home to more than two million, is also being struck from the air by the Syrian regime and its Russian ally.

If only the ‘international community’ had been even half the community created by these brave men and women.

To be continued

Cities under siege (II)

In this second post on Cities under siege I provide a back-story to the re-intensification of military and paramilitary violence against civilians in Syria I described here.  But it’s also a back-story to the stunning image above, ‘Deluge’ by Imranovi: people were evacuated to what eventually became nominally ‘de-escalation zones’ from besieged cities like Aleppo, but many more continued to flee Syria altogether – like Imranovi himself (more on Imranovi here and here).  It’s worth pausing over his artwork: every time we see video of those perilous boats crammed with desperate refugees we ought to reflect on the oceans of bloody rubble strewn across their land and the millions of other displaced people in their wake.

There is a close connection between internal displacement and cities under siege.  Here is the UN’s estimate of the displaced population in December 2016:

They are concentrated in towns and cities.  Many people have managed to escape areas under siege, risking their lives to do so, but many others have sought refuge in towns and cities that have themselves come under siege.  Here, for example, is Siege Watch‘s description of Eastern Ghouta in mid-2016:

The capture of besieged towns on the south and eastern sides of Eastern Ghouta had a negative impact on conditions throughout the entire besieged region. IDPs from the frontline areas fled into host communities that have also been subjected to the same long-term siege and lack the infrastructure and resources to support the newly displaced families. There is now a higher concentration of people living in temporary shelters or sleeping on the streets.

The UN defines a besieged area as ‘an area surrounded by armed actors with the sustained effect that humanitarian assistance cannot regularly enter, and civilians, the sick and wounded cannot regularly exit the area.’  

But the definition  and its application turn out to be as problematic as perhaps you would expect.  Here is Annie Sparrow:

Estimates of the number of Syrians currently living under siege vary widely, according to who is doing the reporting. For example, last December [2015], the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) in Damascus communicated back to the UN secretary-general’s office that 393,700 civilians were besieged. For the same period, Siege Watch estimated that the real figure was more than one million…

From its base at the five-star Four Seasons Hotel in Damascus, OCHA decided that an area is merely “hard to reach” rather than besieged if it has received an aid convoy in the last three months, regardless of whether the supplies are sufficient for one month, let alone three.

One doesn’t need to travel far from Damascus to see how little a distinction there often is between a “hard to reach” and a “besieged” area.

I’ll return to that last, vital point, but here are two of those OCHA maps.  The first shows the situation in January 2016 and the second in April 2017:

Even those attenuated maps are alarming enough, but the Syrian American Medical Society (SAMS) also believes that the OCHA reports systematically under-report the magnitude of the crisis, and in Slow Death: Life and Dearth in Syrian communities under siege (March 2015) they provided a more sensitive three-tier classification.

These are, of course, heterogeneous communities – none of the reports I have cited (nor those I will draw on later) conceals the presence of armed groups of various stripes within them, often jostling for control – but siege warfare renders them as homogeneous.  The presence of civilians, for the most part desperately struggling to survive in the midst of chaos and conflict, is erased; this begins as a discursive strategy but rapidly becomes a visceral reality.  In short, siege warfare becomes a version of enemy-centric counterinsurgency and counterterrorism, the Syrian government less invested in ‘performing the state’ through the provision of services than in denying services to the entire population in these areas.  By these means the Assad regime has pursued a strategy that mimics the Islamic State’s determination to ‘extinguish the grey zone‘:

Like Annie, I have been impressed by the work of Siege Watch and so I’ll start with their regular reports that have provided a series of powerful insights into the effects of sieges on everyday life.  In their first report they identified characteristics shared by all communities besieged by the Syrian government.  When that report was compiled almost 50 communities were besieged; only two of them were under siege by forces other than the Syrian government and a third was besieged on one side by the Syrian government and on the other by Islamic State.

There are three characteristics that I want to emphasise:

Deprivation:

  • ‘Civilians in the besieged areas struggle to survive. Electricity and running water are usually cut off, and there is limited (if any) access to food, fuel, and medical care. In many of these areas, civilians have died from malnutrition due to the severity with which the blockades are enforced. In all of these areas, civilians with diseases, chronic conditions, and injuries have died as a result of the lack of access to medical care. Other recorded causes of siege-related deaths include hypothermia due to the lack of heating oil in the winter, and poisoning after eating something toxic while scavenging for food. Poor sanitation conditions in the besieged areas have resulted in frequent outbreaks of infectious diseases.’

Extortion and economic development:

  • ‘The pre-war economies in all of the government-besieged areas have collapsed. They have been replaced with siege economies that depend on smuggling, bribery, and local production; and because they are nearly-closed economic systems they experience extreme price volatility. Unemployment levels in besieged areas are high, reaching 100% in some of the worst Tier 1 communities such as Jobar. The Syrian government profits off of the sieges by allowing a few pro-government traders to sell goods – sometimes expired – through the checkpoints at tremendously inflated prices and taking a cut of the profits. Sometimes civilians can pay extremely high bribes to government forces or smugglers to escape the besieged areas, although both methods entail tremendous personal risk. These extortive practices have drained the areas under long-term siege of their financial resources.’

An improvised fuel stand in besieged Eastern Ghouta, February 2017

Violence:

  • ‘Most of these besieged areas are targeted with violent attacks by the Syrian armed forces and its allies. In addition to sniping and the use of explosive weapons with wide area effects in populated areas, there have also been confirmed uses of internationally banned weapons such as landmines, cluster munitions, and chemical weapons….  Most of the communities also contain AOGs [Armed Opposition Groups] which defend the the areas against incursion by pro-government forces, launch offensive attacks against the Syrian military and its allies, and coordinate with the Local Councils to varying degrees. Many Siege Watch survey respondents noted that AOGs were present only around the periphery of their communities, and a few respondents from towns in the interior of the Eastern Ghouta said that AOGs were not active in their areas at all.… [In addition] both Syrian government forces and extremists compete to recruit recruit men and boys from besieged communities using threats, blackmail, fear, propaganda, and indoctrination.’  

Siege Watch notes how, in consequence, ordinary people have ‘adjusted’ to these new, bleak realities: ‘Creative survival tactics such as rooftop gardening [below: eastern Aleppo], burning plastic to extract oil derivatives, and the local production of some basic medical supplies have become more common over time, and people have begun to acclimatise to a more primitive lifestyle’ [see also here].

That sentence gestures towards a sharper point made by José Ciro Martinez and Brent Eng (‘Struggling to perform the state: the politics of bread in the Syrian civil war’, International political sociology 11 (2) (2017) 130-47):

‘Most accounts [of the war in Syria] choose to privilege bellicose affairs over the humdrum concerns of daily life, which are deemed humanitarian issues separate from the violent battles and geopolitical struggles said to comprise the “actual” politics of war. This portrayal of conflict is illusory: it disregards the majority of interactions that shape both life and politics in contemporary war zones, where “most people most of the time are interacting in non-violent ways” (Tilly 2003, 12). One result of prevalent depictions of civil war is that civilians are frequently rendered powerless. If they do appear, it is as pawns in a conflict fought by armed groups autonomous from the societies they struggle to control.’

That’s an important qualification, but it plainly doesn’t erase the struggles of civilians either – which makes ‘acclimatisation’ a remarkably weak term to describe the multiple, extraordinary ways in which civilians have been forced to adjust to a new, terrifyingly abnormal ‘normal’ in order to survive.  Here, for example, is a doctor in Homs describing ‘Siege Medicine’ [more here]:The Center for Civilians in Conflict has also provided a report on civilian survival strategies that lists a series of other extraordinary, collective measures (and the title, Waiting for No One, says it all).  These strategies include the provision of makeshift early warning systems against incoming air attacks (spotter networks, radios and sirens); the provision and protection of medical infrastructure (in part through improvised field hospitals and the construction of underground hospitals); and the development of local aid and rescue teams (including the Syrian Civil Defence or White Helmets); protection from unexploded ordnance (‘the armed groups typically harvest them for their own makeshift weapons’ but the White Helmets and other groups have sought to render them harmless).

But Siege Watch – and José and Brent – have in mind something more: something in addition to strategies that are necessarily but none the less intimately related to direct, explosive and often catastrophic violence.  They also want to emphasise the ways in which otherwise ordinary, everyday activities have been compromised and ultimately transformed by siege warfare.

Here I focus on food (in)security.  Here is Annia Ciezadlo reporting from Yarmouk in Damascus:

In a dark kitchen, by the flickering light of a single safety candle, two men bundled in hats and jackets against the cold put on an impromptu video satire: live from Yarmouk, at the southernmost edge of Damascus, a cooking show for people under siege.

“This is the new dish in the camp of Yarmouk. It hasn’t even hit the market yet,” said the man on the right, 40-year-old Firas Naji, the blunt and humorous host.

He picked up a foot-long paddle of sobara, Arabic for prickly pear cactus. Holding it carefully by one end to avoid thorns, he displayed first one side and then the other for the camera.

“In the U.S., they get Kentucky [Fried Chicken], hot dogs. In Italy, spaghetti and pizza,” he said, his raspy voice caressing the names of unattainable foods. “Here in Yarmouk, we get sobara.

“It’s not enough we have checkpoints in the streets and shelling,” he added, laying the cactus back on the counter with a sad laugh. “Even our cooking has thorns.”

 

Yarmouk was established in 1957 as a refugee camp for Palestinians but gradually it had absorbed more and more Syrians displaced by drought, famine and eventually fighting.  As the war intensified, so the siege tightened:

The government checkpoints in and out of Yarmouk would close for four days, then five, then six. Soldiers would confiscate any amount of food over a kilo…. On July 21, 2013, the regime closed the main checkpoint into Yarmouk for good. The siege was total: Nobody could leave, and nothing could enter except what the soldiers permitted.

Over the next six months, the price of everything went up. A single radish reached $1.50 at one point; a kilo of rice was $100.

And so the inhabitants turned to gardening:

Between buildings, in abandoned lots and on rooftops, the siege gardeners of Yarmouk have been cultivating everything from eggplants to mulukhiyeh, a jute plant whose glossy leaves make a rich green stew. Come harvest time, they bag the produce into 1-kilo portions, hang the bags on the handlebars of beat-up bicycles and pedal around the camp distributing the food to their neighbors. They focus on those most in danger of starving: children, poor people and the elderly.

But the situation was much bleaker than the picture conjured up by that paragraph; the siege waxed and waned, and UNRWA was occasionally granted permission to deliver emergency relief, but the image below – of residents queuing for food supplies – shows how desperate the situation became.

Here is a woman in September 2014 describing the horrors of the siege to Jonathan Steele:

There was no anger or hysteria in her voice, just a calm recollection of facts. “You couldn’t buy bread. At the worst point a kilo of rice cost 12,000 Syrian pounds (£41), now it is 800 pounds (£2.75) compared to 100 Syrian pounds (34p) in central Damascus. It was 900 pounds (£3.10) for a kilo of tomatoes, compared to 100 here,” Reem recalled. “We had some stocks but when they gave out we used to eat wild plants. We picked and cooked them. In every family there was hepatitis because of a lack of sugar. The water was dirty. People had fevers. Your joints and bones felt stiff. My middle daughter had brucellosis and there was no medication,” she said. In October 2013, in a sign of how bad things had become, the imam of Yarmouk’s largest mosque issued a fatwa that permitted people to eat cats, dogs and donkeys.

Control of Yarmouk see-sawed between the Syrian Arab Army, Al-Nusrah and Islamic State, with thousands of civilians trapped behind the siege lines so that time and time again the community was thrown back on its own, desperately strained resources to survive.

Here is how Mamoon Yalabasi described a second satirical video from Yarmouk, made shortly after IS over-ran the camp, in April 2015:

“We are in the Yarmouk camp, the camp of plentifulness…  Take a look at the floor,” said the man as the camera shows water in the street. “This is not water. This is an excess of cooking [flooding the streets].”

The youth then moved on to mockingly give his viewers advice on how to lose weight.

“Would you like to lose weight? Green tea won’t work, nor will ginger … just come to Yarmouk camp for five months, in each month you’ll lose 9kg,” he said, adding the Arabic proverb: “Ask someone with experience instead of asking a doctor.”  …  “We ask the troublesome channels that claim Yarmouk camp is under siege to stop reporting that. It is ‘absolutely’ [said in English] not true,” one said.  “It’s true that my grandmother died of hunger but not because the camp was under siege but because my grandfather was so stingy – he never allowed her near the fridge,” he added.

Perhaps you think all this extreme, even exceptional, comforted by those images of rooftop gardens, and believe that those who bravely tended them could somehow perform their own green revolution.  So here are Zeinat Akhras and her brother describing how they survived during the siege of Homs:

The examples can be multiplied many times over, but in a way this last testimony is exceptional – amongst those on which I’m drawing, at any rate – because it only became available once the siege had been lifted.  Those videos from Yarmouk point towards something different: the possibility of breaching siege lines through digital media.

So let me turn to Madaya, a town in the Qalamoun Mountains 45 km north-west of Damascus and once famous for its fruits and vegetables.  It came under siege from the Syrian Arab Army and Hezbollah militias in July 2015: the town was encircled by 65 sniper-controlled checkpoints (below) and its surrounding countryside sown with thousands of landmines.

In January 2016 the UN still classified Madaya as a ‘hard-to-reach area’, so listen to one local resident describing conditions to Amnesty International that same month:

Every day I wake up and start searching for food. I lost a lot of weight, I look like a skeleton covered only in skin. Every day, I feel that I will faint and not wake up again… I have a wife and three children. We eat once every two days to make sure that whatever we buy doesn’t run out. On other days, we have water and salt and sometimes the leaves from trees. Sometimes organizations distribute food they have bought from suppliers, but they cannot cover the needs of all the people.

In Madaya, you see walking skeletons. The children are always crying. We have many people with chronic diseases. Some told me that they go every day to the checkpoints, asking to leave, but the government won’t allow them out. We have only one field hospital, just one room, but they don’t have any medical equipment or supplies.

I’ve described that field hospital before, but Mohammad‘s testimony reminds us that war produces not only catastrophic injuries; it also produces and intensifies chronic illnesses that a protracted siege eventually renders untreatable.  (The Syrian American Medical Society issued a report, Madaya: Starvation under Siege, which you can read here).

Two days later there were reports of a different digital satire: one that denied the existence of a siege in Madaya and mocked its victims.

A hashtag has swept Facebook and Twitter,  #متضامن_مع_حصار_مضايا , which translates to “in solidarity with the siege on Madaya”, where individuals have posted pictures of food or skeletons, mocking those in Madaya. While many believe that the siege is a myth, some appear to be genuinely mocking the suffering of innocent people…’

The posts were subsequently removed, but here is one I captured:

Fortunately a different digital economy was already at work.  Rym Momtaz, a producer with ABC News, had started a text exchange with a young mother of five children in Madaya:

We communicate through secure messaging apps over the phones, over the internet really. So the way we went about finding her was to go through a wide network of sources that we’ve cultivated over the years of covering the war in Syria. We had to work for a few weeks, I have to say, to identify the right person and then to get in touch with her and to gain her trust in order for her to feel comfortable enough to engage in this conversation with us because she felt and her family felt that it might put her in danger.

‘‘She would text me from the moment she woke up, which was very, very, early, like 5 a.m.,’ Rym explained, ‘and then she would text me truly throughout the day.’  And that same month – January 2016 – ABC started publishing those precious despatches from Madaya.  ‘They can’t get out of Madaya – and we can’t get in,’ ABC News’ Foreign Editor emphasised, but ‘they can tell their story to the world.’

Working with Marvel Comics, ABC transformed her story into a free digital comic: Madaya Mom.

For Dalibor Talajic, the Marvel Comics illustrator who worked on the project,

The most striking parts is for me the most intimate ones as she – for instance, she decides to even though they are – they’re all starving, she decides to stop eating herself because this little amounts of supplies and food that she has, she distributes it to her children and of course husband. And she herself just stopped eating. And it’s not like a dramatic decision. It’s, like, a logical thing to do. These are the moments that stick with me most.

And it is through the assault on the intimacies of everyday life – on something as vital as feeding one’s family – that siege warfare is at its most vicious.

In case you are wondering how the family managed to charge their phones, not at all incidentally, here is the answer:

After protracted negotiations aid convoys were allowed in from time to time, but the situation remained grave.  An aid worker who accompanied a UNICEF convoy into Madaya in September 2016 described the stories told by patients who flocked to a makeshift medical clinic:

Parents whose children had stopped eating because their bodies could no longer tolerate only rice and beans. Children who could no longer walk straight because of the lack of Vitamin D and micronutrients that had riddled their bones with rickets, or who had stopped growing entirely, stunted from lack of essential vitamins. One mother showed us her baby’s bottle filled with rice water – the teat so worn it had to be sewn back to together. “Look at what I am feeding my child” she said.

Almost everyone we spoke to asked for protein – meat, eggs, milk, vegetables – something more to sustain themselves than the dry goods that were available. One mother explained that every time her child now smells boiled burgal, she starts to cry.

The doctor reported an increase in miscarriages, 10 cases in the last 6 months, because of the nutritional status of mothers. Over the last year alone, he has had to perform over 60 caesarian sections. This number was unheard of before the crisis, she told us  But women no longer have the strength for childbirth, and many pregnancies go over term, again because of the poor health of pregnant women.

Six months later life in Madaya remained precarious in the extreme:

Throughout the siege there were accusations of profiteering, but these ran in both directions (it is partly through them that Hezbollah elected to acknowledge the suffering of the city – only to point the fingers of blame at the rebels inside).  According to Avi Asher-Schapiro for VICE News, who spoke to the local leader of Ahrar al-Sham, Abdulrahman, via Skype in January 2016:

Hezbollah media outlets are accusing Abudlrahman and his men of confiscating food in Madaya, holding the population hostage, and profiteering during the crisis. In early January, a video surfaced of a woman from Madaya condemning rebels for hoarding food among themselves. The rebels are “only traders in people’s blood,” she told a scrum of reporters who gathered at the barricades outside Madaya. “They only care about securing food supplies for their families.”

That video [above] was aired around the world by Reuters and Al Jazeera. The accusations enraged Abdulrahman. “When Madaya goes hungry, we go hungry,” he says. “These are vicious lies.” VICE News spoke with another woman who claimed to be at the barricades that day. Although it was impossible to verify her claims, she said that Hezbollah fighters — who can be seen in the video frame — told women to condemn the rebels and praise Assad in exchange for food and safe passage from the town.

In a press release from early January, Hezbollah also accused Abdulrahman of profiteering. “Armed groups in Madaya control food supplies within the town and sell to whoever can afford it,” the statement read, “Thus, starvation is widespread among poor civilians.” VICE News spoke to a Hezbollah commander stationed outside Madaya who repeated these claims, and said that Hezbollah has been sending food inside the town. The rebels, he said, are keeping it for themselves. He also strongly denied that Hezbollah was trading food for propaganda.

VICE News also spoke with aid workers at the Doctors Without Borders-affiliated field hospital in Madaya, who reported no interference from Abdulrahman’s men in the dispensation of aid.

For further, still more shocking twists on the story, see here and a response here.  It’s difficult to adjudicate these competing claims in the face of skilfully organised propaganda campaigns (in which the alt.left is often as grotesque as the alt.right), but wherever the truth lies, it is clear that food has been consistently transformed into a weapon of war (‘surrender or starve‘) – a crime expressly forbidden by international humanitarian law (see also here) – and that 40,000 civilians inside Madaya were trapped in the midst of the battle.

In my previous post on this subject, I described all this as the back-story to the carnage now taking place in Idlib, in eastern Ghouta and elsewhere, but it is of course only one back-story: there are many more.  Still, on 14 April 2017 under the ‘Four Towns Agreement’ a fleet of sixty buses transported several thousand people, rebels and civilians, from Madaya – to Idlib.

Only 2,200 out of 40,000 people signed up to go, and ‘Madaya Mom’ expressed the catch-22 facing the besieged population perfectly:

If we leave, we’re labeled terrorists and we go to Idlib where the chemical attack happened last week; and if we stay we don’t know how the government will treat us.

At first, those who left were relieved and even heartened.  Deutsche Welle spoke with one young evacuee from Madaya soon after he arrived in Idlib:

I was surprised. I saw markets [below, June 2017], people walking in the streets; there is electricity, internet, ice cream and food – things we did not have in Madaya. Madaya and Zabadani are destroyed. In Idlib, the destruction is not too bad. There are a lot of cars and I was really surprised to see cars. I felt like the little children that came from Madaya to Idlib: they were surprised when they saw a banana, a cherry, biscuits or chocolate. They have never seen that before. It sounds stupid, but I felt a little bit the same when I saw cars again.

I can eat everything. The first thing I ate was fried chicken and it was great. And I have had a lot of chocolate, too.

But as the interview progressed, his elation was punctured by a growing realisation of the  bleak future ahead:

But in general, Idlib is a poor city… I started to search for jobs, but there are almost no jobs here. Idlib is like a big prison. It’s like Gaza. It’s like Madaya, but a big Madaya. So we are imprisoned here.

We know what horrors lay in wait, and we know something of what is happening in Idlib now.  But what of Madaya?  Here are extracts from a report (‘community profile’) for September 2017 (you can find more from SIRF/REACH here):

  • Movement was unrestricted within Madaya. For movement in and out of the area, two access points have been used since the implementation of the Four Towns Agreement. In September, 26-50% of the population were reportedly able to use formal access points providing they showed identi cation. However, men reportedly did not feel safe using the access points, fearing conscription and detention when crossing, while both men and women reported verbal harassment.
  • Since May 2017, commercial vehicle access has been permitted to the area. However, access restrictions on vehicle entry continued to be reported in September and included documentation requirements, confiscation of loads, required fees and limited entry depending on the day or time.
  • Humanitarian vehicle entry has reportedly not been permitted for the past six months.
  • The cost of a standard food basket in Madaya has remained stable since May 2017, with the average cost around 12% more expensive than nearby communities not classi ed as besieged or hard-to-reach.
  • Water continued to be insufficient and some residents reportedly reallocated money intended for other things to purchase water. Meanwhile, access to generators remained stable at 4-8 hours a day in all areas of the community.

I’m conscious of how much I haven’t been able to address in this post.  In particular, I’ve chosen to focus on the ‘silent violence’ of hunger and malnutrition rather than the explosive violence of mortars, missiles and bombs.  The two coincide in all sorts of ways – think, for example, of the air strikes on bakeries, what Anna Ciezadlo called ‘the war on bread‘, and on hospitals and clinics – but the contrast is really my point.  As one resident of Aleppo told Amnesty,

You need months before you die of starvation. The air strike attacks were a different story. You could die from a piece of shrapnel in a fraction of a second. Nobody was protected from the air strikes and shelling. Civilians, rebels, buildings, cars, bridges, trees, gardens etc. were all a target.

And so one final digital satire.  In April 2016 the Syrian government held elections and claimed that even opposition-held areas were enthusiastically participating.  Responding to what they called ‘the theatrics of the Assad regime’, teenagers in Madaya posted a video of their own mock hustings:The rival candidates were “Deadly Starvation”, “Deadly Illness”, and “Airstrikes”.

The Good Drone

Returning to Vancouver and my stuffed mailbox after several weeks away, I found a copy of The Good Drone edited by Kristin Bergtora Sandvik and Maria Gabrielsen Jumbert (thank you both!).  I’ve known Kristin for several years now, and always learned much from her insightful and imaginative work, and it’s wonderfully refreshing to find a book that has so many new things to say about drones:

While the military use of drones has been the subject of much scrutiny, the use of drones for humanitarian purposes has so far received little attention. As the starting point for this study, it is argued that the prospect of using drones for humanitarian and other life-saving activities has produced an alternative discourse on drones, dedicated to developing and publicizing the endless possibilities that drones have for “doing good”. Furthermore, it is suggested that the Good Drone narrative has been appropriated back into the drone warfare discourse, as a strategy to make war “more human”.

This book explores the role of the Good Drone as an organizing narrative for political projects, technology development and humanitarian action. Its contribution to the debate is to take stock of the multiple logics and rationales according to which drones are “good”, with a primary objective to initiate a critical conversation about the political currency of “good”. This study recognizes the many possibilities for the use of drones and takes these possibilities seriously by critically examining the difference the drones’ functionalities can make, but also what difference the presence of drones themselves – as unmanned and flying objects – make. Discussed and analysed are the implications for the drone industry, user communities, and the areas of crisis where drones are deployed.

Here are the substantive chapters (following a sparkling introduction by the editors):

1: Susanne Krasmann – Targeted ‘Killer Drones’ and the Humanitarian Discourse: On a Liaison

2: John Karlsrud and Frederik Rosén – Lifting the Fog of War? Opportunities and Challenges of Drones in UN Peace Operations

3: Kristoffer Lidén and Kristin Bergtora Sandvik – Poison Pill or Cure-All: Drones and the Protection of Civilians

4: Maria Gabrielsen Jumbert – Creating the EU Drone: Control, Sorting, and Search and Rescue at Sea

5: Kristin Bergtora Sandvik – The Public Order Drone: Proliferation and Disorder in Civil Airspace

6: Brad Bolman– A Revolution in Agricultural Affairs: Dronoculture, Precision, Capital

7: Serge Wich, Lorna Scott, and Lian Pin Koh – Wings for Wildlife: the use of Conservation Drones, challenges and opportunities

8: Mareile Kaufmann – Drone/Body: the Drone’s Power to Sense and Construct Emergencies

It’s available as an e-book, which brings the otherwise usurious price within reach, but if you want a preview of Kristin’s work I recommend her essay (with Kjersti Lohne) on ‘The rise of the humanitarian drone’ in Millennium 43 (1) (2014) 145-164.

The weaponisation of health care

I’m continuing to work on attacks on hospitals and health care workers in conflict zones – see ‘The Death of the Clinic’ here for a general discussion – and I’ve just finished reading the preliminary report on the weaponisation of health care from The Lancet-American University of Beirut Commission on Syria.  You can find out more on the Commission here and download the open access report here.

The authors propose the ‘weaponisation of health care’ to capture ‘the phenomenon of large-scale use of violence to restrict or deny access to care as a weapon of war’:

Weaponisation is multi-dimensional and includes practices such as attacking health-care facilities, targeting health workers, obliterating medical neutrality, and besieging medicine. Through large-scale violations of international humanitarian laws, weaponisation of health care amounts to what has been called a “war-crime strategy”. Weaponisation of health care in the Syria conflict is manifested most notably in the targeting of health workers and facilities.

They trace the targeting of health-care workers by pro-government forces in Syria back to the earliest weeks of protest against the regime, but the ‘substantial militarisation’ that followed – especially after the ‘military surge’ that began in September 2015 when Russia joined the Syrian government forces – made those attacks ever more aggressive and ever more systematic.  This map, based on the work of Physicians for Human Rights, provides a minimal accounting of attacks on doctors, nurses and other healthcare workers:

Attacks on hospitals – some of which I described in detail in a previous post – became not only more systematic but even repetitive, on a scale which the authors is wholly unprecedented.

‘Examination of attacks since 2012 on health facilities has revealed a distinct pattern of weaponisation.Analysis of attacks over several years in important opposition-held areas of Aleppo, Hama, Idlib, eastern Ghouta, and Homs reveals a pattern of repeated targeting with intention to shut access to health care, whether to impede opposition forces or to force civilian displacement.’

They list the effects of these attacks on healthcare in areas outside the control of the Syrian government – ‘rebel-held areas’ – but they also sketch the situation in areas under the control of the Islamic State:

Efforts to recruit foreign doctors through social media have reportedly helped IS to develop a functioning health system with modern facilities and equipment, qualified health workers, and a medical school in Raqqa where students train for free. But this health system is exclusive to IS, and foreign doctors are only permitted to provide care for IS members. For the rest of Raqqa’s civilians, over 1 million people, there are only 33 specialist doctors including just three obstetricians and one ophthalmologist, and just two public hospitals. Anecdotal reports indicate that health workers are forced to deliver care at gunpoint while others are arrested, abducted, or even executed for refusing to deliver care. To stop the exodus of health workers, IS uses the threat of seizure of homes and clinics in case of absence from work. Gender separation in these areas means that female health providers are subject to additional stress and restrictions, being forced to abide by IS dress code and to treat only female patients.

And for the benefit of the useful idiots inside the academy who deny these predations by the Syrian government on its own people, I should add that the report also discusses the situation inside government-controlled areas:

The bulk of Syria’s remaining health workers are in government-controlled areas, where there is variability in the capacity of health facilities and personnel. Workers from these areas have also reported challenges, but of a different nature to those working in non-government- controlled areas. Indiscriminate mortar attacks from rebel areas have adversely affected daily life and the public’s sense of security. Many health workers report facing multiple security checkpoints for their daily trip to a hospital or clinic. The collapsing economy has eroded living standards and restricted school and career options for offspring of health workers. Medical students fear the military draft and the risk of being sent to the battlefield. To avoid that fate, many seek whatever residency training positions are available upon graduation, irrespective of specialty. However, with the emigration of many experienced senior academics, fewer high-quality specialists are available to supervise the training of younger doctors. Travel restrictions due to sanctions and the need for leave permits from the government leave few choices for these doctors. Some doctors in these areas have indicated that the international media pay little attention to their plight. Others report being forced to breach ethical principles under unbearable pressure.

You can find an elaboration of these claims in personal testimonials here, which include this:

In November 2011, Dr. Zaki [a pseudonym], a military anaesthetist, was sent to Aleppo Military Hospital. This hospital usually received injured Syrian army combatants, but from the start of 2012, it began receiving civilian patients injured by pro-government forces during the peaceful demonstrations taking place in Idleb and Aleppo. Notably there was no conflict at this time in either city. These civilian patients were interrogated and tortured — either directly through electric shocks or beatings with rubber hoses, or indirectly, by leaving gunshot wounds or open fractures untreated,. A few days prior to the visit to the hospital by the UN-Arab League Special Envoy, who insisted on visiting all patients, Dr. Zaki was ordered by his superiors to find a way to keep these patients silent. The subtext of the order, issued by three generals, the first in charge of the hospital, the second, the head of military intelligence, and the third, head of the military secret police in Aleppo, was clear: “we know exactly who your family are and your wife’s family, and they will be arrested unless you comply” Under those conditions, Dr. Zaki used a combination of anaesthetic agents to sedate over 60 patients, so their wounds and shackles could literally be covered up, and no patient would be able to describe the torture and conditions of their confinement to the Special Envoy. Shortly after this, Dr. Zaki defected and fled to Turkey, along with his entire family and his wife’s family.

I urge you to read the whole report (it’s only 11 Lancet pages).

The report describes what it calls ‘siege medicine’, and for an update you can turn to another new report, this one from Physicians for Human Rights: Access Denied: UN aid deliveries to Syria’s besieged and hard-to-reach areas.

This is how it begins:

Death by infection because security forces do not allow antibiotics through checkpoints.

Death in childbirth because relentless bombing blocks access to clinics.

Death from diabetes and kidney disease because medicines to treat chronic illnesses ran out months ago.

Death from trauma because snipers stand between injured children and functioning hospitals.

And – everywhere – slow, painful death by starvation.

This is what one million besieged people – trapped mostly by their own government – face every day in Syria.

This is the unseen suffering – hidden under the shadow of barrel bombs and car bombs – that plagues the Syrian people as they enter a seventh grim year of conflict.

This is murder by siege.

The report is limited to ‘the failure of the two-step approval process in ensuring the completion of UN interagency humanitarian convoys to besieged and hard-to-reach areas across Syria’; this excludes operations outside that approval process, but it still makes for remarkably grim reading.  Here are the raw figures tabulating aid deliveries requested, approved and completed under the two-step process:

Even within these diminished envelopes there were further specific restrictions on medical supplies:

Throughout 2016, Syrian authorities specifically restricted medical aid to besieged and hard-to-reach areas, in direct violation of international humanitarian law.From February through December 2016, Syrian authorities prevented the delivery of more than 300,000 medical treatments to besieged and hard-to-reach areas.28 There is no clear definition of what constitutes a “medical treatment,” nor is there publicly available data on how much of each type of aid was removed from convoys. However, as [the examples in the tabulation below show], the disallowed medical aid included basic medicine, supplies, and equipment needed to treat traumatic, chronic, and acute conditions resulting from or aggravated by the sieges. In addition, it included medical aid speci cally meant to treat infants and children. Some of the disallowed medical aid could have been reused repeatedly to treat numerous people, thus its exclusion likely a ected large populations for prolonged periods of time.

In one particularly egregious example, Syrian government forces turned away an entire aid convoy as it was about to enter besieged Daraya in May 2016 because it contained medical aid and infant formula. Ironically, Syrian authorities in Damascus had limited the type of aid allowed on that convoy speci cally to medical aid, infant formula, and school supplies.

Incoming, upcoming

mosse-incoming-still

Richard Mosse‘s Incoming opens at the Barbican Art Centre in London on 17 February and runs until 23 April.  In collaboration with composer Ben Frost and cinematographer Trevor Tweeten, Richard has created an immersive multi-channel video installation (shown across three 26-foot wide screens) that turns military technology against itself – using a camera ‘that sees as a missile sees’ – to show the journeys of refugees (hence the artful title).  He explains :

I am European. I am complicit. I wanted to foreground this perspective in a way, to try to see refugees and illegal immigrants as our governments see them. I wanted to enter into that logic in order to create an image that reveals it. So I chose to represent these stories, really a journey or series of journeys, using an ambivalent and perhaps sinister new European weapons camera technology. The camera is intrusive of individual privacy, yet the imagery that this technology produces is so dehumanized – the person literally glows – that the medium anonymizes the subject in ways that are both insidious and humane. Working against the camera’s intended purpose, my collaborators and I listened carefully to the camera, to understand what it wanted to do — and then tried to reconcile that with these harsh, disparate, unpredictable and frequently tragic narratives of migration and displacement.

If you can’t get to it, there is a book version from Mack:

The major humanitarian and political issue of our time is migration and with his latest video work, Irish artist Richard Mosse has created a searing, haunting and unique artwork. Projected across three 8 meter wide screens, the film is accompanied by a loud dissonant soundtrack to create an overwhelming, immersive experience. Moving from footage of a live battle inside Syria, in which a US aircraft strafes Daesh positions on the ground, to a scene showing pathologists extracting DNA from the bones of unidentified corpses of refugees drowned off the Aegean island of Leros, the film opens a testimonial space of historical document – bearing witness to significant chapters in recent events – mediated through an advanced weapons-grade camera technology. Narratives of the journeys made by refugees and migrants across the Middle East, North Africa, and Europe, are captured using an extremely powerful thermal camera not generally available to the public. This super-telephoto military camera can perceive the human body beyond 50km day or night, reading the biological trace of human life. The camera translates the world into a heat signature of apparent temperature difference, producing a dazzling monochrome halo-image which alludes literally and metaphorically to hypothermia, climate change, weapons targeting, border surveillance, xenophobia, and the ‘bare life’ of stateless people.

The book version recreates the immersive nature of the film, combining still images from the entire sequence over nearly 600 pages to represent the harsh and compelling narrative in a full bleed layout.

mosse-idomeni-2016

A related exhibition of Richard’s photographs from the same body of work – entitled Heat Maps – has opened at the Jack Shainman Gallery in New York.  At the New Yorker Max Campbell describes the exhibition like this:

[U]sing a new “weapon of war,” as he describes it, Mosse captured encampment structures, servicemen, border police, boats at full capacity, and migrants of all ages. Mosse would spend time in the refugee camps before photographing, and some of the migrants sheltered there helped him to arrange his shots. But in the images his subjects are always seen at a distance, photographed from an above-eye-level perspective. Each “Heat Map” was constructed from hundreds of frames shot using a telephoto lens; a robotic system was used to scan the landscapes and interiors and meticulously capture every corner…

By adopting a tool of surveillance, Mosse’s photographs consciously play into narratives that count families as statistics and stigmatize refugees as potential threats. He recognizes that operating the infrared camera entails brushing up against the violent intentions with which the device has been put to use. “We weren’t attempting to rescue this apparatus from its sinister purpose,” he said. Instead, his project acts as a challenge. The people in his images appear as inverted silhouettes, sometimes disjointed, torn by the time passing between individual frames. The thermal readouts rub features out of faces and render flesh in washy, anonymous tones. Someone lays back on a cot, looking at a cell phone. Someone else hangs laundry. We can imagine what these people might look like in person, guess at the expressions on their faces or the color of their skin. Yet seeing them in Mosse’s shadowy renderings erases the lines that have been drawn between refugees, immigrants, natives, citizens, and the rest. His camera makes little distinction between the heat that each body emits.

mosse-larissa-2016

Heat Maps was shown in Berlin last year, where the links with the work of Michel Foucault and Giorgio Agamben were made explicit:

Heat Maps attempts to foreground the biopolitical aspects of the refugee and migration situation that is facing Europe, the Middle East and North Africa. The project charts refugee camps and other staging sites using an extreme telephoto military grade thermographic camera that was designed to detect and identify subjects from as far away as fifty kilometers, day or night.

The camera itself is export controlled under the International Traffic in Arms Regulations — it is regarded as a component in advanced weapons systems and embargoed as such — and was designed for border surveillance and regulation. It can be seen as a technology of governance, a key tool in what Foucault and Agamben have described as biopower. It is an apparatus of the military-humanitarian complex.

The camera translates the world into a heat signature of relative temperature difference, literally reading the biological trace of human life – imperceptive of skin colour – as well as proximity to death through exposure or hypothermia, even from a great distance. The living subject literally glows, and heat radiation creates dazzling optical flare.

Instead of individuals, the camera sees the mass — in Foucault’s words: massifying, that is directed not as man-as-body, but as man-as-species. It elicits an alienating and invasive form of imagery, but also occasionally tender and intimate, tending to both dehumanize and then rehumanize the bare life (Agamben) of the human figure of the stateless refugee and illegal economic migrant, which the camera was specifically designed to detect, monitor, and police.

The camera is used against itself to map landscapes of global displacement and more powerfully represent ambivalent and charged narratives of migration. Reading heat as both metaphor and index, these images attempt to reveal the harsh struggle for human survival lived daily by millions of refugees and migrants, seen but overlooked by our governments, and ignored by many.

You can find out more from a helpful interview with Iona Goulder which puts these twin projects in the context of Richard’s previous work in the Congo (see here and here).  En route, Richard says this:

Reading heat as both metaphor and index, I wanted to reveal the harsh struggle for survival lived daily by millions of refugees and migrants, while investigating one of the sinister technologies that our governments are using against them.

By attaching this camera to a robotic motion-control tripod, I scanned refugee camps across Europe from a high eye-level, to create detailed panoramic thermal images. Each artwork has been painstakingly constructed from a grid of almost a thousand smaller frames, each with its own vanishing point.

Seamlessly blended into a single expansive thermal panorama, I was surprised to find that some of the resulting images seem to evoke the spatial description, minute detail, and human narratives of certain kinds of classical painting, such as Breughel or Bosch. Yet they are also documents disclosing the fence architecture, security gates, loudspeakers, food queues, tents and temporary shelters of camp architecture. Very large in scale, these Heat Maps disclose intimate details of fragile human life in squalid, nearly unliveable conditions in the margins and gutters of first world economies.

The Death of the Clinic

This is the fifth in a new series of posts on military violence against hospitals and medical personnel in conflict zones. It follows directly from my analysis of the situation in Syria here.

President Bashar al-Assad has consistently denied that his forces have attacked hospitals or doctors.  In an interview with SBS Australia on 1 July 2016 he asked his interviewer:

‘… the very simple question is: why do we attack hospitals and civilians?… No government in this situation has any interest in killing civilians or attacking hospitals. Anyway, if you attack hospitals, you can use any building to be a hospital. No, these are anecdotal claims, mendacious statements …’

president-al-assad-interview-sbs-australia-4

There are at least four answers to Assad’s disingenuous question (if you falter at the adjective, see here).

(1) Silencing the witnesses

When Widney Brown from Physicians for Human Rights testified at the Tom Lantos Human Rights Commission on 31 March 2016 she provided one clear and compelling rationale for Assad’s attacks on doctors:

‘… attacks on doctors silence particularly powerful witnesses. When the Syrian government denies its use of chemical weapons, cluster munitions, starvation, or torture, doctors can bear witnesses to these violations because they have seen and treated the victims.’

syrian-man-receiving-treatment-following-a-gas-attack

To be sure, there are other witnesses and even paper trails and photographic records.  Ben Taub, who has done so much to bring ‘Syria’s war on doctors‘ to the attention of a wider public, has also provided a detailed account of the work done by Bill Wiley and the Commission for International Justice and Accountability whose volunteers have smuggled over 600,000 documents out of Syria detailing mass torture and killings by the regime.

cija-syria-001

The war crimes have not been confined to attacks on hospitals in opposition-held areas.  A photographer known only as ‘Caesar’, who had been attached to the Defence Ministry’s Criminal Forensic Division, smuggled out thousands of high-resolution digital images exposing the horrors of the regime’s own military hospitals:

The pictures, most of them taken in Syrian military hospitals, show corpses photographed at close range – one at a time as well as in small groupings. Virtually all of the bodies – thousands of them – betray signs of torture: gouged eyes; mangled genitals; bruises and dried blood from beatings; acid and electric burns; emaciation; and marks from strangulation…

These unfortunates may have lived and died in different ways, but they were bound in death by coded numerals scribbled on their skin with markers, or on scraps of paper affixed to their bodies. The first set of numbers (for example, 2935 in the photographs at bottom) would denote a prisoner’s I.D. The second (for example, 215) would refer to the intelligence branch responsible for his or her death. Underneath these figures, in many cases, would appear the hospital case-file number (for example, 2487/B)…

[T]he system of organizing and recording the dead served three ends: to satisfy Syrian authorities that executions were carried out; to ensure that no one was improperly discharged; and to allow military judges to represent to families—by producing official-seeming death certificates—that their loved ones had died of natural causes. In many ways, these facilities were ideal for hiding “unwanted” individuals, alive or dead. As part of the Ministry of Defense, the hospitals were already fortified, which made it easy to shield their inner workings and keep away families who might come looking for missing relatives. “These hospitals provide cover for the crimes of the regime,” said Nawaf Fares, a top Syrian diplomat and tribal leader who defected in 2012. “People are brought into the hospitals, and killed, and their deaths are papered over with documentation.” When I asked him, during a recent interview in Dubai, Why involve the hospitals at all?, he leaned forward and said, “Because mass graves have a bad reputation.”

(2) Multiplying the casualties

This is a radicalisation of an old strategy.  As Sam Weber pointed out in Targets of opportunity (2005), ‘every target is inscribed in a network or chain of events that inevitably exceeds the opportunity that can be seized or the horizon that can be seen.’  So, for example, when the United States or Israel bombs a power plant it often as not explains that it has been careful to bomb in the small hours when only a skeleton staff was in the building in order to minimise collateral damage.  But this begs the question: why bomb the power plant at all?  In most instances the degradation of the electricity supply means that it becomes impossible to pump water or treat sewage; refrigerators fail and food perishes; hospitals are forced to use unreliable generators. The result – the intended, carefully calculated result – is that casualties rise at considerable distances from the target and over an extended period of time.

Similarly, Dr Abdulaziz Adel notes:  ‘Kill a doctor and you kill thousands.’  Simply put, patients who are sick or injured then go without treatment and in many cases their lives are put at risk.  (The images below are from Collateral Damage: more here).

syria_assad_war_crimes_murder_bomb67

syria_assad_war_crimes_murder_bomb15

syria_assad_war_crimes_murder_bomb37

Dr Rami Kalazi, a neurosurgeon from East Aleppo, agrees:

‘They are the artery of life in the city. Can you imagine a life in city without hospitals? Who will treat your kids? Who will make the surgeries for the injured people? So, they are targeting these hospitals because they know, if these hospitals were completely destroyed, the life will be completely destroyed.’

(3) ‘Moral[e] bombing’

This too is an old strategy.  The architects of ‘area bombing’ during the combined bomber offensive against Germany during the Second World War described it as ‘moral [sic] bombing’: a sustained and systematic attempt to undermine the morale of the enemy population so that they would demand their leaders sue for peace.  If this was a tried and tested strategy, however, the test showed that it was a complete failure (see my ‘Doors into nowhere’: DOWNLOADS tab).

morale-bombing-001

morale-bombing-002

But the lesson was lost in Syria, where attacks on hospitals have had a central place.  As Samir Puri argues, the strategy behind the joint Syrian and Russian air campaign seems to be:

“If there is a total collapse of any kind of trauma care, those are the sort of things that can contribute to collapsing morale very suddenly. The morale of a besieged force can look robust until it collapses.”

And Syria is not unique in contemporary wars: Israel has deployed the same strategy in its repeated assaults on Gaza (see here, here and here for ‘Operation Protective Edge’ in 2014), and the Saudi-led coalition has attacked more than 70 hospitals and health facilities in Yemen since March 2015 (in this latter case Russian media have reported MSF’s objections to the ‘utter disregard for civilian life’ without dissent: see for example here).

flashback-gaza-2014-001

‘Preventing medicine’, as Annie Sparrow puts it, has become ‘a new weapon of mass destruction’.

(4) ‘Violence legislates’

Following the attack on the UN aid convoy delivering supplies to a Syrian Red Crescent warehouse outside East Aleppo on 19 September 2016, 101 humanitarian organisations issued a joint appeal to the United Nations on 22 September; in part it read:

‘Deliberate attacks on humanitarian workers and civilians are war crimes. This must mark a turning point: the UN Security Council cannot allow increasingly brazen violations of international humanitarian law to continue with impunity.

‘Heads of state are gathered in New York this week for the United Nations General Assembly. Each one that accepts a lack of accountability for perpetrators and facilitators of war crimes colludes in the ongoing dissolution of international humanitarian law’ (my emphases).

The first paragraph is damning enough.  Ben Taub in the New Yorker again:

Nowhere has the supposed deterrent of eventual justice proved so visibly ineffective as in Syria. Like most countries, Syria signed the Rome Statute, which, according to U.N. rules, means that it is bound by the “obligation not to defeat the object and purpose of the treaty.” But, because Syria never actually ratified the document, the International Criminal Court has no independent authority to investigate or prosecute crimes that take place within Syrian territory. The U.N. Security Council does have the power to refer jurisdiction to the court, but international criminal justice is a relatively new and fragile endeavor, and, to a disturbing extent, its application is contingent on geopolitics.

But the sting comes in the second paragraph.  As I’ve noted before, international humanitarian law is not a neutral court of appeal, a deus ex machina above the fray, but has always been closely entangled with military violence.  In many respects it travels in the baggage train, constantly pulled by the trajectory of the very violence it supposedly seeks to regulate (or facilitate, depending on your point of view).  In short, as Eyal Weizman has it, ‘violence legislates‘.

There is good reason to fear that the systematic violation of medical neutrality is intended to force its dissolution.  Thomas Arcaro writes: ‘Humanitarian principles like neutrality and impartiality that once seemed so self-evident have been drawn into question, especially on the politically and ethnically complex battlefields of Iraq and Syria.’

And not only there.  In the case of the US airstrike on the MSF Trauma Centre in Kunduz in 2015, I’ve suggested that some key Afghan officers and politicians chafed at the protections afforded to wounded Taliban combatants by international humanitarian law.  They also alleged that the Trauma Centre had breached its conditional immunity because the Taliban had overrun the hospital and were firing at US and Afghan forces from its precincts.  There is no evidence to support that assertion, but it is an increasingly familiar claim.  On 7 December 2016 US Central Command justified a ‘precision strike’ requested by Iraqi forces on a building within the al-Salem hospital complex in Mosul by claiming that IS fighters had used it as a base to launch heavy and sustained machine-gun and rocket-propelled grenade attacks.  That would certainly have compromised the hospital’s immunity, but international humanitarian law still requires a warning to be issued before any attack and a proportionality analysis to be conducted; Colonel John Dorrian said that the US Air Force did not ‘have any reason to believe civilians were harmed’ but conceded that it was ‘very difficult to ascertain with full and total fidelity’ whether any medical staff or patients were in the building at the time of the air strike.

But what the Syrian case suggests is a new impatience with medical neutrality tout court: not only a hostility towards the treatment of wounded and sick combatants but also an unwillingness to extend sanctuary to wounded and sick civilians.

people-on-war-2016

And that reluctance is not confined to the Assad regime and its allies.    A survey carried out for the International Committee of the Red Cross between June and September makes for alarming reading – even once you’ve overcome your scepticism about public opinion polls.  As Spencer Ackerman reports:

Areas in active conflict record greater urgency over questions of civilian protection in wartime than do the great powers that often conduct or participate in those conflicts. In Ukraine, 83% believe everyone wounded and sick during a conflict has a right to health care, compared with 62% of Russians. A full 100% of Yemenis endorse the proposition, as do 81% of Afghans, 66% of Syrians and 42% of Iraqis – compared with 49% of Americans, 53% of Britons, 37% of the Chinese and 67% of the French.

It’s that last clause that is so disturbing: for the last four states listed are all permanent members of the UN Security Council…

So what, then, are we to make of what I’ve been calling ‘the exception to the exception’?

The exception to the exception

homo-sacerI think it’s a mistake to treat ‘the camp’, following Giorgio Agamben‘s vital work, as the exemplary, diagnostic site of the modern space of exception; the killing fields of today’s wars (themselves spaces of indistinction, where it is never clear where war stops and peace begins, where the geometry of the battlefield or, better, ‘battlespace’ becomes ever more fractured and blurred, and where the partitions between international and internal conflicts have been reduced to rubble) are also spaces within which groups of people are deliberately and knowingly exposed to death through the removal of legal protections that would ordinarily be afforded to them.  In short, killing and injuring become legally permissible.

Those exposed groups include both combatants and civilians, but their fate is not determined solely by the suspension of national laws (the case that concerns Agamben) because international humanitarian law continues to afford them some minimal protections.  One of its central provisions has been medical neutrality: yet if, through its serial violations in Syria and elsewhere, we are witnessing the slow ‘death of the clinic’ – which I treat as a topological figure which extends from the body of the sick or wounded through the evacuation chain to the hospital itself – and the extinction of ‘the exception to the exception’, the clinic as a (conditionally) sacrosanct space – then I think it’s necessary to add further twists to Agamben’s original conception.

As Adia Benton and Sa’ed Ashtan have argued, medical neutrality – the exception to the exception – represents a fraught attempt to restrict the state’s recourse to military violence: it is a limitation on and has now perhaps become even an affront to sovereign power and the state’s insistence that it is ‘the sole arbiter of who can live and who can die’.

Agamben describes the inhabitants of the space of exception as so many homines sacri – where sacer has the double meaning of both ‘sacred’ and ‘accursed’ – and it may be that in today’s killing fields doctors, nurses and healthcare workers are being transformed into new versions of homo sacer: once ‘sacred’ for their selfless devotion to saving lives, they are now ‘accursed’ for their principled dedication to medical neutrality.

 

homo-sacer_lode-kuylenstierna_press_gun

Yet the precarity of their existence under conditions of detention and torture, siege and airstrike, has not reduced them to what Agamben calls ‘bare life’.  They care – desperately – whether they live or die; they have improvised a series of survival strategies; they have not been silent in the face of almost unspeakable horror; and they have developed new forms of solidarity, support and sociality.

bodies-in-alliance-001

The evolution of warfare

irrc-2016

The latest issue of the International Review of the Red Cross (open access here) focuses on the evolution of warfare:

To mark the 100th anniversary of the First World War, the Review asked historians, legal scholars and humanitarian practitioners to look back at the wars of the past century from a humanitarian point of view. In using what we know of the past to illuminate the present and the future, this issue of the Review adopts a long-term perspective, with the aim to illustrate the changing face of conflict by placing human suffering ‒ so often relegated to the backdrop of history ‒ front and center. It focuses on WWI and the period immediately leading up to it as a turning point in the history of armed conflict, drawing important parallels between the past and the changes we are witnessing today.

Among the highlights: an interview with Richard Overy on the history of bombing; Eric Germain, ‘Out of sight, out of reach: Moral issues in the globalization of the battlefield’; Lindsey Cameron, ‘The ICRC in the First World War: Unwavering belief in the power of law?’; Rain Liivoja, ‘Technological change and the evolution of the law of war’; Claudia McGoldrick, ‘The state of conflicts today: Can humanitarian action adapt?’; and Anna Di Lellio and Emanuele Castano, ‘The danger of “new norms” and the continuing relevance of IHL in the post-9/11 era’.

Incidentally, there may be something Darwinian about the trajectory of modern war – but I’m not sure that ‘evolution’ is exactly the right word…