Health and the body politic

This fall Middle East Report – described by Rashid Khalidi as ‘the best periodical (in English) on the Middle East—bar none’ – from the truly outstanding Middle East Research and Information Project became open access..\

Its latest issue, Health and the Body Politic, (Winter 2020), is available now:

Health and health care have become increasingly ungoverned over the past few decades, in tandem with a broader breakdown of the body politic. Health care workers are finding it increasingly difficult to work in settings of violent conflict and insecurity, rapidly declining health care systems, pervasive corruption and widespread economic mismanagement—all amidst the waning capacity of states to improve the health and wellbeing of their populace. While the Middle East region trains a lot of doctors, few end up staying. The winter issue of Middle East Report explores the interactions of the body politic with health and medicine and examines the entanglements of physical bodies in the institutional and political processes that govern them. The articles in this issue explore a range of different landscapes and ecologies of politics and health care, bringing the questions and problems of health and illness into the analysis of geopolitics and political economy.

Contents:

The Evolution of Conflict Medicine in the Middle East – An Interview with Ghassan Abu Sittah
Ghassan Abu Sittah, Omar Dewachi, Nabil Al-Tikriti
The Long Shadow of Iraq’s Cancer Epidemic and COVID-19 Mac Skelton
Syrian Refugees Navigate Turkey’s Shifting Health Care Terrain Nihal Kayali
Hepatitis C, COVID-19 and the Egyptian Regime’s Approach to Health Care Jennifer Derr
The Dilemmas of Practicing Humanitarian Medicine in Gaza Osama Tanous
Illness as Metaphor and Reality in Syria Noura Chalati
COVID-19 Exposes Weaknesses in Syria’s Fragmented and War-Torn Health System Aula Abbara

Nature and Politics in the Middle East

A new edition of the Middle East Research and Information Project (MERIP)’s Middle East Report is now available online and OPEN ACCESS here:

The coronavirus pandemic is vividly highlighting the fundamental links between people, health and the environment. This issue on nature and politics probes the essential but also sometimes fraught relationships between people and their environments in the Middle East. It provides insights into crucial issues of energy, water and climate change and the political struggles between states and their citizens over environmental stewardship, sovereignty and the allocation of resources. It also takes us into spaces of human-environment interaction that are not so commonly discussed—bird markets, Iraqi landscapes contaminated with toxins, sinkholes around the Dead Sea and Turkish wetlands teeming with wildlife. Through these contributions, “Nature and Politics” offers a critical take on contemporary challenges across the Middle East.

Issue Editors: Jessica Barnes and Muriam Haleh Davis with Guest Editor Sophia Stamatopoulou-Robbins


Water in the Middle East: A Primer
Jessica Barnes
On Blaming Climate Change for the Syrian Civil War
Jan Selby
Global Aspirations and Local Realities of Solar Energy in Morocco
Atman Aoui, Moulay Ahmed el Amrani, Karen Rignall
Birth Defects and the Toxic Legacy of War in Iraq
Kali Rubaii
Bird Markets, Artisanal Pigeons and Class Relations in the Middle East
Bridget Guarasci
The Unintended Consequences of Turkey’s Quest for Oil
Zeynep Oguz
Terra Infirma – Dead Sea Sinkholes – A Photo Essay
Simone Popperl
The Lost Wetlands of Turkey
Caterina Scaramelli
“Algeria is not for Sale!” Mobilizing Against Fracking in the Sahara
Naoual Belakhdar
An Interview with Sophia Stamatopoulou-Robbins
Tessa Farmer
“Turkey Wants to be Part of the Nuclear Club” An Interview with Can Candan
Kenan Behzat Sharpe

Bringing the war home (with apologies to Martha Rosler)

We know how often the vocabulary of medicine has been hi-jacked to describe military violence (‘surgical strikes’ and the rest) – if you are unfamiliar with the trope, I recommend Colleen Bell’s two essays, ‘Hybrid warfare and its metaphors’, Humanity 3 (2) (2012) 225-247, and ‘War and the allegory of medical intervention’, International Political Sociology 6 (3) (2012) 325-8 – and, for that matter, the reverse: see Mark Harrison‘s classic essay, ‘The medicalization of war – the militarization of medicine’, Social History of Medicine 9 (2) (1996) 267–276.

The most obvious example of the latter is Trump’s grotesque self-inflation as a ‘war-time president‘ defeating the ‘Chinese virus’ (the racialization of epidemic disease has a long history too: think of European panic over the ‘Asiatic’ or ‘Indian cholera’ in the nineteenth century).  Another example, grotesque for entirely other reasons – which have to do with the mendacious incompetence of the US feral government – are descriptions of scenes in hospitals in New York City as war-zones where front-line doctors and nurses desperately struggle to treat and care for patients with Covid-19 while fighting for their own lives.  (For brief but insightful commentaries on these issues, on the performative work done by these metaphors, see Yasmeen Serhan at The Atlantic here and Eric Levenson at CNN here).

None of this is confined to the United States, I realise, and the questions that swirl through these metaphors (through which the virus becomes both a biopolitical and a social agent, infecting not only bodies and populations but also our imaginative geographies) reappear in still starker form once we think – in obdurately non-metaphorical terms – about the likely course of Covid-19 in war zones like Gaza, Iraq, Syria and Yemen where hospitals and clinics have been deliberately and systematically targeted, doctors and nurses killed, and the lives of desperately vulnerable populations inside and outside refugee camps made even more precarious (I’ll try to address this in detail in a later post, but see here and here).

All this is on my mind, a jumbled series of thoughts, impressions and emotions, as I sit at home – privileged and relatively safe – doing my best to practice physical distancing, and read this imaginative call for contributions from Warscapes.

We find ourselves in a truly challenging moment as this coronavirus pandemic becomes a long and difficult daily reality. Not only are our individual lives feeling severely compromised but the massive structural shifts are beyond despairing — the shocking death toll, the triumph of surveillance structures, the displacements, the police brutality, curfews, imminent starvation, mass unemployment…the list is long. We know that many of you have survived war, reported on war or lived through intensive periods of violence, scarcity and uncertainty. Perhaps you find yourself working through tangled memories of all kinds of warscapes. Perhaps some of you have no luxury of memory and have been thrown into the pandemic as doctors, social workers, aid workers, teachers, activists. Perhaps some of you have seen this as a welcome respite from a deeply pressured life and are enjoying time with family. Perhaps some are in an intellectual overdrive as our fight against inept governments and greedy capitalist systems intensifies. And perhaps some of you are quite ill and we wish you love and speedy healing. Whatever mood or situation you find yourself in, we are somehow all in this together processing our new reality, wittingly or unwittingly.

Unsurprisingly, there is an uptick in war rhetoric during this pandemic and since this is an online space dedicated to reflecting on the world through the “lens of war” we are launching a Warscapes video segment tentatively titled “Open Call: The Corona Notebooks.” If you are willing and able, we would love it if you could record a 2-3 minute video of yourself thinking about this pandemic, maybe accessing a previous memory, maybe reporting on an injustice, maybe narrating a sweet fragment from your daily life, maybe recounting a second chance that this pandemic gave you, maybe telling us about a loved one you reconnected with, maybe you’ve seen a movie or read a book that was powerful, maybe telling us about having the illness. The tone, the tale, the genre and the language is yours to choose. There is an overwhelming amount of news and information but we will together weave an emotionally vibrant and artistic tapestry.

We will simultaneously transcribe these and start publishing them online as well. And when/if/after this is all over, we can publish all the entries and either give them away as free chapbooks or see if it can go towards a relief effort. For those that are available and happy to do facebook/instagram live events, we will happily make this an event with audience interaction and allow for discussions centering around your piece.

Simple rules:

1. WIDESCREEN recording — Flip your phone to widescreen. Do NOT shoot in vertical.

2. CLEAR SOUND — Make sure the sound is clear, our world has been quiet so this should be easy.

3. PLAN IN ADVANCE — While informal, casual and intimate is great, it would be better write your piece down, work through it before recording, experiment with form, play with the visual. We would prefer to keep editing to the minimal.

4. TWO MINUTES MINIMUM — your entry should be at least 2 minutes long, no stipulations for maximum length.

5. Send videos to bhakti [dot]shringarpure[at]gmail [dot]com

If you too are sitting at home, weary of yet another Zoom meeting, and wondering what (else) you might do, then perhaps you might like to give this a try…

Landscapes of intervention

An excellent new edition of Middle East Report (290) on The New Landscape of Intervention; full download details here.

The concept of intervention brings to mind foreign military actions that violate a sovereign jurisdiction. This issue of Middle East Report identifies other, increasingly prevalent, ways in which the lives of people in the Middle East are being shaped by forces beyond their borders. In a context of increasing US retrenchment and neoliberal globalization, powerful states and transnational actors intervene across the region in a variety ways—under the guise of humanitarian assistance, democracy promotion or border security—as well as through new methods like urban planning, infrastructure development, crisis research and health deprivation—what might also be called biopolitical interventions. Even as the 2000’s saw the return of traditional forms of imperial intervention—with the US deployment of military forces in Afghanistan and Iraq in pursuit of a quixotic and unwinnable war on terror—there are increasingly new forms of intervention that must be understood, assessed and mapped.

Contents:

The New Landscape of Intervention – The Editors
The Globalized Unmaking of the Libyan State – Jacob Mundy
Iraqibacter and the Pathologies of Intervention – Omar Dewachi
The Shifting Contours of US Power and Intervention in Palestine – Lisa Bhungalia, Jeannette Greven, Tahani Mustafa
Urban Interventions for the Wars Yet to Come – Hiba Bou Akar
The Palestinian McCity in the Neoliberal Era – Sami Tayeb
Humanitarian Crisis Research as Intervention – Sarah E. Parkinson
The UAE and the Infrastructure of Intervention – Rafeef Ziadah
Israel’s Permanent Siege of Gaza – Ron Smith
Border Regimes and the New Global Apartheid – Catherine Besteman

Killing for Show

News from Verso of a forthcoming book (originally announced for Aprl, but now not due until next year) by the multi-talented Julian Stallabrass,  Killing for Show:

A history of war photography – from Vietnam to Iraq and the War of Terror – and how photography has changed war.

Today we watch wars from afar, swayed by the images that fill our newsfeeds, social media and screens. Since the Vietnam War the way we see conflict through film, photographs, and pixels, has had a powerful impact on the political fortunes of the campaign, and the way that war has been conducted. In this fully-illustrated and passionately argued account of war imagery, Julian Stallabrass tells the story of post-war conflict, how it was recorded, and remembered through its iconic photography.

The relationship between war and photograph is constantly in transition, forming new perspectives, provoking new challenges: what is allowed to be seen? How are photographs remembered? Does an image has the power to change political opinion? What influence market economics has upon the way we consume visual media, especially images of war. How new forms of distribution change the image’s potency. Stallabrass shows how photographs have become a vital weapon in the modern war: as propaganda – from close quarter fighting to the drone’s electronic vision – as well as a witness to the barbarity of events such as the My Lai massacre, the violent suppression of insurgent Fallujah or the atrocities in Abu Ghraib. Changes in technology – from shutter speed, use of colour stock, and methods of digital distribution – have also transformed the way photography is used in depicting and even waging accelerated warfare.

Through these accounts Stallabrass maps a comprehensive theoretical re-evaluation of the relationship between war, politics and visual culture. Killing for Show is an essential volume in the history of photography.

A mammoth 688 pages, packed with images – and, since it’s Verso, astonishingly reasonable priced.

 

‘The Bomb and Siege Routine’

I’ve been on the road – I’m in London now for more archival work at the Wellcome, after a wonderful conference on “Drone imaginaries” at Odense – but I hope to post the next essay in my series on siege warfare in Syria shortly.  It will address medical care under siege – a continuation and extension of my wider work on ‘surgical strikes’ on hospitals and medical facilities (see for example here: more under the GUIDE tab) – but in the interim here is a short post from Jonathan Whittall at Médecins Sans Frontières (MSF Analysis; also at al Jazeera here) on the ‘bomb and siege routine’:

Medicine and medical workers have also been sucked into the violence. This can be seen in the attempts by the Syrian government to control the provision of healthcare in opposition-held areas by denying humanitarian access, threatening or arresting medical staff, and damaging or destroying medical infrastructure.

Early on in the conflict, medical facilities went underground, forming the beginning of a network of field hospitals such as the ones I visited in Homs. The international backers of the Syrian armed opposition on their part imposed stringent sanctions on the Syrian government which contributed to the decline of the government healthcare system.

As the war raged on, we saw indiscriminate bombing and shelling that did not differentiate between civilian and military targets. In some cases, civilians were considered military targets based on the fact that they had remained in areas controlled by groups designated as “terrorist”.

Hospitals have regularly been hit. This is the new norm. We no longer know if they are struck accidentally or intentionally or destroyed as part of a general rampage of violence. Either way, the infrastructure that sustains life is being eliminated….

From Syria to Iraq and from Yemen to Gaza, the armies and their backers use the trump card of the “fight against terrorism” as the ultimate justification for any atrocities committed against civilian populations under siege.

Indiscriminate bombing is never acceptable, no matter who the enemy is. Nor is targeting civilians and civilian infrastructure. Humanitarian supplies must always be exempt from the military tactic of siege.

The wounded and civilians wishing to escape the violence must always be allowed safe passage. The civilians who stay behind do not become legitimate targets. Providing treatment to patients – both civilians and wounded combatants alike – is never an act of “terrorism”, nor is it a form of support for “terrorism”. It is a legally protected act of humanity.

Digital breaches

In my latest posts on the wars in Syria – Cities under Siege here and here – I tried to open a space for the voices of those inside the siege lines.  To supplement those discussions, I want to notice two other digital breaches of siege lines, one in Mosul in Iraq and the other in East Ghouta in Damascus.

Although the Syrian regime has been either unwilling or unable to prevent digital access to the world outside its barricades (no doubt for a variety of reasons), Islamic State has persistently sought to isolate the communities it controls from within.  For example:

In Mosul, Omar Mohammed – a 31 year-old ‘stealth historian‘ – risked his life to chronicle life under IS in a remarkable series of posts: Mosul Eye.  When he lost his job teaching ancient history at the university in June 2014 he started an anonymous blog and became the eponymous ‘Mosul Eye’.

Lori Hinnant and Maggi Michael reported for AP:

Anonymous for more than three years, Mohammed wandered the streets of occupied Mosul by day, chatting with shopkeepers and Islamic State fighters, visiting friends who worked at the hospital, swapping scraps of information. He grew out his hair and his beard and wore the shortened trousers required by the extremists. He forced himself to witness the beheadings and deaths by stoning, so he could hear killers call out the names of the condemned and their supposed crimes.

By night, he was Mosul Eye, and from his darkened room he told the world what was happening. If caught, he knew he would be killed.

Writing in the New Yorker in October 2016,  Robin Wright explained that Mosul Eye

provided details about life under the caliphate—initially offering hourly reports regarding roads around Mosul that were safe to travel, and then, in the following weeks, reporting on the dawning anxiety about the heavily armed ISIS fighters, the power blackouts, the rising prices, the chaos in local markets, the panic over food shortages, and the occupiers’ utter brutality. Over the next year, Mosul Eye expanded into a Facebook page and a Twitter account. The posts were determinedly stoic—melancholic and inspiring at once.

For the past two weeks, as Mosul has become the epicenter of a new U.S.-backed offensive to defeat ISIS—also known as ISIL—Mosul Eye has been posting dozens of times a day on its social-media outlets. On Monday, it tweeted, “Today, Mosul has entered the atmosphere of the war. The bombardment is continuous on many areas of the city, specifically the southern and northeastern outskirts of the city.”

Mohammed paid smugglers to arrange his escape, and once outside of Mosul he eventually revealed his identity; it was not an easy decision but once he had made it, he said, he finally felt free.

Most of the published interviews with Mohammed took place once he was outside Mosul and his identity was known, but Wright managed to reach him over social media inside the besieged city and her report addressed the key questions of provenance and credibility:

Iraqis and Mideast scholars believe that the site is for real. Rasha al Aqeedi, a scholar from Mosul who now writes from Dubai, told me that “the information is reliable,” and added, “The perspective and ideology, however, reflect Mosul’s young intelligentsia: the will to review Islam and question religious texts and the fault lines along historic narratives.”

But the same questions dogged the two AP journalists en arrière, once they had met with him and he revealed his identity.  Here is their detailed response:

Omar gave us databases from his hard drive tracking the dead, noting daily events in Mosul. Each one was a separate file — totaling hundreds of files. The origin dates on each matched the date of the file, or at most was one or two days away from it. For his account of the day on the Tigris, he gave us multiple photos and a video from the day, each with an origin date in March 2015, which was when he said the events had happened. On Google Maps, he showed us the curve in the river where he picnicked, and zoomed on the marshy areas to show how it matched up with his account. As for himself blogging inside a dark room in his house in Mosul, he provided a video that AP used. He used maps to show his escape route. He showed on Google a list of the top students from his high school in Mosul, and his name was among the top five.

On the third day, just before we filmed over the course of about 90 minutes, he stepped away to make a phone call, in English, to announce that in a few minutes he would be shedding his anonymity as he didn’t want to be anonymous anymore. He showed us footage from his thesis defense, in which one of the professors accused him of secularism.

After the meetings, we asked Omar for contact information for his thesis advisor, who was among the few to figure out his identity during the early days of Mosul Eye; his younger brother, who he had told over the summer; activists and volunteers he worked with in Mosul; an American history professor he was in touch with via Skype since 2012, who knew his real identity. He provided all of this, and we spoke with all of them, including one person who, as it turns out, also figured out who he was and discovered that they have mutual friends. Omar provided us with links to his own scholarly work on Mosul. He sent over screen grabs of exchanges with a reporter from another news organization who he had worked with during the airstrikes to try and extract trapped civilians. He explained that, by that point, people were just messaging Mosul Eye in hopes he could help them. He acknowledged one other person had administrator access to the account: a Mosul woman now living in the U.S. who helped him with some of the interviews in English.

Omar explained to us how he cross-checked his information, and we put some of that into the story, but Mosul Eye isn’t an infallible source any more than anyone else, especially in a chaotic war environment. His death toll numbers, especially during the final months of the battle, are unconfirmed but in line with other estimates.That said, some of his unpublished notes read by Lori and Maggie, with origin dates from 2014 and 2015 and early 2016 especially, showed knowledge of IS that would only be published later. The leaflets he was collecting and publishing, the photos he was using to offer biographies and diagrams of their leadership showed a historian’s desire for documentation.

Several activists whom AP interviewed said that Mosul Eye was the only window to the outside world and that they have been closely following but fearing to even “like” or “share,” knowing that IS keeps an eye on social media.

I have cited this passage in its entirety because in the deformed world of “fake news” (which plainly did not start with Donald Trump, even if he embodies its digital metastasis: see also here and here), where today the alt.left is as pernicious as the alt.right in disparaging stories they don’t like, questions of veracity – and, to be sure, of positionality – have assumed a new and profoundly political importance  The vomit-inducing denial of systematic Russian and Syrian air strikes on hospitals and medical facilities across Syria is a case in point; the disingenuous disparagement of the work of MSF, the Syrian Civil Defence (the White Helmets) and a host of other non-government agencies is another.

It’s a complicated terrain, of course, and my second example illustrates something of what is at stake.  It comes from East Ghouta.  I’m preparing a major post on recent events there – it should be ready next week – and, as in my previous work, here too I’ve drawn on voices from inside the siege.  Many newsrooms and digital platforms have reported the extraordinary videos posted on Twitter and YouTube by 15 year-old Muhammad Najem: see here and here.

CNN reported:

Najem’s videos have a common theme: an appeal to the world to bear witness to what is happening in Syria.
“People should know about everything happening in Syria,” he told CNN. “I want to follow my studies. I want to become a reporter when I grow up. “Our blood begs every day. You watch it daily without any reaction from you,” Najem says in one video, wearing a Syrian flag draped around his neck like a scarf. “Our hunger, cold, and displacement have become a common sight. Save our people in Ghouta.”
In one of his most powerful videos, Najem stands on a rooftop as explosions echo in the distance. “We are killed by your silence,” he says.”

 

(If you read some of the comments below his videos on YouTube, you will discover the killing is not only accomplished by silence.)

The CNN report added the by now standard disclaimer – ‘CNN cannot independently verify the authenticity of these videos – but the tone and texture of their coverage makes it plain that CNN doubts neither their authenticity nor their accuracy.  There is no single, plenary Truth – Donna Haraway debunked the ‘God Trick’ ages ago – but passion and partiality do not automatically disqualify someone’s voice: still less so, when their position is so precarious.

But listen to this exchange from the state-owned France 24.

 

In one of the videos, Najem says he wants to become a reporter “when I am grown up”. But for Franco-American [photo]journalist Jonathan Alpeyrie, who covered the Syrian conflict (in 2013, he was held captive by an Islamist group for 81 days), “a journalist shouldn’t be seen… Otherwise he becomes the subject,” he told FRANCE 24. To Alpeyrie, the teenager is more activist than journalist. “He is hostile to Bashar al-Assad but the role of the press isn’t to take a stance….”

Although several news outlets have relayed the teenager’s testimony, Alpeyrie thinks it’s dangerous to do so: “We can’t confirm the provenance of these videos. He says that he’s filming in Eastern Ghouta, but we don’t know anything.”

 

Describing Najem’s videos as a series of ‘selfies’, France 24’s reporter asked philosopher-psychoanalyst Elsa Godart for her take on them:

If a teenager is behind the account, his reliance on the selfie can have different motivations, said Godart. In the worst situation, aside from manipulation: “We can envision an extreme narcissism, where one plays on a tragic event under the sympathetic guise of defending humanity.”

And if we assume that the gesture is real and sincere on the part of an adolescent on the ground? “Then this could be just as it appears: a selfie as an act of resistance. The Chinese artist Ai Weiwei documented his 2009 arrest with a selfie that he later exhibited as a work of art,” said Godart.

To her, the selfie taken at war is similar: “It denounces something extraordinary. It is a testimony of something that one feels a duty to report. ‘I am attacked, and here is the photographic evidence.’”

I hope it’s obvious what I think too.

Cities and War

This week the Guardian launched a new series on Cities and War:

War is urbanising. No longer fought on beaches or battlefields, conflict has come to the doors of millions living in densely populated areas, killing thousands of civilians, destroying historic centres and devastating infrastructure for generations to come.

Last year, the world watched the Middle East as Mosul, Raqqa, Sana’a and Aleppo were razed to the ground. Across Europe, brutal attacks stunned urban populations in Paris, London and Berlin, while gang warfare tore apart the fabric of cities in central and south America.

In 2018, Guardian Cities will explore the reality of war in cities today – not merely how it is fought, but how citizens struggle to adapt, and to rebuild stronger than ever.

The series opened on Monday with a photographic gallery illustrating ‘a century of cities at war’; some of the images will be familiar, but many will not.  When I was working on ‘Modern War and Dead Cities‘ (which you can download under the TEACHING tab), for example, I thought I had seen most of the dramatic images of the Blitz, but I had missed this one:

It’s an arresting portfolio, and inevitably selective: there is a good discussion below the line on what other cities should have made the cut.

The first written contribution is an extended essay from Jason Burke, ‘Cities and terror: an indivisible and brutal relationship‘, which adds a welcome historical depth and geographical range to a discussion that all too readily contracts around recent attacks on cities in Europe and North America, and suggests an intimate link between cities and terrorism:

[I]t was around the time of the Paddington station attack [by Fenians in 1883]  that the strategy of using violence to sway public opinion though fear became widespread among actors such as the anarchists, leftists and nationalists looking to bring about dramatic social and political change.

This strategy depended on two developments which mark the modern age: democracy and communications. Without the media, developing apace through the 19th century as literacy rates soared and cheap news publications began to achieve mass circulations, impact would be small. Without democracy, there was no point in trying to frighten a population and thus influence policymakers. Absolutist rulers, like subsequent dictators, could simply ignore the pressure from the terrified masses. Of course, a third great development of this period was conditions in the modern city itself.

Could the terrorism which is so terribly familiar to us today have evolved without the development of the metropolis as we now know it? This seems almost impossible to imagine. Even the terror of the French revolution – Le Terreur – which gives us the modern term terrorism, was most obvious in the centre of Paris where the guillotine sliced heads from a relatively small number of aristocrats in order to strike fear into a much larger number of people.

The history of terrorism is thus the history of our cities. The history of our cities, at least over the last 150 years or so, is in part the history of terrorism. This is a deadly, inextricable link that is unlikely to be broken anytime soon.

Today Saskia Sassen issued her ‘Welcome to a new kind of war: the rise of endless urban conflict‘.  She begins with an observation that is scarcely novel:

The traditional security paradigm in our western-style democracies fails to accommodate a key feature of today’s wars: when our major powers go to war, the enemies they now encounter are irregular combatants. Not troops, organised into armies; but “freedom” fighters, guerrillas, terrorists. Some are as easily grouped by common purpose as they are disbanded. Others engage in wars with no end in sight.

What such irregular combatants tend to share is that they urbanise war. Cities are the space where they have a fighting chance, and where they can leave a mark likely to be picked up by the global media. This is to the disadvantage of cities – but also to the typical military apparatus of today’s major powers.

The main difference between today’s conflicts and the first and second world wars is the sharp misalignment between the war space of traditional militaries compared to that of irregular combatants.

Irregular combatants are at their most effective in cities. They cannot easily shoot down planes, nor fight tanks in open fields. Instead, they draw the enemy into cities, and undermine the key advantage of today’s major powers, whose mechanised weapons are of little use in dense and narrow urban spaces.

Advanced militaries know this very well, of course, and urban warfare is now a central medium in military training.  Saskia continues:

We have gone from wars commanded by hegemonic powers that sought control over sea, air, and land, to wars fought in cities – either inside the war zone, or enacted in cities far away. The space for action can involve “the war”, or simply specific local issues; each attack has its own grievances and aims, seeking global projection or not. Localised actions by local armed groups, mostly acting independently from other such groups, let alone from actors in the war zone – this fragmented isolation has become a new kind of multi-sited war.

This is, in part, what I tried to capture in my early essay on ‘The everywhere war’, and I’m now busily re-thinking it for my new book.  More on this in due course, but it’s worth noting that the Trump maladministration’s National Defense Strategy, while recognising the continuing importance of counter-terrorism and counterinsurgency, has returned the Pentagon’s sights to wars between major powers – notably China and Russia (see also here)– though it concedes that these may well be fought (indeed, are being fought) in part through unconventional means in digital domains.  In short, I think later modern war is much more complex than Saskia acknowledges; it has many modalities (which is why I become endlessly frustrated at the critical preoccupation with drones to the exclusion of other vectors of military and paramilitary violence), and these co-exist with – or give a new inflection to – older modalities of violence (I’m thinking of the siege warfare waged by Israel against Gaza or Syria against its own people).

The two contributions I’ve singled out are both broad-brush essays, but Ghaith Abdul-Ahad has contributed a two-part essay on Mosul under Islamic State that is truly brilliant: Part I describes how IS ran the city (‘The Bureaucracy of Evil‘) and Part II how the people of Mosul resisted the reign of terror (‘The Fall‘).

Mosul fell to IS in July 2014, and here is part of Ghaith’s report, where he tells the story of Wassan, a newly graduated doctor:

Like many other diwans (ministries) that Isis established in Mosul, as part of their broader effort to turn an insurgency into a fully functioning administrative state, the Diwan al-Siha (ministry of health) operated a two-tier system.There was one set of rules for “brothers” – those who gave allegiance to Isis – and another for the awam, or commoners.

“We had two systems in the hospitals,” Wassan said. “IS members and their families were given the best treatment and complete access to medicine, while the normal people, the awam, were forced to buy their own medicine from the black market.

“We started hating our work. As a doctor, I am supposed to treat all people equally, but they would force us to treat their own patients only. I felt disgusted with myself.”

(Those who openly resisted faced death, but as IS came under increasing military pressure at least one doctor was spared by a judge when he refused to treat a jihadist before a civilian: “They had so few doctors, they couldn’t afford to punish me. They needed me in the hospital.”)

Wassan’s radical solution was to develop her own, secret hospital:

“Before the start of military operations, medicines begun to run out,” she said. “So I started collecting whatever I could get my hands on at home. I built a network with pharmacists I could trust. I started collecting equipment from doctors and medics, until I had a full surgery kit at home. I could even perform operations with full anaesthesia.”

Word of mouth spread about her secret hospital.

“Some people started coming from the other side of Mosul, and whatever medicine I had was running out,” she said. “I knew there was plenty of medicine in our hospital, but the storage rooms were controlled by Isis.

“Eventually, I began to use the pretext of treating one of their patients to siphon medicine from their own storage. If their patient needed one dose, I would take five. After a while they must have realised, because they stopped allowing doctors to go into the storage.”

The punishment for theft is losing a hand. Running a free hospital from her home would have been sedition, punishable by death…

When Wassan’s hospital was appropriated by Isis fighters [this was a common IS tactic – see the image below and the Human Rights Watch report here; the hospital was later virtually destroyed by US air strikes] her secret house-hospital proved essential. More than a dozen births were performed on her dining table; she kicked both brothers out of their rooms to convert them into operating theatres; her mother, an elderly nurse, became her assistant.

As the siege of Mosul by the Iraqi Army ground on, some of the sick and injured managed to run (or stumble) the gauntlet to find medical aid in rudimentary field hospitals beyond the faltering grip of IS, while others managed to make it to major trauma centres like West Irbil.

But for many in Mosul Wassan’s secret hospital was a lifeline (for a parallel story about another woman doctor running a secret clinic under the noses of IS, see here).

Yet there is a vicious sting in the tail:

For Wassan, the ending of Isis rule in Mosul is bittersweet. After many attempts to reach Baghdad to write her board exams for medical school, she was told her work in the hospital for the past three years did not count as “active service”, and she was disqualified.

“The ministry said they won’t give me security clearance because I had worked under Isis administration,” she said.

This, too, is one of the modalities of later modern war – the weaponisation of health care, through selectively withdrawing it from some sections of the population while privileging the access and quality for others.  ‘Health care,’ writes Omar Dewachi, ‘has become not only a target but also a tactic of war.’  (If you want to know more about the faltering provision of healthcare and the fractured social fabric of life in post-IS Mosul, I recommend an interactive report from Michael Bachelard and Kate Geraghty under the bleak but accurate title ‘The war has just started‘). 

The weaponisation of health care has happened before, of course, and it takes many forms. In 2006, at the height of sectarian violence in occupied Baghdad, Muqtada al-Sadr’s Shi’a militia controlled the Health Ministry and manipulated the delivery of healthcare in order to marginalise and even exclude the Sunni population.  As Amit Paley reported:

 ‘In a city with few real refuges from sectarian violence – not government offices, not military bases, not even mosques – one place always emerged as a safe haven: hospitals…

‘In Baghdad these days, not even the hospitals are safe. In growing numbers, sick and wounded Sunnis have been abducted from public hospitals operated by Iraq’s Shiite-run Health Ministry and later killed, according to patients, families of victims, doctors and government officials.

‘As a result, more and more Iraqis are avoiding hospitals, making it even harder to preserve life in a city where death is seemingly everywhere. Gunshot victims are now being treated by nurses in makeshift emergency rooms set up in homes. Women giving birth are smuggled out of Baghdad and into clinics in safer provinces.’

He described hospitals as ‘Iraq’s new killing fields’, but in Syria the weaponisation of health care has been radicalised and explicitly authorized by the state.

You may think I’ve strayed too far from where I started this post; but I’ve barely moved.  For towards the end of her essay Saskia wonders why military and paramilitary violence in cities in so shocking – why it attracts so much more public attention than the millions murdered in the killing fields of the Congo.  And she suggests that the answer may lie in its visceral defilement of one of humanity’s greatest potential achievements:

Is it because the city is something we’ve made together, a collective construction across time and space? Is it because at the heart of the city are commerce and the civic, not war?

Lewis Mumford had some interesting things to say about that.  I commented on this in ACME several years ago, and while I’d want to flesh out those skeletal remarks considerably now, they do intersect with Saskia’s poignant question about the war on the civic:

In The Culture of Cities, published just one year before the Second World War broke out, Mumford included ‘A brief outline of hell’ in which he turned the Angelus towards the future to confront the terrible prospect of total war. Raging against what he called the ‘war-ceremonies’ staged in the ‘imperial metropolis’ (‘from Washington to Tokyo, from Berlin to Rome’: where was London, I wonder? Moscow?), Mumford fastened on the anticipatory dread of air war. The city was no longer the place where (so he claimed) security triumphed over predation, and he saw in advance of war not peace but another version of war. Thus the rehearsals for defence (the gas-masks, the shelters, the drills) were ‘the materialization of a skillfully evoked nightmare’ in which fear consumed the ideal of a civilized, cultivated life before the first bombs fell. The ‘war-metropolis’, he concluded, was a ‘non-city’.

After the war, Mumford revisited the necropolis, what he described as ‘the ruins and graveyards’ of the urban, and concluded that his original sketch could not be incorporated into his revised account, The City in History, simply ‘because all its anticipations were abundantly verified.’ He gazed out over the charnel-house of war from the air — Warsaw and Rotterdam, London and Tokyo, Hamburg and Hiroshima — and noted that ‘[b]esides the millions of people — six million Jews alone — killed by the Germans in their suburban extermination camps, by starvation and cremation, whole cities were turned into extermination camps by the demoralized strategists of democracy.’

I’m not saying that we can accept Mumford without qualification, still less extrapolate his claims into our own present, but I do think his principled arc, at once historical and geographical, is immensely important. In now confronting what Stephen Graham calls ‘the new military urbanism’ we need to recover its genealogy — to interrogate the claims to novelty registered by both its proponents and its critics — as a way of illuminating the historical geography of our own present.

It’s about more than aerial violence – though that is one of the signature modalities of modern war – and we surely need to register the heterogeneity and hybridity of contemporary conflicts.  But we also need to recognise that they are often not only wars in cities but also wars on cities.

The slow violence of bombing

When I spoke at the symposium on ‘The Intimacies of Remote Warfare’ in Utrecht before Christmas, one of my central arguments was about the slow violence of bombing.  The term is, of course, Rob Nixon‘s, but I borrowed it to emphasise that the violence of sudden death from the air – whether in the air raids of the First and Second World Wars or the drone strikes of the early twenty-first century – neither begins nor ends with the explosion of bombs and missiles.

Paul Saint-Amour speaks of ‘traumatic earliness’: that dreadful sense of deadly anticipation.  The sense of not only preparation – communal and individual – but also of an involuntary tensing.  I described this for the First and Second World Wars in ‘Modern Wars and Dead Cities’, which you can download from the TEACHING tab, but here is A.L. Kennedy who captures it as well as anyone:

Add to that the blackouts, the new landscape of civil defence with its sandbags and shelters, the new choreography of movement through the war-time city, the air-raid sirens and the probing arcs of the searchlights.

Perhaps this seems remote, but it shouldn’t.  Modern technology can radically heighten that sense of foreboding: calibrate it, give it even sharper definition.  Here is Salam Pax, counting down the hours to US air strikes on Baghdad:

Fast forward to drone strikes.  The sense of dread visited on innocents by multiple US drone programmes is readily overlooked in the emphasis on ‘targeted killing’, on what the US Air Force once called its ability to put ‘warheads on foreheads’, and on the individuation of this modality of later modern war.  ‘The body is the battlefield’, as Grégoire Chamayou argues.

I’ve written about all those things, but there is a powerful sense in which the battle space still exceeds the body: for in order to target the individual these programmes also target the social, as this set of slides from my Utrecht presentation tries to show:

Here too, surely, is traumatic earliness.  (I’ve discussed this in more detail in ‘Little Boys and Blue Skies’ [DOWNLOADS tab], and I’m indebted to Neal Curtis, ‘The explication of the social’, Journal of sociology 52 (3) (2016) 522-36) for helping me to think this through).

And then, after the explosion – the shocking bio-convergence that in an instant produces the horror of meatspace – the violence endures: stored in the broken buildings and in the broken bodies.  In the Second World War (again as I show in ‘Modern Wars and Dead Cities’) the landscape was made strange every morning: buildings newly demolished, people driven from their homes and their workplaces, roads blocked by hoses and ambulances, by craters and unexploded bombs, rescue workers still toiling in the rubble to remove the dead and the injured, hospitals still treating and caring for the casualties.

And the violence of a drone strike lingers too: not on the same scale, but still the destroyed houses, the burned-out cars, the graves of the dead and above all the traumatized survivors (and their rescuers), some of them forced into newly prosthetic lives (see here and here).  The explosion is instantaneous, a bolt from the blue, but the pain, the grief and the scars on the land and the body endure.

These effects have a horizon that is not contained by any carefully calculated blast radius.  The grief spirals out through extended families and communities; and – depending on the target – so too do the casualties.  As I’ve said before, power stations in Gaza or Iraq have been targeted not for any localised destructon but because without power water cannot be pumped, sewage cannot be treated, food (and medicines) stored in refrigerators deteriorates.  And hospitals have been systematically targeted in Syria to deny treatment to hundreds and thousands of sick and injured:

The work of enumerating and plotting air strikes, in the past or in the present, is immensely important.  But those columns on graphs and circles on maps should not be read as signs of an episodic or punctiform violence.

Taking it to the limit

A postscript to my posts here, here and here on civilian deaths from air strikes in Iraq, Syria and elsewhere: Vice has an extended interview with Chris Woods of Airwars here.

The biggest issue we saw in 2017—particularly if we look at the US-led coalition—was that the war moved very heavily into cities. That, more than any other single factor, resulted in the deaths of many more civilians and casualty events. We saw a similar pattern at the back end of 2016, when Russia and the Assad regime heavily bombed east Aleppo. There’s a very strong correlation between attacks on cities and large numbers of civilian casualties. And frankly, it doesn’t matter who’s carrying out those attacks. The outcome for civilians is always dire…

Things didn’t get any better under Trump for civilians—in fact, they got a lot worse. One of the reasons for that was the intensity of the bombardment. We saw an absolutely ferocious bombing campaign by the US and its allies in both Mosul and Raqqa in 2017. Between those two cities, the coalition alone dropped 50,000 munitions. One bomb or missile was dropped on Raqqa every 12 minutes, on average, for the duration of the four-month battle…

When Russia and the Assad regime were bombing Aleppo in late 2016, we had assumed that a key reason for the large number of civilian casualties was down to the fact they were primarily using dumb-bombs. We have actually changed our modeling since then, based on what we have seen with the coalition in places like Raqqa and Mosul. The reason is that even when you use precision bombs on cities, really, the outcome for civilians is the same as a dumb bomb. You can’t control what the bombs do when they land.

We saw very little difference between Russian and coalition strikes when it came to bombing cities. This is the big problem we have with a shift to urban warfare —it’s really taking us to the limits of any benefits we might have in terms of protecting civilians by using precision munitions.

Chris also has some characteristically smart (and sharp) things to say about transparency and accountability too…