Childhood cancer patients in Lebanon must battle disease while under fire

BEIRUT (AP) — Carol Zeghayer gripped her IV as she hurried down the brightly lit hallway of Beirut’s children’s cancer center. The 9-year-old's face brightened when she spotted her playmates from the oncology ward.

Diagnosed with cancer just months before the conflict between Hezbollah and Israel erupted in October 2023, Carol relies on weekly trips to the center in the Lebanese capital for treatment.

But what used to be a 90-minute drive, now takes up to three hours on a mountainous road to skirt the heavy bombardment in south Lebanon, but still not without danger from Israeli airstrikes. The family is just one among many across Lebanon now grappling with the hardships of both illness and war.

“She’s just a child. When they strike, she asks me, ‘Mama, was that far?’” said her mother, Sindus Hamra.

The family lives in Hasbaya, a province in southeastern Lebanon where the rumble of Israeli airstrikes has become part of daily life. Just 15 minutes away from their home, in the front-line town of Khiam, Israeli troops and Hezbollah fighters clash amidst relentless bombardments.

On the morning of a recent trip to Beirut for her treatment, the family heard a rocket roar and its deafening impact as they left their home. Israeli airstrikes have also hit vehicles along the Damascus-Beirut highway, which Carol and her mother have to cross.

The bombardment hasn’t let up even as hopes grew in recent days that a ceasefire might soon be agreed.

More than war, Hamra fears that Carol will miss chemotherapy.

“Her situation is very tricky — her cancer can spread to her head,” Hamra said, her eyes filling with tears. Her daughter, diagnosed first with cancer of the lymph nodes and later leukemia, has completed a third of her treatment, with many months still ahead.

While Carol's family remains in their home, many in Lebanon have been displaced by an intensified Israeli bombardment that began in late September. Tens of thousands fled their homes in southern and eastern Lebanon, as well as Beirut’s southern suburbs — among them were families with children battling cancer.

The Children’s Cancer Center of Lebanon quickly identified each patient’s location to ensure treatments remained uninterrupted, sometimes facilitating them at hospitals closer to the families' new locations, said Zeina El Chami, the center’s fundraising and events executive.

During the first days of the escalation, the center admitted some patients for emergency care and kept them there as it was unsafe to send them home, said Dolly Noun, a pediatric hematologist and oncologist.

“They had no place to go,” she added. "We’ve had patients getting admitted for panic attacks. It has not been easy.”

The war has not only deepened the struggles of young patients.

“Many physicians have had to relocate,” Noun said. “I know physicians, who work here, who haven’t seen their parents in like six weeks because the roads are very dangerous.”

Since 2019, Lebanon has been battered by cascading crises — economic collapse, the devastating Beirut port explosion in 2020, and now a relentless war — leaving institutions like the cancer center struggling to secure the funds needed to save lives.

“Cancer waits for no one,” Chami said. The crises have affected the center’s ability to hold fundraising events in recent years, leaving it in urgent need of donations, she added.

The facility is currently treating more than 400 patients aged from few days to 18 years old, Chami said. It treats around 60% of children with cancer in Lebanon.

For Carol, the war is sometimes a topic of conversation with her friends at the cancer center. Her mother hears her recount hearing the booms and how the house shook.

For others, the moments with their friends in the center's playroom provide a brief escape from the grim reality outside.

Eight-year-old Mohammad Mousawi darts around the playroom, giggling as he hides objects and books for his playmate to find. Too absorbed by the game, he barely answers questions, before the nurse calls him for his weekly chemotherapy treatment.

His family lived in Ghobeiry, a neighborhood in Beirut’s southern suburbs. Their house was marked for destruction in an Israeli evacuation warning weeks ago, his mother said.

“But till now, they haven’t struck it,” said his mother, Suzan Mousawi. “They have hit (buildings) around it — two behind it and two in front of it.”

The family has relocated three times. They first moved to the mountains, but the bitter cold weakened Mohammad’s already fragile immune system.

Now they’ve settled in Ain el-Rummaneh, not far from their home in the southern Beirut suburbs known as Dahiyeh, which has come under significant bombardment. As the Israeli military widened the radius of its bombardment, some buildings hit were less than 500 meters (yards) from their current home.

The Mousawis have lived their entire lives in Dahiyeh, Suzan Mousawi said, until the war uprooted them. Her parents’ home was bombed. “All our memories are gone,” she said.

Mohammad has 15 weeks of treatment left, and his family is praying it will be successful. But the war has stolen some of their dreams.

“When Mohammad fell ill, we bought a house,” she said. “It wasn’t big, but it was something. I bought him an electric scooter and set up a pool, telling myself we’d take him there once he finishes treatment.”

She fears the house, bought with every penny she had saved, could be lost at any moment.

For some families, this kind of conflict is not new. Asinat Al Lahham, a 9-year-old patient of the cancer center, is a refugee whose family fled Syria.

“We escaped one war to another,” Asinat’s mother, Fatima, added.

As her father, Aouni, drove home from her chemotherapy treatment weeks ago, an airstrike happened. He cranked up the music in the car, trying to drown out the deafening sound of the attack.

Asinat sat in the back seat, clutching her favorite toy. “I wanted to distract her, to make her hear less of it,” he said.

In the medical ward on a recent day, Asinat sat in a chair hooked to an IV drip, negotiating with her doctor. “Just two or three small pinches,” she pleaded, asking for flavoring for her instant noodles that she is not supposed to have.

“I don’t feel safe … nowhere is safe … not Lebanon, not Syria, not Palestine,” Asinat said. “The sonic booms are scary, but the noodles make it better,” she added with a mischievous grin.

The family has no choice but to stay in Lebanon. Returning to Syria, where their home is gone, would mean giving up Asinat’s treatment.

“We can’t leave here,” her mother said. “This war, her illness … it’s like there’s no escape.”

Carol Zeghayer, 9, second right, a girl who suffers from leukaemia, attends with a volunteer who offers her a compassionate care and entertainment session ahead of her treatment at the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

Children who suffers from cancer, enjoy at a playroom with a volunteer ahead of their treatments at the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

Doctor Dolly Noun, a pediatric hematologist and oncologist, checks Carol Zeghayer, 9, a girl who suffers from leukaemia ahead of her treatment at the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

Mohammad Mousawi, 8, a displaced boy from the southern suburb of Beirut who suffers from leukaemia, attends with a volunteer who offers him a compassionate care and entertainment ahead of his weekly treatment at the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

Patents with their child enter the Children's Cancer Center of Lebanon to receive their treatments, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

Doctor Dolly Noun, a pediatric hematologist and oncologist at the Children Cancer Center of Lebanon, speaks during an interview with the Associated Press, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

Carol Zeghayer, 9, who suffers from leukaemia, carries her dose treatment as she walks at a corridor inside the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

Zeina Al Chami, events and fundraising executive at the Children's Cancer Center of Lebanon, speaks during an interview with the Associated Press, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

Asinat al Lahham, 9, a Syrian-Palestinian girl who escaped the war in Syria with her family and who suffers from leukaemia, gestures outside the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

Mohammad Mousawi, 8, a displaced boy from the southern suburb of Beirut who suffers from leukaemia, steps out the entrance of the Children's Cancer Center of Lebanon, in Beirut, Lebanon, Friday, Nov. 15, 2024. (AP Photo/Hussein Malla)

MEXICO CITY (AP) — President Claudia Sheinbaum suggested Tuesday that Mexico could retaliate with tariffs of its own, after U.S. President-elect Donald Trump threatened to impose 25% import duties on Mexican goods if the country doesn’t stop the flow of drugs and migrants across the border.

Sheinbaum said she was willing to engage in talks on the issues, but said drugs were a U.S. problem.

“One tariff would be followed by another in response, and so on until we put at risk common businesses,” Sheinbaum said, referring to U.S. automakers that have plants on both sides of the border.

She said Tuesday that Mexico had done a lot to stem the flow of migrants, noting “caravans of migrants no longer reach the border.”

She also said Mexico had worked to stem the flow of drugs like the deadly synthetic opioid fentanyl, despite an influx of weapons smuggled in from the United States. She said the flow of drugs “is a problem of public health and consumption in your country’s society.”

Sheinbaum also criticized U.S. spending on weapons, saying the money should instead be spent regionally to address the problem of migration. “If a percentage of what the United States spends on war were dedicated to peace and development, that would address the underlying causes of migration,” she said.

Sheinbaum’s bristly response suggests that Trump faces a much different Mexican president than he did in his first term.

Back in late 2018, former President Andrés Manuel López Obrador was a charismatic, old-school politician who developed a chummy relationship with Trump. The two were eventually able to strike a bargain in which Mexico helped keep migrants away from the border — and received other countries’ deported migrants — and Trump backed down on the threats.

But Sheinbaum, who took office Oct. 1, is a stern leftist ideologue trained in radical student protest movements, and appears less willing to pacify or mollify Trump.

However, it's not clear how serious Trump’s threat is. The U.S.-Mexico-Canada free trade agreement forbids just imposing tariffs on other member countries. And it’s not clear whether the economy could even tolerate sudden levies on imports: Auto plants on both sides of the border rely on each other for parts and components, and some production lines could screech to a halt.

“It is unacceptable and would cause inflation and job losses in Mexico and the United States,” Sheinbaum said, while offering to talk about the issues.

“Dialogue is the best path to achieve understanding, peace and prosperity for our two countries,” Sheinbaum said. “I hope our teams can meet soon.”

Late Monday, Trump said he would impose a 25% tax on all products entering the country from Canada and Mexico, and an additional 10% tariff on goods from China, as one of his first executive orders.

The tariffs, if implemented, could dramatically raise prices for American consumers on everything from gas to automobiles to agricultural products. The U.S. is the largest importer of goods in the world, with Mexico, China and Canada its top three suppliers, according to the most recent U.S. Census data.

Trump made the threats Monday in a pair of posts on his Truth Social site in which he railed against an influx of illegal migrants, even though apprehensions at the southern border have been hovering near four-year lows.

“On January 20th, as one of my many first Executive Orders, I will sign all necessary documents to charge Mexico and Canada a 25% Tariff on ALL products coming into the United States, and its ridiculous Open Borders,” he wrote, complaining that “thousands of people are pouring through Mexico and Canada, bringing Crime and Drugs at levels never seen before,” even though violent crime is down from pandemic highs.

He said the new tariffs would remain in place “until such time as Drugs, in particular Fentanyl, and all Illegal Aliens stop this Invasion of our Country!”

“Both Mexico and Canada have the absolute right and power to easily solve this long simmering problem. We hereby demand that they use this power,” he went on, “and until such time that they do, it is time for them to pay a very big price!”

FILE - Newly-sworn in President Claudia Sheinbaum addresses supporters in the Zócalo, Mexico City's main square, on Oct. 1, 2024. (AP Photo/Fernando Llano, File)