This was obviously untrue. But by attacking Iraq every day while issuing only routine information about the targets, American and British officials had also ensured that their salami bombardment attracted little or no interest in the press; newspapers now frequently carried little more than four lines about air-strikes that would have captured front-page headlines a year earlier. Only when U.S. missiles hit civilian areas was the mildest criticism heard. Often, these attacks turned out to be even more bloody than the Iraqis admitted at the time. When an American AGM-130 missile exploded in a Basra housing complex, initial reports spoke of eleven civilian casualties, although a total of sixteen died on that day and almost a hundred were wounded. Von Sponeck, who was still the UN humanitarian coordinator in Baghdad at the time, stated that two missiles hit civilian areas 30 kilometres apart, the first in Basraâwhere a woman and five children were among the deadâand the second in the village of Abu Khassib, where five women and five children were killed. In other words, most of the victims were children; a Pentagon spokesman later admitted the Basra attack, responding to the casualties with the words: “I want to repeat that we are not targeting civilians.”
The 1999 air offensive had begun at the New Year with five American attacks in two weeks and was followed on 11 January when U.S. aircraft attacked Iraqi missile sites from air bases in Turkey. Almost daily air raids continued to the end of January, by which time British fighter-bombers were joining U.S. planes in the attacks. On 31 January, eight British and American jets were bombing “communications facilities” in southern Iraq. A statement from the Americans on 4 February that U.S. and British planes had by then destroyed forty missile batteriesâadding that this alone caused greater damage than was caused to Iraq in the whole December air bombardmentâpassed without comment. Neither Washington nor London explained whether the attacks had UN backingâthey did notâand a warning by Britain's socialist elder statesman, Tony Benn, went unheeded.
On 11 February, General Sir Michael Rose, Britain's former UN force commander in Bosnia, condemned the offensive in a speech at the Royal United Services Institute. “The continual TV images of the West's high-technology systems causing death and destruction to people in the Third World will not be tolerated for ever by civilised people,” he said. But his remarks were largely ignored. Instead, U.S. officials continued their fruitless attempts to form a united Iraqi opposition to Saddam and to seek Arab support for their plans. By declaring the Western “nofly ” zones invalidâwhich they were in international lawâSaddam could encourage his air defences to fire at U.S. and British aircraft. He even offered a reward of $14,000 for ground-to-air missile crews who shot down raiding aircraft. It went unclaimed; Iraq's air defence batteries were hopelessly inferior to American and British technology.
Yet still this near-secret war went on. In Baghdad, six more civilian deaths were announcedâone in an air raid near Najaf on 10 February 1999, and five more, with twenty-two wounded, in southern Iraq five days later. After
The Independent
published the details of this war-by-disinterest, I continued my trawl through the daily Arab press. On 22 February, for example, it was reported that U.S. and British jets had attacked an Iraqi missile site and two communications bases near Amara and Tallil. On 1 March, American jets dropped more than thirty 2,000-pound and 500-pound laser-guided bombs on radio relay sites, “communications targets and air defence guns” in northern Iraq. Defence Secretary Cohen said the same day that U.S. pilots had been given “greater flexibility” in their attacks. When an air raid disrupted Iraqi oil exports to Turkey, the executive director of the UN's Oil-for-Food programme, Benon Sevan, complained that there was already a $900 million shortfall between expected revenues and what was needed to fund the humanitarian programme under sanctions, and that continued raids could frustrate efforts to supply food and medicines to Iraqi civilians. Like Benn and Rose, he was ignored.
But Arab press reports on the U.S. and British attacks proved that Rose's warnings were accurate. Even Qatar, a long-standing ally of Washington, opposed the campaign. “We do not wish to see Iraq bombed daily or these attacks which are being made on the no-fly zones,” Qatar's foreign minister, Sheikh Hamad bin Jassim al-Thani, told Cohen on 9 March. Esmat Abdul-Meguid, the Arab League secretary general, demanded an end to the air raids. The Kosovo warâin which both the Americans and the British could take on the role of protector of Muslimsâ further helped to smother the Iraq war. On 2 April, the Iraqis stated that aircraft had destroyed a control centre at the oil-pumping station at Mina al-Bakr.
There was no end to this. On 6 April, the Pentagon announced a joint Anglo-American attack on a surface-to-air missile battery near Faysaliyah. Three civilians were reported killed in raids in Iraqi Kurdistan on 8 May, another twelve killed in Mosul five days later. And so it went on. By August 1999, even
The New
York Times
had noticed that an Iraqi shooting war was continuing behind the backs of the American public, reporting on 13 August that American and British pilots had fired more than 1,100 missiles against 359 targets in the previous eight months, flying about two-thirds as many missions as NATO pilots conducted over Yugoslavia during the seventy-eight-day bombardment that spring. And the response to all this from the State Department? Spokesman James Rubin said that “ultimately responsibility for these events . . . lies with Saddam Hussein.”
Throughout the year, the Americans and British continued to nibble away at Iraq's infrastructure and what was left of its defences, a war of attrition whose regularity had reduced the almost daily raids to a non-story. But not in the Arab world. Newspapers throughout the Gulf damned the assault with equal regularity; Saudi officials privately noted that the air bombardment was causing increasing fury among the young and more religious citizens of the kingdom. General Rose had warned that this violence would not be “tolerated for ever.” Yet how would the Arabs respond? What weapons did they have in their arsenal to redress the imbalance of power between East and West, save for the planes and tanks we sold their dictators to increase our own wealth?
THERE WAS ONE FINAL SCOURGE to be visited upon the Iraqi people, however, a foul cocktail in which both our gunfire and our sanctions played an intimate, horrific role, one that would contaminate Iraqis for years to come, perhaps for generations. In historical terms, it may one day be identified as our most callous crime against the Middle East, against Arabs, against children. It manifested itself in abscesses, in massive tumours, in gangrene, internal bleeding and child mastectomies and shrunken heads and deformities and thousands of tiny graves.
I first heard that Iraqis might be suffering from a strange new cancer “epidemic” while visiting the Syrian capital of Damascus in the summer of 1997. An Iraqi opposition leader, a Shiite cleric who made his way to Iran after the failed Shiite uprising of 1991 and had then travelled to Syria, told me that Iraqi ex-soldiers seeking refuge in camps in southern Iran were being diagnosed with an unusual number of cancers; most had fought in the 1991 tank battles south-west of Basra, their armour struck repeatedly by American depleted-uranium shells. The cleric spoke, too, of Iraqi children in the Iranian camps who had also fallen ill. If this was trueâand these children would also have come from southern Iraqâthen what was the state of health of children in Basra today? What were these mysterious cancers?
When I arrived in Baghdad in early 1998, I was confronted almost at once by unexpected cases of cancer. An Iraqi family I had known for years had lost three of its members to leukaemia in two years. The family had a history of smoking. But the middle-aged lady who greeted me at the door was, unusually for her, wearing a scarf over her head. She had just been diagnosed with cancerâand she had never smoked. Then there was the government official whose two children had just been sent to hospital with an unknown lung complaintâwhich subsequently turned out to be cancer. Another Iraqi acquaintance told me of a neighbour's baby that developed a “shining” in one of her eyes. Doctors had taken the eye out so that the cancer should not spread.
It took several days before I grasped what this meant: that something terrible might have happened towards the end of the 1991 Gulf War. Some Iraqis blamed the oil fires which had burned during and after the war, releasing curtains of smoke that hung over the country for weeks, producing a carcinogenic smog over Baghdad and other large cities. Others suspected that Saddam's bomb-blasted chemical weapons factories might be to blame. But increasingly, we found that those most at risk came from areas where allied aircraftâand in the far south, tanksâhad used large quantities of depleted-uranium munitions. DU shells are made from the waste product of the nuclear industry, a hard alloy that is tougher than tungsten and that ignites into an aerosol uranium “spray” after punching through the armour of tanks and personnel carriers. As I expected, the Americans and the British maintained that these munitions could not be the cause of cancer.
This was not an easy story to investigate. Unlike bomb fragments with their tell-tale computerised codes, DU munitionsâwhile easy to identify because they left a penetrator “head” in or near their targetâcould not be physically linked to the leukaemias afflicting so many thousands of Iraqis, other than by a careful analysis of the location of these cancer “explosions” and interviews with dozens of patients. Some of the children I spoke to, for example, were not even born in 1991; but invariably, I would find that their fathers or mothers had been close to allied air or tank attacks. There was another difficulty in reporting this story which I and my colleagues, Lara Marlowe, now of the
Irish Times
, and Alex Thomson of Britain's Channel 4 televisionâwho worked with me on my first investigationâencountered the moment we visited Iraq's dilapidated and often dirty hospitals.
Cancer wards are shocking, child cancer wards more so, places that should notâif life and youth have meaningâexist on this earth. But child cancer wards for those who die from the diseases of war are an abomination. For what slowly became evident was that an unknown chemical plague was spreading across southern Mesopotamia, a nightmare trail of leukaemia and stomach cancer that was claiming the lives of thousands of Iraqi children as well as adults living near the war zones of the 1991 Gulf conflict.
They smiled as they were dying, these children. Ali Hillal was eight when I met him in the Mansour hospital in Baghdad. He lived next to a television station and several factories at Diyala, repeatedly bombed by allied aircraft. He was the fifth child of a family that had no history of cancers. Now he had a tumour in his brain. Dr. Ali Ismael recalled how malnourished the little boy was when he first arrived at the hospital. “First he had the mumps, then he had swelling in his chest and abdomen,” he said. “Now the tumour has reached his brain. When the condition reaches this point, the prognosis is very poor.” Ali Hillal's mother, Fatima, recalled the bombings. “There was a strange smell, a burning, choking smell, something like insecticide,” she told me. “Yesterday, he had a very severe headache,” Dr. Ismael said, smiling at the child. “He was screaming. When I gave him an injection between his vertebrae, he told me he knew the pain of the needle, but that he would be very quiet because he knows I want what is best for him.”
Latif Abdul Sattar was playing with a small electric car when I first caught sight of him. His smile, beneath the dome of his baldness, suggested life. But he would die.
159
I walked with Dr. Ismael on his morning rounds. Youssef Abdul Raouf Mohamed from Kerbalaâclose to military bases bombed in 1991âhas gastrointestinal bleeding. He still has his curly hair and can talk to his parents but has small blood spots on his cheeks, a sure sign of internal bleeding. And Dr. Ismael is bothered by a memory. “Since the UN embargo, patients often die before they can even receive induction treatment,” he says, looking at the floor because he knows his story is going to be a terrible one. “They get thrombocytopenia, a severe reduction of blood platelets. They start bleeding everywhere. We had another child like Youssef. He was called Ahmed Fleah. And after we started the cytotoxin treatment, he started bleeding freely from everywhereâfrom his mouth, eyes, ears, nose, rectum. He bled to death in two weeks.”
Dr. Ismael, who is resident doctor in the cancer ward, sat down in his office, staring in front of him. “When Faisal Abbas died two days ago, I came here, closed the door, sat down and cried,” he said. “I gave drugs to him from my own hands. He was like a brother to me. He was only ten years old. He was diagnosed with leukaemia three years ago and we treated him with drugsâhe received treatment, but it was only partial because we lack so many drugs.”
Dr. Ismael blamed the sanctions, of course, for blocking the medicines; and he blamed the 1991 war for turning his paediatric cancer ward into a way-station for dying children, for the infants whoâgiven their first medicinesâbleed to death in front of the doctors. “In three years, I have seen hundreds of children with leukaemia and last year there was a dramatic increase,” Dr. Ismael said. “This month we diagnosed twenty new cases, mostly from the southâfrom Basra, Nasiriyah, Kerbala and Najaf. It's mainly caused by radiation.” The doctors here had an odd way of expressing themselves, in a kind of scientific-emotional grammar. “We have palliative treatment but not curative treatment,” one of them said.
When I walk into the child cancer ward across the hall, I understand what this means. Little Samar Khdair lies in what the doctors quite casually call the “ward of death.” She is only five years old but looks much younger, lying shrivelled on her bed, her eyes squeezed shut with pain, her large, unwieldy fatherâmassive in his grey
galabiya
robe amid such frailty and painâgently placing a damp yellow compress on her face. She comes from al-Yussfiya on the road to Babylon, the target of regular allied raids in February 1991.