WASHINGTON — For Israeli soldiers guarding the country’s northern border, Shabbat morning is often, though not always, quite placid, even with a raging civil war unfolding miles away.
The Israel Defense Forces have naturally been vigilant to keep the Syrian conflict from bleeding into Israel, especially over the last year as Iran has sought to entrench itself in the beleaguered Arab state. But more often than not, it hasn’t been Syrians with weapons who head toward Israel’s borders: it has been Syrians with injuries.
That came to the fore on a fateful morning in February 2013, when seven Syrians arrived at the Israeli border in need of serious medical attention. The medics there provided them with care, but it soon became clear that this would not be enough to save their lives.
At the time, Salman Zarka was the head of the IDF Northern Command’s Medical Corps. He quickly determined that the wounded Syrians needed to go to a civilian hospital where they could receive a higher level of care.
The closest one was the Ziv Medical Center in Safed, an ancient city overlooking the Sea of Galilee. Zarka ordered that they be rushed to the facility, where they were treated, and some underwent surgery. Every single one of them survived.
Ten days later, they went back to their homes in Syria.
Now, Zarka is the director of Ziv — a position he’s held since 2014 — where he has continued to treat Syrians who come to the Israeli border in need of lifesaving medical interventions.
Since 2013, Ziv has played a small but pivotal role in the treatment of injured Syrians over the course of their country’s ruthless civil war. That is at least partly due to the hospital’s strategic location: roughly seven miles from the border with Lebanon and a little more than 50 from the Syrian border.
At first, Zarka thought 50 miles was too far for patients in critical condition (about a 30-minute drive with sirens), who, he feared, might not survive the trip.
“We decided that if we’re going to have a mission of saving lives, we’ll do it in the best way we know, and the best way with our experience was to have a military hospital just on the border so severe injuries can be treated there,” Zarka recently told The Times of Israel.
Therefore, in March 2013, after consultation with government officials, Israel built a facility on the border, near a Druze village.
But a year and a half later, it closed.
“We discovered it wasn’t needed,” said Zarka, who is Druze. “Most of the Syrians’ injuries were orthopedic. They did not require immediate medical attention and could wait to be treated at civilian facilities.”
Today, most of the burden falls on Ziv to treat Syrians who come to Israel asking for help. Since February 2013, the hospital has treated roughly 5,000 Syrians, according to Zarka.
The experience, he said, appears to have an impact on those rescued — many of whom had grown up thinking their southern neighbor was a villain.
“I’ve met many Syrians. When I met them at first, they were very afraid to meet their enemy and receive medical support from us,” Zarka said. “They didn’t always tell us the truth. We noticed that sometimes they changed their names. But things have changed. They have started smiling and speaking Hebrew. A number have told us that for many years they have been educated that we are the devil and need to be kicked back to the sea.
“Now,” he said, “they understand that we are more human than Assad.”
At Ziv, Syrians are treated confidentially to protect their identity from Syrian authorities, who would not take kindly to their accepting help from the Jewish state.
The patients stay anywhere from a few days to a few months. In a few rare cases, some have stayed longer than a year. While there, Zarka noted, they receive the same level of care as Israelis.
“We offer not just treatment for their injuries, we treat them according to the Israeli standards,” he said. “We do our best not just to try to save their lives, we try to improve the quality of their lives.”
In one instance, a Syrian woman came to the border with her 10-year-old diabetic daughter after their village was bombed. The girl was unconscious and her mother thought she was dead. Shortly after they arrived at the border, the IDF brought them to Ziv, where the girl was treated for three months.
During that period, the medical staff trained the mother to care for her child once they left the unit — teaching her how to check her daughter’s glucose levels and how to give an insulin injection. They wanted to make sure she could keep her daughter healthy once they left.
When Ziv released her from the hospital, Zarka was fearful for both of their futures. “We were very worried especially about what would happen to this wonderful girl when she got back to Syria,” he said.
Four months later, however, that girl made it back to Ziv for a checkup.
“To see that she is surviving and gaining weight and in a better situation … you believe that you are changing something,” he said.
Zarka said when the girl returned she gave him a present: a drawing of the Israeli flag with a big heart and her name on it.
It said, “Todah Raba” — “Thank you” in Hebrew.
For Zarka, experiences like this one reveal the ability to influence the worldview of Syrians who might otherwise despise Israelis without actually knowing them. It may be a small sample size, he said, but that little girl will grow up grateful for the country that helped her while her own was trapped in a humanitarian catastrophe.
“She will believe Israelis are saving lives, that we are good people,” Zarka said. “Maybe some day, we will have a different relationship.”
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