Tag Archives: Battle of Mosul

Mosul offensive gains fresh momentum as army attacks IS from northwest

A wounded displaced man is evacuated by Iraqi forces as he crosses the Tigris by a military boat after the bridge has been temporarily closed, south of Mosul, Iraq May 4, 2017. REUTERS/Suhaib Salem

By Ahmed Aboulenein and Ahmed Rasheed

SOUTHWEST OF MOSUL, Iraq/BAGHDAD (Reuters) – The U.S.-backed Iraqi offensive to take back Mosul from Islamic State gained fresh momentum on Thursday, with an armored division trying to advance into the city from the northern side.

The militants are now besieged in the northwestern corner of Mosul which includes the historic Old City center, the medieval Grand al-Nuri Mosque, and its landmark leaning minaret where their black flag has been flying since June 2014.

The Iraqi army’s 9th Armoured Division and the Rapid Response units of the Interior Ministry have opened a new front in the northwest of the city, the military said in a statement.

The attack will help the elite Counter-Terrorism Service (CTS) and Interior Ministry Federal Police troops who are painstakingly advancing from the south.

“Our forces are making a steady advance in the first hours of the offensive and Daesh fighters are breaking and retreating,” Brigadier General Yahya Rasool, a spokesman for the joint operations command, told state television. He was referring to Islamic State by an Arabic acronym.

Federal Police and Rapid Response forces advanced 1,400 meters and keep pushing ahead in the Hulela area toward the Haramat district northwest of Mosul. They were trying to reach the Tigris river bank and surround the Fifth Bridge north of the Old City, the Federal Police said in a statement.

A U.S.-led international coalition is providing key air and ground support to the offensive on Mosul, Islamic State’s de facto capital in Iraq, which started in October.

It was from the pulpit of the Grand al-Nuri Mosque that Islamic State leader Abu Bakr al-Baghdadi revealed himself to the world in July 2014, declaring a “caliphate” that spanned parts of Syria and persecuted non-Sunni communities as well as Sunnis who did not abide by its extreme interpretation of Islam.

“An armored division should not be going into narrow alleyways and streets but we will,” said Lieutenant General Qassem al-Maliki, commander of the 9th Armoured Division.

“There are sometimes troop shortages or orders that require us to do so and we will do our duty,” he told Reuters in an interview at a base southwest of Mosul.

“We will enter with Rapid Response forces and CTS and we will enter as one front.”

The Iraqi army said on April 30 that it aimed to finish the battle for Mosul, the largest city to have fallen under Islamic State control in both Iraq and Syria, this month.

Islamic State’s defeat in Mosul will not mean the end of the hardline Sunni group which remains in control of parts of Syria and vast swathes of Iraqi territory near the Syrian border.

SHAPING THE BATTLEFIELD

Close U.S. support should help the involvement of the armored division and reduce the risk for civilians, U.S. Army Lieutenant Colonel James Browning, the partnered advisor to the Iraqi 9th Armoured Division, told Reuters at the base.

“Everything I am trying to do is try to shape the battlefield for him,” Browning, a battalion commander from the 82nd Airborne Division, said referring to Maliki.

“I am looking at trying to strike right in front of him as well as deep, even into Old Mosul.”

U.S. support is essential for getting rid of suicide car bombs, known as VBIEDs, driven by the militants as road torpedoes before crashing into troops.

A typical conversation between Browning and Maliki would go like this: “What are you seeing on the screen? Do you see civilians?” Browning recalls Maliki asking.

“And sometimes I say ‘yes’ and he (Maliki) says ‘don’t strike’. I go through that process every time. We scan, we take a look, we make sure,” Browning said.

The war is taking a heavy toll on civilians trapped behind Islamic State lines and used by the militants as shields.

Local officials and eyewitnesses have said as many as 240 people may have died in March in the Al-Jadida district of western Mosul when a blast resulted in a building collapsing.

The U.S. military has acknowledged that the U.S.-led coalition probably had a role in the March 17 explosion, but said Islamic State also could be to blame.

(Reporting by Ahmed Aboulenein southwest of Mosul and Ahmed Rasheed in Baghdad; Additional reporting by Isabel Coles in Erbil; Writing by Maher Chmaytelli; Editing by Ralph Boulton)

Five years, billions of dollars needed to rebuild Mosul: officials

Iraqis workers repair sewage line in eastern Mosul, Iraq May 2, 2017. REUTERS/Suhaib Salem

By Ahmed Aboulenein

MOSUL, Iraq (Reuters) – Mosul’s wrecked roads, bridges and broader economy will take at least five years to repair and need billions of dollars of development that Iraq’s government will struggle to afford, officials returning to the battle-scarred city said.

The airport, railway station and university were all destroyed in the long fight to dislodge Islamic State militants from their main Iraqi stronghold.

Iraqi government forces backed by a U.S.-led coalition have now retaken the eastern half of the city – letting regional councillors return for the first time in 2-1/2 years to survey the damage.

“After Mosul is fully liberated, we need a working plan to restore things to the way they were before 2014 when Islamic State took over,” Noureldin Qablan, deputy chairman of the council covering the surrounding Nineveh province, told Reuters.

He sat back in his office in the heart of Mosul, the province’s regional capital, an unremarkable building apart from its new concrete fortifications and the teams of armed guards surrounding it.

A gun lay on his desk, next to his phone and piles of paperwork.

Outside, bustling markets have sprung back into life on the eastern banks of the Tigris river. Over on the other side of the river, Islamic State fighters are holed in, defending the densely-populated Old City with snipers and suicide bombers.

At the heart of their territory sits the medieval Grand al-Nuri Mosque and its famous leaning minaret, where Islamic State leader Abu Bakr al-Baghdadi declared his caliphate in July 2014. Experts fear the fragile brick structure could still succumb to the fighting raging around it.

Iraq’s army has said it expects to expel Islamic State from the rest of the city by May.

“WE ARE NOT GETTING ENOUGH SUPPORT”

The 34 Nineveh councillors, who have been meeting in other cities during the occupation, have already started drawing up plans to rebuild Mosul, though they are still were not sure where the money will come from, said Qablan.

For the first six months, local authorities would focus on restoring security, water, electricity and fuel, and on the return of those displaced by the war.

Under the plan, there would then be a two-year period of reconstruction and the initiation of a reconciliation process followed by 30 months focused on attracting investment and developing the economy.

Some of the early repair work could cost as little as $5,000 a house, Qablan said.

But even that would strain budgets that he said were under-funded by the central government in Baghdad.

“Honestly, we are not getting enough support. What has been allocated to Nineveh in 2017 was 52 billion Iraqi dinars ($44.5 million) which is a very small sum for a province this size,” Qablan said.

“In 2013 we were allocated 738 billion dinars, yet after all this destruction we get just 52. It is very hard to reach our goals with this sum, so we are counting on foreign grants.”

Council officials are in talks with the United Nations, international aid groups and friendly states, he said. Italy was already helping rebuild a hospital.

Outside on the eastern side of the river, foreign investment was already flowing back in, in the form of market stalls heaving with Turkish and Iranian fruit and vegetables, replacing the less plentiful Syrian produce that had dominated under Islamic State.

Tobacco shops, banned by the ultra-hardline Sunni Muslim group, have reopened.

Dozens of men sipped coffee or tea inside The Golden Cafe, looking at their phones and surfing the web – activities that Islamic State had limited to monitored internet centers.

“We are happy and comfortable. Life is good,” said one customer Emad, smoking hookah outside. “I feel out of this world.”

(Reporting by Ahmed Aboulenein; Editing by Maher Chmaytelli and Andrew Heavens)

Without school, children of Mosul feared lost to poverty and conflict

Falah, 11, sells vegetables and fruits in a market in eastern Mosul, Iraq April 20, 2017. REUTERS/ Muhammad Hamed

By Ahmed Aboulenein

MOSUL, Iraq (Reuters) – Ahmed Abdelsattar was 14 when Islamic State swept into Mosul and declared a caliphate in 2014. Fearing he would be indoctrinated and sent to fight by the militants, his parents took him out of school.

Three years later, he sells ice cream at a refugee camp for internally displaced Iraqis. His family have lost their home and his father is too old for the manual labor positions at the camp, which means he is his family’s sole breadwinner.

Coupled with a shortage of teachers, books and supplies, the 17-year-old sees no reason to go to the makeshift schools set up in the Khazar camp near Erbil.

“Going to school is now useless. I am helping my family,” he said. He adds that it is too late for him anyway. Had his education not been interrupted, Abdelsattar would be graduating in a few weeks.

Abdelsattar is one of tens of thousands of children orphaned or left homeless by the war on Islamic State and forced to work to support their families in Mosul, the militant’s last major city stronghold in Iraq.

Returning these children to school is a priority for Iraq to end the cycle of sectarian violence fueled in part by poverty and ignorance, the United Nations says.

“Investment in education is urgently needed, without which Iraq could lose an entire generation,” said Laila Ali, a spokeswoman for the UN’s children agency UNICEF.

“Children from different ethnicities and religions, in the same classroom, will promote a cohesive society and will get children to think differently.”

Even in the half of Mosul east of the Tigris River that has been retaken by Iraqi forces, where 320 of the 400 schools have reopened, Reuters interviewed dozens of children working as rubbish collectors, vegetable vendors or mechanics.

“I did not go to school because Islamic State came and they would teach children about fighting and send them to fight,” says 12-year-old Falah by his vegetable cart in Mosul.

Within earshot, fighting was still raging. Just across the river, government troops, artillery and aircraft were attacking Islamic State’s last stronghold in western Mosul.

Falah has four younger brothers. None of them have ever been to school.

ONE PLUS ONE EQUALS TWO

Huzayfa studied up to the fifth grade but stopped when Islamic State came. The militants taught math using bullets, rifles and bombs, said the 12-year-old, who sells scrap metal.

“They taught us ‘one bullet plus one bullet’ and how to fire weapons,” he said.

The local education department in Nineveh province, of which Mosul is the capital, estimates 10 percent of children in east Mosul are still out of school. There has been no official count for almost four years, it said.

There are also no official statistics on the dropout rate, a spokesman for Iraq’s Education Ministry said, especially as many families have fled Mosul or Iraq altogether.

“We are counting on parent-teacher conferences and local officials to convince parents to send their kids back to school,” said Ibrahim al-Sabti.

Government funds normally allocated to education have been depleted by corruption and mismanagement, lawmakers and non-governmental organizations say, citing the results of investigations in 2014 and 2016.

Oil-rich Iraq historically had very high literacy rates and primary school enrolment was 100 percent in the 1980s.

Illiteracy became rampant after international sanctions were imposed due to the August 1990-1991 occupation of Kuwait. Economic hardship was made worse by the civil war that broke out after the 2003 U.S.-led invasion that toppled Saddam Hussein.

LOST FUTURE

Schools in east Mosul started reopening in January and so far around 350,000 students are back in class, compared to 183,229 in 2013, with much of the increase due to displaced people from west Mosul and surrounding villages.

UNICEF estimates around 1.2 million Iraqi children are not in school nationwide.

The Iraqi military expects to dislodge Islamic State from the rest of Mosul in May but the militants are mounting a strong resistance in the densely populated Old City.

Iraqi troops began their offensive in October backed by a U.S.-led international coalition providing air and ground support. The militants are fighting back using booby traps, suicide motorcycle attacks, sniper and mortar fire and sometimes shells filled with toxic gas.

For children like Ahmed Abdelsattar, whether or not the group is finally ousted from Mosul has little bearing on their fate.

If he is lucky, he will return to where his home used to be in western Mosul’s Al-Jadida district, an area where local officials and eyewitnesses have said as many as 240 people may have died in March when a building collapsed after a blast, burying families inside.

“The future is lost,” he said with an air of resignation.

(Reporting by Ahmed Aboulenein; Editing by Sonya Hepinstall)

Iraqi paramilitaries shut more Islamic State escape routes to Syria border

A view shows the ancient city of Hatra, south of Mosul, Iraq April 27, 2017. REUTERS/Stringer

ERBIL, Iraq (Reuters) – Iraqi paramilitary units captured the northern province of Hatra on Thursday, cutting off several desert tracks used by Islamic State to move between Iraq and Syria, the military.

The operations in Hatra are carried out by Popular Mobilisation, a coalition of mostly Iranian-trained militias of Shi’ite volunteers formed in 2014 after Islamic State, a hardline Sunni group, overran a third of Iraq.

The militias on Wednesday dislodged Islamic State from the ancient ruins of Hatra, which suffered great destruction under the militants’ three-year rule, a military spokesman said.

Hatra, a city that flourished in the first century AD, lies 125 km (80 miles) south of Mosul, where the militants have been fighting off a U.S.-backed offensive since October.

The militants are now surrounded in the northwestern part of Mosul, including the Old City and its landmark Grand al-Nuri Mosque from where their leader, Abu Bakr al-Baghdadi, declared in mid-2014 a caliphate also spanning parts of Syria.

Mosul is by far the largest city that had fallen to the militants in both countries. The density of the population is slowing the advance of Iraqi forces.

Hatra is also located west of Hawija, a region north of Baghdad still under Islamic State control.

Popular Mobilisation, which operates with the approval of Iraq’s Shi’ite-led government, said on Tuesday the Hatra campaign aims at cutting off Islamic State’s routes between Hawija, Mosul and eastern Syria.

Iraq’s border region with Syria is a historic hotbed of the Sunni insurgency against the rule of the Shi’ite majority community, empowered after the U.S.-led invasion that toppled Saddam Hussein in 2003.

(Reporting by Maher Chmaytelli; Editing by Angus MacSwan)

Mosul businesses start reconstruction without waiting for final Islamic State defeat

Workers rebulid a shop that was destroyed during fighting between Iraqi forces and Islamic state fighters, eastern Mosul, Iraq, April 21, 2017. REUTERS/ Muhammad Hamed

By Mohammed Al-Ramahi

MOSUL, Iraq (Reuters) – Some businessmen in Mosul have begun rebuilding their shattered premises without waiting for financial support from the cash-strapped Iraqi government or for the final defeat of Islamic State in the city.

“If we wait for support, it could take a long time,” said Rafeh Ghanem, who owns an automotive spare-parts business in the eastern side of the city.

An airstrike in January reduced the two-storey building that houses his shop and dozens of others to a heap of rubble and twisted steel rods.

U.S.-backed Iraqi forces took back the eastern side of Mosul in January, after 100 days of fighting. They are now fighting Islamic State in districts lying west of the Tigris river that bisects the city.

Ghanem said he and the 25 other businesses that rent space in the building agreed to contribute funds to help the landlord clear the debris and rebuild one of the two storeys.

Reconstruction started on April 11 and Ghanem hopes to return to business in three to four months.

He says waiting is of no use since the price of building materials is expected to rise as more reconstruction projects get under way, boosting demand for steel and cement.

The city, captured by IS in 2014, has suffered extensive damage as hundreds of houses and public buildings including the airport, the main railway station and the university have been destroyed.

Cement and steel prices have gone down steeply since the militants were defeated in eastern Mosul, as road connections have opened up with the rest of Iraq and Turkey, allowing supplies to resume.

A metric ton of cement used to sell for up to 350,000 Iraqi dinars ($300) after the militants took over nearly three years ago. It now costs 80,000 to 90,000, said an importer, Saif Ibrahim.

For Ghanem, there is no other choice but to rebuild the city which had a pre-war population of more than 2 million.

“We live in this city, we have to bring it back.” ($1 = 1,167.0000 Iraqi dinars)

(Writing by Maher Chmaytelli; Editing by Mark Trevelyan)

Iraqi forces using siege and stealth to evict Islamic State from Mosul

FILE PHOTO - Federal police members fire a rocket at Islamic State fighters' positions during a battle at Jada district in western Mosul. REUTERS/Youssef Boudlal

By Ahmed Aboulenein

MOSUL, Iraq, (Reuters) – Iraqi forces are using siege and stealth tactics to drive Islamic State militants out of Mosul’s Old City, an Iraqi general said, as his forces sought to minimize casualties among hundreds of thousands of people trapped in the cramped, historic neighborhood.

Explosions from two car bombs could be heard nearby as Lieutenant General Abdul Ghani al-Assadi spoke to Reuters at his command post on Monday, and a Reuters correspondent saw thick smoke rising from the blasts.

“Most houses in the Old City are very old and its streets and alleyways are very narrow,” said Assadi, a commander of Iraqi counter-terrorism units in Mosul. “So to avoid civilian losses we are using siege, but that does not mean we will not enter the Old City.”

Assadi said his units were refraining from engaging enemy forces in positions where the militants were holding civilians as human shields.

“Using very careful methods and considerations, we will liberate our people from Daesh,” he said, using an Arab acronym of Islamic State.

Government forces have surrounded the militants in the northwestern quarter, including the Old City, home to the Grand al-Nuri mosque, where their leader, Abu Bakr al-Baghdadi, declared a “caliphate” over parts of Iraq and Syria.

The ultra-hardline Sunni Muslim fighters are countering the offensive using booby traps, suicide motorcycle attacks, sniper and mortar fire and, occasionally, shells filled with toxic gas.

With food and water becoming scarcer in neighborhoods of Mosul still under IS control, up to half a million people are believed to be trapped there, including 400,000 in the Old City alone, according to United Nations estimate.

Lise Grande, the U.N. Humanitarian Coordinator for Iraq, told Reuters last week fighting in the Old City could lead to “a humanitarian catastrophe, perhaps the worst” in the three-year war to evict Islamic State from Iraq.

International aid organizations have estimated the civilian and military death toll at several thousand since the U.S.-backed offensive by government forces to retake Mosul began in October. More than 330,000 people have been displaced so far, according to the International Organisation for Migration.

“Humanitarian partners are preparing contingency plans for a number of different displacement scenarios in western Mosul, including for a possible mass outflow of 350,000-450,000 civilians, or a siege-like situation of the Old City,” the U.N Office for the Coordination of Humanitarian Affairs said in a report on Tuesday.

Mosul, the largest city in northern Iraq, was captured by Islamic State in mid-2014, but government forces have retaken most of it, including the half that lies east of the Tigris River.

The Iraqi military gained additional ground on Tuesday, dislodging the militants from Hay al-Tanak, one of Mosul’s largest districts by area, on the western edge of the city.

Assadi said the battle should end “very soon, God willing” but declined to indicate a time frame. “This is a guerrilla war, not a conventional one, so we cannot estimate how long it will take; Daesh is fighting house to house.”

The Iraqi military estimate the number of Islamic State fighters who remain in Mosul at 200 to 300, mostly foreigners, compared with about 6,000 when the offensive started.

The militants “don’t let themselves get captured,” said Assadi. “They came to die and the majority of them are now in hell.”

(Writing by Maher Chmaytelli; Editing by Simon Cameron-Moore, Larry King)

Hundreds more join Mosul exodus as Iraqi forces retake two more western districts

Popular Mobilization Forces (PMF) fires towards Islamic State militants during a battle, west of Mosul,Iraq April 21, 2017. REUTERS/Stringer

By Maher Chmaytelli

MOSUL, Iraq (Reuters) – Pushing carts loaded with bags, babies and the elderly, hundreds of people fled Mosul on Saturday after Iraqi forces retook two more districts in the west of the city from Islamic State.

After walking for miles, families were taken by bus from a government checkpoint in the south of the city to camps housing more than 410,000 people displaced since the offensive to retake Mosul began in October.

“We left with no water, food or electricity,” said 63-year-old Abu Qahtan, the elder of a group of 41 people from five families. “We left with the clothes on our backs.”

Iraqi forces have taken much of Mosul from the militants who overran the city in June 2014. The military now controls the eastern districts and are making advances in the west.

Islamic State fighters, holding out in the Old City, are surrounded in the northwest and are using booby traps, sniper and mortar fire to defend themselves.

On Saturday, artillery and gun fire could be heard as families arrived from Hay al-Tanak district which they said was still half controlled by the militants.

Troops, backed by helicopters, were moving towards the al-Nuri mosque where, nearly three years ago, Islamic State leader Abu Bakr al-Baghdadi announced his self-declared caliphate spanning parts of Iraq and Syria.

A Reuters reporter, standing within sight of the mosque, saw heavy smoke in that area after an air strike.

The U.S.-trained Counter-Terrorism Service (CTS) has retaken the nearby al-Thaura and al-Saha districts, statements said.

CTS commander Major General Maan Saadi said his troops were linking up with Iraq’s Federal Police moving in on the Old City from a different position.

“We are completing the encirclement of the terrorists in the Old City,” he told Reuters.

Hundreds of thousands of civilians are still trapped in western Mosul, where Iraqi forces are making slow progress against Islamic State in what is a labyrinth of narrow streets.

As of April 20, some 503,000 people have been displaced from Mosul, of which 91,000 have returned, a spokeswoman for the U.N. refugee agency UNHCR said, citing government figures.

Mosul, Iraq’s second-largest city, is the militants’ last urban stronghold in the country.

(Writing by Ulf Laessing; Editing by Louise Ireland)

Iraq opens new Tigris bridge escape route for people fleeing Mosul

An Iraqi woman carries a girl as she walks along a pontoon bridge over the Tigris river on the outskirts of Hammam al-Alil, south of Mosul, Iraq, April 17, 2017. REUTERS/Andres Martinez Casares

By Ulf Laessing

MOSUL (Reuters) – Iraqi’s army has built a new pontoon bridge over the Tigris river south of Mosul, after flooding had blocked all crossing points, opening an escape route for families fleeing fighting between government forces and Islamic State.

On Friday, the army dismantled makeshift bridges linking the two parts of Mosul due to heavy rain, forcing residents leaving Iraq’s second-largest city to use small boats.

The city’s permanent bridges have been largely destroyed during a six-month military campaign to seize back Mosul from the Sunni Muslim Islamists, which overran it in 2014.

Long queues formed at the new bridge on Tuesday with families crossing in public buses, trucks and taxis.

Aid shipments also resumed to the Hammam al-Alil camp, southwest of Mosul, the main arrival point for people fleeing the fighting.

Deliveries from Erbil, located some 80 km (50 miles) east in peaceful Iraqi Kurdistan, where aid agencies are based, had stopped due to the flooding.

“Everything is back to normal,” said a spokeswoman for the U.N. refugee agency UNHCR.

Some 20,000 people have escaped from Mosul in the past four days, fewer than before due to the lack of transport, the UNHCR said in a report. Almost 330,000 people have fled Mosul since Iraq started an operation to expel Islamic State in October.

They were some of the around 400,000 people still in western Mosul where military forces are trying to dislodge the militants from the Old City.

Fighting continued in the Old City where heavy smoke could be seen from the area of the Grand al-Nuri Mosque, from where Islamic State leader Abu Bakr al-Baghdadi declared a “caliphate” spanning parts of Iraq and Syria.

Aircraft, helicopter and artillery opened fire, while gunfire could also be heard at several positions of Iraq’s federal police near the Old City.

“They (Islamic State militants) carry out attacks on our defensive lines, but each time we repel them and they run away, leaving bodies of their dead fighters behind,” Lieutenant Colonel Hussein Lazim Zghayer said of the force’s 9th division.

“Minutes ago, they launched an attack and we responded by shelling them with mortar rounds, killing two of them and their bodies were left in front of our defensive lines,” he said.

Government forces, including army, police and elite counter terrorism units have taken back most of Mosul, including the half that lies east of the Tigris river.

The militants are now surrounded in northwestern Mosul, using booby traps, sniper and mortar fire against the assailants.

(Editing by Alison Williams)

Civilians trapped in Mosul could face worst catastrophe in Iraq conflict, U.N. warns

A smoke rises as Iraqi forces fight Islamic State militants in Mosul, Iraq, April 17, 2017. REUTERS/Marko Djurica

ERBIL, Iraq (Reuters) – The fighting in the Islamic State-held Old City of Mosul, where hundreds of thousands of Iraqi civilians are trapped, could turn into the worst humanitarian “catastrophe” in the war against the militants, the United Nations warned on Tuesday.

“If there is a siege and hundreds of thousands of people don’t have water and don’t have food, they will be at enormous risk,” U.N. humanitarian coordinator for Iraq Lise Grande told Reuters in a telephone interview.

“We could be facing a humanitarian catastrophe, perhaps the worst in the entire conflict,” she added.

Mosul, the largest city in northern Iraq, was captured by the ultra-hardline Sunni Muslim fighters in mid 2014.

Iraqi government forces have taken back most of it in a U.S.-backed offensive launched in October, including the half that lies east of the Tigris river.

The militants are now surrounded in the northwestern quarter including the historic Old City, using booby traps, sniper and mortar fire against the assailants.

(Reporting by Maher Chmaytelli)

Babies starve as war grinds on in Mosul

Patients Iraqi children lie at a hospital run by Medecins Sans Frontieres in Qayyara, Iraq April 6, 2017. Picture taken April 6, 2016. REUTERS/Suhaib Salem

By Isabel Coles

QAYYARA, Iraq (Reuters) – The babies cry with hunger but are so severely malnourished that doctors treating them at a hospital in Iraq would make their condition worse if they fed them enough to stop the pangs.

Many of the starving infants are from Mosul, where war between Islamic State militants and Iraqi forces is taking a heavy toll on several hundred thousand civilians trapped inside the city.

A new, specialist ward was opened recently to deal with the growing number of children from Mosul showing signs of malnutrition as the conflict grinds on -– most of them less than six-months-old.

That means they were born around the time Iraqi forces severed Islamic State’s last major supply route from Mosul to Syria, besieging the militants inside the city, but also creating acute shortages of food.

“Normally nutritional crises are much more common in Africa and not in this kind of country,” said pediatrician Rosanna Meneghetti at the hospital, which is run by aid group Medecins Sans Frontieres (MSF) in Qayyara, about 60 km (40 miles) south of Mosul. “We did not anticipate this”.

So far, the number of cases recorded is below the level considered critical but it nonetheless highlights the hardship faced by civilians who are effectively being held hostage by Islamic State.

Iraqi forces backed by a U.S.-led coalition have retaken most of the city but are struggling to dislodge the militants from several districts in the west, including the Old City.

Residents who have managed to escape say there is almost nothing to eat but flour mixed with water and boiled wheat grain.

What little food remains is too expensive for most residents to afford, or kept for Islamic State members and their supporters.

FORMULA MILK SHORTAGE

In the ward, a team of doctors monitors the babies’ progress in grams, feeding them a special peanut-based paste that will gradually accustom them to eating and increase their weight.

On one bed lies a six-month-old boy weighing 2.4 kg – less than half the median weight for an infant of that age.

The diminutive patients are also treated for other diseases associated with malnutrition, which weakens the immune system, making them even more vulnerable.

“It’s a new thing in Iraq,” said MSF project coordinator Isabelle Legall. “Most of the (Iraqi) doctors have never seen it (malnutrition)”.

Part of the problem, Legall said, is a lack of tradition of breast-feeding among Iraqi mothers, who usually raise their babies on formula milk, which is now almost impossible to come by in Mosul.

Even if they want to breastfeed, many mothers find it difficult due to the physical and emotional strain of living in a warzone: “The mother is very stressed and can’t find much food herself so cannot produce so much milk,” Meneghetti said.

One of the mothers from Mosul told the doctors she had no option but to feed her baby sugar dissolved in water, yogurt, or a mixture of flour and water.

“All of this is because of Daesh (Islamic State),” said another mother, keeping vigil over her emaciated baby.

Some of the babies come from villages that were retaken from Islamic State months ago, pointing to a wider trend of food insecurity.

TWO PATIENTS TO A BED

On average, more than half the patients seen in the emergency room of the MSF hospital are under the age of 15, partly because there is a shortage of pediatricians in the area, so many children are referred there.

Signs on the doors of the portacabins that house different wards prohibit visitors from entering with weapons.

The pediatric ward is so full there are two patients to each bed, and most of the women’s wing is taken up by children recovering from war injuries such as broken limbs, burns and shrapnel.

Many babies are brought to the hospital with respiratory problems such as bronchiolitis and pneumonia -– most of them from camps for the displaced, where cramped conditions enable viruses to spread.

Two children buried under blankets are suffering from birth asphyxia which occurs when a baby’s brain and other organs do not get enough oxygen before, during or immediately after being born.

Meneghetti said their mothers had probably needed a surgical birth but were unable to reach a hospital so delivered at home and experienced complications.

Lying listless on another bed is a boy who was wounded by shrapnel when his father picked up a box of explosives, intending to move the danger away. It blew up in his hands, wounding them both along with several other family members.

The expression on eight-year-old Dua Nawaf’s face is haunting.

The girl suffered burns to the head and hands in an airstrike by the U.S.-led coalition that killed more than 100 people in the Mosul Jadida district last month, including both her parents.

“The family told me this morning that she (Dua) had some problems, especially in the night, so we are organising a mental health (assessment) for her,” Meneghetti said, reaching into her pocket for a balloon, which she inflated and gave to the girl.

Only the faintest hint of a smile appeared on Dua’s face.

(Editing by Angus MacSwan)