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Halabja


Halabja is a city in northeastern Iraq's Kurdistan Region, serving as the capital of Halabja Governorate, a predominantly Kurdish area bordering Iran.
The city is most notably the site of a chemical weapons attack launched by Iraqi government forces on March 16, 1988, during the final stages of the Iran-Iraq War and as part of the Anfal military campaign targeting Kurdish insurgents and civilians.
At the time, Halabja was held by Kurdish Peshmerga fighters allied with Iranian forces, prompting Iraqi retaliation that indiscriminately gassed the population with a mixture of mustard gas and nerve agents including sarin, tabun, and possibly VX.
The assault killed an estimated 3,200 to 5,000 civilians immediately, with thousands more suffering long-term injuries and health effects from exposure, marking it as the deadliest chemical attack on a civilian population in history.
This event, integrated into the broader Anfal operations deemed genocidal by human rights investigations, devastated the city, displaced survivors, and highlighted the Iraqi regime's systematic use of prohibited weapons against its Kurdish minority amid ongoing rebellion and wartime dynamics.
Reconstruction efforts post-1991 uprising and the 2003 regime change elevated Halabja's status, culminating in its designation as a governorate in 2014 to affirm Kurdish administrative autonomy.

Geography

Location and Topography

Halabja is situated in the of , serving as the administrative center of , which borders to the east and lies approximately 240 kilometers southeast of the city of . The city's geographic coordinates are approximately 35.178°N and 45.986°E . It occupies a position in the northeastern part of , within the former until its designation as a separate in by the Kurdistan Regional Government, though the federal Government of continues to classify it administratively under . The topography of Halabja features a fertile plain known as the Shahrizor Valley, nestled at the southwestern edge of this basin and enclosed by rugged chains of the Zagros range, including the Hawraman Mountains to the northeast. The city itself sits at an elevation of about 708 meters (2,323 feet) above , with surrounding elevations rising sharply to form a natural basin conducive to amid the otherwise steep, hilly terrain. This landscape includes prominent peaks such as Shenroi, , and Rangin, which encircle the area and contribute to its isolation and defensive character historically. The valley's flat to gently undulating floor contrasts with the precipitous slopes, supporting settlement and cultivation in a region otherwise dominated by mountainous barriers.

Climate

Halabja features a hot-summer Mediterranean climate (Köppen Csa), marked by pronounced seasonal contrasts with hot, arid summers and cooler, wetter winters influenced by its location in the Zagros Mountains foothills at approximately 650 meters elevation. Summer temperatures from June to September typically peak in July, with average highs reaching 35–39 °C (95–102 °F) and lows around 14–23 °C (57–74 °F), accompanied by low humidity and minimal cloud cover. Winters, spanning December to February, bring cooler conditions, including average January highs of 5–10 °C (41–50 °F) and lows dipping to -6–1 °C (21–34 °F), with occasional frost and light snowfall possible due to regional elevation effects. Spring and autumn serve as transitional periods with moderate temperatures averaging 10–25 °C (50–77 °F). Annual precipitation totals around 400 mm (16 inches), predominantly falling between and , with as the wettest month at over 65 mm (2.5 inches) across 10–12 rainy days. The summer months receive less than 5 mm (0.2 inches) combined, contributing to a prolonged dry season from May to that underscores the region's semi-arid tendencies despite the Mediterranean classification.

Demographics

Population and Composition

The population of Halabja Governorate was reported as 124,458 in 2023 by the Iraqi Ministry of Planning, representing about 2.1% of the Region's total population of approximately 6 million. This figure reflects growth from pre-1988 estimates of around residents in the city prior to the chemical attack, driven by reconstruction, return of displaced persons, and natural increase within the Kurdish-majority area. Ethnically, Halabja is nearly homogeneous, with constituting the overwhelming majority—over 95%—and no significant presence of , , or other groups reported in official or demographic analyses. The local predominantly speak the dialect and are associated with tribal affiliations such as the Talabani, influencing social and political structures. Religiously, the population is predominantly Sunni Muslim, aligning with the broader profile of Iraqi Kurds where 98% identify as Sunni. Halabja has historically served as a hub for Kurdish Islamist movements, fostering a conservative religious amid coexistence with small numbers of adherents to other faiths, including and , though these remain marginal.

Cultural and Religious Aspects

The inhabitants of Halabja are overwhelmingly ethnic who predominantly follow , consistent with the religious majority in where Sunni comprise a significant portion of the Muslim population. Religious practice emphasizes traditional Islamic observances, including daily prayers, Ramadan fasting, and Eid celebrations, though local customs may incorporate Kurdish-specific interpretations influenced by Sufi traditions historically prevalent among . A notable religious minority in Halabja is the Kakai (also known as Yarsan or Ahl-e Haqq) community, adherents of a syncretic faith that integrates elements of , pre-Islamic Iranian beliefs, and mystical traditions, often transmitted orally through sacred and poetry. The Kakai hold annual spring festivals centered on themes of and communal rituals, such as food-sharing and sacred chants, which underscore their distinct identity amid the Sunni majority. Halabja exemplifies cultural heritage through a vibrant of oral epics, poetry, music, and dance that preserve and identity, often performed during communal gatherings. The city hosts literary festivals, art exhibitions, and events celebrating , reinforcing resilience and artistic expression as core aspects of local life. Newroz, the New Year celebrated on March 21, holds particular significance in Halabja as a of renewal, resistance, and fire-jumping rituals symbolizing liberation from tyranny, drawing large crowds for music, dance, and picnics. Interfaith coexistence is evident, with Sunni Muslims and Kakai participating in one another's ceremonies, fostering social harmony despite historical tensions elsewhere in . Traditional attire and handicrafts, such as woven shals, also feature prominently in cultural displays, embodying ethnic pride.

History

Early and Pre-Modern History

The region encompassing modern Halabja is associated with ancient settlements dating to the Lullubis era, a group of tribes inhabiting the Zagros Mountains around 2000 BC, with local traditions identifying the site as the ancient city of Khar Khar. These connections reflect the area's long habitation in the Kurdish highlands, though archaeological evidence directly linking the contemporary city to these prehistoric entities remains limited. Following the Islamic conquests, Halabja was captured from the Sassanid Empire by Arab forces in 641 AD, integrating it into the expanding Muslim . During the Abbasid period, the town fell under the rule of local principalities, including the Hassnawya dynasty from 959 to 1015 AD and subsequently the Annazi dynasty until 1117 AD, periods marked by semi-autonomous amid broader Islamic imperial dynamics. The experienced reconstruction in 1650 under local dukes, centered around the Takya , indicating continuity of settlement despite regional upheavals. Ottoman administration formalized Halabja's status as a in 1889, appointing Osman Pasha Jaff as its initial mayor, within the empire's broader incorporation of territories starting from the onward. This era saw the town functioning as an administrative and agricultural hub in the , reflecting stable pre-modern societal structures under imperial oversight.

20th Century Developments

Halabja, long an administrative center within the Ottoman-controlled principality in the region since the , transitioned to British oversight after the defeat in . As part of the British Mandate for Mesopotamia formalized in 1920, the town experienced political and military reorganization amid local resistance, including Sheikh Mahmud Barzanji's uprisings against colonial authority in 1919 and the early 1920s. British forces maintained a presence in Halabja and nearby areas like Penjwin to suppress tribal and unrest, with Lady Adela, a descendant of emirs, playing a notable role in local mobilization and influence during this mandate period. The establishment of the Kingdom of in 1921 incorporated Halabja into the centralized state structure, primarily as a (kaza) within Sulaymaniyah province, though administrative adjustments continued through the monarchy era until the 1950s. demands for cultural and political recognition persisted, but Halabja saw limited distinct upheavals compared to broader regional tensions. Following the 1958 overthrow of the monarchy and the republican shift, the town became embroiled in escalating Iraqi- conflicts, particularly the 1961 revolt initiated by against Qasim's government, which encompassed areas including Halabja. A 1970 autonomy accord under the Ba'ath regime granted Kurds nominal representation and self-rule provisions, but its abrogation in 1974 reignited warfare, supported externally by , the U.S., and , leading to widespread displacement of tens of thousands from regions like Halabja by 1975 after the halted aid. Halabja's administrative status evolved with township modifications amid these pressures, reflecting the central government's efforts to integrate or suppress polities before the Iran-Iraq War.

Iran-Iraq War and Anfal Campaign

During the Iran-Iraq War (September 1980–August 1988), Halabja's location in , approximately 10 kilometers from the ian border, positioned it as a focal point for Kurdish resistance against the Ba'athist Iraqi regime. Local Kurdish forces, primarily affiliated with the (PUK) under , operated from bases in the surrounding valleys, such as Sergalou and Bergalou, conducting guerrilla attacks on Iraqi military positions and supply lines. These actions intensified Iraqi suspicions of Kurdish collaboration with , as the PUK received logistical support from and allowed Iranian penetration into Kurdish-controlled territories, exacerbating Baghdad's counterinsurgency efforts in the war's later stages. The , a systematic Iraqi military operation from February to September 1988 codenamed after a Quranic sura justifying plunder and destruction of enemies, targeted populations in northern deemed supportive of the Iranian war effort. Commanded by (known as "Chemical Ali"), the campaign involved eight phases of village razings, forced deportations, and mass executions, affecting PUK strongholds including the Halabja district in the Garmian region. Iraqi forces destroyed over 2,000 villages and displaced hundreds of thousands, with estimates of 50,000 to 182,000 killed overall, many buried in mass graves; Halabja's area was encircled in early 1988 as part of efforts to depopulate and "drain the marshes" of insurgents. This operation reflected Iraq's broader strategy to consolidate control amid the war's stalemate, viewing autonomy demands and border-area activities as existential threats equivalent to Iranian incursions. By February 1988, the first Anfal phase assaulted PUK rear bases near , involving barrages, ground sweeps, and chemical strikes on fleeing civilians, setting the pattern for subsequent operations that isolated towns like Halabja from external aid. Iraqi documents captured post-1991 reveal orders for total annihilation of "saboteurs" and their villages, with no distinction between combatants and non-combatants, driven by the regime's assessment that revolts prolonged the war by tying down 200,000 Iraqi troops in the north. While some Western intelligence initially downplayed the scale due to 's role as a bulwark against , declassified records confirm the campaign's genocidal intent, rooted in pre-war policies accelerated by wartime paranoia. Halabja's fall to combined Iranian-PUK forces on March 15, 1988, exemplified the interlinked threats Iraq sought to eradicate through Anfal, prompting escalated reprisals in the region.

The 1988 Chemical Attack

On March 16, 1988, Iraqi military forces under the command of launched a sustained chemical weapons attack on the town of Halabja in northern , targeting its predominantly Kurdish civilian population. The assault occurred amid the Iran-Iraq War (1980–1988), shortly after Iranian Revolutionary Guards and fighters from the (PUK) had captured the town from Iraqi control on March 15, prompting a retaliatory operation by the Iraqi Fifth Army Corps. The attack involved repeated aerial bombings by Iraqi aircraft, delivering a of chemical agents over several hours, beginning around 5 p.m. and continuing into the evening. The chemical munitions deployed included blister agent (sulfur mustard) and nerve agents such as tabun and , often disseminated via shells, rockets, and aerial bombs in successive waves to maximize civilian exposure and prevent escape. Eyewitness testimonies and forensic evidence from survivors described a visible white or yellowish mist settling over the town, causing immediate symptoms including eye irritation, skin blistering, convulsions, foaming at the mouth, and rapid as the agents inhibited and damaged lung tissues. The Iraqi strategy appeared designed to punish perceived collaboration with , as Halabja's residents had sheltered PUK forces, though the attack indiscriminately struck non-combatants, including women and children fleeing to open areas. Casualties were catastrophic, with estimates of immediate deaths ranging from 3,200 documented victims—based on local records and survivor lists—to as many as 5,000 civilians killed within hours, primarily from acute poisoning. An additional 7,000 to 10,000 people suffered severe injuries, including chemical burns, neurological damage, and chronic respiratory issues, overwhelming rudimentary medical facilities and leading to mass graves for unidentifiable bodies. A United Nations team dispatched to the region in April 1988 confirmed the use of mustard gas and likely nerve agents through analysis of soil samples, victim autopsies, and residue on clothing, attributing responsibility to Iraqi forces based on flight logs and munitions patterns. Iraqi state media initially denied the attack or blamed Iran, but declassified Iraqi military documents later corroborated the deliberate deployment of chemical stockpiles from nearby bases. The assault's execution reflected Iraq's broader pattern of during the war, with over 100 documented uses against Iranian troops and insurgents since 1983, enabled by indigenous production facilities and precursor imports. While some early analyses speculated Iranian complicity due to mixed agent effects mimicking friendly fire, subsequent investigations by and U.S. intelligence dismissed this, citing Iraqi aircraft dominance and agent signatures inconsistent with Iranian capabilities at the time. The Halabja attack stood out for its scale against a area, leaving streets littered with corpses of humans and animals, and marking the deadliest single chemical incident in modern history up to that point.

Post-Attack Reconstruction and Autonomy

Following the March 16, 1988, chemical attack, Iraqi forces systematically destroyed much of Halabja's , razing homes and rendering largely uninhabitable, which prompted the flight of most of its estimated 40,000-50,000 residents to refugee camps in or other parts of . The area remained under nominal Iraqi control but was effectively depopulated and forbidden to until the 1991 uprising. The return of Halabja's population commenced in 1991 amid the failed uprising against Saddam Hussein's regime, facilitated by the establishment of a U.S.-led safe haven and in northern , which curtailed Baghdad's military reach and enabled self-rule. By 1994, residents like local farmer Jamal Bedar had begun reconstructing homes in the original "Old Halabja" site, often selling properties in the nearby forced-relocation settlement of "New Halabja" (later renamed Shazaur by the Regional Government) to fund repairs. Initial rebuilding efforts focused on basic housing amid scarce resources, with the town integrating into the emerging administrative framework of . Under the Regional Government (KRG), formed through parliamentary elections in May 1992, Halabja benefited from regional autonomy that allowed local governance, , and limited international for , though progress remained uneven due to civil war between Kurdish factions (1994-1998) and persistent central Iraqi interference until 2003. By the early , following the U.S.-led invasion that toppled , reconstruction accelerated within the autonomous framework enshrined in Iraq's 2005 constitution, which granted the KRG control over its territory, including Halabja. Projects included a Japanese-funded $70 million system, yet as of 2008, many structures still bore visible scars from the attack, and civil services like electricity and healthcare lagged, exacerbating local frustrations. Halabja's autonomy evolved as part of the broader Kurdish self-governance model, administered initially under the (PUK) zone near , with the KRG prioritizing memorialization—such as the Halabja Memorial—alongside economic ties to and cross-border . This regional control insulated the town from Baghdad's direct oversight, enabling policies tailored to survivor needs, though development challenges persisted from long-term health effects and underinvestment relative to larger Kurdish cities.

Recent Provincial Status

In April 2025, the Iraqi Parliament approved legislation establishing Halabja as 's 19th province, formalizing its separation from after decades of advocacy by authorities and residents. The bill received 187 votes in favor during its third reading on April 14, 2025, following initial cabinet approval of a draft law in March 2023 and prior recognition by the Kurdistan Regional Government (KRG) in 2014 without federal endorsement. President signed the law on April 29, 2025, with its publication in the Iraqi Official Gazette on May 5, 2025, marking the effective date of provincial status. As the fourth within the , Halabja's elevation addressed longstanding demands tied to its historical trauma, including the 1988 chemical attack, and aimed to enhance local governance and . The province spans approximately 1,000 square kilometers with a population of around 170,000, primarily , and its first , Nuxsha Ali Hussein, was appointed shortly after parliamentary approval to oversee administrative transitions. An annual budget of about $200 million was projected for infrastructure, healthcare, and memorials, reflecting commitments from both and . Post-establishment developments included the KRG's approval of $73 million in projects by May 2025 for roads, water systems, and hospitals, alongside a $19 million service initiative launched in October 2025. In July 2025, Iraq's Federal rejected challenges to the provincial law, affirming its and solidifying Halabja's status amid federal-regional coordination. Rashid's visit that month underscored Halabja's development as a national priority, with emphasis on integrating it into federal frameworks while preserving . Challenges persist, including budget disputes between and , but the status has enabled targeted investments, such as expanded electricity coverage under the KRG's Runaki Project.

Economy

Primary Sectors and Resources

constitutes the primary sector in , with local production centered on rainfed and irrigated crops suited to the region's mountainous terrain and climate. Key outputs include varieties such as the "Wafaa Halabja" , developed specifically for northern Iraq's rainfed areas to enhance yield resilience. Farms produce diverse items like fruits, vegetables, herbs, and over 120 product types on operations such as the 115-dunam Farm, which integrates cultivation with to market fresh goods directly to visitors. Livestock rearing and small-scale complement farming, supported by weekly markets that prioritize local farmers and facilitate sales of produce amid broader Regional Government efforts to boost agricultural exports exceeding 3,000 tons daily. The sector faces challenges from legacy due to the 1988 chemical attack, yet persists as the dominant extractive activity, with no major , oil, or gas operations identified in the . Natural resources are thus primarily and sources for irrigation, though development lags behind oil-dependent areas elsewhere in .

Infrastructure and Development Challenges

Halabja province faces persistent infrastructure deficits in , distribution, , and public services, stemming from decades of damage and limited post-2003 funding. These gaps have exacerbated , with citizens enduring unreliable utilities and inadequate transportation networks that isolate the region from broader trade routes. Investment inflows remain sluggish, attributed to chronic salary delays for public employees, overall market lethargy in Iraqi Kurdistan, and failures to reimburse prior investors, which deter new capital in critical sectors like tourism and agriculture. The acting governor has repeatedly called for accelerated private and governmental commitments to infrastructure upgrades, emphasizing Halabja's untapped potential in ecotourism but highlighting bureaucratic hurdles and budget dependencies on the Kurdistan Regional Government (KRG). Governance challenges compound these issues, including the absence of provincial council elections since , which impairs local and equitable resource distribution despite Halabja's elevation to provincial status and recent independent budget allocations. While the KRG approved nine development projects valued at approximately $73 million in May 2025—covering roads, water, and electricity—and allocated additional funds for specific road construction, implementation lags due to regional financial disputes and competing priorities. Ongoing demands for healthcare integration, land dispute resolutions, and service expansions underscore the need for sustained, coordinated efforts to overcome these barriers.

Legacy of the Halabja Massacre

Casualties and Long-Term Health Impacts

The chemical attack on Halabja on March 16, 1988, killed an estimated 5,000 civilians immediately, primarily through asphyxiation, blistering, and neurological failure from exposure to a cocktail of agents including , , tabun, and possibly . Thousands more—estimates range from 7,000 to 10,000—suffered acute injuries such as severe burns, blindness, respiratory distress, and convulsions, overwhelming local medical capacity and leading to additional delayed fatalities in the following weeks. Survivors have endured persistent multi-system health effects decades later, with peer-reviewed studies documenting elevated rates of , , and other respiratory pathologies linked to mustard gas-induced lung damage. Ocular complications, including , , and persistent photophobia, remain prevalent, particularly among those exposed to blister agents, impairing vision and daily function. Dermatological issues such as chronic scarring and pigmentation changes, alongside higher incidences of cancers (e.g., and ), reflect the carcinogenic and mutagenic properties of the agents used. Neurological and psychological sequelae are widespread, with survivors exhibiting increased risks of , cognitive deficits, and (PTSD), compounded by nerve agent effects like . Intergenerational impacts include elevated congenital anomalies and developmental disorders in offspring, attributed to genetic damage from parental exposure. These outcomes have led to substantial disability-adjusted life years lost, with many survivors reporting impaired and reduced , as evidenced by cohort studies comparing exposed and non-exposed populations. Limited access to specialized care in the region exacerbates these burdens, though international medical assessments confirm the causal link to the acute exposures. The chemical attack on Halabja on March 16, 1988, has been classified as an act of by the Iraqi judiciary as part of the broader , which targeted civilians with the intent to destroy them in whole or in part as a national and ethnic group, meeting the criteria under the 1948 . The (also known as the Iraqi High Tribunal) explicitly ruled the Anfal operations, including the Halabja assault, as in its 2007 verdict, based on evidence of systematic destruction of villages, mass executions, and deployment aimed at eradicating presence in northern . , in its detailed investigation, corroborated this classification, documenting over 2,000 destroyed villages and the deaths of approximately 100,000 Kurds during Anfal, with Halabja exemplifying the campaign's genocidal methods through indiscriminate chemical bombing. Legal proceedings against perpetrators centered on the Iraqi High Tribunal, established in 2003 under Iraqi law to prosecute , , and war crimes committed between 1968 and 2003. In the Anfal trial (Case No. 1/2006), initiated in 2006, ("Chemical Ali"), the architect of Anfal, along with five co-defendants including Hussein Rashid Mohammed, were convicted of on June 24, 2007, for orchestrating the campaign's phases, which encompassed the Halabja attack as a pivotal chemical operation killing around 5,000 civilians. Sentences of were imposed, upheld on appeal, and carried out for al-Majid on January 25, 2010; two others were executed in 2010, while sentences for the remaining defendants varied, with some commuted or pending due to deaths in custody. Internationally, the District Court of in the ruled in 2005 that the Halabja attack constituted during of Dutch businessman Frans van Anraat, who supplied to ; however, van Anraat was convicted only of complicity in war crimes and , not , receiving a 15-year sentence later extended on appeal. Efforts for further recognition and reparations continue, including unsuccessful pushes in the Regional Government's parliament to enact a specific Halabja bill as of March 2025, despite 's 2010 parliamentary resolution affirming Anfal as . Some entities, such as the City Council in 2023, have independently recognized Halabja as , highlighting ongoing debates over international legal accountability amid limited universal .

International Response and Geopolitical Context

The international response to the Halabja chemical attack on March 16, 1988, was initially characterized by condemnation tempered by geopolitical caution amid the ongoing Iran-Iraq War. Iraq's government promptly denied responsibility, alleging in a letter to the on April 5, 1988, that Iranian forces had used chemical weapons against Iraqi troops in the Halabja area, a claim echoed in some early Western assessments due to the town's temporary control by Iranian-backed Kurdish Peshmerga fighters. The U.S. State Department issued a statement on March 23, 1988, decrying Iraq's use of chemical weapons while noting unverified reports of potential Iranian involvement, reflecting ambiguity that delayed attribution to . The responded with escalating resolutions but stopped short of punitive measures against . Following earlier condemnations of chemical weapons use in the war (Resolution 612 on May 9, 1988), Resolution 620 on August 26, 1988, resolutely condemned their deployment by either party, demanded an end to such violations, and authorized the Secretary-General to investigate allegations, though obstructed access to sites including Halabja. No sanctions were imposed on , as the resolutions framed the issue within the broader conflict rather than targeting civilian attacks specifically. Geopolitically, the muted reaction stemmed from Western alignment with as a counterweight to Iran's Islamic , despite awareness of prior chemical deployments against Iranian forces since 1983. The Reagan administration continued providing with , for targeting, and agricultural credits—approving $1 billion in guarantees in July 1988, months after Halabja—while U.S. naval forces escorted Iraqi oil tankers in the to sustain Baghdad's . This support persisted even as reports confirmed Iraqi culpability, prioritizing of over intervention against Saddam Hussein's regime, which portrayed the as Iranian proxies. Only after 's 1990 invasion of did international opprobrium intensify, with Halabja cited in 1991 Security Council Resolution 688 to justify no-fly zones and safe havens for Iraqi , marking a shift from wartime to post-Cold War humanitarian norms.

Commemorations, Memorials, and Ongoing Debates

The Halabja chemical attack is commemorated annually on , its anniversary date, with ceremonies held in the city and attended by local officials, survivors, and international observers. These events typically include moments of silence, wreath-laying, and public gatherings to honor the approximately 5,000 civilians killed and over 10,000 injured. The Organisation for the Prohibition of Chemical Weapons (OPCW) marks the occasion globally, emphasizing the attack's role in highlighting the horrors of . The primary in Halabja is the , a 100-foot-tall structure erected between 2002 and 2003 that includes a displaying artifacts, photographs, and testimonies from the attack. The features a list of inscribed on its walls and serves as a focal point for annual remembrances, symbolizing resilience amid the Anfal campaign's atrocities. International memorials include the , a tree-planted site dedicated to the 5,000 killed, and the in the UK, which also references the broader Anfal numbering around 182,000. Ongoing debates center on the attack's classification as , with officially recognizing Halabja and the Anfal operations as such since , a stance deemed uncontroversial domestically but contested internationally due to geopolitical factors during the Iran- War. Kurdish advocates and scholars argue for broader global acknowledgment under the 1948 , citing the intentional targeting of civilians based on ethnicity, as evidenced by the systematic destruction in Anfal; in 2023, the Association of Genocide Scholars passed a resolution affirming the events as . Other discussions focus on unlearned lessons from Halabja, including failures in chemical weapons prevention and the risk of recurrence in unstable regions, amid calls for enhanced survivor support and accountability for long-term health effects.

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