A public-health disaster compounds Gaza’s humanitarian crisis

Special A public-health disaster compounds Gaza’s humanitarian crisis
Palestinians wounded waiting to be treated at Al-Shifa Hospital in Gaza City on December 16, 2023. (AFP)
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Updated 12 March 2024
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A public-health disaster compounds Gaza’s humanitarian crisis

A public-health disaster compounds Gaza’s humanitarian crisis
  • Hellish scenes playing out at enclave’s few still functioning hospitals and clinics
  • Many doctors and nurses have either fled, been wounded or killed in the fighting

DUBAI: Children lie in rows on hospital floors and on pavements outside crowded clinics as they await the attention of sleep-deprived medics. Many are caked in dust, congealed with blood and tears, their untreated wounds growing septic the longer they wait.

Among them, men and women search frantically for missing loved ones or plead with doctors for medical attention, while mothers cradle dying infants. With supplies of gauze now scarce, many are bandaged in a patchwork of whatever fabric is available.

Deprived of antiseptics and even clean water, doctors are forced to perform operations and amputations without sterilized equipment, leading to infections for which there are no antibiotics. These often take place without anesthetic or pain relief.

Such hellish scenes are playing out at the few remaining hospitals and clinics across the Gaza Strip, which has endured months of bombardment and effective siege since Israel launched its retaliation for the Hamas-led attack of Oct. 7.




Palestinian children suffering from malnutrition receive treatment at a healthcare center in Rafah in the southern Gaza Strip on March 5, 2024. (AFP)

“There are still patients and casualties who are scheduled for operations that cannot be performed because there are no supplies, no anesthetic drugs, no generators in these hospitals,” Hisham Mhanna, a spokesperson for the International Committee of the Red Cross based in Rafah, told Arab News.

“It’s a mess. It’s a catastrophe.”

This, at a time when doctors and nurses have themselves fled, been wounded or even killed amid the bombardment. According to the World Health Organization, just 30 percent of Gaza’s medics are still working — many of them stretched to breaking point.

“They deal with the resulting casualties that are coming into the emergency rooms after airstrikes,” said Mhanna. “This is in addition to the hundreds of thousands of patients and vulnerable groups, including cancer patients, people with disabilities, pregnant women and people with chronic diseases.”




A Palestinian woman comforts her children as they wait at the hospital to be checked in the city of Rafah, in the southern Gaza Strip on October 12, 2023. (AFP)

According to Hamas-run Gaza’s Ministry of Health, some 30,900 Palestinians have been killed, 70,500 injured, and 7,000 have gone missing since the violence began. Faced with such carnage, the local health system is buckling.

On Feb. 18, the WHO said Nasser Hospital in Khan Younis, the largest city in southern Gaza, where fighting is ongoing, was no longer functional.

“The European Gaza Hospital is the only hospital that’s functional and can provide advanced healthcare services such as surgeries, intensive care and X-rays,” Jessica Moussan, a spokesperson for the International Committee of the Red Cross based in Dubai, told Arab News.

“There are a few other hospitals partially functioning that have been provided a few supplies.”




A picture shows the damage in Nasser Hospital and the surrounding area in Khan Yunis in the southern Gaza Strip on February 26, 2024. (AFP)

At the end of January, the ICRC said: “Gaza is at risk of complete medical shutdown without urgent action to preserve services.”

In a statement, William Schomburg, head of the ICRC office in Gaza, said: “Every hospital in the Gaza Strip is overcrowded and short on medical supplies, fuel, food and water.

“Many are housing thousands of displaced families. And now two more facilities risk being lost due to the fighting. The cumulative impact on the health system is devastating and urgent action must be taken.”

INNUMBERS

30,900 Palestinians killed in Gaza since Oct. 7, according to local health officials.

1.3% Proportion of Gaza’s prewar population of 2.3m killed in the conflict.

70,500 People registered as injured, although the true figure is likely far higher.

Just nine of Gaza’s 36 health facilities are still functioning, many only partially, and all at many times their intended capacity. The crowding is made worse by displaced families camped out on hospital grounds, believing they are safe there from the Israeli bombardment.

“The few remaining hospitals that are still functioning struggle on a daily basis with large numbers of casualties in addition to the pressure resulting from the thousands of families who are internally displaced at the hospitals,” said Mhanna.




Palestinians run for cover next to covered bodies after an Israeli airstrike near the Kamal Adwan hospital in Beit Lahia in the northern Gaza Strip on November 22, 2023. (AFP)

The displacement of some 85 percent of Gaza’s 2.3 million inhabitants to densely packed refugee camps has left the population — especially young children — vulnerable to waterborne diseases, placing further pressure on health services.

There are also the cases generated by the spread of disease during the war, added Mhanna.

“At certain points sewage was flooding into the hospitals. There is also no personal space, and people cannot afford to buy food,” he said.

“They would rather buy food than hygiene items and without hygiene items you create the perfect storm for a public health crisis filled with waterborne diseases like cholera, hepatitis, chicken pox and influenza, because it is also cold here.”

Then there are those suffering with chronic conditions such as heart disease, diabetes and cancer, who have been unable to access routine treatments and therapies since the onset of the crisis, not to mention those in need of physiotherapy and mental health support.




Children injured in an Israeli strike are rushed to the Al-Shifa hospital in Gaza City on October 15, 2023. (AFP)

Among the most vulnerable are pregnant women and newborns, who lack access to midwives, surgeons and incubators, as well as pain relief and antiseptics, making complications even more likely.

Critics say the vast destruction is evidence that Israel’s attacks are disproportionate and fail to limit civilian casualties. “Hospitals, intended to be safe havens … have frequently turned into death traps,” the Israeli watchdog Physicians for Human Rights said in a report published in February.

The Israeli government says its military does not target civilians or hospitals and blames Hamas for conducting military operations and launching rockets from crowded residential areas.

Israeli officials have also disputed claims of a mounting hunger crisis in Gaza. One official, recently cited by Bloomberg, said “there is not a shortage of food or water in the Gaza Strip at the moment,” and “it’s just not true that starvation is looming.”

Aid agencies say the limit on the amount of humanitarian relief permitted to enter Gaza by the Israeli military has caused widespread malnutrition, which doctors lack the resources to treat.

Despite repeated warnings by aid agencies about an impending famine, several Gazans have reportedly starved to death.




Aid agencies say the limit on the amount of humanitarian relief permitted to enter Gaza by the Israeli military has caused widespread malnutrition. (AFP)

In northern Gaza, where 300,000 people are thought to remain, around 16 percent of children under the age of two were acutely malnourished as of January, according to the UN. The organization has cited an “unprecedented” rate of decline in the nutritional status of Gazans.

Aid groups operating in Gaza say it has become almost impossible to deliver supplies due to inspections and procedural red tape put in place by the Israeli military, the ongoing fighting, and the complete breakdown of public order.

Even when aid is delivered, crowds of desperate Palestinians quickly overwhelm convoys before relief can be distributed and rationed to the neediest. Such crowds have resulted in crushes, causing further death and injury.

One such incident on Feb. 29, in which more than 100 Palestinians who rushed an aid convoy were killed — many apparently shot dead by Israeli forces — prompted the US to airdrop 38,000 meals into the enclave on March 2.




A man mourns at Al-Shifa hospital in Gaza City, over the bodies of Palestinians killed in an early morning incident when residents rushed toward aid trucks, on February 29, 2024. (AFP)

In a statement on Monday, State Department spokesperson Matthew Miller said the US was working to increase the delivery of humanitarian aid to civilians in Gaza “through as many channels as possible,” including more airdrops because “the situation is simply intolerable.”

“People are desperate for food and water,” said Miller. “Parents are facing impossible choices about how to feed their children. Many don’t know where the next meal will come from, or if it will come at all.”

Although the airdrops offer desperately needed relief, Mhanna said many of the parachuted crates landed in dangerous places where they were often mobbed by desperate crowds, causing accidents, injuries, and brawls.

“These airdrops are our last resort for aid supplies,” he said. “We have seen them land on the rooftops, in the streets. And when they do, people rush to get to the first one, at times fighting each other for the aid.

“This is what makes the ceasefire more urgently needed than ever. We need these safe spaces to access the aid.”




The UN said around 16 percent of children under the age of two in northern Gaza are acutely malnourished as of January. (AFP)

While a ceasefire would ease the burden of further injuries and the release of additional aid would allow medics to save more lives, the damage to Gaza’s health system will likely take years to repair.

Indeed, if the conflict were to end now, approximately 8,000 more people could still die over the next six months as a result of the public health crisis, according to a report by the London School of Hygiene and Tropical Medicine and Johns Hopkins Center for Humanitarian Health.

“Even if there is a ceasefire, the healthcare system and its workers will not be able to recover quickly,” said Mhanna. “Healthcare workers have been on their knees for months. I don’t see how they can respond to such great needs.”

 


UK humanitarian agency report exposes systematic life-threatening conditions for Palestinians in Gaza

UK humanitarian agency report exposes systematic life-threatening conditions for Palestinians in Gaza
Updated 27 sec ago
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UK humanitarian agency report exposes systematic life-threatening conditions for Palestinians in Gaza

UK humanitarian agency report exposes systematic life-threatening conditions for Palestinians in Gaza
  • The findings underscore the severe challenges facing Palestinian civilians during Israel’s war with Hamas

LONDON: A report released on Tuesday from Action for Humanity International, one of the UK’s leading humanitarian agencies operating in Gaza, reveals the conditions faced by internally displaced people after Israel’s displacement orders to Palestinian civilians.

The report claims that these orders, along with conditions in designated “humanitarian zones,” are creating life-threatening environments that amount to “systematic erasure.”

The findings underscore the severe challenges facing Palestinian civilians during Israel’s war with Hamas.

According to the survey, 15 percent of respondents were unable to evacuate due to disability or caregiving responsibilities, a reality compounded by the fact that 35 percent of people received less than an hour’s notice of evacuation orders.

The survey also found that 98 percent of respondents had been displaced several times, with nearly a quarter having been displaced 10 or more times in the past year.

In humanitarian zones conditions are reportedly dire.

According to the report, 73 percent of respondents described them as “poor” or “very poor,” with four out of five lacking sufficient access to food, and two-thirds unable to obtain clean drinking water. Additionally, 80 percent of respondents reported no access to adequate medical care.

Charles Lawley, director of communications and advocacy at AFH, criticized the treatment of Gaza’s civilians, saying that, in his view, the situation in Gaza amounted to “erasure in plain sight.”

“This report shows that Gaza is being erased in plain sight,” he said. “The so-called ‘evacuation orders’ — and I hesitate to call them that, as that is the language used by the Israeli military and implies it is doing the people of Gaza a favor by giving them a warning before bombing their homes — inflict terrors, are ambiguous and difficult to comply with, on the occasions they are given.”

Lawley further condemned the conditions in the so-called humanitarian zones.

“The conditions are not fit for humans ... with such damage to infrastructure, the bombing of Gaza, even with so-called evacuation orders, puts people who cannot afford the transport to escape and those with caregiving or physical barriers to escape — such as pregnant women, the elderly, and people with disabilities — at a heightened risk of being killed, as escaping is even more difficult for them.”

In a strong rebuke of the ongoing military action, Lawley argued that the pattern of bombardment, ground incursions, and deprivation of basic resources suggested a coordinated strategy that “aligns with acts of extermination and genocide.”

He further suggested that recent reports indicating Israeli government intentions to annex Gaza raised additional concerns, noting that “these plans ... appear designed to inflict conditions of life aimed at the physical destruction of the group, in whole or in part ... as a strategic tool in broader aims for territorial annexation.”

The full report is available to read here


Israel’s Netanyahu dismisses defense minister in surprise announcement

Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant attend a press conference on October 28, 2023
Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant attend a press conference on October 28, 2023
Updated 11 min 3 sec ago
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Israel’s Netanyahu dismisses defense minister in surprise announcement

Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant attend a press conference on October 28, 2023
  • Netanyahu and Gallant have repeatedly been at odds throughout the war in Gaza

JERUSALEM: Israeli Prime Minister Benjamin Netanyahu has dismissed his popular defense minister, Yoav Gallant, in a surprise announcement.
Netanyahu and Gallant have repeatedly been at odds throughout the war in Gaza. But Netanyahu had avoided firing his rival.
A previous attempt to fire Gallant in March 2023 sparked widespread street protests against Netanyahu.
The prime minister announced his decision late Tuesday.


Israel demolishes seven Palestinian homes in east Jerusalem

Israel demolishes seven Palestinian homes in east Jerusalem
Updated 05 November 2024
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Israel demolishes seven Palestinian homes in east Jerusalem

Israel demolishes seven Palestinian homes in east Jerusalem
  • Activist Fakhri Abu Diab, one of those affected by the demolition, confirmed that “at least seven homes have been demolished, and the operation is ongoing“
  • He said that both houses and apartments were affected

JERUSALEM: Municipal workers demolished seven homes in occupied east Jerusalem’s Silwan neighborhood on Tuesday, Palestinian residents and the municipality said, after an Israeli court called their construction illegal.
“This morning the Jerusalem Municipality, with a security escort from the Israel police, began its enforcement against illegal buildings in the Al-Bustan neighborhood in Silwan,” Jerusalem’s Israeli-controlled city hall said in a statement.
Activist Fakhri Abu Diab, one of those affected by the demolition, confirmed that “at least seven homes have been demolished, and the operation is ongoing.”
He said that both houses and apartments were affected.
“They demolished my home, which I had renovated after it was previously demolished earlier this year, as well as my son’s house, Haitham Ayed’s family home, and four homes belonging to the Al-Ruwaidi family,” Abu Diab told AFP.
He said around “40 people, including children, were affected by the demolitions in the neighborhood, leaving them homeless.”
An AFP photographer saw at least four bulldozers operating on Tuesday at demolition sites in the neighborhood under tight Israeli police supervision.
In a statement, Jerusalem city hall pointed to court orders that call for the demolition of the buildings due to zoning laws that make them illegal.
However, Palestinian residents and activists accuse the municipality of concealing its true intentions.
“The buildings, like most of the buildings in the neighborhood, are located on an area that is a green designation, that is, an open public area and where there is no possibility for zoning,” the municipality said, adding that the area would become a green zone instead.
Israeli rights group Ir Amim argued that the true aim of the demolitions is to connect Israeli settler pockets implanted in Palestinian areas to west Jerusalem.
The non-profit organization said in a statement that demolition, “encouraged by Israel’s right-wing government,” is expected to affect “115 homes, housing around 1,500 residents” in the neighborhood.
“The demolition of Al-Bustan and the displacement of its residents is an integral part of settlement efforts aimed at Judaising Silwan and transforming the area into a public park, facilitating connections between isolated settler communities in Silwan and linking them with West Jerusalem,” Ir Amim said.
It but did not specify the number of homes affected on Tuesday, as “the demolition is ongoing.”
Abu Diab echoed Ir Amim, saying the true aim of the demolitions was “to reduce the percentage of Arabs and alter the demographic composition of Jerusalem in favor of (Israeli) settlers,” connecting them to west Jerusalem.
Israel “is above international law, has escaped accountability, and is exploiting global focus on the wars in Gaza and Lebanon and the US elections,” he said.
Israel occupied east Jerusalem in 1967 and later annexed it in a move not recognized by the international community.
Some 230,000 Israeli settlers live in east Jerusalem, according to the United Nations. Another 3,000 live in Palestinian neighborhoods within east Jerusalem’s boundaries, according to Israeli rights organization Peace Now.


King Salman invites Najib Mikati to attend Arab-Islamic summit aimed at halting Israeli aggression

King Salman invites Najib Mikati to attend Arab-Islamic summit aimed at halting Israeli aggression
Updated 05 November 2024
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King Salman invites Najib Mikati to attend Arab-Islamic summit aimed at halting Israeli aggression

King Salman invites Najib Mikati to attend Arab-Islamic summit aimed at halting Israeli aggression
  • Residential buildings and vehicles targeted by Israeli airstrikes
  • Israeli army claims to have destroyed underground Hezbollah structures in the south

BEIRUT: The caretaker prime minister of Lebanon, Najib Mikati, received an invitation on Tuesday from King Salman bin Abdulaziz to participate in the extraordinary joint Arab-Islamic summit scheduled for Nov. 11 in Riyadh.

The summit will address Israeli assaults on the Palestinian people and Lebanese territories, coinciding with an increase in Israeli drone strikes in Beirut, southern Lebanon and Bekaa, resulting in further civilian casualties.

Mikati received the invitation from Waleed Bukhari, the Saudi ambassador to Lebanon.

The invitation stated that participation in the summit is a “reaffirmation of Arab and Islamic solidarity in efforts to halt Israeli aggression and to promote the pursuit of a just resolution to the Palestinian issue, ensuring the rights of the Palestinian people to establish their independent state with East Jerusalem as its capital.”

Israel’s ground war in has completed its 44th day, and the toll since Hezbollah opened the southern front 13 months ago exceeds 3,000 dead and more than 13,000 wounded.

As the assaults diminished in the southern suburbs of Beirut, residents had the chance to inspect their homes and retrieve whatever belongings they could. However, the confrontations remained intense in the southern regions, and airstrikes continued in the south and in the Bekaa region.

Two Israeli airstrikes targeted the Jiyeh area, 28 km south of Beirut, killing a woman and wounding seven people — who were taken to Sibline Governmental Hospital.

Airstrikes hit a building near Sheikh Ragheb Harb Hospital in Toul, and a shop in Jwaya. An airstrike on the outskirts of Bazouriyeh caused injuries, while four people were killed in an Israeli airstrike in the town of Baflieh in the Tyre district.

An elderly woman, Ghadia Al-Suwaid, who had insisted on staying in her home in the border town of Al-Dhayra Al-Fawqa, was suspected to have been kidnapped by Israeli soldiers. The woman’s relatives told the National News Agency that “they entered the town in the morning and did not find her.”

Meanwhile, a Red Cross convoy, in coordination with UNIFIL, headed to Wata Khiam, also on the border, to complete the recovery of 15 bodies from rubble after airstrikes hit their home eight days ago.

The Red Cross retrieved five bodies two days ago, but larger machinery was needed to continue clearing the rubble.

An airstrike on the town of Deir Kifa killed two people and wounded several others.

Israeli military vehicles were seen advancing at the Shebaa Farms toward Al-Sadana heights and Shebaa Gate, where clashes were reported between Israeli forces and Hezbollah members.

On Tuesday morning, Israeli forces tried to infiltrate Rmeish but were forced to retreat after clashes with Hezbollah fighters, while in Haris an unknown motorcyclist was killed in an Israeli airstrike.

In Bekaa, an Israeli drone targeted a car on the road between Hortaala and Talia, carrying a displaced family from Baalbek. The raid killed three siblings, Nathalie, Raed and Mohammed Naji Dandash, and wounded their mother, Iman Fawzat Habib, who was transferred to Dar Al Amal University Hospital.

Hezbollah claimed to have struck “a gathering of Israeli soldiers in Doviv and Ma’ale Golani barracks, and another … in the hills of Kfar Shuba. We bombed an explosives factory in Hadera, south of Haifa, with a salvo of qualitative missiles.”

Israeli army spokesperson, Avichay Adraee, meanwhile, claimed that Israeli forces had destroyed “an underground infrastructure of about 70 meters long and confiscating weapons and rocket launchers in rugged and underground areas in southern Lebanon.”


Lebanon official says Israeli commandos jammed UNIFIL radar in abduction operation

Lebanon official says Israeli commandos jammed UNIFIL radar in abduction operation
Updated 05 November 2024
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Lebanon official says Israeli commandos jammed UNIFIL radar in abduction operation

Lebanon official says Israeli commandos jammed UNIFIL radar in abduction operation
  • The initial findings suggest that “the Israeli army used a high-speed vessel equipped with advanced devices capable of jamming radars” belonging to the UNIFIL
  • The probe into the abduction operation on Saturday is jointly conducted by the Lebanese police and judiciary

BEIRUT: A preliminary probe found that Israeli commandos used a speedboat equipped with radar-jamming devices to abduct a Lebanese man accused of being a Hezbollah operative, a Lebanese judicial official told AFP Tuesday.
The initial findings suggest that “the Israeli army used a high-speed vessel equipped with advanced devices capable of jamming radars” belonging to the United Nations peacekeeping force (UNIFIL) that monitors the Lebanese coast, the official said, requesting anonymity to discuss sensitive matters.
The probe into the abduction operation on Saturday is jointly conducted by the Lebanese police and judiciary.
The UN peacekeeping Maritime Task Force has helped Lebanon’s army monitor territorial waters and prevent the entry of arms or related material by sea since 2006, according to the mission’s website.
Germany has headed UNIFIL’s maritime taskforce since January 2021.
On Saturday, Israeli naval commandos seized a trainee mariner that a military official described as a “senior operative” of Hezbollah in a raid in northern Lebanon and brought him to Israel for questioning.
An acquaintance of the abductee identified him as Imad Amhaz.
The man in his thirties was studying to become a sea captain at the Maritime Sciences and Technology Institute (MARSATI) in Batroun, Lebanon’s primary training college for the shipping industry.
Lebanese authorities “cannot probe UNIFIL forces or request they provide information or footage captured by their radars because they have immunity,” the judicial official said.
The official called the abduction “a war crime that violated national sovereignty” because it involved the kidnapping of a Lebanese citizen in an area far from the fighting.
Israel escalated its air raids on Hezbollah strongholds in south Lebanon, Beirut and the eastern Bekaa Valley on September 23, after nearly a year of cross-border fire. A week later it sent in ground troops to southern Lebanon.
At least 3,002 people have been killed in Lebanon since clashes between Hezbollah and Israel began last October, the health ministry said, including at least 1,964 since September 23, according to an AFP tally of official figures.