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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

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.”


US senator slams Biden administration for not punishing Israel over Gaza aid

US senator slams Biden administration for not punishing Israel over Gaza aid
Updated 6 sec ago

US senator slams Biden administration for not punishing Israel over Gaza aid

US senator slams Biden administration for not punishing Israel over Gaza aid
  • Washington had threatened to suspend military support if aid not increased
  • Elizabeth Warren: Failure to hold Israel to account a ‘grave mistake’ that ‘undermines American credibility worldwide’

LONDON: Progressive US Sen. Elizabeth Warren has criticized the Biden administration’s failure to punish Israel after Washington delivered an ultimatum last month on improving aid deliveries to Gaza.

The Democratic senator endorsed a joint resolution of disapproval in Congress after the State Department said it would not take punitive action against Israel, The Guardian reported.

Official Israeli figures show that the amount of aid reaching Gaza has dropped to the lowest level in 11 months, despite the White House’s 30-day ultimatum threatening the loss of military support to Israel if aid was not increased.

The deadline expired on Tuesday as international humanitarian groups warned that Israel had fallen far short of Washington’s stated aid targets. Food security experts also warned that famine is likely imminent in parts of Gaza.

The State Department claimed that Israel was making limited progress on aid and was not blocking relief, meaning it had not violated US law.

Warren, senator for Massachusetts, said in a statement: “On Oct. 13, the Biden administration told Prime Minister (Benjamin) Netanyahu that his government had 30 days to increase humanitarian aid into Gaza or face the consequences under US law, which would include cutting off military assistance.

“Thirty days later, the Biden administration acknowledged that Israel’s actions had not significantly expanded food, water and basic necessities for desperate Palestinian civilians.

“Despite Netanyahu’s failure to meet the United States’ demands, the Biden administration has taken no action to restrict the flow of offensive weapons.”

The joint resolution of disapproval endorsed by Warren can enable Congress to overturn decisions by the president, if passed by the House and Senate.

Bernie Sanders, the independent senator for Vermont, said next week he will bring new joint resolutions of disapproval to block specific weapon sales to Israel.

“There is no longer any doubt that Netanyahu’s extremist government is in clear violation of US and international law as it wages a barbaric war against the Palestinian people in Gaza,” he said.

On Thursday, 15 senators and 69 Congress members announced efforts to pressure the Biden administration to hold Israeli Cabinet members to account.

The plan targets Finance Minister Bezalel Smotrich and National Security Minister Itamar Ben-Gvir for the rise in Israeli settler violence, settlement-building and destabilization across the West Bank.

Warren described the Biden administration’s failure to hold Israel to account as a “grave mistake” that “undermines American credibility worldwide.”

She added: “If this administration will not act, Congress must step up to enforce US law and hold the Netanyahu government accountable through a joint resolution of disapproval.”


Film’s ‘search for Palestine’ takes center stage at Cairo festival

Film’s ‘search for Palestine’ takes center stage at Cairo festival
Updated 15 November 2024

Film’s ‘search for Palestine’ takes center stage at Cairo festival

Film’s ‘search for Palestine’ takes center stage at Cairo festival
  • The tale of a distinctly Palestinian road trip — through refugee camps and Israeli checkpoints

CAIRO: The tale of a distinctly Palestinian road trip — through refugee camps and Israeli checkpoints — takes center stage in director Rashid Masharawi’s latest film, which debuted at this year’s Cairo International Film Festival.
“It’s a search for home, a search for Palestine, for ourselves,” Masharawi told AFP on Wednesday after the world premiere of his new film “Passing Dreams.”
It kicked off the Middle East’s oldest film festival, which opened with a traditional dabkeh dance performance by a troupe from the war-torn Gaza Strip.
Masharawi’s film follows Sami, a 12-year-old boy, and his uncle and cousin on a quest to find his beloved pet pigeon, which has flown away from their home in a refugee camp in the occupied West Bank.
Told that pigeons always return to their birthplace, the family attempts to “follow the bird home” — driving a small red camper van from Qalandia camp and Bethlehem in the occupied West Bank to the Old City of Jerusalem and the Israeli city of Haifa.
Their odyssey, Masharawi says, becomes a “deeply symbolic journey” that represents an inversion of the family’s original displacement from Haifa during the 1948 war that led to the creation of the State of Israel — a period Palestinians refer to as the Nakba, or “catastrophe.”
“It’s no coincidence we’re in places that have a deep significance to Palestinian history,” the director said, speaking to AFP after a more intimate second screening on Thursday.


The bittersweet tale is a far cry from Masharawi’s other project featured at the Cairo film festival: “From Ground Zero.”
The anthology, supervised by the veteran director, showcases 22 shorts by filmmakers in Gaza, shot against the backdrop of war.
For that project, Masharawi — who was the first Palestinian director officially selected for the Cannes Film Festival for his film “Haifa” in 1996 — “wanted to act as a bridge between global audiences” and filmmakers on the ground.
In April, he told AFP the anthology intended to expose “the lie of self-defense,” which he said was Israel’s justification for its devastating military campaign in Gaza.
The war broke out following Palestinian militant group Hamas’s October 7, 2023 attack on southern Israel, which resulted in 1,206 deaths, according to an AFP tally of official Israeli figures.
Israel has since killed more than 43,700 people in the Gaza Strip, according to the Hamas-controlled territory’s health ministry.
“As filmmakers, we must document this through the language of cinema,” Masharawi said, adding that filmmaking “defends our land far better than any military or political speeches.”


Speaking to an enthralled audience, the 62-year-old director — donning his signature fedora — called for change in Palestinian filmmaking.
“Our cinema can’t always only be a reaction to Israeli actions,” he said.
“It must be the action itself.”
A self-taught director born in a Gaza refugee camp before moving to Ramallah, Masharawi is intimately familiar with the “obstacles to filmmaking under occupation” — including “separation walls, barriers, who’s allowed to go where.”
Like the family in the film, “you never know if authorities will let you get to your location,” he said, especially since Masharawi refuses “on principle” to seek permits from Israeli authorities.
Instead, his crew often resorts to makeshift schemes — including “smuggling in” actors from the West Bank who do not have permission to visit Israeli-annexed east Jerusalem.
“If you ask (Israeli authorities) for permission to shoot in Jerusalem, you’re giving them legitimacy that Jerusalem is theirs,” he said Thursday to raucous applause from audience members, many of them draped in Palestinian keffiyehs.
Organizers canceled the Cairo film festival last year after calls for the suspension of artistic and cultural activities across the Arab world in solidarity with Palestinians.
But this week, keffiyehs have dotted the red carpet, while audience members wore pins bearing the Palestinian flag and the map of historic Palestine.
Festival president Hussein Fahmy voiced solidarity “with our brothers in Gaza and Lebanon,” where Israel’s bombing campaign and ground offensive have killed 3,360 people.
Pride of place, Fahmy said, has been given to Palestinian cinema, with a handful of films showing during the festival and a competition to crown a winner among the 22 filmmakers in “From Ground Zero.”
vid-bha/smw


Strike hits south Beirut after Israel evacuation call

Strike hits south Beirut after Israel evacuation call
Updated 15 November 2024

Strike hits south Beirut after Israel evacuation call

Strike hits south Beirut after Israel evacuation call
  • Israeli drone fires two missiles at the Beirut suburb of Ghobeiry before the air force carried out a ‘very heavy’ strike
  • Since September 23, Israel has ramped up its air campaign in Lebanon, later sending in ground troops

BEIRUT: An air strike hit the Lebanese capital’s southern suburbs on Friday, sending plumes of grey smoke into the sky after the Israeli military called for people to evacuate, AFPTV images showed.
Lebanon’s state-run National News Agency said an Israeli drone fired two missiles at the Beirut suburb of Ghobeiry before the air force carried out a “very heavy” strike that levelled a building near municipal offices.
The evacuation order posted on X by Israeli army spokesman Avichay Adraee told residents to leave, warning of imminent strikes.
“All residents in the southern suburbs, specifically ... in the Ghobeiry area, you are located near facilities and interests affiliated with Hezbollah,” Adraee said in his post.
“For your safety and the safety of your family members, you must evacuate these buildings and those adjacent to them immediately.”
His post included maps identifying buildings in the area near Bustan High School.
Repeated Israeli air strikes on south Beirut have led to a mass exodus of civilians from the Hezbollah stronghold, although some return during the day to check on their homes and businesses.
NNA also reported pre-dawn strikes on the southern city of Nabatieh.
The Israeli military said it had struck “command centers” of Hezbollah’s elite Radwan Force and launchers used to fire rockets at Israel on Thursday.
It said that over the past day, the air force had struck more than 120 targets across Lebanon, including weapons storage facilities, command centers and a large number of rocket launchers.
Since September 23, Israel has ramped up its air campaign in Lebanon, later sending in ground troops following almost a year of limited, cross-border exchanges begun by Hezbollah over the Gaza war.
Lebanese authorities say that more than 3,380 people have been killed since October last year, when Hezbollah and Israel began trading fire.
The conflict has cost Lebanon more than $5 billion in economic losses, with actual structural damage amounting to billions more, the World Bank said on Thursday.


Israel’s warfare in Gaza consistent with genocide, UN committee finds

Israel’s warfare in Gaza consistent with genocide, UN committee finds
Updated 15 November 2024

Israel’s warfare in Gaza consistent with genocide, UN committee finds

Israel’s warfare in Gaza consistent with genocide, UN committee finds
  • Committee’s report states ‘Israeli officials have publicly supported policies that strip Palestinians of the very necessities required to sustain life’
  • It raises ‘serious concern’ about Israel’s use of AI to choose targets ‘with minimal human oversight,’ resulting in ‘overwhelming’ casualties among women and children

NEW YORK: Israel’s methods of warfare in Gaza, including the use of starvation as a weapon, mass civilian casualties and life-threatening conditions deliberately inflicted on Palestinians in the territory, are consistent with the characteristics of genocide, the UN Special Committee to Investigate Israeli Practices said in a report published on Thursday.

“Since the beginning of the war, Israeli officials have publicly supported policies that strip Palestinians of the very necessities required to sustain life: food, water and fuel,” the committee said.

Statements from Israeli authorities and the “systematic and unlawful” blocking of humanitarian aid deliveries to Gaza make clear “Israel’s intent to instrumentalize life-saving supplies for political and military gains,” it added.

The committee, the full title of which is the UN Special Committee to Investigate Israeli Practices Affecting the Human Rights of the Palestinian people and other Arabs of the Occupied Territories, was established by the UN General Assembly in 1968 to monitor the human rights situation in the occupied Golan heights, the West Bank, including East Jerusalem, and the Gaza Strip. It comprises the permanent representatives to the UN from three member states, currently Malaysia, Senegal and Sri Lanka, who are appointed by the president of the General Assembly.

Its latest report, which covers the period from October 2023 to July 2024, mostly focuses on the effects of the war in Gaza on the rights of Palestinians.

“Through its siege over Gaza, obstruction of humanitarian aid, alongside targeted attacks and killing of civilians and aid workers, despite repeated UN appeals, binding orders from the International Court of Justice and resolutions of the Security Council, Israel is intentionally causing death, starvation and serious injury, using starvation as a method of war and inflicting collective punishment on the Palestinian population,” the committee said.

The “extensive” Israeli bombing campaign has wiped out essential services in Gaza and caused an “environmental catastrophe” that will have “lasting health impacts,” it adds.

By early 2024, the report says, more than 25,000 tonnes of explosives, equivalent to two nuclear bombs, had been dropped on Gaza, causing “massive” destruction, the collapse of water and sanitation systems, agricultural devastation and toxic pollution. This has created a “lethal mix of crises that will inflict severe harm on generations to come,” the committee said.

The report notes “serious concern” about Israel’s use of artificial intelligence technology to choose its targets “with minimal human oversight,” the consequence of which has been “overwhelming” numbers of deaths of women and children. This underscores “Israel’s disregard of its obligation to distinguish between civilians and combatants and take adequate safeguards to prevent civilian deaths,” it adds.

In addition, Israel’s escalating censorship of the media and targeting of journalists are “deliberate efforts” to block global access to information, the committee found, and the report states that social media companies have disproportionately removed “pro-Palestinian content” in comparison with posts inciting violence against Palestinians.

The committee also condemned the continuing “smear campaign” and other attacks on the reputation of the UN Relief and Works Agency for Palestine Refugees, and the wider UN.

“This deliberate silencing of reporting, combined with disinformation and attacks on humanitarian workers, is a clear strategy to undermine the vital work of the UN, sever the lifeline of aid still reaching Gaza, and dismantle the international legal order,” it said.

It called on all states to honor their legal obligations to stop and prevent violations of international law by Israel, including the system of apartheid that operates in the West Bank and East Jerusalem, and to hold Israeli authorities accountable for their actions.

“Upholding international law and ensuring accountability for violations rests squarely on member states,” the committee said.

Failure to do this weakens “the very core of the international legal system and sets a dangerous precedent, allowing atrocities to go unchecked.”

The committee will officially present its report to the 79th Session of the UN General Assembly on Monday.


Israel’s attorney general tells Netanyahu to reexamine extremist security minister’s role

Israel’s attorney general tells Netanyahu to reexamine extremist security minister’s role
Updated 15 November 2024

Israel’s attorney general tells Netanyahu to reexamine extremist security minister’s role

Israel’s attorney general tells Netanyahu to reexamine extremist security minister’s role
  • National Security Minister Itamar Ben-Gvir criticized for interfering in police matters

JERUSALEM, Nov 14 : Israel’s Attorney General told Prime Minister Benjamin Netanyahu to reevaluate the tenure of his far-right National Security Minister Itamar Ben-Gvir, citing his apparent interference in police matters, Israel’s Channel 12 reported on Thursday.
The news channel published a copy of a letter written by Attorney General Gali Baharav-Miara in which she described instances of “illegitimate interventions” in which Ben-Gvir, who is tasked with setting general policy, gave operational instructions that threaten the police’s apolitical status.
“The concern is that the government’s silence will be interpreted as support for the minister’s behavior,” the letter said.
Officials at the Justice Ministry could not be reached for comment and there was no immediate comment from Netanyahu’s office.
Ben-Gvir, who heads a small ultra-nationalist party in Netanyahu’s coalition, wrote on social media after the letter was published: “The attempted coup by (the Attorney General) has begun. The only dismissal that needs to happen is that of the Attorney General.”