GAZA: The little girl was weeping in pain and screaming “Mummy, Mummy” while the nurse stitched up her head wound without using any anaesthetic, because none was available at the time at Al Shifa Hospital in Gaza City.
That was one of the worst moments nurse Abu Emad Hassanein could recall as he described the struggle to deal with an unprecedented influx of wounded people and a dearth of pain relief medication since the war in Gaza started a month ago.
“Sometimes we give some of them sterile gauze (to bite on) to reduce the pain,” said Hassanein.
“We know that the pain they feel is more than someone would imagine, beyond what someone their age would stand,” he said, referring to children like the girl with the head wound.
Arriving at Al Shifa to have the dressing changed and disinfectant applied to a wound on his back caused by an air strike, Nemer Abu Thair, a middle-aged man, said that he was given no pain relief when the wound was originally stitched up.
“I kept reciting the Qur’an until they finished,” he said.
The war started on Oct. 7 when Hamas gunmen burst through the Gaza Strip’s border fence with southern Israel. Israel says Hamas killed 1,400 people and abducted 240, in the worst day of carnage in Israel’s history.
Israel responded with an air, sea and ground assault on the densely populated, Hamas-controlled enclave, which health officials in Gaza say has killed more than 10,800 Palestinians.
Mohammad Abu Selmeyah, the director of Al Shifa Hospital, said that when very large numbers of injured people have been brought in at the same time, there has been no choice but to deal with them on the floor, without adequate pain relief.
He gave as an example the immediate aftermath of an explosion at the Al Ahli Arab Hospital on Oct. 17, when he said some 250 injured people arrived at Al Shifa, which has only 12 operating theaters.
“If we had waited to operate on them one by one, we would have lost many of the wounded,” said Abu Selmeyah.
“We were forced to operate on the ground and without anaesthesia, or using simple anaesthesia or weak pain killers to save lives,” he said.
Procedures that have been performed by staff at Al Shifa under such circumstances have included amputating limbs and fingers, stitching up serious wounds, and treating serious burns, said Abu Selmeyah, without elaborating.
PAIN OR DEATH
“It is painful for the medical team. It is not simple. It is either the patient suffers pain or loses his life,” he said.
Israel said the blast at the Al Ahli Arab Hospital was caused by a failed rocket launch by the Palestinian Islamic Jihad militant group. Palestinian Islamic Jihad and Hamas blamed an Israeli air strike.
Israel’s ally the United States said its own intelligence assessment supported Israel’s explanation.
At Nasser Hospital in Khan Younis, in the south of the Gaza Strip, director Dr. Mohammad Zaqout said there had been a period early on in the war when anaesthetic supplies ran out completely until aid trucks were allowed in.
“Some procedures were carried out without anaesthesia, including Caesarian sections on women, and we were also forced to operate on some burns that way too,” said Zaqout.
He said that staff did their best to alleviate patients’ pain with other, weaker medications, but this was inadequate.
“This is not the ideal solution for a patient inside an operating theater, who we want to operate on with full anaesthesia,” he said.
For the first 12 days of the war, no aid was allowed into Gaza. On Oct. 21, a first convoy of aid trucks came in through the Rafah Crossing on the strip’s border with Egypt. Since then, several convoys have entered, but the United Nations and international aid groups say the aid provided is nowhere near the scale needed to mitigate a humanitarian catastrophe.
Zaqout added that while the shortage of anaesthesia had been eased at his own hospital thanks to aid deliveries, there were still severe shortages at Al Shifa and at the Indonesian Hospital, both of which are in the heavily bombarded north of the strip.
In Gaza, hospital procedures without anaesthetics prompted screams, prayers
https://arab.news/9h3n8
In Gaza, hospital procedures without anaesthetics prompted screams, prayers
- Very large numbers of injured people were brought in at the same time, there was no choice but to deal with them on the floor, and without adequate pain relief doctors said
- Procedures were carried out without anaesthesia, including Caesarian sections on women, and we were also forced to operate on some burns that way too
UN’s top anti-racism body calls for immediate Gaza aid access
- Civilian population ‘at imminent risk of famine, disease and death,’ statement warns
- Israel has blocked humanitarian aid entering Gaza since March in bid to ‘pressurize Hamas’
NEW YORK CITY: The UN’s top anti-racism body has called for immediate humanitarian access to Gaza in a bid to avoid “catastrophic consequences” for its civilian population.
The statement by the UN Committee on the Elimination of Racial Discrimination — comprised of independent experts — came hours after the World Central Kitchen charity said it was forced to end operations in Gaza due to a lack of food.
It also follows a commitment by Israel to “conquer” almost all of the enclave, as well as disputes involving Israel, the UN and US over the appropriate way to deliver humanitarian aid to Palestinians there.
The CERD committee is convening in Geneva for its latest session, ending today.
Gaza’s civilian population, “especially vulnerable groups such as children, women, the elderly and persons with disabilities,” are “at imminent risk of famine, disease and death,” the committee said.
The warning follows an earlier appeal by the World Food Programme, the UN’s food agency, which said that almost all food aid operations in Gaza had collapsed.
Late last month, the agency announced that the entirety of its food reserves in the enclave had been depleted.
Since March, Israel has blocked humanitarian aid into Gaza in a bid to build pressure on Hamas, which still holds Israeli hostages.
Tom Fletcher, the UN’s emergency relief coordinator, said last week: “Two months ago, the Israeli authorities took a deliberate decision to block all aid to Gaza and halt our efforts to save survivors of their military offensive.
“They have been bracingly honest that this policy is to pressurize Hamas.”
Expanded military operations by Israel in Gaza over the past two months “have dramatically worsened the humanitarian crisis and severely endangered the civilian population,” Friday’s CERD statement said.
The committee called on Israel to “lift all barriers to humanitarian access, allow the immediate and unimpeded entry of humanitarian aid, and cease all actions obstructing the provision of essential services to the civilian population in Gaza.”
The statement also highlighted worsening conditions across the Occupied Palestinian Territories, including in East Jerusalem, where Israel closed six UNRWA schools this week.
Philippe Lazzarini, the Palestinian refugee agency’s chief, reacted with fury over the move, describing it as an “assault on children.”
The CERD statement called on all UN states to “cooperate to bring an end to the violations that are taking place and to prevent war crimes, crimes against humanity and genocide, including by ceasing any military assistance.”
UN committee warns of ‘another Nakba’ in Palestinian territories
- During the 1948 war, around 760,000 Palestinians fled or were driven from their homes in what became known as “the Nakba”
GENEVA: The world could be witnessing “another Nakba” expulsion of Palestinians, a United Nations committee warned Friday, accusing Israel of “ethnic cleansing” and saying it was inflicting “unimaginable suffering” on Palestinians.
For Palestinians, any forced displacement evokes memories of the “Nakba,” or catastrophe — the mass displacement in the war that accompanied to Israel’s creation in 1948.
“Israel continues to inflict unimaginable suffering on the people living under its occupation, whilst rapidly expanding confiscation of land as part of its wider colonial aspirations,” warned a UN committee tasked with probing Israeli practices affecting Palestinian rights.
“What we are witnessing could very well be another Nakba,” it said, after concluding an annual mission to Amman.
During the 1948 war, around 760,000 Palestinians fled or were driven from their homes in what became known as “the Nakba.”
The descendants of some 160,000 Palestinians who managed to remain in what became Israel presently make about 20 percent of its population.
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 December 1968.
The committee is currently composed of the Sri Lankan, Malaysian and Senegalese ambassadors to the UN in New York.
“What the world is witnessing could very well be a second Nakba. The goal of wider colonial expansion is clearly the priority of the government of Israel,” they said in their report.
“Security operations are used as a smokescreen for rapid land grabbing, mass displacement, dispossession, demolitions, forced evictions and ethnic cleansing, in order to replace the Palestinian communities with Jewish settlers.”
Iran, US to resume nuclear talks on Sunday after postponement
- Fourth round of indirect negotiations, initially set for May 3 in Rome, postponed due to ‘logistical reasons’
DUBAI: Iran has agreed to hold a fourth round of nuclear talks with the United States on Sunday in Oman, Foreign Minister Abbas Aragchi said on Friday, adding that the negotiations were advancing.
US President Donald Trump, who withdrew Washington from a 2015 deal between Tehran and world powers meant to curb its nuclear activity, has threatened to bomb Iran if no new deal is reached to resolve the long unresolved dispute.
Western countries say Iran’s nuclear program, which Tehran accelerated after the US walkout from the now moribund 2015 accord, is geared toward producing weapons, whereas Iran insists it is purely for civilian purposes.
“The negotiations are moving forward, and naturally, the further we go, the more consultations and reviews are needed,” Aragchi said in remarks carried by Iranian state media.
“The delegations require more time to examine the issues that are raised. But what is important is that we are on a forward-moving path and gradually entering into the details.”
The fourth round of indirect negotiations, initially scheduled for May 3 in Rome, was postponed, with mediator Oman citing “logistical reasons.”
Aragchi said a planned visit to Qatar and Saudi Arabia on Saturday was in line with “continuous consultations” with neighboring countries to “address their concerns and mutual interests” about the nuclear issue.
No milk, no diapers: US aid cuts hit Syrian refugees in Lebanon
- Merhi and her family are among the millions of people affected by Trump’s decision to freeze USAID funding to humanitarian programs
- Since the freeze, the UNHCR and WFP have had to limit the amount of aid they provide
BEIRUT: Amal Al-Merhi’s twin 10-month-old daughters often go without milk or diapers.
She feeds them a mix of cornstarch and water, because milk is too expensive. Instead of diapers, Merhi ties plastic bags around her babies’ waists.
The effect of their poverty is clear, she said.
“If you see one of the twins, you would not believe she is 10-months-old,” Merhi said in a phone interview. “She is so small and soft.”
The 20-year-old Syrian mother lives in a tent with her family of five in an informal camp in Bar Elias in Lebanon’s Bekaa Valley.
She fled Syria’s civil war in 2013 and has been relying on cash assistance from the United Nations refugee agency UNHCR to get by.
But that has ended.
Merhi and her family are among the millions of people affected by US President Donald Trump’s decision to freeze USAID funding to humanitarian programs.
Since the freeze, the UNHCR and the World Food Program (WFP) have had to limit the amount of aid they provide to some of the world’s most vulnerable people in countries from Lebanon to Chad and Ukraine.
In February, the WFP was forced to cut the number of Syrian refugees receiving cash assistance to 660,000 from 830,000, meaning the organization is reaching 76 percent of the people it planned to target, a spokesperson said.
Meanwhile, the WFP’s shock responsive safety net that supports Lebanese citizens cut its beneficiaries to 40,000 from 162,000 people, the spokesperson added.
The UNHCR has been forced to reduce all aspects of its operations in Lebanon, said Ivo Freijsen, UNHCR’s country representative, in an interview.
The agency cut 347,000 people from the UNHCR component of a WFP-UNHCR joint program as of April, a spokesperson said. Every family had been receiving $45 monthly from UNHCR, they added.
The group can support 206,000 Syrian refugees until June, when funds will dry up, they also said.
“We need to be very honest to everyone that the UNHCR of the past that could be totally on top of issues in a very expedient manner with lots of quality and resources — that is no longer the case,” Freijsen said. “We regret that sincerely.”
BAD TO WORSE
By the end of March, the UNHCR had enough money to cover only 17 percent of its planned global operations, and the budget for Lebanon is only 14 percent funded.
Lebanon is home to the largest refugee population per capita in the world.
Roughly 1.5 million Syrians, half of whom are formally registered with the UNHCR, live alongside some 4 million Lebanese.
Islamist-led rebels ousted former Syrian leader Bashar Assad in December, installing their own government and security forces. Since then there have been outbreaks of deadly sectarian violence, and fears among minorities are rising.
In March, hundreds of Syrians fled to Lebanon after killings targeted the minority Alawite sect.
Lebanon has been in the grips of unyielding crises since its economy imploded in 2019. The war between Israel and armed group Hezbollah is expected to wipe billions of dollars from the national wealth as well, the United Nations has said.
Economic malaise has meant fewer jobs for everyone, including Syrian refugees.
“My husband works one day and then sits at home for 10,” Merhi said. “We need help. I just want milk and diapers for my kids.”
DANGEROUS CHOICES
The UNHCR has been struggling with funding cuts for years, but the current cuts are “much more rapid and sizeable” and uncertainty prevails, said Freijsen.
“A lot of other questions are still to be answered, like, what will be the priorities? What will still be funded?” Freijsen asked.
Syrian refugees and vulnerable communities in Lebanon might be forced to make risky or dangerous choices, he said.
Some may take out loans. Already about 80 percent of Syrian refugees are in debt to pay for rent, groceries and medical bills, Freijsen said. Children may also be forced to work.
“Women may be forced into commercial sex work,” he added.
Issa Idris, a 50-year-old father of three, has not received any cash assistance from UNHCR since February and has been forced to take on debt to buy food.
“They cut us off with no warning,” he said.
He now owes a total of $3,750, used to pay for food, rent and medicine, and he has no idea how he will pay it back.
He cannot work because of an injury, but his 18-year-old son sometimes finds work as a day laborer.
“We are lucky. We have someone who can work. Many do not,” he said.
Merhi too has fallen into debt. The local grocer is refusing to lend her any more money, and last month power was cut until the family paid the utility bill
She and her husband collect and sell scrap metal to buy food.
“We are adults. We can eat anything,” she said, her voice breaking. “The kids cannot. It is not their fault.”
Kurdish PKK says held ‘successful’ meeting on disbanding
- The PKK will share “full and detailed information with regard to the outcome of this congress very soon,” it said
- In February, Ocalan urged his fighters to disarm and disband
ISTANBUL: The outlawed Kurdistan Workers’ Party (PKK) held a “successful” meeting this week with a view to disarming and dissolving, the Kurdish agency ANF, which is close to the armed movement, announced on Friday.
The meeting resulted in “decisions of historic importance concerning the PKK’s activities, based on the call” of founder Abdullah Ocalan, who called on the movement in February to dissolve.
The congress, which was held between Monday and Wednesday, took place in the “Media Defense Zones” — a term used by the movement to designate the Kandil mountains of northern Iraq where the PKK military command is located, the agency reported.
The PKK will share “full and detailed information with regard to the outcome of this congress very soon,” it said.
In February, Ocalan urged his fighters to disarm and disband, ending a decades-long insurgency against the Turkish state that has claimed tens of thousands of lives.
In his historic call — which took the form of a letter — Ocalan urged the PKK to hold a congress to formalize the decision.
Two days later, the PKK announced a ceasefire, saying it was ready to convene a congress but said “for this to happen, a suitable secure environment must be created,” insisting it would only succeed if Ocalan were to “personally direct and lead it.”
The PKK leadership is holed up in Kurdish-majority mountainous northern Iraq where Turkish forces have staged multiple air strikes in recent years, targeting the group which is also blacklisted by Washington and Brussels.
