In Gaza, hospital procedures without anaesthetics prompted screams, prayers

Palestinian girl Orheen Al-Dayah, who was injured in her forehead in an Israeli strike amid the ongoing conflict has her wounds stitched without anesthesia, at Al Shifa hospital in Gaza (REUTERS)
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Updated 10 November 2023
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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

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.


Relatives of Bashar Assad arrested as they tried to fly out of Lebanon

Updated 6 sec ago
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Relatives of Bashar Assad arrested as they tried to fly out of Lebanon

BEIRUT: The wife and daughter of one of deposed Syrian president Bashar Assad ‘s cousins were arrested Friday at the Beirut airport, where they attempted to fly out with allegedly forged passports, Lebanese judicial and security officials said. Assad’s uncle departed the day before.
Rasha Khazem, the wife of Duraid Assad — the son of former Syrian Vice President Rifaat Assad, the uncle of Bashar Assad — and their daughter, Shams, were smuggled illegally into Lebanon and were trying to fly to Egypt when they were arrested, according to five Lebanese officials familiar with the case. They were being detained by Lebanese General Security. Rifaat had flown out the day before on his real passport and was not stopped, the officials said.
The officials spoke on condition of anonymity because they were not authorized to discuss the case publicly.
Swiss federal prosecutors in March indicted Rifaat on charges of war crimes and crimes against humanity for allegedly ordering murder and torture more than four decades ago.
Rifaat Assad, the brother of Bashar Assad’s father Hafez Assad, Syria’s former ruler, led the artillery unit that shelled the city of Hama and killed thousands, earning him the nickname the “Butcher of Hama.”
Earlier this year, Rifaat Assad was indicted in Switzerland for war crimes and crimes against humanity in connection with Hama.
Tens of thousands of Syrians are believed to have entered Lebanon illegally on the night of Assad’s fall earlier this month, when insurgent forces entered Damascus.
The Lebanese security and judicial officials said that more than 20 members of the former Syrian Army’s notorious 4th Division, military intelligence officers and others affiliated with Assad’s security forces were arrested earlier in Lebanon. Some of them were arrested when they attempted to sell their weapons.
Lebanon’s public prosecution office also received an Interpol notice requesting the arrest of Jamil Al-Hassan, the former director of Syrian intelligence under Assad. Lebanon’s caretaker Prime Minister Najib Mikati previously told Reuters that Lebanon would cooperate with the Interpol request to arrest Al-Hassan.

Fresh air strike hits Sanaa, say Houthis

Updated 45 min 25 sec ago
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Fresh air strike hits Sanaa, say Houthis

  • Strikes came in response to series of Houthi attacks on Israel
  • No immediate comment from Israel, the US or Britain

SANAA: An air strike hit Yemen’s capital on Friday, a day after deadly Israeli raids, according to the Iran-backed Houthis who blamed the US and Britain for the latest attack.
A Houthi statement cited “US-British aggression” for the new attack, as witnesses also reported the blast.
There was no immediate comment from Israel, the United States or Britain.
“I heard the blast. My house shook,” one resident of the Houthi-held capital Sanaa told AFP.
The attack followed Thursday’s Israeli raids on infrastructure including Sanaa’s international airport that left six people dead.
The strikes came in response to a series of Houthi attacks on Israel.
The Houthis have also been firing on the Red Sea and Gulf of Aden shipping route for months, prompting a series of reprisal strikes by US and British forces.


Turkiye to allow pro-Kurdish party to visit jailed militant leader

Supporters of the pro-Kurdish Peoples' Equality and Democracy Party (DEM Party) display flags with a portrait of jailed Kurdista
Updated 27 December 2024
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Turkiye to allow pro-Kurdish party to visit jailed militant leader

  • Militant leader Ocalan is serving life sentence in prison on the island of Imrali
  • Pro-Kurdish DEM Party meeting is the first such visit in nearly a decade

ANKARA: Turkiye has decided to allow parliament’s pro-Kurdish DEM Party to hold face-to-face talks with militant leader Abdullah Ocalan on his island prison, the party said on Friday, setting up the first such visit in nearly a decade.
DEM requested the visit last month, soon after a key ally of President Tayyip Erdogan expanded on a proposal to end the 40-year-old conflict between the state and Ocalan’s outlawed Kurdistan Workers Party (PKK).
Ocalan has been serving a life sentence in a prison on the island of Imrali, south of Istanbul, since his capture 25 years ago.
Devlet Bahceli, leader of the Nationalist Movement Party, made the call a month after suggesting that Ocalan announce an end to the insurgency in exchange for the possibility of his release.
Erdogan described Bahceli’s initial proposal as a “historic window of opportunity.” After the latest call last month, Erdogan said he was in complete agreement with Bahceli on every issue and that they were acting in harmony and coordination.
“To be frank, the picture before us does not allow us to be very hopeful,” Erdogan said in parliament. “Despite all these difficulties, we are considering what can be done with a long-range perspective that focuses not only on today but also on the future.”
Bahceli regularly condemns pro-Kurdish politicians as tools of the PKK, which they deny.
DEM’s predecessor party was involved in peace talks between Ankara and Ocalan a decade ago, last meeting him in April 2015. The peace process and a ceasefire collapsed soon after, unleashing the most deadly phase of the conflict.
DEM MPs Sirri Sureyya Onder and Pervin Buldan, who both met Ocalan as part of peace talks at the time, will travel to Imrali island on Saturday or Sunday, depending on weather conditions, the party said.
Turkiye and its Western allies designate the PKK a terrorist group. More than 40,000 people have been killed in the fighting, which in the past was focused in the mainly Kurdish southeast but is now centered on northern Iraq, where the PKK is based.
Growing regional instability and changing political dynamics are seen as factors behind the bid to end the conflict with the PKK. The chances of success are unclear as Ankara has given no clues on what it may entail.
Since the fall of Bashar Assad in Syria this month, Ankara has repeatedly insisted that the Kurdish YPG militia, which it sees as an extension of the PKK, must disband, asserting that the group has no place in Syria’s future.
The YPG is the main component of the US-allied Syrian Democratic Forces (SDF).
In a Reuters interview last week, SDF commander Mazloum Abdi acknowledged the presence of PKK fighters in Syria for the first time, saying they had helped fight Daesh and would return home if a total ceasefire was agreed with Turkiye, a core demand from Ankara.
Authorities in Turkiye have continued to crack down on alleged PKK activities. Last month, the government replaced five pro-Kurdish mayors in southeastern cities for suspected PKK ties, in a move that drew criticism from DEM and others.


Saudi Arabia and Arab countries condemn burning of Gaza hospital by Israeli forces

Updated 20 min 16 sec ago
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Saudi Arabia and Arab countries condemn burning of Gaza hospital by Israeli forces

  • Actions of troops are a ‘heinous war crime’ and ‘blatant violation of international law and humanitarian law,’ Jordanian Foreign Ministry says
  • Qatar calls it a ‘dangerous escalation’ with potentially ‘dire consequences for the security and stability of the region’

LONDON: Saudi Arabia has condemned “in the strongest possible terms” Israel’s burning and clearing of one of the last hospitals that was still operating in northern Gaza.

Troops stormed the Kamal Adwan Hospital in Beit Lahia on Friday, forcing staff and patients from the building and setting fire to it.

The Saudi Ministry of Foreign Affairs said the attack and forced evacuation of patients and medical staff was in violation of international law and basic humanitarian and ethical standards.

Other Arab nations added their condemnation of Israel's actions, which come more than 14 months into a military operation in Gaza that has killed at least 45,000 Palestinians.

Jordan described Israel's raid on the hospital as a “heinous war crime.”

Sufian Al-Qudah, a spokesperson for Jordan’s Ministry of Foreign Affairs, said the attack was a “blatant violation of international law and humanitarian law. Israel is also held accountable for the safety of the hospital’s patients and medical staff.”

Jordan categorically rejects the “systematic targeting of medical personnel and facilities,” he added, and this was an attempt to destroy facilities “essential to the survival of the people in the northern Gaza Strip.”

Al-Qudah urged the international community to put pressure on Israel to halt its attacks on civilians in Gaza.

The UAE Foreign Ministry also said the destruction of the hospital was “deplorable.”

The ministry statement “condemned and denounced in the strongest terms the Israeli occupation forces' burning of Kamal Adwan Hospital … and the forced evacuation of patients and medical personnel.”

Qatar denounced “in the strongest terms” the attack on the hospital as a flagrant violation of international humanitarian law.

The country’s Foreign Ministry said it represented a “dangerous escalation of the ongoing confrontations, which threatens dire consequences for the security and stability of the region,” and called for the protection of the “hundreds of patients, wounded individuals and medical staff” from the hospital.


UN worker seriously hurt in Israeli Yemen strike moved to Jordan, WHO says

WHO Director-General Tedros Adhanom Ghebreyesus with a colleague injured in an Israeli airstrike on Sanaa airport. (Twitter)
Updated 27 December 2024
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UN worker seriously hurt in Israeli Yemen strike moved to Jordan, WHO says

  • WHO chief Tedros was at Sanaa airport with his team when Israel attacked

ZURICH: The UN worker hurt in an Israeli air strike on Yemen’s main international airport on Thursday suffered serious injuries and has been evacuated to Jordan for further treatment, the World Health Organization said on Friday.
Israel said it had struck multiple targets linked to the Iran-aligned Houthi movement in Yemen, including Sanaa International Airport, and Houthi media said at least six people had been killed.
“Attacks on civilians and humanitarians must stop, everywhere. #NotATarget,” WHO Director-General Tedros Adhanom Ghebreyesus said in a post on X that showed him sitting in a plane looking across at what appeared to be the injured man.
Tedros was at the airport waiting to depart when the aerial bombardment took place that injured the man, who worked for the UN Humanitarian Air Service. A spokesperson for the WHO said the man had been seriously injured.


Tedros said he and the UN worker were now in Jordan.
The man underwent a successful surgical procedure prior to his evacuation for further treatment, Tedros said.
He had been in Yemen to negotiate the release of detained UN staff and to assess the humanitarian situation.