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.


US defense chief holds first call with new Israeli counterpart

Updated 6 sec ago
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US defense chief holds first call with new Israeli counterpart

Katz was sworn in before parliament the previous day
The US defense chief also discussed “the need to improve the dire humanitarian conditions in Gaza“

WASHINGTON: US Defense Secretary Lloyd Austin discussed Lebanon and Gaza on Friday in his first call with his new Israeli counterpart Israel Katz, the Pentagon said.
Katz was sworn in before parliament the previous day, after his predecessor’s shock dismissal by the prime minister over a breakdown in trust during the war in Gaza — a conflict that began with a devastating Hamas attack against Israel on October 7, 2023.
Austin “held an introductory call today with the new Israeli minister of defense, Israel Katz, and congratulated him on his recent appointment,” Pentagon spokesman Major General Pat Ryder said in a statement.
He told Katz that Washington is committed to a deal that allows Lebanese and Israeli citizens displaced by more than a year of cross-border violence to return to their homes, as well as to the return of hostages seized by Palestinian militant group Hamas, Ryder said.
The US defense chief also discussed “the need to improve the dire humanitarian conditions in Gaza,” after he and Secretary of State Antony Blinken told Israel in a letter earlier this month that it needed to allow more aid into the small war-wracked coastal territory.

Palestinian leader tells Trump ready to work for Gaza peace

Updated 1 min 24 sec ago
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Palestinian leader tells Trump ready to work for Gaza peace

RAMALLAH: Palestinian president Mahmud Abbas expressed readiness to work toward a “just and comprehensive peace” in Gaza during a phone call with US President-elect Donald Trump on Friday, his office said.
Trump’s victory came with the Middle East in turmoil after the outbreak of the Gaza war in October 2023, triggered by the unprecedented attack on Israel by Palestinian militant group Hamas.
Congratulating Trump on his victory, Abbas expressed “readiness to work with President Trump to achieve a just and comprehensive peace based on international legitimacy,” his office said in a statement.
It said that Trump also assured Abbas that he will work to end the war.
“President Trump stressed that he will work to stop the war, and his readiness to work with president Abbas and the concerned parties in the region and the world to make peace in the region.”
While Trump struck a note of peace during his campaign, he also touted his status as Israel’s strongest ally, even going so far as to promise Prime Minister Benjamin Netanyahu he would “finish the job” against Hamas in Gaza.

Lebanon says three dead in Israel strikes on Tyre

Updated 51 min 11 sec ago
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Lebanon says three dead in Israel strikes on Tyre

  • The strikes targeted three buildings in the city
  • Israel had issued no evacuation warning ahead of the strikes

BEIRUT: The Lebanese health ministry said at least three people were killed and 30 others wounded on Friday in Israeli strikes on the southern city of Tyre.
The official National News Agency said the strikes targeted three buildings in the city and caused heavy damage to neighboring apartment blocks.
It said Israel had issued no evacuation warning ahead of the strikes.
Israel has been at war with Lebanese militant group Hezbollah since late September, when it broadened its focus from fighting Hamas in the Gaza Strip to securing its northern border, even as the Gaza war continues.
Hezbollah began low intensity strikes on Israel in support of Hamas following its Palestinian ally’s October 7, 2023 attack on Israel which triggered the Gaza war.


‘Strong likelihood’ famine imminent in north Gaza, say food security experts

Updated 08 November 2024
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‘Strong likelihood’ famine imminent in north Gaza, say food security experts

  • The warning comes just days ahead of a US deadline for Israel to improve the humanitarian situation in Gaza

LONDON: There is a “strong likelihood that famine is imminent in areas” of the northern Gaza Strip, a committee of global food security experts warned on Friday, as Israel pursues a military offensive against Palestinian militants Hamas in the area.
“Immediate action, within days not weeks, is required from all actors who are directly taking part in the conflict, or have influence on its conduct, to avert and alleviate this catastrophic situation,” the independent Famine Review Committee (FRC) said in a rare alert.
The warning comes just days ahead of a US deadline for Israel to improve the humanitarian situation in Gaza or face potential restrictions on US military aid.


Israeli army claims discovery of ‘Hezbollah training center’ near UNIFIL outpost as raids continue in Lebanon

Updated 30 min 49 sec ago
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Israeli army claims discovery of ‘Hezbollah training center’ near UNIFIL outpost as raids continue in Lebanon

  • Several videos showed residential houses and tourist, social and religious facilities being set with explosives and blown up remotely
  • Adraee also accused Hezbollah of “using ambulances to transport saboteurs and arms” and called on “medical personnel to avoid dealing and cooperating with Hezbollah members”

BEIRUT: The Israeli army on Friday continued to destroy houses in Lebanon’s southern border villages to establish a buffer zone. The latest bombing targeted the areas of Yaroun, Aitaroun and Maroun Al-Ras in Bint Jbeil.
Several videos showed residential houses and tourist, social and religious facilities being set with explosives and blown up remotely.
In parallel with the deliberate destruction, Israeli army spokesperson Avichay Adraee issued “a new urgent warning to the residents of southern Lebanon,” instructing them “to refrain from returning to the south, or to their houses or olive fields,” describing the region as “a dangerous combat zone.”
Adraee also accused Hezbollah of “using ambulances to transport saboteurs and arms” and called on “medical personnel to avoid dealing and cooperating with Hezbollah members.”
The army will take the “necessary measures against any vehicle transporting armed members regardless of its type,” he said.
Meanwhile, the Israeli army claimed that “surveillance cameras of the Oded Brigade reservists captured a Hezbollah training center just 200 meters from a UNIFIL outpost.”
The army claimed that “the forces discovered the training facility, which was used by Hezbollah for training, studying, and storing large quantities of weapons.”
It said that “the facility contained missile launchers used for firing at Israeli settlements, as well as documents and instructional books detailing Hezbollah’s operational methods, maps of Israel, explanations of the Israeli army’s equipment, and additional weapons.” The army said “the weapons were confiscated and the compound was dismantled.”
The Israeli army resumed raids on the Baalbek-Hermel area, killing and injuring people and causing further destruction.
The Ministerial Emergency Committee estimated that, as of Thursday evening, Israel had conducted 121 raids, including 56 on Nabatieh, 24 on Baalbek and 23 in the south.
The committee said the number of people killed so far in Israeli attacks on Lebanon exceed 3,100, while 14,000 people have been injured.
More than 1.2 million people have been displaced, with close to 200,000 staying in shelters, it added.
Lebanese observers believe this transitional phase, from now until US President-elect Donald Trump’s inauguration, is the most dangerous period for Lebanon.
Raids on Kfar Tebnit killed two people after a building comprising residential apartments and commercial shops was destroyed.
A raid on Zebdine in Nabatieh killed Mohammed Fayez Mokaddam and his sons, Fayez and Hadi Mokaddem, after their building was destroyed.
Zaher Ibrahim Ataya, a medic with Hezbollah’s Islamic Health Committee from the southern town of Tair Harfa, was killed when Israeli forces struck a newly established medical center.
The strike was part of a broader Israeli aerial campaign that targeted more than 50 towns across the Tyre and Bint Jbeil districts in the past 48 hours.
The Lebanese Red Cross chief Georges Kettaneh announced that rescue teams have returned to Wata Al-Khiyam to complete the recovery of victims from an incident on Oct. 27.
Working alongside UNIFIL forces and the Lebanese Army, teams recovered four bodies and remains, with efforts continuing to ensure the mission’s completion.
Earlier the Red Cross retrieved 17 bodies from the site where civilians, who had been tending to livestock, sought shelter in a building during an Israeli incursion.
The Israeli military initially stalled permission for the Lebanese Red Cross to recover the victims, eventually granting only a four-hour window for the operation.
The Israeli air campaign extended to Lebanon’s Bekaa region, with strikes hitting Hrabta town west of Baalbek and Hosh Al-Sayyed Ali near the Syrian border north of Hermel.
Sirens sounded across northern Israel, including Haifa, Nazareth, Kiryat Shmona and surrounding areas, as well as the Ramat Trump settlement in the Golan Heights and Israeli media reported approximately 30 rockets launched from Lebanon toward northern Israel and Haifa’s suburbs.
The Israeli military confirmed detecting about 20 rockets, with some being intercepted, and reported drone incursions in northern airspace, including one near Caesarea.
The Israeli military announced the death of a soldier from Battalion 8207, Alon Brigade (228), who succumbed to wounds sustained in southern Lebanon on Oct. 26, while Israeli army radio detailed a fierce battle in the border village of Aitaroun that claimed the lives of six Israeli soldiers.
Hezbollah said on Friday it had launched “dozens of rockets reaching as far as Haifa and south of Nazareth.”
The group claimed strikes on several targets, including the Stella Maris naval base and Ramat David air base, northwest and southeast of Haifa, respectively, Kiryat Shmona settlement, and military gatherings in Misgav Am and Margaliot settlements.
In response to Israeli infiltration attempts, Hezbollah reported targeting Israeli forces south of Adaisseh with artillery fire. The group also claimed to have destroyed a military bulldozer and inflicting casualties on accompanying infantry forces trying to advance northwest of Kfarkila.