LONDON: As concerns grow for patients stranded inside Gaza’s biggest hospital, experts warned that transporting vulnerable people, including babies, is a perilous proposition under even the best circumstances.
On Tuesday, Palestinian authorities proposed a supervised evacuation of Shifa Hospital, a sprawling complex that runs several city blocks in the heart of Gaza City. Hours later, Israeli forces raided the facility — further complicating the picture.
Dr. Irwin Redlener of Columbia University in New York said that moving newborns and premature babies with health problems is fraught but possible with trained personnel, proper equipment and a transportation plan.
“Babies in incubators have complex health needs and there needs to be temperature control, hydration, medication for infections and breathing support,” said Redlener, a pediatrician and disaster response expert, who spoke before the raid.
Redlener said that when hospitals in New York were evacuated due to Superstorm Sandy in 2012, medical workers walked down numerous flights of stairs carrying babies to waiting ambulances and there were no known tragedies — at least among the infants.
The storm, which hit the most populous metro area in the US, killed dozens of other people after devastating coastline communities, knocking out power and setting neighborhoods ablaze.
“They were able to do that because they had time to plan for that and all the proper resources were available,” he said. “It’s completely the opposite in Gaza right now.”
Shifa is the largest and best-equipped hospital in the strip with over 500 beds, an intensive care unit and services like dialysis. Since the war between Israel and Hamas erupted several weeks ago, the hospital has acted as a shelter for tens of thousands of residents fleeing their homes as the conflict escalated.
Now, however, the hospital is a central focus in the war. Israel says the facility is used by Hamas for military purposes, without providing visual evidence. Gaza health officials and Hamas deny that.
Hundreds of people — including medical workers, premature babies and other vulnerable patients — are trapped inside with dwindling supplies, no electricity and an uncertain path out.
Israeli forces raided the complex early Wednesday. The military said soldiers were accompanied by medical teams and had brought medical supplies and baby food as well as incubators and other equipment.
But health officials say supplies and extra equipment are not enough to save patients and ongoing fighting makes it almost impossible to safely move patients.
Dr. Natalie Thurtle, deputy medical coordinator for Doctors Without Borders in Jerusalem, said that many patients have not had access to proper medical care for weeks and there was no guarantee they would survive any evacuation or make a good recovery.
Given the lack of electricity, any incubators would have to be battery- or self-powered, and Redlener said moving babies would require trained personnel.
“The trip should be fast, so they need to know where they’re going,” he said. “It is possible to safely transport people from accident sites after terrible disasters, but you need staff on the ambulances with the expertise to take care of very sick patients.”
The Health Ministry in the Hamas-run territory said 40 patients — including three babies — have died since Shifa’s emergency generator ran out of fuel on Saturday, and another 36 babies remain at risk of dying.
Last week, the World Health Organization said a dozen children with cancer or blood disorders were safely moved from the Gaza Strip to Egypt and Jordan so they could continue their treatment.
Dr. Mohammed Obeid, a surgeon at Shifa Hospital with Doctors Without Borders, said there were about two dozen patients who had recently undergone surgery and were unable to walk.
“We don’t have ambulances to evacuate all of these patients,” Obeid said, adding he was unable to leave. “If I am not here or the other surgeon, who will take care of the patients?”
The International Committee of the Red Cross said it was in touch with the Health Ministry and other parties.
The Red Cross said it was “extremely concerned” about the situation at Shifa hospital, noting that hospitals are protected under international humanitarian law and must be spared from violence.
“Hospitals and medical facilities are meant to be humanitarian sanctuaries,” the organization said in a statement.
Late Tuesday, the Palestinian Red Crescent aid group announced the evacuation of remaining patients, doctors and families from Al-Quds hospital, which is to the south of Shifa. Nebal Farsakh, spokesperson for the group, told The Associated Press earlier in the day that 300 people were still inside.
Supplies alone won’t save Gaza hospital patients and evacuation remains perilous, experts say
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Supplies alone won’t save Gaza hospital patients and evacuation remains perilous, experts say
- Since the war between Israel and Hamas erupted, the hospital has acted as a shelter for tens of thousands of residents fleeing their homes as the conflict escalated
Gaza rescuers say Israeli strikes kill 35
- Hossam Abu Safia, director of Kamal Adwan Hospital, said in a statement that the facility’s generators were hit and that “the army is attempting to target the fuel tank, which is full of fuel and poses a significant fire risk”
- Bassal said eight people including four children were killed in the attack on the school, which had been repurposed as a shelter for Palestinians displaced by the war
GAZA STRIP, Palestinian Territories: Gaza’s civil defense agency said on Sunday that Israeli strikes killed at least 35 Palestinians across the territory, more than 14 months into the Israel-Hamas war.
The violence came even as Palestinian groups involved in the fighting said a ceasefire deal was “closer than ever.”
Israel has faced growing criticism of its actions during the war, triggered by Hamas’s October 7, 2023 attack, including from rights groups accusing it of “acts of genocide” which the Israeli government strongly denies.
Pope Francis denounced on Sunday the “cruelty” of Israel’s bombardment, highlighting the deaths of children and attacks on schools and hospitals in Gaza.
It was his second such comment in as many days, despite Israel’s accusing the pontiff of “double standards.”
On the ground in Gaza, civil defense agency spokesman Mahmud Bassal said at least 13 people were killed in an air strike on a house in central Gaza’s Deir el-Balah belonging to the Abu Samra family.
An AFP photographer saw residents searching through the debris for survivors, while others looked for belongings they could salvage.
In a nearby compound, bodies covered in blankets lay on the sandy ground.
The military said it targeted an Islamic Jihad militant who was operating in Deir el-Balah.
“According to an initial examination, the reported number of casualties resulting from the strike does not align with the information held by the IDF (military),” it said to AFP in a statement, which did not give its own toll.
“We are... losing loved ones every day,” said Deir el-Balah resident Naim Al-Ramlawi.
“I pray to God that a truce will be reached soon” and would allow Gazans to finally “live a decent life, instead of this miserable life,” he said.
The military also confirmed a separate strike further north, on a school in Gaza City.
Bassal said eight people including four children were killed in the attack on the school, which had been repurposed as a shelter for Palestinians displaced by the war.
It was the latest of numerous similar strikes against schools-turned-shelters during the war.
The military says the facilities are used by Hamas Palestinian militants.
In this case it said it carried out a “precise strike” that targeted a Hamas “command and control center” inside the school compound.
AFP images showed mangled concrete slabs and iron beams strewn amid patches of blood at the damaged school building.
Bassal said in a statement that a separate strike, overnight into Sunday, killed three people in Rafah, in the south.
And a drone strike on Sunday morning hit a car in Gaza City, killing four people, the spokesman added.
Late on Sunday, the civil defense agency said seven people were killed when Israeli drones struck tents in the humanitarian area of Al-Mawasi in western Khan Yunis, while the Israeli military said it had targeted a “Hamas terrorist.”
Israel in early October began a major military operation in Gaza’s north, which it said aimed to prevent Hamas from regrouping there.
A United Nations official who visited Gaza City said late last month that people were living in “inhumane conditions with severe food shortages and terrible sanitary conditions.”
On Sunday a hospital director in northern Gaza said Israeli forces were bombing buildings near the facility.
Hossam Abu Safia, director of Kamal Adwan Hospital, said in a statement that the facility’s generators were hit and that “the army is attempting to target the fuel tank, which is full of fuel and poses a significant fire risk.”
Contacted by AFP, the military said it was unaware of any strikes on the hospital, one of only two still operating in northern Gaza.
The unprecedented Hamas attack last year that sparked the war resulted in the deaths of 1,208 people, most of them civilians, according to an AFP tally based on official Israeli figures.
Militants also took 251 hostages, of whom 96 remain in Gaza, including 34 the Israeli military says are dead.
Israel’s retaliatory offensive in Gaza has killed at least 45,259 people, a majority of them civilians, according to figures from the Hamas-run territory’s health ministry that the United Nations considers reliable.
Hamas and two other Palestinian armed groups said in a rare joint statement on Saturday that an agreement to end the bloodshed was “closer than ever,” after Qatari-hosted talks that followed months of stalled negotiations.
In ruined homes, Palestinians recall Assad’s torture
- According to the United Nations agency for Palestinian refugees, UNRWA, at the start of Syria’s conflict in 2011 it was home to 160,000 registered refugees
YARMUK, Syria: School lessons ended in Syria’s biggest Palestinian refugee camp on October 18, 2012, judging by the date still chalked up on the board more than a decade later.
“I am playing football“; “She is eating an apple“; “The boys are flying a kite” are written in English.
Outside, the remaining children in the Damascus suburb of Yarmuk now play among the shattered ruins left by Syria’s years of civil war.
And as the kids chase through clouds of concrete dust, a torture victim — freed from jail this month when rebels toppled Bashar Assad’s government — hobbles through the rubble.
“Since I left the prison until now, I sleep one or two hours max,” 30-year-old Mahmud Khaled Ajaj told AFP.
Since 1957, Yarmuk has been a 2.1-square-kilometer (519-acre) “refugee camp” for Palestinians displaced by the founding of the modern Israeli state.
Like similar camps across the Middle East, over the decades it has become a dense urban community of multi-story concrete housing blocks and businesses.
According to the United Nations agency for Palestinian refugees, UNRWA, at the start of Syria’s conflict in 2011 it was home to 160,000 registered refugees.
Rebellion, air strikes and a siege by government forces had devastated the area and left by September this year only 8,160 people still clinging to life in the ruins.
With Assad’s fall, more may return to reopen the damaged schools and mosques, but many like Ajaj will have terrible tales to tell of Assad’s persecution.
The former Free Syrian Army rebel fighter spent seven years in government custody, most of it at the notorious Saydnaya prison, and was only released when Assad’s rule ended on December 8.
Ajaj’s face is still paler than those of his neighbors, who are tanned from sitting outside ruined homes, and he walks awkwardly with a back brace after years of beatings.
At one point, a prison doctor injected him in the spine and partly paralyzed him — he thinks on purpose — but what really haunts him was the hunger in his packed cell.
“My neighbors and relatives know that I had little food, so they bring me food and fruit. I don’t sleep if the food is not next to me. The bread, especially the bread,” he said.
“Yesterday, we had bread leftovers,” he said, relishing being outside after his windowless group cell, and ignoring calls from his family to come to see a concerned aunt.
“My parents usually keep them for the birds to feed them. I told them: ‘Give part of them to the birds and keep the rest for me. Even if they are dry or old I want them for me’.”
As Ajaj spoke to AFP, two passing Palestinian women paused to see if he had any news of missing relatives since Syria’s ousted leader fled to Russia.
The International Committee of the Red Cross has documented more than 35,000 cases of disappearances under Assad’s rule.
Ajaj’s ordeal was extreme, but the entire Yarmuk community has suffered on the frontline of Assad’s war for survival, with Palestinians roped into fighting on both sides.
The graveyard is cratered by air strikes. Families struggle to find the tombs of their dead amid the devastation. The scars left by mortar strikes dot empty basketball courts.
Here and there, bulldozers are trying to shift rubble and the homeless try to scavenge re-usable debris. Some find work, but others struggle with trauma.
Haitham Hassan Al-Nada, a lively and wild-eyed 28-year-old, invited an AFP reporter to run his hand over lumps he says are bullets still lodged in his skull and hands.
His father, a local trader, supports him and his wife and two children after Assad’s forces shot him and left him for dead as a deserter from the government side.
Nada told AFP he fled service because, as a Palestinian, he did not think he should have to serve in Syrian forces. He was caught and shot multiple times, he said.
“They called my mother after they ‘killed’ me, so she went to the airport road, toward Najha. They told her ‘This is the dog’s body, the deserter’,” he said.
“They didn’t wash my body, and when she was kissing me to say goodbye before they buried me, suddenly and by God’s power, it’s unbelievable, I took a deep breath.”
After Nada was released from hospital, he returned to Yarmuk and found a scene of devastation.
2024 Year in Review: Can Lebanon recover from the depredations of Israel-Hezbollah war?
- Months-long conflict compounded the country’s economic and political crises, left thousands displaced from the south
- With the Iran-backed militia weakened, now could be the moment when the state reasserts control over its security
BEIRUT: On the first day of 2024, the Lebanese militia Hezbollah received an Israeli ultimatum. If it did not immediately retreat from the Israeli-Lebanese border and cease its rocket attacks, a full-scale war was imminent. It was the threat that preceded the storm.
The following day, Israeli fire, previously confined to cross-border exchanges initiated by Hezbollah on Oct. 8, 2023, with the stated aim of supporting Hamas and other Palestinian militant groups in Gaza, was turned on the southern suburbs of Beirut for the first time.
An Israeli drone targeted a Hamas office in Haret Hreik, killing the group’s third-ranking leader, Saleh Al-Arouri. Simultaneously, the killings of Hezbollah leaders in southern Lebanon increased exponentially.
The war that Hezbollah launched against northern Israel compounded Lebanon’s existing crises. Already burdened by the financial collapse of 2019, Lebanon entered 2024 grappling with worsening economic and social turmoil.
A political crisis deepened the chaos, as a failure to appoint a president — caused by sharp divisions between Hezbollah and its allies on one side and their opponents on the other — has left the government paralyzed since October 2022.
The flare-up on the border initially displaced 80,000 people from their villages, further straining the country’s economy and increasing poverty. In mid-December 2023, donor countries informed Lebanon of plans to reduce aid for social protection at the start of 2024.
Military confrontations escalated quickly. Hezbollah maintained its “linked fronts” strategy, insisting it would continue its attacks until Israel withdrew from Gaza, while Israel insisted Hezbollah comply with Resolution 1701 and withdraw its forces north of the Litani River.
Between Oct. 8, 2023, and September 2024, Hezbollah launched 1,900 cross-border military attacks, while Israel responded with 8,300 attacks on southern Lebanon. These hostilities caused hundreds of fatalities and displaced entire communities in both southern Lebanon and northern Israel.
Despite intensive diplomatic efforts — primarily by France and the US — no ceasefire was reached during this period. The confrontations intensified, with the Israeli army expanding its targets to the Baalbek region, while Hezbollah extended its strikes to deep Israeli military positions.
Daily clashes revealed Hezbollah’s entrenched military presence in southern Lebanon, including arms depots, artillery emplacements and tunnels, despite the monitoring role of the UN Interim Force in Lebanon under Resolution 1701.
Resolution 1701 mandates the establishment of a weapons-free zone between the Blue Line and the Litani River, except for Lebanese government and international forces. It also prohibits the unauthorized sale or supply of arms to Lebanon.
Hassan Nasrallah, the slain secretary-general of Hezbollah, asserted in 2021 that the group’s fighting force was 100,000 strong.
Funded by Iran and trained by the Islamic Revolutionary Guard Corps, Hezbollah boasted a significant arsenal, predominantly Iranian-made and locally manufactured weapons.
After monopolizing resistance operations in the 1980s, Hezbollah morphed into what many analysts considered an Iranian proxy beyond the control of the Lebanese state.
This year’s confrontations broke traditional rules of engagement, imposing new dynamics.
UNIFIL troops in forward positions were not spared from the crossfire, with incidents escalating after Israeli forces entered UNIFIL’s operational zones.
By mid-July, Western embassies in Lebanon were urging their nationals to leave, aware of Israel’s threat to expand the conflict into an all-out war on Lebanon.
Israeli strikes on Hezbollah’s leadership intensified, culminating in the July killing of Radwan Division commander Fouad Shukr in southern Beirut. The following day, Hamas political bureau chief Ismail Haniyeh was targeted in Tehran, heightening tensions between Israel and Iran.
Israeli airstrikes deepened across southern Lebanon and the Bekaa Valley, while Hezbollah extended its attacks to Kiryat Shmona, Meron and the outskirts of Haifa and Safed.
Then, on Sept. 17-18, Israel mounted a coordinated attack on thousands of Hezbollah pagers and walkie-talkies, causing explosions that resulted in 42 deaths and more than 3,500 injuries. Although Israel has not claimed responsibility, the attack marked a significant escalation.
By Sept. 27, the killing of Nasrallah and other senior Hezbollah figures in Haret Hreik signaled the start of a wider war. Israeli forces used precision concussion rockets to strike deep into buildings and bunkers, killing Hezbollah commanders and forcing mass evacuations from Beirut’s southern suburbs.
In response, Hezbollah reaffirmed its commitment to linking any ceasefire in Lebanon to one in Gaza. However, by Oct. 1, Israel had intensified its raids, leveling residential buildings and even threatening archaeological sites in Tyre and Baalbek.
The Israeli army also initiated a ground offensive in southern Lebanon, destroying border villages and severing land crossings with Syria to disrupt Hezbollah’s supply lines. Satellite imagery revealed the total destruction of towns like Ayta Al-Shaab and Aitaroun, rendering them uninhabitable.
The devastation affected not only Hezbollah but also Lebanon’s Shiite community, which had invested heavily in the group over decades.
On Nov. 26, Parliament Speaker Nabih Berri, with US mediation, finalized a ceasefire agreement. However, the deal was preceded by a massive Israeli escalation in Beirut.
As the ceasefire came into effect, questions arose in Hezbollah strongholds about its decision to separate the Lebanon and Gaza peace tracks. Critics also questioned its commitment to dismantling military installations and cooperating with US-led monitoring efforts.
Despite the ceasefire, violations continued. Meanwhile, the war’s economic toll was becoming apparent.
Amin Salam, Lebanon’s minister of economy, estimated initial losses at $15-20 billion, with 500,000 jobs lost, widespread business closures, and agricultural devastation affecting 900,000 dunams of farmland.
Farmers, industrialists and displaced communities were left without support, deepening Lebanon’s economic paralysis. Municipalities began assessing damages, while Hezbollah sought to distribute Iranian-funded aid to those affected.
Although its leadership and its once mighty arsenal have been badly diminished, and the war in Gaza continues, the fact that Hezbollah has survived the past year of conflict is being projected by the group as a victory in itself.
What is certain is that Lebanon now faces an unprecedented challenge, recovering from a conflict it was ill-equipped to withstand and watching a friendly government in neighboring Syria crumble under an onslaught by opposition forces.
By the same token, now may be the moment many Lebanese had been eagerly waiting for, when the state is in a position to assert its control over internal and external security.
UN investigator says possible to find ‘enough’ proof for Syria prosecutions
- Since Assad’s fall, Petit has been able to visit the country but his team still require authorization to begin their work inside Syria which they have requested
DAMASCUS: The visiting head of a UN investigative body for Syria said Sunday it was possible to find “more than enough” evidence to convict people of crimes against international law, but there was an immediate need to secure and preserve it.
The doors of Syria’s prisons were flung open after an Islamist-led rebel alliance ousted longtime ruler Bashar Assad this month, more than 13 years after his brutal repression of anti-government protests triggered a war that would kill more than 500,000 people.
With families rushing to former prisons, detention centers and alleged mass graves to find any trace of disappeared relatives, many have expressed concern about safeguarding documents and other evidence.
“We have the possibility here to find more than enough evidence left behind to convict those we should prosecute,” said Robert Petit, who heads the International Impartial and Independent Mechanism (IIIM) set up by the UN in 2016 to prepare prosecutions for major international crimes in Syria.
But he noted that preserving evidence would “need a lot of coordination between all the different actors.”
“We can all understand the human impulse to go in and try and find your loved ones,” Petit said. “The fact is, though, that there needs to be a control put in place to restrict access to all these different centers... It needs to be a concerted effort by everyone who has the resources and the powers to do that to freeze that access, preserve it.”
The organization, known as the Mechanism, was not permitted to work in Syria under Assad’s government but was able to document many crimes from abroad.
Since Assad’s fall, Petit has been able to visit the country but his team still require authorization to begin their work inside Syria which they have requested.
He said his team had “documented hundreds of detention centers... Every security center, every military base, every prison had their own either detention or mass graves attached to it.”
“We’re just now beginning to scratch that surface and I think it’s going to be a long time before we know the full extent of it,” he told AFP.
According to the Syrian Observatory for Human Rights monitor, more than 100,000 people died in Syria’s jails and detention centers from 2011.
The Saydnaya complex, the site of extrajudicial executions, torture and forced disappearances, epitomised the atrocities committed against Assad’s opponents.
Petit compared Saydnaya to the S-21 prison in Cambodia’s capital Phnom Penh, which came to stand for the Khmer Rouge’s wider atrocities and now houses the country’s genocide museum.
The Saydnaya facility will become “an emblematic example of inhumanity,” he said.
Petit said his team had reached out to the new authorities “to get permission to come here and start discussing a framework by which we can conduct our mandate.”
“We had a productive meeting and we’ve asked formally now, according to their instructions, to be able to come back and start the work. So we’re waiting for that response,” he said.
Even without setting foot in Syria, Petit’s 82-member team has gathered huge amounts of evidence of the worst breaches of international law committed during the war.
The hope is that there could now be a national accountability process in Syria and that steps could be taken to finally grant the International Criminal Court jurisdiction to prosecute crimes committed in the country.
Tunisian women herb harvesters struggle with drought
- Tunisia produces around 10,000 tonnes of aromatic and medicinal herbs each year, according to official figures
TUNIS: On a hillside in Tunisia’s northwestern highlands, women scour a sun-scorched field for the wild herbs they rely on for their livelihoods, but droughts are making it ever harder to find the precious plants.
Yet the harvesters say they have little choice but to struggle on, as there are few opportunities in a country hit hard by unemployment, inflation and high living costs.
“There is a huge difference between the situation in the past and what we are living now,” said Mabrouka Athimni, who heads a local collective of women herb harvesters named “Al-Baraka.”
“We’re earning half, sometimes just a third, of what we used to.”
SPEEDREAD
Yet the harvesters say they have little choice but to struggle on, as there are few opportunities in a country hit hard by unemployment and high living costs.
Tunisia produces around 10,000 tonnes of aromatic and medicinal herbs each year, according to official figures.
Rosemary accounts for more than 40 percent of essential oil exports, mainly destined for French and American markets.
For the past 20 years, Athimni’s collective has supported numerous families in Tbainia, a village near the city of Ain Draham in a region with much higher poverty rates than the national average.
Women, who make up around 70 percent of the agricultural workforce, are the main breadwinners for their households in Tbainia.
Tunisia is in its sixth year of drought and has seen its water reserves dwindle, as temperatures have soared past 50 degrees Celsius in some areas during the summer.
The country has 36 dams, mostly in the northwest, but they are currently just 20 percent full — a record low in recent decades.
The Tbainia women said they usually harvested plants like eucalyptus, rosemary and mastic year-round, but shrinking water resources and rare rainfall have siphoned oil output.
“The mountain springs are drying up, and without snow or rain to replenish them, the herbs yield less oil,” said Athimni.
Mongia Soudani, a 58-year-old harvester and mother of three, said her work was her household’s only income. She joined the collective five years ago.
“We used to gather three or four large sacks of herbs per harvest,” she said. “Now, we’re lucky to fill just one.”
Forests in Tunisia cover 1.25 million hectares, about 10 percent of them in the northwestern region.
Wildfires fueled by drought and rising temperatures have ravaged these woodlands, further diminishing the natural resources that women like Soudani depend on.
In the summer of last year, wildfires destroyed around 1,120 hectares near Tbainia.
“Parts of the mountain were consumed by flames, and other women lost everything,” Soudani recalled.
To adapt to some climate-driven challenges, the women received training from international organizations, such as the Food and Agriculture Organization, to preserve forest resources.
Still, Athimni struggles to secure a viable income.
“I can’t fulfil my clients’ orders anymore because the harvest has been insufficient,” she said.
The collective has lost a number of its customers as a result, she said.