As Gaza’s doctors struggle to save lives, many lose their own in Israeli airstrikes

Dr. Adam Hamawy, left, a former US Army combat plastic surgeon, and Dr. Mohammed Tahir, a British surgeon, perform surgery on mangled hand from a blast injury at the European General Hospital, in Khan Younis, Gaza. (Adam Hamawy via AP)
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Updated 17 July 2024
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As Gaza’s doctors struggle to save lives, many lose their own in Israeli airstrikes

  • Israel’s 9-month-old war with Hamas in Gaza has decimated the territory’s medical system
  • One of Gaza’s most prominent fertility doctors, Omar Ferwana, was killed along with his family in a strike on his home in October

BEIRUT: Dr. Hassan Hamdan was one of the few trained plastic surgeons in Gaza, a specialist in wound reconstruction. His skills were vitally needed as Israel’s military onslaught filled hospitals with patients torn by blasts and shrapnel, so the 65-year-old came out of retirement to help.
Earlier this month, an Israeli airstrike killed him along with his wife, son, two daughters, a daughter-in-law, a son-in-law, six grandchildren and one other person, as his family sheltered in their home in an Israeli-declared “safe zone.”
Israel’s 9-month-old war with Hamas in Gaza has decimated the territory’s medical system. It has not only wreaked physical destruction on hospitals and health facilities, it has devastated Gaza’s medical personnel. More than 500 health care workers have been killed since October, according to the UN.
Among them were many specialists like Hamdan.
Dr. Ahmed Al-Maqadma, also a reconstructive surgeon and a former fellow at UK Royal College, was found shot to death alongside his mother, a general practitioner, on a street outside Gaza City’s Shifa hospital after a two-week raid on the facility by Israeli forces in April.
One of Gaza’s most prominent fertility doctors, Omar Ferwana, was killed along with his family in a strike on his home in October. The territory’s only liver transplant doctor, Hamam Alloh, was killed in a hit on his home in Gaza City.
Israeli strikes in November on a northern Gaza hospital killed two doctors working with Doctors Without Borders. They are among six staffers killed from the international charity, which focuses on reconstructive and orthopedic surgeries, physiotherapy and burn care in Gaza.
Israel has detained doctors and medical staff. At least two have died in Israeli detention, allegedly of ill-treatment: the head of Shifa’s orthopedics department, Adnan Al-Bursh, and the head of a women’s hospital, Iyad Al-Rantisi. Israel has not returned either man’s body. Hundreds of other medical workers have been displaced or left Gaza altogether.
Along with the personal toll, their deaths rob Gaza’s medical system of their skills when they have become crucial.
Since the Hamas attack against Israel on Oct. 7 — which left some 1,200 people dead and 250 kidnapped — Israel’s campaign has killed more than 38,000 people in Gaza and wounded more than 88,000, according to local health officials. Malnutrition and disease have become widespread as hundreds of thousands of Palestinians cram into squalid tent camps.
Dr. Adam Hamawy, a former US Army combat plastic surgeon who volunteered in Gaza in May, said Hamdan’s death “leaves a significant void that will be hard to fill.”
Like many in Gaza, he believes Israel is deliberately destroying the health system, pointing to how Israeli forces have raided hospitals, destroyed medical complexes, fired on medical convoys and hit ambulances. Israel says it is targeting Hamas, which it says uses hospitals as command centers and ambulances for transport. The military has provided limited evidence for its claims.
Twenty-three of Gaza’s 36 hospitals are out of service, and the rest are only partially functioning, according to the latest UN figures. Only five field hospitals out of nine are operational. And more than 60 percent of Gaza’s primary health facilities have shut down.
Hamdan’s death leaves only one other specialist in reconstructive plastic surgery in Gaza. Other doctors have had to learn the skills of repairing major wounds on the job amid relentless daily waves of maimed patients.
Hamawy saw firsthand the need during his work in Gaza as part of an international medical team that came to help the territory’s health workers.
During three weeks at the European General Hospital in Khan Younis, he said he performed 120 surgeries, more than half of them on children, and all but one of them for treatment and reconstruction of war wounds. Two colleagues at the hospital were killed in strikes on their homes while he was there, and he spoke to doctors who had been released from Israeli detention and described being tortured, he said.
Hamawy said a general surgeon at the hospital stepped in to fill the demand for plastic surgeons, but he had no formal training. Five medical students volunteered with him.
They “are doing their best to fill in the gap,” Hamawy said.
On July 2, the European General Hospital evacuated its staff and patients, fearing it would be attacked. That left Al-Aqsa Martyrs Hospital in Deir Al-Balah and a field hospital in Rafah as the only facilities able to offer reconstructive surgery, said Dr. Ahmed Al-Mokhallalati, Gaza’s last reconstructive plastic surgery specialist.
Al-Mokhallalati said he has been rushing between hospitals, at one point overseeing treatment for 400 patients in one and 500 in another. At the Rafah field hospital, he was doing up to 10 surgeries a day.
“It is a very critical situation,” he said.
Hamdan founded the burns and plastic surgery department in Khan Younis’ Nasser Medical complex in 2002, after serving at the territory’s first such unit, at Shifa hospital. He headed the department at Nasser until 2019, when he retired.
When the Israeli army invaded Hamdan’s home city of Khan Younis in December, he returned as a volunteer at Nasser, Gaza’s second largest hospital, said his son Osama Hamdan, an orthopedic surgeon. His colleagues said he was cool under pressure. “The smile never left his face,” said Dr. Mohamad Awad, a surgeon who worked with him.
Soon after, Israeli forces besieged and raided Nasser Hospital, forcing its evacuation. Hamdan was displaced, taking shelter in the home of one of his daughters in Deir Al-Balah, further north.
Troops occupied Nasser hospital for weeks, wreaking extensive damage. After they withdrew, the facility was rehabilitated. In mid-June, Hamdan returned home and was discussing returning to work with hospital officials.
On July 2, Israel ordered another evacuation of Khan Younis. Hamdan and his family fled again, returning to his daughter’s home in Deir Al-Balah.
Only hours after they arrived, an airstrike hit the building on July 3 – “a direct hit with two rockets on my sister’s apartment,” Osama Hamdan said. He said no one in the family was affiliated with militant groups.
The Israeli military did not respond to requests for comment on the strike.
Osama was on duty in the emergency room at Nasser hospital when he received the call. His wife and two sons – 3 and 5 years old – were among those killed.
“I was only able to collect some body parts of my kids and their mother because of how huge the explosion was,” he said.
One of his sisters died days later in the hospital from her wounds. Another sister remains in intensive care.
Osama is feeling partially responsible. “I had pressed him to leave Khan Younis,” he said in a text message, marked with two broken hearts emojis.


Rare death of UN worker as Israel pursues West Bank operation

Updated 55 min 38 sec ago
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Rare death of UN worker as Israel pursues West Bank operation

  • The United Nations agency, UNRWA, said the employee was its first to be killed in the Palestinian territory in more than a decade
  • UNRWA identified the employee as Sufyan Jaber Abed Jawwad, who worked as a sanitation laborer

JERUSALEM: The UN agency for Palestinian refugees said Friday one of its employees was killed during an Israeli operation in the occupied West Bank, where raids have escalated since last month.
The United Nations agency, UNRWA, said the employee was its first to be killed in the Palestinian territory in more than a decade.
But he is among dozens of Palestinians killed during the large-scale Israeli operation which began days ago and is ongoing, with several more Palestinians dead since Wednesday.
UNRWA identified the employee as Sufyan Jaber Abed Jawwad, who worked as a sanitation laborer. It said he was “shot and killed on the roof of his home by a sniper” in Faraa refugee camp.
His death is in addition to those of six other UNRWA staffers the UN said were killed in the Gaza Strip on Wednesday during a strike on a shool-turned-shelter. It was the highest single incident toll for the agency, UNRWA said.
Mourners on Friday carried Jawwad’s body through the streets of Faraa, with his blue UN vest resting atop the Palestinian flag that covered him.
In nearby Tubas, funerals also took place for other Palestinians, who were killed by an air strike.
A military statement on Friday said Israeli forces had “conducted a 48-hour counter-terrorism operation” in the areas of Tubas, Tamun and Faraa — northeast of Nablus — killing “five armed terrorists” in an air strike.
It added that a sixth militant was also killed.
Violence in the West Bank had already soared alongside the nearly 12-month-old war in Gaza but in late August Israel began its large-scale raids.
Major Israeli operations in the West Bank are sometimes occurring “at a scale not witnessed in the last two decades,” the United Nations human rights chief said this week.
The official Palestinian news agency Wafa said the military withdrew from Tubas on Thursday evening, allowing the funerals there to go ahead, after the air strike which the Palestinian Red Crescent said killed them on Wednesday.
“I woke up in the morning to the sound of an explosion,” Ahmed Sawafta, father of one of the dead men, told AFP.
The fifth person killed was buried on Friday in Tamun, also in the northern West Bank.
Osaid Kharaz, who identified himself as a Hamas activist, told AFP at the funeral in Tubas that Israel “is attempting to impose a new reality and undermine the popular support for the resistance (to Israeli occupation) in the West Bank.”
Israeli Defense Minister Yoav Gallant announced on September 4 that the military would use its “full strength” to strike Palestinian militants in the West Bank.
He said he had ordered the military to carry out air strikes “wherever necessary” in order to “avoid endangering soldiers.”
Days later, the European Union’s top diplomat Josep Borrell said Israel aimed “to turn the West Bank into a new Gaza.”
Israeli forces this week also carried out operations around the northern West Bank city of Tulkarem.
A military statement on Friday reported four deaths “in the areas of Tulkarem and Nur Shams.”
It said “three of the terrorists were eliminated in an aerial strike on Wednesday, and the fourth terrorist was eliminated during close-quarters combat with the security forces.”
The armed wing of Palestinian militant group Islamic Jihad said that the strike killed three of its fighters.
Israel has occupied the West Bank since 1967 and has ramped up deadly raids in the territory since Hamas’s October 7 attack on southern Israel sparked the war in Gaza.
According to the Palestinian health ministry, at least 679 Palestinians have been killed in the West Bank by the Israeli military or settlers since October 7.
At least 24 Israelis, including security forces, have been killed in Palestinian attacks or during Israeli military operations in the territory during the same period, according to Israeli officials.


‘An eye for an eye’: Hezbollah targets two Israeli military bases in Safed

Updated 13 September 2024
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‘An eye for an eye’: Hezbollah targets two Israeli military bases in Safed

  • Lebanon Humanitarian Fund allocates $10 million to aid displaced people in southern Lebanon

BEIRUT: Hezbollah launched a swarm of assault drones on Filon Base — the headquarters of Israel’s 210th Division — and its warehouses in the southeast of Safed on Friday, the second attack on Safed in less than 12 hours.

Hezbollah said it had “targeted the positions and locations of the base’s soldiers and officers, striking them directly.”

Israeli media outlets confirmed the attack, stating that “20 rockets were launched from Lebanon toward Safad.”

This came hours after Israeli raids on Friday morning that targeted several houses in Bint Jbeil, the largest city in the area of the Israel-Lebanon border. The impact of the explosions destroyed some residential buildings and caused damage to other structures.

The Israeli army also raided the outskirts of Yaroun and Aita Al-Shaab, with heavy artillery targeting the forests of Alma Al-Shaab and the outskirts of Kfarshouba.

Israeli forces also targeted two motorcycles in Nabatieh on Thursday night, killing three people, including a four-year-old child identified as Mehdi Mubarak, along with his father, Sadeq Mubarak from Markaba, and Sajed Mustafa, Hezbollah announced.

Hezbollah immediately responded by targeting a major air-defense base in Safad with dozens of Katyusha missiles, setting parts of it ablaze and leading to a complete power outage in Safad and nearby areas. Around 50,000 settlers fled to shelters after hearing the sound of sirens, according to Israeli media outlets.

European and US calls to prevent the expansion of war in Lebanon have yet to have any effect.

In his Friday sermon, the head of Hezbollah’s Shariah Council, Sheikh Mohammed Yazbek, said “An eye for an eye, a tooth for a tooth, and the initiator is the aggressor.”

He added: “Hezbollah stands up to the Israeli enemy’s attacks, the monstrous and destructive bombing of houses, and killing of civilians, by launching rocket and drone operations against more settlements.”

Yazbek highlighted “the Israeli escalation,” and said that Hezbollah “is fully prepared to teach the enemy a lesson it hasn’t dreamed of, and won’t stop before the attack against Gaza stops.”

Israeli media outlets reported on Thursday night that the US presidential envoy to Lebanon and Israel, Amos Hochstein, will head to Israel with a message calling for it to avoid “carrying out an expanded military operation in Lebanon.”

The Lebanese authorities have yet to receive confirmation of whether Hochstein intends to visit Beirut.

According to Information International, the death toll from confrontations on the southern front between Oct. 8, 2023, and the morning of Sept. 13, 2024, was 626. Among them are 431 Hezbollah members and 97 civilians. A total of 2,050 homes have been completely destroyed, 1,800 homes have been partially destroyed, and around 8,000 homes have suffered minor damage, while more than 110,000 people have been displaced, with many losing their livelihoods.

Meanwhile, UN Humanitarian Coordinator for Lebanon Imran Riza issued a statement announcing the allocation of $24 million as an aid package from the Lebanon Humanitarian Fund “to support the country’s most vulnerable groups, and address the needs of those affected by the escalating hostilities in southern Lebanon.”

Riza said: “As the escalation of hostilities in south Lebanon drags on longer than we had hoped, it has led to further displacement and deepened the already critical needs. The long-term consequences on vulnerable groups are particularly worrying — schools are closing, healthcare services are under strain, and basic services are being stretched thin.”

He continued: “We are allocating these funds from the LHF at a time of unprecedented challenges. Lebanon is grappling with multiple crises, which have overwhelmed the country’s capacity to cope. Despite our best efforts, only 25 percent of our annual appeal has been met. We urgently call on the international community for more support.

“The LHF has allowed us to support over 200,000 people, but this is still far from enough. Without sufficient funding, we are not only limited in addressing those immediate needs but also risk weakening our preparedness efforts and our capacity to address the other urgent crises Lebanon is currently facing.”

The LHF clarified that the new funding will “provide urgent support to those in need, including food, shelter, healthcare, WaSH and protection. Specifically, $10 million from the LHF will be directed toward emergency relief for those affected by the hostilities in south Lebanon. “Additionally, $13 million will be allocated to support vulnerable communities across Lebanon, and the remaining $1 million will be dedicated to empowering local NGOs, enhancing their ability to respond effectively to the multifaceted crisis.”

In November 2023, in response to the escalation of hostilities on Lebanon’s southern border, the LHF allocated $4.1 million to support advanced preparedness and immediate response efforts for those displaced and in need. This response was further bolstered in February, when the UN’s Central Emergency Response Fund allocated an additional $9 million to address the urgent needs of vulnerable populations, particularly in southern Lebanon.

 


Israeli military says it acted against targets in Syria

Updated 13 September 2024
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Israeli military says it acted against targets in Syria

  • The Israeli military rarely comments on allegations that it acts in Syria

JERUSALEM: The Israeli military said Friday that over the source of the week it had acted in Syria against targets, just days after Syrian state media reported Israeli airstrikes killed 16 people in western Syria and wounded dozens more.
“In southern Syria, the IDF targeted several terrorists who were advancing terror activities against Israel,” a statement from the military said Friday but did not give further detail.
The Israeli military rarely comments on allegations that it acts in Syria and declined to comment on a New York Times report that Israeli special forces raided a weapons manufacturing site near the Syria-Lebanon border on Sunday.
On Sunday, Syrian state news agency SANA reported that Israel launched the strikes on “a number of military sites in the central region,” without elaborating on what was struck.


Jordan’s Safadi and EU’s Borrell meet in Madrid to discuss Palestinian statehood

Updated 13 September 2024
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Jordan’s Safadi and EU’s Borrell meet in Madrid to discuss Palestinian statehood

  • Two officials discussed escalation of violence in the West Bank and efforts to halt Israeli aggression in Gaza Strip

LONDON: Jordanian Foreign Affairs Minister Ayman Safadi met in Madrid on Friday with the EU’s foreign affairs and security chief Josep Borrell.

The two men discussed an escalation of violence in the West Bank and efforts to halt Israeli aggression in the Gaza Strip, the Jordan News Agency reported.

Safadi and Borrell also spoke about wider regional developments and the development of relations between Jordan and the EU.

They met on the sidelines of a high-level meeting involving several Muslim and European countries which looked at ways to end the Israel-Hamas conflict and called for a clear schedule for the implementation of a two-state solution.

Safadi and Borrell reaffirmed their ongoing coordination and collaboration which is focused on reducing escalation in the West Bank, achieving an immediate and complete truce in Gaza, safeguarding civilians, and ensuring sufficient and sustainable humanitarian supplies reach all areas of the Strip.

Safadi warned of dire repercussions if Israel persisted in its actions in the West Bank and violation of Islamic and Christian sanctities in Jerusalem.


Deadly floods bring relief to Moroccan farmers

Updated 13 September 2024
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Deadly floods bring relief to Moroccan farmers

  • The torrential rains at the weekend triggered floods that killed at least 18 people in areas of southern Morocco that straddle the Sahara desert

RABAT: When powerful thunderstorms hit Morocco’s arid south, they brought deadly floods but also provided some relief to farmers as the country grapples with its worst drought in nearly 40 years.
The torrential rains at the weekend triggered floods that killed at least 18 people in areas of southern Morocco that straddle the Sahara desert.
While the rain was devastating in part, it also brought some relief to farmers growing crops like almonds, dates and cereals.
“These rains will bring a breath of fresh air” to the south, said agronomist Mohamed Taher Srairi.
“But it has not rained elsewhere, and the country remains under a heavy structural drought.”
The unusual rainfall resulted from a tropical air mass shifting northward, according to Lhoussaine Youabd, spokesman for Morocco’s General Directorate of Meteorology.
Experts say climate change is making extreme weather, such as storms and droughts, more frequent and intense.
Morocco is one of the world’s most water-stressed nations, with frequent droughts affecting a third of the population employed in agriculture.
Near areas of the northwest African country lashed by the weekend’s rain, water levels in dams have risen and groundwater is expected to replenish.
The four Draa Oued Noun dams, which supply areas impacted by the floods in the Ouarzazate region, saw water levels increase by 19 percent to 191 million cubic meters, according to Youssef Ben Hamou, director of the agency managing the barrages.
The region of Ouarzazate, located in Morocco’s south, sits between the Atlantic Ocean, the Atlas Mountains and the Sahara.
Water levels of the large Ouarzazate dam climbed to 69 million cubic meters, roughly 70 percent of its capacity, while levels at the Fask dam rose by 10 million cubic meters in just 24 hours.
“The rains have proved to be a boon for the region, because these reserves will be able to ensure drinking water supply which remains a priority,” said Ben Hamou.
Mohamed Jalil, a water resources consultant, said the downpours would help to replenish soil saturation levels, although that usually requires rainfall over time after a long drought.
“This will bring respite to the oases, particularly for agriculture,” he said.
The psychological impact of the long-awaited rains was also significant, he said, especially after a harsh, dry summer.
The massive rainfall had “brought hope” to the drought-hit area, he said.
The Moroccan government has pledged financial aid to the flooded areas.
During a visit to Ouarzazate this week, Agriculture Minister Mohammed Sadiki announced the allocation of $4.1 million to repair damaged infrastructure, support agriculture and help those affected by the floods.
Although no further downpours are expected in the immediate future, climatologists warn that Morocco must better prepare for weather disasters driven by global warming.
Moroccans should be ready “for new phenomena whose frequency and violence are unknown, given the effects of climate change,” said Mohamed Said Karrouk, a climatology professor at Hassan II University in Casablanca.