How a ceasefire in Gaza could help prevent a deadly outbreak of polio 

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Children under the age of 5, are most at risk from Polio amid the conflict, bottom, which has devastated Gaza’s health system. (AFP/File)
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Children under the age of 5, are most at risk from Polio amid the conflict, bottom, which has devastated Gaza’s health system. (AFP/File)
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Updated 12 August 2024
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How a ceasefire in Gaza could help prevent a deadly outbreak of polio 

  • Overcrowding, destruction of sanitation, and a deteriorating health system have contributed to the reemergence of polio 
  • The WHO has announced plans to send 1.2 million polio vaccines to Gaza after the virus was detected in wastewater

LONDON: More than 1 million children in the Gaza Strip are at risk of contracting type 2 poliovirus, a highly infectious disease that can lead to paralysis and even death, as displacement and the destruction of sanitation infrastructure leaves the population vulnerable to disease.

The World Health Organization has announced plans to send 1.2 million polio vaccines to Gaza after the virus was detected in wastewater samples taken last month from displacement camps in the northern governorates of Khan Younis and Deir Al-Balah.

Although no clinical cases of polio have been diagnosed so far, Hanan Balkhy, the WHO’s regional director, warned that the virus could “spread further, including across borders” unless agencies acted quickly to vaccinate the population.




In this photo taken on September 9, 2020, a UNRWA employee provides poliomyeletis vaccine for children at a clinic in Bureij refugee camp in the Gaza Strip. Health officials have detected poliovirus in Gaza again amid a raging war that has destroyed most of the health centers in the area. (AFP/File)

However, any mass polio immunization campaign in Gaza, targeting 600,000 children under the age of 8, would face a host of challenges, chief among them the absence of a ceasefire which would allow medics to safely access displaced communities.

“We need a ceasefire, even a temporary ceasefire, to successfully undertake these campaigns,” Balkhy said at a press briefing on Wednesday.

Children under the age of 5, and especially infants, are most at risk from polio, as many missed out on the regular vaccination campaigns that had taken place in Gaza before the conflict began on Oct. 7.

The virus, which spreads through contact with the feces, saliva or nasal mucus of an infected individual, attacks nerves in the spinal cord and the brain stem, leading to partial or total paralysis within hours.

It can also immobilize chest muscles, causing trouble breathing, even leading to death.




PAHO/WHO infographic

Polio was eradicated in Europe in 2003 thanks to an effective vaccination campaign. There have been no confirmed cases of paralysis due to polio caught in the UK since 1984.

Wild poliovirus cases have fallen by more than 99 percent since 1988, from an estimated 350,000 cases in more than 125 endemic countries to six reported cases in 2021.

Of the three strains of wild poliovirus, type 2 was eradicated in 1999 and type 3 was eradicated in 2020. As of 2022, endemic type 1 remained in just two countries — Pakistan and Afghanistan.

In Gaza, overcrowding, a lack of clean water and hygiene materials, a deteriorating health system, and the destruction of sanitation plants have all contributed to the reemergence of type 2, according to Hamid Jafari, the WHO’s director of polio eradication, speaking at Wednesday’s press briefing.




WHO says overcrowding, a lack of clean water and hygiene materials, a deteriorating health system, and the destruction of sanitation plants have all contributed to the reemergence of polio in Gaza. (AFP)

The UN estimates at least 70 percent of Gaza’s water and sanitation plants, including wastewater treatment facilities and sewage pumping stations, have been damaged or destroyed since the start of the conflict.

In late July, Gaza’s health authority declared the enclave a “polio epidemic zone,” blaming the resurgence of the virus on Israel’s bombing campaign and the ensuing damage this had caused to the healthcare system.

The Israeli military began its bombardment of the Gaza Strip in retaliation for the Oct. 7 Hamas-led attack on southern Israel. Although the Israeli military insists it does not target civilian infrastructure, schools, hospitals, and utilities have suffered major damage.

The more than 490 attacks on medical facilities and personnel, documented by the UN during the first six months of the conflict alone, have left Gaza’s healthcare system in tatters. Just 16 of Gaza’s 36 health facilities remain partially functioning.

INNUMBERS

1.2 million Polio vaccines the WHO plans to send to Gaza to prevent outbreak.

600,000 Children under the age of 8 to be targeted in vaccination drive.

70% Proportion of Gaza’s sanitation facilities damaged or destroyed.

1.9 million Palestinians in Gaza displaced multiple times since the conflict began.

Three of these facilities are in the north, seven in Gaza City, three in Deir Al-Balah, three in Khan Younis, and none in the southern city of Rafah, according to the US-based nongovernmental organization Physicians for Human Rights.

Javid Abdelmoneim, a medical team leader for Medecins Sans Frontieres, who was working at the Nasser Hospital in southern Gaza last month, told the organization “every day in July has been one shock after another.”

Recounting one particularly traumatic incident, he said: “I walked in behind a curtain, and there was a little girl alone, dying by herself. And that’s the outcome of a collapsed health system. A little 8-year-old girl, dying alone on a trolley in the emergency room.

“In a functioning health system, she would have been saved.”




Medical equipment are laid to waste at a hospital in Gaza that had been destroyed by Israeli bombardment. (AFP)

Despite calls from the WHO and other aid bodies for the warring parties in Gaza to allow “absolute freedom of movement” so that medics can roll out a vaccination campaign, the possibility of a ceasefire appears no closer.

On Wednesday, the Israeli military issued new evacuation orders for several parts of northern Gaza, including Beit Hanoun, Manshiyya and Sheikh Zayed.

Avichay Adraee, the Israeli army’s spokesperson, posted the evacuation orders on the social media platform X. He instructed the residents of Beit Hanoun to “relocate immediately” to Deir Al-Balah and Zawayda.

“Beit Hanoun area is still considered a dangerous combat zone,” he added.




The constant evacuation of Palestinian families in the Gaza Strip has hampered the rollout of a vaccination campaign. (AP)

Despite assurances that these areas would be treated as safe zones in which civilians could shelter, both Deir Al-Balah and Zawayda have come under regular Israeli attack in recent months.

The UN reported that while nowhere in Gaza is safe, 86 percent of the besieged Palestinian enclave is under Israeli evacuation orders. About 1.9 million of Gaza’s 2.1 million population have been displaced multiple times since Oct. 7.

“Nowhere is safe. Everywhere is a potential killing zone,” UN Secretary-General Antonio Guterres said at the opening of the UNRWA Pledging Conference on July 12.

The continuous movement of families in Gaza has made it difficult for aid agencies, which are already short of funds and struggling to reach affected populations, to locate and identify unvaccinated children.




In this file photo, a polio patient is fitted for an artificial limb at a rehabilitation center for prosthetics and treating polio in Gaza City. The war in Gaza has hampered the operation of the rehab center. (Getty Images)

The WHO’s polio specialist Jafari warned that the virus could have been circulating in Gaza since September, as the enclave offered “ideal conditions” for its transmission.

Before Oct. 7, polio vaccine coverage in the Occupied Palestinian Territories was estimated at 89 percent, according to the WHO.

Even if the planned 1.2 million vaccines are successfully brought into Gaza, it will be a “huge logistical challenge” to ensure their successful deployment, WHO official Andrea King told the BBC.

The vaccines must be stored within a limited temperature range from the moment they are manufactured until they are administered. Bringing these chilled vaccines into Gaza and keeping them at the required temperature would be a difficult undertaking at the best of times.




With a war going on, bringing chilled vaccines into Gaza and keeping them at the required temperature would be a difficult undertaking at the best of times, say WHO officials. (Getty Images)

The WHO’s Director General Tedros Adhanom Ghebreyesus said on Wednesday that a ceasefire or at least a few days of calm was essential to protect Gaza’s children.

As of July 7, the WHO has recorded a surge in infectious diseases, including 1 million cases of acute respiratory infections, 577,000 of acute watery diarrhea, 107,000 of acute jaundice syndrome, and 12,000 of bloody diarrhea.

It says this is primarily due to a lack of clean drinking water and the destruction of a critical water facility in Rafah, southern Gaza.
 

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Syria’s Jolani says ‘contract’ between state and all religions needed for ‘social justice’

Updated 6 sec ago
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Syria’s Jolani says ‘contract’ between state and all religions needed for ‘social justice’

  • “Syria must remain united, and there must be a social contract between the state and all religions to guarantee social justice,” said Jolani

DAMASCUS: Abu Mohammed Al-Jolani, leader of the Hayat Tahrir Al-Sham group that toppled Syrian president Bashar Assad, said Monday that a “social contract” between the state and all religions in the country was needed to ensure “social justice.”
“Syria must remain united, and there must be a social contract between the state and all religions to guarantee social justice,” said Jolani, who now goes by his real name Ahmed Al-Sharaa, on Telegram.
 

 

 


UN chief welcomes aid commitments by new Syrian authorities

Updated 1 min 34 sec ago
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UN chief welcomes aid commitments by new Syrian authorities

  • Guterres called on the international community to rally behind the Syrian people as they “seize the opportunity to build a better future”

UNITED NATIONS: United Nations aid chief Tom Fletcher met with the commander of Syria’s new administration, Ahmed Al-Sharaa, and newly appointed Prime Minister Mohammed Al-Bashir on Monday to discuss scaling up humanitarian assistance in the country.
Following Fletcher’s meeting, UN Secretary-General Antonio Guterres said in a statement that he welcomed the caretaker government’s commitment to protect civilians, including humanitarian workers.
“I also welcome their agreement to grant full humanitarian access through all border crossings; cut through bureaucracy over permits and visas for humanitarian workers; ensure the continuity of essential government services, including health and education; and engage in genuine and practical dialogue with the wider humanitarian community,” Guterres said.
Syria’s Bashar Assad was ousted after insurgent forces led by the Islamist Hayat Tahrir Al-Sham swept through Syria in a lightning offensive, ending more than 50 years of iron-fisted rule by his family.
Guterres called on the international community to rally behind the Syrian people as they “seize the opportunity to build a better future.” The United Nations says seven in 10 people in Syria continue to need humanitarian aid.
Fletcher also plans to visit Lebanon, Turkiye and Jordan, UN spokesperson Stephane Dujarric said. (Reporting by Michelle Nichols Editing by Bill Berkrot)

 


US strikes Houthi command and control facility in Yemen

Updated 34 min 20 sec ago
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US strikes Houthi command and control facility in Yemen

  • The Yemeni rebels say their attacks — a significant international security challenge that threatens a major shipping lane — are in solidarity with Palestinians in Gaza

WASHINGTON: American forces carried out an air strike on Monday against a Houthi command and control facility that was used by the Yemeni rebels to coordinate attacks, the US military said.
The Houthis began striking ships in the Red Sea and Gulf of Aden in November 2023, part of the region-wide fallout from Israel’s devastating war in Gaza, which militant groups in multiple countries have cited as justification for attacks.
“The targeted facility was a hub for coordinating Houthi operations, such as attacks against US Navy warships and merchant vessels in the southern Red Sea and Gulf of Aden,” the US Central Command (CENTCOM) said in a statement.
“The strike reflects CENTCOM’s ongoing commitment to protect US and coalition personnel, regional partners, and international shipping,” it added.
The Yemeni rebels say their attacks — a significant international security challenge that threatens a major shipping lane — are in solidarity with Palestinians in Gaza.
Anger over Israel’s ongoing military campaign in the small coastal territory, which began after an unprecedented Hamas attack on October 7, 2023, has stoked violence involving Iran-backed groups in Lebanon, Iraq, Syria and Yemen.
The United States and other countries have deployed military vessels to help shield shipping from the Houthi strikes, and the rebels have periodically launched attacks targeting American military ships.
Washington’s forces have also carried out frequent air strikes on the Houthis in a bid to degrade their ability to target shipping and have sought to seize weapons before they reach the rebels, but their attacks have persisted.
 

 


US-brokered ceasefire fails between Kurdish and Turkiye-backed forces in Syria

Updated 46 min 22 sec ago
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US-brokered ceasefire fails between Kurdish and Turkiye-backed forces in Syria

  • Shami blamed the collapse of the mediation on “Turkiye’s approach in dealing with the mediation efforts and its evasion to accept key points”

CAIRO: Syrian US-backed Kurdish Syrian forces (SDF) said U.S-brokered mediation efforts failed to reach a permanent ceasefire with Syria’s Turkiye-backed rebels in the northern cities of Manbij and Kobani, according to head of the SDF’s media center Farhad Shami on Monday.
Shami blamed the collapse of the mediation on “Turkiye’s approach in dealing with the mediation efforts and its evasion to accept key points.”
The Turks are not happy about the ceasefire deal and Turkiye prefers to keep maximum pressure on SDF, a Syrian opposition source told Reuters.
Last week, the SDF said they reached a ceasefire agreement with the Turkiye-backed rebels in Manbij through US mediation “to ensure the safety and security of civilians.”

 


Negotiators say Israel and Hamas are inching toward a ceasefire deal. This is what it may look like

Updated 17 December 2024
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Negotiators say Israel and Hamas are inching toward a ceasefire deal. This is what it may look like

  • An estimated 90 percent of Gaza’s 2.3 million people have been displaced, in many cases multiple times, and aid workers report severe hunger across the territory

DOHA, Qatar: After months of deadlock, Israel and Hamas appear to be moving closer toward a ceasefire to end their 14-month war.
Top officials from the US, Qatar and Egypt have resumed their mediation efforts in recent weeks and reported greater willingness by the warring sides to wrap up a deal. In a key concession, Hamas officials say they are prepared to show more “flexibility” on the timing of an Israeli troop withdrawal from Gaza, and Israel’s defense minister, Israel Katz, said Monday that a deal is closer than ever.
Officials on all sides have cautioned that key details must still be worked out. But there is a general sense of optimism that has been lacking for many months.
The changing sentiment appears to be the result of several factors. Israel has inflicted heavy damage on Hamas over the course of the war. The group is more isolated after Hezbollah’s ceasefire with Israel, and Iran, a key backer of both militant groups, has suffered a number of setbacks, highlighted by the downfall of its close ally, Syria’s Bashar Assad.
In the US, both the outgoing Biden administration and the incoming administration of President-elect Donald Trump have signaled they want a deal completed before the Jan. 20 inauguration.
According to Egyptian and Hamas officials, the agreement would take place in phases and include a halt in fighting, an exchange of captive Israeli hostages for Palestinian prisoners, and a surge in aid to the besieged Gaza Strip. Israel says Hamas is holding 100 hostages — over one-third of whom are believed to be dead.
Here is a closer look at the emerging deal, according to the officials, who spoke on condition of anonymity because they were discussing closed negotiations.
Preliminary ceasefire
The first phase would last from six to eight weeks. During that time, Hamas would release some 30 hostages – roughly half of those believed alive. They include three or four dual US-Israeli citizens.
Israel would release hundreds of Palestinian prisoners, including as many as 100 who are serving long sentences for alleged involvement in bloody attacks.
Increased aid
The deal calls for a massive increase in aid to Gaza, which has plunged into a humanitarian crisis during the 14-month war. An estimated 90 percent of Gaza’s 2.3 million people have been displaced, in many cases multiple times, and aid workers report severe hunger across the territory.
This is expected to include a reopening of the territory’s Rafah crossing with Egypt, which has been closed since Israeli ground troops invaded the southern border town in May. The crossing is especially important because it is the primary exit point for Palestinians in Gaza who want to travel abroad, and the only one not controlled by Israel.
Mediators say they are considering a return to a 2005 agreement that allowed the internationally recognized Palestinian Authority to operate the crossing with European Union observers. That agreement collapsed when Hamas seized control of Gaza in 2007 and expelled the Palestinian Authority forces.
Israeli troop withdrawals
During the first phase, Israeli troops would withdraw from some Palestinian population centers, allowing many Palestinians to begin returning home. But Israeli troops wouldn’t leave Gaza altogether at this stage. They would remain along the Philadelphi corridor – a strategic strip of land along Gaza’s border with Egypt.
Ending the war
During the initial ceasefire, the sides would continue negotiations on a permanent agreement, to include an end to the war, full withdrawal of Israeli troops, and release of remaining hostages and bodies held by Hamas.
Talks would begin on final arrangements for Gaza, including who would govern the territory and plans for rebuilding the destruction.