“Beyond Horrific”: Report Says Israel Illegally Used White Phosphorus in Lebanon

White phosphorus burns at up to 1,500 degrees Fahrenheit and burns through skin and bone

new investigation by human rights group Amnesty International has found that Israel likely committed a war crime by using the extremely caustic chemical white phosphorus along the southern border of Lebanon amidst intensified fighting against Hezbollah.

The group analyzed photos and videos surrounding an attack in several populated Lebanese border towns between October 10 and 16, 2023, and found evidence that Israel used white phosphorus smoke artillery shells in attacks on the area. Interviews with doctors and government leaders in the towns of Dhayra, Yarine and Marwahin find that residents were admitted to the hospital reporting suffocation and having trouble breathing.

Videos of the area show white plumes dispersed by artillery consistent with white phosphorus, Amnesty says, while others show chunks descending to the ground and igniting in a way that strongly suggests the substance is white phosphorus. Meanwhile, photojournalists have taken photos showing white phosphorus artillery shells lined up next to other Israeli weapons near the Lebanese border on October 18.

White phosphorus is often used to create a smokescreen in war. Using the substance in civilian areas is considered a war crime due to its extremely dangerous effects on the human body. White phosphorus ignites instantly when in contact with oxygen. It can burn through the human body, including through bone, causing severe, excruciating damage. It can also cause extreme harm when inhaled, with risks of suffocation, cardiovascular failure, coma, death, and other lifelong effects. The substance burns at temperatures of up to 1,500 degrees Fahrenheit.

Some human rights organizations have found that Israeli forces have also used white phosphorus on parts of Gaza, which is one of the most densely populated areas on Earth. Human Rights Watch has said that Israel’s use of the substance in Gaza is a violation of international law.

Amnesty’s report found that Israel used the phosphorus shells indiscriminately, meaning that they did not take care to distinguish whether it was used against civilians or fighters. One official told Amnesty that a screen of heavy white smoke covered Dharya all night and morning on October 16 and 17, with people not even being able to see their hands.

The potentially illegal use of the substance on civilian areas “must be investigated as a war crime,” Amnesty wrote.

“It is beyond horrific that the Israeli army has indiscriminately used white phosphorous in violation of international humanitarian law. The unlawful use of white phosphorus in Lebanon in the town of Dhayra on 16 October has seriously endangered the lives of civilians, many of whom were hospitalized and displaced, and whose homes and cars caught fire,” said Aya Majzoub, Amnesty International’s Deputy Regional Director for the Middle East and North Africa.

In response to the report, Rep. Alexandria Ocasio-Cortez (D-New York) introduced an amendment on Wednesday that would ban Israel from using U.S. military funding to deploy white phosphorus against civilians. It is being proposed as an addition to a supplemental aid bill proposed by Republicans to give Israel $14.3 billion in aid, on top of the billions of dollars the U.S. already gives Israel annually — while also cutting billions from tax enforcement against U.S. millionaires and billionaires.

“Deployment of white phosphorous near populated civilian areas is a war crime,” Ocasio-Cortez said in a statement. “Two independent, well-respected international human rights organizations have formally concluded that Israel is deploying white phosphorous in civilian areas. The United States must adhere to our own laws and policies, which prohibit U.S. aid from assisting forces engaged in gross violations of human rights and international humanitarian law.”

 

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importante petizione in aiuto agli accademici palestinesi

Dear Colleagues

we have read through the open letter to the world of the Academics and University personnel of Gaza published by Al Jazeera on May 29
https://www.aljazeera.com/opinions/2024/5/29/open-letter-by-gaza-academics-and-university-administrators-to-the-world

and we felt it was appropriate and due to help spreading their call and ask of you all to sign a response letter that is posted below.

Signing will signify your intention to brainstorm on how each and all can promote also in practical terms, funding and collaborations in education and organizative tasks, the recreation of a learning environment and the protection of scholars and students in Gaza.

best regards

The letter is open to signatures of individuals and academic networks.

SIGN

https://www.change.org/p/support-and-solidarity-for-the-restart-of-gaza-university-education

Car* collegh*

abbiamo letto la lettera aperta al mondo degli accademici e del personale universitario di Gaza pubblicata da Al Jazeera il 29 maggio

https://www.aljazeera.com/opinions/2024/5/29/open-letter-by-gaza-academics-and-university-administrators-to-the-world

e abbiamo ritenuto opportuno e dovuto contribuire a diffondere il loro appello e chiedere a tutti voi di firmare una lettera di risposta che è pubblicata qui di seguito.

La firma significherà la vostra intenzione di fare un brainstorming su come ciascun* e tutt* possano promuovere, anche in termini pratici, e con finanziamenti e collaborazioni volontarie  nei compiti educativi e organizzativi, la creazione nuovamente di un ambiente di apprendimento e la protezione di studiosi e studenti a Gaza.La lettera può essere firmata da associazioni e reti, e da individui nell’Academia

https://www.change.org/p/support-and-solidarity-for-the-restart-of-gaza-university-education

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about silencing of voices from Gaza-Abu Sitta and Gaza Doctors italiano / english

4 Maggio 2024

Oggi al dr Ghassan Abu Sitta, Rettore della Università di Glasgow, chirurgo plastico e di emergenza è stato negato l’ingresso in Francia dove avrebbe dovuto essere udito al Senato. 

La richiesta di negargli l’entrata in tutti i paesi Schengen si origina dal diniego ad entrare in Germania per una conferenza sulla Palestina il 12 aprile. 

Il Dr. Ghassan è testimone di tutte le aggressioni su Gaza dal 2008 e per il primo mese e mezzo dell’ attuale attacco ha lavorato prima nell’ospedale Al Shifa e poi, quando questo è stato evacuato dall’esercito israeliano, nell’ospedale Battista Al Alhi. Questa lunga esperienza ed il fatto che è testimone di come questa guerra sia stata portata avanti sul campo, fa si che comprenda cosa significa la distruzione quasi totale degli ospedali e dei servizi di salute, delle università e delle scuole di ogni ordine, dei siti archeologi, delle chiese e delle moschee.

Il Dr. Ghassan ci dice che non è un caso che di Gaza si faccia terra bruciata in cui le persone non possono accedere alle cure né al cibo, ma il risultato di un disegno di distruzione totale di un popolo. La sua analisi evidentemente lo ha reso “non gradito” in Germania, che con un arbitrio intollerabile ne ha bloccato l’entrata anche negli altri paesi Europei.

I testimoni dei crimini devono essere silenziati e noi Europei non dobbiamo essere informati da chi meglio può farlo.

Questa complicità con i piani di sterminio di Israele porta alla repressione delle voci solidali; in questo modo questi governi sono collusi nell’ accettazione del piano di soppressione fisica e mentale con cui viene silenziato anche il personale sanitario di Gaza.

Abbiamo appreso che il chirurgo Dr. Adnan Al Bursh, direttore della chirurgia dell’ Ospedale Al Shifa, da cui era stato costretto ad evacuare all’ospedale Al Awda e rapito a dicembre dall’esercito israeliano assieme ad altri colleghi e imprigionato nel campo di prigionia di Ofer, è morto li, il 19 Aprile. 

La notizia è trapelata solo ieri dato che il cadavere del Dr. Adnan è stato “sequestrato”.

Naturalmente, avendo visto le condizioni fisiche dei prigionieri rilasciati – dimagriti, segnati con profonde cicatrici – non è malignità pensare che la sua situazione non fosse dissimile.

La pratica di sequestro del corpo è piuttosto diffusa nei confronti dei prigionieri palestinesi, alla cui famiglia si nega il diritto a una degna sepoltura e a poter piangere i propri morti.

Chiediamo conto dell’esclusione del Dr Abu Sitta dall’EU e chiediamo che i resti del Dr Adnan Al Bursh vengano restituiti ai propri cari.

Fare tacere il portavoce, o uccidere un valente medico testimone degli assalti agli Ospedali di Gaza non sopprimerà il loro messaggio. Israele sta compiendo un genocidio sistematico a Gaza colpendo in modo specifico e con ferocia medici e giornalisti, persone che hanno voce e onore professionale. 

Il ministero della sanità palestinese ha aggiornato a 496 il numero degli operatori sanitari uccisi dal 7 ottobre. Altri 1.500 sono rimasti feriti e almeno 309 sono stati arrestati.

Tra questi circa 100 medici risultano ancora “desaparecidos” dopo essere stati prelevati negli ospedali di Gaza.

Ne chiediamo la liberazione.

Non abbiamo notizie dal 17 di dicembre del direttore dell’ ospedale Al Awda, il Dottor Ahmed Muhanna che era divenuto portavoce internazionale riguardo agli attacchi dell’ esercito israeliano sul sistema sanitario a Gaza.

Non abbiamo notizie dal 23 di novembre sul dottore Mohammad Abu Salmiya, direttore dell’ospedale Al Shifa grazie al cui contributo erano state apportate grandi migliorie alla struttura. Alcune testimonianze di prigionieri rilasciati riportano come il Dottore sia stato torturato gravemente: le braccia spezzate, veniva trascinato con una catena e obbligato a mangiare in una ciotola a terra.

Compagni di prigionia hanno riportato di ferite e torture inflitte da parte dell’ esercito israeliano anche nei confronti  dell’ infermiere Iyad Shaqura e del Dr. Naheed Abu Taaimah, arrestati all’ ospedale Nasser.

Di recente, come riferito dal quotidiano Haaretz, un medico israeliano che lavora nell’ospedale da campo allestito nel centro di detenzione di Sde Teiman ha descritto le condizioni catastrofiche in cui versano i detenuti, incatenati con tutti e quattro gli arti 24 ore al giorno, una condizione che causa gravi ferite alle mani e alle gambe e che ha portato anche ad amputazioni.

Molti membri del personale sanitario dopo essere stati rilasciati hanno parlato di condizioni di prigionia brutali e di pratiche di tortura. Ecco alcuni nomi di questi testimoni: il pediatra  Dr. Said Abdulrahman Maarouf, il Dr. Haytham Ahmed, il Dr. Iyad Zaqout, il Dr. Ahmed Abu Sabha, il chirurgo Dr. Mohammed Al Ron.

Nel frattempo le fosse comuni sia all’ ospedale Al Shifa che all’ ospedale Al Nasser hanno svelato i corpi del personale sanitario assassinato durante la occupazione dei due ospedali che ne ha preceduto la totale distruzione. 

Tra i 400 cadaveri ritrovati all’ ospedale Al Shifa vi sono i corpi della dottoressa Yusra Maqadmeh e di suo figlio Ahmed, chirurgo plastico, di Baha’a Al- Kilani, capo del dipartimento di manutenzione, del dottor Mohammed Zaher Al-Nono, direttore del dipartimento farmaceutico.

Il personale sanitario a Gaza sta lottando con i pochi mezzi che hanno a disposizione, in condizioni di lavoro durissime per fare in modo che il diritto alla vita e alla sopravvivenza non siano del tutto soppressi in Palestina.

Siamo al loro fianco in questa lotta.

Cessi il genocidio, cessi il colonialismo

May 4, 2024

Today Dr Ghassan Abu Sitta, Chancellor of the University of Glasgow, plastic and emergency surgeon was denied entry to France where he was due to be heard in the Senate.

The request to deny him entry to all Schengen countries stems from the refusal to enter Germany for a conference on Palestine on April 12, deemed preemptively dangerous for public order.

Dr. Ghassan has witnessed all the attacks on Gaza since 2008 and for the first month and a half of the current attack he worked first in the Al Shifa hospital and then, when it was evacuated by the Israeli army, in the Baptist hospital Al Alhi. This long experience and the fact that he is a witness to how this war was carried out in the field means that he understands what is motivagting the almost total destruction of hospitals and health services, of universities and schools of all levels, of archaeological sites, churches and mosques.

Dr. Ghassan tells us that it is not a coincidence that Gaza became a scorched earth where people cannot access care or food, but the result of a plan for the total destruction of a people. His analysis evidently made him “unwelcome” in Germany, which with intolerable arbitrariness issued a ban for all Schengen European countries.

Witnesses to crimes are being silenced and we Europeans must not be informed by those who can do it best. This amounts to complicity with Israel’s extermination plan and collusion in the physical and mental suppression with which the healthcare personnel of Gaza is also silenced.

We learned that the surgeon Dr. Adnan Al Bursh, director of surgery at Al Shifa Hospital, forcedly evacuate to Al Awda Hospital and among the health personnel kidnapped there in December by the Israeli army, and imprisoned in the prison camp of Ofer, died there on April 19th. The news only leaked yesterday as Dr. Adnan’s body was “seized”.

Having seen the physical condition of the released prisoners – emaciated, marked with deep scars – it is not malicious to think that his situation was not dissimilar. The practice of body seizure is quite widespread among Palestinian prisoners, whose family is denied the right to a dignified burial and to be able to mourn their dead.

We call that the European Institutions account for Dr Abu Sitta’s exclusion from the EU and demand that Dr Adnan Al Bursh’s remains be returned to his loved ones.

Silencing the spokesperson, or killing a talented doctor who witnessed the attacks on Gaza hospitals will not suppress their message. Israel is carrying out a systematic genocide in Gaza by specifically and ferociously targeting doctors and journalists, people who have a voice and professional honor.

The Palestinian Ministry of Health has updated the number of health workers killed since October 7 to 496. Another 1,500 were injured and at least 309 were arrested.

Among these, around 100 doctors are still “disappeared” after being taken from hospitals in Gaza.

We ask for their release.

We have had no news since December 17th about the director of Al Awda hospital, Doctor Ahmed Muhanna a spokesperson about the Israeli army’s attacks on the healthcare system in Gaza.

We have had no news since November 23rd about doctor Mohammad Abu Salmiya, director of Al Shifa hospital, abducted at the time of the first severe attack to this hospital. Some testimonies from released prisoners report how he has been severely tortured: his arms were broken, he was dragged with a chain and forced to eat in a bowl on the ground.

Fellow prisoners also reported wounds and torture inflicted by the Israeli army on nurse Iyad Shaqura and Dr. Naheed Abu Taaimah, arrested at Nasser hospital.

Recently, as reported by the newspaper Haaretz, an Israeli doctor working in the field hospital set up in the Sde Teiman detention center for Gaza detainees, described the catastrophic conditions in which these detainees find themselves, with all four limbs chained 24 hours a day, a condition that causes serious injuries to the hands and legs and has also led to amputations.

Many health workers spoke of brutal prison conditions and torture practices after their release. Here are some names of these witnesses: pediatrician Dr. Said Abdulrahman Maarouf, Dr. Haytham Ahmed, Dr. Iyad Zaqout, Dr. Ahmed Abu Sabha, surgeon Dr. Mohammed Al Ron.

Meanwhile, the mass graves at both the Al Shifa hospital and the Al Nasser hospital have revealed the bodies of healthcare personnel murdered during the occupation of the two hospitals which preceded their destruction.

Among the 400 corpses found at Al Shifa hospital are the bodies of Dr. Yusra Maqadmeh and her son Ahmed, a plastic surgeon, Baha’a Al-Kilani, head of the maintenance department, Dr. Mohammed Zaher Al-Nono, director of the pharmaceutical department.

The healthcare personnel in Gaza are struggling with the few means they have at their disposal, in very harsh working conditions to ensure that the right to life and survival are not completely suppressed in Palestine.

We stand with them in this fight.

Stop the genocide, stop colonialism.

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DESTRUCTION OF THE HEALTH SYSTEM IN GAZA —LA DISTRUZIONE DEL SISTEMA SANITARIO A GAZA

https://drive.google.com/drive/mobile/folders/1HOyE8FniIpFIVGCU4SvdiXVXFHXB5h8q/1UbSX3KcDfVGczY6hnRy8FYJNHMTVuEmJ?usp=drive_link&sort=13&direction=a

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Guarda il nostro video in onore dei giornalisti a Gaza

Dieci giorni fa sono salito sul palco dell’evento Ridenhour Prizes a Washington DC, una cerimonia annuale che onora i risultati di informatori, rivelatori di verità e visionari. Siamo stati invitati – come giornalisti, registi e precedenti vincitori del Ridenhour Film Prize per Budrus nel 2011 – a offrire un omaggio ai giornalisti palestinesi che sono stati uccisi dall’esercito israeliano a Gaza.

Per favore guardate il breve video che abbiamo prodotto e presentato all’evento così che anche voi possiate prendervi un momento per onorare il lavoro e il sacrificio dei giornalisti e degli operatori dei media di Gaza. Se ti senti commosso, spero che lo condividerai sui tuoi canali social (clicca sui collegamenti per Instagram , Facebook o Twitter ).

Sono tra i giornalisti sopravvissuti al genocidio di Gaza. La maggior parte della mia famiglia, compresi i miei genitori e i miei fratelli, sono ancora lì e temo ogni giorno per la loro incolumità. Il lavoro dei giornalisti che continuano coraggiosamente a coprire ciò che sta accadendo a Gaza è la mia unica speranza che le persone in tutto il mondo imparino la verità e che, apprendendo la verità, agiscano per fermare il massacro del mio popolo.

Con determinazione,

Fadi Abu Shammalah

Associato di sensibilizzazione, Gaza

 

https://jfw8utiab.cc.rs6.net/tn.jsp?f=001cdBOqANqWkvXm7NzKUjzuVH_CHzu97VNXqkZ311O5YYuQYD13YVzuopk1hZy65Pwtb8pwvokK_7GUHPVFKAPhlRMfRyXtvQtCsrbzU9mtDB2ViBt2mmvfGPhrhDpIzRWRdNsyIOfEOrTFXvPQKMSocZzxcTYUj31d6gVMOTu5GjCaYDkfBTBAwwJU1RC9Fbxt_rfRYJN4E8QUE0A7dtAIw==&c=bBwAK4oDyo5d002GG9nlmu1Fb0c3xDzBm-S0nWIYDEtcfVjA08xZrA==&ch=zmgx-sLAVS8d42FxVZHaSskid6JF0MTLkkkAE04QGcdEqb_RQExxsg==

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‘Not a normal war’: doctors say children have been targeted by Israeli snipers in Gaza

https://www.theguardian.com/world/2024/apr/02/gaza-palestinian-children-killed-idf-israel-war?CMP=share_btn_url

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Lettera pasquale sui crimini israeliani a Gaza, e implicazioni

Dr.Paola Manduca, NWRG onlus per la rete Sanitari per GazaLunedi 1 Aprile mando questa lettera che avevo preparato tardi nella serata del 31, e che è ora solo testimonianza della determinazione di Israele a distruggere ogni struttura civile e ogni possibilità di vita a Gaza. Stanotte hanno distrutto totalmente l’ospedale al Shifa in modo che è irriconoscibile. L’ospedale era già stato occupato e passato al setaccio per due settimane, le sole prove di che fosse un deposito di armi o sede di un commando potete vederle nei giornali Israele, una decina di armi leggere e di pistole. 2 foto e una bandiera della Jihad Islamica.

Ove ce ne fossero state altre di prove, certo la distruzione totale toglie l’onere di provare indipendentemente l’asserzione di Israele. Onere di preservare le prove materiali che Israele ha nei confronti della corte internazionale di giustizia, impostole da una delle sue delibere. Senza dubbio foto o oggetti senza contesto non sono prove credibili. Dei colleghi e dei pazienti confinati e di cui parlo sotto non ci sono ancora notizie.

Il testo qui sotto racconta la giornata di Pasqua e ciò che si vedeva avvenire.

Oggi 31 marzo ci ha raggiunto un comunicato del Ministro della Salute di Gaza, sul cui contenuto non dovrebbero esserci dubbi, visto che normalmente quanto comunicato da questa fonte è sempre stato confermato. Il testo ci arriva attraverso la National Arba Medical Association (NAAMA).

Il comunicato è terribile ma non inaspettato, visto che da 14 giorni l’0spedale Shifa è stato teatro di assedio, assalto armato e di circa 400 esecuzioni, cioè uccisioni di persone disarmate, oltre all’imprigionamento di circa 800 persone in buona parte deportate in Israele. Tutto ciò è avvenuto all’interno dell’Ospedale. La evacuazione forzata dei pazienti e rifugiati è avvenuta dirigendoli sulla strada della fuga a forza di spari. Ciò è stato già riportato. Quello che comunica il ministro della salute è che i residui pazienti, circa 100 e tra i più gravi e i pochissimi familiari rimasti, insieme a 60 unita del personale sono state spostate nella palazzina delle risorse umane, due piani senza ascensore, arredata con scrivanie e sedie, poiché era sede di soli uffici, con corrispondenti piccoli gabinetti, nessuno strumento medicale e nessun presidio di medicine o strumenti.

qui sotto il testo:

È il 14° giorno dell’assedio imposto al complesso medico Al-Shifa. Sulla base delle testimonianze del personale medico interno, la situazione è la seguente; 107 pazienti, la maggior parte dei quali erano casi gravi, che erano stati in terapia intensiva, e 60 membri del personale medico sono stati incarcerati in un vecchio edificio dell’ospedale che non ha la capacità di ospitare un numero così elevato di pazienti né le attrezzature. La situazione riportata da molti membri dello staff è orribile e disumana; non sono state fornite ventilazione, condizioni di pulizia, acqua o farmaci minimi e ciò ha fatto si che le ferite diventassero settiche e da esse fuoriescono mosche bianche. I medici hanno detto che avevano finito i guanti, quindi hanno iniziato a usare sacchetti di plastica per cambiare le ferite, anch’essi finiti. Inoltre hanno segnalato la mancanza di pannolini per gli anziani, in particolare che 30 pazienti sono costretti a letto e utilizzano pannolini e hanno un intenso bisogno di cure mediche e infermieristiche che il numero limitato di personale non è in grado di fornire. Inoltre, i compagni dei pazienti vengono giustiziati, arrestati o sfollati al sud dai militari, il che aggiunge un ulteriore onere al personale. Inoltre, i militari stanno affamando i pazienti e il personale assediato, senza cibo né acqua potabile forniti per giorni. Tuttavia, il rappresentante del personale ha tentato più volte di trasmettere le proprie esigenze alla leadership militare; è stato accolto da violazioni e maltrattamenti. Prima di ogni tentativo di negoziazione, i soldati lo spogliano e lo lasciano mezzo nudo per almeno 3 ore prima di incontrare l’ufficiale interessato con la risposta “esamineremo la questione e ti risponderemo”, ma non lo hanno mai fatto. Alla luce di queste condizioni orribili, il nostro personale medico, già esausto, ha iniziato a mostrare sintomi di affaticamento e allergie e se non verrà perseguita una soluzione il prima possibile, il luogo si trasformerà in un cimitero di pazienti e personale, se non è già così. Dott. Yousef Abu Al-Reech, MOH, Gaza, 31 marzo. 2024.”

Il comunicato arriva in quadro che diventa sempre più tragico, visto che oggi anche l’Ospedale al Aqsa in Deir al Balah, uno dei 4 ospedali su 36 ancora parzialmente funzionante a Gaza, ha subito un attacco militare nell’ area esterna che ha ucciso quattro persone, ne ha ferite 12 ed era diretto sulle tende dove la stampa si ferma a lavorare utilizzando la connessione internet e la elettricità dell’ospedale. Già 137 giornalisti sono stati direttamente uccisi a Gaza, e molti i feriti, più che in ogni conflitto negli ultimi 20 anni e continuano ad essere bersagli preferiti. Questo attacco ricorda troppo funestamente l’avvicinarsi progressivo che è stato fatto su tuti gli altri 32 ospedali poi distrutti o disabilitati. Ma non basta. Oggi arriva anche da Gaza una descrizione lacerante di medici in una delle missioni che sono arrivati 6 giorni fa a sostegno dell’Ospedale European, una delle strutture ospedaliere ancora funzionanti, seppure con un carico di pazienti quadruplicato e le corrispondenti difficoltà in forniture. Sono due chirurghi americani di emergenza che hanno lavorato per complessivi 57 anni in molte catastrofi, naturali e da mano umana.

Ci raccontano le condizioni ospedaliere che hanno trovato in quello che è al momento il presidio più funzionante di tutta Gaza. In sommario descrivono di lavorare in un mare di feriti e degenti a terra lungo muri e i corridoi, e con rifugiarti accampati tutt’intorno, ma sorparattuto dell’ assoluta inadeguatezza dei presidi medici, degli strumenti e di personale, per altro esausto da 6 mesi di lavoro in condizioni di emergenza e sopraffatto dal numeri dei ricoverati; di ferite infette con i vermi e del fatto che “tanti di questi feriti sono la testimonainza di violenza orribile deliberatamente diretta a civili e bambini: un bimbo di 3 anni colpito alla testa, una ragazzina di 12 anni al petto e all’addome dai migliori tiratori scelti del mondo“. Riportano gli esiti dell’uso di bombe ad alto potenziale su civili il cui “impatto ha fatto penetrare i detriti dell’edificio profondamente nel tessuti cosi che è praticamante impossibille ripulirle, ed in assenza di antibiotici, diventano infette e anche letali”. Paragonando questo con la loro epeerinza durante l’11 settembre, o durante l ‘attaco alla maratona di Boston o in Ucraina, e dicono che non hanno mai visto questo livello di danno. Ci ricordano che gli USA hanno armato e continuano ad armare questo massacro.

Noi ricordiamo che, salvo il Canada, nessuno dei paesi complici del massacro perchè offre continuo sostegno diplomatico e militare al governo Israeliano e alle sue industrie militari, ha fermato la vendita di armi o i rapporti commerciali o il sostegno alla aggressione su Gaza. Ricordiamo che solo in Inghilterra si è alzata una denuncia per la mancata richiesta di consiglio legale da parte del governo, dovuta in seguito alle delibere della corte penale internazionale che per accertare la leggitimita di fornire armi o parti delle stesse e sostegno economico ad Israele in luce del fatto che sta plausibilmente compiendo un genocidio.

Questo parere è dovuto perchè le delibere della corte penale internazionale sono vincolanti ma non è stato richiesto nememno in Italia. Intanto gli Usa che dichiarano grande irritazione perchè Israele impedisce gli aiuti umanitari hanno appena liberato miliardi in forniture d’armi pesanti, e sembra che tutto ciò che vogliano è che le persone muoiano sazie e impotenti o non volendo fermare l’attacco anche su Rafah, construiscono una pedana per stazionare aiuti in mare, un ennesimo tappabuchi poco efficiente e molto dibbattuo in Usa, come ci dice il Washington Post. Intanto Sissi, presidente egiziano riceve la promessa di 10 miliardi dal Fondo monetario internazionale per risarcimento per le spese che dovrà sostenere per Gaza, mentre costruisce una prigione a cileo aperto con muri tutt’intorno giustapposta alla frontiera con Gaza. Sembra che sarà quest la possibile “soluzione di espulsione finale ” per permettere ad Israele di esiliare senza ritorno i civili, e prendersi la terra, mentre racconta di voler combattere solo la resistenza fino all’ultimo uomo. Nonstante l’uso dell’equivalente di quasi 2 bombe atomiche riversate sulla striscia di Gaza non è riuscito ad eliminarla nemmeno dalla parte nord della stessa dopo 6 mesi di invasione che sempre poiu divienne una marcia di orrori inefficaci militarmente e di estrema perversione per quanto ci arriva dai canali telegram dei combattenti dell’esercito più morale del mondo che si vanta di gioielli e reggiseni presi nelle case vuote e che fanno saltare in aria. Questo attegiamento, queste regole di ingaggio, riflettono molto più che la banalità del male, e sembrano risultato e al tempo stesso prova di incitamento a disumanizzare le persone se palestinesi.

Cosa facciamo noi, semplici cittadini di un paese coinvolto e complice per cambiare tutto questo? La forza è in ognuno di noi e nella pressione che riusciremo a fare sul nostro governo per perchè smetta di essere complice di un. genocidio e fuori dalla legge internazionale.

In alcuni paesi poi si inizia a pensare di portar a processo i rappresentanti dei governi per omissione dell’azione di prevenzione del genocidio Israeliano.

Il paradosso è che la legge internazionale e gli accordi nel quadro delle nazioni unite si collocaneo da una parte e tanti dei paesi occidentali e loro alleati che le hanno fo9ndate dall’altra, in chiaro conflitto. Il problema di salvare la Palestina non è solo un problema dei Palestinesi. E non c’è tempo per farlo.

Mentre deve essere il tempo che accordi militari ed economici con Isreale, che si giova nell’approfondire questa spaccatura, vengano rivalutati alla luce del compartamento obbiettivo di questo paese e recisi da parte di tutti gli Stati e questi decidano dove stare. Gran parte delle loro popolazioni stanno con l’Onu e le leggi internazonali e sempre più boicottano Israele. Il compito degli Stati, quello che è richiesto a loro è di sanzionare Israele, recidendo accordi economici e militari e di ricerca. Non farlo li rende complici di un genocidio in corso. E sarebbe assai ben che chi investe in Israle, sospendesse questi investimenti. In un momento in cui diplomazia e persuasione sono diventati uno schermo, la pressione diventa l’unico strumento pacifico e legale per ottenere la fine di questo genocidio in corso che a Gaza potrebbe prestissimo ampliarsi ed approfondirsi con l’aumento della la frequenza di morti per fame, disisdratazione e malattie curabili che crescono già in modo esponenziale, e certo non c’è tempo da perdere ancora perchè ogni ora ormai si conta in vite umane. Ma non solo a Gaza questo solco tra comportamenti degli stati e le loro stesse Istituzioni e leggi internazionali e nazionali, se non colmato, crea lo spazio per ogni possibile devastazione.

qui sotto

il testo originale del comunicato stampa del Ministro della Salute di Gaza

Al-Shifa Hospital in Gaza reached a desperate situation on day 14 of the siege!

A message from Dr Yousif Abu Al-Reech, Deputy Minister of Health, Gaza, March 31, 2024.

It’s day 14 of the siege imposed on Al-Shifa Medical complex. Based on testimonies from the medical staff inside, the situation as follows; 107 patients, most of them are severe cases that had been in the ICU, and 60 of the medical staff have been incarcerated in an old building in the hospital that does not have the capacity to host such number of patients nor the equipment. The situation as reported by many of the staff is horrific and inhumane; no ventilation, cleaning conditions, water, nor minimum medication has been provided leading to septic wounds with white flies out of them. Doctors mentioned that they ran out of gloves so they started using plastic bags when changing on wounds which ran out as well. In addition they reported the lack of elderly diapers, especially that 30 patients are bed ridden and use diapers and in intensive need of medical care and nursing that the limited number of staff is incapable of providing. Furthermore, patients’ companions are either executed, arrested or displaced to the south by the military which add another burden on the staff. Moreover, the military is starving the besieged patients and staff with no food or drinkable water provided for days. The staff representative tried multiple times to convey their needs to the military leadership, however; he was met by violation and mistreatment. Prior to every negotiation attempt, soldiers undress him and leave him half naked for 3 hours at least before meeting the concerned officer with ‘we will look into the matter and come back to you’ response, but they never did. In light of these horrific conditions, our already exhausted medical staff started showing symptoms of fatigue and allergy and if no solution is pursued as soon as possible, the place will turn into a graveyard of patients and staff if it is not already the case.

Dr. Yousef Abu Al-Reech, MOH, Gaza, March 31st. 2024.”

l’articolo del Washington post che riporta della costruzione di un deposito galleggiante per Gaza

https://www.washingtonpost.com/national-security/2024/03/31/gaza-floating-pier-biden/?utm_campaign=wp_post_most&utm_medium=email&utm_source=newsletter&wpisrc=nl_most&carta-url=https%3A%2F%2Fs2.washingtonpost.com%2Fcar-ln-tr%2F3d40987%2F6609818522dc3c657a8cd15b%2F5e715a72ade4e21f59f07782%2F5%2F43%2F6609818522dc3c657a8cd15b

Posted in War | Comments Off on Lettera pasquale sui crimini israeliani a Gaza, e implicazioni

⭕️ A daily update for the Israeli ongoing aggression on Gaza– March 14 Day 160 of the Israeli genocidal war..

The aggression on Gaza:
o The death & injured toll:
▪ The Palestinian death toll from the ongoing Israeli aggression has exceeded 31.341, of which 75% are children, women and elderly people. (+13.430 children and 8.900 women).
▪ More than 7.000 Palestinians are still under the rubble of the destroyed homes including over 5.000 children.
▪ The number of injured people has exceeded 73.134 most of them children and women according to the Health Ministry.
▪ More than 2.761 massacres against Palestinian families by bombing their homes while they were still inside.
▪ 471 people killed in the massacre of bombing the Al-Ahli Baptist Hospital on October 17.
▪ +48 members of the civil defense rescue teams killed while on duty.
▪ The death toll includes 162 UNRWA staff killed by the Israeli occupation army, and 26 others injured.
▪ The Health Ministry in early March said 28 children have so far died across Gaza due to malnutrition and dehydration, resulted from the Israeli deliberate policy of starvation.
▪ The preliminary estimates for the Palestinian losses of buildings and infrastructure exceeds $10 billion.

o The Israeli arrests of Palestinians from Gaza:
The Israeli army conducted arrests and forcible disappearance to over 3,000 Palestinians from Gaza, as they are held in unknown locations. Images and videos by the Israeli occupation soldiers showed how they arrested hundreds of Palestinians after forcing them to strip off their clothes.

MAR 14, 2024
Official website – Hamas movement
https://t.me/+kUoQCMfm8bI1NWE0

Posted in War | Comments Off on ⭕️ A daily update for the Israeli ongoing aggression on Gaza– March 14 Day 160 of the Israeli genocidal war..

THE DESTRUCTION OF GAZA’S HEALTHCARE INFRASTRUCTUREDURING ISRAEL’S MILITARY OFFENSIVE FEBRUARY 2024

POSITION PAPER

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“Civilian hospitals organized to give care to the wounded and sick, the infirm and maternity cases, may in no circumstances be the object of attack, but shall at all times be respected and protected by the Parties to the conflict.”(Geneva Convention (IV) on Civilians, 1949 – Article 1)

This position paper addresses Israel’s recurrent military strikes on medical facilities, personnel, and infrastructure in the Gaza Strip. These systematic attacks have decimated Gaza’s healthcare system, severely devastating its capacity to respond to the escalating needs of patients and the wounded. Accordingly, Israel’s actions must be investigated as war crimes. Furthermore, the evacuation of patients from the Gaza Strip has been considerably impeded, demonstrating a blatant disregard for their urgent needs. These conditions have intensified the strain on an already overburdened healthcare system, which, even before the war, struggled with the severe limitations imposed by Israel’s military blockade on Gaza. The recent military campaign dealt a catastrophic final blow to Gaza’s healthcare system and its population during one of its most challenging periods in history. This position paper presents two key arguments: (1) Israel has effectively destroyed Gaza’s healthcare system. (2) The massive devastation was accompanied by a defamation campaign against the healthcare system, aiming to undermine its credibility and professionalism despite a lack of evidence supporting such allegations (cases in which evidence was presented and verified by an impartial third party will be discussed later in the document.) Israel has shifted its approach from a policy of de-development to a strategy of complete destruction.

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Dear friends,

The healthcare system is a pillar of social solidarity, critical to a society’s capacity to sustain itself. The combination of the words “health” and “care” emphasizes its fundamental role in mutual accountability – a system inherent to human existence, from birth to life’s final moments. It is a system that delivers, saves, and preserves lives.

Gazan society has been in crisis since 1948, when it absorbed a refugee population three times the size of its own. These refugees were settled in eight refugee camps, and for the past 75 years, successive generations have grown up in poverty and oppression. Fifty-six years of military occupation have exacted an additional heavy toll on Gaza’s residents, both as individuals and as a community. Over the course of decades, Israel stifled any Palestinian attempts at social and political organization in Gaza, severely harming the local educational, economic, judicial, and welfare systems. Moreover, Gaza has grappled with an ongoing crisis stemming from the detrimental consequences of a sixteen-year blockade. Beyond adversely impacting the physical and mental well-being of over two million residents, Israel’s blockade of Gaza has fundamentally eroded the capacity to maintain local institutions crucial to the functioning of a society.

Amid this harsh reality, Gaza’s healthcare system proved to be a resilient space of survival for both individuals and society as a whole. Beyond providing patient care, it has acted as a space for mutual aid and a trusted public institution while instilling hope in society’s resilience even amid the most challenging circumstances.

The circumstances in Gaza are indeed dire. Israel’s occupation has prevented the capacity to administer various treatments, including chemotherapy for over 2,000 cancer patients in Gaza. It has also prevented healthcare professionals from participating in trainings, conferences, and continued education programs outside the Gaza Strip. The healthcare system in Gaza grapples with severe shortages of essential medical supplies and almost half of the required medications, critically impairing its capacity to function. Amid these conditions, the

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residents of Gaza face an ongoing public health crisis, grappling with a lack of drinking water, electricity, and food security. Additionally, they are subjected to frequent military attacks that harm medical facilities and personnel, resulting in countless physical and mental injuries.

Yet despite all this, our work in Gaza has introduced us to dedicated health professionals, their patients, and inspiring local communities. Over the past 14 years, approximately 100 PHRI volunteer delegations have provided medical care, performed operations, and transported supplies and medications to Gaza. Our primary efforts have centered around providing professional training and capacity building for healthcare professionals, including training in eye, knee, and kidney transplant surgeries for physicians and trauma-informed care for local mental health therapists. The remarkable determination of local professionals to further educate themselves and enhance their care services for the people of Gaza, along with the patients’ confidence in them, have taught us valuable lessons on social resilience and the indispensable role of the healthcare system in Gazan society.

On October 7, Hamas-led militants carried out a murderous attack with the explicit intent of targeting civilians. Hundreds of men, women, and children were slaughtered, and among the 250 Israelis who were taken hostage, 129 are still being held in Gaza. Following the assault, Israel launched a military offensive in Gaza marked by unprecedented brutality, leading to more than 28,300 casualties to date, including more than 12,300 children.1 Since its outset, Israel’s military campaign in Gaza has involved deliberate and systematic assaults on local healthcare infrastructure. Israel’s latest aggression has escalated the already dire humanitarian and health crisis in Gaza, severely impairing Gazans’ capacity to continue surviving. As early as 2012, the UN published a special report cautioning that Gaza would no longer be inhabitable by 2020.

This report and subsequent ones have underscored the obliteration of the healthcare system as a pivotal factor leading to the descent into an irreparable crisis. As demonstrated in this position paper, Israel’s current military aggression, its most ruthless since 1948, has resulted 1 The number of causalities and wounded in this position-paper are updated as of February 12, 2024.

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in the total collapse of Gaza’s healthcare system and an unparalleled humanitarian catastrophe.

Apart from causing physical and psychological harm to residents, the direct attack on Gaza’s healthcare system is also proving lethal to local society. The inability to provide care for wounded and dying patients is not just a human disaster; it also reflects the breakdown of systems of trust and mutual aid. Medical personnel rendered helpless amid the pleas of the injured and their families, the evacuation of medical facilities with patients left behind, non-operational hospitals, and a local population left to face their own fate – all signify the disintegration of community networks that constitute the essence of social existence.

The local and international medical community must take a stand and resist. Our unique comprehension of the ramifications of denying healthcare compels us to insist that the destruction of Gaza’s healthcare system contradicts ethical standards, violating the right to life and the core principles of care and compassion inherent in the medical profession. We must advocate for saving lives and the immediate rehabilitation of Gaza’s healthcare system and society. We must demand a ceasefire, the release of all hostages, an end to the blockade, and the pursuit of a peaceful political resolution that ensures safety, freedom, and equality for everyone between the river and the sea.

Yours sincerely,
Dr. (PhD) Guy Shalev Executive Director, PHRI

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Background

Following the Hamas-led attack on towns in southern Israel on the morning of October 7, 2023, Israel launched a military offensive on the Gaza Strip. As of Feb 12, 2024, the toll stands at more than 28,340 dead with 67,984 individuals injured, close to two million displaced, and an unknown number still missing, with many presumed to be buried beneath the rubble of bombed structures. Given the gravity of the crisis, the importance of a functional healthcare system is paramount, as it plays a pivotal role in treating the injured and the ill and addressing public health concerns. It is, therefore, imperative to examine the repercussions of Israel’s military aggression within this context.2

The magnitude of Israel’s attack on Gaza’s healthcare system is evident in a flash update issued by the Palestinian Ministry of Health outlining the war’s outcomes until the end of 2023: 142 health facilities were targeted, resulting in 30 hospitals and 53 clinics losing functionality. Additionally, 326 healthcare workers were killed, 350 sustained injuries, and 99 were arrested.3 Hospitals in the northern Gaza Strip were rendered entirely inoperative for extended durations, even as the number of wounded individuals continued to increase. The hospitals that could subsequently resume operations did so with limited capacity.4

The Israeli assault caused unparalleled damage to Gaza’s medical infrastructure. At present, only eight out of 36 hospitals and medical facilities in Gaza are operational, and they are severely understaffed, lacking essential equipment,5 and functioning at twice their capacity.6 The hospitals and medical facilities have been incapacitated due to multiple factors, including encirclement by Israeli military forces impeding staff movement; a critical shortage of fuel, electricity, and medicine resulting from Israel’s complete blockade on the Gaza Strip; and incidents of direct firing and military invasions. Evacuation orders

2 https://www.emro.who.int/images/stories/Sitrep_-_issue_19.pdf?ua=1
3 Palestinian Emergency Operation Center, Palestinian Ministry of Health – Gaza Strip 2023,
1 January 2024.
4 Gaza: ‘Endless needs’ reflect spiralling situation as hospitals shut down, WHO warns | UN News
5 WHO pleads for immediate reversal of Gaza evacuation order to protect health and reduce suffering 6 https://www.emro.who.int/images/stories/Sitrep_-_issue_17_for_review.pdf?ua=1

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have been issued for more than 22 medical facilities in the northern Gaza Strip.7 Furthermore, based on reports from the Palestinian Ministry of Health, 52 out of the 72 clinics in the Gaza Strip have ceased operations, with the rest functioning only partially. According to the World Health Organization (WHO), the incapacitation of hospitals has resulted in a severe decrease in the number of beds, dropping from 3,500 before the war to 1,400 at present.8 This has considerably impeded the local healthcare system’s capacity to respond to the needs of the countless sick and wounded residents.

This massive and extensive damage over recent weeks indicates that the hospitals in the northern Gaza Strip have become a deliberate target. According to data and testimonies collected by Human Rights Watch, Al-Quds Hospital, Al-Nasr Children’s Hospital, and the International Eye Care Center were all targeted within the first month of the war, resulting in the complete destruction of the latter. Al-Rantisi Children’s Hospital, Al-Shifa,9 and the Indonesian Hospital10 were also damaged in the bombardments. Numerous patients, their relatives, and thousands of displaced individuals who sought refuge in the hospitals were either killed or wounded. As a result, the hospitals, intended to be safe havens, not only lost their capacity to provide patient care but frequently turned into death traps.

This position paper examines the current state of Gaza’s healthcare system following the military aggression, as well as Israel’s role in harming it. We argue that Israel’s assertions about the loss of protected status for medical facilities do not warrant the extensive and deliberate destruction that ensued, and that Israel’s actions should be investigated as a violation of international humanitarian law and as a war crime.

7 Human Rights Watch, “Gaza: Unlawful Israeli Hospital Strikes Worsen Health Crisis”, November 16, 2023.
8 https://www.emro.who.int/media/news/who-appalled-by-latest-attack-on-indonesian- hospital-in-gaza.html?vaer=1
9 Hostilities in the Gaza Strip and Israel | Flash Update #35 [EN/AR/HE] | OCHA (unocha.org) 10 Hostilities in the Gaza Strip and Israel | Flash Update #45 [EN/AR/HE] | OCHA (unocha.org)

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Analysis of the damage to Gaza’s hospitals

Israel provided two main justifications for its assaults on Gaza’s hospitals. Firstly, it asserted that the hospitals were given evacuation warnings to safeguard the lives of both staff and patients. Secondly, Israel argued that the hospitals lost their right to special protection because they were being used as Hamas command centers. However, Israel’s reasoning misrepresents the actual circumstances on the ground. Evacuating large hospitals, especially those dealing with complex medical cases, requires a safe and professional process and adequate alternative facilities to accommodate the evacuated patients. These essential conditions were not met.11 For instance, Al-Quds Hospital sought assistance from PHRI after being instructed to evacuate on October 29 without being presented with viable alternatives for patients. The petition we submitted in response was subsequently rejected, with the court signaling that the military had been granted a carte blanche to act with impunity: “A petition was submitted demanding to limit the Israel Defense Forces’ freedom of action amid its efforts to protect the citizens of Israel. War-related court petitions are categorically dismissed to prevent the overburdening of the government branches and the need to address such petitions while our enemies hunt us in the north and the south.”12 Meanwhile, during the temporary ceasefire at Al-Nasr Hospital, when staff returned after being instructed to evacuate along with patients, five premature newborns were found lifeless.13

The WHO had raised alarms about the grave danger posed to the lives of patients and displaced individuals, especially vulnerable patients “cut off from life-saving medical attention,” following Israel’s orders to evacuate to the southern Gaza Strip. The organization highlighted a shortage of emergency vehicles and hospital beds in the medical facilities of southern Gaza, making it difficult to transfer and treat patients adequately. Israel’s evacuation orders were thus deemed

11 Human Rights Watch, “Gaza: Unlawful Israeli Hospital Strikes Worsen Health Crisis”, November 16, 2023.
12 Petition No. 6724-23.
جثث أطفال رضع متحللة بمستشفى في غزة تصدم العالم | أخبار | الجزي�رة نت 13 (aljazeera.net)

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“a death sentence for the sick and injured,” endangering the lives of thousands and undermining the capacity to provide medical care in Gaza.14 The evacuation orders, issued in the face of the imminent collapse of Gaza’s entire healthcare system, worsened its ability to handle the overwhelming challenges it was confronting.

Consequences for patients

Beyond the devastating influx of critically wounded patients – a challenge even Israel’s advanced healthcare system struggled to cope with – the hospitals in Gaza also had to continue providing routine and ongoing care to patients reliant on their services. They inevitably collapsed under the burden of the countless severe cases, tending to the needs of displaced individuals seeking refuge, grappling with shortages of essentials such as fuel, electricity, water, and medical equipment, and dealing with fatigued and depleted personnel. Among the groups most adversely affected were patients requiring continuous care, particularly those undergoing cancer and dialysis treatment.

Cancer patients: There are 2,000 cancer patients in the Gaza Strip, including 122 children.15 In early November, the Turkish-Palestinian Friendship Hospital for Cancer was bombed by Israel, leaving hundreds of patients without medical care. Hospital Director Dr. Subhi Sakik reported that four patients died on the night of the patients’ evacuation to the nearby Shuhada al-Aqsa hospital, in addition to six patients who had died the previous night.16 The physician told Al-Jazeera that cancer patients had to evacuate the hospital 37 days into the war because the facility could no longer offer them sufficient care, thereby exposing their lives to increased risk. Some patients were transferred to the Dar Al Salam Hospital in Khan Younis, considered a safer option.

14 World Health Organization, Evacuation orders by Israel to hospitals in Norther Gaza are a death sentence for the sick and injured, October 13, 2023.
15 WHO (31 October 2023), Patients under siege in Gaza (Infographic). https://reliefweb.int/report/occupied-palestinian-territory/patients-under-siege-gaza- published-31st-october-2023

16 https://www.youtube.com/watch?v=e4beG3rPG-Y

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Even before the start of the war, the Palestinian Ministry of Health in Gaza was receiving hundreds of requests to leave Gaza for medical treatment due to the unavailability of care locally. Patients granted approval were primarily treated in hospitals in the West Bank and Israel. Israel, in numerous instances, would either delay or deny exit permits for patients,17 decline to issue long-term permits for those requiring continuous care,18 and prevent parents from accompanying their sick children.19 After the war began, circumstances grew even more strained, and the lack of critical cancer treatments, including chemotherapy, cost the lives of numerous patients. As Israel’s military aggression escalated, some patients were evacuated for treatment through the Rafah Border Crossing. While some traveled through Egypt to access medical care in Turkey, an unconfirmed number of patients remained in Gaza without receiving the necessary treatment.

Kidney disease patients: Before October 7, kidney disease patients in Gaza were being treated in six medical centers, where 13,000 dialysis treatments were administered monthly. Approximately 2,000 patients were referred to hospitals outside the Gaza Strip, mainly in Jerusalem, the West Bank, and Israel. However, due to the severe shortage of fuel and essential medical supplies since the onset of the war, the dialysis centers were compelled to reduce treatments from four to two hours for over 1,000 patients, including at least 30 children.20 The Health Ministry’s stock of dialysis filters, cannulas, and IV tubing was completely depleted, and the remaining supplies in hospital dialysis units were minimal. As rapid deterioration of kidney disease patients can occur in the absence of treatment, the shortage of medical supplies due to Israel’s siege and the attacks on Al-Shifa and Indonesian Hospitals were tantamount to a death sentence.21 Dr. Munir Albursh, director general of Gaza’s Health Ministry, noted in an interview that kidney disease patients had been dying daily due to the inability to receive treatment or travel to southern Gaza.22 Following concerted efforts during the temporary ceasefire, the dialysis unit at the Indonesian Hospital – equipped with only 20 operational machines – partially resumed functionality, along with Al- Shifa Hospital’s dialysis unit.

Consequences for the wounded

Through our regular communications with colleagues within Gaza’s healthcare system, we were confronted with the distressing reality unfolding in the hospitals. The devastation of the healthcare infrastructure and the incapacitation of Gaza’s major medical facilities have condemned the wounded to endure agonizing deaths from untreated injuries. In some instances, they died with family members by their side. In others, they were abandoned to face solitary deaths on the hospital floor, without medical personnel to treat them or anesthetics to ease their suffering, without access to water, and in dire sanitary conditions. The hospitals in southern Gaza that were still operational at the time also faced severe shortages of supplies and equipment, and it was nearly impossible to carry out surgeries under suitable conditions. The hospitals that remained functional in southern Gaza confronted critical shortages of supplies and equipment, and conducting surgeries under suitable conditions was nearly unattainable. In a webinar on December 11, Dr. Ghassan Abu Sittah from Al Ahli Hospital disclosed that Gaza’s healthcare system faced collapse already in the initial days of the war due to the severity and complexity of the injuries, remaining without supplies and with extremely limited capacities.23 Since then, tens of thousands more have been wounded, while the healthcare system has suffered a 70% loss of its capabilities due to Israeli attacks and the inability to replenish equipment. The critical supply shortage

21 https://reliefweb.int/report/occupied-palestinian-territory/public-health-situation-analysis- phsa-hostilities-occupied-palestinian-territory-opt-05-november-2023
22 https://www.youtube.com/watch?v=SOA49Oir8MM
23 A Conversation with Dr. Ghassan Abu-Sittah, December 11, 2023, Webinar, FXB

Center for Health & Human Rights at Harvard University. https://www.youtube.com/ watch?v=0dwN3J3gyjA

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included a lack of burn dressings and morphine for anesthesia and pain relief. Shortly before the ceasefire, the stock of ketamine and other anesthetics ran out as well. According to Dr. Abu Sittah, these conditions forced them to cease operations in the surgery room at Al Ahli Hospital. The medical staff then decided to travel to southern Gaza and assist the still-operational hospitals. The severity of the injuries, such as burns without shrapnel and limb amputations, emphasized to the physicians the intensity of the war.

Before leaving Al Ahli, the hospital’s physicians faced over 500 wounded patients with only two operating rooms, “essentially transforming us into glorified first responders. We only treated and operated on patients on the verge of death – carrying out procedures like opening airways, stopping bleeding from organs, and treating wounds that had penetrated internal organs – but nothing more. Many wounded people were left untreated… Large open wounds eventually became infected.” In his helplessness, Dr. Abu Sittah resorted to cleaning wounds with laundry detergent and vinegar – and without anesthesia.24

During the webinar, Dr. Abu Sittah emphasized the long-term consequences for the wounded, which will persist long after the war’s conclusion. With the healthcare system in ruins and no rehabilitation efforts in sight, those injured will face enduring chronic disabilities and a shortage of prosthetics. He cited estimates suggesting that between 900 and 1500 amputations were performed solely on minors, with some losing multiple limbs. This would present a significant burden even for an advanced and fully operational healthcare system, but for a collapsed system without its resources, it represents an insurmountable challenge.

Consequences for healthcare personnel

Medical staff found themselves caught in complex circumstances that prevented them from providing optimal care to the ill and wounded. Operating under the constant threat of attack poses impossible ethical and professional dilemmas. For example, amid their efforts to save lives, certain medical personnel received heartbreaking updates about the

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24 https://time.com/6328314/gaza-doctors-hospital-electricity-fuel/

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loss and injury of their own family members, some even arriving at the hospitals where they were employed. They were consistently faced with the imminent threat of mortal danger. According to the Palestinian Ministry of Health, 326 health workers lost their lives, 350 were wounded, and 99 were arrested, with all contact subsequently severed. Some health workers discovered that their homes had been bombed, leaving them with nowhere to return. Others were faced with Israeli orders to evacuate hospitals despite having sick and wounded patients who could not be moved, including incubated preterm newborns, sedated patients in intensive care, and individuals with disabilities.

Despite their hospitals being targeted, some staff chose to remain with their patients, while others left to accompany those who could be evacuated. Physicians were forced to conduct surgeries in darkness, relying solely on the illumination from mobile phone flashlights. While acutely aware of the unsatisfactory hygienic conditions, they clung to the hope that they were, at the very least, increasing the likelihood of saving a life. Amputations were carried out on limbs that, under normal circumstances, could have been saved. The exhaustion endured by medical personnel and the trauma resulting from the harrowing conditions they confronted have repercussions on both their physical and mental health. These factors affect their professional performance and erode their confidence in their ability to fulfill their duties. They, too, are among the victims of Israel’s assault.

Public health consequences

The surge in patients and displaced individuals, along with power outages, fuel shortages, lack of safe drinking water, and insufficient medical supplies, imposed an immense strain on hospitals in northern Gaza, resulting in a devastating public health catastrophe. The gravity of the crisis prompted the WHO to issue a warning about the soaring risk of disease transmission in Gaza.25 The organization’s spokesperson stated that the rates of diarrhea among children in the sheltering camps

25 World Health Organization, Risk of disease spread soars in Gaza as health facilities, water and sanitation systems disrupted, November 8, 2023.

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exceeded 100 times the usual levels.26 Without available treatments, they faced the risk of dehydration and potential death. The risk of respiratory infections, chickenpox, and skin conditions similarly increased. Moreover, recent floods, causing the contamination of drinking water with sewage, presented the potential for a cholera outbreak. Numerous camps also documented cases of sexually transmitted diseases and urinary tract infections, with limited or no access to medical treatment. Women have resorted to sharing menstrual hygiene products and birth control pills, and those using intrauterine contraceptives have experienced bleeding and infections as a result of the unhygienic conditions.27

Israel’s lack of concern for this situation only slightly changed when it began impacting its own troops. Yet, even then, the warnings from Israeli health officials and the U.S. insistence on permitting the entry of fuel tankers to avert the collapse of sewage treatment facilities were contingent on security considerations: “We consulted with security officials to assess whether the decision adversely affects military objectives. The unanimous decision from all security branches was that it was feasible to accommodate the U.S. request.”28 As has been the norm for decades, the health of Palestinians was disregarded and entirely subject to Israeli “security considerations.”

Hospitals in southern Gaza

Upon the resumption of hostilities after the temporary ceasefire concluded on December 1, the assaults on hospitals in the southern Gaza Strip recommenced. This was exacerbated by an influx of wounded and sick persons arriving from hospitals that had ceased to function across Gaza, particularly in the north. As airstrikes and ground operations resumed, the hospitals in the southern Gaza Strip sustained significant damage, making access to them especially difficult. During a recent visit to Nasser Medical Complex in Khan Younis, a WHO team characterized the situation as catastrophic, noting that the medical center’s buildings

26 Devu Sridhar, It’s not just bullets and bombs. I have never seen health organizations as worried as they are about disease in Gaza, The Guardian, 29 December 2023.
27 https://www.hrw.org/news/2023/10/24/israels-unlawful-blockade-gaza-sparks-womens-rights-crisis 28 «Head of the National Security Council: We agreed to bring allow fuel into Gaza to prevent the spread of epidemics,” Ynet, November 17, 2023. [Hebrew]

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and grounds were “grossly overcrowded” with patients and displaced individuals seeking refuge.29 Amid an immense demand for healthcare services, the area is grappling with a critical shortage of medical staff. Physicians are exhausted, working tirelessly, and numerous patients are receiving treatment on hospital floors. According to data from the Palestinian Ministry of Health, hospital bed occupancy has reached 171%, and the Intensive Care Units (ICU) occupancy is 221%.30

Al-Shifa Hospital as a case study

In all instances where hospitals were targeted, Israel has failed to provide sufficient evidence to substantiate claims that the hospitals violated the terms of their protected status. One of the most widely discussed hospital attacks was the one that took place at Al-Shifa Hospital, Gaza’s largest and most advanced medical facility. Below, we detail the sequence of events during the assault:

November 3: The hospital’s primary generator ceased to function due to fuel depletion. The hospital continued operations using a smaller secondary generator, supplying electricity primarily to the ICUs, emergency room, and operating rooms. The shortage of medical supplies and the unsanitary conditions in the hospital heightened the risk of disease transmission and post-surgery infections. Reports indicated instances where wounds were exposed to flies and maggots, posing risks of tissue damage, bacterial infection, and sepsis.31

November 9: Israel escalated its bombardments near the hospitals in northern Gaza, with five documented strikes in the vicinity of Al-Shifa. These resulted in at least seven reported deaths and damage to the maternity ward and outpatient clinics.32

29 https://www.emro.who.int/media/news/who-appeals-for-protection-of-the-health-system- from-further-attacks-and-degradation-of-its-capacity.html
30 https://www.emro.who.int/fr/media/actualites/who-appeals-for-protection-of-the-health- system-from-further-attacks-and-degradation-of-its-capacity.html

31 https://www.ochaopt.org/he/content/hostilities-gaza-strip-and-israel-flash-update-28 32 https://www.ochaopt.org/he/content/hostilities-gaza-strip-and-israel-flash-update-35

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November 10: Ground forces effectively cut off northern Gaza from the south, leaving only a narrow corridor to the south. The ground assault intensified near hospitals as shelling and airstrikes continued. According to accounts from Doctors Without Borders and media reports,3334 patients and medical personnel were fired upon as they tried to flee Al-Shifa.

November 11: Israeli tanks surrounded the compound, blocking all entries, exits, and movement between buildings. Communication with hospitals in northern Gaza was cut off. Furthermore, the Indonesian Hospital and Al-Shifa experienced a power outage when their generators ran out of fuel. Consequently, two preterm newborns and ten patients lost their lives after their life support equipment ceased to function. Additionally, the 37 newborns in incubators and the dialysis patients were at risk of death. Al-Shifa’s director reported that the hospital had exhausted its supplies of food, water, and electricity. 15,000 people remained in the hospital, which had provided shelter to roughly 60,000 displaced persons since the war began.35

At this stage, the Israeli military declared that it was not causing harm to the hospital despite the ongoing combat in its vicinity, maintaining that it had established secure pathways for evacuations on the east side of the complex.36 Nevertheless, the reality on the ground was grim. Following intensified shelling starting around noon, three nurses lost their lives, and the cardiovascular facility and maternity ward sustained damage, along with the oxygen generator and several water tanks. Although many displaced individuals and some medical personnel managed to escape, others remained trapped inside, hesitant to leave

33 https://www.doctorswithoutborders.org/latest/urgent-patients-and-medical-staff-trapped- hospitals-under-fire-gaza#:~:text=At%20the%20time%20of%20this,%22They%20cannot%20evacuate 34 https://www.aljazeera.com/news/2023/11/11/we-are-minutes-away-from-death-gazas-al- shifa-hospital-under-attack
35 https://www.ochaopt.org/he/content/hostilities-gaza-strip-and-israel-flash-update-36
36 IDF Spokesperson statement, October 11, 2023. [Hebrew] https://www.idf. 16

due to reports of snipers positioned around the hospital.37 Some of the remaining patients were physically unable to evacuate on their own. The WHO reported that some individuals who used the “safe corridor,” secured by Israeli forces to facilitate the exit of those trapped in the hospital, found themselves caught in the crossfire, resulting in several fatalities.38

November 13: The director of Al-Shifa reported that they received instructions not to leave the hospital premises to retrieve bodies or provide medical care to the wounded in the surrounding area of the complex.39 With reports emerging of dozens of bodies beginning to decompose inside the hospital buildings, concerns about the potential for the spread of diseases and infections heightened. Following negotiations with Israeli forces, the hospital was granted permission to bury the bodies on that day. However, despite obtaining approval, the military hindered the burial process, forcing hospital staff to dig a mass grave in the courtyard of the complex for over 80 bodies.40 In an urgent plea to the State Attorney’s Office, PHRI requested to allow the evacuation of the wounded, preterm newborns, the ill, and displaced individuals seeking to leave, along with the evacuation and burial of all bodies, while avoiding any harm to those involved in these activities. As of now, we have not received any response to the request.

November 14: Days after imposing a complete siege and shelling its surroundings, Israeli forces entered Al-Shifa. They seized control of several hospital structures and bombed the area, including parts of the hospital itself, all while 7,000 displaced individuals, 1,500 medical personnel, and 700 patients, including 37 preterm newborns, were present inside. Dr. Muhammad Zaqout, the general director of hospitals in the Gaza Strip, told Al Jazeera that Israeli forces targeted the surgical and intensive care units and bombed a storage room for

37 https://www.ochaopt.org/he/content/hostilities-gaza-strip-and-israel-flash-update-38
38 https://www.emro.who.int/media/news/who-loses-communication-with-contacts-in-al- shifa-hospital-in-gaza-amid-reports-of-attacks.html
39 https://www.aljazeera.com/news/2023/11/14/gazas-al-shifa-hospital-forced-to-bury-dead- patients-in-mass-grave
40 https://www.who.int/news/item/18-11-2023-who-leads-very-high-risk-joint-humanitarian- mission-to-al-shifa-hospital-in-gaza

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drugs and medical supplies.41 Furthermore, military forces severed the connections between various buildings in the complex, conducted searches, and interrogated medical staff and patients, according to Palestinian Red Crescent spokesperson Raed Nims.

After the bombings and the siege, those still present within the compound were deprived of water, food, and electricity for several days. Without essential medical supplies, the hospital, usually capable of accommodating 600 patients, was rendered entirely non-operational. The spokesperson for the Palestinian Ministry of Health reported 40 fatalities in the hospital and extensive damage to medical equipment estimated at millions of US Dollars.42

November 18: Following the evacuation of numerous individuals from the medical complex, the Israeli military deployed additional troops and tanks around the hospital, heightening the pressure on the remaining medical staff and patients. Disturbing reports surfaced concerning the dire working conditions faced by the medical teams. Dr. Faisal Siam, the head of orthopedic surgery at Al-Shifa, was visibly emotional during an interview with Al Jazeera as he described having to amputate all four limbs of a four-year-old girl who survived the bombings.43 The surgery took place in a hospital corridor without the use of anesthesia. Dr. Siam also disclosed that, aside from a few exceptional cases, surgical operations in the department had ceased, with efforts shifting solely to providing first aid and disinfecting wounds. The wounds of amputation patients were infested with maggots, and the medical staff found themselves helpless due to the lack of critical medical supplies.

November 19: After Al-Shifa’s prenatal unit ceased to function due to power outages within the complex, physicians had no choice but to evacuate the surviving premature newborns from their incubators, exposing them to immediate danger. Despite multiple relocation attempts, it was not until November 19 that the WHO and the Palestinian Red Cross successfully transferred them to Tal al-Sultan Hospital in

41 https://www.youtube.com/watch?v=U6-0K-1GdO4
42 https://www.ochaopt.org/he/content/hostilities-gaza-strip-and-israel-flash-update-39 43 https://www.youtube.com/watch?v=NLRf2So1XGU

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Rafah.44 The subsequent day, they were transported to Egypt for medical treatment. With Al-Shifa crumbling due to a lack of vital resources such as clean water, fuel, medical supplies, food, and essential equipment, compounded by ongoing military attacks disrupting its operational capacity, it became crucial to evacuate everyone capable of leaving.

November 20: The Israeli military invited local and international media to the site to prove the existence of tunnels situated beneath the complex.

November 24: After medical staff at Al-Shifa requested to be securely evacuated along with patients and accompanying individuals, the WHO and the Palestinian Red Crescent executed a second evacuation mission involving 151 patients, their relatives, and healthcare workers.45 73 severely ill or injured patients were transported, including 18 undergoing dialysis, 26 with serious spinal injuries, 8 with severe chronic conditions, two requiring critical care, and 19 in wheelchairs. The patients were transferred in 14 ambulances provided and staffed by the Palestine Red Crescent, along with two buses with eight health workers and 70 relatives accompanying them. According to the WHO, the vehicles were held at a checkpoint for six hours, during which Israeli forces conducted searches on medical staff, patients, and their families. Three medical workers from the Palestinian Red Crescent and three Palestinian Ministry of Health employees, including Al-Shifa Director Muhammad Abu Salmiya, were arrested. Meanwhile, Israeli forces withdrew from the hospital’s buildings but maintained a presence in its vicinity.

November 27: After the withdrawal of the Israeli forces from the medical complex, the Palestinian Ministry of Health announced it had partially reactivated Al-Shifa’s dialysis unit. Kidney disease patients in the northern Gaza Strip were invited for treatment on Sundays, Tuesdays, and Thursdays.

44 https://www.who.int/news/item/19-11-2023-who-led-joint-un-and-red-crescent-mission- evacuates-infants-from-al-shifa-hospital-in-gaza#:~:text=Hospital%20in%20Gaza-,WHO%2Dled%20 joint%20UN%20and%20Red%20Crescent%20mission%20evacuates%2031,Al%2DShifa%20Hospital%20 in%20Gaza&text=A%20second%20WHO%2Dled%20joint,a%20hospital%20in%20southern%20Gaza

45 https://www.un.org/unispal/document/joint-un-mission-transfers-critical-patients-from-al- shifa-hospital-in-gaza-under-intense-fighting-who-press-release/

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Gaps between the military’s claims and the presented evidence

Israel justified the extensive damage to Al-Shifa Hospital by alleging that Hamas had utilized the facility for military purposes. These assertions were intensively communicated to local and international media, as well as international institutions and global leaders seeking to minimize the harm being inflicted. Therefore, it is crucial to thoroughly scrutinize Israel’s claims regarding Hamas’ alleged use of the hospital, especially those presented by Israel’s military spokesperson, and examine which have been confirmed by an impartial party.

As early as October 27, Israel’s military spokesperson asserted the following: “We exposed Al-Shifa Hospital to the world, revealing the underground infrastructure and how Hamas cynically exploited it for terrorist activities. We exposed the truth, and we will continue to do so.”46 The Israeli military’s website published an article titled “Evidence of Hamas’ Terrorist Operations Inside Gaza’s Largest Hospital,” featuring illustrative images, recordings of calls, and photographs that have not been verified by a neutral professional body. Following the Israeli military’s invasion of the hospital, their initial claims regarding Hamas activities on the site were tempered, now asserting that “the main headquarters are likely not located under Al-Shifa, and senior Hamas leadership are not hiding there.”47

At the time of drafting this position paper, no professional and independent experts have been able to access the hospital premises to scrutinize the military’s assertions. Consequently, we have reviewed the investigations carried out by media and international human rights organizations. The Washington Post’s investigation, relying on

46 IDF Website, «Watch the IDF Spokesperson’s statement», October 27, 2023. https:// www.idf.il47 Sapir Lipkin, «Hundreds of Hamas terrorists below Al-Shifa; Headquarters apparently not there», N12, October 7, 2023. [Hebrew]

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official sources, publicly available satellite images, and discussions with international law experts, led it to conclude that the evidence presented by Israel does not establish that Hamas utilized the hospital as a command-and-control center.48 The only direct evidence observed by journalists from various media organizations, including AP, the British Telegraph, and CNN, pertained to a tunnel beneath the hospital. Accompanied by the military, the journalists entered the tunnel and verified its existence. However, they were unable to validate the military’s assertions that the tunnel served as a Hamas control center. After journalists documented the tunnel, the military proceeded to detonate it, preventing international investigative bodies from inspecting it under professional and neutral conditions.

Israel’s claims regarding Al-Shifa Hospital did not originate in 2023. Similar allegations were made earlier, notably during Operation Cast Lead in 2008, when Shin Bet chief Yuval Diskin claimed that Hamas operatives were “hiding in hospitals, including Al-Shifa and a maternity hospital, with some of them wearing physician and nurse uniforms.”49 The hospital’s director at the time, Dr. Hassan Khalaf, refuted these allegations and expressed his concerns: “I genuinely hope that Diskin is not trying to lay the groundwork for a brutal assault on the hospitals. Such a move would be complete madness.”50 As Dr. Hassan anticipated, it seems that years of Israeli claims have laid the groundwork in both Israeli and global public opinion for the comprehensive attack on Al- Shifa observed in recent weeks.

Third-party testimonies by released hostages

Israeli hostages who have been released have substantiated the claim that Hamas allegedly holds hostages within hospitals, a charge the organization denies. For instance, Norlin Natalie Babdila reported that after 23 days in an apartment, she was moved to a designated area within Nasser Hospital in Khan Younis, where she encountered other

48 Loveluck, Hill, Baran, Ley & Nakashima, “The case of al-Shifa: Investigating the assault on Gaza’s largest hospital”, The Washington Post, December 21, 2023.
49 Daniel Adelson, «Gaza Hospital Director on Diskin’s Accusations: ‘Lies’,» Ynet, May 31, 2008. [Hebrew] 50 Ibid.

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hostages. The same account was independently reiterated by Doron Katz Asher, another Israeli hostage: “It was a hospital room. I saw another family I know there, my mother’s neighbors… Eitan Yahalomi and Erez Calderon, two 12-year-old boys who were held alone throughout those sixteen days.”51 Since Babdila named the same hostages, it is to be assumed that they were both describing the same hospital. These testimonies indicate that Hamas did make use of some hospitals. However, this does not warrant the scale of destruction inflicted upon this or any other hospital, resulting in the effective decimation of Gaza’s healthcare system.

The significance of the disparities between the military’s assertions and the resulting destruction

Any military actions conducted by Hamas in tunnels beneath hospitals endanger the lives of patients and medical personnel, violate their special protection, and should be subject to investigation as a war crime. However, and this is an essential point in any discussion regarding the protection of healthcare facilities and personnel, it’s vital to emphasize that any harm inflicted upon a hospital directly affects human lives. This is due to the detrimental impact on individuals present within the facility and the compromised capacity of the hospital to provide treatment to others in need. The total devastation inflicted upon Al- Shifa Hospital, along with the harm to staff, patients, and displaced individuals, and the hospital’s diminished capacity to address the escalating medical needs during the assault on Gaza, unequivocally points to an intolerable disparity between the real and perceived threats attributed to the hospital by the Israeli military and their corresponding actions in response. This discrepancy should be investigated as a potential war crime.

Most of Gaza’s hospitals, particularly those in the northern region, have been targeted based on Israel’s assertions that they were harboring

51 Doron Katz Asher’s testimony on N12. https://www.mako.co.il/news-israel/2023_q4/Article- 92812c6e6637c81027.htm?utm_sourceInstagram=&utm_medium=NewsChannelPageStory&partn er=NewsChannelInstagram [Hebrew]

 

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Hamas infrastructure, with the Al-Rantisi and Kamal Adwan hospitals explicitly singled out.525354 Yet, in none of these instances was evidence provided to an impartial third party or subsequently verified by such.

The devastation in Gaza, partially examined in this position paper, has led to a humanitarian catastrophe that will persist even after the conclusion of the Israeli offensive. As noted by Palestinian physician Dr. Ghassan Abu-Sittah, Israel has established a reality in which the disaster perpetuates itself. The healthcare system and critical infrastructure required for maintaining adequate sanitation and hygiene conditions have been obliterated, transforming Gaza into an inhospitable and deadly environment. This guarantees that those who evacuated under Israeli military orders will find no place to return, and those still remaining will be forced to leave.

Given the utter destruction inflicted upon Gaza’s healthcare system and the resultant loss of human lives, it is insufficient to merely demand proof that the hospitals have forfeited their protected status. We must also inquire: what evidence, if any, could rationalize such a catastrophic military offensive? How could such an attack ever be deemed proportional? The destruction of Al-Shifa provides an opportunity to examine Israel’s assault on Gaza’s hospitals within the

52 An article published on the IDF Website under the headline «Evidence that Hamas has turned hospitals into terror machines» includes documentation of a military operation that revealed the existence of combat supplies in the hospital›s basement.

54 IDF Website, «From the hospitalization ward to the basements: how Hamas turned Gaza’s hospitals into terror hubs.» undated.

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framework of international humanitarian law and substantiate the need for an investigation into potential war crimes.

Analysis and conclusions

Throughout fifty-six years of Israeli military occupation and sixteen years of blockade, the healthcare system in Gaza has sustained persistent damage. Israel has impeded its development, enforced strict restrictions on medical training, and limited the movement of patients and healthcare personnel for decades. Military offensives in 2009, 2012, 2014, and 2021, along with substantial damage during the 2018-2019 Great March of Return protests, have directly impacted health facilities and personnel, overwhelming an already fragile healthcare system with thousands of wounded individuals.5556

However, since October 7, we have observed unprecedented levels of Israeli military aggression, marked by a deliberate and systematic assault on medical facilities that has led to the total destruction of Gaza’s healthcare system. Only four of northern Gaza’s 24 hospitals remain partially operational. The hospitals in southern Gaza are overwhelmed by the vast number of injured and ill patients. According to the WHO, the number of hospital beds in Gaza has decreased from 3,500 to approximately 1,400. Concurrently, there has been a surge in the number of individuals seeking care in hospitals. At the same time, Israel persists in preventing the entry of essential medical supplies and crucial fuel for the healthcare system’s operations. Despite over 50,000 wounded patients in need of locally unavailable treatment, Israel continues to restrict their ability to leave Gaza for medical care in other countries.

Israel asserts it has evidence that Hamas is utilizing Gaza’s medical facilities for military purposes, thus forfeiting their right to protection. However, for 34 out of the 35 health facilities in Gaza, no neutral and independent body has confirmed these claims of military activity. Even if it were proven that Hamas used some medical facilities for military

55 Microsoft Word – short version report_PDFversion_.doc (phr.org.il) 56 PHRI_Report_Gaza-2014.pdf

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operations, the extensive destruction caused by Israel raises concerns that it is strategically undermining Gaza’s healthcare system to impair Gazan society’s capacity to exist. As demonstrated in this position paper, in the case of Al-Shifa Hospital, Gaza’s largest, although the existence of a tunnel within its grounds has been confirmed, Israel’s claims that it served as a Hamas control center could not be verified.

Israel bears the responsibility of providing evidence for every instance of its assault on a medical facility. It must furnish substantial evidence justifying the extensive and systematic harm inflicted upon Gaza’s healthcare system. This entails demonstrating that military activities have occurred in each facility and implicating the entire healthcare system in these actions.

In addition to directly targeting medical facilities, Israel has impeded the entry of crucial humanitarian supplies, restricted access to clean water, detained and killed healthcare workers, disrupted communications, and damaged infrastructure and roads. These actions have established an untenable reality in which the substantial rise in the number of wounded individuals and the acute public health crisis are confronted with a paralyzed healthcare system.

Medical facilities receive special protection under international humanitarian law and the laws of armed conflict for a crucial reason: even minor damage to a hospital can result in the loss of numerous lives. Consequently, even issuing an order to evacuate staff and patients should be regarded as a last resort. Each unaddressed violation of the protected status of hospitals and health facilities, coupled with the failure to demand accountability from the perpetrator or entity causing disproportionate destruction, undermines the safeguarding of health facilities in armed conflicts worldwide.

As the occupying power, Israel is obligated to guarantee the continuous operation of health facilities in Gaza and to protect medical personnel, the ill, and the wounded. Instead, Israel’s assaults and blockade have led to the imminent collapse of Gaza’s healthcare system at a time when it is most essential for the survival of thousands of wounded and sick individuals.

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Mere expressions of concern and condemnations from the international and medical communities fall short. Decisive actions are imperative to avert the complete devastation of the healthcare system in Gaza. The Israeli military must promptly, comprehensively, and conclusively lift the blockade, permitting the entry of essential supplies such as medicines, medical equipment, fuel, food, and clean water. Halting any additional harm to medical facilities is crucial to enable them to address the needs of the ill and the tens of thousands injured by Israeli bombings. Additionally, Israel’s extensive and systematic damage to Gaza’s healthcare system must be investigated as a potential war crime.

Writing and editing: Lama Bakri, Hadas Ziv, Guy Shalev and Ghada Majadli

The information provided in this document was collected from various sources, including global health and human rights bodies like the World Health Organization, the United Nations Office for the Coordination of Humanitarian Affairs, and Human Rights Watch. Additionally, valuable insights were acquired through dialogues with healthcare professionals working in the Gaza Strip.

Posted in War | Comments Off on THE DESTRUCTION OF GAZA’S HEALTHCARE INFRASTRUCTUREDURING ISRAEL’S MILITARY OFFENSIVE FEBRUARY 2024

last data moh gaza

* 🇵🇸 Ministero della Salute di Gaza*
*Rapporto statistico quotidiano sul numero di martiri e feriti a seguito dell’aggressione israeliana in corso nella Striscia di Gaza per il 138° giorno*
▪️ L’occupazione israeliana ha commesso 11 massacri contro famiglie nella Striscia di Gaza, provocando 118 martiri e 163 feriti nelle ultime 24 ore.
▪️ Numerose vittime sono ancora sotto le macerie e sulle strade, e l’occupazione impedisce alle ambulanze e alle squadre della protezione civile di raggiungerle.
▪️Il bilancio dell’aggressione israeliana è salito a 29.313 martiri e 69.333 feriti dal 7 ottobre scorso.
Ministero della Sanità palestinese
Striscia di Gaza
21 febbraio 2024
L’occupazione usa l’arma della fame contro il nostro popolo a Gaza per realizzare il genocidio.
La comunità internazionale ha fallito miseramente nel proteggere i diritti umani nella Striscia di Gaza.
La malnutrizione è una delle cose più pericolose che devono affrontare i residenti della Striscia di Gaza, soprattutto i bambini
L’occupazione insiste nel non fornire aiuti in modo che il sistema sanitario rimanga al collasso

Paola Manduca, Prof.ssa Genetica
Presidente NWRG-odv
Posted in War | Comments Off on last data moh gaza