End of medical referrals in Gaza impacts Palestinian patients

According to the Palestinian Ministry of Health, 16,000 cancer patients need treatment in Gaza, with 120 to 130 new cases diagnosed each month. About 15 deaths are recorded monthly. (AFP)
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Updated 23 June 2020
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End of medical referrals in Gaza impacts Palestinian patients

  • Thousands of patients now fear for their lives as they cannot travel to receive treatment in Jerusalem and the West Bank

GAZA CITY: Omar Yaghi was not yet eight months old when he died; the first victim of the end of security coordination between the Palestinian Authority (PA) and Israel.

Thousands of patients in the Gaza Strip now fear for their lives, because they cannot travel to receive treatment in hospitals in Jerusalem and the West Bank.
Nesreen Al-Shawaf said that her 14-year-old son Saddam, who has leukemia, was not able to receive treatment in the Gaza Strip, and that he needed to travel to the West Bank.
Al-Shawaf had previously received financial aid from the PA for Saddam to get treatment in an Israeli hospital, since he was diagnosed aged just 6.
But more than 2 years ago, due to a decision by the PA to stop medical referrals to Israeli hospitals, in what appeared to be a response to Israel’s policy of withholding Palestinian tax revenue, the treatment of Gaza’s patients was transferred insteas to Palestinian hospitals in Jerusalem and the West Bank.
For years, the PA has been responsible for the bill to treat serious and incurable disease of Palestinians. Cancer constitutes between 30 and 40 percent of it, with a financial value of about $120 million annually, with most of that going to Israeli hospitals.
Al-Shawaf believes that Palestinian hospitals in the West Bank are less able to deal with many complex medical conditions than their Israeli counterparts, but they remain well ahead of those in Gaza.
But now, even this option is no longer available to patients in Gaza, after President Mahmoud Abbas’s decision on May 20 to dissolve all agreements and understandings with Israel and the US, including on security coordination, meaning patients are no longer able to obtain exit permits for treatment outside Gaza.
“I am very worried, if I cannot get out of Gaza to continue treatment for my son this could threaten his life and put him at risk. I hope that does not happen,” Al-Shawaf told Arab News.
The General Authority of Civil Affairs, the Palestinian authority responsible for communicating with Israel, has stopped working to coordinate patient travel.
The head of the authority in Gaza, Saleh Al-Zaq, said: “The authority is an executive body and abides by the political and sovereign decisions taken by the PA.
“This issue is no longer within the duties of the authority, which does not have the power to coordinate and communicate with the Israeli side, according to the decision of President Abbas.”

Local treatment
On May 16, the Palestinian Prime Minister Muhammad Shtayyeh announced that Gaza’s patients would be treated in two hospitals in the Gaza Strip contracted by the PA.
He said the PA would turn to international organizations, such as the World Health Organization and the International Committee of the Red Cross (ICRC), to help deliver the medical equipment and medicines needed.
According to the Palestinian Ministry of Health, 16,000 cancer patients need treatment in Gaza, with 120 to 130 new cases diagnosed each month. About 15 deaths are recorded monthly.
Ziyad Al-Khuzindar, an oncology consultant at the Basmat Amal Foundation for Cancer Care, said that the capabilities in Gaza in terms of the number of hospitals, centers, and specialized medical teams were insufficient to meet the need of patients.
“Gaza suffers from complex health crises related to a severe shortage of specialists, medicines and medical equipment, especially radiotherapy devices, and the suffering of patients has increased not only with the decision of the PA to stop security coordination, but since medical referrals have stopped,” he told Arab News.
The director of the referrals department, Mazen Al-Hindi, said: “The PA aims to localize treatment services in Palestinian hospitals in the West Bank and Gaza, and to give priority to referral of critical cases to hospitals in Egypt and Jordan as an alternative to Israeli hospitals.
“In the event of severe need to deal with Israeli hospitals, especially those with marrow transplantation and cancer treatment with atomic scanning, the coordination with Israelis will be through the ICRC,” he told Arab News.
The Association of Physicians for Human Rights, an Israeli NGO, has warned of a real threat to the lives of thousands of Palestinian patients who need to be treated in Israeli or East Jerusalem hospitals.
“Israel controls the crossings and the lives of Palestinians in the West Bank and Gaza, and it controls the lives of Palestinians in all aspects, and it must bear responsibility for its occupation and the management systems it established through decades,” said the association’s official, Ghada Majadleh.


Israeli army continues drone warfare against Hezbollah

Updated 18 May 2024
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Israeli army continues drone warfare against Hezbollah

  • Hezbollah said in a statement that it targeted the Ras Naqoura naval site with artillery in response to the drone strike

BEIRUT: Israel widened its drone attacks on Hezbollah and Hamas fighters in Lebanon on Saturday, with strikes near the Lebanese-Syrian border in parallel with attacks in the south of the country.

An Israeli combat drone struck a car carrying two people on the road between the Lebanese General Security and Syrian General Security checkpoints.

The Syrian Observatory confirmed the attack, saying that “the target in the car was a Hezbollah leader and his companion.”

Footage taken by passersby on the border road showed the vehicle on fire, with flames and smoke rising from surrounding areas, suggesting that more than one missile struck the target.

Sham FM radio, which is close to the Syrian regime, later confirmed that an Israeli attack destroyed a car and killed both occupants near a military checkpoint on the Damascus-Beirut highway.

Unconfirmed media reports said the military vehicle belonged to Hezbollah.

Hezbollah later launched dozens of attacks on Israeli military sites.

According to a statement, these included surveillance equipment at the Ramtha site, “technical systems and spy equipment at the Raheb site,” the headquarters of the Liman Battalion, surveillance equipment at the Hadab Yarin site, and the Al-Samaqa site in the Kfarshuba hills.

The latest attack came less than 18 hours after an Israeli drone struck a car on the Majdal Anjar road, killing a senior Hamas figure.

Izz El-Deen Al-Qassam Brigades identified the victim as Sharhabeel Ali Al-Sayyid, a mujahid leader.

Another person accompanying Ali Al-Sayyid was badly injured in the strike.

Early on Saturday, an Israeli drone struck a motorcycle on the road to Naqoura town on Lebanon’s southern border, injuring the rider, a fisherman returning home from work.

The injured man was taken to hospital in Tyre.

Hezbollah said in a statement that it targeted the Ras Naqoura naval site with artillery in response to the drone strike.

Repeated Israeli attacks have added to tension in the southern and Bekaa areas, with traffic on the main roads noticeably reduced.

Hezbollah also targeted a group of Israeli soldiers near the Pranit Barracks with missiles, causing “a direct hit,” according to the statement.

Israeli fighter planes raided the town of Khiam at dawn on Saturday, continuing their assaults on Aita Al-Shaab.

 


Israel eyes scrapping free trade deal with Turkiye

Updated 22 min 25 sec ago
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Israel eyes scrapping free trade deal with Turkiye

  • War in Gaza has stirred public reaction significantly ahead of March 31 local elections

ANKARA: After Israeli Finance Minister Bezalel Smotrich announced on Thursday that Israel intends to scrap its free trade agreement with Turkiye and impose a 100 percent tariff on other imports from the country in retaliation for Ankara’s recent decision to halt exports to Israel, eyes are now turning to imminent implications for regional trade.

The plan, which aims to reduce Israel’s dependence on Turkiye, has not been finalized yet and will have to be submitted to the Cabinet for approval.

If approved, all reduced tariffs on goods imported from Turkiye under the current free trade agreement would be abolished, while a tariff of 100 percent of the value of the goods would be imposed on all imported products, in addition to the existing tariff.

Experts note that trade ties between the two countries had been mostly insulated from political disagreements in the past. Trade continued when diplomatic relations hit rock bottom, especially between 2010 and 2020, a politically tense period during which parties chose not to burn “trade bridges.”

But this time, Turkiye’s continuation of trade relations with Israel while at the same time being vocal in denouncing its war in Gaza stirred public reaction significantly ahead of the March 31 local elections, when large crowds and some Islamist breakaway parties criticized the government for not taking a hardline stance against Israel and for not matching rhetoric with action.

In late April, Turkiye, whose bilateral trade with Israel was worth about $7 billion a year, announced it would impose trade restrictions on 54 products exported to Israel until a permanent ceasefire in Gaza was declared.

The product range was diverse, from cement to dry food, iron, steel, and electrical devices.

However, companies have three months to fulfill existing orders via third countries.

In his statement, Smotrich described Turkiye’s move as a serious violation of international trade agreements to which Ankara is a signatory.

He added that Israel’s latest decision would last as long as President Recep Tayyip Erdogan remained in power.

Turkiye and Israel have had a free trade agreement since the mid-1990s, making Ankara a key commercial partner for Israeli importers. Relatively cheap imports were transited quite quickly, and Turkiye was Israel’s fifth-largest source of imported goods.

Israel mainly imported steel, iron, motor vehicles, electrical devices, machinery, plastics, and cement products, as well as textiles, olive oil, and fruits and vegetables from Turkiye, while Turkiye mostly bought chemicals, metals, and some other industrial products from the Middle Eastern country, with Turkiye’s trade with Israel tilted in Ankara’s favor.

“Since Erdogan announced that Turkiye would impose a trade ban on imports and exports from Israel, Israeli officials have been trying to determine how best to respond,” Gabriel Mitchell, a policy fellow at the Mitvim Institute, told Arab News.

“The first was Foreign Minister Israel Katz, who criticized Turkiye’s decision and later announced that Turkiye had lifted many of the restrictions. This put pressure — once again — on Erdogan to show the Turkish public that he is willing to ‘put his money where his mouth is’ with Israel and forced the Turkish government to deny these rumors,” he said, adding that it also compelled “Erdogan to be even more vocal in his criticism of Israeli policy.”

According to Mitchell, Smotrich — who is a minister but not a member of the Likud party — saw this as an opportunity to make his own headlines in proposing the move to cancel the free trade agreement.

As this move requires Cabinet approval, Mitchell said he would be very surprised if it were approved.

“It would be an escalatory step and undoubtedly have serious short-term economic consequences,” he said.

“It is important to bear in mind the domestic situation in Israel. There is increasing pressure on Netanyahu, and as a result, the more radical voices feel that by pushing populist policies, they are in a win-win situation: Either their policy is adopted, and they get credit for the idea, or it is rejected by others in the government, and they can criticize them for being soft,” Mitchell added.

“Erdogan is very unpopular in Israel — arguably the most unpopular regional leader — so some believe that while there are voices in Israel that would oppose the decision, there are many that would go along with it without really understanding the economic implications.”

Mitchell also noted a caveat, saying that the free trade agreement would be canceled until Erdogan steps down.

“I don’t understand what that means, given that such agreements are made bilaterally. Who is to assume that in 2028, Erdogan will no longer be president, and whoever succeeds him will be interested in signing a free trade agreement with Israel? It is a risky approach,” he said.

“My final point, and it is worth considering, is that Smotrich also wrote (in) a letter to Netanyahu that ‘representatives of Turkiye’s president, the anti-Semitic enemy of Israel, Erdogan’ were involved in the hostage negotiations — so it all gets mixed up and confused,” Mitchell added.

Continuing its strong rhetoric, Turkiye recently announced that it would join South Africa’s genocide case against Israel at the International Court of Justice.

From its side, Israel filed a complaint to the Organization for Economic Cooperation and Development against Turkiye over the latter’s decision to suspend trade with Israel.

Sinan Ulgen, director of the Istanbul-based think-tank EDAM and a visiting fellow at Carnegie Europe, says Israel’s latest decision should be seen as an economic and political response to the Turkish government’s earlier decision to impose a trade embargo on Israel.

“The economic impact can be significant, especially on some of Israel’s critical products imported from Turkiye, such as construction materials, including cement. However, this does not mean Israel couldn’t import these items from other countries.

“But for Israel, it would be a costly trade diversion, and it will increase the internal cost of these products and possibly have an impact on domestic inflation,” he told Arab News.

Israel imports about a third of its cement and almost 70 percent of its iron construction materials from Turkiye.

“Another consequence is that unlike Turkiye’s decision to impose a temporary trade embargo with conditions, Israel is now moving in the direction of essentially imposing a permanent and lasting measure, which is to cancel a free-trade agreement that has been in place since the mid-1990s,” Ulgen said.

After the Turkish boycott of all trade with Israel, prices, especially in the housing sector, are expected to increase gradually, pushing up the cost of living in Israel.

Ulgen noted, however, that Turkish products could still indirectly reach Israel through third countries, for example, by transiting from the EU because Turkiye and the EU have a customs union. However, alternative transportation trade routes that circumvent the restrictions can be longer, more complex, and costlier.


Israeli leaders split over post-war Gaza governance

Updated 18 May 2024
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Israeli leaders split over post-war Gaza governance

  • Prime Minister Benjamin Netanyahu comes under personal attack from Defense Minister Yoav Gallant for failing to rule out an Israeli government in Gaza after the war

JERUSALEM: New divisions have emerged among Israel’s leaders over post-war Gaza’s governance, with an unexpected Hamas fightback in parts of the Palestinian territory piling pressure on Prime Minister Benjamin Netanyahu.
The Israeli army has been battling Hamas militants across Gaza for more than seven months while also exchanging near-daily fire with Iran-backed Hezbollah forces along the northern border with Lebanon.
But after Hamas fighters regrouped in northern Gaza, where Israel previously said the group had been neutralized, broad splits emerged in the Israeli war cabinet in recent days.
Netanyahu came under personal attack from Defense Minister Yoav Gallant for failing to rule out an Israeli government in Gaza after the war.
The Israeli premier’s outright rejection of post-war Palestinian leadership in Gaza has broken a rift among top politicians wide open and frustrated relations with top ally the United States.
Experts say the lack of clarity only serves to benefit Hamas, whose leader has insisted no new authority can be established in the territory without its involvement.
“Without an alternative to fill the vacuum, Hamas will continue to grow,” International Crisis Group analyst Mairav Zonszein said.
Emmanuel Navon, a lecturer at Tel Aviv University, echoed this sentiment.
“If only Hamas is left in Gaza, of course they are going to appear here and there and the Israeli army will be forced to chase them around,” said Navon.
“Either you establish an Israeli military government or an Arab-led government.”
Gallant said in a televised address on Wednesday: “I call on Prime Minister Benjamin Netanyahu to make a decision and declare that Israel will not establish civilian control over the Gaza strip.”
The premier’s war planning also came under recent attack by army chief Herzi Halevi as well as top Shin Bet security agency officials, according to Israeli media reports.
Netanyahu is also under pressure from Washington to swiftly bring an end to the conflict and avoid being mired in a long counterinsurgency campaign.
Washington has previously called for a “revitalized” form of the Palestinian Authority to govern Gaza after the war.
But Netanyahu has rejected any role for the PA in post-war Gaza, saying Thursday that it “supports terror, educates terror, finances terror.”
Instead, Netanyahu has clung to his steadfast aim of “eliminating” Hamas, asserting that “there’s no alternative to military victory.”
Experts say confidence in Netanyahu is running thin.
“With Gallant’s criticism of Netanyahu’s failure to plan for the day after in terms of governing Gaza, some real fissures are beginning to emerge in the Israeli war cabinet,” Colin P. Clarke, director of policy and research at the Soufan Group think tank, wrote on X, formerly Twitter.
“I’m not sure I know of many people, including the most ardent Israel supporters, who have confidence in Bibi,” he said, using Netanyahu’s nickname.
The Gaza war broke out after Hamas’s attack on southern Israel which resulted in the deaths of more than 1,170 people, mostly civilians, according to an AFP tally of Israeli official figures.
The militants also seized about 250 hostages, 125 of whom Israel estimates remain in Gaza, including 37 the military says are dead.
Israel’s military retaliation has killed at least 35,386 people, mostly civilians, according to the Hamas-run Gaza’s health ministry, and an Israeli siege has brought dire food shortages and the threat of famine.
Many Israelis supported Netanyahu’s blunt goals to seek revenge on Hamas in the aftermath of the October 7 attack.
But now, hopes have faded for the return of the hostages and patience in Netanyahu may be running out, experts said.
On Friday, the army announced it had recovered bodies of three hostages who were killed during the October 7 attack.
After Israeli forces entered the far southern city of Rafah, where more than a million displaced Gazans were sheltering, talks mediated by Egypt, the United States and Qatar to release the hostages have ground to a standstill.
“The hostage deal is at a total impasse — you can no longer provide the appearance of progress,” said Zonszein of the International Crisis Group.
“Plus the breakdown with the US and the fact that Egypt has refused to pass aid through Rafah — all those things are coming to a head.”


Sudan paramilitaries say will open ‘safe passages’ out of key Darfur city

Updated 18 May 2024
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Sudan paramilitaries say will open ‘safe passages’ out of key Darfur city

  • El-Fasher has been in the grips of fighting as the RSF seeks to control it

PORT SUDAN: Sudan’s paramilitary Rapid Support Forces have announced their willingness to open “safe passages” out of the former haven city of El-Fasher in Darfur, which has been gripped by fighting for weeks.
The RSF, battling the regular army for more than a year, affirmed in a post on X late Friday “the readiness of its forces to help citizens by opening safe passages to voluntarily leave to other areas of their choosing and to provide protection for them.”
El-Fasher, the state capital of North Darfur and once a key hub for humanitarian aid where many had gathered for shelter, has been in the grips of fighting as the RSF seeks to control it.
The paramilitaries called on residents of El-Fasher to “avoid conflict areas and areas likely to be targeted by air forces and not to respond to malicious calls to mobilize residents and drag them into the fires of war.”
Sudan has been in the throes of conflict for over a year between the regular army led by de facto ruler Abdel Fattah Al-Burhan and the RSF led by his former deputy Mohamed Hamdan Dagalo.
The conflict has killed as many as 15,000 people in the West Darfur state capital of El-Geneina alone, according to United Nations experts.
Medical charity Doctors Without Borders on Wednesday said its hospital in North Darfur had received more than 450 people killed in the fighting since May 10, but noted that the actual death toll was likely much higher.
Also on Wednesday, the UN’s humanitarian coordinator said residents of Sudan were “trapped in an inferno of brutal violence” and increasingly at risk of famine due to the rainy season and blocked aid.
Tens of thousands of people have died and millions have been displaced since the war broke out in April 2023.
The UN on Friday warned it only had 12 percent of the $2.7 billion it sought in funding for Sudan, warning that “famine is closing in.”


Funerals offer displaced Lebanese villagers a chance to go home

Updated 18 May 2024
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Funerals offer displaced Lebanese villagers a chance to go home

  • Many residents of towns and villages on either side of the Israel-Lebanon border have evacuated their homes for safety

MAIS AL JABAL: For displaced south Lebanese villagers, funerals for those killed in months of cross-border clashes are a rare chance to return home and see the devastation caused by Israeli bombardment.
“My house is in ruins,” said Abdel Aziz Ammar, a 60-year-old man with a white beard, in front of a pile of rubble in the border village of Mais Al-Jabal.
Only a plastic water tank survived.
“My parents’ house, my brother’s house and my nephew’s house have all been totally destroyed,” said Ammar, who was back in Mais Al-Jabal this week for the funeral of a Hezbollah fighter from the village.
Many residents of towns and villages on either side of the Israel-Lebanon border have evacuated their homes for safety.
The Iran-backed Lebanese movement has been intensifying its attacks, while Israel has been striking deeper into Lebanese territory, in cross-border violence that has killed at least 419 people on the Lebanese side, according to an AFP tally.
Most of the dead are Hezbollah fighters, including seven from Mais Al-Jabal, but at least 82 are civilians, three of whom journalists.
Israel says 14 soldiers and 11 civilians have been killed on its side of the border.
For funerals in the south, the Lebanese army informs United Nations peacekeepers, who then inform the Israeli military, a spokesperson for the United Nations Interim Force in Lebanon said.
The peacekeepers usually patrol near the border, and act as a buffer between Lebanon and Israel.
Ammar fled his village for Beirut’s southern suburbs, a Hezbollah stronghold, two weeks after the violence broke out.
The International Organization for Migration says more than 93,000 people have been displaced in south Lebanon, while authorities in Israel have evacuated tens of thousands from the country’s north.
“We come for the funerals, but we inspect our homes. Those whose houses haven’t been destroyed use the time to collect their belongings,” Ammar said.
“The house meant a lot to us, it was big,” with plenty of space for the children outside, he said of his home in Mais Al-Jabal.
“My daughter always tells me, ‘I miss the house, when will we go back?’”
An AFP photographer saw dozens of houses razed or partially destroyed in the village, which resembled a battlefield surrounded by green countryside.
A funeral procession crossed the rubble-strewn streets, with people chanting slogans in support of Hezbollah, not far from Israeli positions across the border.
Hezbollah flags fluttered in the wind as women in chadors walked together, some wearing yellow scarves -the color of the Shiite Muslim movement — or holding pictures of the fallen “martyr”.
“Whether I carry a weapon or not, just my presence in my village means I am a target for the Israelis,” Ammar said, noting the fighting does not always stop for the funerals.
On May 5, a man, his wife and two children were killed in a strike on Mais Al-Jabal while a funeral took place.
They had returned to the village to collect things from a store they owned, believing it to be a moment of calm, local media reported.
In front of a half-destroyed house, people piled a small truck with whatever they could — a washing machine, a child’s stroller, a motorbike and plastic chairs.
Amid rubble in the village, a sign was propped up reading: “Even if you destroy our houses, your missiles cannot break our will.”
Lebanese authorities are waiting for a ceasefire to fully assess the damage, but have estimated that some 1,700 houses have been destroyed and 14,000 damaged.
Emergency personnel have reported huge damage and villages emptied of residents, while many journalists have been reluctant to travel to the border areas due to the heavy bombardment.
The overall bill already exceeds $1.5 billion, authorities estimate, in a crisis-hit country where compensation procedures remain vague.
But to village resident Khalil Hamdan, 53, who also attended the funeral, “the destruction doesn’t make a difference.”
“We will rebuild,” he told AFP.