GAZA CITY, Gaza Strip: Just weeks ago, the Gaza Strip’s feeble health system was struggling with a runaway surge of coronavirus cases. Authorities cleared out hospital operating rooms, suspended nonessential care and redeployed doctors to patients having difficulty breathing.
Then, the bombs began to fall.
This week’s violence between Israel and Gaza’s Hamas rulers has killed 103 Palestinians, including 27 children, and wounded 530 people in the impoverished territory. Israeli airstrikes have pounded apartments, blown up cars and toppled buildings.
Doctors across the crowded coastal enclave are now reallocating intensive care unit beds and scrambling to keep up with a very different health crisis: treating blast and shrapnel wounds, bandaging cuts and performing amputations.
Distraught relatives didn’t wait for ambulances, rushing the wounded by car or on foot to Shifa Hospital, the territory’s largest. Exhausted doctors hurried from patient to patient, frantically bandaging shrapnel wounds to stop the bleeding. Others gathered at the hospital morgue, waiting with stretchers to remove the bodies for burial.
At the Indonesia Hospital in the northern town of Jabaliya, the clinic overflowed after bombs fell nearby. Blood was everywhere, with victims lying on the floors of hallways. Relatives crowded the ER, crying out for loved ones and cursing Israel.
“Before the military attacks, we had major shortages and could barely manage with the second (virus) wave,” said Gaza Health Ministry official Abdelatif Al-Hajj by phone as bombs thundered in the background. “Now casualties are coming from all directions, really critical casualties. I fear a total collapse.”
Gutted by years of conflict, the impoverished health care system in the territory of more than 2 million people has always been vulnerable. Bitter division between Hamas and the West Bank-based Palestinian Authority and a nearly 14-year blockade imposed by Israel with Egypt’s help also has strangled the infrastructure. There are shortages of equipment and supplies such as blood bags, surgical lamps, anesthesia and antibiotics. Personal protection gear, breathing machines and oxygen tanks remain even scarcer.
Last month, Gaza’s daily coronavirus cases and deaths hit record highs, fueled by the spread of a variant that first appeared in Britain, relaxation of movement restrictions during Ramadan, and deepening public apathy and intransigence.
In the bomb-scarred territory where the unemployment rate is 50 percent, the need for personal survival often trumps the pleas of public health experts. While virus testing remains limited, the outbreak has infected more than 105,700 people, according to health authorities, and killed 976.
As cases climbed last year, stirring fears of a health care catastrophe, authorities set aside clinics just for COVID-19 patients. But that changed as airstrikes pummeled the territory.
Nurses at the European Hospital in the town of Khan Younis, frantically needing room for the wounded, moved dozens of virus patients in the middle of the night to a different building, said hospital director Yousef Al-Akkad. Its surgeons and specialists, who had deployed elsewhere for the virus, rushed back to treat head injuries, fractures and abdominal wounds.
If the conflict intensifies, the hospital won’t be able to care for the virus patients, Al-Akkad said.
“We have only 15 intensive care beds, and all I can do is pray,” he said, adding that because the hospital lacks surgical supplies and expertise, he’s already arranged to send one child to Egypt for reconstructive shoulder surgery. “I pray these airstrikes will stop soon.”
At Shifa, authorities also moved the wounded into its 30 beds that had been set aside for virus patients. Thursday night was the quietest this week for the ICU, as bombs had largely fallen elsewhere in Gaza. Patients with broken bones and other wounds lay amid the din of beeping monitors, intercoms and occasional shouts by doctors. A few relatives huddled around them, recounting the chaotic barrage.
“About 12 people down in one airstrike. It was 6 p.m. in the street. Some were killed, including my two cousins and young sister. It’s like this every day,” said 22-year-old Atallah Al-Masri, sitting beside his wounded brother, Ghassan.
Hospital director Mohammed Abu Selmia lamented the latest series of blows to Gaza’s health system.
“The Gaza Strip is under siege for 14 years, and the health sector is exhausted. Then comes the coronavirus pandemic,” he said, adding that most of the equipment is as old as the blockade and can’t be sent out for repairs.
Now, his teams already strained by virus cases are treating bombing victims, more than half of whom are critical cases needing surgery.
“They work relentlessly,” he added
To make matters worse, Israeli airstrikes hit two health clinics north of Gaza City on Tuesday. The strikes wreaked havoc on Hala Al-Shawa Health Center, forcing employees to evacuate, and damaged the Indonesian Hospital, according to the World Health Organization. Israel, already under pressure from an International Criminal court investigation into possible war crimes during the 2014 war, reiterated this week that it warns people living in targeted areas to flee. The airstrikes nonetheless have killed civilians and inflicted damage on Gaza’s infrastructure.
The violence also has closed a few dozen health centers conducting coronavirus tests, said Sacha Bootsma, director of WHO’s Gaza office. This week, authorities conducted some 300 tests a day, compared with 3,000 before the fighting began.
The UN Relief and Works Agency, or UNRWA, ordered staff to stay home from its 22 clinics for their safety. Those now-closed centers had also administered coronavirus vaccines, a precious resource in a place that waited months to receive a limited shipment from the UN-backed COVAX program. Those doses will expire in just a few weeks and get thrown away, with “huge implications for authorities’ ability to mobilize additional vaccines in the future,” Bootsma said.
For the newly wounded, however, the virus remains an afterthought.
The last thing that Mohammad Nassar remembers before an airstrike hit was walking home with a friend on a street. When he came to, he said, “we found ourselves lying on the ground.”
Now the 31-year-old is hooked up to a tangle of tubes and monitors in the Shifa Hospital surgical ward, with a broken right arm and a shrapnel wound in his stomach.
Beset by virus, Gaza’s hospitals now struggle with wounded
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Beset by virus, Gaza’s hospitals now struggle with wounded
- Last month, Gaza’s daily coronavirus cases and deaths hit record highs
- In the bomb-scarred territory where the unemployment rate is 50 percent, the need for personal survival often trumps the pleas of public health experts
Delhi Chief Minister Kejriwal’s custody extended until April 1 in graft case
- Delhi CM Kejriwal was arrested in connection with corruption allegations related to city’s liquor policy
- Kejriwal’s Aam Aadmi Party says case is fabricated, politically motivated against him by Indian government
NEW DELHI: An Indian court extended the custody of opposition leader and Delhi Chief Minister Arvind Kejriwal until April 1 on Thursday in a graft case related to the national capital territory’s liquor policy, local media said.
India’s financial crime-fighting agency arrested Kejriwal last week in connection with corruption allegations related to the city’s liquor policy and he was remanded to its custody until Thursday, weeks before India begins voting in general elections on April 19.
Kejriwal’s Aam Aadmi Party (AAP) says the case is fabricated and politically motivated. Prime Minister Narendra Modi’s government and his Bharatiya Janata Party deny political interference and say law enforcement agencies are doing their job.
All the main leaders of AAP were already imprisoned in the case before Kejriwal was arrested.
Terming his arrest a “political conspiracy,” Kejriwal, 55, told reporters outside court on Thursday that “the public will respond to this.”
Speaking in court later, he said the Enforcement Directorate (ED), which has arrested him, aims to crush AAP.
ED lawyers told the court that they needed Kejriwal in custody for another seven days as he was “deliberately not cooperating” and needed to be interrogated further.
Kejriwal’s arrest has sparked protests in the national capital and the nearby northern state of Punjab, which is also governed by AAP, over the last few days.
Dozens of AAP supporters were detained on Tuesday as they attempted to march to Modi’s residence to demand his release.
Some AAP workers protesting and distributing leaflets to commuters outside a busy metro station in central Delhi were also detained on Thursday.
“This is the time when we campaign (for elections), our leaders are being put in prison, arrested ... they (federal government) are stopping us from campaigning, (but) nobody can stop us from winning,” a protester told news agency ANI.
A joint rally of the ‘INDIA’ alliance, consisting of more than two dozen political parties including AAP, is planned in the capital on Sunday to protest against the arrest.
The issue has also drawn international attention with the US and Germany calling for a “fair” and “impartial” trial in the case, causing New Delhi to tell Washington and Berlin that India’s legal processes are based on an independent judiciary and that they should stay away from its internal affairs.
China says Philippine ‘provocations’ cause of South China Sea tensions
- ‘China will not allow the Philippines to do whatever it wants, and has responded in a reasonable and forceful manner’
- Philippine President Ferdinand Marcos Jr.: ‘We will not be cowed into silence, submission, or subservience
BEIJING/MANILA: China on Thursday blamed Philippine actions for recent rising tension between the two sides in the hotly contested South China Sea.
“The provocations by the Philippine side are the direct cause of the recent heating up of the South China Sea issue,” a statement from the defense ministry read, adding: “China will not allow the Philippines to do whatever it wants, and has responded in a reasonable and forceful manner.”
The Philippines will implement countermeasures proportionate and reasonable against “illegal, coercive, aggressive, and dangerous attacks” by China’s coast guard and maritime militia in the South China Sea, President Ferdinand Marcos Jr. said on Thursday.
“We seek no conflict with any nation, more so nations that purport and claim to be our friends but we will not be cowed into silence, submission, or subservience,” Marcos said on Facebook.
He did not specify what the countermeasures would include.
The Philippines has been furious in the past year over what it calls repeated aggression by China’s coast guard and allied fishing vessels around disputed features located inside Manila’s 200-mile exclusive economic zone.
The latest flare-up occurred last week, when China used water cannon to disrupt another Philippine resupply mission to the Second Thomas Shoal for soldiers posted to guard a warship intentionally grounded on a reef 25 years ago.
China, which claims almost the entire South China Sea as its own, has accused the Philippines of encroaching on its territory and says it took necessary measures against the vessels.
China warned the Philippines on Monday to behave cautiously and seek dialogue, saying their relations were at a “crossroads” as confrontations between their coast guards over maritime claims worsened tensions.
Marcos said he met his defense and security officials and has been in communication with “friends in the international community.”
“They have offered to help us on what the Philippines requires to protect and secure our sovereignty, sovereign rights, and jurisdiction while ensuring peace and stability in the Indo-Pacific,” Marcos said.
The deterioration in relations with China come at a time when Marcos seeks to deepen defense ties with the United States. He has increased US access to Philippine military bases and joint exercises have been expanded to include sea and air patrols over the South China Sea, vexing Beijing.
US Defense Secretary Lloyd Austin on Wednesday reaffirmed Washington’s commitment to a 1951 mutual defense treaty with the Philippines and criticized as “dangerous” China’s actions at the Second Thomas Shoal.
In a phone call on Wednesday with his Philippine counterpart Gilberto Teodoro, Austin “reaffirmed the ironclad US commitment to the Philippines” which it said was undertaking a lawful resupply mission.
The Philippine-US treaty binds both countries to defend each other if under attack and includes coast guard, civilian and military vessels in the South China Sea.
Russia strikes Ukraine’s Kharkiv with aerial bombs for the first time since 2022
The airstrikes caused widespread damage, hitting several residential buildings and damaging the city’s institute for emergency surgery.
Russia has escalated its attacks on Ukraine in recent days, launching several missile barrages on the capital Kyiv and hitting energy infrastructure across the country in apparent retaliation for recent Ukrainian aerial attacks on the Russian border region of Belgorod. Such sporadic attacks, however, have been common throughout the war.
The Kharkiv region cuts across the front line where Ukrainian and Russian forces have been locked in battles for over two years since Moscow’s full-scale invasion of Ukraine in February 2022. The region is frequently attacked with missiles and drones.
Sergey Bolvinov, head of the investigative police department in Kharkiv, said in a Telegram post that Wednesday’s attack marked the first time aerial bombs were used since 2022. Regional governor Oleh Syniehubov also reported the use of aerial bombs.
The recent escalation comes as exhausted Ukrainian troops struggle with a shortage of personnel and ammunition and face growing Russian pressure along the front line that stretches over 1,000 kilometers (620 miles).
On Tuesday, Ukrainian President Volodymyr Zelensky sacked one of his top security officials, replacing him with the head of Ukraine’s foreign spy agency in a new reshuffle.
Zelensky dismissed Oleksii Danilov, who served as secretary of the National Security and Defense Council, thanking him for his service in a video address late Tuesday. The president gave no reason and said, without providing details, that Danilov will be “reassigned to another area.”
Zelensky replaced him with Oleksandr Lytvynenko, who served as head of Ukraine’s Foreign Intelligence Service.
The National Security Council is a policy coordination body that is chaired by Zelensky. Danilov had held his position since October 2019, a few months after Zelensky took office.
The dismissal follows Zelensky’s decision in February to fire Ukraine’s chief military officer, Gen. Valerii Zaluzhnyi, and replace him with Col. Gen. Oleksandr Syrskyi. Tensions between Zaluzhnyi and the president grew after Ukraine’s much-touted 2023 summer counteroffensive failed to reach its goals. This month, Zaluzhnyi was named Ukraine’s ambassador to the United Kingdom.
US-Israel rift heads for moment of truth over Rafah
- As Netanhayu refused to heed warnings against attacking Rafah, the US for the first time allowed a UN Security Council ceasefire resolution to pass
- But critics say Biden's not using his key point of leverage — cutting US military assistance to Israel — shows his action is more of a PR stunt
WASHINGTON: The United States has taken a public distance from Israel as never before over the Gaza war but the decisive test will be Rafah and whether Israel heeds US warnings against an offensive in the packed city.
The United States on Monday abstained at the Security Council, allowing a resolution to pass for the first time that called for an immediate ceasefire, infuriating Prime Minister Benjamin Netanyahu who delayed a delegation to Washington to discuss US concerns on Rafah.
But in a stance surely noted by Netanyahu, President Joe Biden has made clear he will not use his key point of leverage — cutting US military assistance to Israel.
Annelle Sheline, who recently resigned in protest from the State Department, where she had been on a fellowship working on human rights, said the Biden administration may be shifting but that its actions so far — including the resolution and plans for an emergency pier to bring in aid — amounted to “PR stunts.”
“I can only hope that things are starting to change. Unfortunately, I don’t yet see the US actually using its leverage as far as ending or withdrawing support for Israeli military operations, turning off the tap of weapons,” she told AFP.
Michael Singh, managing director of the Washington Institute who was a top White House aide on the Middle East under former president George W. Bush, said Biden was responding at the United Nations not just to domestic politics but to calls from US allies to compromise and not keep vetoing resolutions.
A resolution “is a signal, but it doesn’t in any tangible way impact Israel’s ability to prosecute the conflict,” Singh said, while arms restrictions would “come at a much higher cost” strategically and politically.
Israel has been waging a relentless military campaign in Gaza in response to Hamas’s surprise attack on October 7 that was the deadliest in Israel in its history.
The United States has repeatedly warned Israel not to attack Rafah, the southern city where more than 1.4 million Palestinians have taken shelter, but Netanyahu last week vowed to press ahead after a direct appeal from visiting Secretary of State Antony Blinken.
US officials say they will present alternatives to the Israeli delegation on Rafah that will focus on striking Hamas targets while limiting civilian casualties.
Stephen Wertheim, a senior fellow at the Carnegie Endowment for International Peace, said that US officials’ presentation of alternatives “indicates to me that they believe some sort of military operations will occur and they’re trying to limit the damage of that operation.”
Singh said the holding pattern on Rafah hurt the United States and Israel as international pressure builds.
“I would say that probably there’s a desire in Washington for them to get on with whatever they’re going to do one way or the other — absolutely protect civilians from harm, but this kind of perpetual indecision, I think, is itself harmful,” Singh said.
James Ryan, executive director of the Middle East Research and Information Project, said: “You do own it a bit more if you give them plans and they don’t go well.”
US criticism has been mounting against Netanyahu with Senate Majority Leader Chuck Schumer, a staunch backer of Israel and the highest-level elected American Jew, in a bombshell speech criticizing the conduct of the war and urging new elections.
A Gallup poll released Wednesday said only 36 percent of Americans approved of Israel’s actions, down from 50 percent in November.
Biden is a lifelong supporter of Israel who, facing a tough reelection fight in November, is feeling the wrath of the left in his Democratic Party on Gaza, where the United Nations is predicting famine.
Netanyahu, also battling for his political life at the helm of a far-right coalition, is a veteran fighter in Washington who has aligned himself with much of the Republican Party and clashed with three Democratic presidents.
“Both Biden and Netanyahu benefit from having some degree of friction between them,” Wertheim said.
“Possibly the one thing that could save Netanyahu's government once a new election occurs is for Netanyahu to be able to say to the public, I’m the one figure who was able to stand up to the Americans and also preserve America’s support for us,” he said.
Biden, in turn, is eager to show he is pushing back against Israeli “brutality” without imposing costs by restricting weapons.
“What we’re seeing is a lot of theater that serves the political interests of the leaders,” Wertheim said.
Indonesia’s top court hears appeals from losing presidential candidates who want a revote
- Dozens of protesters held a peaceful but noisy rally near the court building, declaring that they would oversee the trial
JAKARTA, Indonesia: Indonesia’s top court heard appeals lodged by two losing presidential candidates who are demanding a revote, alleging widespread irregularities and fraud at the polls in appearances before the judges Wednesday.
Defense Minister Prabowo Subianto won the election with an overwhelming margin: 58.6 percent, or more than 96 million votes, according to the General Election Commission — more than twice the runner-up’s share in the three-way race.
But the losing candidates — Former Jakarta Gov. Anies Baswedan and former Central Java Gov. Ganjar Pranowo — argue that the election was marred by irregularities throughout the campaign. They’re asking the Constitutional Court to annul the election results and order a revote, in separate lawsuits.
Both candidates presented parts of their cases in person, focusing on allegations that the court itself, as well as outgoing President Joko Widodo, bent laws and norms to support Subianto.
“We witness with deep concern a series of irregularities that have tarnished the integrity of our democracy,” Baswedan told the court.
Dozens of protesters held a peaceful but noisy rally near the court building, declaring that they would oversee the trial. Authorities blocked streets leading to the court where about 400 police were deployed in and around the building.
Indonesian presidents are expected to stay neutral in races to succeed them, but Subianto, a longtime former rival of Widodo who twice lost elections to him before joining his government, ran as his successor. He even chose Widodo’s son, Gibran Rakabuming Raka, as running mate, even though Raka did not meet a constitutional requirement that candidates be at least 40 years old.
Baswedan and Pranowo argue that Raka should have been disqualified, and are asking the court to bar him from a revote. Before the election, the Constitutional Court made a controversial exception to the minimum age that allowed him to run, under the leadership of then-chief justice Anwar Usman, who is Widodo’s brother in law. Usman was later forced to resign as chief justice for failing to recuse himself.
“The Constitutional Court was designed to guard the constitution and stem arbitrariness, not to legitimize fraud and crime,” said Todung Mulya Lubis, a prominent lawyer who led Pranowo’s legal team, “This election is an opportunity for the Constitutional Court to reclaim its authority and dignity.”
Baswedan also said that regional officials were pressured or given rewards to influence political choices, and that state social assistance was used as “a transactional tool to help one of the candidates.”
Hefty social aid from the government was disbursed in the middle of the campaign — far more than the amounts spent during the COVID-19 pandemic — and Widodo distributed funds in person in a number of provinces.
“If we do not make corrections, the practices that occurred recently will be considered normal and become habits, then become culture, and ultimately become national character,” Baswedan said before the eight-judge panel.
Subianto himself twice went to the top court to challenge the results of elections he lost to Widodo, but the court rejected his claims as groundless both times. Subianto refused to accept the results of the 2019 presidential election, leading to violence that left seven dead in Jakarta.
Baswedan had the first turn before the court in the morning, while Pranowo spoke in the afternoon.
“What shocked us all, what really destroyed morale, was the abuse of power,” Pranowo told the court, “When the government uses all state resources to support certain candidates, when the security forces are used to defend personal political interests, then it is time for us to take a firm stand to reject all forms of intimidation and oppression.”
Chief Justice Suhartoyo, who like many Indonesians uses a single name, adjourned the hearing until Thursday, when Subianto and the General Election Commission will respond. The verdict, expected on April 22, cannot be appealed.
The case will be decided by eight justices instead of the full nine-member court because Usman, who is still on the court as an associate justice, is required to recuse himself.