COVID and conflict: Gaza’s hospitals strained on two fronts

Palestinians receive treatment at Shifa Hospital from their wounds caused by Israeli airstrikes that destroyed parts of a commercial building and damaged the Health Ministry and a clinic in Gaza City. (AP)
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Updated 17 May 2021
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COVID and conflict: Gaza’s hospitals strained on two fronts

  • Ministry of Health is fighting on two fronts in the Gaza Strip - the coronavirus and the injuries
  • List of essential medications and medical disposables suffered an acute shortage, said director of surgery in Gaza's main Shifa hospital

GAZA: Gaza’s hospitals were already struggling to cope with the COVID-19 pandemic before the conflict with Israel erupted last week. Now, medics say, they are being stretched further.
“The Ministry of Health is fighting on two fronts in the Gaza Strip — the coronavirus front and the other front, which is more difficult, is the injuries and the wounded,” said Marwan Abu Sada, the director of surgery in Gaza’s main Shifa hospital.
More than a week into fighting, with Palestinians pounded night and day by airstrikes and Israelis racing for refuge from rockets as sirens wail, Gaza’s doctors are battling to keep pace.
At Shifa, the biggest health facility among the 13 hospitals and 54 clinics serving the crowded enclave’s 2 million people, the number of intensive care beds has been doubled to 32 as the toll of those wounded from the conflict mounts.
Like the rest of the system, the 750-bed hospital faced shortages of medicines and equipment before fighting erupted on May 10 — blamed by medics on a blockade led by Israel and backed by Egypt, which shares a border with Gaza.
Israel says its measures aim to stop arms reaching militants.
“The list of essential medications and medical disposables suffered an acute shortage,” Abu Sada said.
It’s not just medicines in short supply. Fuel for generators that power Gaza’s hospitals — with main’s power too intermittent to be relied on — is also running out.
Israel says its blockade does not aim to stop medicines or other humanitarian supplies, and any shortages are the result of actions by Hamas, the Islamist group that has run Gaza since 2007, when the blockade was imposed.
“Hamas constructed a network of underground terror tunnels in Gaza underneath the homes of Palestinians, using funds meant for their health & welfare to expand Hamas’ terror machine instead,” Israel’s Foreign Ministry said on Twitter Monday.
Hamas has rejected the accusation.
Palestinians say 201 people have been killed in Gaza since the fighting started, with hundreds more hurt, including those wounded by shrapnel or injured by collapsing buildings.
Israel has reported 10 dead in the rocket salvoes, with many more injured, some directly by the blasts and others when dashing to safety. Some are in a critical condition.
“We have a very bad time over here,” said Racheli Malka, an Israeli living in Ashkelon, a city north of Gaza repeatedly hit by rockets. “I hope it will finish fast.”
Nearby, Israelis celebrated the Jewish festival of Shavuot in a synagogue that had a hole caused by a rocket strike.
The Israeli military said Hamas — regarded by Israel, the United States and European Union as a terrorist group — and others militants had fired about 3,150 rockets in the past week.
Sacha Bootsma, the head of the World Health Organization in Gaza, said COVID-19 had strained the enclave’s struggling system.
“Before COVID, the health system could be categorized as fragile because it has very old equipment, old buildings, a shortage of properly trained health staff and, of course, a chronic shortage of essential medicines,” she said.
Gaza has reported about 106,000 cases of COVID-19, or about 5.3 percent of the population, with 986 deaths, health official say.
While Israel has rolled out one of the fastest vaccination programs in the world, fully inoculating about 55 percent of its 9.3 million people, Gaza received about 110,000 doses, or enough for 55,000 people, health officials say, to be distributed among one of the most densely populated areas in the world.
One ward at Shifa, still marked “Corona Isolation Department,” has had to be turned into an intensive care unit for those injured in the conflict.
“We require more urgent support from international and relief institutions,” said Ashraf Al-Qidra, spokesman for the ministry of health, calling for medicines and ambulances.
For those living near Shifa hospital, the sound of ambulances wears on their already shattered nerves. “As long as we hear sirens we know it is not over yet,” said Karam Badr, 57.
Yet, health care workers keep the creaking medical facilities going. WHO’s Bootsma said scarce resources were still reaching those most in need.
“The resilience of the health system is remarkable,” she said.


Hamas sending delegation to Egypt for further ceasefire talks in latest sign of progress

Updated 12 sec ago
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Hamas sending delegation to Egypt for further ceasefire talks in latest sign of progress

BEIRUT: Hamas said Thursday that it was sending a delegation to Egypt for further ceasefire talks, in a new sign of progress in attempts by international mediators to hammer out an agreement between Israel and the militant group to end the war in Gaza.

After months of stop-and-start negotiations, the ceasefire efforts appear to have reached a critical stage, with Egyptian and American mediators reporting signs of compromise in recent days. But chances for the deal remain entangled with the key question of whether Israel will accept an end to the war without reaching its stated goal of destroying Hamas.
The stakes in the ceasefire negotiations were made clear in a new UN report that said if the Israel-Hamas war stops today, it will still take until 2040 to rebuild all the homes that have been destroyed by nearly seven months of Israeli bombardment and ground offensives in Gaza. It warned that the impact of the damage to the economy will set back development for generations and will only get worse with every month fighting continues.
The proposal that US and Egyptian mediators have put to Hamas -– apparently with Israel’s acceptance — sets out a three-stage process that would bring an immediate six-week ceasefire and partial release of Israeli hostages, but also negotiations over a “permanent calm” that includes some sort of Israeli withdrawal from Gaza, according to an Egyptian official. Hamas is seeking guarantees for a full Israeli withdrawal and complete end to the war.
Hamas officials have sent mixed signals about the proposal in recent days. But on Thursday, its supreme leader, Ismail Haniyeh, said in a statement that he had spoken to Egypt’s intelligence chief and “stressed the positive spirit of the movement in studying the ceasefire proposal.”
The statement said that Hamas negotiators would travel to Cairo “to complete the ongoing discussions with the aim of working forward for an agreement.” Haniyeh said he had also spoken to the prime minister of Qatar, another key mediator in the process.
The brokers are hopeful that the deal will bring an end to a conflict that has killed more than 34,000 Palestinians, according to local health officials, caused widespread destruction and plunged the territory into a humanitarian crisis. They also hope a deal will avert an Israeli attack on Rafah, where more than half of Gaza’s 2.3 million people have sought shelter after fleeing battle zones elsewhere in the territory.
If Israel does agree to end the war in return for a full hostage release, it would be a major turnaround. Since Hamas’ Oct. 7 attack stunned Israel, its leaders have vowed not to stop their bombardment and ground offensives until the militant group is destroyed. They also say Israel must keep a military presence in Gaza and security control after the war to ensure Hamas doesn’t rebuild.
Publicly at least, Israeli Prime Minister Benjamin Netanyahu continues to insist that is the only acceptable endgame.
He has vowed that even if a ceasefire is reached, Israel will eventually attack Rafah, which he says is Hamas’ last stronghold in Gaza. He repeated his determination to do so in talks Wednesday with US Secretary of State Antony Blinken, who was in Israel on a regional tour to push the deal through.
The agreement’s immediate fate hinges on whether Hamas will accept uncertainty over the final phases to bring the initial six-week pause in fighting — and at least postpone what it is feared would be a devastating assault on Rafah.
Egypt has been privately assuring Hamas that the deal will mean a total end to the war. But the Egyptian official said Hamas says the text’s language is too vague and wants it to specify a complete Israeli pullout from all of Gaza. The official spoke on condition of anonymity to talk about the internal deliberations.
On Wednesday evening, however, the news looked less positive as Osama Hamdan, a top Hamas official, expressed skepticism, saying the group’s initial position was “negative.” Speaking to Hezbollah’s Al-Manar TV, he said that talks were still ongoing but would stop if Israel invades Rafah.
Blinken hiked up pressure on Hamas to accept, saying Israel had made “very important” compromises.
“There’s no time for further haggling. The deal is there,” Blinken said Wednesday before leaving for the US
An Israeli airstrike, meanwhile, killed at least five people, including a child, in Deir Al-Balah in central Gaza. The bodies were seen and counted by Associated Press journalists at a hospital.
The war broke out on Oct. 7. when Hamas militants broke into southern Israel and killed over 1,200 people, mostly Israelis, taking around 250 others hostage, some released during a ceasefire on November.
The Israel-Hamas war was sparked by the Oct. 7 raid into southern Israel in which militants killed around 1,200 people, mostly civilians, and abducted around 250 hostages. Hamas is believed to still hold around 100 hostages and the remains of more than 30 others.
Since then, Israel’s campaign in Gaza has wreaked vast destruction and brought a humanitarian disaster, with several hundred thousand Palestinians in northern Gaza facing imminent famine, according to the UN More than 80 percent of the population has been driven from their homes.
The “productive basis of the economy has been destroyed” and poverty is rising sharply among Palestinians, according to the report released Thursday by the United Nations Development Program and the Economic and Social Commission for Western Asia.
It said that in 2024, the entire Palestinian economy — including both Gaza and the West Bank -– has so far contracted 25.8 percent. If the war continues, the loss will reach a “staggering” 29 percent by July, it said. The West Bank economy has been hit by Israel’s decision to cancel the work permits for tens of thousands of laborers who depended on jobs inside Israel.
“These new figures warn that the suffering in Gaza will not end when the war does,” UNDP administrator Achim Steiner said. He warned of a “serious development crisis that jeopardizes the future of generations to come.”


Israel builds ‘cyber dome’ against Iran’s hackers

Updated 03 May 2024
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Israel builds ‘cyber dome’ against Iran’s hackers

  • Israeli cybersecurity agency had thwarted around 800 significant attacks since the Oct. 7 Gaza war erupted
  • But some attacks could not be foiled, including against hospitals in which patient data was stolen

TEL AVIV: Israel’s Iron Dome defense system has long shielded it from incoming rockets. Now it is building a “cyber dome” to defend against online attacks, especially from arch foe Iran.

“It is a silent war, one which is not visible,” said Aviram Atzaba, the Israeli National Cyber Directorate’s head of international cooperation.
While Israel has fought Hamas in Gaza since the October 7 attack, it has also faced a significant increase in cyberattacks from Iran and its allies, Atzaba said.
“They are trying to hack everything they can,” he told AFP, pointing to Hamas and Lebanon’s Hezbollah movement but adding that so far “they have not succeeded in causing any real damage.”
He said around 800 significant attacks had been thwarted since the war erupted. Among the targets were government organizations, the military and civil infrastructure.
Some attacks could not be foiled, including against hospitals in the cities of Haifa and Safed in which patient data was stolen.
While Israel already has cyber defenses, they long consisted of “local efforts that were not connected,” Atzaba said.
So, for the past two years, the directorate has been working to build a centralized, real-time system that works proactively to protect all of Israeli cyberspace.
Based in Tel Aviv, the directorate works under the authority of the prime minister. It does not reveal figures on its staff, budget or computing resources.
Israel collaborates closely with multiple allies, including the United States, said Atzaba, because “all states face cyber terrorism.”
“It takes a network to fight a network,” he said.

Israel’s arch foe Iran is “an impressive enemy” in the online wars, said Chuck Freilich, a researcher at the Institute for National Security Studies, which is affiliated with Tel Aviv University.
“Its attacks aim to sabotage and destroy infrastructure, but also to collect data for intelligence and spread false information for propaganda purposes,” he said.
Iran has welcomed Hamas’s October 7 attack on Israel, which resulted in the deaths of 1,170 people, mostly civilians, according to an AFP tally based on Israeli official figures.
Israel’s retaliatory offensive against Hamas has killed at least 34,596 people in Gaza, mostly women and children, according to the Hamas-run territory’s health ministry.
Regional tensions have soared, particularly after Iran for the first time fired hundreds of missiles directly at Israel last month in retaliation for a deadly Israeli air strike on the Iranian consulate in Damascus.
It was the most dramatic escalation yet after a years-long shadow war of killings and sabotage attacks between Israel and Iran.
Freilich argued in a study published in February that Iran was relatively slow to invest in cyberwarfare, until two key events triggered a change.
First, its leaders took note of how anti-government protesters used the Internet as a tool to mobilize support for a 2009 post-election uprising.
In the bloody crackdown that crushed the movement, Iran’s authorities cut access to social media and websites covering the protests.
Then, in September 2010, a sophisticated cyberattack using the Stuxnet virus, blamed by Iran on Israel and the United States, caused physical damage to Tehran’s nuclear program.
Freilich said the attack “demonstrated Iran’s extreme vulnerability and led to a severe national shock.”
Since then, Iran has gained substantial expertise to become “one of the most active countries in cyberspace,” he said

While Israel is considered a major cyber power, Iran was only likely to improve, said Freilich.
He pointed to assistance from Russia and China, as well as its much larger population and an emphasis on cyber training for students and soldiers alike, adding that the trend was “concerning for the future.”
Atzaba insisted that the quantity of hackers is secondary to the quality of technology and the use it is put to.
“For the past two years, we have been developing a cyber dome against cyberattacks, which functions like the Iron Dome against rockets,” he said.
“With cyber dome, all sources are fed into a large data pool that enables a view of the big picture and to invoke a national response in a comprehensive and coordinated manner.”
The Israeli system has various scanners that continuously “monitor Israeli cyberspace for vulnerabilities and informs the stakeholders of the means to mitigate them,” he said.
Israel’s cyber strength relied on close cooperation between the public, private and academic sectors, as well as Israel’s “white hat” hackers who help identify weaknesses.
“We work hand in hand,” he said.


Kurds deny torturing detainees in north Syria camps

Updated 03 May 2024
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Kurds deny torturing detainees in north Syria camps

  • Rights group alleges cruelty against Daesh militant prisoners and their families

JEDDAH: Kurdish authorities in northeast Syria on Thursday denied claims by Amnesty International that they tortured Daesh militants and their dependents detained in internment camps.
More than 56,000 prisoners with links to the Islamist militant group are still being held five years after Daesh were driven out of their last territory in Syria. They include militants locked up in prisons, and Daesh fighters’ wives and children in Al-Hol and Roj camps.
Amnesty secretary general Agnes Callamard said Kurdish authorities had “committed the war crimes of torture and cruel treatment, and probably committed the war crime of murder.”
The semi-autonomous Kurdish administration in northeast Syria said it “respects its obligations to prevent the violation of its laws, which prohibit such illegal acts, and adheres to international law.”

Any such crimes that may have been perpetrated were “individual acts,” it said, and asked Amnesty to provide it with any evidence of wrongdoing by its security forces and affiliates.

“We are open to cooperating with Amnesty International regarding its proposed recommendations, which require concerted regional and international efforts,” it said.
Kurdish authorities said they had repeatedly asked the international community for help in managing the camps, which required “huge financial resources.”

Al-Hol is the largest internment camp in northeast Syria, with more than 43,000 detainees from 47 countries, most of them women and children related to Daesh fighters.


Hamas is sending a delegation to Egypt for further ceasefire talks in the latest sign of progress

Updated 03 May 2024
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Hamas is sending a delegation to Egypt for further ceasefire talks in the latest sign of progress

  • US and Egyptian mediators have put to Hamas a proposal -– apparently with Israel’s acceptance — that sets out a three-stage process that would bring an immediate six-week ceasefire and partial release of Israeli hostages

BEIRUT: Hamas said Thursday that it was sending a delegation to Egypt for further ceasefire talks, in a new sign of progress in attempts by international mediators to hammer out an agreement between Israel and the militant group to end the war in Gaza.

After months of stop-and-start negotiations, the ceasefire efforts appear to have reached a critical stage, with Egyptian and American mediators reporting signs of compromise in recent days. But chances for the deal remain entangled with the key question of whether Israel will accept an end to the war without reaching its stated goal of destroying Hamas.
The stakes in the ceasefire negotiations were made clear in a new UN report that said if the Israel-Hamas war stops today, it will still take until 2040 to rebuild all the homes that have been destroyed by nearly seven months of Israeli bombardment and ground offensives in Gaza. It warned that the impact of the damage to the economy will set back development for generations and will only get worse with every month fighting continues.
The proposal that US and Egyptian mediators have put to Hamas -– apparently with Israel’s acceptance — sets out a three-stage process that would bring an immediate six-week ceasefire and partial release of Israeli hostages, but also negotiations over a “permanent calm” that includes some sort of Israeli withdrawal from Gaza, according to an Egyptian official. Hamas is seeking guarantees for a full Israeli withdrawal and complete end to the war.
Hamas officials have sent mixed signals about the proposal in recent days. But on Thursday, its supreme leader, Ismail Haniyeh, said in a statement that he had spoken to Egypt’s intelligence chief and “stressed the positive spirit of the movement in studying the ceasefire proposal.”
The statement said that Hamas negotiators would travel to Cairo “to complete the ongoing discussions with the aim of working forward for an agreement.” Haniyeh said he had also spoken to the prime minister of Qatar, another key mediator in the process.
The brokers are hopeful that the deal will bring an end to a conflict that has killed more than 34,000 Palestinians, according to local health officials, caused widespread destruction and plunged the territory into a humanitarian crisis. They also hope a deal will avert an Israeli attack on Rafah, where more than half of Gaza’s 2.3 million people have sought shelter after fleeing battle zones elsewhere in the territory.
If Israel does agree to end the war in return for a full hostage release, it would be a major turnaround. Since Hamas’ Oct. 7 attack stunned Israel, its leaders have vowed not to stop their bombardment and ground offensives until the militant group is destroyed. They also say Israel must keep a military presence in Gaza and security control after the war to ensure Hamas doesn’t rebuild.
Publicly at least, Israeli Prime Minister Benjamin Netanyahu continues to insist that is the only acceptable endgame.
He has vowed that even if a ceasefire is reached, Israel will eventually attack Rafah, which he says is Hamas’ last stronghold in Gaza. He repeated his determination to do so in talks Wednesday with US Secretary of State Antony Blinken, who was in Israel on a regional tour to push the deal through.
The agreement’s immediate fate hinges on whether Hamas will accept uncertainty over the final phases to bring the initial six-week pause in fighting — and at least postpone what it is feared would be a devastating assault on Rafah.
Egypt has been privately assuring Hamas that the deal will mean a total end to the war. But the Egyptian official said Hamas says the text’s language is too vague and wants it to specify a complete Israeli pullout from all of Gaza. The official spoke on condition of anonymity to talk about the internal deliberations.
On Wednesday evening, however, the news looked less positive as Osama Hamdan, a top Hamas official, expressed skepticism, saying the group’s initial position was “negative.” Speaking to Hezbollah’s Al-Manar TV, he said that talks were still ongoing but would stop if Israel invades Rafah.
Blinken hiked up pressure on Hamas to accept, saying Israel had made “very important” compromises.
“There’s no time for further haggling. The deal is there,” Blinken said Wednesday before leaving for the US
An Israeli airstrike, meanwhile, killed at least five people, including a child, in Deir Al-Balah in central Gaza. The bodies were seen and counted by Associated Press journalists at a hospital.
The war broke out on Oct. 7. when Hamas militants broke into southern Israel and killed over 1,200 people, mostly Israelis, taking around 250 others hostage, some released during a ceasefire on November.
The Israel-Hamas war was sparked by the Oct. 7 raid into southern Israel in which militants killed around 1,200 people, mostly civilians, and abducted around 250 hostages. Hamas is believed to still hold around 100 hostages and the remains of more than 30 others.
Since then, Israel’s campaign in Gaza has wreaked vast destruction and brought a humanitarian disaster, with several hundred thousand Palestinians in northern Gaza facing imminent famine, according to the UN More than 80 percent of the population has been driven from their homes.
The “productive basis of the economy has been destroyed” and poverty is rising sharply among Palestinians, according to the report released Thursday by the United Nations Development Program and the Economic and Social Commission for Western Asia.
It said that in 2024, the entire Palestinian economy — including both Gaza and the West Bank -– has so far contracted 25.8 percent. If the war continues, the loss will reach a “staggering” 29 percent by July, it said. The West Bank economy has been hit by Israel’s decision to cancel the work permits for tens of thousands of laborers who depended on jobs inside Israel.
“These new figures warn that the suffering in Gaza will not end when the war does,” UNDP administrator Achim Steiner said. He warned of a “serious development crisis that jeopardizes the future of generations to come.”
 


Syria says Israeli strike outside Damascus injures eight troops

Updated 03 May 2024
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Syria says Israeli strike outside Damascus injures eight troops

  • A security source said the strike hit a building operated by government forces
  • Defense ministry acknowledged only that the strike caused some material damage

An Israeli airstrike on the outskirts of Damascus injured eight Syrian military personnel late on Thursday, the Syrian defense ministry said, the latest such attack amid the war in Gaza.

The Israeli strike, launched from the occupied Golan Heights toward “one of the sites in the vicinity of Damascus,” caused some material damage, the Syrian defense ministry said in a statement.
The strike hit a building operated by Syrian security forces, a security source in the alliance backing Syria’s government earlier told Reuters.
The Israeli military said it does not comment on reports in the foreign media.
Israel has for years been striking Iran-linked targets in Syria and has stepped up its campaign in the war-torn country since Oct. 7, when Iran-backed Palestinian militants Hamas crossed into Israeli territory in an attack that left 1,200 people dead and led to more than 250 taken hostage.
Israel responded with a land, air and sea assault on the Gaza Strip, escalated strikes on Syria and exchanged fire with Lebanese armed group Hezbollah across Lebanon’s southern border.
The security source said the location struck in Syria on Thursday sat just south of the Sayyeda Zeinab shrine, where Hezbollah and Iranian forces are entrenched.
But the source said the site struck was not operated by Iranian units or Hezbollah.