Gaza’s fragile healthcare system buckling under the strain of war

Israeli airstrikes have damaged six hospitals and nine primary healthcare centers in Gaza. (AFP)
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Updated 21 May 2021
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Gaza’s fragile healthcare system buckling under the strain of war

  • Doctors killed, health facilities damaged, hospitals overwhelmed and medicines running out as Israeli bombardment continues

GAZA CITY: The Gaza Strip’s already dilapidated health sector is being brought to its knees by Israel’s current war on the Palestinians.

Hospitals have been overwhelmed with waves of casualties from the Israeli bombardment, and supplies of vital medicines are rapidly running out in the blockaded coastal enclave.

In addition, two leading doctors have been killed: internal medicine consultant Ayman Abu Al-Ouf, who was leading the COVID-19 team at Al-Shifa Hospital, and Health Ministry neurologist Moeen Al-Aloul.

Israeli airstrikes have damaged six hospitals and nine primary healthcare centers in Gaza. The territory’s main COVID-19 laboratory and the Ministry of Health offices have also been hit, forcing testing to be halted for several days.

The Rimal Martyrs Health Center in Gaza City was targeted by Israeli bombs last Monday, said Dr. Ayman Al-Halabi, director general of medical support services at the Ministry of Health, which forced the central laboratory to halt all services.

Health Ministry spokesman Ashraf Al-Qidra said: “The war is draining the limited capabilities of the ministry. The healthcare system “will be at a dangerous juncture” if the Israeli aggression continues, he added.

“There is an acute shortage of medical personnel, medicines and medical supplies, as well as ambulances,” Al-Qidra told Arab News. He said the ministry is in continuous communication with local and international organizations to ensure the urgent needs of hospitals are met.

“With the continuation of the brutal Israeli aggression, the ministry launched an urgent appeal for $46.6 million to meet the urgent needs of the health sector in terms of medicines, medical consumables, operating equipment, intensive care, diagnostic radiology, surgical tools, laboratories and other emergency needs to ensure the continuation of health services,” he added.

Ezz El-Din Shaheen, an anesthesiologist and intensive-care doctor at Al-Shifa Medical Complex, said the healthcare system in Gaza has had to deal with wars, disasters and other crises for a long time.

“Doctors, nurses, paramedics and technicians working in the health sector are divided into groups and a 24-hour shift system is adopted, then a rest period, then a 24-hour shift, and so on,” he said.

“There are departments that have a scarcity of health staff, so the work in them is more stressful and the number of working hours is more, as is the case in the surgical departments.”

The Ministry of Health is also concerned about the displacement of more than 60,000 Palestinians who are now living in 58 shelters with inadequate health services. There are fears that this might cause a third wave of the COVID-19 pandemic and the spread of other infectious and skin diseases that might prove difficult for health workers to deal with.

Before the current conflict the Gaza Strip most recently experienced wars in 2008, 2012 and 2014. In addition there have been many rounds of escalating hostilities that lasted several days and resulted in deaths and injuries among Palestinians.


Dubai carrier Emirates suspends check-in for onward connections, flydubai cancels Iran flights

Updated 19 April 2024
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Dubai carrier Emirates suspends check-in for onward connections, flydubai cancels Iran flights

  • Emirates suspends check-in for all customers in its network travelling with onward connections through Dubai

DUBAI: Dubai’s flydubai airline canceled flights to Iran on Friday after receiving an official alert, a statement said.

“In line with the issued NOTAM (notice to air missions), our flights to Iran today have been canceled,” said the statement

One flight which had already departed for Tehran returned to Dubai after the Iranian capital’s airport was closed, it added.

Flights were suspended across swathes of Iran as Iranian state media reported explosions in the central province of Isfahan.

Flight-tracking software showed commercial flights avoiding western Iran, including Isfahan, and skirting Tehran to the north and east.

Emirates meanwhile said on Friday it was suspending check-in for all customers in its network travelling with onward connections through Dubai until 2359 GMT on April 19.

Emirates, one of the world’s biggest international airlines, added that customers travelling to Dubai as their final destination may check-in and travel as usual.

Emirates and flydubai have experienced serious disruption this week after record rainfall caused more than 1,000 flight cancelations at Dubai airport, one of the world’s busiest air hubs.


Iran closes air space, commercial flights diverted after apparent Israeli retaliatory strikes

Updated 19 April 2024
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Iran closes air space, commercial flights diverted after apparent Israeli retaliatory strikes

  • Drones shot down over Isfahan, says Iranian state media
  • Israel military refuses to comment on incident

DUBAI/WASHINGTON: Israeli missiles have hit a site in Iran, ABC News reported late on Thursday, citing a US official, while Iranian state media reported an explosion in the center of the country, days after Iran launched a retaliatory drone strike on Israel.

Commercial flights began diverting their routes early Friday morning over western Iran without explanation as one semiofficial news agency in the Islamic Republic claimed there had been “explosions” heard over the city of Isfahan.

Some Emirates and Flydubai flights that were flying over Iran early on Friday made sudden sharp turns away from the airspace, according to flight paths shown on tracking website Flightradar24.

“Flights over Isfahan, Shiraz and Tehran cities have been suspended,” state media reported.

Iranian officials said its air defenses did shot down several drones but there had been “no missile attack for now” on the country.

The state-run IRNA news agency reported that Iran fired air defense batteries early Friday morning across several provinces after reports of explosions near the city of Isfahan.

Several drones “have been successfully shot down by the country’s air defense, there are no reports of a missile attack for now,” Iran’s space agency spokesman Hossein Dalirian says on X.

The Fars news agency said “three explosions” were heard near the Shekari army airbase near Isfahan.

Iran’s local media also reported that nuclear facilities in Isfahan were “completely secure” after explosions were heard near the area.

“Nuclear facilities in Isfahan province are completely secure,” Tasnim news agency reports, quoting “reliable sources.”

Israel had said it would retaliate against Iran’s weekend attack, which involved hundreds of drones and missiles in retaliation for a suspected Israeli strike on its embassy compound in Syria. Most of the Iranian drones and missiles were downed before reaching Israeli territory.

Several Iranian nuclear sites are located in Isfahan province, including Natanz, centerpiece of Iran’s uranium enrichment program. Isfahan, Isome 350 kilometers (215 miles) south of Iran’s capital, Tehran, is also home to a major air base for the Iranian military.

Meanwhile in Iraq where a number of Iranian-backed militias are based, residents in Baghdad reported hearing sounds of explosions, but the source of the noise was not immediately clear.

In Syria, a local activist group said strikes hit an army position in the south of the country Friday. 

“There were strikes on a Syrian army radar position,” said Rayan Maarouf, who runs the Suwayda24 anti-government website that covers news from Sweida province in the south.

Iranian military positions in Syria had been frequently targetted by Israeli air strikes over the past years. Early this month, an Israeli strike demolished a consular building annex of the Iranian Embassy in Sydia's capital Damascus, killing 13 people, including two generals of Iran's Revolutionary Guards, triggering the Iranian missiles and drones attack on Israel on April 13.

At the United Nations Security Council on Thursday, Iran urged member nations that Israel “must be compelled to stop any further military adventurism against our interests” as the UN secretary-general warned that the Middle East was in a “moment of maximum peril.”

Israel had said it was going to retaliate against Iran’s April 13 missile and drone attack.

Analysts and observers have been raising concerns about the risks of the Israel-Gaza war spreading into the rest of the region.

Oil prices and jumped on the reports of the Israeli strike. Brent crude futures rose 2 percent to $88.86 a barrel, the dollar gained broadly, gold rose 1 percent and S&P 500 futures dropped 1 percent.

Israel’s assault on Gaza began after Palestinian Islamist group Hamas attacked Israel on Oct. 7, killing 1,200, according to Israeli tallies.

Israel’s military offensive has killed over 33,000 Palestinians in Gaza, according to the local health ministry.
Iran-backed groups have declared support for Palestinians, launching attacks from Lebanon, Yemen and Iraq.


United States had advance warning of Israel attack on Iran: US media

Updated 19 April 2024
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United States had advance warning of Israel attack on Iran: US media

  • US media: Israel had provided Washington with pre-notification of the strike
  • Tehran’s two major airports resumed flights following a brief suspension

DUBAI/WASHINGTON/TEHRAN: The United States received advance notice of Israel’s reported strike on Iran but did not endorse the operation or play any part in its execution, US media quoted officials as saying.

NBC and CNN, citing sources familiar with the matter and a US official, respectively, said Israel had provided Washington with pre-notification of the strike.

Various networks cited officials confirming a strike had taken place inside Iran, with CNN quoting one official as stating the target was not a nuclear facility.

Israel told the United States on Thursday it would be retaliating against Iran in the coming days, a senior US official told CNN.

“We didn’t endorse the response,” the official said, according to CNN.

There was no immediate comment from the White House about the Israeli strike.

In response to a query from AFP, the Pentagon duty desk said: “We do not have anything to offer at this time.”

Iran activated its air defense system over several cities, state media reported, after the country’s official broadcaster said explosions were heard near the central city of Isfahan.

Israel warned it would hit back after Iran fired hundreds of missiles and drones at its arch-foe over the weekend. Most of them were intercepted.

That weekend barrage came in the wake of an attack on Iran’s consulate in Damascus widely blamed on Israel.

Tehran’s two major airports resumed flights on Friday, state media reported, following a brief suspension after explosions were heard in central Iran.

“Flights through Imam Khomeini and Mehrabad airports have resumed,” the official IRNA news agency reported.

Commercial flights began diverting their routes early Friday morning over western Iran without explanation as one semiofficial news agency in the Islamic Republic claimed there had been “explosions” heard over the city of Isfahan.

Some Emirates and Flydubai flights that were flying over Iran early on Friday made sudden sharp turns away from the airspace, according to flight paths shown on tracking website Flightradar24.

“Flights over Isfahan, Shiraz and Tehran cities have been suspended,” state media reported.

Iranian officials said its air defenses did shot down several drones but there had been “no missile attack for now” on the country.

The state-run IRNA news agency reported that Iran fired air defense batteries early Friday morning across several provinces after reports of explosions near the city of Isfahan.

Several drones “have been successfully shot down by the country’s air defense, there are no reports of a missile attack for now,” Iran’s space agency spokesman Hossein Dalirian says on X.

The Fars news agency said “three explosions” were heard near the Shekari army airbase near Isfahan.

Iran’s local media also reported that nuclear facilities in Isfahan were “completely secure” after explosions were heard near the area.

“Nuclear facilities in Isfahan province are completely secure,” Tasnim news agency reports, quoting “reliable sources.”

Israel had said it would retaliate against Iran’s weekend attack, which involved hundreds of drones and missiles in retaliation for a suspected Israeli strike on its embassy compound in Syria. Most of the Iranian drones and missiles were downed before reaching Israeli territory.

Several Iranian nuclear sites are located in Isfahan province, including Natanz, centerpiece of Iran’s uranium enrichment program. Isfahan, Isome 350 kilometers (215 miles) south of Iran’s capital, Tehran, is also home to a major air base for the Iranian military.


Meanwhile in Iraq where a number of Iranian-backed militias are based, residents in Baghdad reported hearing sounds of explosions, but the source of the noise was not immediately clear.

In Syria, a local activist group said strikes hit an army position in the south of the country Friday. 

“There were strikes on a Syrian army radar position,” said Rayan Maarouf, who runs the Suwayda24 anti-government website that covers news from Sweida province in the south.

Iranian military positions in Syria had been frequently targetted by Israeli air strikes over the past years. Early this month, an Israeli strike demolished a consular building annex of the Iranian Embassy in Sydia's capital Damascus, killing 13 people, including two generals of Iran's Revolutionary Guards, triggering the Iranian missiles and drones attack on Israel on April 13.

At the United Nations Security Council on Thursday, Iran urged member nations that Israel “must be compelled to stop any further military adventurism against our interests” as the UN secretary-general warned that the Middle East was in a “moment of maximum peril.”

 

Israel had said it was going to retaliate against Iran’s April 13 missile and drone attack.

Analysts and observers have been raising concerns about the risks of the Israel-Gaza war spreading into the rest of the region.

Oil prices and jumped on the reports of the Israeli strike. Brent crude futures rose 2 percent to $88.86 a barrel, the dollar gained broadly, gold rose 1 percent and S&P 500 futures dropped 1 percent.

Israel’s assault on Gaza began after Palestinian Islamist group Hamas attacked Israel on Oct. 7, killing 1,200, according to Israeli tallies.

Israel’s military offensive has killed over 33,000 Palestinians in Gaza, according to the local health ministry.

Iran-backed groups have declared support for Palestinians, launching attacks from Lebanon, Yemen and Iraq.


Hamas slams US veto of Palestinian UN membership bid

Updated 19 April 2024
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Hamas slams US veto of Palestinian UN membership bid

PALESTINIAN TERRITORIES: Palestinian militant group Hamas condemned on Friday the US veto that ended a long-shot Palestinian bid for full United Nations membership.
“Hamas condemns the American veto at the Security Council of the draft resolution granting Palestine full membership in the United Nations,” the Gaza Strip rulers said in a statement, which comes amid growing international concern over the toll inflicted by the war in the besieged Palestinian territory.
The veto by Israel’s main ally and military backer had been expected ahead of the vote, which took place more than six months into Israel’s offensive in Gaza, in retaliation for the deadly October 7 attack by Hamas militants.
Twelve countries voted in favor of the draft resolution, which was introduced by Algeria and “recommends to the General Assembly that the State of Palestine be admitted to membership of the United Nations.” Britain and Switzerland abstained.


Gazans search for remains after deadly Rafah strike

Updated 19 April 2024
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Gazans search for remains after deadly Rafah strike

  • ‘We retrieved the remains of children and women, finding arms and feet. They were all torn to pieces’

An Israeli strike hit the home where a displaced Palestinian family was sheltering in the southern city of Rafah, relatives and neighbors said as they scraped at the soil with their hands.

Al-Arja said the blast killed at least 10 people.

“We retrieved the remains of children and women, finding arms and feet. They were all torn to pieces.

“This is horrifying. It’s not normal,” he said, hauling concrete and broken olive branches from the wreckage. “The entire world is complicit.”

Soon after the war began on Oct. 7, Israel told Palestinians living in the north of Gaza to move to “safe zones” in the territory’s south, like Rafah.

But Israeli Prime Minister Benjamin Netanyahu has since vowed to invade the city, where around 1.5 million people live in shelters, more than half the territory’s population.

“How is Rafah a safe place?” said Zeyad Ayyad, a relative of the victims. He sighed as he cradled a fragment of the remains.

“I heard the bombing last night and then went back to sleep. I did not think it hit my aunt’s house.”

The search for remains was long and painful. The strike left a huge crater and children picked through the rubble while neighbors removed debris, tarpaulin, a pink top.

“We can see them under the rubble and we’re unable to retrieve them,” Al-Arja said. 

“These are people who came from the north because it was said the south is safe.”

“They struck without any warning,” he said.

In a separate strike on the house in Rafah’s Al-Salam neighborhood overnight on Tuesday, rescue crews recovered the corpses of eight family members, including five children and two women, Gaza’s civil defense service said.

“An Israeli rocket hit a house of displaced people,” said resident Sami Nyrab. 

“My sister’s son-in-law, her daughter, and her children were having dinner when an Israeli missile demolished their house over their heads.”