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.


Young Palestinian boy drowns in muddy water flooding his Gaza tent camp, UN says

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Young Palestinian boy drowns in muddy water flooding his Gaza tent camp, UN says

JERUSALEM: The UN said Thursday that a Palestinian boy in the Gaza Strip drowned in floods that engulfed his tent camp, with videos showing rescuers trying to pry his body out of muddy waters by pulling him by the ankle. It was the latest sign of the miseries that winter is inflicting on the territory’s population, with many left homeless by the devastation from two years of war.
Health officials also reported the death of another 9 year-old boy in Gaza Thursday, but the circumstances were not clear.
Meanwhile, in the West Bank, Israeli forces carried out a sweep of arrests, seizing around 50 Palestinians, many from their homes, a Palestinian group representing prisoners said.
As 2026 begins, the shaky 12-week-old ceasefire between Israel and Hamas has largely ended large-scale Israeli bombardment of Gaza. But Palestinians are still being killed almost daily by Israeli fire, and the humanitarian crisis shows no signs of abating. At least three Israeli soldiers have died in Gaza since the ceasefire came down, killed by militant attacks or explosive detonations.
Young boy drowned from flooding
UNICEF said Thursday that 7-year-old Ata Mai had drowned Saturday in severe flooding that engulfed his tent camp in Gaza City. Mai’s was the latest child death reported in Gaza as storms, cold weather and flooding worsen already brutal living conditions. Almost the entire population of more than 2 million people have lost their homes, and most are living in squalid tent camps with little protection from the weather.
UNICEF said Mai had been living with his younger siblings and family in a camp of around 40 tents. They lost their mother earlier in the war.
Video from Civil Defense teams, shown on Al Jazeera, showed rescue workers trying to get Mai’s body out of what appeared to be a pit filled with muddy water surrounded by wreckage of bombed buildings. The men waded into the water, pulling at the boy’s ankle, the only part of his body visible. Later, the body is shown wrapped in a muddy cloth being loaded into an ambulance.
Over past weeks, cold winter rains have repeatedly lashed the sprawling tent cities, causing flooding, turning Gaza’s dirt roads into mud and causing buildings damaged in Israeli bombardment to collapse. UNICEF says at least six children, including Mai, have now died of weather-related causes, including a 4-year-old who died in a building collapse.
The Gaza Ministry of Health says three children have died of hypothermia.
“Teams visiting displacement camps reported appalling conditions that no child should endure, with many tents blown away or collapsing entirely,” said Edouard Beigbeder, regional director for UNICEF’s Middle East and North Africa division.
West Bank arrest raid
The Palestinian Prisoner’s Society said Israeli troops had arrested at least 50 Palestinians across the West Bank and interrogated many of them overnight. Most of the arrests occurred in the Ramallah area, said the group, which is an official body within the Palestinian Authority.
“These operations were accompanied by widespread raids, abuse and assault against detainees and their families, in addition to extensive acts of vandalism and destruction inside citizens’ homes,” the group alleged.
Israel’s military did not immediately comment on the raid.
The society says that Israel has arrested 7,000 Palestinians in the West Bank and Jerusalem this year, and 21,000 since the war began Oct. 7, 2023. The number arrested from Gaza is not made public by Israel.
Violence in the West Bank has surged during the war in Gaza, with the Israeli military carrying out large-scale operations targeting militants that have killed hundreds of Palestinians and displaced tens of thousands. There has also been a rise in Israeli settler violence and Palestinian attacks on Israelis.
Boy in Gaza dies

A nine-year-old boy, Youssef Shandaghi, died in Jabaliya in northern Gaza, not far from the so-called “Yellow Line,” the ceasefire demarcation between the more than half of the Gaza Strip still held by the Israeli military and the rest of the territory, where most of the population lives.
Two officials from Gaza’s Shifa Hospital, Director Mohammed Abu Selmiya and Managing Director Rami Mhanna, said the boy was killed by Israeli gunfire coming from across the Yellow Line. Abu Selmiya cited the report from the doctor who received Shandaghi’s body. Israel’s military said it had no knowledge of the incident.
But an uncle of the boy said he was killed by unexploded ordnance he had come across while playing. It was not immediately possible to reconcile the conflicting accounts.
Israeli troops almost daily open fire on Palestinians who come too close to the Yellow Line, often killing or wounding some, according to medical personnel and witnesses. The Israeli military says it fires warning shots if someone crosses the line and fires at anyone judged to be posing a threat to troops. It has acknowledged some civilians have been killed, including young children.
Since the ceasefire began, 416 Palestinians have been killed and 1,142 wounded in Gaza, according to the Health Ministry. The overall Palestinian death toll from the war is at least 71,271. The ministry, which does not distinguish between militants and civilians in its count, is staffed by medical professionals and maintains detailed records viewed as generally reliable by the international community.