Gaza hospitals are overwhelmed with patients and desperately low on supplies as invasion looms

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Ambulances carrying victims of Israeli strikes crowd the entrance to the emergency ward of the Al-Shifa hospital in Gaza City on October 15, 2023. (Photo by Dawood Nemer/AFP)
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Injured Palestinians wait for treatment at the overcrowded emergency ward of Al-Shifa hospital in Gaza City following an Israeli airstrike on October 11, 2023, as raging battles between Israel and the Hamas movement continued for the fifth consecutive day. (Photo by Mohammed Abed/AFP)
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Medics attend to children, wounded by Israeli airstrikes, at Al-Shifa hospital in Gaza City on October 11, 2023. (Photo by Mohammed Abed/AFP)
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Updated 16 October 2023
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Gaza hospitals are overwhelmed with patients and desperately low on supplies as invasion looms

  • The Gaza Health Ministry said 2,670 Palestinians have been killed and 9,600 wounded since the fighting erupted
  • More than 1,400 Israelis were killed, the vast majority of them civilians, in Hamas’ Oct. 7 assault
  • Hezbollah says rocket fire in north "just a warning, it does not mean we are entering war"

KHAN YOUNIS, Gaza Strip: Medics in Gaza warned Sunday that thousands could die as hospitals packed with wounded people ran desperately low on fuel and basic supplies. Palestinians in the besieged coastal enclave struggled to find food, water and safety ahead of an expected Israeli ground offensive in the war sparked by Hamas’ deadly attack.
Israeli forces, supported by a growing deployment of US warships in the region, positioned themselves along Gaza’s border and drilled for what Israel said would be a broad campaign to dismantle the militant group. A week of blistering airstrikes have demolished entire neighborhoods but failed to stem militant rocket fire into Israel.
The Gaza Health Ministry said 2,670 Palestinians have been killed and 9,600 wounded since the fighting erupted, more than in the 2014 Gaza war, which lasted over six weeks. That makes this the deadliest of the five Gaza wars for both sides.
More than 1,400 Israelis were killed, the vast majority of them civilians, in Hamas’ Oct. 7 assault. At least 155 others, including children, were captured by Hamas and taken into Gaza, according to Israel. It’s also the deadliest war for Israel since the 1973 conflict with Egypt and Syria.
The US State Department said Secretary of State Antony Blinken would return to Israel on Monday after completing a frantic six-country tour through Arab nations aimed at preventing the fighting from igniting a broader regional conflict. President Joe Biden is also considering a trip to Israel, according to a senior administration official, though no plans have been finalized.
Fighting along Israel’s border with Lebanon, which has flared since the start of the latest Gaza war, intensified Sunday with Hezbollah militants firing rockets and an anti-tank missile, and Israel responding with airstrikes and shelling. The Israeli military also reported shooting at one of its border posts. The fighting killed at least one person on the Israeli side and wounded several on both sides of the border.
An Israeli drone fired two missiles late Sunday at a hill west of the town of Kfar Kila in south Lebanon, the state-run National News Agency reported. There were no casualties reported in the strikes, which hit near a Lebanese army center.
The Israeli army said in a post on X, formerly known as Twitter, that it had hit Hezbollah targets but did not specify what they were.

‘Hezbollah: rocket fire just a warning’

Hezbollah said in a statement that it had fired rockets toward an Israeli military position in the northern border town of Shtula in retaliation for Israeli shelling that killed Reuters videographer Issam Abdallah on Friday and two Lebanese civilians on Saturday.
A Hezbollah spokeswoman, Rana Sahili, said the increased fighting represented a “warning” and did not mean Hezbollah has decided to enter the war.
With the situation in Gaza growing increasingly desperate, the US named David Satterfield, the former US ambassador to Turkiye with years of experience in Mideast diplomacy, to be special envoy for Middle East humanitarian issues. US national security adviser Jake Sullivan said in a statement Sunday that Satterfield will focus on getting humanitarian assistance to Palestinians in Gaza.
Hospitals in Gaza are expected to run out of generator fuel within two days, endangering the lives of thousands of patients, according to the UN Gaza’s sole power plant shut down for lack of fuel after Israel completely sealed off the 40-kilometer (25-mile) long territory following the Hamas attack.
In Nasser Hospital, in the southern town of Khan Younis, intensive care rooms were packed with wounded patients, most of them children under the age of 3. Hundreds of people with severe blast injuries have come to the hospital, where fuel is expected to run out by Monday, said Dr. Mohammed Qandeel, a consultant at the critical care complex.
There were 35 patients in the ICU who require ventilators and another 60 on dialysis. If fuel runs out, “it means the whole health system will be shut down,” he said, as children moaned in pain in the background. “All these patients are in danger of death if the electricity is cut off.”
Dr. Hussam Abu Safiya, the head of pediatrics at the Kamal Adwan Hospital in northern Gaza, said the facility did not evacuate despite Israeli orders. There were seven newborns in the ICU hooked up to ventilators, he said. Evacuating “would mean death for them and other patients under our care.”
Ahmed Al-Mandhari, the regional director of the World Health Organization, said hospitals were able to move some mobile patients out of the north, but most patients can’t be evacuated, he said.
Shifa hospital in Gaza City, the territory’s largest, said it would bury 100 bodies in a mass grave as an emergency measure after its morgue overflowed. Tens of thousands of people seeking safety have gathered in the hospital compound.
Gaza was already in a humanitarian crisis due to a growing shortage of water and medical supplies caused by the Israeli siege.
“An unprecedented humanitarian catastrophe is unfolding under our eyes,” said Philippe Lazzarini, the head of the UN agency for Palestinian refugees. He said his agency was no longer able to provide humanitarian assistance and that the number of people seeking shelter in schools and other facilities in southern Gaza exceeded capacity.
Sullivan told CNN that Israeli officials told him they had turned the water back on in southern Gaza. Israel’s minister of energy and water, Israel Katz, said in a statement that water had been restored at one “specific point” in Gaza. A spokesman said the location was outside Khan Younis. Aid workers in Gaza said they had not yet seen evidence the water was back.
Israel has ordered more than 1 million Palestinians — almost half the territory’s population — to move south. The military says it is trying to clear away civilians ahead of a major campaign against Hamas in the north, where it says the militants have extensive networks of tunnels, bunkers and rocket launchers.
Hamas urged people to stay in their homes, and the Israeli military released photos it said showed a Hamas roadblock preventing traffic from moving south.
Nevertheless, more than 600,000 people had evacuated the Gaza City area, said Israel’s chief military spokesman, Rear Adm. Daniel Hagari.
About 500,000 people, nearly one quarter of Gaza’s population, were taking refuge in United Nations schools and other facilities across the territory, where water supplies were dwindling, said Juliette Touma, spokesperson for the UN’s Palestinian refugee agency. “Gaza is running dry,” she said.
The agency says an estimated 1 million people have been displaced in Gaza in a single week.
The US has been trying to broker a deal to reopen Egypt’s Rafah crossing with Gaza to allow Americans and other foreigners to leave and humanitarian aid amassed on the Egyptian side to be brought in. The crossing, which was closed because of airstrikes early in the war, has yet to reopen.
Israel has said the siege will only be lifted when the captives are returned.
Hamas rocket attacks on Israel continued Sunday, spurring a broader evacuation from the southern Israeli city of Sderot. The city of about 34,000 people sits about a mile (1.6 kilometers) from Gaza and has been a frequent rocket target. “The kids are traumatized, they can’t sleep at night,” Yossi Edri told Channel 13 before boarding a bus.
The military said Sunday an airstrike in southern Gaza had killed a Hamas commander blamed for the killings at Nirim, one of several communities Hamas attacked in southern Israel. Israel said it struck over 100 military targets overnight, including command centers and rocket launchers.
Israel has called up some 360,000 military reserves and massed troops and tanks along the border with Gaza. Israeli officials gave no timetable for a ground invasion.
 


Lifting sanctions on Syria will prevent Daesh resurgence and strengthen the nation, experts say

Updated 11 December 2025
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Lifting sanctions on Syria will prevent Daesh resurgence and strengthen the nation, experts say

  • Conference in Washington discusses effects US policies are having on post-Assad Syria, and the continuing economic hardships in the country that could fuel terrorism
  • Participants praise US President Donald Trump for taking the right steps to help the war-torn nation move towards recovery and stabilization

Syria faces serious challenges in the aftermath of the fall of the Assad regime a year ago, including rebuilding its economy, lifting refugees and civilians out of poverty, and preventing a resurgence of Daesh terrorism.

But experts in two panel discussions during a conference at the Middle East Institute in Washington, D.C., on Wednesday, attended by Arab News, agreed that US President Donald Trump had so far taken all the right steps to help the war-torn nation move toward recovery and stabilization.

One of the discussions explored the effects American policies are having on the rebuilding of Syria, including the lifting of sanctions and efforts to attract outside investments and stabilize the economy. Moderated by the institute’s vice president for policy, Kenneth Pollack, the participants included retired ambassadors Robert Ford and Barbara Leaf, and Charles Lister, a resident fellow at the institute.

The other discussion focused on the continuing economic hardships in Syria that could fuel terrorism, including a resurgence of Daesh. Moderator Elizabeth Hagedorn, of Washington-based Middle East news website Al-Monitor, was joined by Mohammed Alaa Ghanem of the Syrian American Council, Celine Kasem of Syria Now, and Jay Salkini from the US-Syria Business Council.

“As we went into a transitional era, US diplomacy took a back step for a while as the Trump administration came into office,” Lister noted during the first panel discussion.

Everyone has been “super skeptical” of where the new government led by President Ahmad Al-Sharaa, a former commander with the Syrian opposition forces, would lead the country, he said, but Trump had stepped up through policies and support.

“Frankly, I think in January none of us expected that President Donald Trump would be shaking hands with Ahmad Al-Sharaa” a few months later, he added.

“Despite the obvious challenges, this new (Syrian) government has to be engaged.”

The US had maintained strong ties to the Syrian Democratic Forces, and with Al-Sharaa’s Hayat Tahrir Al-Sham, Lister said, in the decade leading up to the collapse of Syrian President Bashar Assad’s regime on Dec. 8, 2024.

“Of course, we’ve had 10 years of a superb partnership with the Syrian Democratic Forces, but they were a non-state actor not a sovereign government,” he continued.

“Now, we have a sovereign government that we could test, we can engage, and we can see where that goes. And in working through a sovereign government, there is no comparison that comes anywhere close to what we’ve seen on Syria.”

Lister praised Trump, saying: “I think a lot of that goes down to President Trump’s own kind of gut instinct of the way to do things.

“But there is a deeper, deeper government bench that has worked on this through Treasury and State and elsewhere. I think they all deserve credit for moving so rapidly and so boldly to give Syria a chance, as President Trump says.”

Ford said a key aspect of the process as Syria moves forward will be the removal of all sanctions imposed by the US against the Assad regime under the 2019 Caesar Act, an effort that is now underway in Congress.

He said Trump recognizes that the future of Syria and the wider Middle East lies in the hands of the Arab people, and has pursued policies based on “shared interests” including a “national security

strategy” to help the war-torn country shift away from extremism and violence toward a productive economy and safer environment for its people.

The Trump administration recognizes this reality, Ford added, and will “work on a practical level towards shared interests.”

However, he cautioned that “Syria is not out of the woods, by any stretch of the imagination” in terms of ensuring there is no resurgence of violence driven by desperate people burdened by the harsh economic realities in the country.

“If they can work with the Syrian government, and with more and more important regional actors as the United States retrenches — like Israel, Turkiye, Saudi Arabia, the United Arab Emirates, Qatar and Egypt; it’s a long list — it will become more important,” Ford said.

“There is still a way for the Americans to work with all of them, even if we don’t have big boots on the ground, or if we’re not providing billions of dollars.”

Nonetheless, “America’s voice will still be heard,” he added, thanks to the interest Trump is taking in Syria.

Adopted by Congress six years ago, toward the end of Trump’s first term as president, the Caesar Act imposed wide-ranging sanctions on Syria, including measures that targeted Assad and his family in an attempt to ensure his regime would be held accountable for war crimes committed under its reign. The act was named after a photographer who leaked images of torture taking place in Assad’s prisons.

Lister noted that the removal of the US sanctions has been progressing at “record-breaking speeds.”

In pre-taped opening remarks to the conference, which took place at the institute’s offices in Washington, Adm. Brad Cooper, commander of the US Central Command, said the Trump administration’s priority in Syria is the “aggressive and relentless pursuit” of Daesh, while working on the integration of the Syrian Democratic Forces with the new Syrian government through American military coordination.

“Just to give an example, in the month of October, US forces advised, assisted and enabled Syrian partners during more than 20 operations against (Daesh), diminishing the terrorists’ attacks and export of violence around the world,” he said. “We’re also degrading their ability to regenerate.”

Cooper added that the issue of displacement camps in northeastern Syria must also be addressed. He said he has visited Al-Hawl camp four times since his first meeting with Al-Sharaa, “which reinforced my view of the need to accelerate repatriations.”

He continued: “The impact on displaced persons devastated by years of war and repression has been immense. As I mentioned in a late-September speech at the UN, continuing to repatriate displaced persons and detainees in Syria is both a humanitarian imperative and a strategic necessity.”

The US is working with Syrian forces to “supercharge” this effort, Cooper said, noting that the populations of Al-Hawl and Al-Roj camps have fallen from 70,000 to about 26,000.

The second panel discussion painted a very bleak picture of the economic challenges the Syrian people face, with the average income only $200-$300 a month, a level that the experts warned could push desperate people to violence just to survive.

The US-Syria Business Council’s Salkini said many major companies and factories that once operated in Syria had relocated to neighboring countries such as Lebanon, Iraq and Turkiye.

“We’re looking at about 50 percent-plus unemployment,” he said. “Let me give you statistics on the wages: A factory worker today, his salary is $100-$300 a month. A farmer makes $75-$200 a month in salary. A manager (or) a private in the military makes $250 a month.

“So you can imagine how these people are living on these low wages, and still have to buy their iPhone, their internet, pay for electricity.”

Many displaced people are unable to return to their former homes, the panelists said, because they were destroyed during the war and there is no accessible construction industry to rebuild them.

The capital, Damascus, faces many challenges they added, and the situation is even worse in the country.