‘Nothing like we have seen before’: medics describe Gaza injuries on UAE evacuation flight

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Etihad Airways flight turned into “flying hospital” for Gazan patients airlifted from Egypt’s Al-Arish to Abu Dhabi for further treatment. (AN Photo: Mohammed Fawzy)
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Etihad Airways flight turned into “flying hospital” for Gazan patients airlifted from Egypt’s Al-Arish to Abu Dhabi for further treatment. (AN Photo: Mohammed Fawzy)
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Updated 06 December 2023
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‘Nothing like we have seen before’: medics describe Gaza injuries on UAE evacuation flight

  • Medics reported severe burns, injuries, fractures and deformities on children’s bodies
  • Working under intense environments, UAE medics were prepared for all scenarios on evacuation flight

ABU DHABI: Nothing could have prepared Palestinian pediatric nurse Etimad Hassouna for what she saw as she aided injured Palestinian children evacuated from Gaza on a UAE mission.

Hailing from Gaza, Hassouna was among a volunteering team of about 30 medical professionals from the UAE’s Burjeel Hospital, NMC Royal Hospital and Sheikh Khalifa Medical City. The team has worked tirelessly to assist war-stricken patients in unpredictable and challenging evacuation missions that last up to 24 hours.

On an Etihad Airways flight that evacuated 120 injured Palestinians and their families on Friday following intense violence after the truce ended, Hassouna told Arab News that the injuries inflicted on Gazans are “nothing like I have ever seen before” during her 22-year professional experience.

“I saw cases of children with severe burns, injuries and fractures in an intensity I have never witnessed throughout my career in emergency departments, surgery and pediatric wards. Most of the patients coming from under the rubble are disabled for life.”

Hassouna works alongside colleagues with a diverse range of expertise to ensure injured evacuees remain in a stable condition on the “flying hospital” from Egypt’s Al-Arish until they land in Abu Dhabi for further treatment.

While the unpredictability of the situation prompts the team to be logistically prepared for all cases and act on the spot, Hassouna said that the extent of the suffering was still difficult to witness.

“It’s a mix of feelings between sadness, to see innocent children suffering on this magnitude, and happiness, to have the opportunity to help rescue them. This small contribution makes me feel I’m giving back, given that we have been feeling rather helpless,” said Hassouna, who left Gaza 30 years ago.




Etimad Hassouna aids injured Palestinian children and cancer patients evacuated from her hometown Gaza. (AN Photo: Mohammed Fawzy)

Asked how she copes with treating severe cases coming from her homeland, she said that “faith and hope” have kept her going. “The reason you go on a mission like this is the same reason you cope, especially when you are helping children.”

Hassouna, whose relatives are displaced in Gaza and living in dire conditions, said: “It hasn’t been easy, but I have to be strong for the women, children and patients.”

Some of Hassouna’s colleagues serving the UAE’s goal to evacuate 2,000 injured Palestinian children and cancer patients have experience working in war zones.

Yet, Sabreen Tawalbeh, a Jordanian nursing manager at Burjeel Medical Center in Abu Dhabi, said the team was witnessing injuries more severe than in any past Gaza conflict.

Although Tawalbeh served as part of a medical team inside Gaza during the 2014 war, she said the burns and injuries on children’s bodies resulting from Israel’s bombardment since Oct. 7 were more acute and violent.

“I received a two-year-old baby whose entire lower body was burned. The children I have dealt with had serious deformities,” said Tawalbeh, who was on her third UAE mission.

More than medical care, patients arriving with extreme shock and trauma require a hope-driven approach.

“It’s important during the evacuation to make them feel safe, given that they are moving to a new place away from the home they have never left, let alone under trauma effects.”




Serving in Gaza war 2014, Sabreen Tawalbeh says children's injuries in the ongoing war are far more severe. (AN Photo: Mohammed Fawzy)

Tawalbeh added: “We need to give them hope that their situation is temporary; that they will return home someday stronger and fully recovered.”

The medical professional, who has tended to war victims in Libya, Afghanistan and Congo, said she will never forget an 11-year-old boy who arrived as a companion to his two cousins, a 7-year-old boy with a fractured skull and a two-year-old baby. The family of the two children had been killed.

“I saw a child become a hero. He was a man who probably never got to live his childhood,” said Tawalbeh. “After serving in this field for so long, I felt I was chosen for this mission, and I love being part of helping people.

 

Constantly improving missions

UAE doctors and nurses have no knowledge of the cases they will receive beforehand, prompting them to follow a flexible plan throughout the mission. They must be prepared with all types of equipment and a range of specializations.

To increase their future preparedness, the medical staff constantly learn from the challenges of each mission and aim to improve for the next.

During the first evacuation mission, for example, the team faced difficulties moving a patient with a spinal cord injury into the plane due to a lack of equipment to prevent his neck from moving. Another mission received a far higher number of patients than expected.

“Every mission we learn something new,” said Tawalbeh.

Kenneth Charles Dittrich, a consultant emergency physician from SKMC, said that his team comprised anesthetists, respiratory technologists, administrative assistants to help with identifying people, and four nursing staff to prepare for contingencies across all ages groups.

“The evacuated patients go through multiple checks at different borders. During that time, stable people’s condition can change, and to deal with such dynamic medical conditions, we need to constantly be on our feet and serve different roles.”

The staff coordinate with the on-ground medical personnel deployed in Rafah and Al-Arish, as well as Egyptian paramedics, who provide an initial assessment of the patients and give a list of the cases coming on board.

Upon receiving patients, the UAE medics perform reassessments and develop a treatment plan to follow on the flight.

The medics also work in coordination with UAE authorities to distribute the patients to different specialist hospitals across the country.

The Emirati mission includes a range of nationalities, demonstrating their unity in supporting the humanitarian cause.




Kenneth Charles Dittrich, emergency specialist, said the key aspect of his work, especially in war zones, is to remain human. (AN Photo: Mohammed Fawzy)

Not a stranger to operating in challenging war zones throughout his 42-year career, Dittrich said that he had learned to make boundaries on the job but would allow himself to process the emotions of stress later.

He added that a key aspect of his work is to “remain human,” adding: “It’s overwhelming to think of people escaping deaths and recognizing what they have left behind.

“The first thing we would do is provide them with nutrition and hydration after long journeys with emotions and stress, and trauma.

“We are in a position to help, and that’s always a positive aspect.”


12 Palestinians killed in Israeli attack on school shelter, Gaza Civil Defence says

Updated 20 sec ago
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12 Palestinians killed in Israeli attack on school shelter, Gaza Civil Defence says

At least 12 Palestinians were killed on Saturday in an Israeli attack on a school housing displaced people west of Gaza's Deir al-Balah, Gaza's Civil Defence service said.


Israel orders the evacuation of an area designated as a humanitarian zone in Gaza

Updated 27 July 2024
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Israel orders the evacuation of an area designated as a humanitarian zone in Gaza

  • The war in Gaza has killed more than 39,100 Palestinians, according to the territory’s Health Ministry

KHAN YOUNIS: Israel’s military ordered the evacuation Saturday of a crowded part of Gaza designated as a humanitarian zone, saying it is planning an operation against Hamas militants in Khan Younis, including parts of Muwasi, a makeshift tent camp where thousands are seeking refuge.
The order comes in response to rocket fire that Israel says originates from the area. It’s the second evacuation issued in a week in an area designated for Palestinians fleeing other parts of Gaza. Many Palestinians have been uprooted multiple times in search of safety during Israel’s punishing air and ground campaign.
On Monday, after the evacuation order, multiple Israeli airstrikes hit around Khan Younis, killing at least 70 people, according to Gaza’s Health Ministry, citing figures from Nasser Hospital.
The area is part of a 60-square-kilometer (roughly 20-square-mile) “humanitarian zone” to which Israel has been telling Palestinians to flee to throughout the war. Much of the area is blanketed with tent camps that lack sanitation and medical facilities and have limited access to aid, United Nations and humanitarian groups say. About 1.8 million Palestinians are sheltering there, according to Israel’s estimates. That’s more than half Gaza’s pre-war population of 2.3 million.
The war in Gaza has killed more than 39,100 Palestinians, according to the territory’s Health Ministry, which doesn’t distinguish between combatants and civilians in its count. The UN estimated in February that some 17,000 children in the territory are now unaccompanied, and the number is likely to have grown since.
The war began with an assault by Hamas militants on southern Israel on Oct. 7 that killed 1,200 people, most of them civilians, and took about 250 hostages. About 115 are still in Gaza, about a third of them believed to be dead, according to Israeli authorities.


WHO sends over 1 mln polio vaccines to Gaza to protect children

Updated 27 July 2024
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WHO sends over 1 mln polio vaccines to Gaza to protect children

  • Israel’s military said it would start offering the vaccine to soldiers in the Gaza Strip after remnants of the virus were found in test samples
  • Besides polio, the UN has reported an increase in cases of Hepatitis A, dysentery and gastroenteritis as sanitary conditions deteriorate in Gaza

GENEVA: The World Health Organization is sending more than one million polio vaccines to Gaza to be administered over the coming weeks to prevent children being infected after the virus was detected in sewage samples, its chief said on Friday.
“While no cases of polio have been recorded yet, without immediate action, it is just a matter of time before it reaches the thousands of children who have been left unprotected,” Director-General Tedros Adhanom Ghebreyesus said in an opinion piece in Britain’s The Guardian newspaper.
He wrote that children under five were most at risk from the viral disease, and especially infants under two since normal vaccination campaigns have been disrupted by more than nine months of conflict.
Poliomyelitis, which is spread mainly through the fecal-oral route, is a highly infectious virus that can invade the nervous system and cause paralysis. Cases of polio have declined by 99 percent worldwide since 1988 thanks to mass vaccination campaigns and efforts continue to eradicate it completely.
Israel’s military said on Sunday it would start offering the polio vaccine to soldiers serving in the Gaza Strip after remnants of the virus were found in test samples in the enclave.
Besides polio, the UN reported last week a widespread increase in cases of Hepatitis A, dysentery and gastroenteritis as sanitary conditions deteriorate in Gaza, with sewage spilling into the streets near some camps for displaced people.


How climate change is exacerbating food insecurity, with dangerous consequences for import-reliant Middle East

Updated 27 July 2024
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How climate change is exacerbating food insecurity, with dangerous consequences for import-reliant Middle East

  • UN report show nations are falling well short of achieving the Sustainable Development Goal of eliminating hunger by 2030
  • FAO expert warns that climate shocks could lead to more conflict in the region over limited access to water and resources

RIYADH: Global food insecurity is far worse than previously thought. That is the conclusion of the State of Food Security and Nutrition in the World 2024 report published this week by a coalition of UN entities, which found that efforts to tackle undernourishment had suffered serious setbacks.

As countries across the world fall significantly short of achieving the second UN Sustainable Development Goal of “zero hunger” by 2030, the report notes that climate change is increasingly recognized as a pivotal factor exacerbating hunger and food insecurity.

As a major food importer, the Middle East and North Africa region is considered especially vulnerable to climate-induced crop failures in source nations and the resulting imposition of protectionist tariffs and fluctuations in commodity prices.

“Climate change is a driver of food insecurity for the Middle East, where both the global shock and the local shock matter,” David Laborde, director of the Agrifood Economics and Policy Division at the Food and Agriculture Organization of the UN, told Arab News.

“Now, especially for the Middle East, I think that the global angle is important because the Middle East is importing a lot of food. Even if you don’t have a (climate) shock at home, if you don’t have a drought or flood at home — if it’s happened in Pakistan, if it’s happened in India, if it’s happened in Canada — the Middle East will feel it.”

Opinion

This section contains relevant reference points, placed in (Opinion field)

The State of Food Security and Nutrition in the World report has been compiled annually since 1999 by FAO, the International Fund for Agricultural Development, the UN Children’s Fund, the World Food Programme, and the World Health Organization to monitor global progress toward ending hunger. 

During a recent event at the UN headquarters in New York, the report’s authors emphasized the urgent need for creative and fair solutions to address the financial shortfall for helping those nations experiencing severe hunger and malnutrition made worse by climate change. 

In addition to climate change, the report found that factors like conflict and economic downturns are becoming increasingly frequent and severe, impacting the affordability of a healthy diet, unhealthy food environments, and inequality.

In this photo taken on July 2, 2022, Iraqi farmer Bapir Kalkani inspects his wheat farm in the Rania district near the Dukan reservoir, northwest of Iraq's northeastern city of Sulaimaniyah, which has been experiencing bouts of drought due to a mix of factors including lower rainfall and diversion of inflowing rivers from Iran. (AFP)

Indeed, food insecurity and malnutrition are intensifying due to persistent food price inflation, which has undermined economic progress globally. 

“There is also an indirect effect that we should not neglect — how climate shock interacts with conflict,” said Laborde.

In North Africa, for example, negative climate shocks can lead to more conflict, “either because people start to compete for natural resources, access to water, or just because you may also have some people in your area that have nothing else to do,” he said.

“There are no jobs, they cannot work on their farm, and so they can join insurgencies or other elements.”

DID YOUKNOW?

Up to 757 million people endured hunger in 2023 — the equivalent of one in 11 worldwide and one in five in Africa.

Global prevalence of food insecurity has remained unchanged for three consecutive years, despite progress in Latin America.

There has been some improvement in the global prevalence of stunting and wasting among children under five.

In late 2021, G20 countries pledged to take $100 billion worth of unused Special Drawing Rights, held in the central banks of high-income countries and allocate them to middle- and low-income countries.

Since then, however, this pledged amount has fallen $13 billion short, with those countries with the worst economic conditions receiving less than 1 percent of this support. 

Protesters set out empty plates to protest hunger aimed at G20 finance ministers gathered in Rio de Janeiro, Brazil, on July 25, 2024. (AP/Pool)

Saudi Arabia is one of the countries that has exceeded its 20 percent pledge, alongside Australia, Canada, China, France, and Japan, while others have failed to reach 10 percent or have ceased engagement altogether.

“Saudi Arabia is a very large state in the Middle East, so what they do is important, but also they have a financial capacity that many other countries don’t,” said Laborde.

“It can be through their SDRs. It can also be through their sovereign fund because where you invest matters and how you invest matters to make the world more sustainable. So, I will say yes, prioritizing investment in low- and middle-income countries on food and security and nutrition-related programs can be important.

Saudi Arabia does produce wheat but on a limited scale. (SPA/File photo)

Although the prevalence of undernourishment in Saudi Arabia has fallen in recent years, the report shows that the rate of stunting in children has actually increased by 1.4 percent in the past 10 years.

There has also been an increase in the rates of overweight children, obesity, and anemia in women as the population continues to grow. In this sense, it is not so much a lack of food but a dearth of healthy eating habits.

“Saudi Arabia is a good example where I would say traditional hunger and the lack of food … become less and less a problem, but other forms of malnutrition become actually what is important,” said Laborde. 

In 2023, some 2.33 billion people worldwide faced moderate or severe food insecurity, and one in 11 people faced hunger, made worse by various factors such as economic decline and climate change.

The affordability of healthy diets is also a critical issue, particularly in low-income countries where more than 71 percent of the population cannot afford adequate nutrition.

In countries like Saudi Arabia where overeating is a rising issue, Laborde suggests that proper investment in nutrition and health education as well as policy adaptation may be the way to go. 

While the Kingdom continues to extend support to countries in crisis, including Palestine, Sudan, and Yemen, through its humanitarian arm KSrelief, these states continue to grapple with dire conditions. Gaza in particular has suffered as a result of the war with Israel.

A shipment of food aid from Saudi Arabia is loaded on board a cargo vessel at the Jeddah Islamic Port to be delivered to Port Said in Egypt for Palestinians in Gaza. (KSrelief photo)

“Even before the beginning of the conflict, especially at the end of last year, the situation in Palestine was complicated, both in terms of agricultural system (and) density of population. There was already a problem of malnutrition,” said Laborde.

“Now, something that is true everywhere, in Sudan, in Yemen, in Palestine, when you start to add conflict and military operations, the population suffers a lot because you can actually destroy production. You destroy access to water. But people also cannot go to the grocery shop when the truck or the ship bringing food is disrupted.”

While Palestine and Sudan are the extreme cases, there are still approximately 733 million people worldwide facing hunger, marking a continuation of the high levels observed over the past three years. 

“On the ground, we work with the World Food Programme (and) with other organizations, aimed at bringing food to the people in need in Palestine,” Laborde said of FAO’s work. “Before the conflict and after, we will also be working on rebuilding things that need to be rebuilt. But without peace, there are limited things we can do.”

FAO helps food-insecure nations by bringing better seeds, animals, technologies, and irrigation solutions to develop production systems, while also working to protect livestock from pests and disease by providing veterinary services and creating incentives for countries to adopt better policies.

The report’s projections for 2030 suggest that around 582 million people will continue to suffer from chronic undernourishment, half of them in Africa. This mirrors levels observed in 2015 when the SDGs were adopted, indicating a plateau in progress.

Graphic showing progress on the United Nation's 17 sustainable development goals since the baseline of 2015. (AFP)

The report emphasizes the need to create better systems of financial distribution as per this year’s theme: “Financing to end hunger, food insecurity and all forms of malnutrition.”

“In 2022, there were a lot of headlines about global hunger, but today, this has more or less disappeared when the numbers and the people that are hungry have not disappeared,” said Laborde, referring to the detrimental impact of the war in Ukraine on world food prices.

“We have to say that we are not delivering on the promises that policymakers have made. The world today produces enough food, so it’s much more about how we distribute it, how we give access. It’s a man-made problem, and so it should be a man-made solution.”
 

 


Khan Yunis fighting displaces 180,000 Gazans in four days: UN

Updated 27 July 2024
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Khan Yunis fighting displaces 180,000 Gazans in four days: UN

  • Israel has killed at least 39,175 Palestinians in Gaza, according to the Hamas-run territory’s health ministry

KHAN YUNIS, Palestinian Territories: More than 180,000 Palestinians have fled fierce fighting around the southern Gaza city of Khan Yunis in four days, the United Nations said Friday, after an Israeli operation to extract captives’ bodies from the area.
Recent “intensified hostilities” in the Khan Yunis area, more than nine months into the Israel-Hamas war, have fueled “new waves of internal displacement across Gaza,” said the UN humanitarian agency, OCHA.
It said “about 182,000 people” have been displaced from central and eastern Khan Yunis between Monday and Thursday, and hundreds are “stranded in eastern Khan Yunis.”
The Israeli military on Monday ordered the evacuation of parts of the southern city, announcing its forces would “forcefully operate” there, including in an area previously declared a safe humanitarian zone.
On Wednesday, Israel said five bodies of captives seized during Hamas’s October 7 attack that triggered the war had been recovered from the area.
Israel’s military said on Friday that its forces had “eliminated approximately 100 terrorists” in the city this week.
Israel’s military chief, Lt. Gen. Herzi Halevi said the captives’ bodies were pulled from underground tunnels and walls in “a hidden place.”
Troops “were near those fallen bodies in the past, we did not know how to reach them” until this week, Halevi said in a statement.
Witnesses and rescuers said heavy battles continued around eastern Khan Yunis on Friday. The Nasser Hospital said 26 bodies were brought to the medical site.
The October 7 attack on southern Israel resulted in the deaths of 1,197 people, most of them civilians, according to an AFP tally based on official Israeli figures.
Out of 251 people taken hostage that day, 111 are still held in the Gaza Strip, including 39 the military says are dead.
Israel’s retaliatory offensive against Hamas has killed at least 39,175 Palestinians in Gaza, according to the Hamas-run territory’s health ministry.
According to UN figures, the vast majority of Gaza’s 2.4 million people have been displaced at least once by the fighting.