‘Pattern’ of Israeli attacks on hospitals either intentional or ‘reckless incompetence,’ MSF chief tells UNSC

This picture shows damaged Hamad Hospital in Gaza City on February 3, 2024, in the aftermath of Israeli bombardment. (AFP/File)
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Updated 23 February 2024
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‘Pattern’ of Israeli attacks on hospitals either intentional or ‘reckless incompetence,’ MSF chief tells UNSC

  • Christopher Lockyear says a resolution calling for anything short of a ceasefire is ‘gross negligence’
  • He paints an apocalyptic picture of health facilities, staff and patients in Gaza, where the focus is on mere survival amid complete erosion of humanitarian laws
  • Children as young as 5 are expressing their desire to die rather than live with injuries and trauma

NEW YORK: In one of the most powerful speeches delivered at the UN Security Council since beginning of the war in Gaza, the secretary-general of the international medical humanitarian organization Doctors Without Borders (Medecins Sans Frontieres) on Thursday called for the UN body to demand an immediate ceasefire in Gaza and ensure protection of health facilities, workers and patients.

He said the world is watching council members “deliberate and delay while civilians die,” and expressed outrage at the recent US veto that prevented the adoption of “the most evident of resolutions, one demanding an immediate and sustained ceasefire.”

Christopher Lockyear said: “Three times this council has had an opportunity to vote for the ceasefire that is so desperately needed. And three times the United States has used its veto power.”

He said the draft resolution tabled by the US last week to rival the Algerian draft it vetoed and “ostensibly” calling for a ceasefire is “misleading at best.”

Although the draft in question does support a call for a ceasefire, it refers to it as a temporary measure that needs to be enacted “as soon as practicable,” which many have understood as leaving the decision for its implementation to the Israelis.

Lockyear called on the council to reject “any resolution that further hampers humanitarian efforts on the ground and leads this council to tacitly endorse the continued violence and mass atrocities in Gaza.”

He added: “The people of Gaza need a ceasefire, not when practicable, but now. They need a sustained ceasefire, not a temporary period of calm. Anything short of this is gross negligence. The protection of civilians in Gaza cannot be contingent on resolutions from this council which instrumentalize humanitarianism to blur political objectives.”

Lockyear painted an apocalyptic picture of the situation in Rafah, the last refuge for Gazans, where over 1 million displaced Palestinians are sheltering and which is now being engulfed with fear of a ground invasion.

Over four months of war have killed nearly 30,000 Palestinians in Israel’s constant bombing and attacks, according to MSF.

More than 1.7 million are estimated to have been forcibly displaced and facing infected wounds and disease, as the organization says providing healthcare is becoming “virtually impossible” in Gaza, where medical facilities have not been safe from military attacks.

“Our patients have catastrophic injuries, amputations, crushed limbs and severe burns,” Lockyear said.

“They need sophisticated care. They need long and intensive rehabilitation. Medics cannot treat these injuries on a battlefield or in the ashes of destroyed hospitals. Our surgeons are running out of basic gauze to stop their patients from bleeding out. They use it once, squeeze out the blood, wash it, sterilize it, and reuse it for the next patient.

“The humanitarian crisis in Gaza has left pregnant women without medical care for months. Women in labor cannot reach functional delivery rooms. They are giving birth in plastic tents and public buildings.

“Medical teams have added a new acronym to their vocabulary, WCNSF: Wounded child, no surviving family.

“Children who do survive this war will not only bear the visible wounds of traumas and injuries, but the invisible ones to those of repeated displacements, constant fear and witnessing family members being literally dismembered before their eyes. These psychological injuries have led children as young as 5 to tell us that they would prefer to die.”

On Feb. 20, a MSF staff member’s wife and daughter-in-law were killed and six other people were injured when an Israeli tank fired on a clearly marked MSF staff shelter in Al-Mawasi in Khan Younis.

Israeli forces last week evacuated then raided Nasser Hospital, the largest remaining medical facility in southern Gaza. Those who were forced out have nowhere to go, said MSF. They cannot move back to the now largely destroyed north, and in Rafah they live amid constant Israeli airstrikes and the fear of an extensive ground incursion.

Since the beginning of the war in Gaza, MSF medical teams and patients have been forced to evacuate nine different healthcare facilities in the Gaza Strip. Five MSF workers have been killed. Today’s MSF efforts to help are “entirely inadequate,” said Lockyear.

He added: “For 138 days we have witnessed the unimaginable suffering of the people of Gaza. For 138 days we have watched the systematic obliteration of a health system we have supported for decades. We have watched our patients and our colleagues be killed and maimed. This situation is the combination of a war Israel is waging on the entire population of the Gaza Strip; a war of collective punishment, a war without rules, a war at all costs.

“The laws and the principles we collectively depend on to enable humanitarian assistance are now eroded to the point of becoming meaningless.

“The humanitarian response in Gaza today is an illusion. A convenient illusion that perpetuates a narrative that this war is being waged in line with international laws. Calls for humanitarian assistance have echoed across this chamber. Yet in Gaza, we have less and less every day: less space, less medicine, less food, less water, less safety. We no longer speak of a humanitarian scale up. We speak of how to survive even without the bare minimum.”

Lockyear said the Israeli attacks against medical facilities and staff have become now “all too familiar.”

He said: “Israeli forces have attacked our convoys, detained our staff, bulldozed our vehicles. Hospitals have been bombed and raided.

“This pattern of attacks is either intentional or indicative of reckless incompetence. Our colleagues in Gaza are fearful that as I speak to you today, they will be punished tomorrow.”

Lockyear cautioned against casting international humanitarian law to the wind as that “will reverberate well beyond Gaza. It will be an enduring burden on our collective conscience. This is not just political inaction: It has become political complicity.”

The humanitarian official demanded from the Security Council “the protections promised under international humanitarian law,” and a ceasefire from both parties.

Lockyear asked council members: “We demand the space to turn the illusion of aid to meaningful assistance. What will you do to make this happen?”


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

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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.”

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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.