A public-health disaster compounds Gaza’s humanitarian crisis

Palestinians wounded waiting to be treated at Al-Shifa Hospital in Gaza City on December 16, 2023. (AFP)
Short Url
Updated 12 March 2024
Follow

A public-health disaster compounds Gaza’s humanitarian crisis

  • Hellish scenes playing out at enclave’s few still functioning hospitals and clinics
  • Many doctors and nurses have either fled, been wounded or killed in the fighting

DUBAI: Children lie in rows on hospital floors and on pavements outside crowded clinics as they await the attention of sleep-deprived medics. Many are caked in dust, congealed with blood and tears, their untreated wounds growing septic the longer they wait.

Among them, men and women search frantically for missing loved ones or plead with doctors for medical attention, while mothers cradle dying infants. With supplies of gauze now scarce, many are bandaged in a patchwork of whatever fabric is available.

Deprived of antiseptics and even clean water, doctors are forced to perform operations and amputations without sterilized equipment, leading to infections for which there are no antibiotics. These often take place without anesthetic or pain relief.

Such hellish scenes are playing out at the few remaining hospitals and clinics across the Gaza Strip, which has endured months of bombardment and effective siege since Israel launched its retaliation for the Hamas-led attack of Oct. 7.




Palestinian children suffering from malnutrition receive treatment at a healthcare center in Rafah in the southern Gaza Strip on March 5, 2024. (AFP)

“There are still patients and casualties who are scheduled for operations that cannot be performed because there are no supplies, no anesthetic drugs, no generators in these hospitals,” Hisham Mhanna, a spokesperson for the International Committee of the Red Cross based in Rafah, told Arab News.

“It’s a mess. It’s a catastrophe.”

This, at a time when doctors and nurses have themselves fled, been wounded or even killed amid the bombardment. According to the World Health Organization, just 30 percent of Gaza’s medics are still working — many of them stretched to breaking point.

“They deal with the resulting casualties that are coming into the emergency rooms after airstrikes,” said Mhanna. “This is in addition to the hundreds of thousands of patients and vulnerable groups, including cancer patients, people with disabilities, pregnant women and people with chronic diseases.”




A Palestinian woman comforts her children as they wait at the hospital to be checked in the city of Rafah, in the southern Gaza Strip on October 12, 2023. (AFP)

According to Hamas-run Gaza’s Ministry of Health, some 30,900 Palestinians have been killed, 70,500 injured, and 7,000 have gone missing since the violence began. Faced with such carnage, the local health system is buckling.

On Feb. 18, the WHO said Nasser Hospital in Khan Younis, the largest city in southern Gaza, where fighting is ongoing, was no longer functional.

“The European Gaza Hospital is the only hospital that’s functional and can provide advanced healthcare services such as surgeries, intensive care and X-rays,” Jessica Moussan, a spokesperson for the International Committee of the Red Cross based in Dubai, told Arab News.

“There are a few other hospitals partially functioning that have been provided a few supplies.”




A picture shows the damage in Nasser Hospital and the surrounding area in Khan Yunis in the southern Gaza Strip on February 26, 2024. (AFP)

At the end of January, the ICRC said: “Gaza is at risk of complete medical shutdown without urgent action to preserve services.”

In a statement, William Schomburg, head of the ICRC office in Gaza, said: “Every hospital in the Gaza Strip is overcrowded and short on medical supplies, fuel, food and water.

“Many are housing thousands of displaced families. And now two more facilities risk being lost due to the fighting. The cumulative impact on the health system is devastating and urgent action must be taken.”

INNUMBERS

30,900 Palestinians killed in Gaza since Oct. 7, according to local health officials.

1.3% Proportion of Gaza’s prewar population of 2.3m killed in the conflict.

70,500 People registered as injured, although the true figure is likely far higher.

Just nine of Gaza’s 36 health facilities are still functioning, many only partially, and all at many times their intended capacity. The crowding is made worse by displaced families camped out on hospital grounds, believing they are safe there from the Israeli bombardment.

“The few remaining hospitals that are still functioning struggle on a daily basis with large numbers of casualties in addition to the pressure resulting from the thousands of families who are internally displaced at the hospitals,” said Mhanna.




Palestinians run for cover next to covered bodies after an Israeli airstrike near the Kamal Adwan hospital in Beit Lahia in the northern Gaza Strip on November 22, 2023. (AFP)

The displacement of some 85 percent of Gaza’s 2.3 million inhabitants to densely packed refugee camps has left the population — especially young children — vulnerable to waterborne diseases, placing further pressure on health services.

There are also the cases generated by the spread of disease during the war, added Mhanna.

“At certain points sewage was flooding into the hospitals. There is also no personal space, and people cannot afford to buy food,” he said.

“They would rather buy food than hygiene items and without hygiene items you create the perfect storm for a public health crisis filled with waterborne diseases like cholera, hepatitis, chicken pox and influenza, because it is also cold here.”

Then there are those suffering with chronic conditions such as heart disease, diabetes and cancer, who have been unable to access routine treatments and therapies since the onset of the crisis, not to mention those in need of physiotherapy and mental health support.




Children injured in an Israeli strike are rushed to the Al-Shifa hospital in Gaza City on October 15, 2023. (AFP)

Among the most vulnerable are pregnant women and newborns, who lack access to midwives, surgeons and incubators, as well as pain relief and antiseptics, making complications even more likely.

Critics say the vast destruction is evidence that Israel’s attacks are disproportionate and fail to limit civilian casualties. “Hospitals, intended to be safe havens … have frequently turned into death traps,” the Israeli watchdog Physicians for Human Rights said in a report published in February.

The Israeli government says its military does not target civilians or hospitals and blames Hamas for conducting military operations and launching rockets from crowded residential areas.

Israeli officials have also disputed claims of a mounting hunger crisis in Gaza. One official, recently cited by Bloomberg, said “there is not a shortage of food or water in the Gaza Strip at the moment,” and “it’s just not true that starvation is looming.”

Aid agencies say the limit on the amount of humanitarian relief permitted to enter Gaza by the Israeli military has caused widespread malnutrition, which doctors lack the resources to treat.

Despite repeated warnings by aid agencies about an impending famine, several Gazans have reportedly starved to death.




Aid agencies say the limit on the amount of humanitarian relief permitted to enter Gaza by the Israeli military has caused widespread malnutrition. (AFP)

In northern Gaza, where 300,000 people are thought to remain, around 16 percent of children under the age of two were acutely malnourished as of January, according to the UN. The organization has cited an “unprecedented” rate of decline in the nutritional status of Gazans.

Aid groups operating in Gaza say it has become almost impossible to deliver supplies due to inspections and procedural red tape put in place by the Israeli military, the ongoing fighting, and the complete breakdown of public order.

Even when aid is delivered, crowds of desperate Palestinians quickly overwhelm convoys before relief can be distributed and rationed to the neediest. Such crowds have resulted in crushes, causing further death and injury.

One such incident on Feb. 29, in which more than 100 Palestinians who rushed an aid convoy were killed — many apparently shot dead by Israeli forces — prompted the US to airdrop 38,000 meals into the enclave on March 2.




A man mourns at Al-Shifa hospital in Gaza City, over the bodies of Palestinians killed in an early morning incident when residents rushed toward aid trucks, on February 29, 2024. (AFP)

In a statement on Monday, State Department spokesperson Matthew Miller said the US was working to increase the delivery of humanitarian aid to civilians in Gaza “through as many channels as possible,” including more airdrops because “the situation is simply intolerable.”

“People are desperate for food and water,” said Miller. “Parents are facing impossible choices about how to feed their children. Many don’t know where the next meal will come from, or if it will come at all.”

Although the airdrops offer desperately needed relief, Mhanna said many of the parachuted crates landed in dangerous places where they were often mobbed by desperate crowds, causing accidents, injuries, and brawls.

“These airdrops are our last resort for aid supplies,” he said. “We have seen them land on the rooftops, in the streets. And when they do, people rush to get to the first one, at times fighting each other for the aid.

“This is what makes the ceasefire more urgently needed than ever. We need these safe spaces to access the aid.”




The UN said around 16 percent of children under the age of two in northern Gaza are acutely malnourished as of January. (AFP)

While a ceasefire would ease the burden of further injuries and the release of additional aid would allow medics to save more lives, the damage to Gaza’s health system will likely take years to repair.

Indeed, if the conflict were to end now, approximately 8,000 more people could still die over the next six months as a result of the public health crisis, according to a report by the London School of Hygiene and Tropical Medicine and Johns Hopkins Center for Humanitarian Health.

“Even if there is a ceasefire, the healthcare system and its workers will not be able to recover quickly,” said Mhanna. “Healthcare workers have been on their knees for months. I don’t see how they can respond to such great needs.”

 


How Israeli land grabs are redrawing the map of Palestine’s Jordan Valley

Updated 19 December 2025
Follow

How Israeli land grabs are redrawing the map of Palestine’s Jordan Valley

  • A major incursion in Tubas caused damage and displacement, but residents say a planned 22-km barrier poses bigger threat
  • Israel calls the “Scarlet Thread” wall a security measure; activists say it’s a land grab severing the Jordan Valley

LONDON: Israeli raids are not new to Tubas, a Palestinian governorate in the northern West Bank’s western Jordan Valley. But fears of de-facto annexation have intensified since November, after land confiscation orders were issued for a planned barrier dubbed the “Scarlet Thread.”

On Nov. 26, Israeli security forces, backed by a helicopter that reportedly opened fire, sealed off the governorate and raided Tubas City and nearby towns, including Tammun, Aqqaba, Tayasir and Wadi Al-Fara — home to more than 58,000 people.

The operation involved drones, aircraft, bulldozers and curfews, according to the UN Office for the Coordination of Humanitarian Affairs, OCHA.

At least 160 Palestinians were injured, OCHA said, while homes and infrastructure sustained extensive damage. The raids also displaced residents and disrupted essential services, including water supplies.

A man stands okn the ruins of a Palestinian building destroyed on the day of an Israeli raid in Tammoun, near Tubas, in the Israeli-occupied West Bank, on May 15, 2025. (REUTERS)

In Al-Fara refugee camp, OCHA noted, Israeli forces seized at least 10 residential buildings, forcing at least 20 families to flee, and detained and interrogated dozens of Palestinians before withdrawing.

The Palestinian Detainees’ Affairs Society said 29 young men were detained in the camp and later released, with the exception of one.

Israeli military and internal security officials described the operation as part of a broad “counterterrorism” campaign.

Locally, however, concerns have grown not only over the scale of the assault but also its timing, which coincided with new land confiscation orders in the Jordan Valley.

Ahmed Al-Asaad, the Tubas governor, said the Israeli military has issued nine land confiscation orders to carve out a 22-kilometer settlement road that would isolate large areas of the Jordan Valley and extend to within 12 kilometers of the Jordanian border.

Israeli soldiers take part in an operation in Tubas, in the Israeli-occupied West Bank, on November 26, 2025. (REUTERS/Mohamad Torokman)

Although the orders were signed in August, Al-Asaad told Arab News that Palestinian landowners were not notified until Nov. 21, nearly three months later, and were given insufficient time to appeal.

An Arabic-language notice obtained by Arab News via WhatsApp from Mutaz Bisharat, a Palestinian official overseeing Jordan Valley affairs in Tubas, stated that the Israeli military ordered the confiscation of Palestinian land “for military purposes.”

Signed by Avi Bluth, head of the Israeli military in the West Bank, on Aug. 28, the order took effect “on the date of its signing” and remains in force until Dec. 31, 2027.

It instructed those “in possession of the lands” to remove all equipment and vegetation within seven days. It also said objections could be filed within seven days of the notice’s publication date through Israeli liaison offices.

Al-Asaad said landowners were given “only one week” to file objections, noting that two days fell on a weekend, while four days coincided with curfews during the first raid and two more during a second large-scale incursion.

“As a result, residents were unable to prepare land ownership documents,” he said.

Opinion

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

Palestinian landowners were invited on Dec. 3 to tour the land earmarked for confiscation. The seven-day appeal window, Al-Asaad said, was counted from the day of that tour.

But on Dec. 1, Israeli forces launched another large-scale operation, a day after withdrawing from the nearby Tammun. The three-day raid imposed an open-ended curfew on Tubas City and surrounding towns, according to OCHA.

During the operation, forces blocked five main roads with earth mounds, three in Tubas City and two in Aqqaba, as well as several secondary roads, severely restricting movement for about 30,000 Palestinians.

At least eight residential buildings were converted into military posts, forcibly displacing at least 11 families, OCHA said in a Dec. 4 situation update.

OCHA has documented 1,680 settler attacks in the West Bank in 2025 alone. The developments in Tubas come amid a broader escalation since Oct. 7, 2023. (Reuters file)

The land earmarked for confiscation under the “Scarlet Thread” project covers about 1,160 dunams, 85 percent of which is privately owned by residents of Tubas and Tammun, The Times of Israel reported, citing an X post by Israeli civil rights activist Dror Etkes.

Dunam is a unit of land area equal to 1,000 square meters or 0.1 hectares.

The Israeli military told the newspaper that the project was introduced based on a “clear military need” to prevent arms smuggling and “terror attacks.”

Etkes rejected that justification, saying the real aim was to “ethnically cleanse” the land between the proposed barrier and what Israel calls the Allon Road to the east, an area of about 45,000 dunams, with residents ultimately forced out.

On Dec. 1, the Israeli newspaper Haaretz reported that the army was preparing to build a new separation wall deep inside the occupied West Bank, in the heart of the Jordan Valley. The wall would stretch 22 kilometers and span 50 meters in width, cutting Palestinians off from tens of thousands of dunams of land.

According to the report, the project would require demolishing homes, agricultural buildings, wells, water lines and trees along the route.

It would also encircle the herding community of Khirbet Yarza, isolating about 70 residents who depend on several thousand sheep for their livelihood, and separate agricultural and pastoral communities from their lands, similar to what the separation barrier in the western West Bank has done.

An Israeli heavy machinery demolishes a building, during an Israeli raid in Tammoun, near Tubas, in the Israeli-occupied West Bank, May 15, 2025. (REUTERS/Raneen Sawafta0

Palestinians say the plan, if implemented, amounts to annexation of the northern West Bank.

“New notices have been issued, pursuant to the military orders, for the seizure of citizens’ lands in the areas of Tubas and Tammun, for the purpose of removing homes and agricultural projects, including greenhouses, sheds, and sheep pens,” Bisharat told Arab News.

He said authorities also ordered the removal of a 5-kilometer water pipeline.

“This decision will effectively end the Palestinian presence and agriculture on more than 22,000 dunams of cultivated land and lead to the displacement of more than 60 families,” he added.

While the Israeli military says the land is being seized for a road and barrier, Bisharat argues the true objective is annexation.

“These notices are issued under the pretext of opening a road and constructing the separation wall in Buqeia and the Jordan Valley,” he said. “But through these notices, the (Israeli) occupation is waging a war against the Palestinian presence in all residential communities, and against all farmers and agricultural projects.”

An Israeli settler gestures as he argues with a Palestinian farmer (not pictured), during olive harvesting in Silwad, near Ramallah, in the Israeli-occupied West Bank, October 29, 2025. (REUTERS/Mohammed Torokman)

He added that Israel’s plan involves a “50-meter-wide corridor, along with a wall, gates and an earthen trench,” measures he described as “a new border demarcation” that would separate the Jordan Valley from the rest of the governorate.

“This is an annexation process,” he said. “As a result, we will be left without borders, without water, and without Palestine’s food basket, and will lose approximately 190,000 dunams of land.”

Al-Asaad echoed those warnings, saying Israel’s plans amount to de-facto annexation.

“The new settlement plan, under which the occupation forces intend to establish an apartheid separation wall, will separate the Jordan Valley from Tubas governorate and confiscate areas estimated at hundreds of thousands of dunams,” he said. “This constitutes a plan to annex the Jordan Valley.”

He warned the project would inflict severe political, economic and agricultural losses, undermine prospects for a Palestinian state and isolate Tubas from its eastern border with Jordan under 12 km of Israeli control.

By Dec. 12, around 1,000 dunams of Palestinian land have been reportedly confiscated. The UN Human Rights Office described Israel’s military road project as “another step towards the progressive fragmentation of the West Bank.”

“This is the most fertile land in the West Bank and the road is likely going to separate Palestinian communities from each other and the Palestinian farmers in Tubas from … land they own on the other side of the planned barrier,” said Ajith Sunghay, head of the OHCHR’s office in the Occupied Palestinian Territory.

A woman reacts at her house after the belongings were vandalised during the arrest of a young man during an Israeli raid, at the Al-Faraa refugee camp near Tubas, in the Israeli-occupied West Bank, October 1, 2025. (REUTERS/Raneen Sawafta)

Immediately after the seizure orders were issued, Al-Asaad said, local authorities submitted an initial objection through the Northern Jordan Valley file and the Colonization and Wall Resistance Commission, collected powers of attorney and land deeds, and coordinated with land departments to document ownership.

“We continue to work on submitting objections through attorney Tawfiq Jabarin,” he added, reiterating that curfews and military operations severely limited their ability to complete the legal file.

Etkes, however, dismissed the objection process as meaningless, saying Israel’s judiciary would reject the appeals.

Still, Tubas residents say they will continue to resist. Al-Asaad said officials plan to internationalize the issue, urging the Palestinian Foreign Ministry to organize tours for diplomats and raise the case in international forums.

“We will mobilize local and international media to expose the danger of a plan that would seize half the governorate’s land and destroy the two-state solution,” he said.

IN NUMBERS:

188 Palestinians killed in occupation-related violence in the West Bank since January 2025.

45 Children accounted for nearly a quarter of the above-mentioned victims.

(Source: UNRWA)

Jabarin, a Palestinian lawyer and human rights activist representing landowners, submitted an initial objection in late November, according to the Al-Quds Al-Arabi newspaper.

He argued that Jordan already shares a secure border with the Jordan Valley and that an internal wall would not prevent arms smuggling.

He said Palestinian communities are the ones who need protection from repeated settler attacks.

Children react, on the day of an Israeli raid in Tammoun, near Tubas, in the Israeli-occupied West Bank, May 15, 2025. (REUTERS/Raneen Sawafta)

The developments in Tubas come amid a broader West Bank escalation following the Hamas-led Oct. 7, 2023, attack on southern Israel from Gaza and the devastating Israeli military retaliation.

Israel has sharply restricted movement, erecting new checkpoints and sealing off communities.

Since January, Israeli forces have intensified operations, killing dozens and displacing tens of thousands. The campaign began in Jenin refugee camp on Jan. 21, dubbed “Operation Iron Wall,” and expanded to Tulkarem and Nur Shams, displacing at least 32,000 people in January and February alone, according to UN figures.

Human Rights Watch said on Nov. 20 that Israel’s forced expulsions in West Bank refugee camps amount to war crimes and crimes against humanity — allegations Israel denies.

A Palestinian, Yahya Dalal, 32, inspects cars burnt in an attack by Israeli settlers, in Huwara in the Israeli-occupied West Bank, November 21, 2025. (REUTERS/Ammar Awad)

The UN says large-scale operations in Jenin and Tubas governorates affected more than 95,000 Palestinians between Nov. 25 and Dec. 1.

All of this has unfolded alongside accelerated settlement expansion and rising settler violence.

So far this year, OCHA has documented 1,680 settler attacks across more than 270 communities — an average of five per day — with the olive harvest season marked by widespread assaults on farmers, trees, and agricultural infrastructure.

In a landmark decision in July 2024, the International Court of Justice ruled that Israel’s occupation of the Palestinian territories is unlawful.

The Court also ruled that Israel must “immediately and completely cease all new settlement activities, evacuate all settlers, stop the forcible transfer of the Palestinian population, and prevent and punish attacks by its security forces and settlers.”

UN experts in 2025 referred to this advisory opinion to criticize ongoing settlement expansions and military operations as violations of international law.