Thousands of frozen Gaza IVF embryos destroyed by Israeli strike

Palestinians ride bicycles past Al Basma IVF Centre, Gaza’s largest fertility clinic which was struck by an Israeli shell during the ongoing conflict. (Reuters)
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Updated 18 April 2024
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Thousands of frozen Gaza IVF embryos destroyed by Israeli strike

GAZA: When an Israeli shell struck Gaza’s largest fertility clinic in December, the explosion blasted the lids off five liquid nitrogen tanks stored in a corner of the embryology unit.

As the ultra-cold liquid evaporated, the temperature inside the tanks rose, destroying more than 4,000 embryos plus 1,000 more specimens of sperm and unfertilized eggs stored at Gaza City’s Al Basma IVF Center.

The impact of that single explosion was far-reaching — an example of the unseen toll Israel’s six-and-a-half-month-old assault has had on the 2.3 million people of Gaza.

The embryos in those tanks were the last hope for hundreds of Palestinian couples facing infertility.

“We know deeply what these 5,000 lives, or potential lives, meant for the parents, either for the future or for the past,” said Bahaeldeen Ghalayini, 73, the Cambridge-trained obstetrician and gynecologist who established the clinic in 1997.

At least half of the couples — those who can no longer produce sperm or eggs to make viable embryos — will not have another chance to get pregnant, he said.

“My heart is divided into a million pieces,” he said.

Asked on Wednesday about the incident, the Israeli military’s press desk said it was looking into the reports. Israel denies intentionally targeting civilian infrastructure and has accused Hamas fighters of operating from medical facilities, which Hamas denies.

Three years of fertility treatment was a psychological roller coaster for Seba Jaafarawi. The retrieval of eggs from her ovaries was painful, the hormone injections had strong side-effects and the sadness when two attempted pregnancies failed seemed unbearable.

Jaafarawi, 32, and her husband could not get pregnant naturally and turned to in vitro fertilization, which is widely available in Gaza.

Large families are common in the enclave, where nearly half the population is under 18 and the fertility rate is high at 3.38 births per woman, according to the Palestinian Bureau of Statistics. Britain’s fertility rate is 1.63 births per woman.

Despite Gaza’s poverty, couples facing infertility pursue IVF, some selling TVs and jewelry to pay the fees, Al Ghalayini said.

At least nine clinics in Gaza performed IVF, where eggs are collected from a woman’s ovaries and fertilized by sperm in a lab. The fertilized eggs, called embryos, are often frozen until the optimal time for transfer to a woman’s uterus. Most frozen embryos in Gaza were stored at the Al Basma center.

In September, Jaafarawi became pregnant, her first successful IVF attempt.

“I did not even have time to celebrate the news,” she said.

Two days before her first scheduled ultrasound scan, Hamas launched the Oct. 7 attack on Israel, killing 1,200 people and taking 253 hostages, according to Israeli tallies.

Israel vowed to destroy Hamas and launched an all-out assault that has since killed more than 33,000 Palestinians, according to Gaza health authorities.

Jaafarawi worried: “How would I complete my pregnancy? What would happen to me and what would happen to the ones inside my womb?“

Her ultrasound never happened and Ghalayini closed his clinic, where an additional five of Jaafarawi’s embryos were stored.

As the Israeli attacks intensified, Mohammed Ajjour, Al Basma’s chief embryologist, started to worry about liquid nitrogen levels in the five specimen tanks. Top ups were needed every month or so to keep the temperature below -180C in each tank, which operate independent of electricity.

After the war began, Ajjour managed to procure one delivery of liquid nitrogen, but Israel cut electricity and fuel to Gaza, and most suppliers closed.

At the end of October, Israeli tanks rolled into Gaza and soldiers closed in on the streets around the IVF center. It became too dangerous for Ajjour to check the tanks.

Jaafarawi knew she should rest to keep her fragile pregnancy safe, but hazards were everywhere: she climbed six flights of stairs to her apartment because the elevator stopped working; A bomb leveled the building next door and blasted out windows in her flat; food and water became scarce.

Instead of resting, she worried.

“I got very scared and there were signs that I would lose (the pregnancy),” she said.

Jaafarawi bled a little bit after she and her husband left home and moved south to Khan Younis. The bleeding subsided, but her fear did not.

They crossed into Egypt on Nov. 12 and in Cairo, her first ultrasound showed she was pregnant with twins and they were alive.

But after a few days, she experienced painful cramps, bleeding and a sudden shift in her belly. She made it to hospital, but the miscarriage had already begun.

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

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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.
 

 


Gaza mediators, Israel spy chief to meet in Rome: Egypt media

Updated 27 July 2024
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Gaza mediators, Israel spy chief to meet in Rome: Egypt media

  • Cairo would also like to see a “complete (Israeli) withdrawal from the Rafah crossing” connecting Gaza to Egypt, the official added

CAIRO: Egyptian, Qatari and US mediators are to meet with Israeli negotiators in the Italian capital Sunday in the latest push for a Gaza truce, Egyptian state-linked media said.
“A four-way meeting between Egyptian officials and their American and Qatari counterparts, in the presence of Israel’s intelligence chief, will be held in Rome on Sunday to reach an agreement on a truce in Gaza,” Al-Qahera news, which has links to Egyptian intelligence, reported on Friday, citing a “senior official” who was not identified.
Egypt, along with Qatar and the United States, has been involved in months of mediation efforts aimed at ending the Israel-Hamas war raging in the Gaza Strip for more than nine months.
The proposed truce deal would be linked to the release of hostages held by Gaza militants in exchange for Palestinian prisoners held in Israel.
US news outlet Axios separately reported that CIA Director Bill Burns is expected to hold talks on the issue in Rome on Sunday with Israeli, Qatari and Egyptian officials.
The official quoted by Al-Qahera News said Egypt insists on “an immediate ceasefire” as part of the agreement, which should also “ensure the entry of humanitarian aid into Gaza” and “safeguard the freedom of movement” of civilians in the Palestinian territory.
Cairo would also like to see a “complete (Israeli) withdrawal from the Rafah crossing” connecting Gaza to Egypt, the official added.
Recent mediation efforts have focused on a framework which US President Joe Biden presented in late May, billing it an Israeli proposal.
On Thursday, Israeli Prime Minister Benjamin Netanyahu addressed Congress, pleading for continued US support, before meeting with Biden and Vice President Kamala Harris.
Harris, the presumptive Democratic nominee in the US presidential election later this year, said after the meeting she would not be “silent” on the suffering in Gaza and that it was time to end the “devastating” conflict.
The Gaza war began after Hamas’s 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 launched a retaliatory campaign against Gaza rulers Hamas, killing at least 39,175 people in the territory, according to its health ministry, which does not give details of civilian and militant deaths.
 

 


Desperate for shelter, Gazans move to former prison

Updated 26 July 2024
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Desperate for shelter, Gazans move to former prison

  • Israel has killed 39,000 Palestinians according to health officials in Gaza

GAZA: After weeks of Israeli bombardment left them with nowhere else to go, hundreds of Palestinians have ended up in a former Gaza prison built to hold murderers and thieves.
Yasmeen Al-Dardasi said she and her family passed wounded people they were unable to help as they evacuated from a district in the southern city of Khan Younis toward its Central Correction and Rehabilitation Facility.
They spent a day under a tree before moving to the former prison, where they now live in a prayer room. It offers protection from the blistering sun but not much else.
Al-Dardasi’s husband has a damaged kidney and just one lung but no mattress or blanket.
“We are not settled here either,” said Al-Dardasi, who, like many Palestinians, fears she will be uprooted once again.
Israel has said it goes out of its way to protect civilians.
Palestinians, many of whom have been displaced several times, say nowhere is free of Israeli bombardment, which has reduced much of Gaza to rubble.
An Israeli airstrike killed at least 90 Palestinians in a designated humanitarian zone in the Al-Mawasi area on July 13, the territory’s Health Ministry said, in an attack that Israel said targeted Hamas’ elusive military chief, Mohammed Deif.
On Thursday, Gaza’s Health Ministry said Israeli military strikes on areas in eastern Khan Younis had killed 14 people.
Entire neighborhoods have been flattened in one of the most densely populated places in the world, where poverty and unemployment have long been widespread.
According to the UN, nine in ten people across Gaza are now internally displaced.
Israeli soldiers told Saria Abu Mustafa and her family that they should flee for safety as tanks were on their way, she said. The family had no time to change and left in prayer clothes.
After sleeping outside on sandy ground, they, too, found refuge in the prison, among piles of rubble and gaping holes in buildings from the battles that were fought there. Inmates had been released long before Israel attacked.
“We didn’t take anything with us. We came here on foot, with children walking with us,” she said, adding that many women had five or six children and that water was hard to find.
She held her niece, who was born during the conflict, which killed her father and brothers.
More than 39,000 Palestinians have been killed in Israel’s air and ground offensive since Oct. 7, Palestinian health officials say.
Hana Al-Sayed Abu Mustafa arrived at the prison after being displaced six times.
If Egyptian, US and Qatari mediators fail to secure a ceasefire they have long said is close, she and other Palestinians may be on the move once again.
“Where should we go? All the places that we go to are dangerous,” she said.