How women and girls in war-torn Gaza are coping with water, sanitation and hygiene collapse

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With no end to the Israel-Hamas conflict in sight, more than a million displaced women and girls in Gaza have to endure daily challenges in increasingly dire conditions. (AFP files)
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With no end to the Israel-Hamas conflict in sight, more than a million displaced women and girls in Gaza have to endure daily challenges in increasingly dire conditions. (AFP files)
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Updated 19 May 2024
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How women and girls in war-torn Gaza are coping with water, sanitation and hygiene collapse

  • UN Women has described ongoing Israel offensive as a “war on women” with at least 10,000 female deaths since last October
  • Deprived of access to adequate services, more than 1 million women and girls face daily challenges and serious health risks

LONDON: Deprived of adequate access to water, sanitation, and hygiene services, Palestinian women and girls in Gaza are bearing the brunt of the prolonged and deepening humanitarian emergency caused Israel’s ongoing military offensive.

With no resolution to the conflict between Israel and Hamas in sight, more than a million displaced women and girls in the embattled Palestinian enclave continue to endure daily challenges in increasingly dire conditions.

UN Women has described the Israeli military operation in Gaza, which began in the wake of the Oct. 7 Hamas-led attack on southern Israel, as a “war on women,” with at least 10,000 killed since the start of the conflict — among them more than 6,000 mothers.

Those figures, published in April, are now likely far higher as Israel expands its operation and bombing raids into eastern Rafah — Gaza’s southernmost city, now home to some 1.4 million displaced Palestinians.

According to UN figures, this latest operation has forced an estimated 150,000 Palestinians to flee central and northern Rafah.

While the biggest risk to women and girls in Gaza is injury or death under Israeli bombardment, “the unhygienic conditions and lack of water in Gaza are also having a very negative impact on women and girls’ health and dignity,” Fikr Shalltoot, the Gaza programs director at Medical Aid for Palestinians, told Arab News.

Israel denies deliberately targeting civilian infrastructure, accusing Hamas of using residential areas for cover.

As summer approaches, soaring temperatures worsen the spread of communicable diseases caused by a lack of hygiene facilities, water, and access to proper food. The heat itself is also a significant danger to children and the elderly.




A Palestinian woman holding her children reacts outside a hospital where casualties are brought following Israeli bombardment in Bureij, central Gaza Strip, on April 8, 2024. (AFP)

“During a recent heatwave, a 5-year-old girl tragically died in her tent due to extreme heat,” Shalltoot said.

Analysis of satellite imagery by BBC Verify found that the Israeli operation in Gaza has damaged or destroyed more than half (53 percent) of the territory’s vital water and sanitation facilities.

The analysis, based on images acquired in March and April, also confirmed that four of the six wastewater treatment plants in Gaza have been damaged or destroyed. These facilities were critical to preventing sewage buildup.

Fidaa Al-Araj, Oxfam’s food security, cash, and protection coordinator in Gaza, said the water, sanitation, and hygiene situation facing women and girls in the enclave was “challenging,” leaving them unable to access clean toilets or private shower spaces.




A woman reacts upon seeing the body of a relative killed in Israeli bombing in Rafah in the southern Gaza Strip on April 20, 2024. (AFP)

“Having been displaced into camps or even in a host community, the numbers of people, of internally displaced persons, are very, very high,” Al-Araj told Arab News. “So, there is (overcrowding), there are many difficulties in having access to toilets, bathrooms, showers.”

She added: “Even if you have the facilities, and even if by any stretch they are enough for the IDPs residing in any given space, there is the issue of lack of running water to supply those facilities and to have them up and running all the time.




Displaced Palestinian women roll dough at their pizza making project at a makeshift shelter in Deir el-Balah in the central Gaza Strip on May 18, 2024. Lack of water has made the work much difficult.  (AFP)

“So, the hygiene conditions are very compromised, to say the least. When it comes to women and girls, there are issues of privacy, which is completely lacking.”

Where washrooms are present, people have “to wait in line with all sorts of people, even strangers, men and women, just to use the toilet. You have people banging on the door of the toilet while you’re in there, asking you to hurry up because the line is still very long.”

INNUMBERS

• 700,000 Women and girls now hosted in Rafah who have nowhere else to go. 

• 93% Women surveyed who feel unsafe in their own homes or in displacement.

• 6/10 Women who reported complications in pregnancy since Oct. 7.

Source: UN Women

This also makes management of menstruation especially challenging, as women and girls “endure longer hours without changing a pad, without washing,” Al-Araj added.

According to UN figures, there are more than 690,000 menstruating women and adolescent girls in the Gaza Strip. But aid agencies, which have had very limited access to the enclave due to the Israeli blockade, have been unable to meet the high demand for hygiene kits.




A girl ponders over what the future holds for her as she stands between barbed-wire patches at a camp housing displaced Palestinians in Rafah in the southern Gaza Strip on April 30, 2024. (AFP)

And since Israel took control of the Palestinian side of the Rafah border crossing on May 7 and closed the nearby Kerem Shalom crossing, the already limited flow of commercial goods and humanitarian aid has been further strangulated.

MAP’s Shalltoot confirmed that women’s sanitary products were “scarce in the local market,” highlighting that this has had “a psychological and physical health impact on women and girls.”

She said: “They resort to homemade, makeshift alternatives, which negatively impact their health by putting them at risk of reproductive and urinary tract infections and protection-related risks.

“This also negatively impacts their psychological well-being, anxiety and insecurity.”

Even the simple act of taking a shower has been almost impossible for women in Gaza for several months.




A woman gives a baby a bath inside a tent at a camp for displaced Palestinians in Rafah in the southern Gaza Strip on January 18, 2024. (AfP)

“It’s very difficult to find a spot designated to take showers, and if it’s there, it’s very difficult to have water,” Oxfam’s Al-Araj said. “And if the water is there, it’s very difficult to find time to take an adequate shower.”

She added: “As a woman and as a mother of girls, I’ve been through all of this. To overcome these circumstances, you space out the shower times, so you take a shower when it’s absolutely needed.

“Sometimes you could spend a couple of weeks or even more without taking a shower.”

The aid agency Medecins Sans Frontieres told the BBC that the destruction of water, sanitation and hygiene facilities has led to “disastrous health consequences for the population,” notably a significant rise in gastric complaints in Rafah.




A Palestinian woman brushes a girl's hair outside a tent at a refugee camp in Khan Yunis in the southern Gaza Strip on May 9, 2024. (AFP)

Contaminated water has also led to a spike in hepatitis A cases, with women and girls facing a heightened risk of exposure to the disease due to their traditional domestic responsibilities and caring for the sick, according to UN Women’s April gender alert report.

The report, titled “Scarcity and Fear,” highlighted that the lack of adequate and dignified facilities also exposes women and girls to reproductive and urinary tract infections.

“This situation could develop into dangerous or concerning health conditions for the women and girls, and I’m really sorry to say that it’s not given priority,” said Al-Araj.

“The heightening demand on the time, resources, and capacity of the medical facilities and staff makes prioritizing women’s issues or girls’ issues very difficult.”

Moreover, there are no quick fixes. Even if sufficient aid is permitted to enter Gaza, facilities need to be carefully planned in order to meet the necessary standards of privacy, cleanliness, and safety.




A Palestinian girl carries a toddler as people flee Rafah in the southern Gaza Strip to a safer location on May 11, 2024, Israeli strikes. (AFP)

“It’s not enough to build a shower or a toilet,” said Al-Araj. “It’s not enough to provide it with water and that’s it. You have to think of the site … Is it safe for women and girls, is it accessible at all times … is it targeted maybe by different threats?

“You also have to think about the supplies. You don’t give a hygiene kit or a dignity kit once, for example, and that’s it, your work is done. You need to regularly provide those kinds of kits.”

Al-Araj also emphasized the need for “complementary services,” including extending responses “to enhancing access to sexual and reproductive health care system.

“I can only wish that the aftereffects of all of this wouldn’t linger for long or have irreversible results.”


 


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.