As Gaza’s doctors struggle to save lives, many lose their own in Israeli airstrikes

As Gaza’s doctors struggle to save lives, many lose their own in Israeli airstrikes
Dr. Adam Hamawy, left, a former US Army combat plastic surgeon, and Dr. Mohammed Tahir, a British surgeon, perform surgery on mangled hand from a blast injury at the European General Hospital, in Khan Younis, Gaza. (Adam Hamawy via AP)
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Updated 17 July 2024
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As Gaza’s doctors struggle to save lives, many lose their own in Israeli airstrikes

As Gaza’s doctors struggle to save lives, many lose their own in Israeli airstrikes
  • Israel’s 9-month-old war with Hamas in Gaza has decimated the territory’s medical system
  • One of Gaza’s most prominent fertility doctors, Omar Ferwana, was killed along with his family in a strike on his home in October

BEIRUT: Dr. Hassan Hamdan was one of the few trained plastic surgeons in Gaza, a specialist in wound reconstruction. His skills were vitally needed as Israel’s military onslaught filled hospitals with patients torn by blasts and shrapnel, so the 65-year-old came out of retirement to help.
Earlier this month, an Israeli airstrike killed him along with his wife, son, two daughters, a daughter-in-law, a son-in-law, six grandchildren and one other person, as his family sheltered in their home in an Israeli-declared “safe zone.”
Israel’s 9-month-old war with Hamas in Gaza has decimated the territory’s medical system. It has not only wreaked physical destruction on hospitals and health facilities, it has devastated Gaza’s medical personnel. More than 500 health care workers have been killed since October, according to the UN.
Among them were many specialists like Hamdan.
Dr. Ahmed Al-Maqadma, also a reconstructive surgeon and a former fellow at UK Royal College, was found shot to death alongside his mother, a general practitioner, on a street outside Gaza City’s Shifa hospital after a two-week raid on the facility by Israeli forces in April.
One of Gaza’s most prominent fertility doctors, Omar Ferwana, was killed along with his family in a strike on his home in October. The territory’s only liver transplant doctor, Hamam Alloh, was killed in a hit on his home in Gaza City.
Israeli strikes in November on a northern Gaza hospital killed two doctors working with Doctors Without Borders. They are among six staffers killed from the international charity, which focuses on reconstructive and orthopedic surgeries, physiotherapy and burn care in Gaza.
Israel has detained doctors and medical staff. At least two have died in Israeli detention, allegedly of ill-treatment: the head of Shifa’s orthopedics department, Adnan Al-Bursh, and the head of a women’s hospital, Iyad Al-Rantisi. Israel has not returned either man’s body. Hundreds of other medical workers have been displaced or left Gaza altogether.
Along with the personal toll, their deaths rob Gaza’s medical system of their skills when they have become crucial.
Since the Hamas attack against Israel on Oct. 7 — which left some 1,200 people dead and 250 kidnapped — Israel’s campaign has killed more than 38,000 people in Gaza and wounded more than 88,000, according to local health officials. Malnutrition and disease have become widespread as hundreds of thousands of Palestinians cram into squalid tent camps.
Dr. Adam Hamawy, a former US Army combat plastic surgeon who volunteered in Gaza in May, said Hamdan’s death “leaves a significant void that will be hard to fill.”
Like many in Gaza, he believes Israel is deliberately destroying the health system, pointing to how Israeli forces have raided hospitals, destroyed medical complexes, fired on medical convoys and hit ambulances. Israel says it is targeting Hamas, which it says uses hospitals as command centers and ambulances for transport. The military has provided limited evidence for its claims.
Twenty-three of Gaza’s 36 hospitals are out of service, and the rest are only partially functioning, according to the latest UN figures. Only five field hospitals out of nine are operational. And more than 60 percent of Gaza’s primary health facilities have shut down.
Hamdan’s death leaves only one other specialist in reconstructive plastic surgery in Gaza. Other doctors have had to learn the skills of repairing major wounds on the job amid relentless daily waves of maimed patients.
Hamawy saw firsthand the need during his work in Gaza as part of an international medical team that came to help the territory’s health workers.
During three weeks at the European General Hospital in Khan Younis, he said he performed 120 surgeries, more than half of them on children, and all but one of them for treatment and reconstruction of war wounds. Two colleagues at the hospital were killed in strikes on their homes while he was there, and he spoke to doctors who had been released from Israeli detention and described being tortured, he said.
Hamawy said a general surgeon at the hospital stepped in to fill the demand for plastic surgeons, but he had no formal training. Five medical students volunteered with him.
They “are doing their best to fill in the gap,” Hamawy said.
On July 2, the European General Hospital evacuated its staff and patients, fearing it would be attacked. That left Al-Aqsa Martyrs Hospital in Deir Al-Balah and a field hospital in Rafah as the only facilities able to offer reconstructive surgery, said Dr. Ahmed Al-Mokhallalati, Gaza’s last reconstructive plastic surgery specialist.
Al-Mokhallalati said he has been rushing between hospitals, at one point overseeing treatment for 400 patients in one and 500 in another. At the Rafah field hospital, he was doing up to 10 surgeries a day.
“It is a very critical situation,” he said.
Hamdan founded the burns and plastic surgery department in Khan Younis’ Nasser Medical complex in 2002, after serving at the territory’s first such unit, at Shifa hospital. He headed the department at Nasser until 2019, when he retired.
When the Israeli army invaded Hamdan’s home city of Khan Younis in December, he returned as a volunteer at Nasser, Gaza’s second largest hospital, said his son Osama Hamdan, an orthopedic surgeon. His colleagues said he was cool under pressure. “The smile never left his face,” said Dr. Mohamad Awad, a surgeon who worked with him.
Soon after, Israeli forces besieged and raided Nasser Hospital, forcing its evacuation. Hamdan was displaced, taking shelter in the home of one of his daughters in Deir Al-Balah, further north.
Troops occupied Nasser hospital for weeks, wreaking extensive damage. After they withdrew, the facility was rehabilitated. In mid-June, Hamdan returned home and was discussing returning to work with hospital officials.
On July 2, Israel ordered another evacuation of Khan Younis. Hamdan and his family fled again, returning to his daughter’s home in Deir Al-Balah.
Only hours after they arrived, an airstrike hit the building on July 3 – “a direct hit with two rockets on my sister’s apartment,” Osama Hamdan said. He said no one in the family was affiliated with militant groups.
The Israeli military did not respond to requests for comment on the strike.
Osama was on duty in the emergency room at Nasser hospital when he received the call. His wife and two sons – 3 and 5 years old – were among those killed.
“I was only able to collect some body parts of my kids and their mother because of how huge the explosion was,” he said.
One of his sisters died days later in the hospital from her wounds. Another sister remains in intensive care.
Osama is feeling partially responsible. “I had pressed him to leave Khan Younis,” he said in a text message, marked with two broken hearts emojis.


France’s Macron arrives in Beirut to meet Lebanon’s new leaders

France’s Macron arrives in Beirut to meet Lebanon’s new leaders
Updated 13 sec ago
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France’s Macron arrives in Beirut to meet Lebanon’s new leaders

France’s Macron arrives in Beirut to meet Lebanon’s new leaders
  • French president’s plane landed at the Lebanese capital’s airport at around 6:45 a.m.
BEIRUT: French President Emmanuel Macron arrived in Beirut Friday morning to meet new Lebanese President Joseph Aoun and Prime Minister-designate Nawaf Salam, an AFP journalist saw.
Macron’s plane landed at the Lebanese capital’s airport at around 6:45 a.m. (04:45 GMT).

Israeli cabinet to meet on ceasefire after Netanyahu says hostage deal finalized

Israeli cabinet to meet on ceasefire after Netanyahu says hostage deal finalized
Updated 4 min 47 sec ago
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Israeli cabinet to meet on ceasefire after Netanyahu says hostage deal finalized

Israeli cabinet to meet on ceasefire after Netanyahu says hostage deal finalized
  • If approved by Israel’s cabinet, the ceasefire agreement would take effect Sunday
  • Deal involves the exchange of Israeli hostages for Palestinian prisoners

JERUSALEM: Israel’s security cabinet was set to meet Friday after final details of a Gaza ceasefire and hostage release deal were ironed out, Prime Minister Benjamin Netanyahu’s office said, with the United States “confident” the truce would begin as planned this weekend.

If approved by Israel’s cabinet, the ceasefire agreement would take effect Sunday and involve the exchange of Israeli hostages for Palestinian prisoners, after which the terms of a permanent end to the war would be finalized.

Away from the diplomacy, Israeli strikes killed dozens of people, Gaza rescuers said Thursday, while Israel’s military reported hitting about 50 targets across the territory over the past day.

Netanyahu’s office had accused Hamas on Thursday of reneging on key parts of the agreement to extort last-minute concessions – an allegation Hamas denied.

His office said early Friday a “deal to release the hostages” had been reached and he had ordered the political-security cabinet to meet later in the day.

“The government will then convene to approve the deal,” it added.

At least two cabinet members have voiced opposition to the ceasefire, with far-right National Security Minister Itamar Ben Gvir saying that he and his party colleagues would quit the government – but not the ruling coalition – if it approved the “irresponsible” deal.

Far-right Finance Minister Bezalel Smotrich also opposes the truce, calling it a “dangerous deal.”

But US Secretary of State Antony Blinken, who has been involved in months of mediation efforts, said Thursday he believed the ceasefire would go ahead on schedule.

“I am confident, and I fully expect that implementation will begin, as we said, on Sunday,” he said.

Gaza’s civil defense agency said Israel pounded several areas of the territory after the deal was announced on Wednesday, killing at least 80 people and wounding hundreds since then.

Hamas’s armed wing, the Ezzedine Al-Qassam Brigades, warned that Israeli strikes were risking the lives of hostages due to be freed under the deal, and could turn their “freedom... into a tragedy.”

The war was triggered by the October 7, 2023 Hamas attack on Israel, which resulted in the deaths of 1,210 people, mostly civilians, according to an AFP tally of official Israeli figures.

During the attack, the deadliest in Israeli history, Palestinian militants also took 251 people hostage, 94 of whom are still being held in Gaza, including 34 the Israeli military says are dead.

Israel’s ensuing campaign has destroyed much of Gaza, killing 46,788 people, most of them civilians, according to figures from the Hamas-run territory’s health ministry that the UN considers reliable.

The ceasefire agreement followed intensified efforts from mediators Qatar, Egypt and the United States, after months of fruitless negotiations to end the deadliest war in Gaza’s history.

If finalized, it would pause hostilities one day before the inauguration of US President-elect Donald Trump, who claimed credit for the agreement.

“If we weren’t involved in this deal, the deal would’ve never happened,” Trump said in an interview Thursday.

Envoys from both the Trump team and the outgoing administration of President Joe Biden were present at the latest negotiations, with a senior Biden official saying the unlikely pairing had been a decisive factor in reaching the deal.

In Israel and Gaza, there were celebrations welcoming the truce deal, but also anguish.

Saeed Alloush, who lives in north Gaza, said he and his loved ones were “waiting for the truce and were happy,” until overnight strikes killed many of his relatives.

“It was the happiest night since October 7” until “we received the news of the martyrdom of 40 people from the Alloush family,” he said.

In Tel Aviv, pensioner Simon Patya said he felt “great joy” that some hostages would return alive, but also “great sorrow for those who are returning in bags, and that will be a very strong blow, morally.”

Qatari Prime Minister Sheikh Mohammed bin Abdulrahman bin Jassim Al-Thani, announcing the agreement on Wednesday, said an initial 42-day ceasefire would see 33 hostages released, including women, “children, elderly people, as well as civilian ill people and wounded.”

Also in the first phase, Israeli forces would withdraw from Gaza’s densely populated areas and allow displaced Palestinians to return “to their residences,” he said.

Biden said the second phase of the agreement could bring a “permanent end to the war.”

He added the deal would “surge much needed humanitarian assistance to Palestinian civilians, and reunite the hostages with their families.”

Egyptian President Abdel Fattah El-Sisi also underscored the “importance of accelerating the entry of urgent humanitarian aid” into Gaza.

Cairo said it was ready to host an international conference on reconstruction in Gaza, where the United Nations has said it would take more than a decade to rebuild civilian infrastructure.

In a statement Thursday, G7 leaders called the ceasefire deal “a significant development” and urged Israel and Hamas to work on its “full implementation.”

The World Health Organization’s representative in the Palestinian territories, Rik Peeperkorn, said Thursday that at least $10 billion would probably be needed over the next five to seven years to rebuild Gaza’s devastated health system alone.

The UN Palestinian refugee agency UNRWA, facing an Israeli ban on its activities set to start later this month, welcomed the ceasefire deal.

“What’s needed is rapid, unhindered and uninterrupted humanitarian access and supplies to respond to the tremendous suffering caused by this war,” UNRWA head Philippe Lazzarini wrote on X.


Netanyahu says deal to return hostages from Gaza reached

Netanyahu says deal to return hostages from Gaza reached
Updated 24 min 31 sec ago
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Netanyahu says deal to return hostages from Gaza reached

Netanyahu says deal to return hostages from Gaza reached
  • Israeli PM said he will convene his security cabinet on Friday, then the government will approve the ceasefire agreement
  • Meanwhile, Israeli strikes across the Gaza Strip have killed at least 72 people since the ceasefire deal was announced

Israeli Prime Minister Benjamin Netanyahu said Friday that a deal to return hostages held in the Gaza Strip has been reached. The announcement early came a day after Netanyahu’s office said there were last minute snags in talks to free hostages in return for a ceasefire in Gaza and the release of Palestinian prisoners.
Netanyahu said he will convene his security Cabinet on Friday and then the government to approve the ceasefire agreement.
On Thursday, Netanyahu's office said the Cabinet won’t meet to approve the agreement for a ceasefire in Gaza and the release of dozens of hostages until Hamas backs down, accusing the group of reneging on parts of the agreement in an attempt to gain further concessions.
Meanwhile, Israeli strikes across the Gaza Strip have killed at least 72 people since the ceasefire deal was announced, according to Gaza's Health Ministry. Palestinians in Gaza reported heavy Israeli bombardment overnight as people were celebrating the ceasefire deal. In previous conflicts, both sides have stepped up military operations in the final hours before ceasefires go into effect as a way to project strength.
Under the deal expected to begin Sunday, 33 hostages are set to be released over the next six weeks, in exchange for hundreds of Palestinians imprisoned by Israel. The remainder, including male soldiers, are to be released in a second phase that will be negotiated during the first. Hamas has said it will not release the remaining captives without a lasting ceasefire and a full Israeli withdrawal.
Israel’s offensive has killed over 46,000 people in Gaza, mostly women and children, according to the Health Ministry. It does not say how many of the dead were militants. Israel says it has killed over 17,000 fighters, without providing evidence.


Sudan government denounces US sanctions as ‘immoral’

Sudan government denounces US sanctions as ‘immoral’
Updated 17 January 2025
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Sudan government denounces US sanctions as ‘immoral’

Sudan government denounces US sanctions as ‘immoral’
  • Washington had slapped sanctions on Burhan, accusing the army of attacking schools, markets and hospitals and using food deprivation as a weapon of war
  • US earlier imposed sanctions on Mohamed Hamdan Dagalo, commander of the paramilitary Rapid Support Forces, accusing his group of committing genocide

PORT SUDAN: Sudan’s army-aligned foreign ministry rejected as “immoral” US sanctions declared on Thursday against army chief Abdel Fattah Al-Burhan, saying that they “lack the most basic foundations of justice and transparency.”
In a statement, it said the sanctions “express only confusion and a weak sense of justice,” after 21 months of war between the army and the paramilitary Rapid Support Forces, in which the foreign ministry said Burhan was “defending the Sudanese people against a genocidal plot.”
On Thursday, the US treasury department announced sanctions against Burhan, accusing the army of attacking schools, markets and hospitals and using food deprivation as a weapon of war.
It came a week after the US slapped sanctions on RSF commander Mohamed Hamdan Dagalo, accusing his group of committing genocide.
Sudan’s foreign ministry on Thursday said the US’s “flawed decision cannot be justified by claiming neutrality,” saying it amounts to “support of those committing genocide.”

12 million people uprooted

Since April 2023, the war between the army and the RSF has killed tens of thousands, uprooted more than 12 million people and pushed hundreds of thousands into famine.
Both sides have been accused of targeting civilians and indiscriminately shelling residential areas, with the RSF specifically accused of ethnic cleansing, systematic sexual violence and laying siege to entire towns.

“Taken together, these sanctions underscore the US view that neither man is fit to govern a future, peaceful Sudan,” outgoing Secretary of State Antony Blinken said in a statement in which he voiced regret at his failure to end the brutal war.
The United States previously had steered clear of sanctions on the two leaders so as to preserve diplomacy with them.
But Blinken, who leaves office on Monday, said the army had repeatedly failed to join peace initiatives, although he hoped President-elect Donald Trump would keeping trying on Sudan.
“It is for me, yes, another real regret that when it comes to Sudan, we haven’t been able on our watch to get to that day of success,” Blinken said at a farewell news conference.
There have been “some improvements in getting humanitarian assistance in through our diplomacy, but not an end to the conflict, not an end to the abuses, not an end to the suffering of people,” he said.
The war erupted over a failure to integrate the army and the RSF, with joint US and Saudi diplomacy succeeding only in limited humanitarian agreements including on the entry of aid.
More than 24.6 million people — around half of Sudan’s population — face “high levels of acute food insecurity,” according to a recent review by the UN-backed Integrated Food Security Phase Classification.

Genocide in Darfur

The United States last week said that the RSF has committed genocide in Darfur through systematic killings and rapes of the ethnically African people there.
The atrocities are an echo of the scorched-earth campaign by the RSF’s militia predecessor, the Janjaweed, also accused of genocide two decades ago in Darfur.
The US special envoy on Sudan, Tom Perriello, pointed to actions taken last time in Darfur — “naming and shaming” of perpetrators, a “tremendous global activism” and the prospect of African Union intervention.
“Most of those tools are either off the table completely or seriously diluted right now,” Perriello said at the Council on Foreign Relations.
Perriello, a former Democratic congressman who also leaves office Monday, said the United States was also no longer the same “major bank for the world” that can spell dire economic consequences through sanctions.
US options are “much weaker in a world where people can go to other countries and get billion-dollar checks without having any conversations about human rights and democracy,” he said.
Perriello also voiced shock that regional power South Africa welcomed RSF leader Dagalo on a visit and that there was not “much of an outcry from South African civil society.”
But he said African powers increasingly focused on domestic issues and “want to be seen as economic powerhouses of the future, not necessarily the moral police.”
The Sudan conflict has brought in a series of foreign players, with the United Arab Emirates facing repeated charges of arming the RSF.
Perriello saluted the role of Egypt, saying he was surprised to work so closely but that Cairo exerted pressure on the Sudanese army in the interest of decreasing refugee flows.
 


US says Gaza ceasefire to start as planned despite ‘loose end’

US says Gaza ceasefire to start as planned despite ‘loose end’
Updated 17 January 2025
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US says Gaza ceasefire to start as planned despite ‘loose end’

US says Gaza ceasefire to start as planned despite ‘loose end’
  • A US official earlier said the sole remaining dispute was over the identities of some prisoners Hamas wanted released
  • Media say Netanyahu’s cabinet to vote on deal on Friday or Saturday

DOHA/CAIRO/JERUSALEM: The Gaza Strip ceasefire should begin on Sunday as planned, despite the need for negotiators to tie up a “loose end” at the last minute, US Secretary of State Antony Blinken said on Thursday.
With longstanding divisions apparent among ministers, Israel delayed cabinet meetings to ratify the ceasefire with Hamas, and media reports said voting could occur Friday or even Saturday, although the deal is expected to be approved.
Israel blamed the militant group for the hold-up, even as Israeli warplanes pounded Gaza in some of the most intense strikes for months. Palestinian authorities said at least 86 people were killed in the day since the truce was unveiled.
Hamas senior official Izzat el-Reshiq said the group remained committed to the ceasefire deal, which is scheduled to take effect from Sunday to halt 15 months of bloodshed
“It’s not exactly surprising that in a process and negotiation that has been this challenging and this fraught, you may get a loose end,” Blinken told a press conference in Washington. “We’re tying up that loose end as we speak.”
A US official, who spoke on condition of anonymity, said the parties were making good progress in ironing out the last-minute obstacles. “I think we’re going to be okay,” the official told Reuters.
Earlier the official said the sole remaining dispute was over the identities of some prisoners Hamas wanted released. Envoys of President Joe Biden and President-elect Donald Trump were in Doha with Egyptian and Qatari mediators working to resolve it, the official said.
Inside Gaza, joy over the truce gave way to sorrow and anger at the intensified bombardment that followed the announcement.
Tamer Abu Shaaban’s voice cracked as he stood over the tiny body of his young neice wrapped in a white shroud on the tile floor of a Gaza City morgue. She had been hit in the back with shrapnel from a missile as she played in the yard of a school where the family was sheltering, he said.
“Is this the truce they are talking about? What did this young girl, this child, do to deserve this? What did she do to deserve this? Is she fighting you, Israel?” he asked.

The ceasefire accord emerged on Wednesday after mediation by Qatar, Egypt and the US to stop the war that began with deadly Hamas attacks on Israel and saw Israeli forces kill tens of thousands of Palestinians and devastate Gaza.
The deal outlines a six-week initial ceasefire with the gradual withdrawal of Israeli forces. Dozens of hostages taken by Hamas would be freed in exchange for hundreds of Palestinian prisoners detained in Israel.
It paves the way for a surge in humanitarian aid for Gaza, where the majority of the population has been displaced, facing hunger, sickness and cold. Rows of aid trucks were lined up in the Egyptian border town of El-Arish waiting to cross into Gaza, once the border is reopened.
Peace could also have wider benefits across the Middle East, including ending disruption to global trade from Yemen’s Iran-aligned Houthi movement which has attacked ships in the Red Sea. The movement’s leader Abdul Malik Al-Houthi said his group would monitor the ceasefire and continue attacks if it is breached.

Meeting revealed
Israel’s acceptance of the deal will not be official until it is approved by the security cabinet and government. A vote had been expected on Thursday, but Prime Minister Benjamin Netanyahu delayed the meeting, accusing Hamas of making last-minute demands.
“The Israeli cabinet will not convene until the mediators notify Israel that Hamas has accepted all elements of the agreement,” Netanyahu’s office said.
Israeli media outlets reported the cabinet was expected to vote on Friday or Saturday, but the prime minister’s office declined to comment on the timing.
Hard-liners in Netanyahu’s government were still hoping to stop the deal, though a majority of ministers were expected to back it and ensure its approval.
Hard-line National Security Minister Itamar Ben-Gvir said on Thursday he would resign from the government if it ratifies the Gaza deal.
But opposition leader Yair Lapid told the prime minister in a post on X that he would “get every safety net you need to make the hostage deal,” suggesting opposition lawmakers would support the government to ensure the return of hostages.
In Jerusalem, some Israelis marched through the streets carrying mock coffins in protest at the ceasefire, blocking roads and scuffling with police. Other protesters blocked traffic until security forces dispersed them.
The agreement leaves the fate of most of the remaining 98 Israeli hostages still in Gaza unresolved for now. The list of 33 due to go free in the first phase includes women, children, elderly, sick and wounded.
Palestinians said they were desperate for the bombing to stop as soon as possible.
“We lose homes every hour. We demand for this joy not to go away, the joy that was drawn on our faces — don’t waste it by delaying the implementation of the truce until Sunday,” said Mahmoud Abu Wardeh.
Israel launched its campaign in Gaza after Hamas-led gunmen burst into Israeli border-area communities on Oct. 7, 2023, killing 1,200 soldiers and civilians and abducting over 250 hostages, according to Israeli tallies.
If successful, the ceasefire would halt fighting that has razed much of heavily urbanized Gaza, killed over 46,000 people, and displaced most of the tiny enclave’s pre-war population of 2.3 million, according to Gaza authorities.