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"Israel kills 33 Palestinians in 24 hours but wants Palestinian families to think it's safe to travel to vaccinate their kids against polio," said one clinician.
United Nations agencies reiterated their calls for a cease-fire in the Gaza Strip on Wednesday after healthcare workers completed the first phase of a polio vaccination push in the face of relentless, deadly Israeli airstrikes.
Tedros Adhanom Ghebreyesus, director-general of the World Health Organization, announced early Wednesday that more than 187,000 children under the age of 10 were vaccinated during the first three days of the vaccination drive, an effort launched shortly after health officials detected the first polio case in the enclave in over two decades.
"Four fixed sites will continue to offer polio vaccination for the next three days in central Gaza to ensure no child is missed," said Tedros. "Preparations are underway today to roll out the vaccine campaign in south Gaza, which will start tomorrow. We are grateful for the dedication of all the families, health workers, and vaccinators who made this part of the campaign a success despite the dire conditions in the Gaza Strip."
"We ask for the humanitarian pauses to continue to be respected," he added. "We continue to call for a cease-fire."
The U.N. Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) echoed that message, writing on social media that "above all, we need a cease-fire now."
U.S.-armed Israeli forces have bombed the Gaza Strip throughout the dayslong vaccination drive, with one human rights monitor noting that some of the attacks "targeted locations near the vaccination centers."
Al Jazeerareported Wednesday that the Israeli military "targeted a home" in Gaza's Nuseirat refugee camp, killing at least one person. In Khan Younis, an Israeli airstrike "killed two more people, including a child," the outlet reported.
Gaza health officials said Tuesday that more than 30 people had been killed over the preceding 24-hour period.
" Israel kills 33 Palestinians in 24 hours but wants Palestinian families to think it's safe to travel to vaccinate their kids against polio," clinician and activist Annie Sparrow wrote on social media.
Health officials and aid workers risking their lives to vaccinate Gaza children against polio have said an enclave-wide inoculation campaign could only be successful with a sustained cease-fire deal, but Israeli Prime Minister Benjamin Netanyahu is obstructing an agreement with hardline demands, including a continued Israeli military presence in the Palestinian territory.
The Washington Postnoted Tuesday that Netanyahu's insistence on Israeli control of the Philadelphi Corridor—a strip of land along Gaza's border with Egypt—"has also raised tensions with Egypt, which objects to any Israeli presence there and has warned that it violates the 1979 Israeli-Egypt peace treaty, a landmark agreement that has preserved peace between the two countries for more than four decades."
In the absence of a deal to end Israel's assault, humanitarian conditions on the ground in Gaza continue to deteriorate.
Tor Wennesland, the U.N.'s special coordinator for the Middle East peace process, said after returning from Gaza earlier this week that he "witnessed firsthand the catastrophic impact of the hostilities."
"The scale of destruction is immense, the humanitarian needs are colossal and soaring, and civilians continue to bear the brunt of this conflict. I unequivocally condemn the horrifying civilian death toll in Gaza," said Wennesland. "A deal is crucial to saving lives, reducing regional tensions, and enabling the U.N., in cooperation with the Palestinian Authority, to accelerate efforts to address the pressing needs of Gaza's population."
"The ongoing conflict has destroyed the lives of countless families," he added. "It must stop."
Israel is currently attempting to send several patients back to the besieged enclave from East Jerusalem, where they have been receiving cancer treatment.
The head of the World Health Organization on Saturday demanded that Israel speed up approvals for medical evacuations from Gaza as the number of people who urgently need life-saving healthcare reached roughly 9,000—and as Israeli officials threatened to send several Palestinian patients back to the besieged enclave from the East Jerusalem hospital where they've received cancer treatment.
Tedros Adhanom Ghebreyesus, director-general of WHO, warned that with only 10 of Gaza's 36 hospitals "minimally functional" following repeated attacks on the enclave's healthcare system, "thousands of patients continue to be deprived of healthcare."
At the beginning of March, WHO assessed that about 8,000 patients needed to be immediately evacuated from Gaza to receive treatment for cancer, kidney failure, and other chronic diseases as well as injuries from Israel's relentless bombing of civilian infrastructure.
That number has grown by about 1,000 in recent weeks, Tedros said.
More than 3,400 sick and injured people have been taken abroad via the southern border town of Rafah since Israel began its bombardment on October in retaliation for a Hamas-led attack.
"But many more need to be evacuated," said Tedros. "We urge Israel to speed up approvals for evacuations, so that critical patients can be treated. Every moment matters."
As Tedros called on Israel to swiftly approve medical evacuations, human rights advocates condemned Israeli authorities who aim to deport patients with cancer back to Gaza from an East Jerusalem hospital where they've been receiving advanced treatment since before the October 7 attack on southern Israel.
"Returning residents to Gaza during a military conflict and a humanitarian crisis is against international law and poses a deliberate risk to innocent lives," Physicians for Human Rights (PHR) said in a statement. "All the more so when it concerns patients who may face a death sentence due to unsanitary conditions and hunger, along with the unlikely availability of medical care."
At least 22 patients from Gaza, including several children, have been receiving treatment at Augusta Victoria Hospital, having received authorization from Israel prior to the Israel Defense Forces' (IDF) current escalation.
"I arrived here in Jerusalem with my son Hamza on September 27 last year," Qamar Abu Zoar toldThe Guardian on Saturday. "Hamza, who is four and a half years old, has a brain tumor and needs treatment that he couldn't receive in Gaza. While we were here, the war broke out. And since then, we have been stranded in this hospital, while my other two younger children are in the north of Gaza with my husband."
The Coordination of Government Activities in the Territories (COGAT), which oversees civilian affairs in the occupied Palestinian territories, has urged hospital officials to provide a list of patients who could be sent back to Gaza, where patients in the remaining hospitals are suffering from infections due to the use of improvised and unsterilized medical equipment, as well as from worsening malnutrition.
Israel's near-total blockade of humanitarian aid into Gaza has affected food and medicines, and CNN reported earlier this month that anesthetics, anesthesia machines, oxygen tanks, and ventilators are frequently rejected by Israeli inspectors who examine aid trucks.
Last week, the Israeli High Court of Justice halted an effort by COGAT to send 10 patients from Augusta Victoria Hospital back to Gaza, where in many cases their homes and hometowns have been decimated by Israeli bombing and shelling.
COGAT claimed the patients had finished their treatment and said it would work with aid agencies if they had a need for more medical care, coordinating "their stay with the hospitals to safeguard their health."
But as Tedros warned Saturday, the vast majority of hospitals in Gaza are no longer operating.
Israel's High Court has until April 21 to issue a final ruling on whether officials can deport patients to Gaza.
"The hospitals and the medical staff must strongly oppose the release of the patients from their custody," said PHR, "unless a guarantee is given that they will not be returned to Gaza where their lives are in danger."
"We're doing everything we can, navigating through critical shortages and working with very limited resources, to save lives amidst this dire situation."
Members of an emergency medical team that has treated patients at a hospital in southern Gaza in recent weeks said Monday that the horrors they've witnessed there are "unimaginable," from worsening malnutrition to deadly infections stemming from lack of healthcare equipment.
The team formed by Medical Aid for Palestinians (MAP), the International Rescue Committee (IRC), and the Palestine Children's Relief Fund (PCRF) has been working at the European Hospital near Khan Younis, a city decimated by Israeli bombing. At least two hospitals in the city are currently under siege by Israeli forces, which have killed more than 32,000 Gazans and injured tens of thousands more in less than six months.
"The situation we're facing is beyond comprehension," said Arvind Das, IRC's Gaza team lead. "Continuous Israeli military operations near hospitals are making an already tense situation even worse for those seeking shelter or medical help, pushing the healthcare system to the brink of collapse."
"Despite the relentless efforts of our medical teams, the infrastructure necessary to deliver optimal medical care has been severely compromised by bombing, stringent restrictions on the entry of aid including medical supplies, and the overwhelming surge in needs," Das added. "We're doing everything we can, navigating through critical shortages and working with very limited resources, to save lives amidst this dire situation."
Not a single hospital in the Gaza Strip is fully functional after months of Israeli attacks, and the dozen that are partially operating are well beyond capacity, with patients and displaced people filling the hallways and outskirts of the facilities. The United Nations' special rapporteur on the right to health has accused Israel's military of waging an "unrelenting war" on Gaza's medical system.
Dr. Konstantina Ilia Karydi, an anesthetist with the emergency medical team, said Monday that the European Hospital "had an original capacity of just 200 beds, and at the moment it has expanded to 1,000 beds."
"There are around 22,000 people that have been displaced from other parts of Gaza sheltering in the corridors and in tents inside the hospital, because people feel that it's safer to be here than anywhere else," said Karydi.
"We worked around the challenges we faced and managed in a different way, but the staff here are overwhelmed."
MAP said in a statement that the medical team's surgeons "completed successful complex vascular and orthopedic surgeries on patients" at the hospital, but some "later died due to infections in the hospitals and the inability to provide post-operative care."
"This is due to the intense security situation that forced healthcare workers to evacuate hospitals and hindered their access," said MAP. "Moreover, significant damage to hospital infrastructure and facilities, coupled with a complete shortage of equipment and medicine—largely due to Israel's restrictions on medical aid entry into Gaza—severely impacted the ability to provide necessary care."
Dr. Husam Basheer, an orthopedic surgeon with the emergency medical team, stressed that healthcare workers in the territory are "managing with the bare minimum of resources," lacking even basic supplies such as gauze.
"We worked around the challenges we faced and managed in a different way," said Basheer, "but the staff here are overwhelmed."
The medical team's report added to the abundance of harrowing accounts from healthcare personnel on the devastating conditions inside Gaza's hospitals, many of which have been shelled and raided—in some cases repeatedly—by Israeli forces.
Al Jazeerareported Monday that the Israeli military has "surrounded the al-Amal and Nasser hospitals in southern Gaza, while pressing on with their siege of Gaza City's al-Shifa Hospital, the largest medical complex in the strip."
"Military vehicles, tanks, and attack drones are encircling these two facilities," Al Jazeera's Hani Mahmoud reported. "They're also blocking the entrance with piles of sand, preventing medical staff, patients, and injured people inside from leaving safely and constantly failing to provide a safe corridor for people and evacuees trapped inside the hospital."
Tedros Adhanom Ghebreyesus, director-general of the World Health Organization, responded with alarm Monday to reports that Israeli forces killed a Palestinian Red Crescent Society volunteer and a displaced person sheltering at al-Amal Hospital in Khan Younis.
"Another reported attack on al-Amal hospital in Gaza, another situation where patients and health workers are in great jeopardy," Tedros wrote on social media. "We appeal for their immediate protection, and repeat our call for a cease-fire."