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Middle East War - Not a political thread - Rpts of 100s dead 1st day - 10/7/23 - to Lebanon: 9/1724 - Iran too, 10/1/24 - Syria & Russia, 10/3/24 - to

SECURITY ALERT – U.S. EMBASSY BEIRUT, LEBANON (OCTOBER 19, 2023) By U.S. EMBASSY BEIRUT
3 MINUTE READ
OCTOBER 19, 2023



Location: Lebanon

Event: Contacting U.S. Embassy Beirut in an Emergency

The U.S. Embassy is closely monitoring the security situation in Lebanon. On October 17, the State Department issued a Travel Advisory advising U.S. citizens to not travel to Lebanon due to the unpredictable security situation. The Department of State urges U.S. citizens in Lebanon to make plans to depart as soon as possible while commercial options are still available. We recommend that U.S. citizens who choose not to depart prepare contingency plans for emergency situations.

U.S. citizens in Lebanon who need emergency assistance should contact the Department of State using thiscrisis intake form . Family members can also submit a crisis intake form on behalf of a U.S. citizen family member. Please only fill out one form per person, as multiple requests will delay processing.

The Department of State reminds citizens to avoid demonstrations and exercise caution if in the vicinity of any large gatherings or protests as some of these have turned violent.

Actions To Take:

Have plans to depart that do not rely on the U.S. government.

Ensure you and your family have your travel documents in order and are prepared to travel.

Review your personal security plans.

Keep your cell phone charged in case of emergency.

Exercise caution, monitor the news closely for breaking developments that could affect internal security, and factor updated information into your travel plans and activities.

Have a contingency plan for emergencies and review the Traveler’s Checklist.

Assistance:

U.S. Embassy in Beirut – Lebanon

Awkar – Facing the Municipality

Main Street Beirut, Lebanon

961-4- 543 600



State Department – Consular Affairs

1-833-890-9595 (U.S. toll free) and 1-606-641-0131 (U.S.)​

https://lb.usembassy.gov/security-alert-u-s-embassy-beirut-lebanon-october-19-2023/
 
Translation Google

EMERGENCY

Israel-Palestine: children pay the price of war


POSTED ON OCTOBER 18, 2023

On October 7, 2023, the endless conflict between Israel and the State of Palestine took a dramatic turn. The escalation of appalling violence has had devastating consequences on thousands of families. The number of victims is staggering on both sides. Among them, an incredible number of children.

A heavy toll

As of October 18, the death toll was at least 1,300 Israelis dead and more than 3,842 wounded . In the State of Palestine, at least 3,000 people, including 853 children, died and more than 12,500 others were injured . The recent attack on Al Ahli hospital illustrates the deadly impact of this war on families. The images and stories are unequivocal: many children are suffering and traumatized. There is no justification for the killing, mutilation or kidnapping of children.

In Israel , displaced children and families seek refuge in schools or in emergency shelters set up.

In the Gaza Strip , homes and essential infrastructure are in ruins and more than 600,000 people have already fled their homes. The majority seek refuge in one of the 102 schools run by the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA ) . The region's only power plant exhausted its last energy reserves on October 11. Now water, electricity and wastewater treatment are cut off . These conditions endanger the lives of children. In accordance with international humanitarian law , it is imperative that essential services are protected and accessible at all times.

“Attacks against populations and civilian infrastructure such as hospitals are unacceptable and must stop immediately. UNICEF reiterates its urgent call for an immediate cessation of hostilities, ensuring the protection of children and facilitating rapid and safe access to humanitarian assistance.”
Catherine Russell
general director of UNICEF France

Unconditionally protect every child

Through the declaration of its Executive Director , UNICEF calls for the release and immediate protection of any kidnapped child. We also recall the obligation to grant special protection to each child while respecting human rights and international humanitarian law.

We also call for an immediate ceasefire , an important step in the search for a lasting solution in the interest of every child.

As the conflict escalates, it is crucial to remember that children, whatever their origin, are the most vulnerable and likely to be the most traumatized. Palestinians or Israelis, they are above all children who deserve to be protected, to be taken care of and to live in peace.

Our teams are on the ground providing immediate humanitarian assistance, including medical supplies, fuel, and mental health and psychosocial support. While UNICEF staff continue to respond to the critical needs of children in the Gaza Strip, access is becoming increasingly difficult and dangerous. Humanitarian actors have also been urged to leave Gaza City, but UNICEF will remain present in the southern part of the enclave to help children in need. The UNICEF-supported desalination plant provides water to more than 75,000 people. Medical equipment and medicines have also been provided to hospitals, but given the number of injured, beds and essential medicines, particularly anesthetics, are already running out.

In this war, as in all wars, it is first and foremost children who pay the price of the conflict. UNICEF is calling for an immediate humanitarian pause and safe access to establish and ensure continuity of vital services for children.



https://www.unicef.fr/article/israel-palestine-les-enfants-paient-le-prix-de-la-guerre/
 
Death toll in Gaza hospital blast greatly exaggerated - independent intel
Local Hamas-run Gazan sources allege that 471 people were killed at the hospital; foreign independent intelligence sources claimed instead that the number was closer to 10-50.
By MAYA ZANGER-NADIS
OCTOBER 19, 2023 19:32
Updated: OCTOBER 19, 2023 21:47
https://www.jpost.com/breaking-news/article-769273
 
https://twitter.com/OsaidesserMD/status/1715843043541291063
Osaid Alser, MD, MSc(Oxon)@OsaidesserMD

I’ve received several pics from doctors from #Gaza of full thickness (3rd/4th degree) burn. Doctors report that they’ve never seen such unusual burn pattern where it involves mainly extremities without any other visceral injuries .1 #MedTwitter

4:30 PM · Oct 21, 2023
489.6K
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Osaid Alser, MD, MSc(Oxon) @OsaidesserMD

Those go down to muscles and bone, those victims were coming from buildings that were targeted via #IOF airstrikes but none of these have evidence of blast/visceral injuries (I.e. isolated burn injury) which is again unusual .2

4:32 PM · Oct 21, 2023
37.9K
Views

Osaid Alser, MD, MSc(Oxon) @OsaidesserMD

I cannot share those pictures here. They’re awful + do not have permission to share

4:33 PM · Oct 21, 2023
30.6K
Views
 
This is a statement from the director of WHO which makes it news. Posting this is not a political endorsement of anything.




Tedros Adhanom Ghebreyesus

@DrTedros
We have lost touch with our staff in Gaza, with health facilities, health workers and the rest of our humanitarian partners on the ground. This siege makes me gravely concerned for their safety and the immediate health risks of vulnerable patients. We urge immediate protection of all civilians and full humanitarian access.
3:41 PM · Oct 27, 2023
·
702.5K
Views​
 
This is posted for news value only and is not a political post. MSF is one of the largest international medical charities in the world.


MSF International
@MSF
·
1h
We are deeply concerned about the situation in Gaza. We have lost contact with some of our Palestinian colleagues on the ground. We are particularly worried for the patients, medical staff and thousands of families taking shelter at Al Shifa hospital and other health facilities.
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We call for the unequivocal protection of all medical facilities, staff and civilians across the Gaza Strip.
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WHO: civilians, patients, and health workers in Gaza spend night in darkness and fear

28 October 2023
Statement

Reading time: 1 min (302 words)
العربية
Français
Русский
Español

During a night of intense bombardment and ground incursions in Gaza, with reports of hostilities still continuing, health workers, patients and civilians have been subject to a total communication and electrical blackout.

WHO reiterates its calls for an immediate humanitarian ceasefire, and reminds all parties to the conflict to take all precautions to protect civilians and civilian infrastructure. This includes health workers, patients, health facilities and ambulances, and civilians who are sheltering in these facilities. Active measures must be taken to ensure they are not harmed and safe passage provided for the movement of desperately needed medical supplies, fuel, water and food into and across Gaza.


Reports of bombardment near the Indonesia and Al Shifa hospitals are gravely concerning. WHO reiterates that it is impossible to evacuate patients without endangering their lives. Hospitals across Gaza are already operating at maximum capacity due to the injuries sustained in weeks of unrelenting bombardment, and are unable to absorb a dramatic rise in the number of patients, while sheltering thousands of civilians.


Health workers who have stayed by their patients’ sides face dwindling supplies, with no place to put new patients, and no means to alleviate their patients’ pain. There are more wounded every hour. But ambulances cannot reach them in the communications blackout. Morgues are full. More than half of the dead are women and children.


WHO has not been able to communicate with its staff in Gaza, nor have other agencies. Furthermore, WHO is trying to gather information on the overall impact on civilians and health care.

WHO appeals to the humanity in all those who have the power to do so to end the fighting now, in line with the UN resolution adopted yesterday, calling for a humanitarian truce, as well as the immediate and unconditional release of all civilians held captive.​

https://www.who.int/news/item/28-10...kers-in-gaza-spend-night-in-darkness-and-fear
 
Not a political post. A public health news story.


Israel strikes Gaza’s Jabalya refugee camp

By Kareem Khadder and Abeer Salman, CNN
2 minute read
Updated 2:54 PM EDT, Tue October 31, 2023

An Israeli strike targeting a Hamas commander in the densely populated Jabalya refugee camp in northern Gaza has left catastrophic damage and killed a large number of people, according to eyewitnesses and medics in the enclave.

“I was waiting in line to buy bread when suddenly and without any prior warning seven to eight missiles fell,” an eyewitness, Mohammad Ibrahim, told CNN.

“There were seven to eight huge holes in the ground, full of killed people, body parts all over the place,” he said. “It felt like the end of the world.”

Lt. Col. Richard Hecht of the Israel Defense Forces (IDF) told CNN that the airstrike was targeting a Hamas commander, whom he accused of “hiding, as they do, behind civilians.” Civilian deaths, Hecht also said, are “the tragedy of war.”

more... https://www.cnn.com/2023/10/31/middleeast/jabalya-blast-gaza-intl/index.html?utm_term=link&utm_content=2023-10-31T18%3A09%3A15&utm_medium=social&utm_source=twcnn brk


----------------------------------------------------------------------------------------------------------------
MSF International
@MSF
·
1h
We are horrified by news coming from Jabalia camp where high numbers of people have reportedly been killed by an Israeli airstrike. After the attack, many wounded people arrived to Al Shifa hospital where our teams helped to provide emergency medical care...
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"Young children arrived at the hospital with deep wounds and severe burns. They came without their families. Many were screaming and asking for their parents. I stayed with them until we could find a place, as the hospital was full with patients." - Mohammed Hawajreh, MSF nurse.
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@MSF
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We condemn this latest episode of senseless violence and reiterate our call for an immediate ceasefire to prevent more deaths across the Strip. Enough is enough!
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Last edited:
A field hospital and the transfer of injured people from Gaza to Egypt... and foreigners begin to leave the Strip

Qatari mediation in an agreement between Egypt, Hamas, and Israel to evacuate foreigners

​November 1, 2023


Dozens of foreigners and Palestinians with foreign nationalities left the Gaza Strip for Egypt on Wednesday, with the Rafah crossing opened to people for the first time since the start of Israel’s war on the Gaza Strip, while Egyptian ambulances entered the Palestinian side of the Rafah crossing to transport a number of those injured in the Israeli bombing to receive treatment. Treatment was carried out in Egyptian hospitals, while a field hospital was established to treat injured Palestinians in the city of Sheikh Zuweid in North Sinai.

On Wednesday, the Egyptian Ministry of Health announced the allocation of 40 ambulances to line up at the Rafah crossing, and the Egyptian Minister of Health, Khal Abdel Ghaffar, directed that the capacity of hospitals in Ismailia be raised to receive the injured and sick “in a way that ensures their rational distribution among hospitals to ensure the provision of the necessary diagnostic and therapeutic services to them at all times.



more... https://asharq.com/politics/71195/جنسيات-أجنبية-تبدأ-مغادرة-قطاع-غزة-إلى-مصر-عبر-رفح/
 
Translation Google

MSF international staff were able to leave the Gaza Strip

PRESS RELEASE

NOVEMBER 1, 2023 - UPDATED NOVEMBER 2, 2023


[Update November 2]

All international staff members of Médecins Sans Frontières, who had not been able to leave Gaza since October 7, reached Egypt via the Rafah border crossing.

The 22 Médecins Sans Frontières employees were part of a larger group of foreign passport holders and international aid workers. Seriously injured patients were also allowed to cross today. However, more than 20,000 injured people remain in Gaza,according to figures provided by local health authorities, with limited access to health care due to the siege and constant bombing.

A new international MSF team, including a specialized medical team, is ready to enter Gaza as soon as the situation allows, to support the humanitarian and medical response.

Many of our Palestinian colleagues continue to work in hospitals throughout the Gaza Strip, although minimum security guarantees for hospitals and medical staff are not ensured. Around two million Palestinians are still trapped in Gaza under bombardment, including 300 Palestinian MSF staff and their families. People who wish to leave Gaza must be allowed to do so without further delay and without prejudice to their right to return to Gaza at a later date.

We reiterate our call for an immediate ceasefire. Much-needed medical supplies and humanitarian personnel must be allowed into Gaza, where hospitals are overwhelmed and the health system faces total collapse.

https://www.msf.fr/communiques-pres...national-de-msf-a-pu-quitter-la-bande-de-gaza
 
WHO Director-General's opening remarks at the media briefing – 2 November 2023

2 November 2023 Good morning, good afternoon and good evening,

We are running out of words to describe the horror unfolding in Gaza.

Since Hamas’s horrific attacks on Israel on the 7[SUP]th[/SUP] of October, more than 10 thousand people have been killed, including more than 8,500 in Gaza and 1,400 in Israel. In both Israel and Gaza, 70% of those killed are women and children.

More than 21 thousand are injured and more than 1.4 million people in Gaza have been displaced.

The situation on the ground is indescribable.

Hospitals crammed with the injured, lying in corridors;

Morgues overflowing;

Doctors performing surgery without anaesthesia;

Thousands of people seeking shelter from the bombardment;

Families crammed into overcrowded schools, desperate for food and water;

Toilets overflowing and the risk of disease outbreaks spreading;

And everywhere, fear, death, destruction, loss.

So far, WHO has verified 237 attacks on health care, including 218 in the occupied Palestinian territory and 19 in Israel.

Attacks on health care are a violation of international humanitarian law.

14 out of 36 hospitals in the Gaza strip are non-functional. However, functionality is affected by lack of food and clean water, and the lack of fuel to power generators.

As health needs soar, our ability to meet those needs is plummeting.

23 hospitals have been ordered to evacuate in Gaza city and North Gaza. Forced evacuation in these circumstances would put the lives of hundreds of patients in a life-threatening situation.

Moving a baby on life support would be hazardous in a high-income country.

Doing so in Gaza would gravely endanger a child whose life has only just begun, and who knows nothing of this conflict, nor is responsible for it.

Demanding these patients move puts them and the health workers in an impossible situation.

And in most cases, they have nowhere to go.

I send my appreciation to health workers in both Gaza and Israel who are dealing with the consequences of this conflict.

The best way to support those health workers and the people they serve is to strengthen the existing health system – by resupplying the hospitals, and ensuring their security.

In the past two weeks, WHO has been able to deliver 54 metric tonnes of humanitarian supplies to Gaza.

But this does not even begin to address the scale of need. Far more is needed than can be delivered with a drip-feed of aid.

Before the 7th of October, an average of 500 trucks a day were crossing into Gaza with essential supplies.

Since the 7th of October, only 217 trucks have entered in total.

To sustain the humanitarian response on the scale needed, we need hundreds of trucks to enter Gaza every day.

We thank Egypt for opening the Rafah border crossing to allow the evacuation of severely injured patients and foreign nationals.

It is too late to help the dead now. But we can help the living.

We can help those who live every moment in fear. We can help injured civilians. We can help the almost 200 women who are expected to deliver babies every day. We can help children and older people. We can help those with life-threatening diseases who need urgent medical care.

WHO will do everything we can to ensure that all people in Gaza have access to life saving health and humanitarian services. In the current situation this is almost impossible.

At the very least, we need a humanitarian pause in the fighting, and ideally an end to the conflict.

We need unfettered access and safe passage agreed by both parties to ensure the security of access routes.

Let me be clear: there can be no justification for Hamas’s horrific attacks on Israel.

I understand the grief, the anger and the fear of the Israeli people.

I also understand the grief, the anger, and the fear of the Palestinian people.

WHO continues to call on Hamas to release the hostages it took, many of whom need urgent medical attention.

We continue to call on Israel to restore supplies of electricity, water and fuel.

We continue to call on both sides to abide by their obligations under international humanitarian law.

And we call on all who can to de-escalate this conflict, rather than inflame it.


===​
https://www.who.int/news-room/speec...marks-at-the-media-briefing---2-november-2023
 
Israel -

Translation Google

gov.il news National Security Headquarters

Joint announcement by the National Security Headquarters and the Ministry of Foreign Affairs

Date published
30.10.2023
update date
03.11.2023

The National Security Headquarters (NSH) and the Ministry of Foreign Affairs in a notice to the public - a call to take increased precautions when traveling abroad in light of the increasing number of manifestations of anti-Semitism and incidents of violence against Israelis and Jews around the world


1. In recent weeks, against the background of the "Iron Swords" war, the MLA and the Foreign Ministry have witnessed a significant increase in manifestations of anti-Semitism and incitement alongside life-threatening violent attacks against Israelis and Jews around the world.

2. These events are taking place in many countries around the world, including countries for which there is no travel warning in terrorist contexts.

3. It will be emphasized that Jewish communities and religious and community institutions (synagogues, Chabad houses, kosher restaurants and Israeli businesses), along with Israeli missions and airports from which flights from Israel take off and land, are a major target of anti-Semitic elements for protest events and attempted attacks.

4. In light of the dimensions of the phenomenon, the National Security Headquarters calls for consideration of the necessity of traveling abroad these days; at the same time, the National Security Council calls on the general public in Israel going abroad, to any destination, to heed its recommendations regarding the required conduct of Israeli citizens abroad (The details of the recommendations appear on the website of the National Security Headquarters) and in the meantime:

A. Postpone travel to countries with travel warnings, with an emphasis on Arab and Middle Eastern countries, the North Caucasus and countries surrounding Iran.

B. Check the state of protests and manifestations of violence against Israel in the chosen destination, even in countries without a travel warning.

third. Avoid externalizing Israeli and Jewish symbols.

d. Find out the phone numbers of the emergency services at the destination you are visiting (security forces/medical), and the Israeli embassy if there is one.

God. Stay away from demonstrations and protests.

and. To remain alert while staying at the destination, paying attention to what is happening around.

G. It is suggested not to have a conversation about service in Israel's security systems, including the army, with unknown parties.

This page was last updated on 03.11.2023

https://www.gov.il/he/departments/news/news_public31
 
Not a political statement. Anything that the director of WHO says is news.



World Health Organization (WHO) reposted

Tedros Adhanom Ghebreyesus

@DrTedros
It has been a month of intense bombardment in #Gaza. 10,000 people have died. Over 4,000 of them were children. How long will this human catastrophe last? We urge all parties to agree to a humanitarian ceasefire and work toward lasting peace. We again call for the immediate release of the hostages. History will judge us all by what we do to end this tragedy.
10:16 AM · Nov 7, 2023
·
46.3K
Views​
 
UNRWA-WHO medical supply convoy reaches Al-Shifa hospital

Statement by UNRWA Commissioner-General Philippe Lazzarini and WHO Director-General Dr Tedros Adhanom Ghebreyesus

8 November 2023
Statement

AMMAN/GENEVA

Reading time: 2 min (424 words)
العربية

UNRWA has facilitated the delivery of WHO’s much needed emergency medical supplies and medicines to Al-Shifa hospital in Gaza City, north of the Gaza Strip, despite huge risks to our staff and health partners due to the relentless bombardments in Gaza.

This is only the second delivery of lifesaving supplies to the hospital since the escalation of hostilities and the total siege of Gaza began. On 24 October, WHO delivered medical supplies to the hospital amid high insecurity.

While welcome, the quantities we delivered are far from sufficient to respond to the immense needs in the Gaza Strip. The medical conditions at Al-Shifa - the largest hospital in the Gaza Strip and one of the oldest Palestinian health institutions - are disastrous.

There are currently almost two patients for every bed available. The emergency department and wards are overflowing requiring doctors and medical workers to treat wounded and sick patients in the corridors, on the floor, and outdoors. The number of wounded increases by the hour while patients are undergoing immense and unnecessary pain as medicines and anesthetics are running out. In addition, tens of thousands of displaced people have sought shelter in the hospital’s parking lots and yards.

Al-Shifa Hospital has traditionally been the most important health facility in Gaza. Its doctors, nurses and other workers have responded heroically to the current desperate situation. But they need more support. The northern areas of Gaza cannot and should not be isolated nor deprived of the delivery of humanitarian assistance. Patients there cannot be denied the health care to which they are entitled and urgently need. Aid should reach the whole of Gaza.

Medical facilities are running out of supplies and fuel. So far, no fuel has been allowed into the Gaza Strip, including to Al-Shifa hospital for over one month now.

UNRWA and WHO renew their urgent call for the delivery of fuel to humanitarian agencies in the Gaza Strip. Without fuel, hospitals and other essential facilities such as desalination plants and bakeries cannot operate, and more people will most certainly die as a result.

The ability of hospitals and medical facilities to operate is paramount especially during conflicts. In line with international humanitarian law, we call for the protection of all medical facilities, personnel, patients and the wounded, for the sustained flow of humanitarian supplies and fuel at scale, and for safe and unimpeded access to deliver the supplies to health facilities wherever they are across the Gaza Strip. We also call for the medical evacuation of critically injured and sick patients.​

https://www.who.int/news/item/08-11-2023-unrwa-who-medical-supply-convoy-reaches-al-shifa-hospital
 
Not a political statement. Anything that the director of WHO says is news.


Tedros Adhanom Ghebreyesus - 1h
@DrTedros

Deeply worrisome and frightening:

@WHO has lost contact with its focal points in Al-Shifa Hospital in #Gaza, amid horrifying reports of the hospital facing repeated attacks.

There are reports that some of those who fled the hospital have been shot at, wounded, or killed.

The latest reports say the hospital was surrounded by tanks.

WHO is gravely concerned about the safety of health workers, hundreds of sick and injured patients, including babies on life support, and displaced people who remain inside the hospital.

WHO again calls for an immediate humanitarian ceasefire in Gaza as the only way to save lives and reduce the horrific levels of suffering.

WHO also calls for the sustained, orderly, unimpeded and safe medical evacuations of critically injured and sick patients.

All hostages must receive appropriate medical care and be released unconditionally.​
 
WHO Director-General's opening remarks at the media briefing – 15 November 2023

15 November 2023

Good morning, good afternoon and good evening,

Yesterday, I met for the second time with families of Israeli hostages being held in Gaza.

I heard and felt their pain and heartache.

WHO continues to call for the hostages to be released unharmed, without any condition.

We are deeply concerned for their health and well-being, just as we are concerned for the health and well-being of the people of Gaza, which is becoming more precarious every hour.

For the past three days, WHO has not received updates on the number of deaths or injuries in Gaza, which makes it harder for us to evaluate the functioning of the health system.

What we know is that only one quarter of Gaza’s hospitals are still functioning – 26 out of 36 hospitals are now closed, either due to damage, attacks or because they have run out of fuel.

Patients, health workers and ambulances are not able to enter or exit some hospitals.

Prior to the conflict there were around 3,500 hospital beds across Gaza; today there are an estimated 1,400. And there are many more patients than beds.

Doctors and nurses are having to make impossible decisions on who lives, and who dies.

Torrential rain overnight has flooded makeshift camps, making conditions even worse for displaced people.

Israel’s military incursion into Al-Shifa hospital in Gaza City is totally unacceptable.

Hospitals are not battlegrounds.

We are extremely worried for the safety of staff and patients. Protecting them is paramount.

WHO has lost contact with health workers at Al-Shifa hospital.

But one thing is clear: under international humanitarian law, health facilities, health workers, ambulances and patients must be safeguarded and protected against all acts of war.

Not only that, they must be actively protected during military planning.

Even if health facilities are used for military purposes, the principles of distinction, precaution and proportionality always apply.

The safety of patients and staff, as well as the integrity of the health care systems in the wider community, are of paramount concern.

International humanitarian law must be respected.

WHO has staff who live in Gaza, but many of them have been displaced and are just trying to protect themselves and their families.

One of our staff said this week, “There is no water, no food no electricity. Only bombing, bombing, bombing.”

Yesterday, international staff arrived to coordinate our operation. I spoke to our colleagues in Gaza this morning.

They said the most pressing needs are for a ceasefire, the sustained opening of the Rafah crossing, safe movement for humanitarian aid and workers, and for supplies of electricity and fuel to be restored.

Electricity is needed to power desalination and sewage treatment plants, hospitals and telecommunications, and fuel is needed to distribute aid.

We might be able to get aid into Gaza through the Rafah crossing, but without fuel, we cannot get it to where it needs to go.

On Monday, the forklift we use to load aid on to trucks inside Gaza ran out of fuel.

Gaza’s telecommunications providers have said that without fuel or electricity, their networks will turn off in the coming hours.

Earlier today, a truck with 23,000 litres of fuel entered Gaza, but Israel has restricted its use to only transporting aid from Rafah.

At least 120,000 litres a day are needed to operate hospital generators, ambulances, desalination plants, sewage treatment plants and telecommunications.

This problem can be easily fixed – the supply of electricity must be restored, and sufficient fuel must be allowed to enter to run vital infrastructure and distribute life-saving aid.​

===

https://www.who.int/news-room/speec...emarks-at-the-media-briefing-15-november-2023
 
White phosphorus?
"Exposure to white phosphorus can cause severe burns. The burns are extremely painful and result from a combination of thermal and chemical injuries. The affected areas of exposed skin may appear yellowish and may show necrotic, full-thickness burns surrounded by sloughed tissue.

White phosphorus is highly soluble in lipids; therefore, it can penetrate underlying tissues resulting in deep burns that are slow to heal."
https://www.who.int/news-room/fact-sheets/detail/white-phosphorus
 
Translation Google

17 November 2023

The conflict between Israel and Hamas: the voices of scientists on the front lines

Hamas' deadly October 7 attacks on Israel and Israel's bombing of Gaza have upended lives, including those of researchers across the region.

Nature news team and freelance reporters
...
Residents of Israel, Gaza and the West Bank are reeling from the fallout from the October 7 attacks on Israel by the militant organization Hamas. Hamas members killed around 1,200 people, including at least 28 children, according to data compiled by the Haaretz newspaper. Some 240 people were taken prisoner, including at least 33 children.

As of November 15, the death toll from Israeli bombing of Gaza and the subsequent ground operation stood at more than 11,000, including more than 4,500 children, according to the United Nations Office for the Coordination of Humanitarian Affairs. United Nations ( OCHA ) and the United Nations children's agency ( UNICEF ). More than 1.6 million people have been left homeless and 22 of Gaza's 36 hospitals are not functioning, according to the World Health Organization.

Researchers, scientific and health infrastructures are all affected. In Israel and the West Bank, laboratories are empty and most academic work has been halted or slowed. Many Israeli researchers have been called up as military reservists.

The United Nations Satellite Center ( UNOSAT ) told Nature that the buildings of five of Gaza's six main universities were damaged.

Nature spoke to researchers in Israel, Gaza and the West Bank, as well as their international collaborators, to get their views.

Israel measures the cost paid

The fallout from the October 7 Hamas attacks was felt by the academic community throughout Israel, but especially in the south, near the border with Gaza, where the militant organization's attacks took place. Ben-Gurion University (BGU) in the Negev, located in the southern town of Be'er Sheva, about 40 kilometers from Gaza, lost 84 people, including students, faculty members and family members. Five other people were kidnapped and nine were injured, according to a university spokesperson. Among the dead, entire families were wiped out in one day.

Among them, theoretical physicist Sergey Gredeskul, originally from Ukraine, and his wife Viktoria, killed in their house in Ofakim, about twenty kilometers west of Be'er Sheva. “Besides being a great physicist, Sergey was also a musician, a storyteller and a historian of the famous Kharkiv physics school,” explains Oleg Krichevsky, director of the physics faculty at BGU University, who was a close family friend.

"That day we were contacted by Gredeskul's grandson, who lives in Europe, and their daughter in Ukraine. He told us that his grandparents were not answering the phone. So we started contacting them. call us. After several unsuccessful attempts, I filed a missing persons notice with the police.

After learning that the couple had been killed, Krichevsky went to their home to collect their belongings, at the request of their daughter. He says he saw bullet holes everywhere.

At Bar-Ilan University in Ramat Gan, near Tel Aviv, 34 students and faculty members' parents were killed in southern communities, or were among at least 260 people killed when Hamas militants attacked the Supernova music festival near the border with Gaza. Three parents of professors and students are among some 240 people kidnapped by Hamas. The dead also included army reservists who tried to protect people from the attackers.

The Weizmann Institute of Science in Rehovot, south of Tel Aviv, also lost faculty members. One of them, Marcel Frailich Kaplun, from the science education department, was murdered at Kibbutz Be'eri, the community facility where she lived. Her husband, Dror Kaplun, is still missing.

Marcelle Frailich Kaplun was a researcher specializing in improving science education, particularly chemistry. “Marcelle was the kind of person everyone likes to work with: intelligent, dedicated, the type to energize others,” wrote her colleague Miri Kesner in a tribute published by the Weizmann Institute. She was “passionate about demonstrating the relevance of chemistry to industry and to our daily lives,” Ms. Kesner wrote.

Arie Zaban, president of Bar-Ilan University, explains that the campus is empty because the start of the academic year has been postponed and many doctoral students and young researchers have been drafted into the army . The university opened an emotional helpline. The optometry department activated its mobile vision clinic, which travels to treat evacuees from kibbutzim and southern cities, such as Ofakim and Netivot.

“A lot of people lost their glasses during the evacuation, so [optometrists] come to do eye exams and prepare special glasses for them,” explains Mr. Zaban. While tensions are high, the university of Tel Aviv also supports its Arab Israeli students, who represent 15% of the student population.

“We have made it a priority to ensure that these students feel safe when they come to the university,” Vice President Millet Shamir said in a statement posted on the university’s website. “We have a zero-tolerance policy for incitement and hate speech on our campus, whether directed against Jews or Arabs.

Gaza universities targeted

Israel's bombings and ground operations against Hamas in Gaza are wreaking havoc on universities and scientific infrastructure.

Gaza has 17 higher education institutions, 6 of which are traditional universities, according to the Palestinian Central Bureau of Statistics , based in Ramallah in the West Bank. A seventh, Al-Quds Open University (AQOU), provides distance education. All seven universities have campuses in areas that the Israeli military has ordered to evacuate.

According to data from the Palestinian Ministry of Higher Education and Scientific Research, based in Ramallah, the buildings of five of the traditional universities were moderately or severely damaged, including Al-Azhar University - Gaza, Gaza University and the Islamic University of Gaza (IUG), all located in Gaza City (see "Israel-Hamas conflict"). UNOSAT independently noted damage to buildings at these five universities. A UNOSAT image analyst told Nature that the agency uses "visual change detection analysis", a method of comparing satellite images collected before and after an event, to locate and assess damaged buildings.

Nine of the 14 buildings at IUG, the territory's oldest higher education institution, were destroyed in two waves of bombing on October 9 and 11, including science laboratories, information technology buildings and medical teaching buildings. None of IUG's 17,000 students or more than 300 faculty members were on site at the time of the destruction. However, many students were killed or injured in other bombings, says Amani Al Mqadma, the university's head of international relations.

In a press release dated October 11 and accompanied by a video, the Israel Defense Forces (IDF), the country's military, confirmed that they had attacked the IUG. According to the statement, the university served as a "training camp for military intelligence officers, as well as for the development and production of weapons" and conferences were held to "raise funds for terrorism."

Nature asked the IDF if it could provide evidence that the university was involved in illegal activities. An IDF spokesperson responded in an emailed statement: "The IDF is currently focused on eliminating the [threat] from the terrorist organization Hamas. Issues of this type will be considered at a later date."

Nature was able to contact four researchers at universities in Gaza. Three of them have been left homeless since the bombing began and are among more than 1.6 million people who have been displaced within the Gaza Strip in response to IDF instructions to move to South. All expressed the feeling of now being alone.

The AQOU branch in Gaza also reported damage caused by the bombings. Mohammad Abu Jazar, an environmental engineer at the university, says he has lost all hope that the international community will come to their aid. "I'm sorry, but I don't believe there is a scientific community, or a global scientific community, that can do anything."

Hatem Ali Elaydi, an electrical engineer at the IUG, explains that he hosts 74 people from 7 families in his home. He says his daily priority is searching for food, clean water , medicine, cleaning supplies and clothes for families who have lost their homes. "There is no electricity, no Internet, no drinking water, no fuel" and families drink salt water from the sea. He says they start their day by taking news of each other to find out who they lost in the bombings of the previous night.

Bill Williamson, a social scientist at the University of Durham, UK, conducted research for an upcoming study on Palestinian higher education. "I was writing about a system, which still worked, with all its faults. Today, it is being destroyed, at least in Gaza," he explains.

Fears for the West Bank In the West Bank, where nearly three million Palestinians live, parts of local government are run by the Palestinian National Authority. However, Israel retains responsibility for borders and security, and its citizens are increasingly settling in the region. According to OCHA, as of November 15, 183 Palestinians have been killed by Israeli security forces. in the West Bank since October 7, bringing the death toll for 2023 to 427.

Three Israelis were killed in attacks by Palestinians, according to the UN. On October 9, Israel's Arms Licensing Department launched what it called "an emergency operation to enable as many civilians as possible to arm themselves."

Researchers interviewed by Nature say this increased violence has shut down face-to-face teaching and research at the West Bank's 34 higher education institutions, including 13 universities, compounding difficulties faced by staff and students. .

Majdi Owda, a data analytics researcher at the Arab American University in Ramallah, says students and faculty are now at increased risk of being shot if they visit campuses. This is also partly explained by the fact that Palestinian motor vehicles can be identified by their license plates. “For the moment, we cannot allow anyone to move around in such an environment,” he explains.

“Security comes first,” adds Raed Debiy, spokesperson for An-Najah National University in Nablus, in the West Bank. Debiy says the university sends medical students who have completed their clinical training to West Bank hospitals to help injured people.

Arrests of Palestinian academics and students have also increased. For many years, Israeli authorities have used administrative detention orders, a legal procedure that allows the military to arrest and imprison people considered to pose a security risk, without the need to to explain the charges against them. As of the end of June this year, 1,117 Palestinians were detained under this system, according to the human rights organization B'Tselem in Jerusalem. More recent data is not yet available.

On November 1, astrophysicist Imad Barghouthi of Jerusalem's Al-Quds University was sentenced to six months in prison after police burst into his home at 3 a.m. on October 23 and handcuffed him. and took him away, according to his daughter Duha.

Mario Martone, a theoretical physicist at King's College London and a member of Scientists for Palestine, which promotes research in the Palestinian territories, is campaigning for Barghouti's release. He says Mr. Barghouti has great influence in his field. "His early work on plasma dynamics in the cosmological context was international in scope. He has no political affiliation and has never carried out violent actions," says Mr. Martone.

Nature has contacted the IDF for more details on Barghouthi's arrest. The agency referred us to the Shin Bet, Israel's security agency, and the police. At the time of publication of this article, neither had responded.

Arrests of Palestinian academics and students have also increased. For many years, Israeli authorities have used administrative detention orders, a legal procedure that allows the military to arrest and imprison people considered to pose a security risk, without the need to to explain the charges against them. As of the end of June this year, 1,117 Palestinians were detained under this system, according to the human rights organization B'Tselem in Jerusalem. More recent data is not yet available.

On November 1, astrophysicist Imad Barghouthi of Jerusalem's Al-Quds University was sentenced to six months in prison after police burst into his home at 3 a.m. on October 23 and handcuffed him. and took him away, according to his daughter Duha.

Mario Martone, a theoretical physicist at King's College London and a member of Scientists for Palestine, which promotes research in the Palestinian territories, is campaigning for Barghouti's release. He says Mr. Barghouti has great influence in his field.

"His early work on plasma dynamics in the cosmological context was international in scope. He has no political affiliation and has never carried out violent actions," says Mr. Martone.

Nature has contacted the IDF for more details on Barghouthi's arrest. The agency referred us to the Shin Bet, Israel's security agency, and the police. At the time of publication of this article, neither had responded.

The current situation "is really sad, really traumatic," says Arie Zaban, president of Bar-Ilan University and president of the Association of University Directors in Israel.

“But at the same time, I know we will get through this and make this country a better place, in the name of the people who lost their lives.” Bar-Ilan concluded a bilateral cooperation agreement with the Moroccan National Consortium for Energy Transition, which includes 20 research groups from Moroccan universities. Mr. Zaban expects these collaborations to continue. “These projects usually happen person to person, and once that happens, it's a very strong relationship and it takes a lot to break it,” he explains.

At the same time, most international students and researchers who worked at the Weizmann Institute have returned or are returning to their home countries, says Eyal Rotenberg, an earth scientist at the Weizmann Institute. International scientific collaboration is seriously affected.

The situation is similar in the West Bank. Mr. Debiy, of An-Najah University, says joint projects, including conferences with colleagues from Europe and the United States, are being canceled or postponed. International academics can no longer come to the West Bank. “It is no longer even very safe to access the bridge between Jordan and Palestine.”

"We had an international conference on dentistry that was postponed. An international research conference for medical students, which was supposed to start on October 8, was completely canceled," he adds. Some informal cooperation existed between researchers from Israel and the Palestinian territories. But Yaakov Garb, a social and environmental scientist at BGU, says his Gaza-based colleagues now "spend most of their days searching for clean water and basic supplies."

Mr Williamson is a trustee of the Durham Palestine Educational Trust, a UK charity which supports Palestinian students and researchers to study at Durham University. He hopes "that once the war is over, we can encourage relevant governments and academics to think about helping rebuild Palestinian higher education."

“This is not just a good thing for the Palestinians; it is essential that we do this for the collective security of the Middle East and, indeed, for a better world.

doi: https://doi.org/10.1038/d44148-023-00322-w

https://www.nature.com/articles/d44148-023-00322-w
 
FROM AFP NEWS

Hundreds Flee Gaza's Al-Shifa Hospital On Foot: AFP Journalist

By AFP - Agence France Presse
November 18, 2023

Hundreds of people evacuated Gaza's Al-Shifa hospital on foot Saturday, an AFP journalist at the scene saw, after the hospital director said the Israeli army ordered the hospital emptied.

The Hamas-run health ministry said in a statement 120 wounded were still at the facility, along with an unspecified number of premature babies, adding it was in touch with the Red Cross about the infants.

Officials said a few medical staff stayed behind to care for those who could not be moved.

Columns of sick and injured -- some of them amputees -- displaced people, doctors and nurses, made their way towards the seafront.

Israel's army denied ordering the evacuation.

The army "acceded to the request of the director of the Shifa Hospital to enable additional Gazans who were in the hospital, and would like to evacuate, to do so" an army statement said.

The United Nations estimated 2,300 patients, staff and displaced Palestinians were sheltering at Al-Shifa before Israeli troops moved in on Wednesday.

...https://www.barrons.com/news/hundreds-flee-gaza-s-al-shifa-hospital-on-foot-afp-journalist-9b1a0af0
 
WHO leads very high-risk joint humanitarian mission to Al-Shifa Hospital in Gaza

18 November 2023 Statement
...
Earlier today, a joint UN humanitarian assessment team led by WHO accessed Al-Shifa Hospital in northern Gaza to assess the situation on the ground, conduct a rapid situational analysis, assess medical priorities and establish logistics options for further missions. The team included public health experts, logistics officers and security staff from OCHA, UNDSS, UNMAS/UNOPS, UNRWA and WHO.

The mission was deconflicted with the Israel Defense Forces (IDF) to ensure safe passage along the agreed route. However, this was a high-risk operation in an active conflict zone, with heavy fighting ongoing in close proximity to the hospital.

Earlier in the day, the IDF had issued evacuation orders to the remaining 2500 internally displaced people who had been seeking refuge on the hospital grounds. They, along with a number of mobile patients and hospital staff, had already vacated the facility by the time of the team's arrival.

Due to time limits associated with the security situation, the team was able to spend only one hour inside the hospital, which they described as a “death zone,” and the situation as “desperate.” Signs of shelling and gunfire were evident. The team saw a mass grave at the entrance of the hospital and was told more than 80 people were buried there.

Lack of clean water, fuel, medicines, food and other essential aid over the last 6 weeks have caused Al-Shifa Hospital – once the largest, most advanced and best equipped referral hospital in Gaza – to essentially stop functioning as a medical facility. The team observed that due to the security situation, it has been impossible for the staff to carry out effective waste management in the hospital. Corridors and the hospital grounds were filled with medical and solid waste, increasing the risk of infection. Patients and health staff with whom they spoke were terrified for their safety and health, and pleaded for evacuation. Al-Shifa Hospital can no longer admit patients, with the injured and sick now being directed to the seriously overwhelmed and barely functioning Indonesian Hospital.

There are 25 health workers and 291 patients remaining in Al-Shifa, with several patient deaths having occurred over the previous 2 to 3 days due to the shutting down of medical services. Patients include 32 babies in extremely critical condition, 2 people in intensive care without ventilation, and 22 dialysis patients whose access to life-saving treatment has been severely compromised. The vast majority of patients are victims of war trauma, including many with complex fractures and amputations, head injuries, burns, chest and abdominal trauma, and 29 patients with serious spinal injuries who are unable to move without medical assistance. Many trauma patients have severely infected wounds due to lack of infection control measures in the hospital and unavailability of antibiotics.

Given the current state of the hospital, which is no longer operational or admitting new patients, the team was requested to evacuate health workers and patients to other facilities. WHO and partners are urgently developing plans for the immediate evacuation of the remaining patients, staff and their families. Over the next 24–72 hours, pending guarantees of safe passage by parties to the conflict, additional missions are being arranged to urgently transport patients from Al-Shifa to Nasser Medical Complex and European Gaza Hospital in the south of Gaza. However, these hospitals are already working beyond capacity, and new referrals from Al-Shifa Hospital will further strain overburdened health staff and resources.

WHO is deeply concerned about the safety and health needs of patients, health workers and internally displaced people sheltering at the few remaining partially functional hospitals in the north, which are facing the risk of closure due to a lack of fuel, water, medical supplies and food, and the intense hostilities. Immediate efforts must be made to restore the functionality of Al-Shifa and all other hospitals to provide urgently needed health services in Gaza.

WHO reiterates its plea for collective efforts to bring an end to the hostilities and humanitarian catastrophe in Gaza. We call for an immediate ceasefire, the sustained flow of humanitarian assistance at scale, unhindered humanitarian access to all of those in need, the unconditional release of all hostages, and the cessation of attacks on health care and other vital infrastructure. The extreme suffering of the people of Gaza demands that we respond immediately and concretely with humanity and compassion.

https://www.who.int/news/item/18-11...nitarian-mission-to-al-shifa-hospital-in-gaza

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WHO-led joint UN and Red Crescent mission evacuates 31 infants from Al-Shifa Hospital in Gaza

19 November 2023 Statement Geneva/Cairo

...
A second WHO-led joint UN mission, working in collaboration with the Palestine Red Crescent Society, earlier today evacuated 31 babies from Al-Shifa Hospital in northern Gaza, to a hospital in southern Gaza. The severely ill babies were transported in 6 ambulances supplied and staffed by the Palestine Red Crescent. Other mission members included UN Mine Action, UNICEF and UNRWA. The mission was once again assessed as high-risk, due to the active combat taking place in close proximity to the hospital.

These premature and low birthweight babies had earlier been moved from the neonatal unit in Al-Shifa to a safer area in the hospital, due to lack of electricity to run their life support, and security risks in the hospital. Yesterday and last night, two babies died before the evacuation could take place. (Note, there were 33 babies under care yesterday, according to a Ministry of Health update.)

The babies were successfully transported to the neonatal intensive care unit at Al-Helal Al-Emarati Maternity Hospital in southern Gaza, where they are being assessed and stabilized. Doctors there say all the babies are fighting serious infections due to lack of medical supplies and impossibility to continue infection control measures in Al-Shifa Hospital. Eleven are in critical condition.

Sadly, none of the infants were accompanied by family members, as the Ministry of Health has only limited information, and is not currently able to find close family members. Six health workers and 10 of their family members, who had been sheltering at the hospital, were also evacuated.

The evacuation, which was requested by health workers and patients during the joint mission yesterday, became necessary as Al-Shifa Hospital is no longer able to function due to a lack of clean water, fuel, medical supplies, food, other essential items and the intense hostilities. WHO remains deeply concerned about the safety and health needs of patients and health workers who remain at Al-Shifa Hospital, and in the few partially functional hospitals in the north that face imminent closure.

Al-Shifa Hospital, previously the largest and most advanced referral hospital in Gaza, together with other hospitals, must be fully restored to provide urgently needed health services in Gaza.

Today’s mission was led by senior WHO staff, including a medical specialist and a doctor, and representatives from UNICEF, UNMAS and UNRWA as noted above. It included medical staff from the Palestine Red Crescent Society, along with their ambulances. WHO is grateful for their partnership, and the support of the rest of the UN, working together as One UN.

The complex and high-risk operation, occurring in an active conflict zone, follows an assessment mission yesterday, 18 November, which included public health experts, logistics specialists, and security staff from OCHA, UNDSS, UNMAS/UNOPS, UNRWA and WHO. Today’s mission was deconflicted with the Israel Defense Forces and with the defacto authorities.

There remain over 250 patients and 20 health workers at Al-Shifa, who all request immediate evacuation. Planning is ongoing to evacuate the remaining patients, their families and the health-care workers. Given the complex security and logistics constraints, these evacuations will take several days to complete. Priority will be given to the 22 dialysis patients and 50 patients with spinal injuries. WHO reaffirms its respect for the dedication, professionalism, humanity and courage of the health staff who have continued to care for their patients under unimaginably difficult conditions.

WHO reiterates its plea for collective efforts to bring an end to the hostilities and humanitarian catastrophe in Gaza. We call for an immediate ceasefire, the sustained flow of humanitarian assistance at scale, unhindered humanitarian access to all of those in need, the unconditional release of all hostages—many of whom have serious medical needs—and the cessation of attacks on health care and other vital infrastructure.

https://www.who.int/news/item/19-11...cuates-infants-from-al-shifa-hospital-in-gaza
 
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