MSF Doctor Says Gaza War Like No Other

Destruction in Gaza caused by Israeli airstrikes (AP)
Destruction in Gaza caused by Israeli airstrikes (AP)
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MSF Doctor Says Gaza War Like No Other

Destruction in Gaza caused by Israeli airstrikes (AP)
Destruction in Gaza caused by Israeli airstrikes (AP)

A Doctors Without Borders (MSF) medic on Friday described unparallelled conditions in the Gaza Strip following a visit to the besieged territory in which he witnessed oversaturated hospitals and ever-closer bombardment.

Enrico Vallaperta has left Gaza after spending several weeks in the war-torn Palestinian territory for charity Doctors Without Borders (MSF), but recalled the minimal supplies and large number of child casualties.

It's "a context that no one saw before", said the war medic who was deployed to Gaza during the 2021 war, at a press conference in Cairo a day after leaving the Strip.

More than 100 days of Israeli bombardments have left at least 24,762 people dead -- three-quarters of them women and children -- and 62,108 injured, according to the Hamas-run territory's health ministry.

"If you compare to Ukraine, after a short time, women and kids were sent to safer areas. In Gaza, they can't," said Vallaperta, describing having to treat many children.

"Gaza now is a place that is destroyed. And what is not destroyed is full of people," he said.

The World Health Organization (WHO) says only 15 of the 36 hospitals in the Gaza Strip are still partially functioning for Gaza's 2.4 million residents.

"We use the minimum medication so that we can manage our supplies," Vallaperta said.

Israel imposed a siege on Gaza in the wake of the October 7 attacks that resulted in about 1,140 deaths, mostly civilians, according to an AFP tally based on official Israeli figures.

Food, fuel and medicine have been blocked, with only small amounts of humanitarian aid trickling into the territory that had already been blockaded for 17 years.

"What we are doing is almost nothing given the needs. Our impact is very low, it is a drop in the ocean," said Vallaperta.

The doctor said he had to make the difficult decision to evacuate his team from the Al-Aqsa hospital in central Gaza, because "they bombed 150 meters away from the hospital".

Three days after they left, "a nearby building was bombed and partially collapsed on the hospital," he said.

Helen Ottens-Patterson, MSF's emergency coordinator in Cairo, said the charity has only been able to transport 107 tonnes of medical assistance so far.

"We would like to scale up, (but) there is a lack of humanitarian access," she said, noting in recent weeks "a slower rhythm on the aid entering", which must be inspected at Israeli terminals.

She also called for an "end of the attacks on health infrastructures".

Vallaperta meanwhile warned "the situation is getting worse day after day, access to food is harder, access to water is harder".

"We need a ceasefire now," said the medic.



Hamas to Conceal Identity of Sinwar’s Successor, Five Candidates Considered

Yahya Sinwar in a file photo taken in Gaza on October 21, 2011 (AP)
Yahya Sinwar in a file photo taken in Gaza on October 21, 2011 (AP)
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Hamas to Conceal Identity of Sinwar’s Successor, Five Candidates Considered

Yahya Sinwar in a file photo taken in Gaza on October 21, 2011 (AP)
Yahya Sinwar in a file photo taken in Gaza on October 21, 2011 (AP)

Hamas is set to keep the identity of its new political bureau chief secret after Israel assassinated Yehya Sinwar, the group’s Gaza leader, on Wednesday.

This follows the killing of former political chief Ismail Haniyeh in Tehran less than three months ago.

Sources told Asharq Al-Awsat that Hamas leaders are discussing the decision to hide the new leader’s name due to growing security risks.

“The leadership is likely to keep the identity confidential for safety reasons,” one source said.

The move is aimed at giving the new chief more freedom to operate and avoiding Israeli assassination attempts, which have targeted many of Hamas’ leaders.

The secrecy is also expected to help maintain internal order and protect the group’s structure.

Hamas wants to keep Israel uncertain about who will make decisions if talks resume on a ceasefire and a prisoner exchange in Gaza.

Since Friday, after officially announcing Sinwar’s death, Hamas leaders have been discussing who will replace him and whether to reveal their identity.

Sinwar was appointed about three months ago to send a defiant message to Israel and to show Hamas’ commitment to its “Al-Aqsa Flood” campaign.

His selection also aimed to reduce pressure on the group’s external leadership, which faces Israeli threats, political pressure from mediators, and calls for host countries to expel Hamas leaders.

Potential Successors:

Darwish, the ‘Shadow Man’

Several candidates are being considered to replace Sinwar, who faced no competition for Hamas’ political leadership after Haniyeh’s assassination in Tehran on July 31.

The focus is now on Mohammad Darwish (Abu Omar Hassan), head of Hamas’ Shura Council. He was relatively unknown until gaining attention after Haniyeh’s death.

Many believe he has a strong chance, having appeared in recent official meetings ahead of some long-standing leaders.

A Hamas source said Darwish, once seen as the “shadow man,” is now taking on a more prominent role, receiving visitors and leading key activities.

Darwish spent much of his life abroad and was closely tied to the Muslim Brotherhood, from which Hamas originally emerged. Hamas later revised its charter and distanced itself from the Brotherhood.

Khalil al-Hayya: Sinwar’s Deputy

Alongside Darwish, Khalil al-Hayya is seen as a key contender, believed to be Sinwar’s deputy. Al-Hayya became a leading figure in Gaza after Sinwar’s disappearance and assassination.

A veteran political leader in Gaza, al-Hayya became Sinwar’s deputy and a close ally. He now leads Hamas in Gaza and is in charge of ceasefire negotiations and a potential prisoner exchange.

Al-Hayya has represented the group on key occasions, including speeches marking the October 7 attack and mourning Sinwar, calling him “the leader of the Al-Aqsa Flood battle.”

He promised that Hamas would continue its fight for full Palestinian liberation and a state with Jerusalem as its capital.

Al-Hayya also stated that Israeli prisoners held by Hamas would not be released unless Israel halts its offensive on Gaza, withdraws, and frees Palestinian prisoners.

Known as a political hardliner, al-Hayya, like Sinwar, supports strong ties with Iran.

Khaled Meshaal: Closer to the Muslim Brotherhood than Iran

In addition to al-Hayya and Darwish, Khaled Meshaal, Mousa Abu Marzouk, and Mohammad Nazzal are also possible candidates to lead Hamas.

Meshaal led Hamas’ political bureau for about 21 years and now heads the group’s external branch.

After Haniyeh’s assassination, Meshaal reportedly declined the leadership role due to health reasons and the current situation. It is unclear if he will now step in after Sinwar's death.

Meshaal is widely known politically and is seen as more connected to the Muslim Brotherhood than to Iran.

Mohammad Nazzal: A Hardliner in Hamas

Mohammad Nazzal’s influence was evident in the recent elections.

Born and raised in Amman, Jordan, Nazzal is originally from the West Bank and studied in Kuwait. He joined Hamas at its founding and has been a member of the political bureau since 1996. Nazzal is regarded as one of the hardliners within the group.

Mousa Abu Marzouk: First Head of the Political Bureau

Mousa Abu Marzouk is another candidate for leadership. He co-founded Hamas in 1987 and was its first head of the political bureau.

He currently serves as the deputy head of Hamas’ external branch. Born in 1951 in the Rafah refugee camp, his family was displaced from a village near Ramla.

It is expected that the next Hamas leader will be chosen from among these candidates rather than from Gaza, especially given the communication breakdown with some leaders in the territory.

Hamas has a system for selecting successors for vacant positions.

Hiding the Identity of Hamas' Leader

Hamas began concealing the identity of its leader in 2004 after Israel assassinated founder Ahmed Yassin on March 22, followed by his successor, Abdel Aziz al-Rantisi, on April 17.

For a long time, Hamas did not disclose the name of its leader in Palestine to avoid Israeli targeting.

Sinwar was killed on October 17, a major setback for Hamas that came just three months after former political chief Ismail Haniyeh was assassinated in Tehran.

Sinwar’s death has prompted Hamas to start extensive consultations to shape its future approach to the ongoing conflict and ceasefire negotiations.

This shift returned decision-making power to the external leadership after Gaza had been the focus.

Future decisions are likely to involve broader discussions, especially with the absence of influential historical leaders. While not indicating a collective leadership model like Hezbollah's in Lebanon, it suggests a move towards more inclusive consultation.

Since its founding in 1987, Hamas has had four leaders of the political bureau: Abu Marzouk (1992-1996), Meshaal (1996-2017), Haniyeh (2017 until his assassination), and Sinwar. A fifth leader is expected to be chosen soon.