Officials: 68 Sick and Injured Children Leave Gaza in First Medical Evacuation Since Early May

 A girl walks with salvaged wood through rubble at the site of a building that was hit by Israeli bombardment in the Sabra neighborhood in the south of Gaza City on June 27, 2024 amid the ongoing conflict in the Palestinian territory between Israel and Hamas. (AFP)
A girl walks with salvaged wood through rubble at the site of a building that was hit by Israeli bombardment in the Sabra neighborhood in the south of Gaza City on June 27, 2024 amid the ongoing conflict in the Palestinian territory between Israel and Hamas. (AFP)
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Officials: 68 Sick and Injured Children Leave Gaza in First Medical Evacuation Since Early May

 A girl walks with salvaged wood through rubble at the site of a building that was hit by Israeli bombardment in the Sabra neighborhood in the south of Gaza City on June 27, 2024 amid the ongoing conflict in the Palestinian territory between Israel and Hamas. (AFP)
A girl walks with salvaged wood through rubble at the site of a building that was hit by Israeli bombardment in the Sabra neighborhood in the south of Gaza City on June 27, 2024 amid the ongoing conflict in the Palestinian territory between Israel and Hamas. (AFP)

Israeli authorities said on Thursday 68 sick and injured children and their companions have been allowed out of the Gaza Strip and into Egypt in the first medical evacuation since May, when the territory’s sole travel crossing was shut down.

COGAT, the Israeli military body responsible for Palestinian civilian affairs, said Thursday that the evacuation was carried out in coordination with officials from the United States, Egypt and the international community.

The children and their companions left the Gaza Strip via the Kerem Shalom crossing, and the patients were to travel to Egypt and further abroad for medical treatment.

The nearly nine-month Israel-Hamas war has devastated Gaza’s health sector and forced most of its hospitals to shut down. Health officials say thousands of people need medical treatment abroad, including hundreds of urgent cases.

Family members bade a tearful goodbye to the children as they and their escorts left the Nasser Hospital in the southern Gaza town of Khan Younis bound for the Kerem Shalom cargo crossing with Israel.

The Rafah crossing between Gaza and Egypt, the only one available for people to travel in or out, shut down after Israeli forces captured it during their operation in the city early last month.

Six of the children were transferred to the Nasser Hospital from Al-Ahli Hospital in Gaza City earlier this week. Five have malignant cases of cancer and one suffers from metabolic syndrome. That evacuation was organized by the World Health Organization, which could not immediately be reached for comment.

At a press conference at Nasser Hospital on Thursday, Dr. Mohammed Zaqout, the head of Gaza's hospitals, said the evacuation was conducted in coordination with the WHO and three American charities.

Zaqout said over 25,000 patients in Gaza require treatment abroad, including some 980 children with cancer, a quarter of whom need “urgent and immediate evacuation.”

He said the cases included in Thursday’s evacuation are “a drop in the ocean” and that the complicated route through Kerem Shalom and into Egypt cannot serve as an alternative to the Rafah crossing.

At Nasser Hospital earlier on Thursday, many of the families appeared anxious. Most relatives had to stay behind, and even those allowed to accompany the patients did not know their final destination.

Nour Abu Zahri wept as he kissed his young daughter goodbye. The girl has severe burns on her head from an Israeli airstrike. He said he didn’t get clearance to leave Gaza with her, though her mother did.

“It’s been almost 10 months, and there is no solution for the hospitals here,” he said.

Kamela Abukweik burst into tears after her son got on the bus heading to the crossing with her mother. Neither she nor her husband were cleared to leave.

“He has tumors spread all over his body and we don’t know what the reason is. And he constantly has a fever,” she said. “I still don’t know where he is going.”

In a post on the social media platform X, the World Health Organization regional director for the Eastern Mediterranean, Hanan Balkhy, welcomed news of the children's evacuation, but noted that “more than 10,000 patients still require medical care outside the Strip. Of the 13,872 people who have applied for medical evacuation since 7 October, only 35% have been evacuated.”

“Medical evacuation corridors must be urgently established for the sustained, organized, safe, and timely passage of critically ill patients from Gaza via all possible routes,” she said.

Israel’s offensive against Hamas, which runs the Gaza Strip, has killed over 37,700 Palestinians, according to Gaza’s Health Ministry, which does not differentiate between civilians and fighters in its count. Thousands of women and children are among the dead.

The war began with Hamas’ surprise attack into Israel on Oct. 7, in which militants killed some 1,200 people and took another 250 hostage.

On Thursday, the Israeli military ordered new evacuations from Gaza City neighborhoods that were heavily bombed and largely emptied early in the war. The latest orders apply to Shejaia and other neighborhoods where residents reported heavy bombing on Thursday.

First responders with Gaza’s Civil Defense said airstrikes hit five homes, killing at least three people and wounding another six. It said rescuers were still digging through the rubble for survivors.

Gaza City was heavily bombed in the opening weeks of the war. Israel ordered the evacuation of all of northern Gaza, including the territory’s largest city, later that month. Hundreds of thousands of people have remained in the north, even as Israeli troops have surrounded and largely isolated it.

Shejaia residents in a messaging group shared video showing large numbers of people fleeing the neighborhood on foot with their belongings in their arms.

International criticism has been growing over Israel’s campaign against Hamas as Palestinians face severe and widespread hunger. The eight-month war has largely cut off the flow of food, medicine and basic goods to Gaza, and people there are now totally dependent on aid. The top United Nations court has concluded there is a “plausible risk of genocide” in Gaza — a charge Israel strongly denies.



Mediators on Standby for Obstacles as Gaza Ceasefire Starts

 Palestinians transport belongings amidst building rubble in a ruined neighborhood of Gaza's southern city of Rafah on January 20, 2025, as residents return following a ceasefire deal a day earlier between Israel and the Palestinian Hamas group. (AFP)
Palestinians transport belongings amidst building rubble in a ruined neighborhood of Gaza's southern city of Rafah on January 20, 2025, as residents return following a ceasefire deal a day earlier between Israel and the Palestinian Hamas group. (AFP)
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Mediators on Standby for Obstacles as Gaza Ceasefire Starts

 Palestinians transport belongings amidst building rubble in a ruined neighborhood of Gaza's southern city of Rafah on January 20, 2025, as residents return following a ceasefire deal a day earlier between Israel and the Palestinian Hamas group. (AFP)
Palestinians transport belongings amidst building rubble in a ruined neighborhood of Gaza's southern city of Rafah on January 20, 2025, as residents return following a ceasefire deal a day earlier between Israel and the Palestinian Hamas group. (AFP)

Sunday's delayed start to the Gaza ceasefire and incidents on Monday in which Israeli troops shot at Palestinians approaching them underline some of the hiccups likely to face a deal that will play out in the shadow of mutual mistrust and bitterness.

Qatar and Egypt, which brokered the deal alongside the US, have set up a communications hub to tackle any problems, where officials who worked on the deal for months hope to head off new clashes between foes locked in a years-long cycle of Gaza wars.

"These kinds of deals are never easy to maintain," said Majed Al-Ansari, spokesperson for Qatar's foreign ministry.

Particularly in a war zone the situation can shift very quickly, either by accident or through political posturing on one side or another, he said.

"Any party could consider a threat a reason to violate the parameters of the agreement, and therefore we would end up with having to go in and to find a way to resume the ceasefire."

With just over an hour to go before the ceasefire was due to take effect on Sunday, Prime Minister Benjamin Netanyahu announced that Israel would not observe the halt to fighting until Hamas handed over the names of the three hostages to be released later in the day.

Fighting continued almost three hours past the deadline, while a Hamas official in the coordination room set up in Cairo discussed the delay, which Hamas put down to unspecified "technical issues" with officials.

The issue was eventually dealt with and the three hostages were released on schedule in the afternoon in exchange for 90 Palestinian prisoners freed from Israeli jails late that night, setting off emotional scenes as they returned to their families.

"We don't expect things to go according to plan," said one official briefed on the negotiations, adding that issues of this kind were not expected to derail a process that diplomats and officials have been working on for months.

"It's hard to believe that after all the work the mediators have put in and the assurances they received, both from the US and the mediators, that this deal would derail on day one," the official said.

The multi-phase deal will see an initial six-week ceasefire, during which 33 hostages will be gradually exchanged for hundreds of Palestinian prisoners, people displaced from northern Gaza will be allowed to return to their homes and Israeli troops will pull back from some positions.

During the first phase, negotiations will begin for the release of the remaining 64 hostages, consisting of men of military age and for the full withdrawal of Israeli troops. But few expect the process to go without problems.

OBSTACLES AHEAD

With an extremely low level of trust between both sides who have fought each other for generations, potential pitfalls run from accidental or deliberate confrontations during the period of withdrawal to disputes over the identity and state of hostages to be released or returned.

So far, Hamas has not said how many of the hostages are still alive. A list of the remaining 30 hostages due for release in the first phase and whether they are alive or dead is expected to be handed over on Saturday.

The Israeli military says it is seeking to avoid situations in which Gaza residents come too close to Israeli troops that are pulling back. Already on Monday, troops fired on at least eight Palestinians who approached them, medics in Gaza said.

To prevent this, it will publish maps and guidelines as the agreement progresses, making clear which areas should not be approached as the withdrawal proceeds, an Israeli military official said.

"The areas will change as the troops gradually withdraw from the Gaza Strip," the military official said.

In Israel, the deal is viewed with deep suspicion by some, who say it leaves Hamas in control of Gaza and others who worry that it effectively abandons the hostages not included in the first phase.

Already, hardliner Itamar Ben-Gvir resigned as National security Minister on the morning of the ceasefire and pulled his party from Netanyahu's coalition and others may follow.

Israeli public radio reported that Israeli officials were shocked to see the three hostages released in the center of Gaza on Sunday getting out of a car in the middle of a large crowd of people held back by Hamas fighters in uniform, and will inform the mediators that they regard such scenes as unacceptable.

But mediators are counting on positive momentum as the release of hostages and prisoners continues over the coming weeks to ease opposition.

"The pictures we have seen yesterday of the three Israeli hostages meeting with their families, embraced by their families. These are the pictures that would change public opinion in Israeli politics," Ansari said. "The same goes also for the Palestinian populace, when they see 90 of their women and children coming back to their families."

"These are the kind of pictures that change public opinion. They apply real pressure on the leadership to maintain the deal."