In Israel’s Call for Mass Evacuation, Palestinians Hear Echoes of Their Original Catastrophic Exodus

A man waves a Palestinian flag during a demonstration in support of Palestinians in Cali, Colombia, on October 13, 2023 amid Israeli air strikes on Gaza in reprisal for a surprise Hamas attack on October 7, 2023 - AFP
A man waves a Palestinian flag during a demonstration in support of Palestinians in Cali, Colombia, on October 13, 2023 amid Israeli air strikes on Gaza in reprisal for a surprise Hamas attack on October 7, 2023 - AFP
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In Israel’s Call for Mass Evacuation, Palestinians Hear Echoes of Their Original Catastrophic Exodus

A man waves a Palestinian flag during a demonstration in support of Palestinians in Cali, Colombia, on October 13, 2023 amid Israeli air strikes on Gaza in reprisal for a surprise Hamas attack on October 7, 2023 - AFP
A man waves a Palestinian flag during a demonstration in support of Palestinians in Cali, Colombia, on October 13, 2023 amid Israeli air strikes on Gaza in reprisal for a surprise Hamas attack on October 7, 2023 - AFP

In Israel's call for the evacuation of half of Gaza's population, many Palestinians fear a repeat of the most traumatic event in their tortured history, their mass exodus from what is now Israel during the 1948 war surrounding its creation.

Palestinians refer to it as the Nakba, or “catastrophe." An estimated 700,000 Palestinians, a majority of the prewar population, fled or were expelled from what is now Israel in the months before and during the war, in which Jewish fighters fended off an attack by several Arab states.

The Palestinians packed their belongings, piling into cars, trucks and donkey carts. Many locked their doors and took their keys with them, expecting to return when the war ended.

Seventy-five years later, they have not been allowed back. Emptied towns were renamed, villages were demolished, homes reclaimed by forests in Israeli nature reserves.

Israel refused to allow the Palestinians to return, because it would threaten the Jewish majority within the country's borders. So the refugees and their descendants, who now number nearly 6 million, settled in camps in the West Bank, Lebanon, Syria and Jordan. Those camps eventually grew into built-up neighborhoods.

In Gaza, the vast majority of the population are Palestinian refugees, many of whose relatives fled from the same areas that Hamas attacked last weekend.

The Palestinians insist they have the right to return, something Israel still adamantly rejects. Their fate was among the thorniest issues in the peace process, which ground to a halt more than a decade ago.

Now, Palestinians fear the most painful moment from their history is repeating itself.

"You look at those pictures of people without cars, on donkeys, hungry and barefoot, getting out any way they can to go to the south,” said political analyst Talal Awkal, who has decided to stay in Gaza City because he doesn't think the south will be any safer.

“It is a catastrophe for Palestinians, it is a Nakba," The Associated Press quoted Awkal saying.

"They are displacing an entire population from its homeland.”

Israel has vowed to crush Hamas after its Oct. 7 attack. Hamas fighters killed over 1,300 Israelis and captured around 150.

Israel has launched blistering waves of airstrikes on Gaza in response that have already killed over 1,500 Palestinians, and the war appears set to escalate further.

On Friday, Israel called on all Palestinians living in northern Gaza, including Gaza City, to head south. The evacuation orders apply to more than a million people, about half the population of the narrow, 40-kilometer (25-mile) coastal strip.

With Israel having sealed Gaza's borders, the only direction to flee is south, toward Egypt. But Israel is still carrying out airstrikes across the Gaza, and Egypt has rushed to secure its border against any mass influx of Palestinians. It too, fears another Nakba.

The military has said those who leave can return when hostilities end, but many Palestinians are deeply suspicious.

Israel's far-right government has empowered extremists who support the idea of deporting Palestinians, and in the wake of the Hamas attack some have openly called for mass expulsion. Some are West Bank settlers still angry over Israel's unilateral pullout from Gaza in 2005.

“Right now, one goal: Nakba! A Nakba that will overshadow the Nakba of 48. Nakba in Gaza and Nakba to anyone who dares to join!” Ariel Kallner, a member of parliament from Prime Minister Benjamin Netanyahu's Likud, wrote on social media after the Hamas attack.

Hamas, meanwhile, has told people to remain in their homes, dismissing the Israeli orders as a ploy.

President Mahmoud Abbas, who heads the internationally-recognized Palestinian Authority in the occupied West Bank, also rejected the evacuation orders, saying they would lead to a “new Nakba.”

Abbas, 87, is a refugee from Safed, in what is now northern Israel. He wore a key-shaped lapel pin when he addressed the United Nations last month, noting the 75th anniversary of the Nakba.

Palestinians have heard their relatives’ stories, and have been raised on the idea that the only hope for their decades-long struggle for self-determination is steadfastness on the land.

But many in Gaza may be too frightened, exhausted and desperate to make a stand.

For nearly a week, they have been seeking safety under a barrage of Israeli airstrikes that have demolished entire city blocks, sometimes hitting without warning. There's a territory-wide electricity blackout and dwindling supplies of food, fuel and medicine.

The south isn't safe, but if Israel launches a ground offensive in the north, as seems increasingly likely, it might be their best hope for survival, even if they never return.

“The experience that happened with our families in 1948 taught us that if you leave, you will not return,” said Khader Dibs, who lives in the crowded Shuafat refugee camp on the outskirts of Jerusalem.

“The Palestinian people are dying and the Gaza Strip is being wiped out.”



Dialysis Patients Struggle to Get Treatment in Blockaded Gaza. Officials Say Hundreds Have Died 

Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
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Dialysis Patients Struggle to Get Treatment in Blockaded Gaza. Officials Say Hundreds Have Died 

Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)

Twice a week, Mohamed Attiya’s wheelchair rattles over Gaza’s scarred roads so he can visit the machine that is keeping him alive.

The 54-year-old makes the journey from a temporary shelter west of Gaza City to Shifa Hospital in the city’s north. There, he receives dialysis for the kidney failure he was diagnosed with nearly 15 years ago. But the treatment, limited by the war's destruction and lack of supplies, is not enough to remove all the waste products from his blood.

“It just brings you back from death,” the father of six said.

Many others like him have not made it. They are some of Gaza’s quieter deaths from the war, with no explosion, no debris. But the toll is striking: Over 400 patients, representing around 40% of all dialysis cases in the territory, have died during the 18-month conflict because of lack of proper treatment, according to Gaza's Health Ministry.

That includes 11 patients who have died since the beginning of March, when Israel sealed the territory's 2 million Palestinians off from all imports, including food, medical supplies and fuel. Israeli officials say the aim is to pressure Hamas to release more hostages after Israel ended their ceasefire.

COGAT, the Israeli military body in charge of coordinating aid, declined to comment on the current blockade. It has said in the past that all medical aid is approved for entry when the crossings are open, and that around 45,400 tons of medical equipment have entered Gaza since the start of the war.

Hardships mount for Gaza patients

Attiya said he needs at least three dialysis sessions every week, at least four hours each time. Now, his two sessions last two or three hours at most.

Israel’s blockade, and its numerous evacuation orders across much of the territory, have challenged his ability to reach regular care.

He has been displaced at least six times since fleeing his home near the northern town of Beit Hanoun in the first weeks of the war. He first stayed in Rafah in the south, then the central city of Deir al-Balah. When the latest ceasefire took effect in January, he moved again to another school in western Gaza City.

Until recently, Attiya walked to the hospital for dialysis. But he says the limited treatment, and soaring prices for the mineral water he should be drinking, have left him in a wheelchair.

His family wheels him through a Gaza that many find difficult to recognize. Much of the territory has been destroyed.

“There is no transportation. Streets are damaged,” Attiya said. “Life is difficult and expensive.”

He said he now has hallucinations because of the high levels of toxins in his blood.

“The occupation does not care about the suffering or the sick,” he said, referring to Israel and its soldiers.

A health system gutted by war

Six of the seven dialysis centers in Gaza have been destroyed during the war, the World Health Organization said earlier this year, citing the territory’s Health Ministry. The territory had 182 dialysis machines before the war and now has 102. Twenty-seven of them are in northern Gaza, where hundreds of thousands of people rushed home during the two-month ceasefire.

“These equipment shortages are exacerbated by zero stock levels of kidney medications,” the WHO said.

Israel has raided hospitals on several occasions during the war, accusing Hamas of using them for military purposes. Hospital staff deny the allegations and say the raids have gutted the territory's health care system as it struggles to cope with mass casualties from the war.

The Health Ministry says over 51,000 Palestinians, mostly women and children, have been killed in Israel's offensive, without saying how many were civilians or combatants. Hamas-led fighters killed some 1,200 people, mostly civilians, and abducted 251 in the Oct. 7, 2023 attack that triggered the war.

Officials say hundreds of patients have died

At Shifa Hospital, the head of the nephrology and dialysis department, Dr. Ghazi al-Yazigi, said at least 417 patients with kidney failure have died in Gaza during the war because of lack of proper treatment.

That’s from among the 1,100 patients when the war began.

Like Attiya, hundreds of dialysis patients across Gaza are now forced to settle for fewer and shorter sessions each week.

“This leads to complications such as increased levels of toxins and fluid accumulation ... which could lead to death,” al-Yazigi said.

Mohamed Kamel of Gaza City is a new dialysis patient at the hospital after being diagnosed with kidney failure during the war and beginning treatment this year.

These days, “I feel no improvement after each session,” he said during one of his weekly visits.

The father of six children said he no longer has access to filtered water to drink, and even basic running water is scarce. Israel last month cut off the electricity supply to Gaza, affecting a desalination plant producing drinking water for part of the arid territory.

Kamel said he has missed many dialysis sessions. Last year, while sheltering in central Gaza, he missed one because of an Israeli bombing in the area. His condition deteriorated, and the next day he was taken by ambulance to Al-Aqsa Martyrs hospital.

“The displacement has had consequences,” Kamel said. “I am tired.”