Gaza’s Limited Water Supply Raises Concerns for Human Health 

View of a destroyed building following Israeli strikes in Al-Rimal, in Gaza City, 16 October 2023. (EPA)
View of a destroyed building following Israeli strikes in Al-Rimal, in Gaza City, 16 October 2023. (EPA)
TT

Gaza’s Limited Water Supply Raises Concerns for Human Health 

View of a destroyed building following Israeli strikes in Al-Rimal, in Gaza City, 16 October 2023. (EPA)
View of a destroyed building following Israeli strikes in Al-Rimal, in Gaza City, 16 October 2023. (EPA)

A lack of clean water in the Gaza Strip is raising major concerns for human health.

“Gaza is running out of water, and Gaza is running out of life,” said Philippe Lazzarini, chief of the UN agency for Palestinians.

Gaza normally gets its water supplies from a combination of sources, including a pipeline from Israel, desalination plants on the Mediterranean Sea and wells. Those supplies were slashed when Israel cut off water, along with the fuel and electricity that power water and sewage plants, in the wake of the Hamas attacks.

The United Nations recognizes access to water as a human right, and on a basic level, the human body needs a constant supply of water to survive.

“Next to air,” water is “really the most important thing for maintenance of your health,” said Dr. Tsion Firew, an emergency physician at Columbia University who has worked on water access in humanitarian settings.

A report from the US National Academies of Science and Medicine says men need to drink about 3.7 liters (125 ounces) and women need about 2.7 liters (91 ounces) per day to be adequately hydrated. Most of that comes from drinking water or beverages, and about 20% from food, including fruits.

Many people can’t survive more than a few days without water, Firew said — especially vulnerable groups like children, the elderly and those with health conditions. Dehydration can cause dizziness, fatigue and confusion and in severe cases lead to organ failure and death.

Water access is also crucial for sanitation, and a lack of clean water can lead to the spread of infections like cholera and dysentery. Diarrheal diseases that can be spread by unclean water are the leading cause of death for children under 5 across the world, Firew said.

Health care settings are a particular concern as they rely on clean water to care for patients who are sick and injured.

As hospitals across the Gaza Strip struggle to care for thousands of patients, the World Health Organization said the lack of water is putting lives in danger.

“Water is needed to ensure sanitary conditions on inpatient wards, in operation rooms, and emergency departments. It is essential for the prevention of hospital associated infections and for the prevention of outbreaks in hospitals,” the WHO said in a statement.



Hamas Weakened, Not Crushed a Year into War with Israel

People search for survivors and the bodies of victims through the rubble of buildings destroyed during Israeli bombardment, in Khan Younis in the southern Gaza Strip on October 26, 2023, amid the ongoing battles between Israel and the Palestinian group Hamas. (AFP)
People search for survivors and the bodies of victims through the rubble of buildings destroyed during Israeli bombardment, in Khan Younis in the southern Gaza Strip on October 26, 2023, amid the ongoing battles between Israel and the Palestinian group Hamas. (AFP)
TT

Hamas Weakened, Not Crushed a Year into War with Israel

People search for survivors and the bodies of victims through the rubble of buildings destroyed during Israeli bombardment, in Khan Younis in the southern Gaza Strip on October 26, 2023, amid the ongoing battles between Israel and the Palestinian group Hamas. (AFP)
People search for survivors and the bodies of victims through the rubble of buildings destroyed during Israeli bombardment, in Khan Younis in the southern Gaza Strip on October 26, 2023, amid the ongoing battles between Israel and the Palestinian group Hamas. (AFP)

Israel's military campaign to eradicate Hamas in retaliation for the October 7 attack has weakened it by killing several of its leaders and thousands of fighters, and by reducing swaths of the territory it rules to rubble.

But the Palestinian armed group has not been crushed outright, and a year on from its unprecedented attack on Israel, an end to its hold over Gaza remains elusive.

Hamas sparked the Gaza war by sending hundreds of fighters across the border into Israel on October 7, 2023, to attack communities in the south.

The attack resulted in the deaths of 1,205 people, most of them civilians, according to an AFP tally based on official Israeli figures, which include hostages killed in captivity.

Vowing to crush Hamas and bring the hostages home, Israel launched a military campaign in the Gaza Strip from the land, sea and air.

According to data provided by the health ministry of Hamas-run Gaza, the war has killed more than 41,000 people, the majority civilians. The United Nations has acknowledged these figures to be reliable.

- Dead leader -

In one of the biggest blows to the movement since it was founded in 1987 during the Palestinian intifada uprising, Hamas's leader Ismail Haniyeh was assassinated in Iran on July 31.

Both Hamas and its backer Iran accused Israel of killing Haniyeh, though Israel has not commented.

After Haniyeh's death, Hamas named Yahya Sinwar, whom Israel accuses of masterminding the October 7 attack, as its new leader.

On the Gaza battlefield, Israeli forces have aggressively pursued both Sinwar and Hamas military chief Mohammed Deif, whom Israel says it killed in an air strike.

Hamas says Deif is still alive.

"Commander Mohammed Deif is still giving orders," a source in Hamas's armed wing, the Ezzedine Al-Qassam Brigades, told AFP on condition of anonymity as he was not authorized to speak to media on the matter.

- 'Number one target' -

A senior Hamas official who also asked not to be named described Sinwar, who has not been seen in public since the start of the war, as a "supreme commander" who leads "both the military and political wings" of Hamas.

"A team is dedicated to his security because he is the enemy's number one target," the official said.

In August, Israeli officials reported the dead in Gaza included more than 17,000 Palestinian fighters.

A senior Hamas official acknowledged that "several thousand fighters from the movement and other resistance groups died in combat".

Despite its huge losses, the source in the group's armed wing still gloated over the intelligence and security failure that the October 7 attack was for Israel.

"It claims to know everything but on October 7 the enemy saw nothing," he said.

Israel has its own reading of where Hamas now stands.

In September, Defense Minister Yoav Gallant said that Hamas "as a military formation no longer exists".

Bruce Hoffman, a researcher at the Council on Foreign Relations, said that Israel's offensive has dealt a "grievous but not a crushing blow" to Hamas.

- 'Political suicide' -

Hamas has controlled Gaza and run its institutions single-handedly since 2007, after winning a legislative election a year earlier and defeating its Palestinian rivals Fatah in street battles.

Now, most of Gaza's institutions have either been damaged or destroyed.

Israel accuses Hamas of using schools, health facilities and other civilian infrastructure to conduct operations, a claim Hamas denies.

The war has left no part of Gaza safe from bombardment: schools turned into shelters for the displaced have been hit, as have healthcare facilities.

Hundreds of thousands of children have not gone to school in nearly a year, while universities, power plants, water pumping stations and police stations are no longer operational.

By mid-2024, Gaza's economy had been reduced to a "less than one-sixth of its 2022 level," according to a UN report that said it would take "decades to bring Gaza back" to its pre-October 7 state.

The collapse has fueled widespread discontent among Gaza's 2.4 million people, two-thirds of whom were already poor before the war, according to Mukhaimer Abu Saada, a political researcher at Al-Azhar University in Cairo.

"The criticism is harsh," he told AFP.

His colleague Jamal al-Fadi branded the October 7 attack as "political suicide for Hamas", which has now "found itself isolated".

Hamas political bureau member Bassem Naim dismissed the assessment.

"While some may not agree with Hamas's political views, the resistance and its project continue to enjoy widespread support," said Naim, who like several other self-exiled Hamas leaders lives in Qatar.