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)
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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.



Is All-Out War Inevitable? The View from Israel and Lebanon

Smoke billows after an Israeli strike near the southern Lebanese village of Al-Mahmoudiye on September 24, 2024. (AFP)
Smoke billows after an Israeli strike near the southern Lebanese village of Al-Mahmoudiye on September 24, 2024. (AFP)
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Is All-Out War Inevitable? The View from Israel and Lebanon

Smoke billows after an Israeli strike near the southern Lebanese village of Al-Mahmoudiye on September 24, 2024. (AFP)
Smoke billows after an Israeli strike near the southern Lebanese village of Al-Mahmoudiye on September 24, 2024. (AFP)

The relentless exchanges of fire between Israel and Lebanon's Hezbollah of recent days have stoked fears the longtime foes are moving inexorably towards all-out war, despite international appeals for restraint.

AFP correspondents in Jerusalem and Beirut talked to officials and analysts who told them what the opposing sides hope to achieve by ramping up their attacks and whether there is any way out.

- View from Israel -

Israeli officials insist they have been left with no choice but to respond to Hezbollah after its near-daily rocket fire emptied communities near the border with Lebanon for almost a year.

"Hezbollah's actions have turned southern Lebanon into a battlefield," a military official said in a briefing on Monday.

The goals of Israel's latest operation are to "degrade" the threat posed by Hezbollah, push Hezbollah fighters away from the border and destroy infrastructure built by its elite Radwan Force, the official said, speaking on condition of anonymity.

Israeli political analyst Michael Horowitz said Prime Minister Benjamin Netanyahu wants to pressure Hezbollah to agree to halt its cross-border attacks even without a ceasefire deal in Gaza, which has been a prerequisite for the Iran-backed armed group.

"I think the Israeli strategy is clear: Israel wants to gradually put pressure on Hezbollah, and strike harder and harder, in order to force it to rethink its alignment strategy with regard to Gaza," Horowitz said.

Both sides understand the risks of all-out war, meaning it is not inevitable, he said.

The two sides fought a devastating 34-day war in the summer of 2006 which cost more than 1,200 lives in Lebanon, mostly civilians, and some 160 Israelis, mostly soldiers.

"This is an extremely dangerous situation, but one that for me still leaves room for diplomacy to avoid the worst," said Horowitz.

Retired Colonel Miri Eisen, a senior fellow at Israel's International Institute for Counter-Terrorism at Reichman University, said that the Israeli leadership saw ramped-up military operations against Hezbollah as an essential step towards striking any agreement to de-escalate.

"The language they (Hezbollah) speak is a language of violence and power and that means actions are very important against them," she said.

"I wish it was otherwise. But I have not seen any other language that works."

For now, Israeli officials say they are focused on aerial operations, but Eisen said a ground incursion could be ordered to achieve a broader goal: ensuring Hezbollah can not carry out anything similar to Hamas's October 7 attack.

"I do think that there's the possibility of a ground incursion because at the end we need to move the Hezbollah forces" away from the border, she said.

- View from Lebanon -

After sabotage attacks on Hezbollah communications devices and an air strike on the command of its Radwan Force last week, the group's deputy leader Naim Qassem declared that the battle with Israel had entered a "new phase" of "open reckoning".

As Lebanon's health ministry announced that nearly 500 people had been killed on Monday in the deadliest single day since the 2006 war, a Hezbollah source acknowledged that the situation was now similar.

"Things are taking an escalatory turn to reach a situation similar to" 2006, the Hezbollah source told AFP, requesting anonymity to discuss the matter.

Amal Saad, a Lebanese researcher on Hezbollah who is based at Cardiff University, said that while the group would feel it has to strike back at Israel after suffering such a series of blows, it would seek to calibrate its response so that it does not spark an all-out war.

While Hezbollah did step up its attacks on Israel after its military commander Fuad Shukr was killed in an Israeli strike in Beirut in late July, its response was seen as being carefully calibrated not to provoke a full-scale conflict that carries huge risks for the movement.

"It will most likely, again, be a kind of sub-threshold (reaction) in the sense of below the threshold of war -- a controlled escalation, but one that's also qualitatively different," she said.

Saad said that whether or not war can be avoided may not be in Hezbollah's hands, but the group would be bolstered by memories of how it fared when Israel last launched a ground invasion and the belief that it was stronger militarily than its ally Hamas which has been battling Israeli troops in Gaza for nearly a year.

"It is extremely capable -- and I would say more effective than Israel -- when it comes to ground war, underground offensive, and we've seen this historically, particularly in 2006," she said.

Hezbollah chief Hassan Nasrallah said last week that his fighters could fight Israeli forces in southern Lebanon and fire rockets at northern Israel at the same time in the event of an Israeli ground operation to create a buffer zone.

In a report released Monday, the International Crisis Group said the recent escalation between the two sides "poses grave dangers".

"The point may be approaching at which Hezbollah decides that only a massive response can stop Israel from carrying out more attacks that impair it further," it said.