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Dwindling Fuel Supplies for Gaza’s Hospital Generators Put Premature Babies in Incubators at Risk 

Palestinians gather at the site of Israeli strikes on a house in Khan Younis in the southern Gaza Strip, October 23, 2023. (Reuters)
Palestinians gather at the site of Israeli strikes on a house in Khan Younis in the southern Gaza Strip, October 23, 2023. (Reuters)
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Dwindling Fuel Supplies for Gaza’s Hospital Generators Put Premature Babies in Incubators at Risk 

Palestinians gather at the site of Israeli strikes on a house in Khan Younis in the southern Gaza Strip, October 23, 2023. (Reuters)
Palestinians gather at the site of Israeli strikes on a house in Khan Younis in the southern Gaza Strip, October 23, 2023. (Reuters)

A premature baby squirms inside a glass incubator in the neonatal ward of al-Aqsa Hospital in the central Gaza Strip. He cries out as intravenous lines are connected to his tiny body. A ventilator helps him breathe as a catheter delivers medication and monitors flash his fragile vital signs.

His life hinges on the constant flow of electricity, which is in danger of running out imminently unless the hospital can get more fuel for its generators. Once the generators stop, hospital director Iyad Abu Zahar fears that the babies in the ward, unable to breathe on their own, will perish.

“The responsibility on us is huge,” he said.

Doctors treating premature babies across Gaza are grappling with similar fears. At least 130 premature babies are at “grave risk” across six neonatal units, aid workers said. The dangerous fuel shortages are caused by the Israeli blockade of Gaza, which started — along with airstrikes — after Hamas militants attacked Israeli towns on Oct. 7.

At least 50,000 pregnant women in Gaza are unable to access essential health services, and some 5,500 are due to give birth in the coming month, according to the World Health Organization.

At least seven of the almost 30 hospitals have been forced to shut down due to damage from relentless Israeli strikes and lack of power, water and other supplies. Doctors in the remaining hospitals said they are on the brink. The UN agency for Palestinian refugees said Sunday it has enough fuel to last three days to serve critical needs.

“The world cannot simply look on as these babies are killed by the siege on Gaza ... A failure to act is to sentence these babies to death,” said Melanie Ward, chief executive of the Medical Aid for Palestinians aid group.

None of the 20 aid trucks that crossed into Gaza on Saturday, the first since the siege was imposed, contained fuel, amid Israeli fears it will end up in Hamas' hands. Limited fuel supplies inside Gaza were being sent to hospital generators.

Seven tankers took fuel from a UN depot on the Gaza side of the border, but it was unclear if any of that was destined for the hospitals.

But will eventually run out if more is not permitted to enter.

Tarik Jašarević, a WHO spokesman, said 150,000 liters (40,000 gallons) of fuel are required to offer basic services in Gaza’s five main hospitals.

Abu Zahar worries about how long his facility can hold out.

“If the generator stops, which we are expecting in the coming few hours due to the heavy demands of different departments in the hospital, the incubators in the intensive care unit will be in a very critical situation,” he said.

Guillemette Thomas, medical coordinator for Doctors Without Borders in the Palestinian territories, said some of the babies could die within hours, and others in a couple of days, if they don’t receive the special care and medication they urgently need.

“It’s sure that these babies are in danger,” she told The Associated Press. “It’s a real emergency to take care of these babies, as it is an emergency to take care of the population of Gaza who are suffering from these bombings since the past two weeks.”

The hospital must care for patients in northern and central Gaza since several hospitals shut down, he said, forcing it to more than double its patient capacity. That also puts a strain on the limited electricity.

Nisma al-Ayubi brought her newborn daughter to the hospital from Nuseirat, where she was recently displaced from northern Gaza, after she suffered from oxygen deprivation and extreme pain, she said.

The baby girl was born three days ago but soon developed complications. “The hospital is lacking in supplies,” she said, speaking from al-Aqsa. “We are afraid that if the situation gets worse, there won’t be any medicine left to treat our kids.”

The problems are exacerbated by the dirty water many have been forced to use since Israel cut off the water supply. Abu Zahar says mothers are mixing baby formula with the contaminated water to feed their infants. It has contributed to the rise in critical cases in the ward.

In the al-Awda Hospital, a private facility in northern Jabalia, up to 50 babies are born almost every day, said hospital director Ahmed Muhanna. The hospital received an evacuation order from the Israeli military, but continued to work.

“The situation is tragic in every sense of the word,” he said. “We have recorded a large deficit in emergency medicines and anesthetic,” as well as other medical supplies.

To ration dwindling supplies, Muhanna said all scheduled operations were stopped and the hospital devoted all its resources to emergencies and childbirths. Complex neo-natal cases are sent to al-Aqsa.

Al-Awda has enough fuel to last four days at most, Muhanna said. “We have appealed to many international institutions, the World Health Organization, to supply hospitals with fuel, but to no avail so far,” he said.

Thomas said women have already given birth in UN-run schools where tens of thousands of displaced people have sought shelter.

“These women are in danger, and the babies are in danger right now,” she said. “That’s a really critical situation.”

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Long Silenced by Fear, Syrians Now Speak about Rampant Torture under Assad

People walk through a corridor of Syria's infamous Saydnaya military prison, just north of Damascus, Syria, on Dec. 9, 2024. (AP)
People walk through a corridor of Syria's infamous Saydnaya military prison, just north of Damascus, Syria, on Dec. 9, 2024. (AP)
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Long Silenced by Fear, Syrians Now Speak about Rampant Torture under Assad

People walk through a corridor of Syria's infamous Saydnaya military prison, just north of Damascus, Syria, on Dec. 9, 2024. (AP)
People walk through a corridor of Syria's infamous Saydnaya military prison, just north of Damascus, Syria, on Dec. 9, 2024. (AP)

Handcuffed and squatting on the floor, Abdullah Zahra saw smoke rising from his cellmate’s flesh as his torturers gave him electric shocks.

Then it was Zahra’s turn. They hanged the 20-year-old university student from his wrists and electrocuted and beat him for two hours. They made his father watch and taunted him about his son’s torment.

That was 2012, and the entire security apparatus of Syria’s then-President Bashar Assad was deployed to crush the protests against his rule.

With Assad’s fall a month ago, the machinery of death that he ran is starting to come out into the open.

It was systematic and well-organized, growing to more than 100 detention facilities into which tens of thousands disappeared over more than a decade. Torture, sexual violence and mass executions were rampant, according to rights groups and former prisoners.

A blanket of fear kept Syrians silent about their experiences or lost loved ones. But now, everyone is talking. After the insurgents who swept Assad out of power on Dec. 8 opened prisons and detention facilities, crowds swarmed in, searching for answers, bodies of loved ones, and ways to heal.

The Associated Press visited seven of these facilities in Damascus and spoke to nine former detainees. Some details of the accounts by those who spoke to the AP could not be independently confirmed, but they matched past reports by former detainees to human rights groups.

Days after Assad’s fall, Zahra — now 33 — came to visit Branch 215, a detention facility run by military intelligence in Damascus where he was held for two months.

There, he said, he was kept in a windowless underground cell, 4-by-4-meters (yards) and crammed with 100 other inmates. When ventilators were cut off -- either intentionally or because of a power failure -- some suffocated. Men went mad; torture wounds festered. When a cellmate died, they stowed his body next to the cell’s toilet until jailers collected corpses, Zahra said.

“Death was the least bad thing,” he said. “We reached a place where death was easier than staying here for one minute.”

A member of the security forces for the new interim Syrian government stands next to prison cells at the Palestine Branch, a detention facility operated by the General Intelligence Agency during Bashar al-Assad's regime, in Damascus, Syria, on Dec. 14, 2024. (AP)

Assad’s system of repression grew as civil war raged

After he and his father were released, Zahra fled to opposition-held areas. Within a few months, security agents returned and dragged off 13 of his male relatives, including a younger brother and, again, his father.

All were killed. Zahra later recognized their bodies among photos leaked by a defector showing thousands killed in detention. Their bodies were never recovered.

Rights groups estimate at least 150,000 people went missing since anti-government protests began in 2011, most vanishing into detention facilities. Many were killed, either in mass executions or from torture and prison conditions. The exact number remains unknown.

Even before the uprising, Assad had ruled with an iron fist. But as protests turned into a civil war that would last 14 years, Assad expanded his system of repression. New detention facilities run by military, security and intelligence agencies sprung up in security compounds, military airports and under buildings.

At Branch 215, Zahra hoped to find some sign of his lost relatives. But there was nothing. At home, his aunt, Rajaa Zahra, looked at the leaked pictures of her killed children for the first time – something she had long refused to do. She lost four of her six sons in Assad’s crackdowns. Her brother, she said, lost two of his three sons.

“They were hoping to finish off all the young men of the country.”

A site believed to be a mass grave for detainees killed under Bashar al-Assad's rule is visible in Najha, south of Damascus, Syria, on Dec. 17, 2024. (AP)

Syrians were tortured with ‘the tire’ and ‘magic carpet’

The tortures had names. One was called the “magic carpet,” where a detainee was strapped to a hinged wooden plank that bends in half, folding his head to his feet, which were then beaten.

Abdul-Karim Hajeko said he endured this five times. His torturers stomped on his back during interrogations at the Criminal Security branch, and his vertebrae are still broken.

“My screams would go to heaven. Once a doctor came down from the fourth floor (to the ground floor) because of my screams,” he said.

He was also put in “the tire.” His legs were bent inside a car tire as interrogators beat his back and feet. Afterward, they ordered him to kiss the tire and thank it for teaching him “how to behave.”

Many prisoners said the tire was inflicted for rule violations -- like making noise, raising one’s head in front of guards, or praying – or for no reason at all.

Saleh Turki Yahia said a cellmate died nearly every day during the seven months in 2012 he was held at the Palestine Branch, a detention facility run by the General Intelligence Agency. He said he was given electric shocks, hanged from his wrists, beaten on his feet. He lost half his body weight and nearly tore his own skin scratching from scabies.

“They broke us,” he said, breaking into tears as he visited the Palestine Branch. “A whole generation is destroyed.”

Documents are scattered around Branch 215, a detention facility run by Bashar al-Assad's regime, in Damascus, Syria, on Dec. 17, 2024. (AP)

The mounting evidence will be used in trials

Now comes the monumental task of accounting for the missing and compiling evidence that could one day be used to prosecute Assad’s officials, whether by Syrian or international courts.

Hundreds of thousands of documents remain scattered throughout detention facilities. Some seen by the AP included transcripts of phone conversations; intelligence files on activists; and a list of hundreds of prisoners killed in detention. At least 15 mass graves have been identified around Damascus and elsewhere around the country.

A UN body known as the International Impartial and Independent Mechanism has offered to help the new interim administration in collecting, organizing and analyzing all the material. Since 2011, it has been compiling evidence and supporting investigations in over 200 criminal cases against figures in Assad’s government.

Many want answers now.

Officials cannot just declare that the missing are presumed dead, said Wafaa Mustafa, a Syrian journalist, whose father was detained and killed 12 years ago.

“No one gets to tell the families what happened without evidence, without search, without work.”