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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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Damascus’ Mazzeh 86 Neighborhood, Witness of The Two-Assad Era

Members of the Syrian Arab Red Crescent stand near the wreckage of a car after what the Syrian state television said was a "guided missile attack" on the car in the Mazzeh area of Damascus, Syria October 21, 2024. REUTERS/Firas Makdesi
Members of the Syrian Arab Red Crescent stand near the wreckage of a car after what the Syrian state television said was a "guided missile attack" on the car in the Mazzeh area of Damascus, Syria October 21, 2024. REUTERS/Firas Makdesi
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Damascus’ Mazzeh 86 Neighborhood, Witness of The Two-Assad Era

Members of the Syrian Arab Red Crescent stand near the wreckage of a car after what the Syrian state television said was a "guided missile attack" on the car in the Mazzeh area of Damascus, Syria October 21, 2024. REUTERS/Firas Makdesi
Members of the Syrian Arab Red Crescent stand near the wreckage of a car after what the Syrian state television said was a "guided missile attack" on the car in the Mazzeh area of Damascus, Syria October 21, 2024. REUTERS/Firas Makdesi

In the Mazzeh 86 neighborhood, west of the Syrian capital Damascus, the names of many shops, grocery stores, and public squares still serve as a reminder of the era of ousted Syrian President Bashar al-Assad and his late father, Hafez al-Assad.

This is evident in landmarks like the “Al-Hafez Restaurant,” one of the prominent features of this area. Squares such as “Al-Areen,” “Officers,” and “Bride of the Mountain” evoke memories of the buildings surrounding them, which once housed influential officials and high-ranking officers in intelligence and security agencies. These individuals instilled fear in Syrians for five decades until their historic escape on the night of the regime’s collapse last month.

In this neighborhood, the effects of Israeli bombing are clearly visible, as it was targeted multiple times. Meanwhile, its narrow streets and alleys were strewn with military uniforms abandoned by leaders who fled before military operations arrived and liberated the area from their grip on December 8 of last year.

Here, stark contradictions come to light during a tour by Asharq Al-Awsat in a district that, until recently, was largely loyal to the former president. Muaz, a 42-year-old resident of the area, recounts how most officers and security personnel shed their military uniforms and discarded them in the streets on the night of Assad’s escape.

He said: “Many of them brought down their weapons and military ranks in the streets and fled to their hometowns along the Syrian coast.”

Administratively part of Damascus, Mazzeh 86 consists of concrete blocks randomly built between the Mazzeh Western Villas area, the Mazzeh Highway, and the well-known Sheikh Saad commercial district. Its ownership originally belonged to the residents of the Mazzeh area in Damascus. The region was once agricultural land and rocky mountain terrain. The peaks extending toward Mount Qasioun were previously seized by the Ministry of Defense, which instructed security and army personnel to build homes there without requiring property ownership documents.

Suleiman, a 30-year-old shop owner, who sells white meat and chicken, hails from the city of Jableh in the coastal province of Latakia. His father moved to this neighborhood in the 1970s to work as an army assistant.

Suleiman says he hears the sound of gunfire every evening, while General Security patrols roam the streets “searching for remnants of the former regime and wanted individuals who refuse to surrender their weapons. We fear reprisals and just want to live in peace.”

He mentioned that prices before December 8 were exorbitant and beyond the purchasing power of Syrians, with the price of a kilogram of chicken exceeding 60,000 Syrian pounds and a carton of eggs reaching 75,000.

“A single egg was sold for 2,500 pounds, which is far beyond the purchasing power of any employee in the public or private sector,” due to low salaries and the deteriorating living conditions across the country,” Suleiman added.

On the sides of the roads, pictures of the fugitive president and his father, Hafez al-Assad, were torn down, while military vehicles were parked, awaiting instructions.

Maram, 46, who previously worked as a civilian employee in the Ministry of Defense, says she is waiting for the resolution of employment statuses for workers in army institutions. She stated: “So far, there are no instructions regarding our situation. The army forces and security personnel have been given the opportunity for settlement, but there is no talk about us.”

The neighborhood, in its current form, dates back to the 1980s when Rifaat al-Assad, the younger brother of former President Hafez al-Assad, was allowed to construct the “Defense Palace,” which was referred to as “Brigade 86.” Its location is the same area now known as Mazzeh Jabal 86.

The area is divided into two parts: Mazzeh Madrasa (School) and Mazzeh Khazan (Tank). The first takes its name from the first school built and opened in the area, while the second is named after the water tank that supplies the entire Mazzeh region.

Two sources from the Mazzeh Municipality and the Mukhtar’s office estimate the neighborhood’s current population at approximately 200,000, down from over 300,000 before Assad’s fall. Most residents originate from Syria’s coastal regions, followed by those from interior provinces like Homs and Hama. There was also a portion of Kurds who had moved from the Jazira region in northeastern Syria to live there, but most returned to their areas due to the security grip and after the “Crisis Cell” bombing that killed senior security officials in mid-2012.

Along the main street connecting Al-Huda Square to Al-Sahla Pharmacy, torn images of President Hafez al-Assad are visible for the first time in this area in five decades. On balconies and walls, traces of Bashar al-Assad’s posters remain, bearing witness to his 24-year era.