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.”



Iraq Treads a Tightrope to Avoid Spillover from Israel-Iran Conflict 

Iraqi security forces close a bridge leading to the Green Zone where the US Embassy is located, during a protest against Israeli attacks on multiple cities across Iran, in Baghdad, Iraq, Monday, June 16, 2025. (AP)
Iraqi security forces close a bridge leading to the Green Zone where the US Embassy is located, during a protest against Israeli attacks on multiple cities across Iran, in Baghdad, Iraq, Monday, June 16, 2025. (AP)
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Iraq Treads a Tightrope to Avoid Spillover from Israel-Iran Conflict 

Iraqi security forces close a bridge leading to the Green Zone where the US Embassy is located, during a protest against Israeli attacks on multiple cities across Iran, in Baghdad, Iraq, Monday, June 16, 2025. (AP)
Iraqi security forces close a bridge leading to the Green Zone where the US Embassy is located, during a protest against Israeli attacks on multiple cities across Iran, in Baghdad, Iraq, Monday, June 16, 2025. (AP)

In Iraqi airspace, Iranian missiles and drones have crossed paths with Israeli warplanes, forcing Baghdad to step up efforts to avoid being drawn into the region's latest conflict.

But with Baghdad both an ally of Iran and a strategic partner of the United States, Israel's closest supporter, it may struggle to avoid the fighting spreading to its territory.

"There is a sizable risk of a spillover escalation in Iraq," said political analyst Sajad Jiyad.

"Iraqis have a right to be worried," he added.

With warnings of all-out regional war intensifying following Israel's surprise assault on Iran last week, fears are growing over an intervention by Iran-backed Iraqi factions, which have been calling for the withdrawal of US troops deployed in Iraq as part of an anti-ISIS coalition.

A senior Iraqi security official told AFP on condition of anonymity that among pro-Iran actors "everyone is cooperating with the government to keep Iraq away from conflict."

But Jiyad warned that if the US supports Israel's attacks, it "may lead to pro-Iran elements inside Iraq targeting US troops" or other American interests like the embassy in Baghdad or the consulate in Erbil, the capital of the autonomous Kurdistan region.

This could lead to the US and Israel taking retaliatory actions within Iraq, Jiyad added.

Iraq, which has been for years navigating a delicate balancing act between Tehran and Washington, has long been a fertile ground for proxy battles.

In 2020, during US President Donald Trump's first term, Washington killed Iran's esteemed Revolutionary Guards General Qassem Soleimani in Baghdad.

Most recently, amid the Israel-Hamas war in Gaza, Iraq was on the brink of being drawn into the conflict after pro-Iran factions launched numerous attacks on US troops in the region, as well as mostly failed attacks on Israel, in support of Palestinians.

Washington retaliated by hitting the armed groups.

In recent days, Baghdad has been working diplomatic channels to prevent the latest violence from spreading onto its turf.

It has called on Washington to prevent Israeli jets from using Iraqi airspace to carry out attacks against Iran.

It also asked Iran not to strike US targets in its territory, and was promised "positive things", according to a senior Iraqi official.

Israel's use of Iraq's airspace has angered pro-Iran groups, who accused US troops of allowing it.

Powerful armed faction Kataib Hezbollah stressed that Iran does not need "military support", but it said that the group is "closely monitoring" the US military in the region.

It warned that if Washington intervenes in the war, the group "will act directly against its interests and bases in the region without hesitation."

A US official urged the Iraqi government to "protect diplomatic missions, as well as US military personnel."

"We believe Iraq will be more stable and sovereign by becoming energy independent and distancing itself from Iran's malign influence," the official told AFP, referring to Iraq's dependency on gas imports from Iran.

The official, who spoke on condition of anonymity, warned that Iran-backed groups "continue to engage in violent and destabilizing activities in Iraq."

Israel's surprise attack on Iran targeted military and nuclear facilities and killed many top commanders and atomic scientists. Iran responded by unleashing barrages of missile strikes on Israel.

Tamer Badawi, an expert on Iraqi armed groups, said "the more Iran struggles to sustain its firepower against Israel, the likelier it becomes that Iraqi paramilitary actors will be drawn in."

For now, "Iran is trying to avoid collateral damage to its network by keeping its regional allies on standby. But this posture could shift," he added.

Before launching its attack on Iran, Israel had badly hit Tehran's proxies in the region, significantly weakening some groups, including Lebanon's Hezbollah.

"Beyond attacks within Iraq, Iran-backed Iraqi groups retain the capacity to target Israel from western Iraq using their missile arsenals, as they have done before," Badawi said.

They might also target American interests in Jordan.

But Iraqi officials say they have other plans for their country, which has only recently regained a semblance of stability after decades of devastating conflicts and turmoil.

Iraq is gearing up for its legislative elections in November, which are often marked by heated political wrangling.

For armed groups, elections are a crucial battleground as they strive to secure more seats in parliament.

"Sometimes, the sword must be kept in the sheath, but this does not mean abandoning our weapons," a commander of an armed faction told AFP.

The armed groups will not leave Iran, their "godfather... in the battle alone."