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.”



Palestinians Wary as US-backed Aid Group Begins Operations in Gaza

Trucks carrying aid are seen at the Kerem Shalom crossing between Israel and Gaza, on its Israeli side, May 27, 2025. REUTERS/Shafiek Tassiem
Trucks carrying aid are seen at the Kerem Shalom crossing between Israel and Gaza, on its Israeli side, May 27, 2025. REUTERS/Shafiek Tassiem
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Palestinians Wary as US-backed Aid Group Begins Operations in Gaza

Trucks carrying aid are seen at the Kerem Shalom crossing between Israel and Gaza, on its Israeli side, May 27, 2025. REUTERS/Shafiek Tassiem
Trucks carrying aid are seen at the Kerem Shalom crossing between Israel and Gaza, on its Israeli side, May 27, 2025. REUTERS/Shafiek Tassiem

Palestinians voiced wariness on Tuesday toward a US-backed foundation set to bring aid to Gaza amid signs of famine, with Hamas warnings about biometric screening procedures keeping many away from distribution points.

The Gaza Humanitarian Foundation said it began operations on Monday, but there was little indication of Palestinians turning up at distribution centers in southern Gaza even after almost three months of Israel blockading the enclave.

Palestinians said there was no known visits to new sites of distribution on Monday, but on Tuesday dozens headed to one of them established in Rafah to get some aid despite the warnings, at least three witnesses told Reuters.

Others stayed away.

"As much as I want to go because I am hungry and my children are hungry, I am afraid," said Abu Ahmed, 55, a father of seven. "I am so scared because they said the company belongs to Israel and is a mercenary, and also because the resistance (Hamas) said not to go," he said in a message on the chat app WhatsApp.

Israel says the Switzerland-based GHF is a US-backed initiative and that its forces will not be involved in the distribution points where food will be handed out.

But its endorsement of the plan, which resembles Israeli schemes floated previously, and its closeness with the US has led many to question the neutrality of the foundation, including its own former chief, who resigned unexpectedly on Sunday.

The United Nations and other international aid groups have boycotted the foundation, which they say undermines the principle that humanitarian aid should be distributed independently of the parties to a conflict, based on need.

"Humanitarian assistance must not be politicized or militarized," said Christian Cardon, chief spokesperson of the International Committee of the Red Cross.

Israel, at war with Gaza's dominant Hamas militant group since October 2023, imposed the blockade in early March accusing Hamas of stealing supplies and using them to entrench its position. Hamas has denied such accusations.

Israeli officials said one of the advantages of the new aid system is the opportunity to screen recipients to exclude anyone found to be connected with Hamas.

Humanitarian groups briefed on the foundation's plans say anyone accessing aid will have to submit to facial recognition technology that many Palestinians fear will end up in Israeli hands to be used to track and potentially target them.

Details of exactly how the system will operate have not been made public.

Israel makes extensive use of facial recognition and other forms of biometric identification in the occupied West Bank and has been reported by Israeli and international media to be using such techniques in Gaza as well.

BEGGING FOR BREAD

Hamas, which has in recent months faced protests by many Palestinians who want the devastating war to end, has also warned residents against accessing GHF sites, saying Israel was using the company to collect intelligence information.

"Do not go to Rafah ...Do not fall into the trap...Do not risk your lives. Your homes are your fortress. Staying in your neighbourhoods is survival, and awareness is your protection," a statement published by the Hamas-linked Home Front said.

"These schemes will be broken by the steadfastness of a people who do not know defeat," it added.

The launch of the new system came days after Israel eased its blockade, allowing a trickle of aid trucks from international agencies into Gaza last week, including World Food Program vehicles bringing flour to local bakeries.

But the amount of aid that has entered the densely populated coastal enclave has been only a small fraction of the 500-600 trucks that UN agencies estimate are needed every day.

"Before the war, my fridge used to be full of meat, chicken, dairy, soft drinks, everything, and now I am begging for a loaf of bread," Abu Ahmed told Reuters via a chat app.

As a small aid flow has resumed, Israeli forces - now in control of large parts of Gaza - have kept up attacks on various targets around the enclave, killing 3,901 Palestinians since a two-month-old ceasefire collapsed in mid-March, according to the Gaza health ministry.

In all, more than 54,000 Palestinians have been killed in Israel's air and ground war, launched following a cross-border Hamas-led attack on October 7, 2023.