Buckling Gaza Health Service Turns to Volunteers

Palestinians walk among the rubble of destroyed residential buildings following Israeli air strikes on Tel al-Hawa neighborhood, in Gaza City, 30 October 2023. (EPA)
Palestinians walk among the rubble of destroyed residential buildings following Israeli air strikes on Tel al-Hawa neighborhood, in Gaza City, 30 October 2023. (EPA)
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Buckling Gaza Health Service Turns to Volunteers

Palestinians walk among the rubble of destroyed residential buildings following Israeli air strikes on Tel al-Hawa neighborhood, in Gaza City, 30 October 2023. (EPA)
Palestinians walk among the rubble of destroyed residential buildings following Israeli air strikes on Tel al-Hawa neighborhood, in Gaza City, 30 October 2023. (EPA)

Gaza medical chiefs are turning to volunteers to help run an emergency service buckling under Israel's offensive as ambulances struggle to reach bomb sites past rubble-strewn roads and with ever-depleting supplies of fuel.

Medical and emergency staff have worked with little rest and are deploying in the most dangerous areas, witnessing the horror of violent death, terrible injuries and grief.

Gaza's health ministry has called on all trained paramedics to help staff hospitals and call-out teams, but though dozens have responded the system is still in dire need of more workers, it said.

"I have not gone home since the first day of the war. I shower here, sleep here and eat here," said Loay al-Astal, a volunteer emergency worker in Khan Younis, in the south of the enclave.

Health authorities in the Hamas-run enclave say Israeli air and artillery strikes have killed more than 8,000 people since Oct. 7 when Hamas fighters rampaged through security barriers to kill more than 1,400 Israelis and take more than 200 hostage.

After Israel began ground operations on Friday, many Gaza residents fear the destruction will intensify.

Israel has ordered civilians to leave the northern half of the Gaza Strip for the south, but has continued an intense bombardment across the enclave and many people are refusing to leave.

Shelling on Gaza's main north-south road on Monday meant the enclave was all but cut in two, with any attempts to flee south risking bombardment.

The health ministry said 116 medical staff had been killed in the bombardment since Oct. 7, along with 18 civil emergency department rescuers.

Astal, the volunteer who had trained at university to be a paramedic but was unemployed when the war began, described an incident in which some of his colleagues had nearly been killed by an air strike that blew out the windows of their ambulance.

"The glass was smashed and some of our volunteers were wounded," he said.

He is haunted by the memory of trying to save a woman who was buried up to her neck in rubble from an air strike. "There was a cut on her head and I rushed to treat the wound," Astal, 33, said.

She asked him to free her from the rubble so she could find her son, but she died minutes later, still trapped, he said. "I felt bad I couldn't save her," he said.

'Where should we go?'

The head of the Khan Younis ambulance service, Naseem Hassan, said the department was overwhelmed and needed trained medics. "We opened the door for volunteers and many young people answered that call and have been on duty since the war began," he said.

Along with the bombardment, Israel has imposed a blockade on the enclave, home to 2.3 million people, cutting supplies of electricity and fuel. Limited food and medical aid deliveries have entered Gaza since last week after international pressure on Israel.

"Ambulances are about to go out of operation because we have very limited fuel left. We have problems with communications. We lose touch with the ambulances that leave here," said volunteer driver Sari al-Najjar.

Phone and internet services in Gaza were cut off for nearly two days over the weekend as Israeli tanks started moving into the enclave. Communications gradually started returning from Sunday.

Without reliable power supplies, many residents were unable to charge phones, adding to the difficulties for ambulance crews trying to locate and coordinate rescues.

Thousands of people have gathered at hospitals in Gaza City, in the north of the enclave, many sheltering in makeshift tents hoping for some safety from the bombardment.

Medical officials said air strikes in the vicinity of the major Gaza City hospitals including al-Shifa, al-Quds and the Turkish Friendship hospital, have caused damage.

Israel has accused Hamas of placing command centers and weaponry near hospitals, which the group denies.

"Where should we go? It is all one death," said Hatem Sultan, sheltering near al-Shifa Hospital, the enclave's biggest medical center, where ambulances were constantly arriving with people injured in air strikes.



Alarm in Tel Aviv After Removal of Pro-Israel Officials from Trump Administration

US President Donald Trump and Israeli Prime Minister Benjamin Netanyahu meet in the White House in April. (dpa)
US President Donald Trump and Israeli Prime Minister Benjamin Netanyahu meet in the White House in April. (dpa)
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Alarm in Tel Aviv After Removal of Pro-Israel Officials from Trump Administration

US President Donald Trump and Israeli Prime Minister Benjamin Netanyahu meet in the White House in April. (dpa)
US President Donald Trump and Israeli Prime Minister Benjamin Netanyahu meet in the White House in April. (dpa)

The dismissal of pro-Israel officials in the White House sparked concerns in Tel Aviv as US President Donald Trump’s “America First” sidelines allies and reflects a broader effort to curb foreign influence across the administration.

“Israeli officials are expressing growing concern over a series of unexpected personnel changes within the US administration, particularly involving individuals widely seen as strongly supportive of Israel,” sources told the Ynetnews website, which is affiliated to the Israeli Yedioth Ahronoth newspaper.

The reshuffling comes amid rising tensions between Trump and Israeli Prime Minister Benjamin Netanyahu over a potential strike on Iran and the ongoing war in Gaza.

According to the Israeli report, two senior officials recently removed from their posts are Merav Ceren, a dual US-Israeli citizen who was only recently appointed as head of the Iran and Israel portfolio at the National Security Council, and Eric Trager, who oversees the Middle East and North Africa.

Both had been appointed by former National Security Advisor Mike Waltz, a staunch supporter of Israel, who was himself dismissed by Trump.

Ynetnews wrote that their removal was reportedly carried out by Waltz’s successor, Secretary of State Marco Rubio.

Meanwhile, another high-profile figure expected to depart is Morgan Ortagus, deputy to special envoy Steve Witkoff and the official handling the Lebanon portfolio. Sources say her departure is not voluntary.

Ortagus, who converted to Judaism and wears a Star of David necklace, is considered one of the strongest supporters of Israel within the administration.

According to the Israeli report, she played a key role in ceasefire negotiations between Israel and Lebanon and in persuading the Lebanese government to take a firm stance against Hezbollah and disarm Palestinian refugee camps.

“Her imminent departure has stunned officials in Jerusalem, where she is viewed as closely aligned with Israeli interests,” Ynetnews said.

Officials following the issue do not rule out the possibility that more pro-Israel officials may be removed.

In the Trump administration, they note, decisions often come abruptly.

These removals are not occurring in a vacuum, but rather reflect a broader distancing between Jerusalem and the Trump administration, which appears to be pursuing its own strategic calculus.

Israeli sources familiar with US-Israel relations told the Israeli website that the spate of removals is driven by Trump’s “America First” agenda.

According to those sources, the shakeup is not specifically aimed at Israel but reflects a broader effort to curb foreign influence across the board.

They stress that the dismissals were not a result of the officials' views on Israel, but rather part of Trump’s ongoing attempt to weaken the National Security Council and consolidate control of US foreign policy in his own hands.

This, they said, explains why Trump has left the national security advisor post vacant, with Rubio assuming the responsibilities instead.

Also, the sources noted that the push to remove pro-Israel figures is being led by Trump’s son, Donald Trump Jr, and Vice President JD Vance.

Ynetnews said that Netanyahu has reportedly confided in closed-door discussions with his confidant, Strategic Affairs Minister Ron Dermer, that he misjudged the direction the US was taking on Israel and the broader Middle East.

Senior Israeli officials said Netanyahu did not hide his disappointment with Dermer.

“Dermer misread the situation; he was convinced the US would never turn against us,” said one source.

“He failed to anticipate the shift in US policy toward Israel. Even now, Dermer still believes the US will remain supportive and maintain coordination, but the truth is, he’s lost his bearings.”