Pressure Mounts on Israel for Longer Gaza Pause

 Israeli Prime Minister Benjamin Netanyahu visits Gaza Strip, during a temporary truce between Hamas and Israel, in this handout obtained by Reuters on November 26, 2023.(Handout via Reuters)
Israeli Prime Minister Benjamin Netanyahu visits Gaza Strip, during a temporary truce between Hamas and Israel, in this handout obtained by Reuters on November 26, 2023.(Handout via Reuters)
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Pressure Mounts on Israel for Longer Gaza Pause

 Israeli Prime Minister Benjamin Netanyahu visits Gaza Strip, during a temporary truce between Hamas and Israel, in this handout obtained by Reuters on November 26, 2023.(Handout via Reuters)
Israeli Prime Minister Benjamin Netanyahu visits Gaza Strip, during a temporary truce between Hamas and Israel, in this handout obtained by Reuters on November 26, 2023.(Handout via Reuters)

Israel faces mounting pressure to extend a four-day pause in its war against Hamas, but military officials fear that a longer truce risks blunting its efforts to rout the movement.

After hours of delay and acrimony that underscored the fragility of the truce, a second tranche of 13 Israeli hostages was freed on Saturday by Hamas in exchange for 39 Palestinian prisoners -- the same number as the previous day.

A total of 15 foreigners have also been released during the ceasefire -- mediated for weeks by Qatar, the United States and Egypt -- that marks the first breakthrough after seven weeks of relentless war.

Under the deal, 50 of the roughly 240 hostages held by the militants will be freed over four days in exchange for 150 Palestinian prisoners, with a built-in extension mechanism to prolong the process as long as at least 10 Israeli captives are released each day.

That increases the number of hostages returned -- and there is strong domestic pressure within Israel to do so -- but gives Hamas a longer window in which to regroup, recover, re-arm and ultimately return to the fight, analysts say.

It also increases diplomatic pressure on Israel from the international community, which will become steadily less willing to countenance a return to the pounding of Gaza and the resulting humanitarian crisis.

"Time works against Israel as always and against the IDF," said Andreas Krieg, of King's College London, referring to the Israeli military.

"On one hand you want all the hostages out knowing that you can't get them out militarily and on the other you don't want to lose completely the momentum of this war," he told AFP.

And the longer a truce lasted, he said, the more the international community would lose patience with a continuation of the war, he added.

But the Israeli military is determined to pursue its objective of "crushing" Hamas.

Visiting Israeli troops in the war-battered Gaza Strip on Saturday, Defense Minister Yoav Gallant insisted the timeline for the truce was "short".

"It won't take weeks, it will take days, more or less," he said, flanked by heavily armed soldiers. "Any further negotiations will take place under fire."

'Dilemma'

The war began after Palestinian militants smashed through the highly militarized border on October 7, killing about 1,200 people, mostly civilians, according to Israeli officials, and triggering Israel's invasion of Gaza.

Israel has defied international criticism of its Gaza offensive, which its Hamas rulers say has killed more than 15,000 people, mostly civilians, and left an unprecedented trail of destruction in the Palestinian territory.

"The real pressure (to prolong the truce) comes from inside Israel -- from the families of the hostages," said Arik Rudnitzky, from Tel Aviv University's Moshe Dayan Center.

On Saturday, tens of thousands of demonstrators packed the streets of Tel Aviv in support of the remaining hostages, chanting "Now, now, now, all of them now!" and clutching banners that read "Get them out of hell".

An Israeli military official said the country was committed to freeing as many hostages as possible but expressed concern that the longer the truce lasts the more time Hamas has to "rebuild its capabilities and attack Israel again".

"It's a terrible dilemma," he told AFP, requesting anonymity.

'You cannot win this'

The lead mediator in the negotiations for the pause in the fighting has been Qatar, whose foreign ministry spokesman Majed Al-Ansari told AFP there was a need to "maintain the momentum" for a lasting ceasefire.

"That can only be done when you have political will not only from the Israelis and Palestinians but also with the other partners who are working with us."

US President Joe Biden, a staunch ally of Israel, on Friday said "the chances are real" for extending the truce, as he urged a broader effort to achieve a two-state solution with a viable Palestinian state existing alongside Israel.

With a presidential election next year, there was no stomach in Washington for a prolonged intensive operation "for months and months on end", said Krieg of King's College London. "So the Biden administration needs to find an off ramp as well".

"There isn't a military solution to the conflict, you cannot win this," he added.

Senior Hamas official Taher al-Nunu said the group was "ready to search seriously to reach new deals".

But Hamas on Saturday delayed the handover of the second group of hostages for hours, accusing Israel of breaching the terms of the agreement -- claims denied by Israel.

Hamas would "play the long game with the hostages to try to exhaust the card over the longest possible length of time and at the greatest price to Israel," former Israeli intelligence official Avi Melamed told AFP.

It was hoping support within Israel for the Gaza Strip incursion would dissipate, and ultimately "international and internal pressures levied on Israel's government will create the circumstance where Hamas can continue to exist, and rule Gaza even after this war ends."

Independent Middle East analyst Eva Koulouriotis agreed.

"For Hamas, any scenario for this war that does not lead to an end to its presence in the Gaza Strip will be considered a victory," she told AFP. "Regardless of its human and material losses, of the extent of the destruction in Gaza, and of the extent of civilian casualties".



3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)
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3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)

The UN health agency and partners are launching a campaign starting Sunday to vaccinate 640,000 Palestinian children in Gaza against polio, an ambitious effort amid a devastating war that has destroyed the territory's healthcare system.

The campaign comes after the first polio case was reported in Gaza in 25 years — a 10-month-old boy, now paralyzed in the leg. The World Health Organization says the presence of a paralysis case indicates there could be hundreds more who have been infected but aren’t showing symptoms.

Most people who have polio do not experience symptoms, and those who do usually recover in a week or so. But there is no cure, and when polio causes paralysis it is usually permanent. If the paralysis affects breathing muscles, the disease can be fatal.

The vaccination effort will not be easy: Gaza’s roads are largely destroyed, its hospitals badly damaged and its population spread into isolated pockets.

WHO said Thursday that it has reached an agreement with Israel for limited pauses in the fighting to allow for the vaccination campaign to take place. Even so, such a large-scale campaign will pose major difficulties in a territory blanketed in rubble, where 90% of Palestinians are displaced.

How long will it take? The three-day vaccination campaign in central Gaza will begin Sunday, during a “humanitarian pause” lasting from 6 a.m. until 3 p.m., and another day can be added if needed, said Dr. Rik Peeperkorn, WHO’s representative in the Palestinian territories.

In coordination with Israeli authorities, the effort will then move to southern Gaza and northern Gaza during similar pauses, he said during a news conference by video from Deir al-Balah in central Gaza, according to The AP.

Who will receive the vaccine? The vaccination campaign targets 640,000 children under 10, according to WHO. Each child will receive two drops of oral polio vaccine in two rounds, the second to be administered four weeks after the first.

Where are the vaccination sites? The vaccination sites span Gaza, both inside and outside Israeli evacuation zones, from Rafah in the south to the northern reaches of the territory.

The Ramallah-based Health Ministry said Friday that there would be over 400 “fixed” vaccination sites — the most in Khan Younis, where the population density is the highest and there are 239,300 children under 10. Fixed sites include healthcare centers, hospitals, clinics and field hospitals.

Elsewhere in the territory, there will also be around 230 “outreach” sites — community gathering points that are not traditional medical centers — where vaccines will be distributed.

Where are the vaccines now? Around 1.3 million doses of the vaccine traveled through the Kerem Shalom checkpoint and are currently being held in “cold-chain storage” in a warehouse in Deir al-Balah. That means the warehouse is able to maintain the correct temperature so the vaccines do not lose their potency.

Another shipment of 400,000 doses is set to be delivered to Gaza soon.

The vaccines will be trucked to distribution sites by a team of over 2,000 medical volunteers, said Ammar Ammar, a spokesperson for UNICEF.

What challenges lie ahead? Mounting any sort of campaign that requires traversing the Gaza strip and interacting with its medical system is bound to pose difficulties.

The UN estimates that approximately 65% of the total road network in Gaza has been damaged. Nineteen of the strip's 36 hospitals are out of service.

The north of the territory is cut off from the south, and travel between the two areas has been challenging throughout the war because of Israeli military operations. Aid groups have had to suspend trips due to security concerns, after convoys were targeted by the Israeli military.

Peeperkorn said Friday that WHO cannot do house-to-house vaccinations in Gaza, as they have in other polio campaigns. When asked about the viability of the effort, Peeperkorn said WHO thinks “it is feasible if all the pieces of the puzzle are in place. ”

How many doses do children need and what happens if they miss a dose? The World Health Organization says children typically need about three to four doses of oral polio vaccine — two drops per dose — to be protected against polio. If they don’t receive all of the doses, they are vulnerable to infection.

Doctors have previously found that children who are malnourished or who have other illnesses might need more than 10 doses of the oral polio vaccine to be fully protected.

Are there side effects? Yes, but they are very rare.

Billions of doses of the oral vaccine have been given to children worldwide and it is safe and effective. But in about 1 in 2.7 million doses, the live virus in the vaccine can paralyze the child who receives the drops.

How did this outbreak in Gaza start? The polio virus that triggered this latest outbreak is a mutated virus from an oral polio vaccine. The oral polio vaccine contains weakened live virus and in very rare cases, that virus is shed by those who are vaccinated and can evolve into a new form capable of starting new epidemics.