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".



Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
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Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed

The baby in Gaza who was recently paralyzed by polio was infected with a mutated strain of the virus that vaccinated people shed in their waste, according to scientists who say the case is the result of “an unqualified failure” of public health policy.
The infection, which marked the first detection of polio in the war-torn Palestinian territory in more than 25 years, paralyzed the lower part of one leg in the unvaccinated 10-month-old child. The baby boy was one of hundreds of thousands of children who missed vaccinations because of the fighting between Israel and Hamas.
Scientists who have been monitoring polio outbreaks said the baby's illness showed the failures of a global effort by the World Health Organization and its partners to fix serious problems in their otherwise largely successful eradication campaign, which has nearly wiped out the highly infectious disease. Separately, a draft report by experts deemed the WHO effort a failure and “a severe setback.”
The polio strain in question evolved from a weakened virus that was originally part of an oral vaccine credited with preventing millions of children worldwide from being paralyzed. But that virus was removed from the vaccine in 2016 in hopes of preventing vaccine-derived outbreaks.
Public health authorities knew that decision would leave people unprotected against that particular strain, but they thought they had a plan to ward off and quickly contain any outbreaks. Instead, the move resulted in a surge of thousands of cases, The Associated Press reported.
“It was a really horrible strategy,” said Columbia University virologist Vincent Racaniello, who was not involved with the report or the WHO. “The decision to switch vaccines was based on an incorrect assumption, and the result is now we have more polio and more paralyzed children.”
A draft copy of the report commissioned by the WHO and independent experts said the plan underestimated the amount of the strain in the environment and overestimated how well officials would be able to squash outbreaks.
The plan led to vaccine-linked polio outbreaks in 43 countries that paralyzed more than 3,300 children, the report concluded.
Even before the Gaza case was detected, officials reviewing the initiative to tinker with the vaccine concluded that “the worst-case scenario has materialized,” the report said.
The report has not yet been published, and some changes will likely be made before the final version is released next month, the WHO said.
The strain that infected the baby in Gaza had lingered in the environment and mutated into a version capable of starting outbreaks. It was traced to polio viruses spreading last year in Egypt, according to genetic sequencing, the WHO said.
In 2022, vaccine-linked polio viruses were found to be spreading in Britain, Israel and the US, where an unvaccinated man was paralyzed in upstate New York.
Scientists now worry that the emergence of polio in a war zone with an under-immunized population could fuel further spread.
Racaniello said the failure to track polio carefully and to sufficiently protect children against the strain removed from the vaccine has had devastating consequences.
“Only about 1% of polio cases are symptomatic, so 99% of infections are silently spreading the disease,” he said.
The oral polio vaccine, which contains a weakened live virus, was withdrawn in the US in 2000. Doctors continued to vaccinate children and eventually moved to an injected vaccine, which uses a dead virus and does not come with the risk that polio will be present in human waste. Such waste-borne virus could mutate into a form that triggers outbreaks in unvaccinated people.
The report's authors faulted leaders at the WHO and its partners, saying they were unable or unwilling “to recognize the seriousness of the evolving problem and take corrective action.”
WHO spokesman Oliver Rosenbauer acknowledged that the vaccine strategy “exacerbated” the risk of epidemics linked to the vaccine.
He said in an email that immunization “was not implemented in such a way to rapidly stop outbreaks or to prevent new strains from emerging.” Rosenbauer said not hitting vaccination targets was the biggest risk for allowing vaccine-linked viruses to emerge.
“You need to reach the children with the vaccines ... regardless of which vaccines are used,” he said.
The WHO estimates that 95% of the population needs to be immunized against polio to stop outbreaks. The UN health agency said only about 90% of Gaza’s population was vaccinated earlier this year.
To try to stop polio in Gaza and the wider region, the WHO and its partners plan two rounds of vaccination campaigns later this week and next month, aiming to cover 640,000 children. Authorities will use a newer version of the oral polio vaccine that targets the problematic strain. The weakened live virus in the new vaccine is less likely to cause vaccine-derived outbreaks, but they are still possible.
Racaniello said it was “unethical” that the WHO and its partners were using a vaccine that is unlicensed in rich countries precisely because it can increase the risk of polio in unvaccinated children.
The oral polio vaccine, which has reduced infections globally by more than 99%, is easy to make and distribute. Children require just two drops per dose that can be administered by volunteers. The oral vaccine is better at stopping transmission than the injected version, and it is cheaper and easier to administer.
But as the number of polio cases caused by the wild virus have plummeted in recent years, health officials have been struggling to contain the increasing spread of vaccine-linked cases, which now comprise the majority of polio infections in more than a dozen countries, in addition to Afghanistan and Pakistan, where transmission of the wild virus has never been stopped.
“This is the result of the Faustian bargain we made when we decided to use" the oral polio vaccine, said Dr. Paul Offit, director of the Vaccine Education Center at the University of Philadelphia. “If we really want to eradicate polio, then we need to stop using the vaccine with live (weakened) virus.”