Nowhere to Go, Say Gazans in South under Israeli Bombardment

Palestinians inspect the damage in the rubble of a building destroyed during Israeli bombardment in Rafah, on the southern Gaza Strip, on December 2, 2023, amid continuing battles between Israel and the militant group Hamas. (AFP)
Palestinians inspect the damage in the rubble of a building destroyed during Israeli bombardment in Rafah, on the southern Gaza Strip, on December 2, 2023, amid continuing battles between Israel and the militant group Hamas. (AFP)
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Nowhere to Go, Say Gazans in South under Israeli Bombardment

Palestinians inspect the damage in the rubble of a building destroyed during Israeli bombardment in Rafah, on the southern Gaza Strip, on December 2, 2023, amid continuing battles between Israel and the militant group Hamas. (AFP)
Palestinians inspect the damage in the rubble of a building destroyed during Israeli bombardment in Rafah, on the southern Gaza Strip, on December 2, 2023, amid continuing battles between Israel and the militant group Hamas. (AFP)

Under aerial bombardment from Israel, people sheltering in the south of the Gaza Strip after fleeing their homes earlier in the war said on Saturday they had nowhere safe to go now.

The city of Khan Younis is the focus of Israeli air strikes and artillery fire after fighting resumed on Friday following the collapse of a week-long truce. Its population has swelled in recent weeks as several hundred thousand people from the northern Gaza Strip have fled south.

Some are camping in tents, others in schools. Some are sleeping in stairwells or outside the few hospitals operating in the city. A World Health Organization official said on Friday that one of the hospitals was "like a horror movie" as hundreds of wounded children and adults waited for treatment.

Abu Wael Nasrallah, 80, scoffed at the Israeli army's latest order to move further south to Rafah, bordering Egypt. Children were injured in Israeli strikes in the town on Friday.

The message was delivered via leaflets dropped from the sky over several districts in Khan Younis.

"This is nonsense," Nasrallah told Reuters. He had heeded Israeli evacuation orders and moved from the northern Gaza Strip earlier in the war that broke out on Oct. 7 when Hamas militants crossed into Israel and killed 1,200 people, mostly civilians.

Some 193 Palestinians had been killed since the truce expired, the Gaza health ministry said on Saturday, adding to the death toll of more than 15,000 Gazans announced by Palestinian health authorities.

Israel says it is making efforts to prevent civilian casualties as the fighting moves south. Addressing reporters in Tel Aviv on Saturday, a senior adviser to Israeli Prime Minister Benjamin Netanyahu said humanitarian groups were informed of what he described the "safer areas".

"We've not asked the whole population of the south to relocate, we've not even asked the whole population of Khan Younis to relocate. But those neighborhoods, those specific areas where we know there is going to be heavy combat, we've asked people there to relocate," Mark Regev said.

'Night of horror'

Nasrallah said he and his family would stay put because they had already lost everything.

"There is nothing left to fear. Our homes are gone, our property is gone, our money is gone, our sons have been killed, some are handicapped. What is left to cry for?"

A mother of four, who gave her name as Samira, said she had fled south from Gaza City with her children after Israel began bombing there last month. They now shelter with friends in a home west of Khan Younis.

She said Friday night had been one of the most terrifying since she arrived: "A night of horror."

She and other residents said they feared the intensity of the bombing in Khan Younis and the nearby city of Deir al-Balah meant Israel's ground invasion of the south was imminent.

Another man, who gave his name as Yamen, said he and his wife and six children had fled the north weeks ago and were sleeping in a school.

"Where to after Deir al Abalah, after Khan Younis?" he said. "I don't know where to take my family."

The UN estimates that up to 1.8 million people in the Gaza Strip - or nearly 80% of the population - have been forced to flee during Israel's devastating bombing campaign.

Israel has sworn to annihilate Gaza-based Hamas in response to the Oct. 7 attack.



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.