Far From Violence, Gaza Wounded Find Care at Cairo Hospital

A Palestinian boy receives medical care at Nasser Institute hospital in Cairo, on December 3, 2023, after he was evacuated to Egypt following his injuries sustained amid fighting between Israel and Hamas in the Gaza Strip. (Photo by Khaled DESOUKI / AFP)
A Palestinian boy receives medical care at Nasser Institute hospital in Cairo, on December 3, 2023, after he was evacuated to Egypt following his injuries sustained amid fighting between Israel and Hamas in the Gaza Strip. (Photo by Khaled DESOUKI / AFP)
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Far From Violence, Gaza Wounded Find Care at Cairo Hospital

A Palestinian boy receives medical care at Nasser Institute hospital in Cairo, on December 3, 2023, after he was evacuated to Egypt following his injuries sustained amid fighting between Israel and Hamas in the Gaza Strip. (Photo by Khaled DESOUKI / AFP)
A Palestinian boy receives medical care at Nasser Institute hospital in Cairo, on December 3, 2023, after he was evacuated to Egypt following his injuries sustained amid fighting between Israel and Hamas in the Gaza Strip. (Photo by Khaled DESOUKI / AFP)

Ilham Majid was praying when bombs fell on her Gaza house, and her husband only found her hours later under the rubble, alive but seriously wounded.

She was one of the luckier ones -- 17 other family members, including two of her children, were killed in that fateful October 31 raid in the Jabalia refugee camp of northern Gaza, where Israel has been fighting Hamas militants following deadly attacks earlier that month.

Now, like several other Palestinians from the Gaza Strip, Majid is receiving medical treatment in Egypt.

"All of a sudden I felt the house crumbling. Three stories collapsed on top of me," the 42-year-old recalled from her hospital bed at Cairo's Nasser Hospital.

"I got shrapnel all over my body. My liver was hit, my leg, ribs and my jaw are all broken. I cannot walk."

Majid said her husband found her trapped under the rubble of the house by chance four-and-a-half hours later, thanks to one of her fingers that was sticking out.

"I almost could not breathe -- almost dead," she said, AFP reported.

Her 15-year-old daughter was killed in the bombardment, and 10 days later the body of her 17-year-old son was pulled from under the debris. It was already rotting.

Ever since the tragedy that ripped apart her family -- 50 relatives were staying at the house when it was hit -- Majid has been looking at pictures of her son on her cell phone.

Since early October, several Palestinians wounded in Israel's bombardment of the Gaza Strip, and some suffering various illnesses, have been authorized to leave the besieged territory and travel to Egypt for medical care.

More than 15,500 people, mostly civilians, have been killed in Gaza since fighting began on October 7, according to Gaza health ministry.

Israel unleashed an air and ground campaign against the densely-populated territory with the aim of destroying Hamas, after the militants broke through Gaza's militarized border into Israel.

The war on Gaza has devastated swathes of the coastal territory, levelled entire neighbourhoods and destroyed much of the infrastructure, including hospitals.

Even before fighting resumed on Friday after a week-long pause during which Hamas released hostages in exchange for prisoners held by Israel, Gaza's health system was on its knees with hospitals resembling a "horror movie", according to the World Health Organization (WHO).

Now it is "catastrophic", the UN agency has said.

Currently, only 18 of Gaza's 36 hospitals are even minimally to partially functional, with the three main hospitals in the north barely operative, Richard Peeperkorn, WHO's representative in the Palestinian territories, told reporters in Geneva via video-link from Gaza on Friday.

The United Nations says not a single hospital in northern Gaza can carry out surgeries after several were attacked by Israel, while those in the south are overwhelmed by the number of casualties they receive daily.

At Cairo's Nasser Hospital, patients such as Majid are trying to slowly regain their strength far away from the violence and chaos consuming Gaza.

Yussef, 13, lay in a bed staring into the distance, his face puffy.

Dried blood stained his right leg which was held together with metal rods.

"He was in a complete state of shock when I found him," said his older brother, under the rubble of their four-storey home in the Shati refugee camp.

In another hospital room further down the corridor, Lubna al-Shafei, 36, said she was being treated for a "neck wound".

"On October 23, our house in the centre of Gaza City was destroyed. My son was killed and my husband was wounded," she said.

Last week the Egyptian health ministry announced the launch of an initiative aimed at providing medical care for 1,000 children wounded in Gaza.

Already 28 premature babies who were trapped at Al-Shifa Hospital, Gaza's largest which was besieged and ultimately raided by Israeli forces, have been taken to Egypt.

The United Arab Emirates and Tunisia have also taken in Palestinians wounded in Gaza, namely children in need of medical care.

France and Italy have sent ships to Egypt to serve as hospitals for wounded civilians from Gaza.



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.