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.



What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
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What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)

Health authorities in the Gaza Strip confirmed the first case of polio in 25 years earlier this month.

The infection and subsequent partial paralysis of the nearly year-old Abdul-Rahman Abu Al-Jidyan has hastened plans for a mass vaccination campaign of children across the Palestinian enclave starting on Sept. 1.

Three-day pauses in fighting in each of Gaza's three zones have been agreed by Israel and Hamas to allow thousands of UN workers to administer vaccines.

ORIGINS

The same strain that later infected the Palestinian baby, from the type 2 vaccine-derived polio virus that has also been detected in wastewater in some developed countries in recent years, was detected in July in six sewage samples taken in Khan Younis and Deir al-Balah.

It is not clear how the strain arrived in Gaza but genetic sequencing showed that it resembles a variant found in Egypt that could have been introduced from September 2023, the WHO said.

The UN health body says that a drop in routine vaccinations in the Occupied Palestinian Territories, including Gaza, has contributed to its re-emergence.

Polio vaccination coverage, primarily conducted through routine immunization, was estimated at 99% in 2022 and fell to 89% in 2023. Health workers say the closure of many hospitals in Gaza, often because of Israeli strikes or restrictions on fuel, has contributed to lower vaccination rates. Israel blames Hamas, saying they use hospitals for military purposes.

Aid workers say poor sanitation conditions in Gaza where open sewers and trash piles are commonplace after nearly 11 months of war have created favorable conditions for its spread.

MASS VACCINATIONS

Israel's military and the Palestinian armed group Hamas have agreed to three separate, zoned three-day pauses in fighting to allow for the first round of vaccinations.

The campaign is due to start in central Gaza on Sunday with three consecutive daily pauses in fighting, then move to southern Gaza, where there would be another three-day pause, followed by northern Gaza. There is an agreement to extend the pause in each zone to a fourth day if needed.

The vaccines, which were released from global emergency stockpiles, have already arrived in Gaza and are due to be issued to 640,000 children under 10 years of age.

They will be given orally by some 2,700 health care workers at medical centers and by mobile teams moving among Gaza's hundreds of thousands of people displaced by the war, UN aid workers say.

The World Health Organization says that a successful roll-out requires at least 95% coverage.

The Israeli military's humanitarian unit (COGAT) said that the vaccination campaign would be conducted in coordination with the Israeli military "as part of the routine humanitarian pauses that will allow the population to reach the medical centers where the vaccinations will be administered".

A second round is planned in late September.

RISKS

The Gaza case which is vaccine-derived is seen as a setback for the global polio fight which has driven down cases by more than 99% since 1988 thanks to mass vaccination campaigns.

Wild polio is now only endemic in Pakistan and Afghanistan although more than 30 countries are still listed by the WHO as subject to outbreaks, including Gaza's neighbors Egypt and Israel.

The World Health Organization has warned of the further spread of polio within Gaza and across borders given the poor health and hygiene conditions there.

Poliomyelitis, which is spread mainly through the faecal-oral route, is a highly infectious virus that can invade the nervous system and cause paralysis and death in young children with those under 2 years old most at risk. In nearly all cases it has no symptoms, making it hard to detect.