‘Hell Falling’: Fear and Grief in Rafah After Deadly Israeli Raid 

A child looks on as Palestinians inspect a destroyed area following an Israeli airstrike on the Rafah refugee camp, southern Gaza Strip, 12 February 2024. (EPA)
A child looks on as Palestinians inspect a destroyed area following an Israeli airstrike on the Rafah refugee camp, southern Gaza Strip, 12 February 2024. (EPA)
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‘Hell Falling’: Fear and Grief in Rafah After Deadly Israeli Raid 

A child looks on as Palestinians inspect a destroyed area following an Israeli airstrike on the Rafah refugee camp, southern Gaza Strip, 12 February 2024. (EPA)
A child looks on as Palestinians inspect a destroyed area following an Israeli airstrike on the Rafah refugee camp, southern Gaza Strip, 12 February 2024. (EPA)

Majed al-Afifi was just 40 days old when he was killed, his uncle told AFP in Rafah where Israeli forces bombed multiple homes while rescuing two Gaza hostages.

"We heard the bombing without warning," said Said al-Hams, 26, in Rafah refugee camp.

His nephew, a twin, "was born exactly 40 days ago and was killed", while their mother was wounded.

The newborn is among around 100 people killed by Israeli forces overnight in Rafah, according to the health ministry in Gaza.

Dozens of Israeli strikes pounded Rafah, where some 1.4 million people have sought refuge during four months of war between Israel and Hamas militants.

While there was jubilation in Israel over the liberation of the two hostages, in Rafah people recounted a fearful night.

"The situation was hell," said Abu Suhaib, who was sleeping dozens of meters from where Israeli forces struck.

"We heard the sound of explosions, like hell falling down on civilians," he told AFP.

The 28-year-old said he heard warplanes firing, shooting and a helicopter landing.

A massive pile of rubble stands where multiple buildings were flattened by Israeli strikes, beside the remains of a four-storey house.

Witnesses said the residents of the house fled two months ago, after the Israeli military warned them it would be bombed.

The aerial bombardment also left five vast craters, at least 10 meters wide and five metres deep, an AFP journalist said.

"I can't tell you how we survived the night," said Abu Abdullah al-Qadi, who was woken by the sound of shooting.

"They killed my cousin, they killed a lot of people with strikes," he told AFP, as dozens gathered by the destroyed buildings.

"They stormed this building and it appears that they freed prisoners -- and then they bombed it," said Qadi.

"They bombed all the houses next to it," he added.

'A terrifying night'

The refugee camp sits in the heart of Rafah, where vast crowds have gathered after following Israeli orders to flee other parts of Gaza.

Despite mounting international alarm at a possible ground invasion of the city, Israeli Prime Minister Benjamin Netanyahu vowed Monday that "continued military pressure" is the only way to free all hostages.

Palestinian militants seized about 250 hostages during their October 7 attack on southern Israel, according to an AFP tally based on official Israeli figures. Israel says around 130 are still in Gaza, though 29 are thought to be dead.

The Hamas attack resulted in the deaths of about 1,160 people, mostly civilians, according to an AFP tally based on official figures.

The relentless offensive by Israel has killed at least 28,340 people in Gaza, mostly women and children, according to the latest health ministry toll.

Fearing an onslaught by ground forces, dozens of families already displaced by the war started packing up their scant belongings on Monday.

"It was a terrifying night," said Alaa Mohammed, from northern Gaza, dismantling a tent in western Rafah.

"What happened at night foreshadows something big happening in Rafah. It seems that the Israeli army will enter Rafah as they announced," said the 42-year-old.

The family is planning on travelling to the Deir al-Balah area of central Gaza, an earlier focus for Israeli troops after they destroyed swathes of the north.

Mohammed started gathering their blankets and mattresses, after a sleepless night, while relatives went in search of transport.

"A lot of families around me undid their tents like us," he said.

"I hope we can find a car or a truck. We called more than one driver we know, but all of them are busy."



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.