‘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."



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.