‘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."



Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
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Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed

The baby in Gaza who was recently paralyzed by polio was infected with a mutated strain of the virus that vaccinated people shed in their waste, according to scientists who say the case is the result of “an unqualified failure” of public health policy.
The infection, which marked the first detection of polio in the war-torn Palestinian territory in more than 25 years, paralyzed the lower part of one leg in the unvaccinated 10-month-old child. The baby boy was one of hundreds of thousands of children who missed vaccinations because of the fighting between Israel and Hamas.
Scientists who have been monitoring polio outbreaks said the baby's illness showed the failures of a global effort by the World Health Organization and its partners to fix serious problems in their otherwise largely successful eradication campaign, which has nearly wiped out the highly infectious disease. Separately, a draft report by experts deemed the WHO effort a failure and “a severe setback.”
The polio strain in question evolved from a weakened virus that was originally part of an oral vaccine credited with preventing millions of children worldwide from being paralyzed. But that virus was removed from the vaccine in 2016 in hopes of preventing vaccine-derived outbreaks.
Public health authorities knew that decision would leave people unprotected against that particular strain, but they thought they had a plan to ward off and quickly contain any outbreaks. Instead, the move resulted in a surge of thousands of cases, The Associated Press reported.
“It was a really horrible strategy,” said Columbia University virologist Vincent Racaniello, who was not involved with the report or the WHO. “The decision to switch vaccines was based on an incorrect assumption, and the result is now we have more polio and more paralyzed children.”
A draft copy of the report commissioned by the WHO and independent experts said the plan underestimated the amount of the strain in the environment and overestimated how well officials would be able to squash outbreaks.
The plan led to vaccine-linked polio outbreaks in 43 countries that paralyzed more than 3,300 children, the report concluded.
Even before the Gaza case was detected, officials reviewing the initiative to tinker with the vaccine concluded that “the worst-case scenario has materialized,” the report said.
The report has not yet been published, and some changes will likely be made before the final version is released next month, the WHO said.
The strain that infected the baby in Gaza had lingered in the environment and mutated into a version capable of starting outbreaks. It was traced to polio viruses spreading last year in Egypt, according to genetic sequencing, the WHO said.
In 2022, vaccine-linked polio viruses were found to be spreading in Britain, Israel and the US, where an unvaccinated man was paralyzed in upstate New York.
Scientists now worry that the emergence of polio in a war zone with an under-immunized population could fuel further spread.
Racaniello said the failure to track polio carefully and to sufficiently protect children against the strain removed from the vaccine has had devastating consequences.
“Only about 1% of polio cases are symptomatic, so 99% of infections are silently spreading the disease,” he said.
The oral polio vaccine, which contains a weakened live virus, was withdrawn in the US in 2000. Doctors continued to vaccinate children and eventually moved to an injected vaccine, which uses a dead virus and does not come with the risk that polio will be present in human waste. Such waste-borne virus could mutate into a form that triggers outbreaks in unvaccinated people.
The report's authors faulted leaders at the WHO and its partners, saying they were unable or unwilling “to recognize the seriousness of the evolving problem and take corrective action.”
WHO spokesman Oliver Rosenbauer acknowledged that the vaccine strategy “exacerbated” the risk of epidemics linked to the vaccine.
He said in an email that immunization “was not implemented in such a way to rapidly stop outbreaks or to prevent new strains from emerging.” Rosenbauer said not hitting vaccination targets was the biggest risk for allowing vaccine-linked viruses to emerge.
“You need to reach the children with the vaccines ... regardless of which vaccines are used,” he said.
The WHO estimates that 95% of the population needs to be immunized against polio to stop outbreaks. The UN health agency said only about 90% of Gaza’s population was vaccinated earlier this year.
To try to stop polio in Gaza and the wider region, the WHO and its partners plan two rounds of vaccination campaigns later this week and next month, aiming to cover 640,000 children. Authorities will use a newer version of the oral polio vaccine that targets the problematic strain. The weakened live virus in the new vaccine is less likely to cause vaccine-derived outbreaks, but they are still possible.
Racaniello said it was “unethical” that the WHO and its partners were using a vaccine that is unlicensed in rich countries precisely because it can increase the risk of polio in unvaccinated children.
The oral polio vaccine, which has reduced infections globally by more than 99%, is easy to make and distribute. Children require just two drops per dose that can be administered by volunteers. The oral vaccine is better at stopping transmission than the injected version, and it is cheaper and easier to administer.
But as the number of polio cases caused by the wild virus have plummeted in recent years, health officials have been struggling to contain the increasing spread of vaccine-linked cases, which now comprise the majority of polio infections in more than a dozen countries, in addition to Afghanistan and Pakistan, where transmission of the wild virus has never been stopped.
“This is the result of the Faustian bargain we made when we decided to use" the oral polio vaccine, said Dr. Paul Offit, director of the Vaccine Education Center at the University of Philadelphia. “If we really want to eradicate polio, then we need to stop using the vaccine with live (weakened) virus.”