From Gaza to Geneva: Swiss Doctor Evacuates Injured Children

 Geneva-based doctor Raouf Salti holds 17-month-old Zeina, next to 16-year-old Yussef, both of whom were evacuated from Gaza to Switzerland to receive medical treatment, at Geneva airport, Switzerland, February 12, 2024. (Reuters)
Geneva-based doctor Raouf Salti holds 17-month-old Zeina, next to 16-year-old Yussef, both of whom were evacuated from Gaza to Switzerland to receive medical treatment, at Geneva airport, Switzerland, February 12, 2024. (Reuters)
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From Gaza to Geneva: Swiss Doctor Evacuates Injured Children

 Geneva-based doctor Raouf Salti holds 17-month-old Zeina, next to 16-year-old Yussef, both of whom were evacuated from Gaza to Switzerland to receive medical treatment, at Geneva airport, Switzerland, February 12, 2024. (Reuters)
Geneva-based doctor Raouf Salti holds 17-month-old Zeina, next to 16-year-old Yussef, both of whom were evacuated from Gaza to Switzerland to receive medical treatment, at Geneva airport, Switzerland, February 12, 2024. (Reuters)

When Swiss doctor Raouf Salti realized he could not go to Gaza to help injured children, he decided he would do everything he could to get them to Geneva to receive medical care.

After dealing with swathes of red tape, Salti got permission to have four children, including a 16-year-old who lost a kidney and has already had his leg amputated, cross into Egypt from Gaza and then fly to Switzerland on Monday.

Salti, who went to Egypt to pick them up, waved as he was greeted by his team at Geneva airport with Zeina, a wide-eyed 17-month-old who was rescued from under the rubble in Gaza, in his arms.

"When I saw that the situation kept getting worse, I decided that my mission this time would be to go there and bring them here," said Salti, who has taken part in several international humanitarian trips to Gaza as well as other parts of the Middle East and Africa over the past 14 years.

Salti, a urological surgeon and himself a descendant of Palestinian refugees, had been scheduled to travel to Gaza on Oct. 19 to carry out operations including a planned kidney surgery on a toddler.

But his humanitarian mission, part of his work as founder of an NGO called Children's Right for Healthcare, was called off due to the Israeli offensive launched in the wake of the Oct. 7 attacks by Hamas gunmen.

The four children who arrived in Geneva on Monday are the second group that Salti has managed to evacuate to Switzerland, bringing their total number to eight. The children have been granted 90-day visas to receive medical care.

"What is important is giving them a normal life, with people, calm, peace and love. A child's life," Salti said after arriving at his office with the children and their mothers.

The four were chosen with help from his contacts in Gaza on the basis that they were well enough to travel and that they could be helped in Switzerland.

Sixteen-year-old Yussef, who lost his left leg and had his kidney crushed in an Israeli attack, is emaciated, weighing less than 30 kg (66 pounds). Doctors in Gaza amputated the remainder of the leg that had been blown off, but he still needs to gain strength and ultimately be given a prosthetic.

Zeina, the 17-month-old, was initially treated at Al-Shifa Hospital, the largest facility in the Gaza Strip, which was raided by Israeli forces in November.

Her tiny left arm, supported by a sling, sustained several fractures that doctors attempted to repair using an external fixation, but the structure had to be removed due to an infection.

"You can't talk about sterile (equipment) there anymore, it doesn't exist," Salti said.



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.