After 200 Days of War, Where Have the Gaza Ceasefire Negotiations Reached?

Relatives of Israeli prisoners demonstrate in Tel Aviv to demand that the government reach an agreement to release the detainees held by Hamas. (AFP)
Relatives of Israeli prisoners demonstrate in Tel Aviv to demand that the government reach an agreement to release the detainees held by Hamas. (AFP)
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After 200 Days of War, Where Have the Gaza Ceasefire Negotiations Reached?

Relatives of Israeli prisoners demonstrate in Tel Aviv to demand that the government reach an agreement to release the detainees held by Hamas. (AFP)
Relatives of Israeli prisoners demonstrate in Tel Aviv to demand that the government reach an agreement to release the detainees held by Hamas. (AFP)

Two hundred days since the eruption of war in the Gaza Strip, ceasefire efforts are still ongoing even though it remains to be seen whether mediators in Egypt, Qatar, and the United States will be able to resolve the crisis.

Since its start on Oct. 7, the war has only stopped for one week, following an Egyptian Qatari-mediated agreement in November during which Hamas released more than 100 of its hostages and Israel freed about three times this number of Palestinian prisoners.

Since that “lone truce,” the mediators have been pushing for another “broader and more comprehensive” agreement, but their efforts have not borne fruit so far. Expert in Israeli affairs at Al-Ahram Center for Political and Strategic Studies Dr. Saeed Okasha attributed this failure to “miscalculations on the part of both sides of the conflict.”

“Tel Aviv accepted the first truce, believing that it would help in relieving pressure, and then quickly decide the battle in its favor. For its part, Hamas hoped it would be able to build an international drive to end the war, believing that Israeli Prime Minister Benjamin Netanyahu’s accepting of the deal would weaken his position and damage his image before the international community because he views the movement as terrorist,” Okasha told Asharq Al-Awsat.

During the past months, the hope of achieving a “truce” rose at times and faded at others, as the mediators’ efforts stumbled at continued “Israeli intransigence” and “conditions” that Hamas was not willing to abandon.

At the end of January, hope was pinned on the “framework of a three-stage truce agreement, each lasting 40 days.” The framework was agreed upon at a meeting in Paris that was attended by the intelligence chiefs of Egypt, the United States, and Israel, in addition to the Qatari prime minister. They expected that the proposal would ultimately lead to talks over ending the war completely.

But this framework, which was described as "constructive" by officials in Israel and the US, did not translate into reality after six rounds of indirect negotiations, which moved from Paris to Cairo to Doha and then back to Paris.

Towards the end of the month of Ramadan, Cairo hosted a new round of negotiations during which the Director of the CIA, William Burns, presented to Hamas a proposal to restore calm. It called for a six-week truce during which Hamas would release 40 Israeli hostages in exchange for the release of 800 to 900 Palestinians arrested by Israel, the entry of 400 to 500 trucks of food aid daily, and the return of the displaced from northern Gaza to their homes.

However, the mediators were unable to convince both parties to accept the deal, so the negotiations reached a “dead end.” Here, Okasha said: “Neither party wants to make concessions, because that means losing the battle.”

He noted that Tel Aviv is seeking to achieve a military victory by invading the city of Rafah, while Hamas is heading toward “political suicide.”

Egyptian Foreign Minister Sameh Shoukry confirmed in an interview with CNN last week that the talks “were continuing and have never been interrupted” even though “an agreement has not been reached yet.”



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.