Palestinians Across the Middle East Mark the Original ‘Nakba’ with Eyes on War in Gaza 

Displaced Palestinians, who fled their house due to Israel's military offensive, shelter in a tent, in Rafah, in the southern Gaza Strip May 13, 2024. (Reuters)
Displaced Palestinians, who fled their house due to Israel's military offensive, shelter in a tent, in Rafah, in the southern Gaza Strip May 13, 2024. (Reuters)
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Palestinians Across the Middle East Mark the Original ‘Nakba’ with Eyes on War in Gaza 

Displaced Palestinians, who fled their house due to Israel's military offensive, shelter in a tent, in Rafah, in the southern Gaza Strip May 13, 2024. (Reuters)
Displaced Palestinians, who fled their house due to Israel's military offensive, shelter in a tent, in Rafah, in the southern Gaza Strip May 13, 2024. (Reuters)

Palestinians across the Middle East on Wednesday are marking the anniversary of their mass expulsion from what is now Israel with protests and other events across the region at a time of mounting concern over the humanitarian catastrophe in Gaza.

The Nakba, Arabic for “catastrophe,” refers to the 700,000 Palestinians who fled or were driven out of what is now Israel before and during the war surrounding its creation in 1948.

More than twice that number have been displaced within Gaza since the start of the latest war, which was triggered by Hamas' Oct. 7 attack into Israel. UN agencies say 550,000 people, nearly a quarter of Gaza's 2.3 million people, have been newly displaced in just the last week, as Israeli forces have pushed into the southern city of Rafah and reinvaded parts of northern Gaza.

“We lived through the Nakba not just once, but several times,” said Umm Shadi Sheikh Khalil, who was displaced from Gaza City and now lives in a tent in the central Gaza town of Deir al-Balah.

The refugees and their descendants number some 6 million and live in built-up refugee camps in Lebanon, Syria, Jordan and the Israeli-occupied West Bank. In Gaza, they are the majority of the population, with most families having relocated from what is now central and southern Israel.

Israel rejects what the Palestinians say is their right of return, because if it was fully implemented it would likely result in a Palestinian majority within Israel's borders.

PAINFUL MEMORIES The refugee camps in Gaza have seen some of the heaviest fighting of the war. In other camps across the region, the fighting has revived painful memories from earlier rounds of violence in a decades-old conflict with no end in sight.

At a center for elderly residents of the Shatila refugee camp in Beirut, Amina Taher recalled the day her family’s house in the village of Deir al-Qassi, in what is now northern Israel, collapsed over their heads after being shelled by Israeli forces in 1948. The house was next to a school that was being used as a base by Palestinian fighters, she said.

Taher, then 3 years old, was pulled from the rubble unharmed, but her 1-year-old sister was killed. Now she has seen the same scenes play out in news coverage of Gaza.

“When I would watch the news, I had a mental breakdown because then I remembered when the house fell on me,” she said. “What harm did these children do to get killed like this?”

Daoud Nasser, also now living in Shatila, was 6 years old when his family fled from the village of Balad al-Sheikh, near Haifa. His father tried to return to their village in the early years after 1948, when the border was relatively porous, but found a Jewish family living in their house, he said.

Nasser said he would attempt the same journey if the border were not so heavily guarded. “I would run. I’m ready to walk from here to there and sleep under the olive trees on my own land,” he said.

NO END TO WAR The latest war began with Hamas' rampage across southern Israel, through some of the same areas where Palestinians fled from their villages 75 years earlier. Palestinian gunmen killed some 1.200 people that day, mostly civilians, and took another 250 hostage.

Israel responded with one of the heaviest military onslaughts in recent history, obliterating entire neighborhoods in Gaza and forcing some 80% of the population to flee their homes.

Gaza's Health Ministry says over 35,000 Palestinians have been killed, without distinguishing between civilians and combatants in its count. The UN says there is widespread hunger and that northern Gaza is in a “full-blown famine.”

Israel says its goal is to dismantle Hamas and return the estimated 100 hostages, and the remains of more than 30 others, still held by the group after it released most of the rest during a ceasefire last year.

Israeli troops pushed into Rafah last week. Prime Minister Benjamin Netanyahu has portrayed the city on Gaza's southern border with Egypt as Hamas' last stronghold, promising victory.

But the militants have regrouped elsewhere in Gaza, even in some of the hardest-hit areas, raising the prospect of a prolonged insurgency.

The fighting in Rafah has made the nearby Kerem Shalom crossing — Gaza's main cargo terminal — mostly inaccessible from the Palestinian side. Israel's capture of the Gaza side of the Rafah crossing with Egypt has forced it to shut down and sparked a crisis of relations with the Arab country. Aid groups says the loss of the two crossings has crippled efforts to provide humanitarian aid as needs mount.

In a statement on Tuesday, Egyptian Foreign Minister Sameh Shoukry accused Israel “distorting the facts” and condemned its “desperate attempts” to blame Egypt for the continued closure of the crossing. Egyptian officials have said the Rafah operation threatens the two countries’ decades-old peace treaty.

Shoukry was responding to remarks by Israeli Foreign Minister Israel Katz, who said there was a “need to persuade Egypt to reopen the Rafah crossing to allow the continued delivery of international humanitarian aid to Gaza.”

Egypt has played a key role in months of mediation efforts aimed at brokering a ceasefire between Israel and Hamas and the release of hostages. The latest round of talks ended last week without a breakthrough.



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.