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)
TT

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.



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
TT

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.”