What to Know about How Much the Aid from a US Pier Project Will Help Gaza 

Members of the US Army, US Navy and the Israeli military put in place the Trident Pier, a temporary pier to deliver humanitarian aid, on the Gaza coast, amid the ongoing conflict between Israel and the Palestinian group Hamas, May 16, 2024. (US Central Command/Handout via Reuters)
Members of the US Army, US Navy and the Israeli military put in place the Trident Pier, a temporary pier to deliver humanitarian aid, on the Gaza coast, amid the ongoing conflict between Israel and the Palestinian group Hamas, May 16, 2024. (US Central Command/Handout via Reuters)
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What to Know about How Much the Aid from a US Pier Project Will Help Gaza 

Members of the US Army, US Navy and the Israeli military put in place the Trident Pier, a temporary pier to deliver humanitarian aid, on the Gaza coast, amid the ongoing conflict between Israel and the Palestinian group Hamas, May 16, 2024. (US Central Command/Handout via Reuters)
Members of the US Army, US Navy and the Israeli military put in place the Trident Pier, a temporary pier to deliver humanitarian aid, on the Gaza coast, amid the ongoing conflict between Israel and the Palestinian group Hamas, May 16, 2024. (US Central Command/Handout via Reuters)

A US-built pier is in place to bring humanitarian aid to Gaza by sea, but no one will know if the new route will work until a steady stream of deliveries begins reaching starving Palestinians.

The trucks that will roll off the pier project installed Thursday will face intensified fighting, Hamas threats to target any foreign forces and uncertainty about whether the Israeli military will ensure that aid convoys have access and safety from attack by Israeli forces.

Even if the sea route performs as hoped, US, UN and aid officials caution, it will bring in a fraction of the aid that's needed to the embattled enclave.

Here's a look at what's ahead for aid arriving by sea:

WILL THE SEA ROUTE END THE CRISIS IN GAZA? No, not even if everything with the sea route works perfectly, American and international officials say.

US military officials hope to start with about 90 truckloads of aid a day through the sea route, growing quickly to about 150 trucks a day.

Samantha Power, head of the US Agency for International Development, and other aid officials have consistently said Gaza needs deliveries of more than 500 truckloads a day — the prewar average — to help a population struggling without adequate food or clean water during seven months of war between Israel and Hamas.

Israel has hindered deliveries of food, fuel and other supplies through land crossings since Hamas’ deadly attack on Israel launched the conflict in October. The restrictions on border crossings and fighting have brought on a growing humanitarian catastrophe for civilians.

International experts say all 2.3 million of Gaza's people are experiencing acute levels of food insecurity, 1.1 million of them at “catastrophic” levels. Power and UN World Food Program Director Cindy McCain say north Gaza is in famine.

At that stage, saving the lives of children and others most affected requires steady treatment in clinical settings, making a cease-fire critical, USAID officials say.

At full operation, international officials have said, aid from the sea route is expected to reach a half-million people. That's just over one-fifth of the population.

WHAT ARE THE CHALLENGES FOR THE SEA ROUTE NOW? The US plan is for the UN to take charge of the aid once it's brought in. The UN World Food Program will then turn it over to aid groups for delivery.

UN officials have expressed concern about preserving their neutrality despite the involvement in the sea route by the Israeli military — one of the combatants in the conflict — and say they are negotiating that.

There are still questions on how aid groups will safely operate in Gaza to distribute food to those who need it most, said Sonali Korde, assistant to the administrator for USAID's Bureau for Humanitarian Assistance, which is helping with logistics.

US and international organizations including the US government's USAID and the Oxfam, Save the Children and International Rescue Committee nonprofits say Israeli officials haven't meaningfully improved protections of aid workers since the military's April 1 attack that killed seven aid workers with the World Central Kitchen organization.

Talks with the Israeli military “need to get to a place where humanitarian aid workers feel safe and secure and able to operate safely. And I don’t think we’re there yet," Korde told reporters Thursday.

Meanwhile, fighting is surging in Gaza. It isn’t threatening the new shoreline aid distribution area, Pentagon officials say, but they have made it clear that security conditions could prompt a shutdown of the maritime route, even just temporarily.

A ship is seen off the coast of Gaza near a US-built floating pier that will be used to facilitate aid deliveries, as seen from the central Gaza Strip, Thursday, May 16, 2024. (AP)

The US and Israel have developed a security plan for humanitarian groups coming to a “marshaling yard” next to the pier to pick up the aid, said US Vice Admiral Brad Cooper, deputy commander of the US military’s Central Command. USAID Response Director Dan Dieckhaus said aid groups would follow their own security procedures in distributing the supplies.

Meanwhile, Israeli forces have moved into the border crossing in the southern city of Rafah as part of their offensive, preventing aid from moving through, including fuel.

UN deputy spokesman Farhan Haq said that without fuel, delivery of all aid in Gaza can't happen.

WHAT'S NEEDED? US President Joe Biden's administration, the UN and aid groups have pressed Israel to allow more aid through land crossings, saying that's the only way to ease the suffering of Gaza's civilians. They've also urged Israel's military to actively coordinate with aid groups to stop Israeli attacks on humanitarian workers.

“Getting aid to people in need into and across Gaza cannot and should not depend on a floating dock far from where needs are most acute,” UN deputy spokesman Farhan Haq told reporters Thursday.

“To stave off the horrors of famine, we must use the fastest and most obvious route to reach the people of Gaza — and for that, we need access by land now,” Haq said.

US officials agree that the pier is only a partial solution at best, and say they are pressing Israel for more.

WHAT DOES ISRAEL SAY? Israel says it places no limits on the entry of humanitarian aid and blames the UN for delays in distributing goods entering Gaza. The UN says ongoing fighting, Israeli fire and chaotic security conditions have hindered delivery.

Under pressure from the US, Israel has in recent weeks opened a pair of crossings to deliver aid into hard-hit northern Gaza. It said a series of Hamas attacks on the main crossing, Kerem Shalom, have disrupted the flow of goods.



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.