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.



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.