For Children of Gaza, War Means No School, No Indication When Formal Learning Might Return 

A Palestinian child plays next to empty ammunition containers in Khan Younis in the southern Gaza Strip on May 16, 2024, amid the ongoing conflict between Israel and Hamas. (AFP)
A Palestinian child plays next to empty ammunition containers in Khan Younis in the southern Gaza Strip on May 16, 2024, amid the ongoing conflict between Israel and Hamas. (AFP)
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For Children of Gaza, War Means No School, No Indication When Formal Learning Might Return 

A Palestinian child plays next to empty ammunition containers in Khan Younis in the southern Gaza Strip on May 16, 2024, amid the ongoing conflict between Israel and Hamas. (AFP)
A Palestinian child plays next to empty ammunition containers in Khan Younis in the southern Gaza Strip on May 16, 2024, amid the ongoing conflict between Israel and Hamas. (AFP)

Atef Al-Buhaisi, 6, once dreamed of a career building houses. Now, all he craves is to return to school.

In Israel's war with Hamas, Atef's home has been bombed, his teacher killed and his school in Nuseirat turned into a refuge for displaced people. He lives in a cramped tent with his family in Deir al-Balah in central Gaza, where he sleeps clinging to his grandmother and fears walking alone even during the day.

Since the war erupted Oct. 7, all of Gaza's schools have closed — leaving hundreds of thousands of students like Atef without formal schooling or a safe place to spend their days. Aid groups are scrambling to keep children off the streets and their minds focused on something other than the war, as heavy fighting continues across the enclave and has expanded into the southern city of Rafah and intensified in the north.

"What we’ve lost most is the future of our children and their education," said Irada Ismael, Atef’s grandmother. "Houses and walls are rebuilt, money can be earned again ... but how do I compensate for (his) education?"

Gaza faces a humanitarian crisis, with the head of the UN's World Food Program determining a "full-blown famine" is already underway in the north.

More than 35,000 Palestinians have been killed in the war, according to the Gaza Health Ministry, which does not distinguish between civilians and combatants in its figures. About 80% of Gaza’s population has been driven from homes. Much of Gaza is damaged or destroyed, including nearly 90% of school buildings, according to aid group estimates.

Children are among the most severely affected, with the UN estimating some 19,000 children have been orphaned and nearly a third under the age of 2 face acute malnutrition. In emergencies, education takes a back seat to safety, health and sanitation, say education experts, but the consequences are lasting.

"The immediate focus during conflict isn’t on education, but the disruption has an incredibly long-term effect," said Sonia Ben Jaafar, of the Abdulla Al Ghurair Foundation, a philanthropic organization focused on education in the Arab world. "The cost at this point is immeasurable."

Before the war, Gaza was home to more than 625,000 students and some 20,000 teachers in its highly literate population, according to the UN In other conflicts, aid groups can create safe spaces for children in neighboring countries — for example, Poland for shelter and schooling during the war in Ukraine.

That's not possible in Gaza, a densely populated enclave locked between the sea, Israel and Egypt. Since Oct 7, Palestinians from Gaza haven't been allowed to cross into Israel. Egypt has let a small number of Palestinians leave.

"They’re unable to flee, and they remain in an area that continues to be battered," said Tess Ingram, of UNICEF. "It’s very hard to provide them with certain services, such as mental health and psychosocial support or consistent education and learning."

Aid groups hope classes will resume by September. But even if a cease-fire is brokered, much of Gaza must be cleared of mines, and rebuilding schools could take years.

In the interim, aid groups are providing recreational activities — games, drawing, drama, art — not for a curriculum-based education but to keep children engaged and in a routine, in an effort for normalcy. Even then, advocates say, attention often turns to the war — Atef's grandmother sees him draw pictures only of tents, planes and missiles.

Finding free space is among the biggest challenges. Some volunteers use the outdoors, make do inside tents where people live, or find a room in homes still standing.

It took volunteer teachers more than two months to clear one room in a school in Deir al-Balah to give ad hoc classes to children. Getting simple supplies such as soccer balls and stationery into Gaza can also take months, groups report.

"Having safe spaces for children to gather to play and learn is an important step," Ingram said, but "ultimately the children of Gaza must be able to return to learning curriculum from teachers in classrooms, with education materials and all the other support schooling provides."

This month, UNICEF had planned to erect at least 50 tents for some 6,000 children from preschool to grade 12 for play-based numbers and literacy learning in Rafah. But UNICEF says those plans could be disrupted by Israel's operation there.

Lack of schooling can take a psychological toll — it disrupts daily life and, compounded with conflict, makes children more prone to anxiety and nervousness, said Jesus Miguel Perez Cazorla, a mental health expert with the International Committee of the Red Cross.

Children in conflicts are also at increased risk of forced labor, sexual violence, trafficking and recruitment by gangs and armed groups, experts warn.

"Not only are children vulnerable to recruitment by Hamas and other militant groups, but living amid ongoing violence and constantly losing family members makes children psychologically primed to want to take action against the groups they consider responsible," said Samantha Nutt of War Child USA, which supports children and families in war zones.

Palestinians say they've seen more children take to Gaza's streets since the war, trying to earn money for their families.

"The streets are full of children selling very simple things, such as chocolate, canned goods," said Lama Nidal Alzaanin, 18, who was in her last year of high school and looking forward to university when the war broke out. "There is nothing for them to do."

Some parents try to find small ways to teach their children, scrounging for notebooks and pens and insisting they learn something as small as a new word each day. But many find the kids are too distracted, with the world around them at war.

Sabreen al-Khatib, a mother whose family was displaced to Deir al-Balah from Gaza City, said it's particularly hard for the many who've seen relatives die.

"When you speak in front of children," al-Khatib said, "what do you think he is thinking? Will he think about education? Or about himself, how will he die?"

On Oct. 7, 14-year-old Layan Nidal Alzaanin — Lama's younger sister — was on her way to her middle school in Beit Hanoun when missiles flew overhead, she said. She fled with her family to Rafah, where they lived crowded in a tent. Since Israel ordered evacuations there, she fled to Deir al-Balah.

"It is a disaster," she said. "My dreams have been shattered. There is no future for me without school."



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
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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.”