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Gaza Burns Cases Surge as Medical Supplies Dwindle

Palestinian Nisrine al-Najar receives treatment at a clinic set up by Doctors Without Border (MSF) in Rafah, in March Medical facilities have in the past weeks reported increasing numbers of burn victims. According to Muhammad al-Mughayyir, of Gaza's civil defence agency, Israeli forces have been using "new weapons that cause increased ignition and burning". © MOHAMMED ABED / AFP/File
Palestinian Nisrine al-Najar receives treatment at a clinic set up by Doctors Without Border (MSF) in Rafah, in March Medical facilities have in the past weeks reported increasing numbers of burn victims. According to Muhammad al-Mughayyir, of Gaza's civil defence agency, Israeli forces have been using "new weapons that cause increased ignition and burning". © MOHAMMED ABED / AFP/File
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Gaza Burns Cases Surge as Medical Supplies Dwindle

Palestinian Nisrine al-Najar receives treatment at a clinic set up by Doctors Without Border (MSF) in Rafah, in March Medical facilities have in the past weeks reported increasing numbers of burn victims. According to Muhammad al-Mughayyir, of Gaza's civil defence agency, Israeli forces have been using "new weapons that cause increased ignition and burning". © MOHAMMED ABED / AFP/File
Palestinian Nisrine al-Najar receives treatment at a clinic set up by Doctors Without Border (MSF) in Rafah, in March Medical facilities have in the past weeks reported increasing numbers of burn victims. According to Muhammad al-Mughayyir, of Gaza's civil defence agency, Israeli forces have been using "new weapons that cause increased ignition and burning". © MOHAMMED ABED / AFP/File

In Gaza City's Al-Ahli Hospital, five-year-old Amir Habib al-Habeel screams out in pain from the burns he suffered from an Israeli air strike on his home in Shujaiya a fortnight earlier.
He occupies a bed far from his mother, who also suffered burns, and who cannot move to be by her son's side.

Instead, her brother cares for him, the only available guardian after his "father was martyred", as the tearful child says, struggling to remove one of many IV tubes.

"We receive daily cases of second- and third-degree burns as a result of rocket attacks and the use of internationally banned weapons by the Israeli army," Amjad Eleiwa, an emergency doctor at the hospital, told AFP.

"Most of the cases that come to us are children and women. We don't have any capacity to deal with these burns," he said, explaining that they could not access any of the medical supplies needed to treat burns and had to resort instead to whatever was available in private warehouses and pharmacies.

"We are in dire need of medical and logistical support and medicine to deal with these cases and save them."ch
Medical facilities have in the past weeks reported increasing numbers of burn victims. According to Muhammad al-Mughayyir, of Gaza's civil defence agency, Israeli forces have been using "new weapons that cause increased ignition and burning".
Medical facilities have in the past weeks reported increasing numbers of burn victims.

Julie Faucon, a medical coordinator at Doctors Without Borders (MSF), told AFP some of the charity's specialists have been working for two months in Nasser Hospital in the southern city of Khan Yunis, "supporting what we call the trauma auto burn unit".

In that time, they have received "more than 69 cases with burns. One case out of five is related to explosions", the burns specialist said.

"Three out of four" of the patients they have received are children, she said, adding that 10 of the patients have had burns on more than 20 percent of their bodies.

According to Muhammad al-Mughayyir, of Gaza's civil defence agency, Israeli forces have been using "new weapons that cause increased ignition and burning".

Mughayyir said the weapons reach extremely high temperatures and are "capable of melting bodies".

They often target "tent areas made up of nylon containing primitive materials such as wood and plastic, all of which directly affects the speed and rate of ignition", he added.

"These burns have a direct impact on people's lives and appearances. They affect skin layers and burn nerves, and there are people who become disabled as a result of that."

- No medical supplies

Access to treatment abroad has been blocked as most Palestinians cannot leave the besieged Gaza Strip
The World Health Organization has said that out of 36 hospitals in the territory, only 15 are partially functional, adding that medical facilities have been targeted more than 1,000 times since war broke out on October 7.

Mohammed Zaqout, the head of hospitals in the Gaza Strip, said "there is only Nasser Hospital in the southern areas, with 12 operating rooms, all of which are overcrowded".

"There are 16 beds in the intensive care units, all of which are occupied, and we have added a capacity of 24 beds but they are now full," he said.

"We try to distribute these cases to field hospitals, but the occupation's massacres against unarmed civilians occur on a daily and hourly basis, and no one in the world intervenes."

Access to treatment abroad has been blocked as most Palestinians cannot leave the besieged territory, as has the entry of most medical supplies, particularly since Israeli forces seized the Palestinian side of the Rafah border crossing with Egypt since early May.

Faucon similarly highlighted the urgent need for medical supplies, pointing to surging demand among extremely meagre stocks.

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The Fragile Israel-Hezbollah Truce is Holding so Far, Despite Violations

Mariam Kourani removes a toy car from the rubble of her destroyed house after returning with her family to the Hanouiyeh village in southern Lebanon, on Nov. 28, 2024, following a ceasefire between Israel and Hezbollah. (AP Photo/Hussein Malla, File)
Mariam Kourani removes a toy car from the rubble of her destroyed house after returning with her family to the Hanouiyeh village in southern Lebanon, on Nov. 28, 2024, following a ceasefire between Israel and Hezbollah. (AP Photo/Hussein Malla, File)
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The Fragile Israel-Hezbollah Truce is Holding so Far, Despite Violations

Mariam Kourani removes a toy car from the rubble of her destroyed house after returning with her family to the Hanouiyeh village in southern Lebanon, on Nov. 28, 2024, following a ceasefire between Israel and Hezbollah. (AP Photo/Hussein Malla, File)
Mariam Kourani removes a toy car from the rubble of her destroyed house after returning with her family to the Hanouiyeh village in southern Lebanon, on Nov. 28, 2024, following a ceasefire between Israel and Hezbollah. (AP Photo/Hussein Malla, File)

A fragile ceasefire between Israel and the Lebanon's Hezbollah has held up for over a month, even as its terms seem unlikely to be met by the agreed-upon deadline.

The deal struck on Nov. 27 to halt the war required Hezbollah to immediately lay down its arms in southern Lebanon and gave Israel 60 days to withdraw its forces there and hand over control to the Lebanese army and UN peacekeepers.

So far, Israel has withdrawn from just two of the dozens of towns it holds in southern Lebanon. And it has continued striking what it says are bases belonging to Hezbollah, which it accuses of attempting to launch rockets and move weapons before they can be confiscated and destroyed, The AP reported.

Hezbollah, which was severely diminished during nearly 14 months of war, has threatened to resume fighting if Israel does not fully withdraw its forces by the 60-day deadline.

Yet despite accusations from both sides about hundreds of ceasefire violations, the truce is likely to hold, analysts say. That is good news for thousands of Israeli and Lebanese families displaced by the war still waiting to return home.

“The ceasefire agreement is rather opaque and open to interpretation,” said Firas Maksad, a senior fellow with the Middle East Institute in Washington. That flexibility, he said, may give it a better chance of holding in the face of changing circumstances, including the ouster of Syria's longtime leader, Bashar Assad, just days after the ceasefire took effect.

With Assad gone, Hezbollah lost a vital route for smuggling weapons from Iran. While that further weakened Hezbollah’s hand, Israel had already agreed to the US-brokered ceasefire.

Hezbollah began firing rockets into Israel on Oct. 8, 2023 — the day after Hamas launched a deadly attack into Israel that ignited the ongoing war in Gaza. Since then, Israeli air and ground assaults have killed more than 4,000 people in Lebanon, including hundreds of civilians. At the height of the war, more than 1 million Lebanese people were displaced.

Hezbollah rockets forced some 60,000 from their homes in northern Israel, and killed 76 people in Israel, including 31 soldiers. Almost 50 Israeli soldiers were killed during operations inside Lebanon.

Here’s a look at the terms of the ceasefire and its prospects for ending hostilities over the long-term.

What does the ceasefire agreement say? The agreement says that both Hezbollah and Israel will halt “offensive” military actions, but that they can act in self-defense, although it is not entirely clear how that term may be interpreted.

The Lebanese army is tasked with preventing Hezbollah and other militant groups from launching attacks into Israel. It is also required to dismantle Hezbollah facilities and weapons in southern Lebanon — activities that might eventually be expanded to the rest of Lebanon, although it is not explicit in the ceasefire agreement.

The United States, France, Israel, Lebanon and the UN peacekeeping force in Lebanon, known as UNIFIL, are responsible for overseeing implementation of the agreement.

“The key question is not whether the deal will hold, but what version of it will be implemented,” Maksad, the analyst, said.

Is the ceasefire being implemented? Hezbollah has for the most part halted its rocket and drone fire into Israel, and Israel has stopped attacking Hezbollah in most areas of Lebanon. But Israel has launched regular airstrikes on what it says are militant sites in southern Lebanon and in the Bekaa Valley.

Israeli forces have so far withdrawn from two towns in southern Lebanon - Khiam and Shamaa. They remain in some 60 others, according to the International Organization for Migration, and around 160,000 Lebanese remain displaced.

Lebanon has accused Israel of repeatedly violating the ceasefire agreement and last week submitted a complaint to the UN Security Council that says Israel launched some 816 “ground and air attacks” between the start of the ceasefire and Dec. 22, 2024.

The complaint said the attacks have hindered the Lebanese army's efforts to deploy in the south and uphold its end of the ceasefire agreement.

Until Israel hands over control of more towns to the Lebanese army, Israeli troops have been destroying Hezbollah infrastructure, including weapons warehouses and underground tunnels. Lebanese authorities say Israel has also destroyed civilian houses and infrastructure.

What happens after the ceasefire has been in place for 60 days? Israel's withdrawal from Lebanese towns has been slower than anticipated because of a lack of Lebanese army troops ready to take over, according to Lt. Col. Nadav Shoshani, a military spokesman. Lebanon disputes this, and says it is waiting for Israel to withdraw before entering the towns.

Shoshani said Israel is satisfied with the Lebanese army's control of the areas it has already withdrawn from, and that while it would prefer a faster transfer of power, security is its most important objective.

Israel does not consider the 60-day timetable for withdrawal to be “sacred,” said Harel Chorev, an expert on Israel-Lebanon relations at Tel Aviv University who estimates that Lebanon will need to recruit and deploy thousands more troops before Israel will be ready to hand over control.

Hezbollah officials have said that if Israeli forces remain in Lebanon 60 days past the start of the ceasefire, the militant group might return to attacking them. But Hezbollah Secretary General Naim Kassem said Wednesday that, for now, the group is holding off to give the Lebanese state a chance to "take responsibility” for enforcing the agreement.

Over the final two months of the war, Hezbollah suffered major blows to its leadership, weapons and forces from a barrage of Israeli airstrikes, and a ground invasion that led to fierce battles in southern Lebanon. The fall of Assad was another big setback.

“The power imbalance suggests Israel may want to ensure greater freedom of action after the 60-day period,” Maksad, the analyst, said. And Hezbollah, in its weakened position, now has a “strong interest” in making sure the deal doesn't fall apart altogether “despite Israeli violations,” he said.

While Hezbollah may not be in a position to return to open war with Israel, it or other groups could mount guerilla attacks using light weaponry if Israeli troops remain in southern Lebanon, said former Lebanese army Gen. Hassan Jouni. And even if Israel does withdraw all of its ground forces, Jouni said, the Israeli military could could continue to carry out sporadic airstrikes in Lebanon, much as it has done in Syria for years.