First Case of Polio Confirmed in a 10-month-old Child in Gaza

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip walk next a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, Thursday, 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)
FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip walk next a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, Thursday, 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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First Case of Polio Confirmed in a 10-month-old Child in Gaza

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip walk next a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, Thursday, 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)
FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip walk next a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, Thursday, 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)

Palestinian health officials on Friday reported the first case of polio in an unvaccinated 10-month-old child in the Gaza city of Deir al-Balah, the first case in years in the coastal enclave that has been engulfed in the Israel-Hamas war since Oct. 7, The Associated Press reported.

After discovering the child's symptoms, tests were conducted in Jordan’s capital of Amman and the case was confirmed to be polio, the health officials said.

The potentially fatal, paralyzing disease mostly strikes children under the age of 5 and typically spreads through contaminated water. Pakistan and Afghanistan are the only countries where the spread of polio has never been stopped.

The World Health Organization did not immediately respond to requests to confirm the case. However, UN health and children’s agencies have called for seven-day pauses in the fighting, starting at the end of August, to vaccinate 640,000 Palestinian children against polio.

They said the polio virus had been discovered in wastewater in two major cities last month in Gaza, which has been polio-free for the last 25 years, according to the United Nations.

The humanitarian community has warned of the re-emergence of polio since the latest war erupted when Hamas attacked Israel on Oct. 7. Israel’s devastating retaliatory offensive has killed more than 40,000 people in Gaza in the 10-month-long conflict and created a dire humanitarian situation, which health officials say has created a public health emergency.

In July, WHO said a variant of type 2 was discovered in wastewater samples from southern Khan Younis and central Deir al-Balah, linked to a variant of the polio virus last detected in Egypt last year.

While WHO did not confirm the polio case, it said earlier on Friday that three children in Gaza were found with acute flaccid paralysis — the onset of weakness or paralysis with reduced muscle tone, a common symptom of polio.

The children's stool samples have been sent for testing to the Jordan National Polio Laboratory, the agency said.

More than 1.6 million doses of the polio vaccine are expected to arrive in Gaza by the end of August, WHO said, in time for the vaccination campaigns which would have to be conducted in two rounds. Children under 10 will be given two drops of the oral vaccine against type 2 of the polio virus.

Health officials in Gaza warned they would not be able to stop the spread of polio and treat people without an urgent ceasefire in place. The stark warning came as international mediators expressed hope that a ceasefire deal is within reach.

Two days of talks had wrapped up in Qatar on Friday, the mediators said, adding that they plan to reconvene in Cairo next week to seal an agreement to stop the fighting.

The mediators have spent months trying to hammer out a three-phase plan in which Hamas would release the hostages in exchange for a lasting ceasefire, the withdrawal of Israeli forces from Gaza and the release of Palestinians imprisoned by Israel.



Gaza’s Girls Cut off Their Hair for Lack of Combs

 Lobna al-Azaiza, a Palestinian pediatrician providing free medical services to displaced Palestinians, examines a girl in a tent near her house, which was destroyed in an Israeli strike, in Deir Al-Balah in the central Gaza Strip, August 12, 2024. (Reuters)
Lobna al-Azaiza, a Palestinian pediatrician providing free medical services to displaced Palestinians, examines a girl in a tent near her house, which was destroyed in an Israeli strike, in Deir Al-Balah in the central Gaza Strip, August 12, 2024. (Reuters)
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Gaza’s Girls Cut off Their Hair for Lack of Combs

 Lobna al-Azaiza, a Palestinian pediatrician providing free medical services to displaced Palestinians, examines a girl in a tent near her house, which was destroyed in an Israeli strike, in Deir Al-Balah in the central Gaza Strip, August 12, 2024. (Reuters)
Lobna al-Azaiza, a Palestinian pediatrician providing free medical services to displaced Palestinians, examines a girl in a tent near her house, which was destroyed in an Israeli strike, in Deir Al-Balah in the central Gaza Strip, August 12, 2024. (Reuters)

When girls complain to Gaza pediatrician Lobna al-Azaiza that they have no comb, she tells them to cut off their hair.

It's not just combs. Israel's blockade of the territory, ravaged by 10 months of war, means there is little or no shampoo, soap, period products or household cleaning materials.

Waste collection and sewage treatment have also collapsed, and it's easy to see why contagious diseases that thrive on overcrowding and lack of cleanliness - such as scabies or fungal infections - are on the rise.

"In the past period, the most common disease we have seen was skin rashes, skin diseases, which have many causes, including the overcrowding in the camps, the increased heat inside the tents, the sweating among children, and the lack of sufficient water for bathing," the doctor said.

Azaiza used to work at Kamal Adwan Hospital in Beit Lahia until Israeli tanks separated the north of the besieged enclave from the south.

Like most of Gaza's medics, she has adapted and continues to treat patients, walking to work past her own ruined house, demolished by an Israeli strike.

The tent clinic she set up with a small team began by treating children, but has by necessity become a practice for whole families, most of whom have also been ordered or bombed out of their homes, like the vast majority of Gaza's 2.3 million people.

Even the medication that is available is often unaffordable; a tube of simple burn ointment can now cost 200 shekels ($53).

International aid deliveries have been dramatically reduced since Israel seized control of the Rafah border crossing from Egypt, exacerbating a humanitarian crisis.

Israel denies responsibility for delays in getting urgent humanitarian aid in, saying that the UN and others are responsible for its distribution inside the enclave.

Azaiza has little doubt where the immediate solution lies:

"The border crossing must be opened so that we can bring in medications, as most of the current ones are ineffective: zero effect, there is no effect on the skin diseases that we see."