What’s Happening in Forgotten Gaza?

Fighters from Hamas' Al-Qassam Brigades in the Gaza Strip. (Reuters file)
Fighters from Hamas' Al-Qassam Brigades in the Gaza Strip. (Reuters file)
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What’s Happening in Forgotten Gaza?

Fighters from Hamas' Al-Qassam Brigades in the Gaza Strip. (Reuters file)
Fighters from Hamas' Al-Qassam Brigades in the Gaza Strip. (Reuters file)

While the world is focused on the war in Lebanon and its dangers, the situation in Gaza has been largely overlooked.

Despite ongoing suffering, it has received little attention, especially with winter rains approaching, which are adding to the hardships faced by its residents.

Israeli forces are continuing their military operations in Gaza, although they have eased somewhat.

On Tuesday, the Palestinian Ministry of Health reported that Israeli airstrikes led to four massacres in the last 24 hours, killing 23 people and injuring 101.

The latest attack targeted displaced people in the al-Fattah neighborhood, resulting in numerous casualties.

As the conflict enters its 361st day, the toll in Gaza has reached 41,638 dead and 96,460 injured since October 7, worsening the humanitarian crisis.

The Israeli army claims to have destroyed 90% of Hamas’s military capabilities, including half of its tunnels and assassinating several of its leaders.

However, it admitted that Hamas has regained control and is suppressing dissent violently.

Israeli officials allege that Hamas has been monopolizing humanitarian aid entering Gaza, taking a portion for its leaders and selling the rest at high prices.

As a result, the cost of a single cigarette has soared to 20 shekels (about $6), and Hamas still controls smuggling operations for goods through its members in the West Bank.

Goods entering Gaza through private wholesalers face heavy taxes from Hamas. The Israeli army claims that Hamas has set up a trade system with the West Bank and Türkiye, allowing it to pay salaries to its members.

This system enables traders in Gaza to buy goods from the West Bank, with payments processed through Hamas. Money sent from Türkiye is used to pay wholesalers in Hebron or Nablus.

Hamas also posts on Telegram, inviting healthcare workers to Nasser Hospital in Khan Younis to collect their salaries, as well as teachers to specific schools for payment.

Hamas leaders maintain command centers in various neighborhoods, which are known to the public.

Those who go to these centers seeking help may face serious consequences, including detention for questioning, punishment, or even death for minor offenses like theft.

Israeli generals say the failure to recruit local leaders for Gaza is largely due to fear of Hamas’s violent crackdown.

With the Palestinian Authority refusing to take on any responsibilities in the enclave, Hamas remains the only group managing affairs.

In response, Hamas is working to reopen markets, shops, and restaurants selling traditional sweets like knafeh and baklava across Gaza. They are also cleaning streets, removing debris, and improving drainage systems.

In light of the situation, the Israeli army is preparing to appoint a “temporary military governor” to oversee Gaza.

It recognizes that military rule will involve daily interactions with the local population and Hamas operatives, leading to a prolonged occupation and resistance.



Sudan's Doctors Bear Brunt of War as Healthcare Falls Apart

(FILES) A Sudanese army soldier mans a machine gun on top of a military pickup truck outside a hospital in Omdurman - AFP
(FILES) A Sudanese army soldier mans a machine gun on top of a military pickup truck outside a hospital in Omdurman - AFP
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Sudan's Doctors Bear Brunt of War as Healthcare Falls Apart

(FILES) A Sudanese army soldier mans a machine gun on top of a military pickup truck outside a hospital in Omdurman - AFP
(FILES) A Sudanese army soldier mans a machine gun on top of a military pickup truck outside a hospital in Omdurman - AFP

Sudanese doctor Mohamed Moussa has grown so accustomed to the constant sound of gunfire and shelling near his hospital that it no longer startles him. Instead, he simply continues attending to his patients.

"The bombing has numbed us," the 30-year-old general practitioner told AFP by phone from Al-Nao hospital, one of the last functioning medical facilities in Omdurman, part of greater Khartoum.

Gunfire rattles in the distance, warplanes roar overhead and nearby shelling makes the ground tremble, more than a year and a half into a grinding war between rival Sudanese generals.

Embattled health workers "have no choice but to continue", said Moussa.
Since April 2023, Sudan has been torn apart by a war between army chief Abdel Fattah al-Burhan and his former deputy Mohamed Hamdan Daglo, leader of the Rapid Support Forces (RSF).

The war has killed tens of thousands and uprooted 12 million people, creating what the International Rescue Committee aid group has called the "biggest humanitarian crisis ever recorded".

The violence has turned the country's hospitals into battlegrounds, placing health workers like Moussa on the frontlines.

Inside Al-Nao's overwhelmed wards, the conflict's toll is staggering.

Doctors say they tend to a harrowing array of injuries: gunshot wounds to the head, chest and abdomen, severe burns, shattered bones and amputations -- even among children as young as four months.

The hospital itself has not been spared.

Deadly shelling has repeatedly hit its premises, according to medical charity Doctors Without Borders (MSF) which has supported the Al-Nao hospital.

Elsewhere, the situation is just as dire. In North Darfur, a recent drone attack killed nine at the state capital's main hospital, while shelling forced MSF to evacuate its field hospital in a famine-hit refugee camp.

- Medics targeted -

Sudan's healthcare system, already struggling before the war, has now all but crumbled.

Of the 87 hospitals in Khartoum state, nearly half suffered visible damage between the start of the war and August 26 this year, according to satellite imagery provided and analysed by Yale University's Humanitarian Research Lab and the Sudanese American Physicians Association.

As of October, the World Health Organization had documented 119 confirmed attacks on healthcare facilities across Sudan.

"There is a complete disregard for civilian protection," said Kyle McNally, MSF's humanitarian affairs advisor.

He told AFP that an ongoing "broad-spectrum attack on healthcare" includes "widespread physical destruction, which then reduces services to the floor -- literally and figuratively".

The national doctors' union estimates that in conflict zones across Sudan, up to 90 percent of medical facilities have been forced shut, leaving millions without access to essential care.

Both sides of the conflict have been implicated in attacks on healthcare facilities.

The medical union said that 78 health workers have been killed since the war began, by gunfire or shelling at their workplaces or homes.

"Both sides believe that medical staff are cooperating with the opposing faction, which leads to their targeting," union spokesperson Sayed Mohamed Abdullah told AFP.

"There is no justification for targeting hospitals or medical personnel. Doctors... make no distinction between one patient and another."

- Starvation -

According to the doctors' union, the RSF has raided hospitals to treat their wounded or search for enemies, while the army has conducted air strikes on medical facilities across the country.

On November 11, MSF suspended most activities at Bashair Hospital, one of South Khartoum's few functioning hospitals, after fighters stormed the facility and shot dead another fighter being treated there.

MSF officials say they believe the fighters to be RSF combatants.

In addition to the endless stream of war casualties, Sudan's doctors scramble to respond to another threat: mass starvation.

In a paediatric hospital in Omdurman, across the Nile from Khartoum, malnourished children arrive in droves.

Between mid-August and late October, the small hospital was receiving up to 40 children a day, many in critical condition, according to one doctor.

"Every day, three or four of them would die because their cases were very late stage and complicated, or due to a shortage of essential medicines," said the physician, requesting anonymity for safety concerns.

Sudan has for months teetered on the edge of famine, with nearly 26 million people -- more than half the population -- facing acute hunger, according to the UN.

Adnan Hezam, a spokesman for the International Committee of the Red Cross, said there must be "immediate support in terms of supplies and human resources to medical facilities".

Without it, "we fear a rapid deterioration" in already limited services, he told AFP.

To Moussa, the doctor, some days feel "unbearable".

"But we can't stop," he said.

"We owe it to the people who depend on us."