Desperate Deja Vu for Foreign War Doctors in Lebanon

Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP
Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP
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Desperate Deja Vu for Foreign War Doctors in Lebanon

Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP
Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP

In a south Lebanon hospital, Norwegian doctor Mads Gilbert peered out of the window after bombardment near the Israeli border, four decades after he first worked in the country.

"It's a horrible experience," he said in a video call from the southern town of Nabatiyeh.

"It's been 42 years and nothing has changed," said Gilbert, who first saw war treating patients during the 1982 Israeli invasion and siege of Beirut.

The anaesthetist and emergency medicine specialist said he had seen just a few cases since arriving on Tuesday.

"Most of the cases have been south of us and they have not been able to evacuate them because the attacks have been so vicious," AFP quoted Gilbert saying.

Israel has increased its airstrikes against in Lebanon since September 23, pounding the south of the country and later staging what it called "limited operations" across the border.

On Thursday the Israeli army warned residents to leave Nabatiyeh.

The escalation has killed more than 1,100 people and wounded at least another 3,600, and pushed upwards of a million people to flee their homes, according to government figures.

Official media have reported some Israeli strikes killing entire families, and AFP has spoken to two people who lost 17 relatives and 10 family members respectively.

- Gaza on 'repeat' -

Israel's military "can do whatever they want to healthcare, to ambulances, to churches, to mosques, to universities, as they've been doing in Gaza," said Gilbert, who has repeatedly volunteered in the Palestinian territory during past conflicts.

"And now we see the same repeat itself in Lebanon in 2024."

A hospital in the town of Bint Jbeil closer to the border on Saturday said it was hit by heavy overnight Israeli strikes, wounding nine medical and nursing staff, most seriously.

At least four hospitals said they had suspended work amid ongoing Israeli bombardment on Friday.

On Thursday, Lebanon's health minister said more than 40 paramedics and firefighters had been killed by Israeli fire in three days.

UN official Imran Riza on X on Saturday spoke of "an alarming increase in attacks against healthcare in Lebanon".

Britain said reports that Israeli strikes had hit "health facilities and support personnel" in Lebanon were "deeply disturbing".

Israel has claimed Hezbollah uses ambulances for "terrorist purposes".

- 'Kids with blast injuries' -

In the capital Beirut, British-Palestinian doctor Ghassan Abu-Sittah said he also saw parallels with the conflict in Gaza.

Abu-Sittah has tirelessly campaigned for "justice" since spending weeks in the besieged Palestinian territory treating the wounded at the start of the war.

Now in Lebanon, the plastic and reconstructive surgeon described seeing "kids, families whose houses have been targeted" with blast injuries in the past few weeks.

There were "kids with blast injuries to the face, to the torso, amputated limbs," he said outside the American University of Beirut's Medical Center.

Abu-Sittah estimated that more than a quarter of the wounded he had seen in Beirut and other parts of Lebanon were minors.

"I have a girl upstairs who is 13, who had a blast injury to the face, needed reconstruction of her jaw, will need several surgeries," he said.

"Children who are injured in war need between eight and 12 surgeries by the time they're adult age."

According to the UN children's agency UNICEF, 690 children in Lebanon have been wounded in recent weeks.

It said doctors had reported most suffered from "concussions and traumatic brain injuries from the impact of blasts, shrapnel wounds and limb injuries".

"It's just so reminiscent of what was happening in Gaza," said Abu-Sittah.

"The heartbreaking thing is that this could all have been stopped if they stopped the war in Gaza," he added.



Israeli Soldiers, Ex-Detainees Reveal Israel’s Use of Palestinians as Human Shields in Gaza Is Widespread

This photo provided by Breaking the Silence, a whistleblower group of former Israeli soldiers, shows two soldiers behind Palestinian detainees being sent into a Gaza City-area house to clear it in 2024. (Breaking the Silence via AP)
This photo provided by Breaking the Silence, a whistleblower group of former Israeli soldiers, shows two soldiers behind Palestinian detainees being sent into a Gaza City-area house to clear it in 2024. (Breaking the Silence via AP)
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Israeli Soldiers, Ex-Detainees Reveal Israel’s Use of Palestinians as Human Shields in Gaza Is Widespread

This photo provided by Breaking the Silence, a whistleblower group of former Israeli soldiers, shows two soldiers behind Palestinian detainees being sent into a Gaza City-area house to clear it in 2024. (Breaking the Silence via AP)
This photo provided by Breaking the Silence, a whistleblower group of former Israeli soldiers, shows two soldiers behind Palestinian detainees being sent into a Gaza City-area house to clear it in 2024. (Breaking the Silence via AP)

The only times the Palestinian man wasn't bound or blindfolded, he said, was when he was used by Israeli soldiers as their human shield.

Dressed in army fatigues with a camera fixed to his forehead, Ayman Abu Hamadan was forced into houses in the Gaza Strip to make sure they were clear of bombs and gunmen, he said. When one unit finished with him, he was passed to the next.

"They beat me and told me: ‘You have no other option; do this or we'll kill you,'" the 36-year-old told The Associated Press, describing the 2 1/2 weeks he was held last summer by the Israeli military in northern Gaza.

Orders often came from the top, and at times nearly every platoon used a Palestinian to clear locations, said an Israeli officer, speaking on condition of anonymity for fear of reprisal.

Several Palestinians and soldiers told the AP that Israeli troops are systematically forcing Palestinians to act as human shields in Gaza, sending them into buildings and tunnels to check for explosives or fighters. The dangerous practice has become ubiquitous during 19 months of war, they said.

In response to these allegations, Israel's military says it strictly prohibits using civilians as shields, a practice it has long accused Hamas of using in Gaza. Israeli officials blame the fighters for the civilian death toll in its offensive that has killed tens of thousands of Palestinians.

In a statement to the AP, the military said it also bans otherwise coercing civilians to participate in operations, and "all such orders are routinely emphasized to the forces."

The military said it's investigating several cases alleging that Palestinians were involved in missions, but wouldn't provide details. It didn't answer questions about the reach of the practice or any orders from commanding officers.

The AP spoke with seven Palestinians who described being used as shields in Gaza and the occupied West Bank and with two members of Israel's military who said they engaged in the practice, which is prohibited by international law. Rights groups are ringing the alarm, saying it's become standard procedure increasingly used in the war.

"These are not isolated accounts; they point to a systemic failure and a horrifying moral collapse," said Nadav Weiman, executive director of Breaking the Silence, a whistleblower group of former Israeli soldiers that has collected testimonies about the practice from within the military. "Israel rightly condemns Hamas for using civilians as human shields, but our own soldiers describe doing the very same."

Abu Hamadan said he was detained in August after being separated from his family, and soldiers told him he'd help with a "special mission." He was forced, for 17 days, to search houses and inspect every hole in the ground for tunnels, he said.

Soldiers stood behind him and, once it was clear, entered the buildings to damage or destroy them, he said. He spent each night bound in a dark room, only to wake up and do it again.

This photo provided by Breaking the Silence, a whistleblower group of former Israeli soldiers, shows two detainees used as human shields being held inside a house in the Gaza City area in 2024. (Breaking the Silence via AP)

The use of human shields ‘caught on like fire’

Rights groups say Israel has used Palestinians as shields in Gaza and the West Bank for decades. The Supreme Court outlawed the practice in 2005. But the groups continued to document violations.

Still, experts say this war is the first time in decades the practice and the debate around it has been so widespread.

The two Israeli soldiers who spoke to the AP and a third who provided testimony to Breaking the Silence said commanders were aware of the use of human shields and tolerated it, with some giving orders to do so. Some said it was referred to as the "mosquito protocol" and that Palestinians were also referred to as "wasps" and other dehumanizing terms.

The soldiers, who said they're no longer serving in Gaza, said the practice sped up operations, saved ammunition, and spared combat dogs from injury or death.

The soldiers said they first became aware human shields were being used shortly after the war erupted on Oct. 7, 2023, when Hamas attacked Israel, and that it became widespread by the middle of 2024. Orders to "bring a mosquito" often came via radio, they said — shorthand everyone understood. Soldiers acted on commanding officers' orders, according to the officer who spoke to the AP.

He said that by the end of his nine months in Gaza, every infantry unit used a Palestinian to clear houses before entering.

"Once this idea was initiated, it caught on like fire in a field," the 26-year-old said. "People saw how effective and easy it was."

He described a 2024 planning meeting where a brigade commander presented to the division commander a slide reading "get a mosquito" and a suggestion they might "just catch one off the streets."

The officer wrote two incident reports to the brigade commander detailing the use of human shields, reports that would have been escalated to the division chief, he said. The military said it had no comment when asked whether it received them.

One report documented the accidental killing of a Palestinian, he said troops didn't realize another unit was using him as a shield and shot him as he ran into a house. The officer recommended the Palestinians be dressed in army clothes to avoid misidentification.

He said he knew of at least one other Palestinian who died while used as a shield; he passed out in a tunnel.

Troops unsuccessfully pushed back, a sergeant says

Convincing soldiers to operate lawfully when they see their enemy using questionable practices is difficult, said Michael Schmitt, a distinguished professor of international law at the US Military Academy at West Point. Israeli officials and other observers say Hamas uses civilians as shields as it embeds itself in communities, hiding fighters in hospitals and schools.

"It’s really a heavy lift to look at your own soldiers and say you have to comply," Schmitt said.

One soldier told the AP his unit tried to refuse to use human shields in mid-2024 but were told they had no choice, with a high-ranking officer saying they shouldn’t worry about international humanitarian law.

The sergeant, speaking on condition of anonymity for fear of reprisal, said the troops used a 16-year-old and a 30-year-old for a few days.

The boy shook constantly, he said, and both repeated "Rafah, Rafah" — Gaza’s southernmost city, where more than 1 million Palestinians had fled from fighting elsewhere at that point in the war.

It seemed they were begging to be freed, the sergeant said.

‘I have children’

Masoud Abu Saeed said he was used as a shield for two weeks in March 2024 in the southern city of Khan Younis.

"This is extremely dangerous," he recounted telling a soldier. "I have children and want to reunite with them."

The 36-year-old said he was forced into houses, buildings and a hospital to dig up suspected tunnels and clear areas. He said he wore a first-responder vest for easy identification, carrying a phone, hammer and chain cutters.

During one operation, he bumped into his brother, used as a shield by another unit, he said.

They hugged. "I thought Israel's army had executed him," he said.

Palestinians also report being used as shields in the West Bank.

Hazar Estity said soldiers took her Jenin refugee camp home in November, forcing her to film inside several apartments and clear them before troops entered.

She said she pleaded to return to her 21-month-old son, but soldiers didn't listen.

"I was most afraid that they would kill me," she said. "And that I wouldn’t see my son again."