Gaza’s Child Amputees Struggle with Recovery, Especially after Israel’s Cutoff of Aid

 A doctor assists 13-year-old Palestinian Yamen Asfour as he learns to walk on a prosthetic leg at the Artificial Limbs and Polio Center in Gaza City on Tuesday, Feb. 18. 2025. (AP)
A doctor assists 13-year-old Palestinian Yamen Asfour as he learns to walk on a prosthetic leg at the Artificial Limbs and Polio Center in Gaza City on Tuesday, Feb. 18. 2025. (AP)
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Gaza’s Child Amputees Struggle with Recovery, Especially after Israel’s Cutoff of Aid

 A doctor assists 13-year-old Palestinian Yamen Asfour as he learns to walk on a prosthetic leg at the Artificial Limbs and Polio Center in Gaza City on Tuesday, Feb. 18. 2025. (AP)
A doctor assists 13-year-old Palestinian Yamen Asfour as he learns to walk on a prosthetic leg at the Artificial Limbs and Polio Center in Gaza City on Tuesday, Feb. 18. 2025. (AP)

Five-year-old Sila Abu Aqlan curled her lip in concentration as she practiced walking for the first time on a prosthetic leg at a clinic in Gaza City. The foot of the new leg had a little pink sneaker with a lacy frill, matching her pink hoodie.

It has been nearly 15 months since the little girl's leg was amputated after it was left severely burned from an Israeli airstrike. Finally, she is being fit for a prosthetic.

One of the most shocking sights in Gaza’s war has been the thousands of children with amputated limbs from Israel’s bombardment. The UN’s humanitarian aid organization OCHA called it the “largest cohort of child amputees in modern history.”

Throughout the 17-month war, supplies and services for children and adults with amputations have fallen far short of demand. Gaza’s ceasefire that began in mid-January offered a window for aid agencies to bring in an increased number of prosthetic limbs, wheelchairs, crutches and other devices.

Still, it only covered about 20% of the total need, said Loay Abu Saif, head of a disability program run by the aid group Medical Aid for Palestine, or MAP.

The window slammed shut when Israel barred entry of all medical supplies as well as food, fuel and other aid on March 2. Israel's resumption of its military campaign last week, killing hundreds of Palestinians, has only added to the ranks of amputees.

Children struggle with multiple traumas

With help limited, children wrestle with the psychological pain of losing a limb along with other traumas.

Sila's mother, father and sisters were all killed in an airstrike on her home in December 2023. Sila suffered severe burns to her right leg. A month of treatment had little effect, and Sila would scream in excruciating pain, her aunt Yasmine al-Ghofary said. Doctors amputated her leg above the knee.

“I try as much as I can to make her happy. But the truth is, there’s only so much she can be happy. Pain is pain, and amputation is amputation,” al-Ghofary said.

Sila sees other girls playing and tries to keep up with them using her walker but falls down. “She says, ’Why am I like this? Why am I not like them?” said al-Ghofary.

In October 2023, 11-year-old Reem lost her hand when an airstrike hit nearby as her family fled their home in Gaza City.

Reem can no longer dress on her own, brush her hair or tie her shoes. She gets angry and hits her siblings if she can’t find someone to help her, her mother said. Other times, she isolates herself and just watches other children playing.

“Once Reem told her dad that she wished to die,” said her mother, who goes by the traditional name, Umm Reem. “In another instance, we were talking about meat, and she said, ‘Slaughter me like a sheep,’ and she was laughing.”

Thousands need help

Some 3,000 to 4,000 children in Gaza had suffered amputations as of November 2024, according to Jamal al-Rozzi and Hussein ِAbu Mansour, two prominent experts with rehabilitation programs in the territory who spoke with The Associated Press.

Up to 17,500 adults and children suffered severe limb injuries, leaving them in need of rehabilitation and assistance, the World Health Organization estimated in September.

Throughout the war, hospitals lacked medicines that could have averted amputations. Doctors describe cutting off limbs because of infections that should have been easily treated.

In its campaign in Gaza, Israel has struck homes and shelters with families inside almost daily.

Gaza's Health Ministry on Monday put out a list of the names of more than 15,000 children, 17 and younger, killed by Israel’s offensive. The list included nearly 5,000 children younger than 6, including 876 infants who had not reached a year in age.

Israel's offensive has killed more than 50,000 Palestinians of all ages and wounded more than 113,000, according to the ministry, which does not say how many were civilians or combatants. Nearly 90% of the population of some 2.3 million have been displaced, and vast areas of Gaza have been destroyed.

Israel launched the campaign vowing to destroy Hamas after its Oct. 7, 2023, attack on southern Israel, in which gunmen killed some 1,200 people, mostly civilians, and abducted 251 others. Israel says it is targeting Hamas and blames the group for civilian deaths because it operates in residential areas.

Conditions in camps make it even harder for children

Last May, 13-year-old Moath Abdelaal's leg was amputated above the knee after an Israeli airstrike in the southern city of Rafah.

The family had to flee to a tent camp outside the neighboring city of Khan Younis. During the ceasefire, they moved back to their hometown Jabaliya in northern Gaza, but their home had been destroyed, so they live in a tent by the ruins, said his father, Hussein Abdelaal.

Moath’s psychological state is worsening, his father said. Moving with crutches around the rubble is difficult. Doctors had to amputate more from his leg, almost up to his hip, because of complications. The boy learned that a number of his friends in the neighborhood had been killed, Abdelaal said.

“He has been having a hard time coping with his new situation. He’s not sleeping well next to his siblings. It’s difficult to see our son like that,” said Abdelaal.

Aid agencies provide some services

Sila is being treated at the Artificial Limbs and Polio Center in Gaza City, a program launched by the International Committee of the Red Cross that has provided physical therapy, wheelchairs and prosthetics to hundreds of Palestinians suffering from amputations or paralysis.

But supplies are limited. Wheelchairs are urgently needed, with 50 to 60 people a day asking for them in northern Gaza alone, said Mahmoud Shalabi with MAP.

Al-Rozzi, executive director of the National Rehabilitation Society in the Gaza Strip, said Israel blocks materials to manufacture prosthetics from entering Gaza on grounds they could have dual or military uses.

COGAT, the Israeli military body overseeing aid, said there have never been limitations on medical supplies to Gaza, including wheelchairs, prosthetics and crutches.

Some hope for treatment abroad

Some child amputees have been evacuated out of Gaza for treatment. But the pace of medical evacuations has remained slow, at a few dozen a day, and was reduced after Israel's strikes last week. As many as 13,000 patients of all kinds are waiting their chance to get out.

Asmaa al-Nashash wants nothing more than for her 11-year-old son Abdulrahman to go abroad for a prosthetic leg.

The boy was selling items from a stand at a UN school-turned-shelter in the built-up Nuseirat refugee camp when an airstrike hit, she said. Shrapnel tore through his leg, and doctors couldn’t save it.

Since then, he often sits alone playing games on her phone because he can’t play football with other children, she said. Other kids bully him, calling him the “one-legged boy.”

“My heart gets torn into pieces when I see him like this and I can do nothing for him,” she said.



Amr Moussa to Asharq Al-Awsat: Gaddafi Initially Treated Me as an American Spy, Then Things Changed

Hosni Mubarak was able to manage the difficult relationship with Moammar al-Gaddafi. (AFP)
Hosni Mubarak was able to manage the difficult relationship with Moammar al-Gaddafi. (AFP)
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Amr Moussa to Asharq Al-Awsat: Gaddafi Initially Treated Me as an American Spy, Then Things Changed

Hosni Mubarak was able to manage the difficult relationship with Moammar al-Gaddafi. (AFP)
Hosni Mubarak was able to manage the difficult relationship with Moammar al-Gaddafi. (AFP)

In the third installment of his interview with Asharq Al-Awsat, former Egyptian Foreign Minister and ex-Secretary-General of the Arab League Amr Moussa discusses various experiences with Arab leaders, emphasizing the nuances of diplomacy in a turbulent region.

Moussa recalled that former Egyptian President Hosni Mubarak “was neither bloodthirsty nor a pharaoh, nor did he try to be one.” He points to a famous remark by President Anwar Sadat, who once said: “Gamal (Abdel Nasser) and I are the last of the pharaohs.”

The Gaddafi encounter

Reflecting on his complex interactions with Libyan leader Moammar al-Gaddafi, Moussa admitted that the beginning was anything but smooth. “When I first met Gaddafi, he treated me as if I were an American spy. He wouldn’t look at me directly, only speaking while facing another direction. It was very theatrical,” Moussa said. He recalled this behavior with a certain amusement, treating it almost like a game: “I would wager with myself before our meetings—will he speak to me directly this time, or not?”

Initially, rumors had reached Gaddafi that Moussa had been sent with a US agenda, though he had actually been Egypt’s ambassador to the UN in New York, not Washington. “But once he observed how I performed in my role, he began to change his mind. Eventually, he would ask President Mubarak if I could join their private discussions.”

Moussa recalled a specific instance in Tobruk, where he was invited by Gaddafi to sit at a table with him and Mubarak to discuss a matter of importance. He knew this would stir unease among others present, but the conversation went ahead regardless. This type of scene, he noted, happened several times.

Hosni Mubarak, Moammar al-Gaddafi and Amr Moussa at the Arab summit in Sirte in 2010. (AFP)

Diplomatic drama in a tent

When Gaddafi visited Cairo during Moussa’s tenure as foreign minister, the Libyan leader insisted on setting up his trademark tent in the gardens of the Qubba Palace. Though the palace was fully equipped, Gaddafi would receive guests only in the tent. “At that time, he still saw me as a US spy,” Moussa said, “so he avoided looking at me during our meeting. He inspected every corner of the tent—except the one where I was sitting.”

Despite Gaddafi’s sometimes abrasive behavior, Moussa conceded that the Libyan leader was intelligent and unique. “He was eccentric, yes, but he had a cleverness about him. His actions often carried a deeper rationale, even if misguided.”

Gaddafi’s erratic rule extended to his own ministers. Moussa noted how even highly regarded officials like Abdul Rahman Shalgham and Ali Treki were subject to his whims. “If Gaddafi was displeased with something, he might simply tell you to stay home—and that could mean house arrest for years. Yet, your salary would still arrive at your door.”

A moment of humor

One incident stood out. Libya was scheduled to host the Arab summit and had failed to pay its dues to the Arab League, and as Secretary-General, Moussa received an envoy from Gaddafi carrying a list of demands. Moussa didn’t even read the letter; he simply locked it in a drawer. “When the envoy asked what to report back, I told him exactly that,” Moussa laughed.

Soon after, Gaddafi summoned him to Sirte. As Moussa waited in the tent, Gaddafi’s secretary, Bashir Saleh, walked by singing an old Arabic poem: “You seem tearless, and patience is your nature.” Moussa quipped: “Tell the leader he’s not tearless—he’s payment-less!” Saleh shared the joke with Gaddafi, who burst into laughter and finally paid Libya’s dues.

Later, during an Arab summit in Libya, Gaddafi displayed a surprising sense of responsibility. Moussa recalled a heated moment when Yemeni President Ali Abdullah Saleh demanded immediate action on forming a pan-Arab army. Gaddafi gently interrupted: “Take it easy, Ali.” That phrase—“Take it easy, Ali”—spoke volumes, according to Moussa. “It revealed Gaddafi’s desire to manage tension even among volatile leaders.”

On Hosni Mubarak and the ‘pharaoh’ myth

Asked if Mubarak ever resembled the authoritarian archetype of a “pharaoh” as Russians view their “czars,” Moussa was firm: “No, not Mubarak. Maybe Sadat had some traits—he liked symbolism. But Mubarak? He wasn’t violent, nor bloodthirsty. Yes, he could be firm, but he didn’t revel in bloodshed.”

Moussa clarified that while Mubarak might have approved harsh punishments as president, it never escalated to a murderous level. “Perhaps there were isolated incidents, especially within the prison system, but it wasn’t part of Mubarak’s character to govern through violence. He wasn’t built that way.”

Saddam Hussein meets with Amr Moussa in Iraq in January 2002. (AFP)

The song that stirred controversy

When the Egyptian folk singer Shaaban Abdel Rahim sang “I hate Israel, and I love Amr Moussa,” it caused a stir. Moussa downplayed the drama. “I don’t think Mubarak himself was offended. He was the president; no foreign minister would rival him in popularity. But some people in the surrounding circles—not necessarily his inner circle—were irked.”

Eventually, another version of the song emerged, replacing Moussa’s name with Mubarak’s. “But it was the original that made waves. Even a diplomat from Latin America once told me, ‘We’re dancing to this song here!’”

A difficult meeting with Saddam Hussein

One of the most tense encounters Moussa ever had was with Iraqi President Saddam Hussein. After being elected Secretary-General of the Arab League in 2001, Moussa set out to visit all Arab leaders. He deliberately left Saddam until the end, knowing the sensitivities involved.

In January 2002, Moussa visited Saddam at a small palace. He carried a message from UN Secretary-General Kofi Annan regarding weapons inspections. “I told Saddam that Annan was open to negotiations, and that continued confrontation with the US would lead nowhere. At some point, no one would stand by him.”

Moussa asked Saddam directly: “Do you possess nuclear weapons?” Saddam answered, “No.” Moussa pressed him again: “Are you absolutely sure?” Saddam repeated, “No.” This made Moussa’s deputy, Ahmed Ben Helli, visibly nervous. “He probably thought we weren’t going to walk out of there.”

Moussa then asked why Iraq objected to the UN inspectors. Saddam responded: “These people don’t just inspect nuclear sites. They ask civilians about food supplies, their opinions on the government. What business is that of theirs?”

Moussa promised to report this to Annan, which he did. Negotiations resumed between Iraq and the UN, but history took its course and the US-led invasion followed.

Asked if he felt fortunate never to have served directly under a figure like Gaddafi, Moussa answered without hesitation: “Absolutely. I saw how respected men like Shalgham and Treki were sidelined. You could be a top official one day and under house arrest the next.”