Dialysis Patients Struggle to Get Treatment in Blockaded Gaza. Officials Say Hundreds Have Died 

Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
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Dialysis Patients Struggle to Get Treatment in Blockaded Gaza. Officials Say Hundreds Have Died 

Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)

Twice a week, Mohamed Attiya’s wheelchair rattles over Gaza’s scarred roads so he can visit the machine that is keeping him alive.

The 54-year-old makes the journey from a temporary shelter west of Gaza City to Shifa Hospital in the city’s north. There, he receives dialysis for the kidney failure he was diagnosed with nearly 15 years ago. But the treatment, limited by the war's destruction and lack of supplies, is not enough to remove all the waste products from his blood.

“It just brings you back from death,” the father of six said.

Many others like him have not made it. They are some of Gaza’s quieter deaths from the war, with no explosion, no debris. But the toll is striking: Over 400 patients, representing around 40% of all dialysis cases in the territory, have died during the 18-month conflict because of lack of proper treatment, according to Gaza's Health Ministry.

That includes 11 patients who have died since the beginning of March, when Israel sealed the territory's 2 million Palestinians off from all imports, including food, medical supplies and fuel. Israeli officials say the aim is to pressure Hamas to release more hostages after Israel ended their ceasefire.

COGAT, the Israeli military body in charge of coordinating aid, declined to comment on the current blockade. It has said in the past that all medical aid is approved for entry when the crossings are open, and that around 45,400 tons of medical equipment have entered Gaza since the start of the war.

Hardships mount for Gaza patients

Attiya said he needs at least three dialysis sessions every week, at least four hours each time. Now, his two sessions last two or three hours at most.

Israel’s blockade, and its numerous evacuation orders across much of the territory, have challenged his ability to reach regular care.

He has been displaced at least six times since fleeing his home near the northern town of Beit Hanoun in the first weeks of the war. He first stayed in Rafah in the south, then the central city of Deir al-Balah. When the latest ceasefire took effect in January, he moved again to another school in western Gaza City.

Until recently, Attiya walked to the hospital for dialysis. But he says the limited treatment, and soaring prices for the mineral water he should be drinking, have left him in a wheelchair.

His family wheels him through a Gaza that many find difficult to recognize. Much of the territory has been destroyed.

“There is no transportation. Streets are damaged,” Attiya said. “Life is difficult and expensive.”

He said he now has hallucinations because of the high levels of toxins in his blood.

“The occupation does not care about the suffering or the sick,” he said, referring to Israel and its soldiers.

A health system gutted by war

Six of the seven dialysis centers in Gaza have been destroyed during the war, the World Health Organization said earlier this year, citing the territory’s Health Ministry. The territory had 182 dialysis machines before the war and now has 102. Twenty-seven of them are in northern Gaza, where hundreds of thousands of people rushed home during the two-month ceasefire.

“These equipment shortages are exacerbated by zero stock levels of kidney medications,” the WHO said.

Israel has raided hospitals on several occasions during the war, accusing Hamas of using them for military purposes. Hospital staff deny the allegations and say the raids have gutted the territory's health care system as it struggles to cope with mass casualties from the war.

The Health Ministry says over 51,000 Palestinians, mostly women and children, have been killed in Israel's offensive, without saying how many were civilians or combatants. Hamas-led fighters killed some 1,200 people, mostly civilians, and abducted 251 in the Oct. 7, 2023 attack that triggered the war.

Officials say hundreds of patients have died

At Shifa Hospital, the head of the nephrology and dialysis department, Dr. Ghazi al-Yazigi, said at least 417 patients with kidney failure have died in Gaza during the war because of lack of proper treatment.

That’s from among the 1,100 patients when the war began.

Like Attiya, hundreds of dialysis patients across Gaza are now forced to settle for fewer and shorter sessions each week.

“This leads to complications such as increased levels of toxins and fluid accumulation ... which could lead to death,” al-Yazigi said.

Mohamed Kamel of Gaza City is a new dialysis patient at the hospital after being diagnosed with kidney failure during the war and beginning treatment this year.

These days, “I feel no improvement after each session,” he said during one of his weekly visits.

The father of six children said he no longer has access to filtered water to drink, and even basic running water is scarce. Israel last month cut off the electricity supply to Gaza, affecting a desalination plant producing drinking water for part of the arid territory.

Kamel said he has missed many dialysis sessions. Last year, while sheltering in central Gaza, he missed one because of an Israeli bombing in the area. His condition deteriorated, and the next day he was taken by ambulance to Al-Aqsa Martyrs hospital.

“The displacement has had consequences,” Kamel said. “I am tired.”



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.”