Gaza Cancer Patients Face Rising Death Rate Amid Israeli Curbs, Doctors Say

Palestinian cancer patient Elham Al-Sakafi, 38, speaks to a doctor after receiving nutritional intravenous fluids at Al-Shifa Hospital in Gaza City, August 6, 2026, according to medics. (Reuters)

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Palestinian cancer patient Elham Al-Sakafi, 38, speaks to a doctor after receiving nutritional intravenous fluids at Al-Shifa Hospital in Gaza City, August 6, 2026, according to medics. (Reuters)

Gaza cancer patients are dying at two to three times the pace they did before the start of the war in the territory, as Israel blocks many from travelling for treatment after destroying the only local specialized facility, Gaza doctors said.

Israel blew up Gaza's specialized cancer hospital last year after saying troops found a tunnel used by Hamas running beneath it. That means that an estimated 17,000 Gazans with cancer have no local option for chemotherapy or other advanced therapy.

Few Palestinians can afford to travel for treatment, and those who can face Israeli restrictions. The military imposes strict caps on daily crossings to Egypt, despite a 2025 Israel-Hamas ceasefire deal that requires free movement in and out.

Asked for comment, COGAT, the Israeli military agency that controls access to Gaza, said it coordinates medical evacuations with the World Health Organization. To depart, Gazans must have a ‌valid request from a ‌receiving country and pass "required security screening," COGAT said.

The WHO did not immediately respond to a ‌request ⁠for comment.

RACE AGAINST TIME

For ⁠Khuloud Abu Sahmoud, a Palestinian mother-of-two with advanced ovarian cancer, the wait for treatment abroad has become a race against time as her cancer spreads.

"Every day my disease progresses, and my condition is tragic. My fingernails have all fallen out – I have none left. I am just waiting to die."

Abu Sahmoud, 33, said she has been waiting to exit Gaza for treatment in Egypt or further afield since the ceasefire was struck last October. In that time, the cancer has spread to her lungs and bones, she says.

COGAT said around 5,800 Gazans needing medical treatment have exited to Egypt since Israel agreed in February to a limited reopening of the Rafah border crossing, largely shut during the ⁠war that began in 2023.

"Medical evacuations are in no sense restricted by the State of Israel ‌but are wholly dependent on the receiving country's request; without the official request, ‌COGAT cannot coordinate a patient's leave," COGAT said.

Palestinian health officials said 11,000 people, including patients, had gone through Rafah since it reopened, fewer than half ‌the number that had been expected under the ceasefire deal.

A further 20,000 patients, including 5,000 with cancer, are registered for treatment ‌abroad but not yet permitted to leave, the officials said.

TOXIC CHEMICAL EXPOSURE

The ceasefire ended major fighting but left Israeli forces in control of more than half of Gaza, since expanded to around two-thirds. Nearly all of Gaza's more than 2 million people live in a Hamas-controlled strip along the coast, mostly in makeshift tents or shelters in damaged buildings.

Before the war, local health services had made advances thanks to investment from abroad and persistence ‌from local doctors, a Reuters investigation found.

But most Gaza hospitals were destroyed or damaged in the war, and those that remain operational have been stripped of up to 70% of essential ⁠medical supplies, including those needed ⁠for cancer treatment and diagnostic services, doctors said.

Among those killed by Israel during the war were dozens of highly qualified specialists, including cancer experts operating in the Turkish-Palestinian Friendship Hospital, demolished in an Israeli controlled demolition in March 2025.

"We have been recording a significant number of deaths, ranging from three to five daily, because patients are not receiving the chemotherapy needed to save their lives," said Mohamed Abu Selmia, head of Gaza's biggest hospital, Al-Shifa.

Sobhi Skaik, a Palestinian surgeon who was head of the Turkish-Palestinian Friendship Hospital, said the death rate before the war was about one to two per day. Some pre-war statistics put the figure at around 1.7 per day, he said.

He said the rising deaths were due mostly to an absence of local treatment and to border restrictions. But he also said that cancer itself may be spreading at a faster rate due to the presence of toxic materials from Israeli explosives dropped on Gaza.

There were some 11,000 registered cancer patients in Gaza before the war started following the October 7, 2023, Hamas attacks on southern Israel, after which registrations largely stopped, Skaik said.

He estimated that another 6,000 Gazans had likely developed cancer since.

"Some people can be treated if diagnosed in early stages, but they are wandering around the tents sick, unaware, and with no help," Skaik said.

Long-Suffering Yemeni Families Flee Renewed Fighting

A displaced woman sits outside her tent at a makeshift camp for people displaced by clashes between Iran-aligned Houthi fighters and Yemeni government forces, in Taiz province, Yemen September 21, 2026. (Reuters)

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Long-Suffering Yemeni Families Flee Renewed Fighting

As fighting escalates once again in Yemen's long-running war, thousands of families have been forced from their homes, many of them for a second or third time.

In the Al-Farsi camp in Aden, Arwa told AFP how she, her husband and their four children left Mokha on Yemen's western coast as it was seized by Iran-backed Houthi fighters.

They shared a single motorcycle to travel 200 kilometers, first to Al-Arah in the Lahj governorate and then on to Aden, temporary seat of Yemen's government.

"We couldn't find any means of transport... We stayed out in the cold and didn't have clothes to keep us warm," Arwa told AFP at the camp, where sat on the ground by a tent.

The camp currently hosts 128 families living under canvas along dirt paths where barefoot children run.

Their tents are sparsely equipped -- some bedding, cooking pots, and a few clothes and belongings that the families managed to bring with them when they ran.

It is not the first time Arwa has been forced to flee her home.

Nine years ago she left Maqbanah in Taiz governorate to head to Mokha, also because of the war.

"I hope I can find a house to live in with my children. We're exhausted by the heat, the dust and the humiliation," she said. "I hope the situation improves and we can return to our home and our families."

Armin Yedgarian, a representative of the UN High Commissioner for Refugees, said the camp was "in dire need of more support", adding that its 8,800 inhabitants included many elderly people and women with children.

International organizations, including the World Food Program, distribute meals to the displaced.

Arwa received a portion of rice to feed her children. But she regrets that her seven-year-old daughter, her only school-aged child, has not been attending class since the family was forced to head to Aden.

- No schooling -

At Aden's Al-Firdaws camp, which currently shelters about 110 families who arrived over the past two weeks, the acting representative of UNICEF's office in Yemen, Obiya Atchieng, told AFP that families' needs were not limited to food and basic supplies.

"Most of the children were enrolled in schools," he says. "Our team carried out a field visit to assess the possibility of providing education services."

Last week, UNICEF said 57,000 children had been displaced inside Yemen in just two weeks and 243 schools had been closed or suspended, affecting more than 137,000 students.

Even before the latest escalation, 3.2 million school-age children were not enrolled.

After years of relative calm, Yemen's civil war flared back to life in July against the backdrop of the broader conflict in the Middle East.

In the past 10 days, a surprise Houthi offensive enabled the group to expand its areas of control as far as the strategic Bab al-Mandeb Strait linking the Indian Ocean to the Red Sea, and by extension, the Suez Canal.

- 'Hearts beating' -

As a result of a 2022 ceasefire, those under the age of four have not previously experienced conflict of this intensity.

"The sounds of explosions were new to the children, and now any loud noise unsettles them, even if it's a motorcycle," said one 39-year-old father of two who remained in Mokha despite the Houthi takeover.

"I try to reassure them and convince them there is no danger. But even when they're in my arms, I can feel their hearts beating rapidly against my chest."

The man said he had been displaced from the city of Hodeidah eight years ago, and had no desire for it to happen again.

Noha, a housewife and mother of two children aged eight and 10, said she broke down in tears when she heard they were fleeing from Al-Khokha in western Yemen -- which the Houthis captured less than two weeks ago -- to her husband's family home in Aden.

"Because I cried, the children cried. We left in a bus with our neighbors and I haven't been able to make the children feel safe."

"Today I learned that my neighbor, a mother of six children who was in her final month of pregnancy, was also displaced and died in Aden two days after we arrived because of postpartum hemorrhage," she said.

"The newborn baby girl is in the incubator, and the other children and her husband are in a terrible, miserable state."

Features

Trump Shattered Canada’s Old US Relationship. Carney is Building a New One in Europe

FILE- Canada's Prime Minister Mark Carney, front left, speaks with European Commission President Ursula von der Leyen at the European Parliament in Strasbourg, eastern France, Thursday, Sept 17, 2026. (AP Photo/Pascal Bastien, File)

Asharq Al Awsat

09:25-21 September 2026 AD ـ 10 Rabi’ Al-Thani 1448 AH

09:23-21 September 2026 AD ـ 10 Rabi’ Al-Thani 1448 AH

Asharq Al Awsat

09:25-21 September 2026 AD ـ 10 Rabi’ Al-Thani 1448 AH

09:23-21 September 2026 AD ـ 10 Rabi’ Al-Thani 1448 AH

Trump Shattered Canada’s Old US Relationship. Carney is Building a New One in Europe

For nearly four decades, Canada built its economy around closer integration with the United States. President Donald Trump has turned that dependence into leverage, imposing tariffs, threatening Canada’s sovereignty and openly seeking to pull Canadian industrial production south.

Canadian Prime Minister Mark Carney has moved on. Rather than return to trade talks or wait for the next US president to restore the old relationship, he is urgently building a future in which Canada is less dependent on America, The Associated Press said.

Last week, Carney embraced the prospect of Canada becoming the European Union’s first associate member, not as a step toward full membership, but as a way to reduce Canada’s dependence on any single country without ceding control over its own decisions.

“There is now a price to be paid for access to the United States market,” Carney said Sunday, pointing to tariffs, US investment commitments and demands for domestic policy changes.

Carney told the European Parliament on Thursday that countries need enough economic strength to keep any one power from dictating their choices.

Building options beyond the US

He carried that argument into a meeting Sunday with French President Emmanuel Macron in Saint-Pierre-et-Miquelon, the French territory just off Newfoundland’s coast.

“Canada and Europe will build an alliance for the future that will strengthen our collective resilience so we can live our lives as we choose based on the values that we share,” Carney said while standing alongside Macron.

Carney’s relentless schedule reflects the urgency of his push to build alternatives to the United States.

He began last week in Toronto hosting some of the world’s biggest investors, flew to Strasbourg, France, for European Commission President Ursula von der Leyen’s State of the European Union address, raced to Liverpool, England, to meet Britain’s new prime minister and returned to Strasbourg to address the European Parliament.

He met Macron in Saint-Pierre-et-Miquelon before flying back to Ottawa to meet Norwegian Prime Minister Jonas Gahr Støre. On Monday, he is set to open a new session of Parliament before heading to New York for the United Nations General Assembly.

Europe becomes the alternative

Trump has suggested Canada’s closer relationship with the EU could amount to a “hostile act” and threatened “very heavy tariffs” on Europe if he judged the move unfriendly.

Canada could become a test case for other middle powers trying to avoid being pushed around by larger countries. In his speech at the World Economic Forum in Davos, Switzerland, in January, Carney argued that “middle powers must act together,” warning that “if you’re not at the table, you’re on the menu.”

Støre echoed Carney on Sunday, saying tariffs should not become “a weapon to be used against countries, because we will all end up losers.”

The next major step in shaping that proposed relationship is an Oct. 29-30 Canada-EU summit in Montreal.

Unwinding 40 years of dependence

For Canada, that means undoing some of the reliance developed over nearly 40 years.

The 1989 Canada-US Free Trade Agreement and later NAFTA deepened integration, creating cross-border supply chains in autos, energy and manufacturing. Roughly 70% of Canada’s exports went to the US Europe remains nowhere close to replacing the US market.

Carney walked away from trade negotiations in August rather than accept terms he said Ottawa could not live with. The talks remain suspended, and Carney said Friday that leaving the table was the right decision.

“It was easy business, but it meant we relied too much on one economic partner,” Carney said recently. “That time is over.”

Investment chair wants to ‘crank the non-US’

Dominic Barton, Carney’s pick to chair Invest in Canada and a former global head of McKinsey & Co., said diversification does not mean abandoning the United States.

“We can’t complacently count on it,” Barton said. “It’s not about, let’s not do stuff with the US It’s let’s crank the non-US Let’s be way more ambitious on that side.”

Barton, a former Canadian ambassador to China, said Canada has been too inward-looking.

“We are not very global,” he said, calling Trump’s pressure a “jolt” Canada should use to build more global companies.

Carney wants to double non-US trade over the next decade and aims for a free-trade deal with India by year’s end. He said Canada’s tariff-free access to 1.5 billion consumers could double within six months.

Canada sells the trust America is losing

Carney is trying to turn growing doubts about the US as a predictable place to invest into a Canadian advantage. His pitch to global capital is increasingly clear: where Trump’s America uses tariffs and uncertainty as leverage, Canada offers stability, rule of law and reliability.

“The most sought after commodity today is trust,” Finance Minister François-Philippe Champagne said. “The world has changed and America has changed. And I think the world has taken notice.”

Trump may ultimately have done Canada a favor by forcing the country to confront its dependence, Barton said.

“Maybe in 20 years, we’ll thank Trump for shaking us out of our complacency,” Barton said. “Let’s use the moment.”

The ambition has limits. EU “associate membership” does not yet exist, and Europe cannot quickly replace a US market that buys nearly three-quarters of Canadian exports.

But Carney is hardly alone in concluding that Canada must rely less on the United States.

Former Conservative Prime Minister Stephen Harper, from the opposition Conservatives, said the government “had no choice but to take this path.”

That conclusion was particularly difficult for Harper as “one who has long been and known to be a great admirer of America” and who regarded Canada’s close relationship with the US as “among this country’s most precious assets.”

The current US administration now views the countries’ economic integration as incompatible with Canada maintaining its sovereignty, he said.

“Thus, to maintain that sovereignty, we must pursue diminished reliance on the United States,” Harper said. “I do find this all very sad, just as equally necessary.”

Features

Voluntary Return or Pushed Out Against their Will? Migrants in Tunisia Go Home

African migrants during a protest demanding to be repatriated because of the harsh conditions they are living under in Tunisia (AFP)

Tunis: Asharq Al Awsat

05:58-20 September 2026 AD ـ 09 Rabi’ Al-Thani 1448 AH

Tunis: Asharq Al Awsat

05:58-20 September 2026 AD ـ 09 Rabi’ Al-Thani 1448 AH

Voluntary Return or Pushed Out Against their Will? Migrants in Tunisia Go Home

African migrants during a protest demanding to be repatriated because of the harsh conditions they are living under in Tunisia (AFP)

Less than a year after arriving in Tunisia, Michael Oppona had not planned to return to Ghana.

But, faced with increasingly harsh pressure from local authorities, he is among thousands of sub-Saharan migrants seeking to head home.

Many, like Oppona, have registered for a free return to their countries of origin.

But humanitarians say many migrants and refugees are being pushed out against their will.

Oppona, 37, had crossed the Sahara with his wife and two toddlers before arriving in Tunis but Europe proved out of reach after a 2023 deal with Tunis to curb migrant departures.

"The people here, the government... they treat us like we're not human," said Oppona, waiting for a "voluntary return" appointment near the International Organization for Migration headquarters in Tunis.

Many sub-Saharan migrants in Tunisia face increasingly harsh conditions following a speech by President Kais Saied in 2023 in which he said "hordes of illegal migrants" were posing a demographic threat.

The IOM told AFP it had helped 4,965 migrants return to their countries of origin from January 1 to August 31.

The IOM's program is separate from a namesake program run by the Tunisian government, and operates a major "return hub" near the city of Sfax.

Authorities did not respond to several requests by AFP for interviews and a visit the center.

In June, a Tunisian National Guard official told AFP that nearly 5,000 migrants had been sent to their home countries in the preceding 12 months and that "near-daily" return flights were now scheduled.

But humanitarian sources say these returns should not be considered "voluntary", arguing that socio-economic and political pressures including racism were deliberately forcing migrants to leave Tunisia.

"These are clearly expulsions," one source said.

Humanitarian sources also said migrants were at times coerced to leave even when it was unsafe for them in their home country.

"Authorities say that migrants stay at the so-called 'return hubs' for about two weeks, whereas we know that that process can take months, especially with people without documentation," one said.

The sources also said the conditions in which migrants were held were unclear, adding that some might have been sent to the wrong country.

"We've seen that more people have been arriving in Libya lately," one said.

UN experts in July said they were alarmed by an "alleged system of mass detention, expulsion and trafficking" at the Tunisia-Libya border.

Neither Tunisian nor Libyan authorities have commented on the allegations.

The humanitarian sources to whom AFP spoke also raised concerns over the lack of official information regarding the government's return program.

"We don't know how the authorities have been repatriating people who hold no documents, for example," one source said.

More than 40 global NGOs have said that refugees and migrants in Tunisia faced harsh mistreatment, including rape, according to testimonies they gathered.

In a joint statement in July, the NGOs -- including Human Rights Watch and Amnesty International -- said "refugees, asylum seekers and migrants have faced racist violence" in Tunisia, added to "arbitrary detention, collective expulsions, abuse, torture and other ill-treatment".

Their statement marked the three-year anniversary of a controversial deal the European Union signed with Tunisia to provide Tunis with financing, equipment and training to stop irregular departures.

The groups said the deal came at "a significant cost to human rights and dignity" and called the EU "complicit".

Campaigners say Tunisia's crackdown on organizations that supported migrants, compounded by the suspension of the UN refugee agency's operations in 2024, have barred thousands from receiving help.

Using pseudonyms, 24-year-old Moussa and 22-year-old Karim from Guinea also waited for an IOM "voluntary return" appointment in Tunis.

The two friends said they came to Tunis three years ago with one aim: to cross to Europe.

"But it's impossible to go now, and impossible to stay," said Karim.

Moussa said there was "more pressure now", his voice shaking.

"You're not free. The police prevent you from going anywhere -- to work or get something to eat," he said.

"So why not go back home?"

Gaza Cancer Patients Face Rising Death Rate Amid Israeli Curbs, Doctors Say

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Long-Suffering Yemeni Families Flee Renewed Fighting

Trump Shattered Canada’s Old US Relationship. Carney is Building a New One in Europe

Voluntary Return or Pushed Out Against their Will? Migrants in Tunisia Go Home

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