Gaza Strip Faces ‘Collapse’, Young Generation Seeks Future beyond the Siege

Palestinian fishermen on a boat off the coast of the Gaza Strip, February 9, 2016. (AP)
Palestinian fishermen on a boat off the coast of the Gaza Strip, February 9, 2016. (AP)
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Gaza Strip Faces ‘Collapse’, Young Generation Seeks Future beyond the Siege

Palestinian fishermen on a boat off the coast of the Gaza Strip, February 9, 2016. (AP)
Palestinian fishermen on a boat off the coast of the Gaza Strip, February 9, 2016. (AP)

Palestinians in Gaza Strip bid the year 2017 farewell, bringing with them to the new year never-ending crises that continue to be aggravated with the Israeli blockade entering its eleventh year.

Over the past six months, living conditions severely deteriorated in the coastal strip, especially after the Palestinian Authority (PA) imposed a series of sanctions on Gaza to pressure the Hamas movement to accept a national reconciliation.

Figures indicate a decrease in the number of commercial trucks entering Gaza during the last three months to less than 500, instead of over 880 truckloads that were supposed to enter the strip daily. The decrease is due to traders' inability to purchase the people's daily needs as a result of a decline in purchasing power caused by the difficult economic and living conditions, making 2017 the worst in the eleven years of the Israeli siege.

Over the past few days, a number of traders closed their shops in several areas of the strip for a few hours in protest against the deteriorating economic and living conditions.

They called for rescuing the sector and saving it from the harsh living conditions. Most citizens are no longer able to buy the most basic needs.

Mohammed al-Astal, 56, a resident of Khan Younis, in southern Gaza, indicated that merchants are losing huge sums of money and cannot benefit from goods that are allowed inside the strip through the Karam Abu Salim crossing, the only commercial crossing.

Speaking to Asharq Al-Awsat, al-Astal pointed out that there is a decline in sales met by an increase in taxes imposed by the Customs Department of government of national accord, which further burdens the merchants.

He stressed that Gaza is on the brink of economic, social and social collapse. He pointed out that 2017 was the most distressing year for traders and citizens, most of whom do not receive their salaries, while some receive their wages with major cuts that affect their purchasing power.

Another resident, Hassan al-Halabi, 43, described life in Gaza as "no longer tolerable," especially since the electricity crisis continues to worsen without any signs of a radical solution or at least an improvement.

Halabi revealed that the percentage of poverty in Gaza is increasing, adding that some institutions that supervise temporary work projects, the "unemployment system", also began to reduce their services in Gaza for unknown reasons.

This indicates that the situation is general heading towards even more decline in the new year, he warned.

Another citizen, Oum Mohammed al-Absi, who is in her sixties, described the tragic circumstances of thousands of families living on the "social affairs" allowance that is issued every three months.

She hoped, like all families, to receive the allowance of $500 on time and before the end of the year, but the PA did not issue it amid rumors that it could be postponed until after January 20.

Al-Absi explained that her only source of capital is the allowance she receives every three months, noting that the majority of families receiving the money are living in similar difficult circumstances.

According to the Popular Committee Against Siege (PCAS), 2017 was the most difficult year in terms of humanitarian and economic conditions in light of the ongoing Israeli siege and the consequences of internal division.

PCAS pointed out that 80 percent of the population lives below the poverty line, unemployment reached 50 percent and that unemployment among young people and graduates was 60 percent.

A quarter of a million workers are still unemployed and 80 percent of Gaza factories are fully or partially closed because of the blockade and attacks, with direct and indirect annual losses estimated at $250 million.

University graduate, Mohammed Abu Nasr, said that his greatest desire is for the crossings to open, allowing him and tens of thousands of young people to immigrate in search for a better future away from the siege and wars.

Despite all these complex conditions in life, people of Gaza hope that the new year will be better.



3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)
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3 days, 640,000 Children, 1.3M Doses...the Plan to Vaccinate Gaza's Young against Polio

FILE - Palestinians displaced by the Israeli air and ground offensive on the Gaza Strip, walk through a dark streak of sewage flowing into the streets of the southern town of Khan Younis, Gaza Strip, on July 4, 2024. Health authorities and aid agencies are racing to avert an outbreak of polio in the Gaza Strip after the virus was detected in the territory's wastewater and three cases with a suspected polio symptom have been reported. (AP Photo/Jehad Alshrafi, File)

The UN health agency and partners are launching a campaign starting Sunday to vaccinate 640,000 Palestinian children in Gaza against polio, an ambitious effort amid a devastating war that has destroyed the territory's healthcare system.

The campaign comes after the first polio case was reported in Gaza in 25 years — a 10-month-old boy, now paralyzed in the leg. The World Health Organization says the presence of a paralysis case indicates there could be hundreds more who have been infected but aren’t showing symptoms.

Most people who have polio do not experience symptoms, and those who do usually recover in a week or so. But there is no cure, and when polio causes paralysis it is usually permanent. If the paralysis affects breathing muscles, the disease can be fatal.

The vaccination effort will not be easy: Gaza’s roads are largely destroyed, its hospitals badly damaged and its population spread into isolated pockets.

WHO said Thursday that it has reached an agreement with Israel for limited pauses in the fighting to allow for the vaccination campaign to take place. Even so, such a large-scale campaign will pose major difficulties in a territory blanketed in rubble, where 90% of Palestinians are displaced.

How long will it take? The three-day vaccination campaign in central Gaza will begin Sunday, during a “humanitarian pause” lasting from 6 a.m. until 3 p.m., and another day can be added if needed, said Dr. Rik Peeperkorn, WHO’s representative in the Palestinian territories.

In coordination with Israeli authorities, the effort will then move to southern Gaza and northern Gaza during similar pauses, he said during a news conference by video from Deir al-Balah in central Gaza, according to The AP.

Who will receive the vaccine? The vaccination campaign targets 640,000 children under 10, according to WHO. Each child will receive two drops of oral polio vaccine in two rounds, the second to be administered four weeks after the first.

Where are the vaccination sites? The vaccination sites span Gaza, both inside and outside Israeli evacuation zones, from Rafah in the south to the northern reaches of the territory.

The Ramallah-based Health Ministry said Friday that there would be over 400 “fixed” vaccination sites — the most in Khan Younis, where the population density is the highest and there are 239,300 children under 10. Fixed sites include healthcare centers, hospitals, clinics and field hospitals.

Elsewhere in the territory, there will also be around 230 “outreach” sites — community gathering points that are not traditional medical centers — where vaccines will be distributed.

Where are the vaccines now? Around 1.3 million doses of the vaccine traveled through the Kerem Shalom checkpoint and are currently being held in “cold-chain storage” in a warehouse in Deir al-Balah. That means the warehouse is able to maintain the correct temperature so the vaccines do not lose their potency.

Another shipment of 400,000 doses is set to be delivered to Gaza soon.

The vaccines will be trucked to distribution sites by a team of over 2,000 medical volunteers, said Ammar Ammar, a spokesperson for UNICEF.

What challenges lie ahead? Mounting any sort of campaign that requires traversing the Gaza strip and interacting with its medical system is bound to pose difficulties.

The UN estimates that approximately 65% of the total road network in Gaza has been damaged. Nineteen of the strip's 36 hospitals are out of service.

The north of the territory is cut off from the south, and travel between the two areas has been challenging throughout the war because of Israeli military operations. Aid groups have had to suspend trips due to security concerns, after convoys were targeted by the Israeli military.

Peeperkorn said Friday that WHO cannot do house-to-house vaccinations in Gaza, as they have in other polio campaigns. When asked about the viability of the effort, Peeperkorn said WHO thinks “it is feasible if all the pieces of the puzzle are in place. ”

How many doses do children need and what happens if they miss a dose? The World Health Organization says children typically need about three to four doses of oral polio vaccine — two drops per dose — to be protected against polio. If they don’t receive all of the doses, they are vulnerable to infection.

Doctors have previously found that children who are malnourished or who have other illnesses might need more than 10 doses of the oral polio vaccine to be fully protected.

Are there side effects? Yes, but they are very rare.

Billions of doses of the oral vaccine have been given to children worldwide and it is safe and effective. But in about 1 in 2.7 million doses, the live virus in the vaccine can paralyze the child who receives the drops.

How did this outbreak in Gaza start? The polio virus that triggered this latest outbreak is a mutated virus from an oral polio vaccine. The oral polio vaccine contains weakened live virus and in very rare cases, that virus is shed by those who are vaccinated and can evolve into a new form capable of starting new epidemics.