Hope for Libya's War Amputees

Patients wait for a consultation at a center for artificial limbs in the Libyan port city of Misrata. AFP
Patients wait for a consultation at a center for artificial limbs in the Libyan port city of Misrata. AFP
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Hope for Libya's War Amputees

Patients wait for a consultation at a center for artificial limbs in the Libyan port city of Misrata. AFP
Patients wait for a consultation at a center for artificial limbs in the Libyan port city of Misrata. AFP

For Radwan Jibril, wounded in a bastion of Libya's 2011 revolution, losing his leg became "inevitable" and he had a prosthetic replacement, but thousands of other amputees are still waiting.

An orthopedic center is finally scheduled to open in March to provide prostheses to amputees in the country riven by conflict for the past decade.

Jibril, like so many others, was hit by shrapnel in his western hometown of Misrata, which endured a devastating siege during the revolt that brought down longtime dictator Moammar Gadhafi.

"Despite several medical stays abroad, amputation was inevitable because the injury had been so badly treated. It was all a big shock," he said.

"I was fitted with a prosthesis in Italy but it took a long time to get used to it," said the 38-year-old Libyan, who sports a light beard.

With the support of family, he has opened a fishmonger's where he serves customers as best as he can with "this foreign body", he told AFP, shuffling from stall to stall with one leg stiff.
Now, he feels "like a new man again".

His prosthesis, however, is starting to wear out, and "with hundreds, if not thousands, waiting their turn, it won't be easy" to have it serviced, he said.

Mohamad al-Nouri, 28, had a hand amputated because of an injury while fighting in 2019 in the ranks of the Government of National Accord (GNA) against an offensive by Libyan National Army leader Khalifa Haftar.

He was fitted with an artificial hand but is waiting to go to Germany for a permanent prosthesis.

"I don't think I can go back to the cafe where I worked... I still need a lot of time to regain my confidence," said the young man.

A national center for prostheses, being established in the port city of Misrata, already has a patient waiting list of more than 3,000 amputees, said its director Al-Sadeq al-Haddad.

"In five years, we hope to be able to provide prostheses to all amputees in Libya," said Haddad.

"This will help them get their lives back, together with psychological and physical support," he said.

The center, to be housed in a brand new building, will save the government a "significant sum" of money, said its director.

"A team of Hungarian specialists are to train technicians and run a rehabilitation service for a year," Haddad said.



How Long Will It Take and How Much Will It Cost to Rebuild Gaza?

A young Palestinian girl walks along a street on a misty morning in Khan Younis in the northern Gaza Strip on January 17, 2025, as Israel's security cabinet is expected to approve a Gaza ceasefire and hostage release deal. (AFP)
A young Palestinian girl walks along a street on a misty morning in Khan Younis in the northern Gaza Strip on January 17, 2025, as Israel's security cabinet is expected to approve a Gaza ceasefire and hostage release deal. (AFP)
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How Long Will It Take and How Much Will It Cost to Rebuild Gaza?

A young Palestinian girl walks along a street on a misty morning in Khan Younis in the northern Gaza Strip on January 17, 2025, as Israel's security cabinet is expected to approve a Gaza ceasefire and hostage release deal. (AFP)
A young Palestinian girl walks along a street on a misty morning in Khan Younis in the northern Gaza Strip on January 17, 2025, as Israel's security cabinet is expected to approve a Gaza ceasefire and hostage release deal. (AFP)

Palestinians in the Gaza Strip are eager to leave miserable tent camps and return to their homes if a long-awaited ceasefire agreement halts the Israel-Hamas war, but many will find there is nothing left and no way to rebuild.

Israeli bombardment and ground operations have transformed entire neighborhoods in several cities into rubble-strewn wastelands, with blackened shells of buildings and mounds of debris stretching away in all directions. Major roads have been plowed up. Critical water and electricity infrastructure is in ruins. Most hospitals no longer function.

And it's unclear when — or even if — much will be rebuilt.

The agreement for a phased ceasefire and the release of hostages held by Hamas-led fighters does not say who will govern Gaza after the war, or whether Israel and Egypt will lift a blockade limiting the movement of people and goods that they imposed when Hamas seized power in 2007.

The United Nations says that it could take more than 350 years to rebuild if the blockade remains.

Two-thirds of all structures destroyed

The full extent of the damage will only be known when the fighting ends and inspectors have full access to the territory. The most heavily destroyed part of Gaza, in the north, has been sealed off and largely depopulated by Israeli forces in an operation that began in early October.

Using satellite data, the United Nations estimated last month that 69% of the structures in Gaza have been damaged or destroyed, including over 245,000 homes. The World Bank estimated $18.5 billion in damage — nearly the combined economic output of the West Bank and Gaza in 2022 — from just the first four months of the war.

Israel blames the destruction on Hamas, which ignited the war with its Oct. 7, 2023, attack into Israel, killing some 1,200 people, mostly civilians, and abducting another 250. Israel's retaliatory offensive has killed over 46,000 Palestinians, more than half of them women and children, according to Gaza's Health Ministry, which does not say how many of the dead were fighters.

Israel says it has killed over 17,000 fighters, without providing evidence. The military has released photos and video footage showing that Hamas built tunnels and rocket launchers in residential areas, and often operated in and around homes, schools and mosques.

Mountains of rubble to be moved

Before anything can be rebuilt, the rubble must be removed — a staggering task in itself.

The UN estimates that the war has littered Gaza with over 50 million tons of rubble — roughly 12 times the size of the Great Pyramid of Giza. With over 100 trucks working full time, it would take over 15 years to clear the rubble away, and there is little open space in the narrow coastal territory that is home to some 2.3 million Palestinians.

Carting the debris away will also be complicated by the fact that it contains huge amounts of unexploded ordnance and other harmful materials, as well as human remains. Gaza's Health Ministry says thousands of people killed in airstrikes are still buried under the rubble.

No plan for the day after

The rubble clearance and eventual rebuilding of homes will require billions of dollars and the ability to bring construction materials and heavy equipment into the territory — neither of which is assured.

The ceasefire agreement calls for a three- to five-year reconstruction project to begin in its final phase, after all the remaining 100 hostages have been released and Israeli troops have withdrawn from the territory.

But getting to that point will require agreement on the second and most difficult phase of the deal, which still must be negotiated.

Even then, the ability to rebuild will depend on the blockade, which critics have long decried as a form of collective punishment. Israel says it is needed to prevent Hamas from rebuilding its military capabilities, noting that cement and metal pipes can also be used for tunnels and rockets.

Israel might be more inclined to lift the blockade if Hamas were no longer in power, but there are no plans for an alternative government.

The United States and much of the international community want a revitalized Palestinian Authority to govern the West Bank and Gaza with the support of Arab countries ahead of eventual statehood. But that's a nonstarter for Israel's government, which is opposed to a Palestinian state and has ruled out any role in Gaza for the Western-backed authority.

International donors are unlikely to invest in an ungoverned territory that has seen five wars in less than two decades, which means the sprawling tent camps along the coast could become a permanent feature of life in Gaza.