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Baby Paralyzed in Gaza's 1st Case of Type 2 Polio for 25 Years, WHO Says

A Palestinian girl is examined by a doctor amid fears over the spread of polio after the first case was reported by the Ministry of Health, as the conflict between Israel and Hamas continues, at Al-Aqsa Martyrs Hospital, in Deir Al-Balah in the central Gaza Strip, August 18, 2024. REUTERS/Ramadan... Purchase Licensing Rights
A Palestinian girl is examined by a doctor amid fears over the spread of polio after the first case was reported by the Ministry of Health, as the conflict between Israel and Hamas continues, at Al-Aqsa Martyrs Hospital, in Deir Al-Balah in the central Gaza Strip, August 18, 2024. REUTERS/Ramadan... Purchase Licensing Rights
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Baby Paralyzed in Gaza's 1st Case of Type 2 Polio for 25 Years, WHO Says

A Palestinian girl is examined by a doctor amid fears over the spread of polio after the first case was reported by the Ministry of Health, as the conflict between Israel and Hamas continues, at Al-Aqsa Martyrs Hospital, in Deir Al-Balah in the central Gaza Strip, August 18, 2024. REUTERS/Ramadan... Purchase Licensing Rights
A Palestinian girl is examined by a doctor amid fears over the spread of polio after the first case was reported by the Ministry of Health, as the conflict between Israel and Hamas continues, at Al-Aqsa Martyrs Hospital, in Deir Al-Balah in the central Gaza Strip, August 18, 2024. REUTERS/Ramadan... Purchase Licensing Rights

A 10-month-old baby in war-shattered Gaza has been paralyzed by the type 2 polio virus, the first such case in the territory in 25 years, the World Health Organization said on Friday, with UN agencies appealing for urgent vaccinations of every baby.

The type 2 virus (cVDPV2), while not inherently more dangerous than types 1 and 3, has been responsible for most outbreaks in recent years, especially in areas with low vaccination rates.

UN agencies have called for Israel and Hamas to agree to a seven-day humanitarian pause in their 10-month-old war to allow vaccination campaigns to proceed in the territory.

"Polio does not distinguish between Palestinian and Israeli children," the head of the UN agency for Palestinian refugees (UNRWA) said on Friday in a post on X, Reuters reported.

"Delaying a humanitarian pause will increase the risk of spread among children," Philippe Lazzarini added.

The baby, who has lost movement in his lower left leg, is currently in stable condition, WHO Director-General Tedros Adhanom Ghebreyesus said in a statement.

The WHO has announced that two rounds of a polio vaccination campaign are set to begin in late August and September 2024 across the densely populated Gaza Strip.

With its health services widely damaged or destroyed by fighting, and raw sewage spreading amid a breakdown in sanitation infrastructure, Gaza's population is particularly vulnerable to outbreaks of disease.

- CHALLENGE OF VACCINATIONS IN WAR ZONE

Gaza's health ministry first reported the polio case in the unvaccinated 10-month-old baby a week ago in the central city of Deir Al-Balah, an often embattled area in the war.

Hamas on Aug. 16 supported a UN request for a seven-day pause in the fighting to vaccinate Gaza children against polio, Hamas political bureau official Izzat al-Rishq said on Friday.

Israel, which has laid siege to Gaza since last October and whose ground offensive and bombardments have levelled much of the territory, said days later it would facilitate the transfer of polio vaccines into Gaza for around one million children.

The Israeli military's humanitarian unit (COGAT) said it was coordinating with Palestinians to procure 43,000 vials of vaccine - each with multiple doses - for delivery in Israel in the coming weeks for transfer to Gaza.

The vaccines should be sufficient for two rounds of doses for more than a million children, COGAT added.

As well as allowing the entry of polo specialists into Gaza, the UN has said a successful campaign would require transport for vaccines and refrigeration equipment at every step as well as conditions that would allow the campaign to reach children in every area of the rubble-clogged territory.

Poliomyelitis, a highly infectious virus primarily spread through the fecal-oral route, can invade the nervous system and cause paralysis.

Traces of polio virus were detected last month in sewage in Deir al-Balah and Khan Younis, two areas in southern and central Gaza that have seen hundreds of thousands of Palestinians displaced by the fighting seek shelter.

Children under five are particularly at risk.

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They Fled War in Sudan. But they Haven't Been Able to Flee the Hunger

Sudanese refugees arrive in Acre, Chad, Sunday, Oct 6. 2024. (AP Photo/Sam Mednick)
Sudanese refugees arrive in Acre, Chad, Sunday, Oct 6. 2024. (AP Photo/Sam Mednick)
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They Fled War in Sudan. But they Haven't Been Able to Flee the Hunger

Sudanese refugees arrive in Acre, Chad, Sunday, Oct 6. 2024. (AP Photo/Sam Mednick)
Sudanese refugees arrive in Acre, Chad, Sunday, Oct 6. 2024. (AP Photo/Sam Mednick)

For months, Aziza Abrahim fled from one village in Sudan to the next as people were slaughtered. Yet the killing of relatives and her husband's disappearance aren't what forced the 23-year-old to leave the country for good. It was hunger, she said.
“We don’t have anything to eat because of the war,” Abrahim said, cradling her 1-year-old daughter under the sheet where she now shelters, days after crossing into Chad, The Associated Press reported.
The war in Sudan has created vast hunger, including famine. It has pushed people off their farms. Food in the markets is sparse, prices have spiked and aid groups say they’re struggling to reach the most vulnerable as warring parties limit access.
Some 24,000 people have been killed and millions displaced during the war that erupted in April 2023, sparked by tensions between the military and the Rapid Support Forces. Global experts confirmed famine in the Zamzam displacement camp in July. They warn that some 25 million people — more than half of Sudan’s population — are expected to face acute hunger this year.
“People are starving to death at the moment ... It’s man-made. It’s these men with guns and power who deny women and children food,” Jan Egeland, head of the Norwegian Refugee Council, told AP. Warring parties on both sides are blocking assistance and delaying authorization for aid groups, he said.
Between May and September, there were seven malnutrition-related deaths among children in one hospital at a displacement site in Chad run by Doctors Without Borders, known by its French acronym MSF. Such deaths can be from disease in hunger-weakened bodies.
In September, MSF was forced to stop caring for 5,000 malnourished children in North Darfur for several weeks, citing repeated, deliberate obstructions and blockades. US President Joe Biden has called on both sides to allow unhindered access and stop killing civilians.
But the fighting shows no signs of slowing. More than 2,600 people were killed across the country in October, according to the Armed Conflict Location & Event Data Project, which called it the bloodiest month of the war.
Violence is intensifying around North Darfur's capital, El Fasher, the only capital in the vast western Darfur region that the RSF doesn't hold. Darfur has experienced some of the war's worst atrocities, and the International Criminal Court prosecutor has said there are grounds to believe both sides may be committing war crimes, crimes against humanity or genocide.
Abrahim escaped her village in West Darfur and sought refuge for more than a year in nearby towns with friends and relatives. Her husband had left home to find work before the war, and she hasn’t heard from him since.
She struggled to eat and feed their daughter. Unable to farm, she cut wood and sold it in Chad, traveling eight hours by donkey there and back every few days, earning enough to buy grain. But after a few months the wood ran out, forcing her to leave for good.
Others who have fled to Chad described food prices spiking three-fold and stocks dwindling in the market. There were no vegetables, just grains and nuts.
Awatif Adam came to Chad in October. Her husband wasn't making enough transporting people with his donkey cart, and it was too risky to farm, she said. Her 6-year-old twin girls and 3-year-old son lost weight and were always hungry.
“My children were saying all the time, ‘Mom, give us food’,” she said. Their cries drove her to leave.
As more people stream into Chad, aid groups worry about supporting them.
Some 700,000 Sudanese have entered since the war began. Many live in squalid refugee camps or shelter at the border in makeshift displacement sites. And the number of arrivals at the Adre crossing between August and October jumped from 6,100 to 14,800, according to government and UN data., though it was not clear whether some people entered multiple times.
Earlier this year, the World Food Program cut rations by roughly half in Chad, citing a lack of funding.
While there's now enough money to return to full rations until the start of next year, more arrivals will strain the system and more hunger will result if funding doesn't keep pace, said Ramazani Karabaye, head of the World Food Program's operations in Adre.
During an AP visit to Adre in October, some people who fled Sudan at the start of the war said they were still struggling.
Khadiga Omer Adam said she doesn't have enough aid or money to eat regularly, which has complicated breastfeeding her already malnourished daughter, Salma Issa. The 35-year-old gave birth during the war's initial days, delivering alone in West Darfur. It was too dangerous for a midwife to reach her.
Adam had clutched the baby as she fled through villages, begging for food. More than a year later, she sat on a hospital bed holding a bag of fluid above her daughter, who was fed through a tube in her nose.
“I have confidence in the doctors ... I believe she'll improve, I don't think she'll die," she said.
The MSF-run clinic in the Aboutengue camp admitted more than 340 cases of severely malnourished children in August and September. Staff fear that number could rise. The arid climate in Chad south of the Sahara Desert means it's hard to farm, and there's little food variety, health workers said.
People are fleeing Sudan into difficult conditions, said Dr. Oula Dramane Ouattara, head of MSF's medical activities in the camp.
”If things go on like this, I’m afraid the situation will get out of control," he said.