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Gaza: Rafah attack horror heightens focus on lack of health resources

UN agencies reiterated their call for urgent ceasefire and humanitarian access following the devastating Israeli air strikes on Sunday that hit a camp for displaced Palestinians in Rafah. The Hamas-run Ministry of Health reported 35 killed, including women and children.

Many of the injured suffered terrible burns according to the World Health Organization (WHO) which will require intensive treatment, electricity and high-level medical services, all of which are scarce in the Gaza Strip.

It is just another massive challenge for all the medical teams in the enclave, said Dr. Margaret Harris, spokesperson for the UN health agency. “This is one of the hardest things for a doctor or nurse as you want to help, but you don't have what it takes. You are watching people who shouldn't die, die in front of you because you simply either lack the tools, the skills, or the supplies to do what needs to be done,” she told journalists in Geneva.

The incursion in Rafah displaced medical staff while essential fuel stocks continue to run low as the UN humanitarian relief operation has been all but shut down in the latest escalation that began three weeks ago, sparked by a deadly Hamas rocket attack on Kerem Shalom border crossing. The UN health agency confirmed three WHO supply trucks managed to cross the Kerem Shalom border since the Rafah incursion began, but 60 are stuck in Egypt owing to the closure of the border.

The estimated fuel requirement is 200,000 litres per day and the UN health agency has been able to access approximately 70,000 litres per day at best but some days absolutely none, according to Dr. Harris. “All the hospitals are really struggling and making decisions about what they can do,” she added.

Fuel is critical to run hospital generators but it is also much needed for bakeries to provide food and run water desalination plants which have received only 10 per cent of the fuel they need in the past week, according to the UN Children’s Fund, UNICEF.

The dire conditions mean that medical staff are not able to carry out the surgery needed to save a limb. “Decisions are having to be made by doctors to remove a limb to save a life and again, that's a horrible, horrible decision to have to take,” insisted Dr. Harris.

Many children who suffered single or double amputations are sitting in tents in Rafah with immense psychological stress echoed James Elder, spokesperson for the United Nations Children’s Fund, UNICEF. “What do we say of those countless children who've had arms and legs amputated? Or the thousands who have been orphaned? And what is the language used to describe the unprecedented devastation to homes and schools, to the uncharted territory of trauma of children? I think then surely the question that needs to be asked is, ‘How many more mistakes is the world going to tolerate?’” he warned.

About one million people have fled Rafah since the increasingly intense Israeli military incursion began. Humanitarian agencies now fear further displacement following Sunday’s deadly raid on a UN agency for Palestinian refugees (UNRWA) site in northwest Rafah that has been widely condemned, while Israeli tanks incursions have been reported in central Rafah.

Meanwhile, the flow of aid into Gaza has shrunk so much in May that humanitarian officials warn the threat of widespread starvation is more acute than ever. On top of this, the ongoing lack of clean water and sanitation has also triggered a very high rate of “acute respiratory infections, diarrhoea, including bloody diarrhea, as well as the hepatitis A”, explained Dr. Akihiro Seita, UNRWA Director of Health. “What we need now is ceasefire. We continue to do whatever we can do, but without ceasefire, without peace on the ground, peace in mind, we continue to suffer, and I'm sorry to say that the people in Gaza may continue to suffer,” he told journalists in Geneva.

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Gaza Update WHO - UNICEF - UNRWA 28 May 2024

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