MSF: Gaza Uninhabitable, Turned to Rubble, People No Longer Recognize Their Homes

While the ceasefire in Gaza, Palestine, was implemented on 19 January, after 15 months of all-out war on the people trapped there, all components of society have been destroyed making it almost uninhabitable. Médecins Sans Frontières (MSF) teams are now able to reach the north of the Strip – which was previously besieged by Israeli forces – to assess the medical and humanitarian needs. The situation is appalling; there is nothing left.

Our colleagues no longer recognise their own neighbourhoods, hospitals have been razed, and people are settling in the rubble of their homes with no other shelter to face the winter conditions. Caroline Seguin, MSF’s emergency coordinator, shares insights and photos from the ground.

1. What is the situation in north Gaza?

In the North Governorate, the level of destruction is total, it’s a flat land. I’ve never seen anything like it in my life. Our Palestinian colleagues are no longer able to recognise their own neighbourhoods, some were in shock, others literally collapsed.

In Gaza City we were already shocked by the level of destruction, but then we went north to Jabalia, we couldn’t say a word. There is nothing there anymore. Only ruins and the smell of death everywhere because of the dead bodies still trapped under the rubble.

2. What is the state of the health system?

There is no health system anymore in the northern part of the Strip. Kamal Adwan hospital has been razed, while Al Shifa, Al Awda and Indonesian hospitals are seriously damaged and only partially functioning. We were utterly shocked to observe that in Indonesian hospital every medical machine seemed to have been deliberately destroyed; they were smashed to pieces, one by one, to make sure no medical care could be provided anymore. You have to ask, what is the motivation of such action? These machines are made to save people’s lives, mothers, fathers, children. It’s devastating to see the state of these hospitals.

The provision of medical care is largely insufficient compared to the needs of the hundreds of thousands of people living in the area. For example, between North Governorate and Gaza city, there are only six paediatric intensive care beds compared to 150 before the war and the number of patient hospital beds has plummeted from 2,000 to 350.

3. Are supplies reaching north Gaza?

The flow of vital supplies has improved since the ceasefire, but the level of needs is so high that people are still lacking basic items. The need for food, water, tents and shelter materials in this area remains critical. Water shortages are a real challenge given the high level of damage to water facilities and because they are in inaccessible locations in the buffer zones.

Our teams have started water trucking activities in Jabalia and Beit Hanoun and they repair damaged boreholes, but this is a temporary solution and is not sufficient for the massive needs. The problem is that because of the war we have located our activities in the south and it now takes time to redeploy them to the north.

After four weeks since the implementation of the ceasefire, we are still not seeing the massive scale up of humanitarian aid needed in northern Gaza. The humanitarian community is failing to provide vital services to a population in dire need of humanitarian and medical support. Both Israel and international actors need to urgently ensure the delivery of vital supplies such as shelter and food and to increase the capacities for its distribution.

4. What is the reality for people in northern Gaza today?

People are living in dire conditions. They try to settle as best they can on the ruins of their houses but it’s extremely difficult. The winter weather means people have to face very cold temperatures, heavy rains and strong winds, and they don’t even have walls around them to protect themselves. They don’t have access to healthcare, decent housing or water.

However, the conditions they had to face during the 15 months of war, being displaced and living in tents were even worse. After this hardship, people need to reunite with their loved ones and want to stay and rebuild their lives. Many of them have no intention of leaving. It is essential to ensure consistent, safe, and secure delivery of humanitarian assistance to people who have suffered unimaginable trauma.

Reliefweb

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Say a Pray For Nour

Dr. Nour, a Palestinian doctor working at Kamal Adwan Hospital in northern Gaza, was critically injured in the head by shrapnel from an Israeli attack. She now faces life-threatening risks as the Israeli occupation refuses to allow her to leave the Strip for life-saving treatment, according to a Facebook post shared by her sister.

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Killing Life: Targeting Doctors, Hospitals in Gaza

After more than 14 months of the war of extermination on Gaza, the Israeli army continues to target Palestinian medical teams through killing, arrests, torture and disappearances.

The latest is the martyrdom of 31-year-old Thabat Ibrahim Muhammad Salim, a volunteer doctor at Al-Aqsa Martyrs Hospital in Deir al-Balah in central Gaza, on 5 January, 2025.

Since the onset of the extermination war the Israeli army has been continuously targeting hospitals and purposely breaking down the health care system.

The Israeli attacks are not limited to health facilities, but include medical staff of doctors, nurses, medical technicians  and routinely subjecting them to arrest, imprisonment and torture. Dr. Hussam Abu Safiya, director of the Kamal Adwan Hospital, who was forcibly taken away since 27 December, 2024, is the best witness of this after he refused to heed to Israeli calls for the forced evacuation of the hospital.

The attacks on Gaza are constant. Last  Sunday evening, the Israeli warplanes attacked the Abu Jarbou family home in Block 1 in the Nuseirat camp in central Gaza resulting in the martyrdom of four women, including Dr. Thabat Salim. She was greatly mourned.

Dr. Muhammad Halas shared a picture of Dr. Thabat working in the neonatal department, and accompanied it with a comment about the dedication of the late doctor: “Dr. Gaza Thabat Salim, worked without a salary and tirelessly, suffered from hunger, fear, cold and hope. Thebat is a real doctor to the point of martyrdom.”

Director-General of the Health Ministry Dr. Munir Al-Barash said on the X platform: “Dr. Thabat Salim, born in 1994, is a distinguished nursery doctor who mastered the skills and procedures of premature babies amidst the harsh conditions of war. She worked faithfully for nearly a year, before she was martyred a short while ago as a result of the Israeli occupation army’s bombing of a house in the Nuseirat camp.”

Journalist Wael Abu Omar wrote: “Thabat Salim, a doctor and Quran memorizer, studied medicine abroad and is fluent in three languages: Russian, Ukrainian and English. Fate took her to her friend’s house after finishing her work at Al-Awda Hospital, and while she was eating lunch, the house was targeted by the Israeli warplanes. She was identified by her hand only.”

The series of focused attacks on the health sector and its cadres in this war is clear that the aim by the Israelis is to dismantle and destroy this sector entirely as a central part of its military strategy to kill life in the present and future of the Gaza Strip.

Palestinian-British doctor Ghassan Abu Sitta is leading a project through the Institute for Palestine Studies to document the targeting and destruction of the health sector in Gaza. He explains the targeting of the health sector is a main pillar of Israel’s failed plan to permanently displace the residents of the Gaza Strip, starting from the north and moving on to the rest of the regions. The occupation’s targeting of all vital sectors, and not limiting it to the destruction of the health and medical facilities, shows that the occupation aims to create a war environment to destroy life as a whole and not just the health sector.

Claiming militarization of hospitals

Since the first days of the extermination war, the Israeli occupation authorities sought to erase the Palestinian population of Gaza by making the Strip unfit for life, and what better way than to target and annihlate  the health sector.

On 9 October, 2023, on the third day of the war, the Israeli occupation bombed the Beit Hanoun Hospital in northern Gaza, causing extensive damage. This was the beginning of a series of direct targeting of health sector facilities.

Five days after the bombing of the Hospital, the occupation army bombed the Oncology Diagnostic Center at the Al-Ahli Baptist Hospital in Gaza City. Through phone calls to the directors of 22 hospitals in the northern Gaza Strip, the occupation gave “orders” to evacuate them. Everyone, including the working crews there, refused to comply with the evacuation order, and insisted on keeping the health sector operating in light of the war as a professional, moral, and national necessity.

Experts say what is happening in the Gaza Strip, from targeting medical personnel and systematic destruction of the health sector, is not a historical precedent, but has been happening for years within the context of the Palestinian-Israeli conflict, “but the precedent is actually in the form and extent of the destruction.”

The common factor between every storming of a Palestinian camp, village or town is blocking the road to ambulances and paramedics, preventing them from reaching the wounded, and blocking the roads between the storming area and health centers, which leads to an increase in the death toll.

Looking at the process of targeting some hospitals clearly reveals the systematic intention to destroy the health sector in total. The occupation army follows a similar methodology in every hospital: first, they throw allegations these hospitals serve as pockets for Palestinian resistance, orders for the hospital administration to evacuate, then bomb the hospital’s surroundings, then direct bombing, imposing a tight siege, then storming these facilities, destroying the whatever is left of the infrastruction, then grab and frequently kill the people inside.

In some cases, the occupation shortens the siege phase and moves directly to destroying, as it did in Beit Hanoun, Algerian Specialized, and International Eye Hospitals, and even went further to directly liquidating doctors, kidnapping them, and forcible disappearance.

1000 Medical Staff

According to Ministry of Health data published last September, Palestine lost about 1000 health workers, including specialist doctors, surgical and anesthesia technicians, nurses, physical therapy, paramedics, radiology and medical analysis technicians and expert administrators in the field of health sector management. The data also shows the occupation forces arrested and forcibly kidnapped more than 300 people.

Exhausted after a long day of injuries

The killing of Dr. Thabat Salim came within the framework of a series of continuous attacks since the beginning of the war of extermination. In April 2024, Dr. Adnan Al-Barsh, one of the most prominent surgeons in Gaza and head of the orthopedics department at Al-Shifa Hospital, was arrested by Israeli forces. He was transferred to Ofer Prison where he was subjected to severe torture that led to his martyrdom.

Dr. Mohammed Abu Salmiya, director of Al-Shifa Hospital and one of the most prominent doctors in Gaza, was arrested by Israeli forces on November 23, 2023, during the war on Gaza. Abu Salmiya spent more than seven months in Israeli prisons, where he was subjected to harsh conditions. After his release in July 2024, he spoke about his suffering inside the prisons, describing the conditions as the worst since 1948, calling for serious international action to free Palestinian prisoners.

In October 2023, Dr. Omar Saleh Farwana, the dean of the Faculty of Medicine at the Islamic University, was martyred in an Israeli bombing that targeted his home, killing 16 members of his family. He was the dean of the Faculty of Medicine at the Islamic University, and had more than 30 years of experience in treating infertility and IVF.

A day earlier, on October 14, Dr. Medhat Saidam, a burns doctor and surgeon at Al-Shifa Medical Complex, left the complex after seven consecutive days to check on his family, according to a statement by the Ministry of Health. Shortly after his arrival, an Israeli missile fell on the family home, killing the well-known doctor and all of his members where they remain under the rubble of their home.

On November 12, 2023, Dr. Hammam Al-Louh, a specialist in internal medicine and kidney transplantation, was killed in a bombing that targeted his home, where his father was with him.

In circumstances similar to the crime tool, scene, and victims, the medical sector lost on November 18, 2023, the director of internal medicine at Al-Shifa Complex, Dr Raafat Labad, who was one of the most prominent internal medicine and immunology doctors in the Gaza Strip.

The harvest of the Israeli war machine continued to include the head of the Department of Pathology at the Islamic University and Dar Al-Shifa Hospital, Dr. Ali Dabour, who was martyred in his home with his mother and son, and Dr. Hammam Al-Deeb, a distinguished orthopedic surgeon at the specialized clinic at the private Arab Hospital.

Assassination suspicion

Ministry of Health Director-General in Gaza Strip, Munir Al-Barsh, believes that doctors started to be  assassinated soon  after the start of the war of extermination post-October 7, 2023. He says “the most important component of life in the Gaza Strip is health, and the occupation wanted to deprive Gaza of its vital element of security, which is public health, by targeting doctors, killing hope in people’s souls and pushing them to emigrate and flee.” He explains the Gaza Strip now “needs 35 years to compensate the doctors who were killed, especially those with specific specialties.”

The Fourth Geneva Convention and its two additional protocols provided protection for the medical sector and its workers, including ambulance drivers and everyone who helps the wounded during wartime. The agreement went on to state the two conflicting parties must inform each other before the start of fighting where the hospitals are located at. While international humanitarian law stipulates that medical units should not be violated, but protected in accordance with Article 2 of the 1977 Protocol, the Israeli occupation authorities have not adhered to this since the beginning of the occupation of Palestine in 1948.

This article was reproduced from Arabic in the Palestine Information Center.

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Israel Gets Ready to Ransack Al Awda Hospital in Gaza

The Israeli army on Friday threatened the Al-Awda Hospital management, its medical staff and patients inside to immediately leave the hospital, “otherwise, it will be struck with everyone inside.”

The Israeli army has already attacked the Kamal Adwan Hospital and the Indonesian Hospital putting them out of service, while the Al-Awda Hospital in Jabalia in northern Gaza is still struggling to offer services.

According to a statement by the Al-Awda Hospital management, the Israeli army ordered the medical staff and patients to immediately leave.

Earlier, the Palestinian Information Centre said the Israeli forces stormed the Indonesian Hospital in northern Gaza, threatened its staff and patients, and ordered its immediate evacuation.

The doctor in charge of the hospital stated that the facility had run out of all medical supplies, calling for urgent international action to save the lives of wounded civilians according to Anadolu.

Last Friday, Israeli forces also stormed Kamal Adwan Hospital, set it on fire, rendered it out of service, and detained over 350 people inside, including its director Hussam Abu Safiya.

Since the onset of Israel’s genocidal war on Gaza on Oct. 7, 2023, the Israeli military has been targeting Gaza’s health sector, bombing and besieging hospitals, issuing evacuation orders, and preventing the entry of medical supplies, especially in northern Gaza, which was re-invaded on Oct. 5.

The Israeli army has continued a genocidal war on the enclave that has killed over 45,650 people, mostly women and children, since Oct. 7, 2023, despite a UN Security Council resolution calling for an immediate cease-fire.

In November, the International Criminal Court issued arrest warrants for Israeli Prime Minister Benjamin Netanyahu and his former Defense Minister Yoav Gallant for war crimes and crimes against humanity in Gaza.

Israel also faces a genocide case at the International Court of Justice for its war on the enclave.

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Please World Don’t Let Israel Kill Dr Abu Safiya

The Israeli government bears full responsibility for the life of Dr. Hussam Abu Safiya, the director of Kamal Adwan Hospital in northern Gaza, amid alarming indications of torture and ill-treatment since his detention in late December.

Euro-Med Human Rights Monitor has received information that Dr. Abu Safiya’s health has deteriorated due to the torture he endured during his detention, particularly while being held at the Sde Teyman military base in southern Israel. Euro-Med Monitor warns of the grave risk to his life, following patterns of deliberate killings and deaths under torture previously suffered by other doctors and medical staff arrested from Gaza since October 2023.

Euro-Med Human Rights Monitor has documented testimonies confirming that Israeli soldiers physically assaulted Dr. Abu Safiya immediately after he left the hospital on Friday, 27 December 2024. He was then directly targeted with sound bombs while attempting to evacuate the hospital in compliance with orders from the Israeli army.

According to testimonies gathered by Euro-Med Monitor, the Israeli army subsequently transferred Dr. Abu Safiya to a field interrogation site in the Al-Fakhura area of Jabalia Refugee Camp. There, he was forced to strip off his clothes and was subjected to severe beatings, including being whipped with a thick wire commonly used for street electrical wiring. Soldiers deliberately humiliated him in front of other detainees, including fellow medical staff. He was later taken to an undisclosed location before being transferred to the Sde Teyman military camp under Israeli army control.

Euro-Med Human Rights Monitor has also received information from recently released detainees at the Sde Teyman military camp, confirming that Dr. Abu Safiya was subjected to severe torture, leading to a significant deterioration in his health. This occurred despite him already being injured by Israeli air strikes on the hospital, where he worked tirelessly until the facility was stormed and set ablaze by Israeli forces.

The Israeli army has attempted to mislead the public regarding Dr. Abu Safiya’s detention and torture. Pro-Israeli media outlets circulated a misleading promotional video portraying his treatment as humane, even though he was tortured and humiliated immediately after filming.

Euro-Med Monitor warns of the severe implications of Israel’s denial of Dr. Abu Safiya’s detention, describing this as a deeply troubling indicator of his fate and detention conditions. This denial also reflects a blatant disregard for binding legal standards.

Physicians for Human Rights – Israel (PHRI) submitted a request on behalf of Dr. Abu Safiya’s family to obtain information and facilitate a lawyer’s visit on 2 January 2024. However, the Israeli authorities claimed to have no record of his detention, stating they had no indication of his arrest.

Euro-Med Monitor expresses deep concern that Dr. Abu Safiya may face execution during his detention, similar to the fate of Dr. Adnan Al-Bursh, head of the orthopaedics department at Al-Shifa Hospital in Gaza City, who was killed under torture at Ofer Detention Centre on 19 April 2024. Dr. Al-Bursh had been detained along with colleagues from Al-Awda Hospital in December 2023.

Likewise, Dr. Iyad Al-Rantisi, head of the obstetrics department at Kamal Adwan Hospital, was killed due to torture at an Israeli Shin Bet interrogation centre in Ashkelon, one week after his detention in November 2023. Israeli authorities concealed his death for more than seven months.

Dozens of doctors and medical staff remain subjected to arbitrary detention and enforced disappearance in Israeli prisons and detention centres, where they face severe torture and solitary confinement, according to testimonies from former detainees.

The detention of Dr. Abu Safiya must be understood within the context of Israel’s ongoing genocide in Gaza, which has persisted for nearly 15 months. His arrest, torture, and potential execution form part of a broader strategy aimed at destroying the Palestinian people in Gaza—both physically and psychologically—and breaking their will.

This strategy includes not only the deliberate destruction of the health sector and the disruption of medical staff operations, particularly in northern Gaza, but also an attack on the symbolic and humanitarian role represented by Dr. Abu Safiya. Despite the grave crimes committed against Kamal Adwan Hospital, its staff, and patients, especially in the past two months, Dr. Abu Safiya remained unwavering in his dedication to providing essential medical care and fulfilling his medical duties.

Euro-Med Human Rights Monitor calls on all concerned states, international entities, and UN bodies to take immediate and effective measures to secure the unconditional release of Dr. Abu Safiya. His fundamental rights to life, physical safety, and dignity must be protected, shielding him from torture or any cruel, inhuman, or degrading treatment.

Euro-Med Monitor also urges international and local human rights organisations to be granted full access to visit Dr. Abu Safiya, monitor his health condition, provide necessary medical treatment, and ensure he is free from human rights violations until his release.

Furthermore, Euro-Med Monitor reiterates its call for the United Nations to deploy an international investigative mission to examine the grave crimes and violations faced by Palestinian detainees in Israeli prisons. It calls for the immediate release of those detained arbitrarily, for international and local organisations to be granted visitation rights, and for detainees to have access to legal representation.

Euro-Med Monitor expresses regret over the continued inaction of Ms. Alice Jill Edwards, the Special Rapporteur on Torture, who has failed to address these atrocities. It condemns her bias and deliberate negligence in fulfilling her mandate and calls for her dismissal. A new Special Rapporteur who is neutral and committed to universal human rights principles must be appointed.

Additionally, Euro-Med Monitor urges the Special Rapporteur on Extrajudicial, Summary, or Arbitrary Executions, the Working Group on Arbitrary Detention, and the Working Group on Enforced or Involuntary Disappearances to conduct immediate and thorough investigations into crimes committed by the Israeli military in Gaza. It calls for direct engagement with victims and families, as well as for reports to be submitted to pave the way for investigative committees, fact-finding missions, and international courts to prosecute Israeli crimes, hold perpetrators accountable, and compensate victims in line with international law.

Euro-Med Human Rights Monitor renews its call for relevant states and entities to fulfil their legal obligations to halt the genocide in Gaza. This includes imposing a comprehensive arms embargo on Israel, holding it accountable for its crimes, and taking effective measures to protect Palestinian civilians. Immediate steps must also be taken to prevent forced displacement, ensure the return of residents, release arbitrarily detained Palestinians, and facilitate the urgent entry of life-saving humanitarian aid into Gaza without obstacles. Finally, Euro-Med Monitor demands the withdrawal of Israeli occupation forces from the entire Gaza Strip.

EuroMed Human Rights Monitor

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