Ugly War: Amputating The Palestinians?

One of the many ugly consequences of wars and conflict is injuries leading to a loss of limbs. Gaza, which now has the highest number of child amputees per capital anywhere in the world, is no exception.  

“I was going to buy falafel,” says Mohammed Hassan. “On the way home, I looked up and saw a rocket heading towards me. I tried to run, but it was too fast. I found myself pinned to the wall, and my foot had been blown off.”

Brought to Al-Shifa Hospital in Gaza City, the young boy looks down at his heavily bandaged left leg, and the stump where his foot used to be.

In another area of the hospital, a small child, Maryam Abu Alba, is crying in pain. “The neighbour’s house was bombed, and their home was hit,” says her grandmother. “One of her legs had to be amputated, and metal plates had to be inserted into the other one, which was fractured. She is in severe pain.”

Earlier this year, the UN humanitarian aid coordination agency OCHA estimated that 4,500 new amputees require prosthetics, in addition to the 2,000 existing cases requiring maintenance and follow-up care, while about 24,000 injured people required rehabilitation.

Health facilities are overwhelmed with many patients undergoing multiple surgeries without adequate medical supplies, including anaesthesia.

Palestinian child Mohammad Hassan sitting on a hospital bed in Gaza after his left leg was amputated by a strike.

UN News

Palestinian child Mohammad Hassan sitting on a hospital bed in Gaza after his left leg was amputated by a strike.

Desperately seeking food

In May, as supply routes for UN humanitarian convoys were interrupted, the number of distribution points of aid dropped from 400 dotted across the Gaza strip to a handful of hubs operated by the Gaza Humanitarian Foundation.

Given the shortage of humanitarian aid and diminished capacity, thousands of Palestinians have been killed or injured since May while seeking food.  Among the wounded are children and parents who, despite losing limbs, continue to search for food and water.

This comes as a UN-backed food security report has just concluded that famine is confirmed in Gaza governorate, where half a million people are trapped in conditions of starvation, malnutrition and death.

Ibrahim Abdel Nabi was one of the many Palestinians who headed to the hubs in the hope of finding desperately needed provisions for their families.

In his tent at a displacement site in the coastal Al-Mawasi area of Khan Younis, Mr. Nabi, surrounded by his wife and children, explains how the journey ended in disaster and life-changing injuries.

“When I arrived at the Al-Alam area, west of Rafah, I was hit by an explosive bullet in my leg. I was bleeding for about an hour and a half, and no one came to help me. They were all trying to find food for their children.”

Eventually, a group of people came to his rescue and took him to the nearby Red Cross hospital.

“I stayed there for about a month and a half, undergoing about 12 operations. I became malnourished and lost a lot of blood. Infection spread, and more of my leg had to be amputated.”

Ibrahim Abdel Nabi, a Palestinian displaced in Gaza, sitting on a chair while his wife helps him wear the handmade prosthetic limb.

Ibrahim Abdel Nabi, a Palestinian displaced in Gaza, sitting on a chair while his wife helps him wear the handmade prosthetic limb.

‘I made my prosthetic leg’

As Mr. Nabi was trying to recover, he was aware that his family were still in need of food. Despite the pain, he decided to make a simple prosthesis from materials he could find to allow him to get back on his feet and make fresh attempts to find food and water.

“The prosthesis injures my leg,” he said. “It causes inflammation and increases the pain. We don’t have medical care or supplies, but I will use it no matter how much it hurts.”

As he speaks, Mr. Nabi’s wife begins to cry. “God willing, we will live through this experience,” she says.

Mr. Nabi gets up on crutches and heads to a nearby tent, where his wife helps him to put on the crude prosthesis.

“Don’t strain yourself,” she repeats, over and over. “Take your time. Walk slowly.”

UN News

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‘Aid Trickle’ Mean People Die Before Reaching Hospitals

Children in Gaza are dying not just from hunger, but from the total collapse of the systems meant to protect them, UN agencies warned on Tuesday.

With 96 per cent of households lacking clean water, many malnourished children are not surviving long enough to receive hospital care.

James Elder, Spokesperson for the UN Children’s Fund (UNICEF), told a media briefing in Geneva that it would be a mistake to assume that the situation was improving.

There’s a sense through the world’s press that things are improving,” he said. “But unless there is sustained humanitarian aid…there will be horrific results.

He emphasised the scale of need: “When food comes in which supports 30,000 children, there are still 970,000 children not getting enough. It is a drop in the ocean.”

Aid still a trickle

The UN relief coordination office, OCHA, said that although unilateral pauses have allowed some aid into Gaza, the current trickle is vastly insufficient.

“There should be hundreds and hundreds of trucks entering Gaza every day, for months or years to come,” said Jens Laerke, OCHA spokesperson. “People are dying every day. This is a crisis, on the brink of famine.

Thousands of tons of pre-funded aid remain stuck just outside the enclave, he added, as bureaucratic delays and lack of safe access continue to block distribution.

Urgent scale-up needed

In New York, UN Deputy Spokesperson Farhan Haq also noted the impediments to bringing in and distributing sufficient aid.

“Massive food shortages continue to impact people’s chances for survival,” he said. “As malnutrition levels rise, children’s immune systems are weakened, hindering their development and growth far into the future.”

Last Thursday alone, 71 kitchens delivered over 270,000 hot meals across Gaza, including 10,000 to health facilities. But that figure falls far short of what’s needed to feed more than two million people.

We need an urgent scale-up of supplies, as well as an environment that allows humanitarians to reach people in need safely, rapidly and efficiently,” Mr. Haq added.

Health challenges continue

Some medicine has entered Gaza in recent days, but supplies remain limited. Health workers continue to operate under extreme pressure and shortages.

The World Health Organization (WHO) reported 46 cases of Guillain-Barré syndrome in July, including two deaths. The condition, which affects the nervous system, has been linked to compromised immunity, poor nutrition and hygiene-related infections.

The situation of pregnant women and nursing mothers is equally alarming. The UN reproductive health agency, UNFPA, said that 40 per cent of pregnant or breastfeeding women are suffering from severe malnutrition, with newborn deaths and stillbirths on the rise.

Meanwhile, three UN fuel tankers reached Gaza City on Monday. The fuel will power critical health, water and sanitation services, but OCHA stressed this only allows operations to run at “bare minimum” capacity according to UN News.

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UN: Gaza Aid is ‘Drop in The Bucket’

The UN humanitarian affairs chief has welcomed Israel’s decision to allow limited aid to cross into Gaza after 11 weeks of complete blockade – but significantly more is needed “starting tomorrow morning”.

Tom Fletcher said in a statement on Monday that nine UN trucks were cleared to enter the southern Kerem Shalom crossing earlier in the day.

“But it is a drop in the ocean of what is urgently needed…We have been reassured that our work will be facilitated through existing, proven mechanisms. I am grateful for that reassurance, and Israel’s agreement to humanitarian notification measures that reduce the immense security threats of the operation.”

Alarm over Israeli bombardment: UN chief

The UN Secretary-General on Monday expressed his alarm over the intensifying air strikes and ground operations in Gaza “which have resulted in the killing of hundreds of Palestinian civilians in recent days, including many women and children, and, of course, large-scale evacuation orders.”

António Guterres reiterated his call for the rapid, safe, and unimpeded delivery of humanitarian assistance at scale directly to civilians, in order to avert famine, alleviate widespread suffering, and prevent further loss of life.

Briefing reporters on Monday, UN Spokesperson Stéphane Dujarric said Mr. Guterres “welcomes the ongoing efforts by the mediators to reach a deal in Gaza. He has repeatedly warned that the continued violence and the destruction will only compound civilian suffering and heighten the risk of a broader regional conflict.”

He added that the Secretary-General “firmly rejects any forced displacement of the Palestinian population.”

Minimise risk of aid theft

Relief chief Fletcher said in his statement that he was determined to ensure UN aid reaches those in greatest need and make sure that any risk of theft by Hamas or other militants battling Israeli forces in the Strip amid a new offensive, would be minimised.

He said the UN aid coordination office, OCHA, had realistic expectations: “Given ongoing bombardment and acute hunger levels, the risks of looting and insecurity are significant.”

UN aid workers are committed to doing their jobs, “even against these odds,” he said, thanking humanitarian colleagues for their courage and determination.

Practical plan

“The limited quantities of aid now being allowed into Gaza are of course no substitute for unimpeded access to civilians in such dire need,” Mr. Fletcher continued.

The UN has a clear, principled and practical plan to save lives at scaleas I set out last week.”

He called on Israeli authorities to:

  • Open at least two crossings into Gaza, in the north and south
  • Simplify and expedite procedures together with removing quotas limiting aid
  • Lift access impediments and cease military operations when and where aid is being delivered
  • Allow UN teams to cover the whole range of needs – food, water, hygiene, shelter, health, fuel and gas for cooking

Ready to respond

Mr. Fletcher said to reduce looting, there must be a regular flow of aid, and humanitarians must be permitted to use multiple routes.

“We are ready and determined to scale up our life-saving operation Gaza and respond to the needs of people, wherever they are,” he stressed – calling again for the protection of civilians, a resumption of the ceasefire and the immediate and unconditional release of all hostages.

He concluded saying the operation would be tough – “but the humanitarian community will take any opening we have.”

UN News

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Using Starvation as a Weapon of War

By Professor Mutaz M. Qafisheh and Manal Radaydeh

The famine raging in Gaza is not a side effect of war. It is the outcome of a willful and publicly declared plan aimed at displacing and destroying Gazans by starving the entire population. This is not a natural disaster— it is the systematic denial of access to food in a tiny, resource-scarce strip of land. Starvation is being used as a weapon—to break people’s will, force surrender, collectively punish, and carry out ethnic cleansing.

Nearly two months after the ceasefire collapsed, Israeli forces tightened the blockade on Gaza, sealing border crossings and halting all entry of food, water, medicine, and fuel. According to the World Food Program (WFP), food stocks had already run out by April 2024, and conditions have worsened significantly since March. Even modest charity kitchens that once served over a million meals daily have now ceased operations. WFP reported that the prices of the few remaining food items have surged by over 1,400%.  

Malnutrition and imminent death

This crisis is affecting everyone, but children are paying the heaviest price. UNICEF reported that over 60,000 children are suffering from severe malnutrition. As a result, thousands face imminent death. Most children survive on a single meal a day—or less. The lack of proper nutrition is damaging their bodies and minds in ways that may never be reversed. Satellite footage shows infants drinking water instead of milk. Many have withered to skeletons.

It is crucial to underline that this man-made hunger is not accidental. It is the explicit outcome of political decisions targeting civilians. Under international humanitarian law—particularly Article 23 of the Fourth Geneva Convention—all parties in a conflict must allow the free flow of humanitarian aid to civilians. The UN Office of the High Commissioner for Human Rights has described this famine as “cruel collective punishment.”

On Nov. 21, 2024, the International Criminal Court issued arrest warrants for Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant, accusing them of war crimes, including the use of starvation as a method of warfare—characterized as a war crime. This came after a unanimous order by the International Court of Justice on March 28, 2024 in the genocide case brought by South Africa against Israel. The ICJ ordered Israel to take all necessary and effective measures without delay to ensure the unhindered, large-scale provision of urgently needed services and humanitarian aid—food, water, electricity, fuel, shelter, clothing, hygiene, sanitation, and medical care—to Palestinians throughout Gaza. Yet Israel continues to act as if it were above the law.

Today, Gaza’s food system is completely destroyed: bakeries bombed, farms bulldozed, fishing boats burned, livestock killed, warehouses flattened, shops emptied, and aid trucks blocked or turned away. OCHA warns that famine is either imminent or already unfolding. And yet, the siege continues—on top of systematic daily bloodshed.  

Collapse of health care

The suffering is not only physical. As hunger spreads, so does the risk of disease, especially among children, the elderly, and the chronically ill. The health care system has collapsed. People with chronic diseases—cancer, diabetes, high blood pressure, heart and kidney failure—are dying. Euro-Med Human Rights Monitor recently documented the deaths of 14 elderly people due to malnutrition, among many others who perish in silence, with no one to record their plight.

The coming months and years will reveal the far-reaching consequences of the famine that struck Gaza in full view of world leaders—some of whom encouraged or were complicit in the starvation of 2 million innocent civilians. The world—particularly Europe and the Arab nations—can, if it chooses, put an end to these genocidal acts against children, the elderly, the sick, and the exhausted.

It is unimaginable. How is it possible that in the 21st century—an age of smartphones and social media—the international community watches a live-streamed famine unfold and does nothing? What has brought us to this moral and legal vacuum? If famine is tolerated this time, it will be normalized and replicated elsewhere. That would mean the erosion of values humanity has struggled for centuries to uphold.

It’s time for action, not just words. History will judge. History is here. And history is now.  

Mutaz M. Qafisheh is Professor of International Law at Hebron University. Manal Radaydeh is a Researcher in International Diplomacy at Hebron University and this article was published in Anadolu.

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Gaza Faces Public Health Crises

Amid sweltering heat, raw sewage and overflowing trash, displaced families in southern Gaza are facing an escalating public health crisis as aid remains blocked and medical supplies dwindle.

In the makeshift coastal encampments of Al Mawasi, families have no choice but to live in unsanitary conditions that are rapidly turning deadly, Louise Wateridge, Senior Emergency Officer at Palestine refugee agency, UNRWA, told UN News.

She described an increasingly dire situation: malnourished children and families, already worn down by months of war, battle unrelenting heat, unsanitary conditions, a lack of clean water and limited access to healthcare.

“The trash is just out of control. The sewage, the rodents, the pests, the rats, the mice – all of these animals are going between the structures that people are sheltering in,” she said.

As the days hot up, “disease is spreading. There is not enough medicine,” she added. UNRWA teams are conducting intensive clean up campaigns, but their resources are running out.

They’ve got about 10 days left of pesticides. Supplies are going to run out,” Ms. Wateridge warned.

Heavy equipment destroyed

The worsening conditions are being compounded by the destruction of Gaza’s public health infrastructure.

According to the UN humanitarian coordination office (OCHA), more than 30 vehicles essential for waste management, water supply and sewage maintenance were destroyed by Israeli airstrikes between 21 and 22 April.

In the past week alone, at least 23 reported strikes have hit tents sheltering internally displaced persons (IDPs), killing dozens of civilians – including women, children, and persons with disabilities.

Health system under strain

OCHA also noted that Gaza’s health system is continuing to collapse.

Over half of the remaining health facilities are located in zones under evacuation orders, posing serious access challenges for communities in urgent need. There are also widespread shortages of medicine, equipment and medical staff.

As of 15 April, an estimated 420,000 people have been displaced – many for the second or third time.

Shrinking humanitarian space

Humanitarian space continues to be shut down. Vital humanitarian aid has not entered Gaza for 52 consecutive days.

OCHA noted that between 15 and 21 April, nearly half of the planned humanitarian movements were denied or impeded.

It reported that out of 42 planned aid missions across the Gaza Strip that were coordinated with the Israeli authorities, 20 were denied, two faced impediments, 19 were facilitated and one was cancelled.

Meanwhile, UN agencies also have to contend with lack of funds to sustain their programmes.

As of 22 April, donors have disbursed about $569 million out of the $4.07 billion (about 14 per cent) required to meet the most critical humanitarian needs of three million people requiring assistance in Gaza and the West Bank, including East Jerusalem.

UN News

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