[News] Gaza’s collapsing health system is one of the goals of Israel’s genocide

Anti-Imperialist News news at freedomarchives.org
Fri May 3 12:08:30 EDT 2024


mondoweiss.net
<https://mondoweiss.net/2024/05/gazas-collapsing-health-system-is-one-of-the-goals-of-israels-genocide/?ml_recipient=120318804073907602&ml_link=120318733213238687&utm_source=newsletter&utm_medium=email&utm_term=2024-05-03&utm_campaign=Daily+Headlines+RSS+Automation>
Gaza’s collapsing health system is one of the goals of Israel’s
genocide By Qassam
Muaddi <https://mondoweiss.net/author/qassam-muaddi/> and Tareq S. Hajjaj
<https://mondoweiss.net/author/tareqhajjaj/> May 2, 2024
<https://mondoweiss.net/2024/05/gazas-collapsing-health-system-is-one-of-the-goals-of-israels-genocide/>
------------------------------
[image: 220424_Dair_El-Balah_AH_1_0023-1536x1095.jpg]

Rotting wounds, starvation, babies born in tents without anesthesia, the
spread of infectious disease, and the severe lack of medicine are all part
of the new normal for over two million people living in Gaza.

Last week, the Gaza-based Palestinian health ministry said that about
600,000 people in the northern Gaza Strip no longer have access to any kind
of healthcare. It also warned that medicine fridges and the only oxygen
plant in Gaza are at risk of shutting down due to the systematic lack of
fuel. The World Health Organization has said
<https://news.un.org/en/story/2024/04/1148316#:~:text=Gaza%3A%20'Systematic%20dismantling%20of%20healthcare%20must%20end'%20says%20WHO,-UN%20News&text=Footage%20of%20destruction%20of%20Al,not%20be%20used%20as%20battlefields.>
that Israel is “systematically dismantling” the health system in Gaza. Save
The Children has reported
<https://www.savethechildren.net/news/gaza-rate-attacks-healthcare-higher-any-other-conflict-globally-2018>
that Israel’s attacks on the health sector in Gaza have been higher than in
any other conflict — at the rate of 73 attacks per day.

But one of the most major blows that Gaza’s health system suffered was in
early April, following a two-week Israeli siege of al-Shifa Hospital,
leaving the medical compound completely and permanently non-operational.
The aftermath of the siege revealed that a massacre had occurred. Mondoweiss
gathered testimonies from survivors
<https://mondoweiss.net/2024/04/come-out-you-animals-how-the-massacre-at-al-shifa-hospital-happened/>
of how it was carried out by Israeli soldiers, which included rounding up
people in the hospital, separating them into groups identified by
differently-colored bracelets, and executing one of the groups before
burying them in mass graves.

Al-Shifa was the largest Palestinian medical complex in all of historic
Palestine. Founded under the British Mandate in 1946, it grew over the
years until it became the Gaza Strip’s primary medical hub, housing 25% of
its medical staff. It was the beating heart of Gaza’s health system.

“Al-Shifa was the center of all medical services in the Strip. It was the
ultimate destination for complex medical conditions,” Nebal Farsakh, a
spokesperson for the Palestinian Red Crescent Society (PRCS), told
Mondoweiss. “It was also the training center of a large number of medical
students and practicing junior doctors.”

“During previous wars, al-Shifa was a hub for receiving complicated
injuries and the overload from other hospitals, as it had the most complete
equipment and a wide range of specialized doctors in most medical fields,”
Farsakh added. “Yet, al-Shifa was repeatedly overwhelmed during the Israeli
assaults of 2008 and 2014, which were much shorter and caused much less
casualties than the current assault.”

“My 19-year-old cousin, Anas Abu Rass, lost his leg after bomb shrapnel hit
him while he was sleeping in his bedroom,” Huda Amer, a resident of Gaza
City who continues to live there with her family, told *Mondoweiss*. “For
this critical wound, in normal conditions, we would have taken him to
al-Shifa. Now he is being treated in a small primary health care center
where they don’t have the equipment, and they had to amputate his leg.”

“Most patients who have scheduled surgeries on the public health insurance
list were treated at al-Shifa. Now, they are all waiting their turn in the
remaining overcrowded hospitals and getting whatever help they can in small
clinics, like my cousin,” she added.

The second largest hospital in the Strip after al-Shifa was the Nasser
Hospital in Khan Younis. Israeli forces besieged the hospital for weeks at
a time between February and April, targeting Palestinians inside with
sniper fire. In mid-February, Israeli forces raided the hospital and forced
medical staff and patients alike to leave its premises, arresting hundreds.

The Israeli army withdrew from Khan Younis in early April. After the
withdrawal, Palestinians found hundreds of bodies buried in mass graves in
the hospital’s vicinity, a repeat of al-Shifa. Many of the bodies unearthed
from the scene had medical catheters still attached to their bodies,
indicating that they had been patients. Others were found with their hands
bound by zip-ties with Hebrew labels on them. Mondoweiss gathered
testimonies
<https://mondoweiss.net/2024/04/i-felt-like-pulling-my-heart-out-of-the-earth-testimonies-from-the-mass-grave-at-nasser-hospital/>
from people who visited the mass graves searching for missing relatives who
had disappeared months earlier. Some were able to identify them and put the
mystery of their disappearance to rest. Others were not quite so lucky and
were left wondering about the fate of their loved ones.
*A dying health sector*

Inside what remains of Gaza’s hospitals, things are worse than one can
imagine. Patients and the injured are strewn on the floor as doctors move
between them in an attempt to provide treatment to whoever they can.
Patients’ families carry plastic bags filled with intravenous medications
and raise them high so that they continue to flow. The majority of
stitching and suturing operations are performed without anesthesia. Most
drugs for chronic diseases are not available in hospitals or private
pharmacies. All kidney patients have suffered for months due to the
cessation of their dialysis treatments. Many have died.

The stories coming out from Gaza City of doctors and nurses who had to
operate on their family members without anesthesia are haunting. In a video
posted on social media, Dr. Hani Bseiso recounts in pain how he made the
difficult decision to amputate his niece’s leg with a kitchen knife.

“I had difficult choices: to let Ahed bleed to death or to use the
capabilities available to me and treat her,” Dr. Bseiso says. “I decided to
close my eyes and my heart, bite down on my pain, and do what could not be
done.” He performed the operation on their home’s dining table. On hand was
a kitchen knife, a dish sponge, water, and soap.

Other than al-Shifa, all other hospitals in northern Gaza have been
destroyed, including Beit Hanoun Hospital and the Indonesian Hospital. All
of them were stormed by the army, their equipment ransacked, their beds
burned.

Muhammad Zaqout, General Director of Hospitals in the Gaza Strip, says that
while 35 hospitals were operating inside the Gaza Strip before the war (13
of which were government hospitals), only 4 hospitals now remain open in
the entire coastal enclave.

“The hospitals that are still operating are the al-Aqsa Martyrs Hospital in
Deir al-Balah, with a capacity of up to 140 beds; the European Hospital in
Khan Younis, with a capacity of up to 240 beds; and al-Najjar Hospital in
Rafah, with a capacity of up to 65 beds,” Zaqout said. “There is one
specialized hospital for maternity, which is the Emirates Maternity
Hospital. The rest of the hospitals in the Gaza Strip all stopped working
and were stormed, destroyed, or burned.”

“There is also no hospital left for children in the Gaza Strip,” Zaqut
adds. “All of which have gone out of service, such as al-Nasr Hospital in
Gaza City.”

“The few remaining hospitals in the Gaza Strip that are still operational
have only faced increased pressure,” Zaqout said. “The European Hospital,
now the largest hospital operating in the Strip, has increased its capacity
for patients from 240 beds to nearly 800 beds due to the ongoing pressure
on the health sector in the Gaza Strip. Thousands of displaced people
inside the hospital transformed many departments into housing departments.”

The European Hospital has become a gathering hub for displaced people’s
tents. The corridors, patient rooms, courtyards, and entrances are all
crowded.

Organizations, institutions, and countries are trying to establish field
hospitals in different areas of the Gaza Strip, in addition to hospitals
and medical clinics such as the Jordanian field hospital in the city of
Rafah. Still, Zaqout points out that these field hospitals cannot provide
essential medical services that people rely on, explaining that they do not
have a source of generating oxygen.

Despite the vast number of injured people as a result of the repeated
bombing of all areas of the Gaza Strip, the health ministry in Gaza can
coordinate the discharge of 20-30 injured people daily for treatment abroad
in hospitals in Egypt, Qatar, Turkey, and other countries. But the number
is minimal compared to the number of wounded people who are in urgent need
of treatment outside the Gaza Strip.

“The situation is very catastrophic. Hospitals cannot accommodate the
wounded, and the numbers transported for treatment abroad are small and not
proportionate to the number of injuries,” Zaqout maintains. “The health
sector is terrible and is getting worse due to repeated threats from the
occupation to the remaining centers. If these hospitals stop working, they
will turn into mass graves, as with what happened in Nasser and al-Shifa.”

“The Israeli army destroys the hospitals and prevents them from being
restarted,” he adds. “It prevents the re-entry of the medical equipment it
destroyed and prevents everything we need to restart hospitals. The
occupation is deliberately destroying the entire health sector inside the
Gaza Strip.”
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