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<p dir="RTL"
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Trapped Under the Rubble:
Medical and Rescue Teams
Denied Access to
IOF-deployed Areas </strong><br>
<br>
The Palestinian Centre for
Human Rights (PCHR), Al-Haq
and Al Mezan Center for Human
Rights demand an end to the
devastating human rights and
humanitarian situation in the
Gaza Strip, where thousands of
Palestinians are stranded in
areas where the Israeli
occupying forces (IOF) are
deployed, unable to move amid
Israel’s indiscriminate and
relentless targeting and
bombings of Palestinian
civilians and civilian
objects. The gravity of the
situation is underscored by
the Israeli military’s
persistent denial of access to
the Civil Defense (Gaza’s
primary search-and-rescue
force), the Palestine Red
Crescent Society and the
International Committee of the
Red Cross teams to the
IOF-deployed areas,
hindering the crucial delivery
of medical aid and/or the
evacuation of injured or
killed Palestinians. According
to the Civil Defense in the
Gaza Strip, the total number
of <a
href="https://alhaq.us2.list-manage.com/track/click?u=10071401ba4201bc1a4992f68&id=672cb63b4f&e=08c14cf485"
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of missing persons due to
Israel’s bombardment of the
northern and southern areas of
the Gaza Strip has exceeded
8,000.<br>
<br>
When medical and rescue teams
have tried to reach those
areas, both with and without
prior coordination with the
Israeli occupying authorities,
they have been targeted. The
Palestinian Civil Defense has
been badly hit, with 35
workers <a
href="https://alhaq.us2.list-manage.com/track/click?u=10071401ba4201bc1a4992f68&id=f8aa6ac410&e=08c14cf485"
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #007C89;font-weight: normal;text-decoration: underline;"
moz-do-not-send="true">killed</a>
and over 100 others injured
since 7 October 2023. On 15
December 2023, three Civil
Defense workers, along with
Al-Jazeera’s cameraman, Samer
Abu-Daqqa, were targeted and
killed by the Israeli military
while trying to evacuate a
family trapped in one of the
houses being targeted by the
IOF near the Farhana school in
the middle of Khan Younis
city. Notably, this attack
occurred even after permission
to enter the area had been
granted by the IOF,
demonstrating the grave risks
faced by those involved in
life-saving medical and rescue
work. The Ministry of Health
in Gaza <a
href="https://alhaq.us2.list-manage.com/track/click?u=10071401ba4201bc1a4992f68&id=17ba5657cf&e=08c14cf485"
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #007C89;font-weight: normal;text-decoration: underline;"
moz-do-not-send="true">reported</a>
that since 7 October 2023, at
least 286 health workers have
been killed and that 57
ambulances have been hit and
damaged. Several health
workers have also been <a
href="https://alhaq.us2.list-manage.com/track/click?u=10071401ba4201bc1a4992f68&id=f0342132c4&e=08c14cf485"
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #007C89;font-weight: normal;text-decoration: underline;"
moz-do-not-send="true">subject</a>
to arbitrary detention.<br>
<br>
Palestinian rescue teams are
hampered by the absence of
essential equipment, or fuel
to operate that equipment,
which is crucial for rescuing
individuals or recovering
bodies from buildings that
have been targeted with their
inhabitants still inside.
Further, many Palestinians
wounded by Israeli fire or
airstrikes or trapped under
the rubble endure prolonged
suffering and eventually die
because of Israel’s
intentional denial of access
to assistance. Al-Jazeera’s
cameraman, Samer Abu Daqqa,
was <a
href="https://alhaq.us2.list-manage.com/track/click?u=10071401ba4201bc1a4992f68&id=7d67f96023&e=08c14cf485"
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #007C89;font-weight: normal;text-decoration: underline;"
moz-do-not-send="true">left</a>
injured, bleeding and without
treatment for over five hours
before he succumbed to his
wounds because the IOF refused
to allow any rescue teams to
reach him.<br>
<br>
In several cases documented by
our organizations, civilians
were killed and wounded by
Israeli fire while attempting
to assist the injured. Below
is a testimony provided by one
of PCHR’s field workers
describing an incident that
involved some of his family
members in the Al-Satar
Al-Gharbi area in Khan Younis:<br>
<br>
<em>‘On 7 December 2023, my
brother, Imad Abdel Ghafour,
called while trapped in a
house in the Al-Satar
Al-Gharbi area in Khan
Yunis, where the IOF had
been operating militarily on
the ground for two days. He
urgently sought assistance
in sending an ambulance
because my other brother,
Samir Abdel Ghafour, had
been injured while trying to
provide help to his
neighbour, who was
screaming. My family went to
the Red Crescent and Red
Cross, requesting their
intervention, but they told
them that this was not
possible because of the
presence of the IOF in the
area and the lack of
coordination. Later,
communication with Imad was
completely cut off and he no
longer answered his mobile
phone. In the evening of the
same day, a neighbour
informed me that there were
four martyrs in the street,
including Samir and his son,
who tried to go out to help
him, along with two other
neighbours, and that they
were exposed to gunfire from
the IOF. </em><br>
<br>
<em>‘He also said that Israeli
warplanes bombed three
houses belonging to Samir
and two of his brothers in
the area. Until this moment,
we do not know the fate of
those who were inside these
houses. If they were
injured, they may have
succumbed to their wounds,
and the raids may have
killed them directly. Even
if they have survived, they
have been without any food
or water for many days. All
our attempts to find out
what happened to them
failed. There are around 27
people [who were present in
these three houses], and
they include elderly people,
children, and women. No one
can reach the area.’ </em><br>
<br>
Our organizations have
monitored and documented
incidents in which injured
Palestinians, trapped in
IOF-deployed areas, have
succumbed to their wounds and
died due to Israel’s refusal
to allow ambulances to reach
them. Tarek Beseiso, a father
of two children who were
killed and another who was
injured in the Al-Remal
neighbourhood of Gaza City,
told PCHR’s lawyer:<br>
<br>
<em>‘My son, Ahmed, 16 years
old, was killed by a raid on
our house on Thursday, 7
December 2023, and my two
other children, Mohammed, 8
years old, and Sarah, 17
years old, were wounded. We
buried Ahmed in our
neighbours’ garden, which
had been targeted before our
home, as there was no way we
could reach any cemetery.
Today, Mohammed succumbed to
his wounds and passed away.
For five days, we saw
Mohammed dying in front of
us and were not able to take
him to any hospital due to
the constant bombing. For
five days, all the
international and local
institutions and
organizations were unable to
evacuate him because his
house is situated in the
Al-Rimal neighbourhood,
where the occupying forces
continued to commit their
heinous crimes against
civilians and prevent civil
defence vehicles and
ambulances from reaching the
area. We appeal to you to
help us evacuate our girl,
Sarah, to any hospital
before she dies of her
wounds.’</em><br>
<br>
These two instances are
emblematic of hundreds, if not
thousands, of similar cases
across the Gaza Strip. In
these dire circumstances,
civilians find themselves
unable to access any kind of
medical treatment for their
injuries, while rescue teams
are unable to reach areas to
provide help to the wounded,
including those under the
rubble, or to retrieve the
bodies of those killed. In
certain areas, thousands of
Palestinian bodies remain
under the rubble and on the
streets, inaccessible and
unretrieved. This not only
leaves their families in
anguish, unable to ascertain
their whereabouts and grieve
properly but also presents a
significant risk of the spread
of serious diseases among the
population.<br>
<br>
According to our field
researchers, any bodies that
could be retrieved from
beneath the rubble due to the
efforts of those on the scene
had to be buried in the
closest available locations –
such as gardens, marketplaces
and roadway medians (central
reservations). This serves as
yet another stark
demonstration of Israel’s
complete disregard for the
lives of Palestinian people
and its blatant disrespect for
the dignity of the deceased. <br>
<br>
It is bad enough that Israel
has killed more than 18,000
Palestinians – the vast
majority of them are women and
children – wounded over 50,000
Palestinians, displaced around
1.9 million Palestinians and
erased entire neighbourhoods
from the map. Those who are
injured in areas where the IOF
are deployed must endure
further suffering before
ultimately succumbing to their
wounds.<br>
<br>
Under international
humanitarian law, the wounded
and sick, whether military or
civilian, needing medical
attention and who are not, or
no longer, taking part in
hostilities, must be
respected, protected and cared
for in all circumstances.<a
href="#_ftn1"
name="_ftnref1" title=""
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #007C89;font-weight: normal;text-decoration: underline;"
moz-do-not-send="true"><sup><sup>[1]</sup></sup></a>
This includes the provision of
adequate medical care as far
as is practicable and with the
least possible delay.<br>
<br>
Failing to take action,
whether by letting wounded
persons die due to lack of
care that could have saved
their lives or by allowing
protected persons to starve to
death, amounts to wilful
killing and/or causing great
suffering or serious injury to
the body or to health. Such
actions are deemed war crimes,
constituting grave breaches of
the Geneva Convention,<sup>4</sup>
and fall under the
jurisdiction of the Rome
Statute of the International
Criminal Court.<a
href="#_ftn2"
name="_ftnref2" title=""
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #007C89;font-weight: normal;text-decoration: underline;"
moz-do-not-send="true"><sup><sup>[2]</sup></sup></a>
In certain circumstances, the
denial of medical treatment
may constitute cruel or
inhuman treatment, an outrage
upon personal dignity – in
particular, humiliating and
degrading treatment – or even
torture if the necessary
criteria are met.<a
href="#_ftn3"
name="_ftnref3" title=""
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #007C89;font-weight: normal;text-decoration: underline;"
moz-do-not-send="true"><sup><sup>[3]</sup></sup></a><br>
<br>
Moreover, Israel has a duty
not to impede the provision of
care by preventing the passage
of medical personnel. Israel
must facilitate access to the
wounded and sick and provide
the necessary assistance and
protection to medical
personnel.<br>
<br>
In light of Israel’s repeated
and persistent denial of
access to medical and rescue
teams in IOF-deployed areas,
and of the IOF’s targeting of
ambulances and medical
personnel, recognized as
protected persons under
international humanitarian
law, we call on the
international community, and
particularly Third States, to:</p>
<ul>
<li
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;">Promptly
intervene and mobilize to
enforce an immediate
ceasefire, and to push
Israel to reinstate the
supply of water, food,
electricity and fuel, as
well as medical and
humanitarian aid, necessary
for the survival of the
protected population;</li>
<li
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;">Act
in line with their
obligations under the
Genocide Convention, in the
face of the unfolding
genocide against
Palestinians in Gaza, by
unilaterally and
collectively taking all
feasible action to urgently
and definitively ensure that
Israel refrains from further
incitement to genocide and
from the perpetration of
conduct prohibited under
Article II of the
Convention;</li>
<li
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;">Publicly
call on and exert pressure
on Israel to adhere to its
legal obligations, including
permitting medical and
rescue teams – including
those from the Civil
Defense, the Palestine Red
Crescent Society and the
International Committee of
the Red Cross – to reach and
access the areas where the
IOF are positioned so that
they can evacuate the
wounded, offer and provide
aid to those who are alive
under the rubble and
expedite the removal of
killed Palestinians to
prevent the spread of
diseases;</li>
<li
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;">Demand
that Israel immediately
ceases the targeting of
medical personnel,
ambulances and rescue teams,
and allows them to carry out
their crucial work without
targeting or hindrance;</li>
<li
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;">Pressure
and demand Israel to
immediately and
unconditionally allow
unimpeded access and entry
of fuel into Gaza to enable
the medical and humanitarian
teams to carry out their
work;</li>
<li
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;">Urge
Israel to allow the
immediate and unconditional
transfer of patients from
Gaza to receive healthcare
treatment;</li>
<li
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;">Provide
the Gaza Strip with the
necessary ambulances,
machines, equipment and
medical supplies to cope
with the massive influx of
casualties;</li>
<li
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;">Impose
sanctions and implement a
mandatory and comprehensive
arms embargo nationally or
multilaterally against
Israel;</li>
<li
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;">Take
effective measures to ensure
accountability for Israel’s
war crimes, crimes against
humanity, and the unfolding
genocide, including by
fulfiling their legal
obligation under Article 146
of the Fourth Geneva
Convention to prosecute
those responsible for grave
breaches of the Convention;
and calling on the
Prosecutor of the
International Criminal Court
to expedite the
investigation into the
Situation in Palestine with
full resources and onsite
visits; and</li>
<li
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;">Address
the root causes underpinning
Israel’s successive military
offensives on the Gaza
Strip, as acts of violence
employed to maintain and
entrench the settler
colonial apartheid regime.</li>
</ul>
<div>
<hr width="33%" size="1"
align="left">
<div id="ftn1"><a
href="#_ftnref1"
name="_ftn1" title=""
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #007C89;font-weight: normal;text-decoration: underline;"
moz-do-not-send="true"><sup><sup>[1]</sup></sup></a>
1949 First Geneva Convention
(GC I) Art. 12; 1949 Second
Geneva Convention (GC II),
Art. 12; 1949 Fourth Geneva
Convention (GC IV), Art. 16;
1977 First Additional
Protocol (AP I), Art. 10;
1977 Second Additional
Protocol (AP II), Art. 7.</div>
<div id="ftn2"><a
href="#_ftnref2"
name="_ftn2" title=""
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #007C89;font-weight: normal;text-decoration: underline;"
moz-do-not-send="true"><sup><sup>[2]</sup></sup></a>
Rome Statute, Article
8(2)(a)(I) & Article
8(2)(a)(II)).</div>
<div id="ftn3"><a
href="#_ftnref3"
name="_ftn3" title=""
style="mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #007C89;font-weight: normal;text-decoration: underline;"
moz-do-not-send="true"><sup><sup>[3]</sup></sup></a>
<em>See, </em>ICRC,
“Respecting and protecting
healthcare in armed
conflicts and in situations
not covered by international
humanitarian law-
Factsheet”, 21 May 2021,
available at: <a
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valign="top"> <em>Copyright ©
2023 Al-Haq Organization, All
rights reserved.</em><br>
<br>
<strong>Our mailing address is:</strong><br>
Al-Haq Organization<br>
54 Main Street<br>
Ramallah P6008148<br>
Palestine<br>
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