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Monthly report on health access

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Gaza: stories of loss and survival

9 August 2018, Gaza — Since the start of the demonstrations in Gaza on 30 March, 162 Palestinians have been killed and 17,259 injured as of 30 July, mainly as a result of live ammunition gunshot wounds and gas inhalation.

While many of those injured were treated and discharged at WHO-supported trauma stabilization posts near the frontlines, more than 9,000 patients required hospitalization, including 1,487 children. Critical injuries have left hundreds of men, women and children with amputated limbs, permanently paralyzed, or in need of limb reconstruction, requiring up to seven surgeries and years of rehabilitation. Many of them will be unable to receive the treatment they need due to limited access to health care outside Gaza.

Here are the stories of five children whose lives have been forever changed as a result of the conflict.

1 / 5

Adbul-Rahman Nofal is an 11-year-old boy who lives close to the eastern border of Gaza. He loves to play football, but since the mass demonstrations started in March, he was too scared to play in the neighborhood. On 17 April, Abdul-Rahman’s friends convinced him that the playground was far enough from the fence, and they started to play. One of the boys shot the ball too far and Abdul-Rahman started running to get it. He was not aware that the ball had landed near the fence until he found himself face-to-face with an Israeli soldier. Abdul-Rahman had no time to run before the soldier aimed his gun at Abdul-Rahman’s leg and fired.

Because the bullet was fired at close range, Abdul-Rahman’s leg shattered and needed to be amputated below the knee. He is now the youngest amputee as a result of the mass demonstrations.

Abdul-Rahman cannot imagine his life without football. He wanted to grow up and be a professional football player. He feels anxious and frustrated when he sees his friends playing during the lunch break, since he can no longer join them.

Abdul-Rahman now dreams about becoming a journalist, so he can let the world know about what is happening in Gaza.

2 / 5

Abdullah Elanqar is a 13-year-old boy who lives near the east border of Gaza City. He has five brothers and two sisters. His mother is a housewife and his father is unemployed, but his father works hard to find jobs every month to provide a basic income for the family.

When the demonstrations started, Abdullah would walk to the border every morning and collect leftover copper from wires and aluminum from drinking cans. By selling them, he was able to make just less than five US dollars a day.

On 3 May, Abdullah was collecting copper close to the fence. An Israeli soldier appeared from behind the fence and shot him in the leg at close range. Shocked at how badly Abdullah’s leg was injured, the soldier crossed the fence and carried Abdullah to an Israeli hospital.

Not knowing where he was, Abdullah’s family searched for him for hours. The hospital finally contacted them that afternoon, but they were not allowed to leave Gaza without a permit to travel to see Abdullah.

The injury was so severe that Abdullah’s leg had to be amputated above the knee. He was alone for two days in the hospital after the operation, without his family. Abdullah’s father received a permit on the third day and was finally able to see his son.

Abdullah is now back home, but nothing is the same for him. He cannot go out and look for copper pieces anymore, nor can he play with his neighborhood friends. He wanted to support his father financially, but now he feels that he is a burden on his family.

Abdullah suffers from psychological complications and needs long term physiotherapy and rehabilitation. His doctors say that he may be able to wear a prosthesis by next year, but this treatment is limited in Gaza.

3 / 5

Hamza Alshokry is 19 years old, the youngest of seven siblings. His mother is a housewife and his father passed away, but they live on his retirement pension. When Hamza failed his secondary school exams and was unable to go to university, he decided to get his driving license and work as a taxi driver to start financially supporting his family.

On 14 May, Hamza and his friends participated in the mass demonstrations. Like many teenagers in Gaza, he dreams of an end to the blockade so that he can work or study outside. He believes that these demonstrations are the only peaceful way to protest against the blockade.

During the demonstration, a man standing next to Hamza was severely injured. Hamza tried to carry him to safety, but was also shot. The bullet entered Hamza’s lower back and exited from his neck, cutting his spinal cord. Hamza is now quadriplegic, paralyzed in both arms and legs.

Two months after he was shot, Hamza is still in the intensive care unit at Al Shifa Hospital. His doctors say that he needs an advanced neurosurgical operation, which may help his spinal cord, but the treatment is not available locally in Gaza.

4 / 5

Noor-Edeen Abu-Baker is a 16-year-old boy, the eldest of six siblings. His family believes that he will be a famous football player one day, and do everything they can to support his passion for football.

On 1 June, Noor-Edeen joined the mass demonstrations. On this day, large numbers of people participated in the demonstration, giving Noor-Edeen hope that together, they might be able to end the blockade and he might be able to discover the world outside Gaza.

When live bullets and tear gas were aimed at the demonstrators, Noor-Edeen hid behind a rock, thinking that he would be out of sight and safe. But a soldier shot him with a live bullet that smashed his left shoulder and exited through his neck.

Noor-Edeen is now quadriplegic, paralyzed in both arms and legs, and depends on a ventilation machine to stay alive. His family is desperate. A month and a half ago, they believed their son would grow up to become famous football player, and are now struggling to accept that he is irreversibly paralyzed.

5 / 5

13-year-old Mohammed Abu-Hussain’s father was killed by an Israeli rocket fire during the 2006 war in Gaza. Mohammed lives with his mother and seven siblings. His mother is unemployed and the family depends on small allowances from his father’s retirement salary.

Mohammed’s younger brother was injured by a gunshot wound during the mass demonstration on 30 March. The bullet damaged a nerve in his leg, causing complete loss of sensation and a drop foot. Angry and frustrated, Mohammed decided to participate in the mass demonstration.

On 29 June, as Mohammed and his four friends joined the demonstration, he was shot in his right leg. The injury was critical, and the leg had to be amputated above the knee. Mohammed said, “If my dad was alive, he wouldn’t let the soldiers shoot me. I have asked my brothers to bury my leg by my dad’s grave”.

Mohammed’s older brother usually finds him in bed watching videos of people with artificial limbs playing football. His doctors say that he needs long term psychological treatment, rehabilitation and physiotherapy.

❮ ❯

Trauma stabilization points: key to optimized trauma care in Gaza

For the first time in Gaza, the Palestinian Ministry of Health, in collaboration with partners and with technical support from WHO, has established trauma stabilization points (TSPs) throughout the critical zones of Gaza in order to respond to the mass influx of casualties as a result of the ongoing violence. Five Ministry of Health TSPs and 5 Palestinian Red Crescent Society TSPs were established along the Gaza Strip, only minutes away from the border fence.

TSPs perform 2 main roles:

1. Triage, treatment and discharge of patients with minor injuries;

2. Triage, stabilization and referral of critical patients with life-threatening or limb-threatening injuries.

Both of these functions can substantially decrease the burden on referral hospitals.

1 / 14
A critically injured patient is taken from the point of injury to a TSP in Gaza.
Photo credits: WHO oPt
2 / 19
Airway management in a critically injured patient carried out at a TSP. TSPs across Gaza are providing life- and limb-saving interventions, as well as acting as a buffer zone to treat minor and mild injuries, thus reducing the burden on hospitals. Scarce hospital resources are being spared and patients are being given an increased chance of survival.
3 / 19
From 30 March to 19 May, a total of 4255 tear gas inhalation cases have been treated at TSPs, according to latest available figures from the Ministry of Health, reducing the burden already overloaded hospitals. At the onset of this initiative, TSPs in Gaza were staffed with primary health care physicians, nurses, and paramedics. Today, TSPs have been further capacitated to include surgeons and intensive care .
4 / 19
TSPs serve to triage and resuscitate patients. Once stabilized, seriously wounded patients are transported by ambulance from TSPs to hospitals in Gaza.
5 / 19
To ensure that patients have a better chance of survival from the point of injury, a total of 10 TSPs are currently operational in Gaza to receive critically injured patients, who arrive from the so-called points of injury. Depending on the severity of trauma and the capacity of the facilities, patients are rushed to the nearest TSP for treatment and stabilization.
6 / 19
TSPs in Gaza undertake the challenging task of the initial evaluation of patients who are critically injured critically from multiple traumas. TSPs are a special kind of emergency medical team (Type 1) where initial outpatient emergency care of injuries and other significant health care needs are provided. Key services include triage, first aid, stabilization, referral of severe trauma, non-trauma emergencies, and care for minor .
7 / 19
Medical teams at frontline TSPs throughout Gaza treat dozens of patients, many of whom are women and children.
8 / 19
Life-saving stabilization and emergency care is provided to Palestinians demonstrating near the security fence in Gaza. In essence, TSPs need to be established close to points where injuries are expected to ensure that life-threatening injuries can be dealt with in a timely and effective manner.
9 / 19
Doctors try to keep pace with the steady stream of injured arriving at TSPs in Gaza.
10 / 19
Doctors and nurses working in the TSPs close to the mass demonstrations have been affected by attacks on health care. From 30 March to 20 May, 245 health workers were affected by attacks, according to data provided by the Palestinian Ministry of Health, Palestinian Red Crescent Society, Palestinian Medical Relief Society and the Union of Health Work Committees.
11 / 19
Each TSP is equipped with beds, emergency equipment and surgical items, supported by doctors, nurses and paramedics.
12 / 19
Once severely injured patients are stabilized at a TSP, ambulances rush them to nearby hospitals for further treatment.
13 / 19
Since the start of demonstrations on 30 March, 40 ambulances have been damaged, according to data provided by the Palestinian Red Crescent Society, the Palestinian Medical Relief Society and the Ministry of Health in Gaza.
14 / 19
Since the start of the demonstrations on 30 March, a growing number of attacks on health facilities and health personnel working on the frontline in Gaza has been witnessed, which is affecting the ability to treat and save lives.
15 / 19
Demonstrators gather near the ambulances that assist the injured and transfer them from the point of injury to the TSPs.
16 / 19
A patient is referred from a TSP to Al Shifa hospital in Gaza. Ensuring timely referrals from TSPs to hospitals is critical to saving lives.
17 / 19
Al Awda hospital, Gaza. According to the Ministry of Health in Gaza, as of 22 May, there have been 1293 casualties with lower limb injuries.
18 / 19
Since 30 March to 26 May, a total of 6180 people had been treated at TSPs in Gaza, according to figures provided by the Ministry of Health.
19 / 19
TSPs provide crucial life- and limb-saving stopover interventions for those patients who would otherwise die on their way to hospitals.
❮ ❯

Information resources

How WHO supported Gaza in 2024
WHO’s response in the occupied Palestinian territory
April 2024 – December 2024
How WHO supported Gaza in 2024
WHO operational response and early recovery plan for the occupied Palestinian territory
2025
How WHO supported Gaza in 2024
How WHO supported Gaza in 2024
Environmental and Social Safeguards Management
Environmental and Social Safeguards Management
Environmental and Social Safeguards Management
Environmental and Social Safeguards Management - annex
Emergency situation reports
Gaza Hostilities 2023 - Emergency Situation Reports
images/stories/palestine/WHO_WHO_oPt_Operational_Plan_April_2024.pdf
WHO operational response plan: occupied Palestinian territory
April 2024 – December 2024
images/stories/palestine/WHO_oPT_Response_Report_March_2024.pdf
WHO’s response in the occupied Palestinian territory
October 2023 – March 2024
Stakeholder Engagement Plan (SEP)
Stakeholder Engagement Plan (SEP)
Environmental and Social Commitment Plan
Environmental and Social Commitment Plan
WHO Operational Response Plan occupied Palestinian territory
WHO Operational Response Plan occupied Palestinian territory
Multi-Country Funding Appeal: occupied Palestinian territory and Egypt, Lebanon, Syrian Arab Republic and Jordan
Multi-Country Funding Appeal: occupied Palestinian territory and Egypt, Lebanon, Syrian Arab Republic and Jordan
15 years of blockade and health in Gaza
Palestinian Voices, 2022–2023
15 years of blockade and health in Gaza
15 years of blockade and barriers of health access
15 years of blockade and health in Gaza
15 years of blockade and health in Gaza
COVID-19 situation reports
COVID-19 situation reports
COVID-19 weekly epidemiological bulletin
COVID-19 weekly epidemiological bulletin
Monthly report on health access in oPt
Monthly report on health access
Situation reports
Situation reports
Situation reports
2021 escalation of conflicts
Right to Health photo book: Palestinian voices
WHO publications
Health infographics
Infographics
Human stories
Human stories
Photo essays
Photo essays
Somalia EMHJ related articles
EMHJ related articles

Multimedia

WHO brings solar energy to Gaza

Powering health: WHO brings solar energy to the health sector in Gaza

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