On Fri, Nov 1, 2024 at 11:38 AM Sharif Abdel Kouddous <
[email protected]> wrote:

> For the past 6 months, only 237 patients have been evacuated out of Gaza
> ͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>   ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
> ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>   ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
> ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>   ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
> ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>   ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
> ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>   ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
> ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>   ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
>     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏
> ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­͏     ­
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> for more
> Israel has all but ended medical evacuations from Gaza
> <https://substack.com/app-link/post?publication_id=2510348&post_id=151031562&utm_source=post-email-title&utm_campaign=email-post-title&isFreemail=true&r=1rz46e&token=eyJ1c2VyX2lkIjoxMDc0NTQxODIsInBvc3RfaWQiOjE1MTAzMTU2MiwiaWF0IjoxNzMwNDc1NTA1LCJleHAiOjE3MzMwNjc1MDUsImlzcyI6InB1Yi0yNTEwMzQ4Iiwic3ViIjoicG9zdC1yZWFjdGlvbiJ9.RQXqRffXfoIEXQHjNQ3DojY-86F6hpCVNsNcfoNFETM>For
> the past 6 months, only 237 patients have been evacuated out of Gaza
>
> Amba Guerguerian <https://substack.com/@guerguerianamba>
> Nov 1
> ∙
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> <https://substack.com/@guerguerianamba>
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>
> <https://substack.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.H8-tXp40ShVoJgFDM2RJyfDzaRjQZRezNIDI2LrZpcU?&utm_source=substack&utm_medium=email>
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> <https://open.substack.com/pub/dropsitenews/p/israel-medical-evacuation-gaza?utm_source=email&redirect=app-store&utm_campaign=email-read-in-app>
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> <https://substack.com/redirect/0ab9780b-20be-4258-91fa-5edd9c104924?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>A
> group of Palestinian children and patients waiting in Deir Al-Balah,
> central Gaza Strip, on July 28, 2024, for their medical evacuation to the
> United Arab Emirates. Photo by Majdi Fathi/NurPhoto via Getty Images.
>
> An increasing number of Palestinians in Gaza, including children, are
> dying as a result of Israel severely curtailing the number of medical
> evacuations it grants, according to the United Nations, international NGOs,
> the Palestinian ministry of health in Gaza, and grassroots aid groups.
>
> The UN estimates that some 14,000
> <https://substack.com/redirect/f40ccea8-6c60-428f-a8b4-00b8e9f753e4?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>
> patients, including 2,500 children, are currently in urgent need of medical
> evacuation. But over the past six months—since the Israeli military invaded
> Rafah and seized
> <https://substack.com/redirect/cb037047-65de-4c1f-8edc-05330bbc6d84?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>
> control of the Gaza side of the Rafah border crossing on May 7—only 237
> patients have been medically evacuated out of Gaza, a spokesperson for the
> World Health Organization told Drop Site News, 127 of them children. At
> that rate, it would take over 29 years for everyone seeking treatment
> abroad to be allowed out.
>
> From the beginning of the Israeli assault on Gaza in October 2023 through
> May 7, 2024, a total of 4,843 patients were medically evacuated, according
> <https://substack.com/redirect/07e975d4-9f1c-4c2b-9bc7-3f7676b5f91d?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>
> to WHO, a rate equivalent to around 690 patients a month, an inadequate
> number even then. Since the closure of the Rafah border crossing, the rate
> has dropped to the equivalent of around just 40 a month.
>
> The Coordinator of Government Activities in the Territories (COGAT), the
> branch of the Israeli military that oversees the West Bank and Gaza, has
> been denying patients in need of medical treatment abroad permission to
> evacuate on spurious security grounds. “The current obstacle is the
> security screening approval rate, which is currently less than 1 percent of
> submitted patients,” the WHO spokesperson said.
>
> Despite the fact that the United Arab Emirates, Turkey, the European Union
> <https://substack.com/redirect/cffab2c9-4738-497f-841a-cbdee8ecf365?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>,
> and, to a lesser degree, Jordan, are all open to receiving sick and wounded
> Palestinians from Gaza for treatment, “COGAT has been finding every single
> reason to deny these cases or delay the process,” an aid worker with a
> grassroots initiative that works on the ground in Gaza told Drop Site.
>
> Israel’s refusal to grant permissions for medical evacuations also extends
> to children. “Children in Gaza are dying—not just from the bombs, bullets
> and shells that strike them—but because, even when ‘miracles happen,’ even
> when the bombs go off and the homes collapse and the casualties mount, but
> the children survive, they are then prevented from leaving Gaza to receive
> the urgent care that would save their lives,” James Elder, the spokesperson
> for UNICEF said
> <https://substack.com/redirect/a772473a-7bce-4ba3-acf5-b3d82acdc4c8?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>
> at a press conference last week. “This is not a logistical problem—we have
> the ability to safely transport these children out of Gaza. It is not a
> capacity problem—indeed, we were evacuating children at higher numbers just
> months ago. It is simply a problem that is being completely disregarded."
>
> “This is not a logistical problem—we have the ability to safely transport
> these children out of Gaza.”
>
> From January 1 through May 7, an average of 296 children were being
> medically evacuated each month. Since the closing of the Rafah crossing,
> the number of children medically evacuated has decreased over tenfold — to
> just 22 per month. “That is, just 127 children — many suffering from head
> trauma, amputations, burns, cancer, and severe malnutrition — have been
> allowed to leave since Rafah closed,” Elder said. “When a patient is
> denied, there is nothing that can be done.”
>
> Because of this evacuation bottleneck, “we see many, many children dying,”
> said Mila, founder of Save Gaza’s Children, an NGO working on the ground to
> support the evacuation process and provide aid to people in Gaza. (Mila
> goes by her first name only for security reasons.) She recounted the case
> of a 13-year-old boy named Kareem Thabet whom the group was working to
> evacuate and who died on Oct. 10 while waiting for permission to travel for
> treatment to an explosive injury that resulted in 25 percent of his body
> being burned and both of his legs being amputated. “His house was bombed
> with white phosphorus. His father died immediately, and his pregnant mother
> was working to get Kareem evacuated. He died of sepsis,” Mila said, citing
> various other examples of children who have died waiting for evacuation
> permissions or are on the cusp of death.
>
> <https://substack.com/redirect/73e1de42-d648-4a53-b887-91c3b595d715?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>
>  Kareem
> Thabet in hospital in Gaza. October 2024. Photo courtesy of the family.
>
> <https://substack.com/redirect/2edab493-ab83-483b-a984-dbf9e1529ea2?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>
>  Burial
> of Kareem Thabet on October 10, 2024. Photo courtesy of the family.
>
> Over the past year, the health care system in Gaza has come under a direct
> and sustained assault by the Israeli military, with multiple hospitals
> being bombed, besieged, and invaded by Israeli forces; doctors arrested and
> killed; and severe restrictions on medicine and medical supplies allowed
> into Gaza. Over 101,000 people have been injured, with thousands more
> suffering from hunger, malnutrition and infectious disease as a result of
> Israel’s restrictions on humanitarian aid and destruction of civilian
> infrastructure. This week, an independent investigation by a UN Commission
> of Inquiry found that Israel is carrying out a “concerted policy” to
> destroy Gaza’s health system.
>
> Drop Site News is a reader-supported publication. To receive new posts and
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>
> *How Medical Evacuations Are Processed*
>
> Grassroots aid groups and NGOs like Save Gaza’s Children
> <https://substack.com/redirect/79231e6a-ce2b-4673-92f9-6cb4a4bd0c8b?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>,
> Human Concern International
> <https://substack.com/redirect/9f22cf0a-de78-4650-888d-d2fb81468b53?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>,
> The Sameer Project
> <https://substack.com/redirect/1674b68b-6dab-4ed1-bfca-32e1e1ef4320?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>,
> Heal Palestine
> <https://substack.com/redirect/4b541c2b-9763-47e8-98bc-c9318ebc15ca?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>
> and others have been working on the ground to assist in providing treatment
> as well as supporting the evacuation process. These groups are directed by
> people abroad working with Gazan doctors and aid workers on the ground who
> assist with obtaining evacuation referrals for patients and providing aid
> and medical care for them while they wait to potentially be evacuated. Once
> one of these groups has a list of people they believe qualify for
> evacuation, it sends each patient to a government hospital where a
> specialist reviews the patient’s case and sends the file to a committee
> that reviews it again and decides whether to make a referral. Gaza’s health
> ministry then files the referral with the WHO, which forwards it to COGAT
> for final approval.
>
> As it performs security checks on a patient, COGAT first investigates
> whether a first or second-degree family member has been in contact with a
> member of Hamas, according to Mila, overlooking the fact that, outside of
> its military wing, Hamas has deep political and social roots in Palestinian
> society in Gaza.
>
> COGAT is also frequently rejecting permissions for companions to travel
> alongside the sick and wounded being medically evacuated. “I’m hearing back
> from COGAT that for all 82 people on the list I recently submitted, every
> single companion was rejected. WHO is going to try and find new
> companions,” says Miriam Khan of Human Concern International
> <https://substack.com/redirect/9f22cf0a-de78-4650-888d-d2fb81468b53?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>,
> an NGO working to evacuate people from Gaza. Two of the rejected people on
> Khan’s list were patients themselves, a 4-year-old and a 5-year-old.
>
> Since May 7, COGAT has also complicated the evacuation process by
> frequently changing the rules regarding patients’ companions. “Previously
> WHO was able to send a second request when a mother was rejected,” says
> Mila. But now that’s not possible, she says, adding that “for a certain
> time they only allowed females over 50 [years old] to be companions.”
>
> COGAT can also pull a security clearance after initially granting it, even
> while patients are on the bus leaving Gaza.“WHO once tried to evacuate a
> very severely injured child from the north,” Mila told Drop Site. “They
> brought the child to the border, and the child was waiting for hours there,
> and then Israel rejected the evacuation of the child.”
>
> “COGAT has been rejecting mothers, and it’s been a common occurrence for
> the last few months where they’ve been rejecting mothers and stating that
> alternate companions must be provided,” said the head of a grassroots aid
> group that works on the ground in Gaza and who spoke on condition of
> anonymity. “In some instances there is no alternate companion,
> unfortunately. The mother may be the only companion a child has; they may
> have lost their whole family.”
>
> A 9-year-old boy named Yusuf al-Shurafa, who has two heart conditions, was
> initially approved for evacuation with his mother Hanan as his companion in
> March, but Hanan got hepatitis and couldn’t travel at that time. When the
> family applied again for evacuation in July, Yusuf was approved but Hanan
> was not. In order for Yusuf to get the live-saving care he needed, the
> family had to separate. “My heart ached with an intensity I had never
> experienced,” Hanan told Drop Site.
>
> Yusuf, his father Mustafa, and his two-year-old brother Bashir then
> evacuated to the UAE. Hanan, who was an English teacher before the
> genocide, was forced to stay in Gaza and is now working as a teacher at the
> Refaat Alareer camp.  “Yusuf has started his treatment, and Bashir is going
> to nursery, and Mustafa is trying to be the role of mother and father,”
> Hanan said. “Bashir is still very young and is struggling without me. He
> doesn't understand what is happening. He waits for me everyday. I am not
> myself anymore. I feel I am lost without them, and my mental health isn't
> good.”
>
> When the Rafah crossing closed, there were no medical evacuations for over
> two months, with the first patients being evacuated at the end of June,
> according to a WHO spokesperson. There have been a total of six group
> evacuations
> <https://substack.com/redirect/a0d6e3a6-bbaa-4965-aac2-7b973bb6141c?j=eyJ1IjoiMXJ6NDZlIn0.vwFUUWXitToCG6lkdgIOEZJA0yByKrMNCn3mtPeVIW4>
> since then, including one that had just three patients.
>
> Evacuations are now conducted through the Kerem Shalom crossing, where
> patients are then transported to the Ramon Airport in southern Israel to be
> flown to receiving countries. Yet the very notion of having to be medically
> evacuated in the context of the war on Gaza is in itself a form of forced
> displacement.
>
> “If the correct medical personnel were being allowed into Gaza and if the
> healthcare system was not collapsing, perhaps a lot of these people’s lives
> could be saved within Gaza without having to be evacuated,” said an aid
> worker with Human Concern International, a Canada-based charity that works
> on evacuations. “An evacuation is not something to be celebrating or to be
> proud of. It is part of the problem of displacing these families and these
> children. Once they travel abroad and their treatment concludes, what
> happens to them after? Where do they go?”
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