Children hit hard as Gaza toll rises 
 By Heather Sharp 
BBC News, Jerusalem  

The pictures keep coming. The blood-spattered young faces, the glazed eyes, the 
limp small bodies.  
The latest figures from Palestinian health officials say 205 children
are among some 600 people who have died in the Gaza war. In the chaos,
there are no statistics for how many are among the at least 2,900
injured. 
As medics work flat out to save as many young lives as
they can, child psychiatrists in both Gaza and southern Israel fear
some children will never recover from the psychological damage done as
the bombs, shells and rockets fall. 
Dr Iyad Sarraj, director of the Gaza Community Mental
Health Programme, says "so many people" are telephoning his workers -
although the organisation's headquarters lies abandoned with shattered
windows and broken furniture after it was damaged in an Israeli air
strike. 
"It's really terrible for children here now," he says.
"I have been through so many of these kinds of things and this is the
worst." 
Long-term impact  
He talks of a boy he treated five years ago. Grappling in the dark
after his house was hit in an air strike on a Hamas militant next door,
he felt something wet. 
"He realised it was the flesh of his sister who was
blown into pieces. He was in such a state. He couldn't eat or smell
meat for three years after that. I am sure he will suffer some kind of
long-term psychological impact," Dr Sarraj says. 
"This sort of thing must be happening right now as we speak." 
He can barely leave his home for fear of the fighting, and has been
unable to visit the hospitals where he has watched television pictures
of traumatised, badly injured children arriving. 
"These children need help more than anyone. They look
frightened, horrified, bewildered. They need a lot of attention but
they can't receive it because their families are so terrified," he
says. 
But the effects of the war are plain even among his own family. 
His stepdaughter Nour Kharma, 14, barely spoke in the days immediately
after she heard her school friend and basketball partner, Christina, 15
had been killed in an Israeli airstrike. 
"She was in such turmoil, in a depressive mood, in
really bad shape. She was always in tears," he says. "In the end I
asked her to write about it." 
"[When I heard,] I threw the phone and started crying…"
Nour reads, in crisp English. "Her parents did the best they can do.
But it wasn't enough, so the result was dying. What if my parents can't
protect me…? Will I die too?" 
She weeps quietly on the other end of the phone. "I
feel very sad. I keep remembering her. I really miss her," she says
simply. 
Salwi Tibi of Save the Children, who lives in the north of Gaza City
close to some of the most intense ground clashes, has also been
monitoring the impact on children. 
She talks of a two-and-a-half year old boy from Beit
Lahiya, scene of heavy fighting, who was taken lifeless to the local
hospital. 
"He was not injured, his health was OK. The doctors
told me the child died because of the shock from the sound of the
shelling," she said. 
And she thinks her own daughter, Malak, 7, is typical of many children affected 
by the war. 
She began wetting her bed on the first day of the airstrikes. 
"Wherever I go she follows me - even to the bathroom. As soon as she
hears the shelling she puts her fingers and closes her eyes and shouts
"stop them, stop them," says Ms Tibi. 
"She can't sleep alone, she wants to sleep close to me and she puts her arms 
around my neck." 
"If I had a computer I would let her listen to music and play games so
she would forget, but there is no electricity, everything is silent, so
all she can hear is shelling and bombing." 
It is exactly these symptoms that are also prevalent among the children of 
Sderot. 
The Israeli town close to Gaza has been hit by many of the 10,000
Palestinian rockets fired into southern Israel over the past eight
years. 
Four people have been killed and 100 people injured in
the region since the start of the air campaign. No figures are
available for the number of children, although one victim was a baby
injured in the face. 
Dalia Yosef, a psychotherapist and Director of the
Resilience Centre, says her workload has increased with the rocket fire
in the run-up to and during the war. 
Any child under eight in the town has only known a life
with just 15 seconds to reach shelter whenever the warning siren
sounds. 
"He has experienced the world as not safe - his house
is not safe, his yard, his daycare centre is not safe… it influences
the whole circle of the child's life," she says. 
Yossi Haimov, 10, had gone out to play after school
with his eight-year-old sister when he was hit by a qassam rocket in
February 2008. 
"It splintered his hand and now he can't use it," his
father, Tashkent, said. "The bone was completely destroyed from the
shoulder down. Only half of his shoulder is still there." 
"He is definitely still traumatised," says Mr Haimov. 
Previously a keen footballer, Yossi is no longer always outside with his 
friends. 
"Now he's scared all the time… he's afraid to get hurt or get knocked
over. Sometimes he gets very upset and nervous and he has panic
attacks." 
Research from Sderot says about 30% of children there
show signs of Post Traumatic Stress Disorder; Mr Sarraj says about a
third of Gazan children are suffering from psychological symptoms that
needed intervention. 
"Your mind doesn't ask from where the stress is coming.
It doesn't matter if you live in Sderot, Gaza or in New York. This is
the reaction of the human," says Ms Yosef. 
Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/2/hi/middle_east/7814490.stm

Published: 2009/01/07 10:33:42 GMT

© BBC MMIX

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