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How Israel destroyed Gaza’s health system ‘deliberately and methodically’

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How Israel destroyed Gaza’s health system ‘deliberately and methodically’

After the partial reopening of the Rafah crossing between Gaza and Egypt this week, the world’s attention turned to the process of allowing a small number of wounded and sick Palestinians out of the besieged territory.

But while these medical evacuations are necessary, advocates say, the core priority must be to rebuild the health system in Gaza, which has been ravaged by Israel’s genocidal war against Palestinians in the Strip.

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“The Israeli occupation has deliberately and methodically destroyed the health system,” Gaza Ministry of Health spokesperson Zaher al-Wahidi told Al Jazeera in a phone interview.

He outlined five key challenges the health system is facing after 28 months of blockade, bombardment and mass killings, which have not stopped after a United States-brokered “ceasefire” came into force in October: near absence of patient evacuations, lack of medical equipment, shortage of medication, destruction of facilities and need for medical workers.

He called on the “people of the free world and anyone who can lend a helping hand” to pressure Israel to fully open the Rafah crossing and allow medication and medical equipment into Gaza, as well as specialised teams to help healthcare workers.

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Yara Asi, a Palestinian-American public health expert at the University of Central Florida, said the needs of the devastated health system in Gaza have not changed since the “ceasefire” took effect.

“The problem is just not in the news as much now,” she told Al Jazeera, describing how Gaza’s health and humanitarian sector is a “victim” of the “short attention spans” of donors and international actors.

“The ceasefire took the throttle off,” Asi said.

“A lot of the same needs and conditions still exist. All those tens of thousands of people with injuries still have injuries.”

Lack of medicine

The devastation and lack of access to medical care have killed thousands of Palestinians, experts say.

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For example, there were 1,244 kidney patients in Gaza before the start of the war in October 2023. Now that number stands at 622, al-Wahidi said.

While 30 were documented to have been killed in direct Israeli attacks, al-Wahidi estimated that hundreds of others died from lack of access to dialysis services.

And the crisis is ongoing.

Despite the “ceasefire”, al-Wahidi said, thousands of people in Gaza are also at risk of dying due to shortages in medication.

“With medicine, the deficit has grown after the ‘ceasefire’. Although the number of injuries has gone down relatively, the lack of medicine has gotten worse, reaching 52 percent. This is a rate that we did not reach throughout the war,” al-Wahidi told Al Jazeera.

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The medicine deficit for chronic illnesses is at 62 percent, he added.

“That means 62 percent of people with chronic conditions are not able to take their medication regularly, which leads to deterioration in health, which leads to death,” al-Wahidi said.

There are 350,000 patients with chronic illnesses in Gaza, according to the Health Ministry.

Al-Wahidi said people with long-term illnesses need regular medical attention, tests and visits with physicians – services that were inaccessible throughout the war due to repeated displacement and Israeli attacks on medical centres.

“I don’t think any hypertension patient has been able to see a doctor regularly since the war started. And if they managed to get medical attention, we don’t have enough medication for everyone,” he said.

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According to the Gaza Government Media Office, Israeli attacks have put 22 hospitals in Gaza out of service and damaged 211 ambulances.

So, beyond equipment and doctors, the physical medical buildings in Gaza have also been severely damaged.

Al-Wahidi said there are no functioning hospitals left in northern Gaza. “People have to come to Gaza City, often on foot, walking several kilometres to reach al-Shifa Hospital or al-Ahli Hospital,” he said.

Medical evacuations crucial

Amid this widespread destruction, health advocates say restoring Gaza’s health system should go hand-in-hand with evacuating patients who need urgent care.

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Mohammed Tahir, a trauma surgeon who volunteered in Gaza during the war, described the situation of the health sector in the territory as “dire”.

“The hospitals in Gaza have been destroyed. Its doctors, its nurses have been killed, imprisoned, forced to flee,” he told Al Jazeera.

“The facilities are in squalor, really. There is a huge gap in terms of the surgical equipment required – the ICU facilities, the dialysis machines, the diagnostic devices there, the provision of medicines from antibiotics to painkillers to those required for managing chronic conditions.”

Israeli officials and US President Donald Trump have repeatedly expressed plans for removing all Palestinians from Gaza.

Tahir said while concerns about ethnic cleansing in Gaza are valid, medical evacuations are necessary to treat people who need specialised care and lessen the burden on the medical system.

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“What we want to do is to take these patients that need evacuation out of Gaza into other healthcare systems and create a method to repatriate them to Gaza,” he said.

Tahir stressed that transferring people with complex injuries and conditions would free up medical resources for routine healthcare services in the territory.

“That allows the people of Gaza to treat the normal, regular conditions,” he said. “People still walk in the streets. They fall over; they break their hip; they break their ankle; that needs treatment, and we need to empower them to manage these day-to-day conditions as well.”

Tarik Jasarevic, a spokesperson for the World Health Organization (WHO), said beyond Rafah, referral pathways must open from Gaza to Jerusalem, the occupied West Bank and across the world.

“What the focus should be now is to rebuild the health system inside Gaza, so we don’t rely so much on evacuations,” Jasarevic told Al Jazeera in a TV interview.

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‘De-healthification’ of Gaza

In addition to attacking hospitals across Gaza, Israeli forces regularly ordered the evacuation of medical centres and raided them under the unfounded claim that they were used as command centres by the Palestinian group Hamas.

Public health experts say a functioning medical system is more than a place where people can get treatment; it is a tenet of a viable society – and that is exactly what Israel tried to dismantle.

One of the acts that constitute a genocide, according to the 1948 United Nations Convention on the Prevention and Punishment of the Crime of Genocide, is deliberately inflicting on the targeted group “conditions of life calculated to bring about its physical destruction in whole or in part”.

Asi, the public health expert, pointed to footage of Israeli soldiers filming themselves smashing hospital equipment as further evidence that the systemic targeting of the health sector in Gaza was deliberate.

She said the Israeli campaign against the health system “should be, in and of itself, seen as part of the perpetuation of creating” conditions to destroy the Palestinian people.

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Asi added that researchers know from past conflicts that many people are pushed to leave their homes and neighbourhoods when the last clinic or hospital is closed.

“People know that they cannot live without healthcare. So it’s a tool of displacement. It’s a tool of ensuring that reconstruction, rebuilding people going back to certain areas is, if not impossible, much more difficult,” Asi said.

The Health Ministry’s al-Wahidi said the medical system in the territory served as a “safety valve” for the people throughout the war.

“In any area, people were finding safety in the functioning hospitals. The medical workers would remain until the last minute in the hospitals until they are forcibly removed or detained by Israeli forces,” he told Al Jazeera.

“So, attacking the hospitals and raiding them was a recipe for displacing people. The resilience of the hospitals became the resilience of the people. As long as the hospitals remained standing, the people remained in their land.”

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Layth Malhis, a Georgetown University graduate student, recently wrote a report for Al-Shabaka think tank on what he termed the “de-healthification” of Palestine – a longstanding Israeli policy intended to “render Palestinian life unhealable and perishable”.

Malhis told Al Jazeera the Israeli assault on healthcare workers – as symbols of knowledge and social mobility – aimed to psychologically and physically harm Palestinians in Gaza.

“What we saw in the genocide is that the Israelis have treated doctors and nurses and their institutions as combatants – because they understand that if you really want to eviscerate the Palestinians and remove them from their land, you have to get rid of the people that are keeping them alive and resistant and resilient,” he said.

Rebuilding

Despite the enormous challenges, al-Wahidi said, the health sector in Gaza is trying to recover.

“Under the current standards and data and circumstances, it all seems unmanageable, but we are still providing services to the best of our ability,” he said.

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Al-Wahidi said the Health Ministry is starting to restore medical buildings with local efforts and materials available on the market.

He added that officials are launching vaccination campaigns and opening new clinics while expanding services at the still-functioning hospitals daily.

“For the first time since the start of the war, we resumed open-heart surgeries at al-Quds Hospital. This is an achievement under these difficult conditions,” al-Wahidi said.

“We also activated childbirth services at 19 medical centres throughout the Gaza Strip. Humble efforts, but we are trying to rebuild the healthcare system with the resources available.”

Asi said Palestinian health workers embody the best of the profession, voicing disappointment that people in the global medical community have largely overlooked the plight of their peers in Gaza.

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“The health sector is such a microcosm of Palestinian resilience,” she said.

“It is beyond comprehension for most of us that we could ever go through those conditions and have the motivation to rebuild as they have when so many of their comrades have been killed, and the threat to them is still existent. I think it’s astounding. I think it’s incredible.”

World

Netflix Says No to Warner Bros. After Price War, Beltway Concerns

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Netflix Says No to Warner Bros. After Price War, Beltway Concerns

And just like that, Netflix has bowed out of its pursuit of Warner Bros. Discovery’s streaming and studio assets.

Late Thursday, the streaming colossus announced that it has decided against raising its $82.7 billion bid for a big chunk of the WBD properties, leaving Paramount Skydance with what amounts to the winning offer. Under Paramount’s latest revision to its original proposal, David Ellison’s media conglomerate will fork over some $111 billion for everything under the WBD tent, including the sports-heavy cable networks division.

Among the backers of Paramount’s $31 per share, all-cash bid are Bank of America Merrill Lynch, Citi and Apollo, which are providing a $57.5 billion debt commitment, and Ellison’s father/Oracle co-founder Larry Ellison, who has guaranteed a $45.7 billion equity commitment.

In a statement issued by co-CEOs Ted Sarandos and Greg Peters, Netflix noted that Paramount’s latest escalation made any further attempt to claim the WBD assets a bad bit of business. “The transaction we negotiated would have created shareholder value with a clear path to regulatory approval,” Sarandos and Peters wrote. “However, we’ve always been disciplined, and at the price required to match Paramount Skydance’s latest offer, the deal is no longer financially attractive, so we are declining to match the Paramount Skydance bid.”

Netflix went on to thank the WBD brass for “running a fair and rigorous process” before going on to characterize the assets as “a ‘nice to have’ at the right price, not a ‘must have’ at any price.”

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Meanwhile, as part of its sweetened offer, Paramount will foot the bill for the $2.8 billion termination fee WBD now owes Netflix.

Netflix’s announcement arrived just hours after Sarandos met with White House staffers to discuss his company’s bid for the WBD assets. President Donald Trump was not on hand for the meeting.

Paramount’s updated offer all but guarantees that it will walk away with the WBD spoils. While shareholders must vote to approve the deal, the amount of cash in play and the absence of a viable alternative suggest that the transaction will get the green flag.

Upon closing, the Paramount deal will bring CBS Sports and Turner Sports under one roof, thereby creating a massive rights portfolio that includes the NFL, NHL, Major League Baseball, college football, the Masters, the UFC and March Madness.

Uniting the rights to the marquee men’s college hoops tourney would effectively close the circle on the partnership forged in 2010 by former CBS Sports chairman Sean McManus and ex-Turner Sports president David Levy. After McManus determined that CBS could no longer afford to go it alone with its coverage of March Madness, the two execs hashed out a 14-year, $10.8 billion rights deal that would see the Turner networks share the burden—and the spoils—with CBS.

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Ten years ago, the two partners extended the deal through 2032, tacking on another eight years of Madness for an additional $8.8 billion.

Having been subjected to a Beltway cross-examination and at least one disapproving social media salvo by the president, Netflix may have come to the conclusion that the regulatory fix was in. Earlier this month, Sarandos was grilled by a Senate committee in an antitrust hearing that often teetered on the edge of the profoundly unserious. In one heated exchange, Sen. Josh Hawley (R-Mo.) asked why “so much of Netflix content for children promotes a transgender ideology?”

Hawley began his line of questioning by inquiring into relevant matters (labor concerns, theatrical windows), before veering into the culture war lane near the end of his allotted time. He concluded by expressing his concern that Sarandos and Netflix “don’t share my values or those of many other American parents,” a vibes-based assessment which the framers of the Sherman Act neglected to consider 136 years ago when they were going about the business of outlawing monopolistic practices.

Later in the hearing, Eric Schmitt, the junior senator from the Show Me State, told Sarandos that Netflix was responsible for creating the “wokest content in the history of the world.” Again, this was an antitrust hearing, not a meeting of a network standards and practices division.

Ellison turned down an invitation to testify at the hearing.

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Netflix’s decision to bow out of the running was made shortly after the WBD board determined that Paramount’s latest bid was the “superior” offer. Paramount’s strategy to usurp Netflix as the front runner was reinforced by an aggressive campaign to assure WBD shareholders that it has a far better shot at successfully negotiating any potential regulatory hurdles.

Misgivings about Netflix’s chances were further amplified last weekend when President Donald Trump made a dig at a Netflix board member.

Trump on Saturday took to Truth Social to demand that Netflix bounce Susan Rice from its board of directors “IMMEDIATELY, or pay the consequences.” A former Obama and Biden administration official, Rice poked the bear during a podcast appearance in which she insinuated that “it is not going to end well” for corporations and news organizations that “bent the knee” to Trump.

When asked by the BBC about Trump’s anti-Rice salvo, Sarandos tried to shrug the whole thing off, saying of the president, “He likes to do a lot of things on social media.” Sarandos went on to assert that the executive branch has no say in the matter, and while that may be accurate from a legal standpoint, the Netflix co-CEO may want to take a gander at the big pile of nothing that used to be the East Wing of the White House. Stranger things (sorry) have happened.

“This is a business deal. It’s not a political deal,” Sarandos said. “This deal is run by the Department of Justice in the U.S. and regulators throughout Europe and around the world.”

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The day after Sarandos brushed off Trump’s remarks, Paramount upped its offer to WBD to $31 a share, to be paid in all cash. This marked the 10th revision of Paramount’s original bid and included billions in additional financial incentives. Just hours after WBD acknowledged receipt of the beefed-up proposal, Ellison, the chairman and CEO of Paramount, attended the State of the Union Address as a guest of Sen. Lindsey Graham (R-SC).

The Justice Department, which just two weeks ago dismissed Gail Slater, the head of its antitrust division, is said to be looking into Paramount’s proposal. Under federal law, antitrust enforcers are at liberty to scuttle any deal that poses a threat to fair and competitive business practices.

On Wednesday, House Democrats petitioned U.S. Attorney General Pam Bondi to provide a full accounting of why the DOJ ousted Slater, noting that her ejection has left a “leadership vacuum” at a time when “the antitrust division is handling historic cases.” Signed by Jamie Raskin, the top Democrat on the House judiciary committee, and Jerry Nadler, a Democratic congressman from New York, the letter stated that Slater’s departure leaves the DOJ bereft of “any principled antitrust experts left to guard the antitrust division from [a] cascade of corruption.”

Hand-picked by Trump to lead the antitrust division, Slater was confirmed by the Senate last March by a 78-19 vote.

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Tour guide arrested after drawing stick figure on 4,000-year-old pyramid

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Tour guide arrested after drawing stick figure on 4,000-year-old pyramid

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An Egyptian tour guide was arrested after allegedly sketching a stick figure onto the side of the 4,000-year-old Pyramid of Unas while leading a group of tourists.

Video of the incident, which circulated widely on social media, shows the man leaning toward a lower section of the pyramid’s outer casing while tourists stand nearby listening. He is then seen attempting to wipe the markings away with his hand, though remnants remain visible in the footage.

In a post on X, Egypt’s Interior Ministry said the guide “damaged an antiquity by drawing on the outer casing of one of the pyramids” while explaining the site to tourists. Although the initial report mentioned the general Giza area.

The ministry said the investigation was launched after the video spread online, prompting an antiquities inspector to file a report with the Saqqara Tourism Police Station identifying the guide. Officials said the markings were later removed by specialists.

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An Egyptian tour guide was arrested after allegedly sketching a stick figure on the 4,000-year-old Pyramid of Unas in Saqqara, officials said. (Egyptian Ministry of Interior)

Authorities apprehended the suspect, who confessed to the act during questioning, according to the ministry.

“Legal measures have been taken,” the ministry added, noting that specialists have since removed the markings.

Local media outlets, citing the Interior Ministry’s investigation, identified the site as the Pyramid of Unas in the Saqqara necropolis south of Giza.

VANDALS HIT YOSEMITE NATIONAL PARK WITH GRAFFITI ON BOULDER, MORE

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An Egyptian tour guide was arrested after allegedly sketching a stick figure on the 4,000-year-old Pyramid of Unas in Saqqara, officials said. (Egyptian Ministry of Interior)

B.C. for the Pharaoh Unas, is historically significant for containing the earliest Pyramid Texts. These religious inscriptions consist of more than 200 spells carved into the pyramid’s interior walls, forming what scholars consider the oldest known collection of funerary texts.

ARCHAEOLOGISTS FIND 1,600-YEAR-OLD CHURCHES AND MURAL OF JESUS IN EGYPTIAN DESERT SETTLEMENT

An Egyptian tour guide was arrested after allegedly sketching a stick figure on the 4,000-year-old Pyramid of Unas in Saqqara, officials said. (Egyptian Ministry of Interior)

The pyramid is located within the vast Saqqara necropolis, part of ancient Memphis – Egypt’s first capital and now a UNESCO World Heritage Site that contains a sprawling complex of tombs, temples and pyramids.

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Egypt has increased enforcement and preservation efforts at archaeological sites in recent years as officials seek to protect ancient monuments that attract millions of visitors annually.

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Under Egypt’s Antiquities Protection Law, damaging actions such as writing on or damaging archaeological sites can carry prison sentences and fines, with the exact penalties varying by offense.

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Italy calls for suspension of EU carbon market

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Italy calls for suspension of EU carbon market

Italy’s Industry minister Adolfo Urso urged the European Union to suspend its carbon market until the bloc presents a revised proposal due this summer, citing the hardship faced by European businesses because of high power and carbon costs.

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The Emissions Trading System (ETS) is the bloc’s mechanism for making companies pay for their pollution, with the dual aim of reducing emissions and encouraging industry to invest in more sustainable alternatives.

In Europe, the ETS currently covers heavy industries, power plants as well as airlines and shipping. Additional sectors such as international aviation, landfills and incinerators will be included in the upcoming review by the European Commission.

But Urso said the ETS is to blame for Europe’s competitiveness problems because the bloc’s climate policy tool has a “perverse effect” and is preventing European companies from competing with China and the United States.

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“We are all aware that the mechanism of the ETS, as it is currently drafted, is only a tax, a tariff on the energy-intensive companies that struggle to remain competitive,” Urso told reporters on the sidelines of a gathering of industry ministers in Brussels on Thursday. “It is necessary – we are all aware – to review it in a substantive way.”

“To do this properly, it is necessary to suspend the ETS mechanism while awaiting a reform that must necessarily be comprehensive,” Urso added.

Urso added: “If we are in the face of the collapse of the European chemical industry and the crisis of European ideology, we cannot wait for the time of negotiations within the European Union to find a solution.”

The Italian minister said that in the meantime, “we are looking for an effective organic solution,” adding that he will ask the European Commission to suspend the ETS.

Italy’s plea joins that of industry leaders who have recently asked the EU to urgently act to reduce energy and carbon costs. German Chancellor Friedrich Merz has recently touted the same idea, driving down carbon market prices, only to backtrack on it a few days later.

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Nordic business leaders back ETS

In a letter sent to Commission President Ursula von der Leyen and EU Climate Commissioner Wopke Hoekstra, a group of Nordic industry associations representing Finland, Sweden, Denmark and Norway urged the EU to maintain the ETS, highlighting its role as a key European advantage and as a source of certainty for investments in clean technologies.

They backed the ETS as a “market-based and technology-neutral policy instrument” that helps reduce carbon dioxide emissions.

“Reforming the system must be done carefully, because it has such a significant impact on the economy and competitiveness, in addition to the climate,” the Nordic leaders suggested.

The four industry associations argued that future prosperity in the EU is linked to the ETS since its revenues can bring about decisive investments in clean energy production, critical infrastructure, electrification, and ultimately the decarbonisation of industry.

“Efficient use of the EU’s own resources is central to achieving almost all the Union’s major strategic aims, and these efforts require reliable access to both public and private financing,” reads the letter dated 23 February and seen by Euronews.

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Since its inception in 2005, the ETS has slashed emissions by 39%, with revenues exceeding €260 billion, according to the EU data.

Hindering technological innovation

Carlo Carraro, President Emeritus and Professor of Economics at Ca’ Foscari University of Venice, criticised the Italian government’s stance on the ETS, saying the attack risks weakening a policy that has proven effective in reducing emissions in regulated sectors.

“Innovation and competitiveness are now inextricably linked to decarbonisation,” Carraro said. “Hindering the transition exposes businesses to increasing technological and financial risks and makes the country less competitive”.

Similar thoughts were voiced by Chiara di Mambro, Director of Strategy Italy and Europe at the environmental think tank ECCO.

“Suspending the ETS as proposed today or subsidising gas, as envisaged in the Government’s recent decree, would move Italy in the opposite direction (higher energy prices): weakening the price signal, increasing market uncertainty, and ultimately delaying the transition away from expensive fossil fuels,” di Mambro said.

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Italy is already on track to overhaul its electricity market, which would strip carbon costs from power bills. Instead, Di Mambro suggests using fiscal revenues or dividends from energy companies to reduce the burden of levies on electricity bills.

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