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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.”

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AP honors Breanna Stewart as one of the top women’s college players during the Top 25 poll era

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AP honors Breanna Stewart as one of the top women’s college players during the Top 25 poll era

NEW YORK (AP) — The Associated Press honored Breanna Stewart before the New York Liberty’s game Tuesday night for being one of the greatest women’s college basketball players during the Top 25 poll era.

The AP celebrated the 50th anniversary of the women’s basketball poll last season. As part of it, a 13-member panel voted for the greatest college players of the past five decades. Stewart and Cheryl Miller were selected as the top players over the past 50 years.

The UConn great won four straight national championships and was selected as the Most Outstanding Player of the Final Four each time. She was presented with her trophy at center court by AP Global Sports Editor Josh Hoffner a few minutes before tipoff of the Liberty’s game against the Dallas Wings.

Miller accepted her trophy at the Final Four in Phoenix last April at the “The AP Top 25 Fan Poll Experience,” which was held at Arizona State’s First Amendment Forum in the Walter Cronkite School of Journalism and Mass Communication. Stewart couldn’t make that ceremony.

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WATCH: Mike Waltz tells Cuban delegation ‘this is not Havana’ during heated UN speech

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WATCH: Mike Waltz tells Cuban delegation ‘this is not Havana’ during heated UN speech

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Cuba’s foreign minister accused the United States of committing an “act of war” by restricting fuel shipments to the island Tuesday, prompting U.S. Ambassador to the United Nations Mike Waltz to deliver a forceful response blaming Cuba’s communist government for years of blackouts, repression and economic collapse.

The confrontation unfolded at the U.N. General Assembly one day after Cuba’s national electrical grid collapsed, leaving nearly 10 million people without power. It was the third nationwide grid failure this year and the eighth since October 2025, Reuters reported.

Cuban officials had restored electricity to parts of central Cuba and roughly one-third of Havana by Tuesday morning, although large areas remained offline or faced unstable service, according to Reuters.

CUBA PLUNGES INTO THIRD MAJOR BLACKOUT THIS YEAR AS POWER CRISIS WORSENS

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U.S. Ambassador to the United Nations Mike Waltz holds up a photograph of jailed Cuban dissidents during a General Assembly debate on the U.S. embargo against Cuba at U.N. headquarters in New York on July 7, 2026. (UNTV)

Cuban Foreign Minister Bruno Rodríguez told delegates that the Trump administration was carrying out a “multidimensional, non-conventional war” against Cuba that had grown “more cruel and ruthless in the last seven months.”

Rodríguez described U.S. efforts to restrict fuel deliveries as the imposition of “an energy collapse, equivalent to a naval blockade, which is an act of war,” according to a UNTV transcript.

Waltz rejected the claim that the United States had established a naval blockade around Cuba.

“There is no ring of Navy warships, U.S. Navy warships sitting around this island blocking trade or humanitarian aid going into Cuba,” Waltz said. “It’s fake. It’s false. It’s a lie. Period.”

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Waltz argued that the real embargo was the one Cuba’s government imposed on its own citizens.

HAVANA REGIME IN SUSPENSE AFTER CASTRO INDICTMENT WITH TRUMP PRESSURE ON, SAYS CUBAN-BORN GOP REP.

People walk on the street during a national electrical grid collapse, in Havana, Cuba, March 14, 2025. (Norlys Perez/Reuters)

“There’s a lot of talk today of an embargo. And indeed there is one,” he said. “It’s the embargo the Cuban regime mercilessly imposes on its own people decade after decade after decade.”

He called on Havana to “change your ways” and “turn the lights back on for your people,” while accusing Cuba’s leaders of ensuring that government compounds and propaganda operations had power even as families worried about spoiled food, hospitals losing electricity and phones running out of charge.

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Waltz noted that Tuesday’s meeting came days before the fifth anniversary of the July 11, 2021, demonstrations, when thousands of Cubans took to the streets amid shortages of food, medicine and electricity and demanded greater freedom.

As Waltz spoke, a member of the Cuban delegation pounded on the table, prompting the ambassador to respond.

“This is not Havana. This is the United States of America. This is the United Nations,” Waltz said. “And we will speak, we will be heard, and we will not be silenced like your own people. So, pound away.”

Waltz displayed photographs and read the names of several jailed Cuban artists, musicians and activists, including Luis Manuel Otero Alcántara, Maykel Castillo Pérez and Duannis Dabel León Taboada.

MILLIONS LOSE POWER ACROSS CUBA AS TRUMP SANCTIONS CONTINUE TO FUEL ONGOING ENERGY CRISIS

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Cuba’s Foreign Minister Bruno Rodriguez speaks during a news conference in Havana. (Reuters/Alexandre Meneghini)

“They’re not armed. They’re not violent,” Waltz said. “They carry flowers, and write poems and write music. And for that, the regime beats them, detains them and tries to break them.”

Waltz also said GAESA, Cuba’s military-run conglomerate, controls approximately half of the country’s economy and holds $18 billion in assets.

Reuters has reported that estimates of GAESA’s economic reach range from approximately 40% to 70%, while Cuban officials dispute the U.S. government’s $18 billion figure.

Waltz said that despite Cuba’s blockade claims, humanitarian assistance had recently arrived from countries including China, Russia, Mexico, Canada and Spain, as well as from the European Union and the United Nations.

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He also said the United States had provided more than $100 million in aid this year and approximately $500 million annually in commodities.

“The answer is simple: because blaming the United States is the only economic plan Havana has left,” Waltz said of Cuba’s decision to bring the issue before the General Assembly.

CUBA SAYS CIA CHIEF RATCLIFFE MET WITH OFFICIALS IN HAVANA AMID US TENSIONS

Protesters gather outside a Communist Party headquarters in Morón, Cuba, as a fire burns in the street during overnight unrest. Video obtained by Fox News Digital appeared to show demonstrators attempting to set fire to the building amid protests linked to widespread blackouts. (Reuters)

Before the wider debate, U.S. Representative for U.N. Management and Reform Jeffrey Bartos objected to reopening the agenda item and called for a vote on whether the proceedings should go forward.

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Bartos said the three-hour meeting would cost approximately $84,000, money he argued could instead provide food, emergency medical supplies and solar lanterns to Cuban families.

“Right now, Cuba is in darkness — again,” Bartos said. “I urge the Cuban regime: turn the lights back on for your people.”

Members of the Cuban delegation also interrupted Bartos several times by pounding on the table. Bartos at one point paused and responded, “Keep banging away. It’s very effective,” before continuing his remarks.

Bartos accused Havana of seeking “another propaganda clip” rather than solutions and pointed to what he said were more than 800 political prisoners held by the government.

Independent organizations have produced varying estimates. Human Rights Watch said in April that more than 700 people remained imprisoned for political reasons, while Prisoners Defenders reported more than 1,200 political prisoners in Cuba in the spring of 2026. Cuba denies holding anyone for political reasons.

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“That is the real Cuban embargo,” Bartos said. “It is the embargo the regime imposes on its own people: on speech, on faith, on enterprise, on dissent, on political rights and hope — and now, quite literally, on light.”

Rodríguez accused the U.S. delegation of offering “worn-out lies” and attempting to prevent the General Assembly from debating the effects of American policy.

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Jeff Bartos, U.S. Representative to the United Nations for Management and Reform, addresses a meeting of the Security Council at U.N. headquarters in New York City, Nov. 25, 2025. (Eduardo Munoz/Reuters)

Cuba’s electricity crisis has been driven by severe fuel shortages and an aging, poorly maintained power system that has struggled to meet demand. The Cuban government primarily blames U.S. restrictions, while Washington attributes the island’s broader economic crisis to communist economic policies, corruption and repression.

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Reuters contributed to this report.

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Russian missiles strike Ukraine’s capital, Kyiv, for third time in a week

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Russian missiles strike Ukraine’s capital, Kyiv, for third time in a week

DEVELOPING STORY,

The attacks have triggered fires in two districts of Kyiv, according to the city’s mayor.

Russian missile attacks have struck Kyiv in the third large-scale assault on the Ukrainian capital in less than a week.

Early on Wednesday, Kyiv Mayor Vitali Klitschko said in a statement on Telegram that the Russian strikes had triggered fires in two districts of the city.

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So far, two people have been injured, with one requiring treatment in hospital.

Earlier, on Tuesday, a Russian missile strike hit the southern port of Odesa injuring ten people, regional governor Oleh Kiper said. Eight were being treated in hospital.

Moscow also launched a large-scale attack on Kyiv on Monday, killing at least 14 people and damaging at least a dozen buildings.

Both Russia and Ukraine have recently expanded their use of long-range weapons, including missiles, marking a new front in Moscow’s four-year war.

Ukraine has focused its attacks on Russian energy facilities to weaken its war efforts.

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Ukraine said on Tuesday that its drones attacked a dozen tankers from Russia’s “shadow fleet” over the past two days that were delivering fuel to Moscow-occupied Crimea. Kyiv’s military said they had struck eight vessels subject to sanctions in the Sea of Azov, each with a deadweight of about 7,000 metric tonnes. Two more tankers were hit later in the day.

The Sea of Azov is a key supply route for Russian forces in Crimea and other occupied parts of southern Ukraine.

Russia annexed Crimea in 2014 – in a move that has been unrecognised internationally – eight years before launching its full-scale invasion of Ukraine.

Moscow has not publicly commented on this week’s attacks on Ukraine, which also included strikes on electrical substations, radar systems, and missile installations.

Attacks amid NATO Summit

The latest exchange of fire between Russia and Ukraine comes amid NATO’s annual summit, which began on Tuesday. The military alliance’s leaders have gathered in Turkiye’s capital, Ankara, for the two-day conference, where defence spending and Russia’s war on Ukraine are under discussion.

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NATO is expected to pledge further military support for Ukraine, as President Volodymyr Zelenskyy urges the alliance to step up aid for the country’s air defences following the deadly escalation of Russian attacks on Kyiv.

Zelenskyy – who has renewed his call for Ukraine to be allowed to join the alliance – wrote on social media on Tuesday that he had signed new agreements with Estonia, the Netherlands, and Denmark in Ankara.

The deals create “new opportunities for joint production, the development of innovative defense technologies, systematic exchange of expertise, and the export of Ukrainian battlefield-proven solutions”, he said.

Further agreements are expected with Germany, Norway, Finland, and Canada.

US President Donald Trump is also expected to meet Zelenskyy on the sidelines of the summit on Wednesday, having spoken with Russian President Vladimir Putin ahead of the NATO gathering.

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Asked about Russia’s war in Ukraine, Trump said he hoped it would be settled “soon”.

“I think they both want to make a deal,” Trump said.

“It’s too bad it took so long, but I think something’s going to come out.”

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