The conflict in Gaza began on 7 th October 2023. As of the 10 th December 2024:
- 44,786 Palestinians in Gaza have been killed and 106,188 injured. Women and children, tragically, make up 70% of all those killed to date.
- Many people remain missing, presumably buried under the rubble, waiting for rescue or recovery.
- Heavy bombardments across Gaza from air, land and sea are ongoing, with intense ground operations and fighting between Israeli forces and Palestinian armed groups.
- Only 17 of 36 hospitals across Gaza are partially functional, and only eight of these can currently admit patients. Not a single hospital is fully functional and all health facilities are facing critical shortages of staff, fuel and medical supplies. Eight field hospitals are operational, providing some support to a fragmented and overwhelmed health care system.
- Only 57 of 132 primary health care clinics are even partially functional, because of damage or a lack of fuel and/or staff and/or drugs/supplies. This severely compromises access to health care for everyone, but particularly young children, pregnant and breastfeeding women, older persons, persons with disabilities and patients with non-communicable diseases (NCDs).
- There are an estimated 50,000 pregnant women in Gaza and more than 180 giving birth every day in the most appalling conditions; most without access to midwives, doctors or health care facilities. Maternal deaths, miscarriages and preterm births continue to rise, with conditions being particularly critical in besieged areas of the North Gaza governorate, where an estimated 1,720 pregnant women have remained largely cut off from essential aid for over two months.
- Fewer than 400 patients have been evacuated to receive life-saving medical treatment outside of Gaza over the past seven months; mainly children with cancer. About 14,000 patients with life-threatening conditions await approval to exit.
- A severe water shortage, consumption of contaminated water, massive overcrowding in shelters and breakdown of the vaccination programme have already resulted in a surge in communicable disease reports, with cases of diarrhoea, respiratory tract infections and hepatitis A rising rapidly, and the first case of polio in Gaza in 25 years now confirmed. There has also been a concerning increase in the number of cases of mumps and meningitis, with potentially devastating outbreaks of typhoid, cholera and measles anticipated.
- 1.8 million Palestinians have been displaced from their homes, fleeing to emergency shelters or the homes of family/friends, with many now displaced multiple times.
- Critical food shortages have created famine conditions across Gaza, especially in the north. The United Nations Children’s Fund (UNICEF) has reported a staggering and rapid rise in acute malnutrition levels among children, warning that "there is a high risk that malnutrition rates and deaths from starvation will continue to increase across the Gaza Strip in the absence of more humanitarian assistance and the restoration of essential services".
- Mains electricity has been unavailable since 11 th October 2023, with completely inadequate fuel supplies for emergency generators, even at hospitals.
- Since the start of the military operation in Rafah on the 7 th May 2024 and the closure of Rafah crossing, the already inadequate delivery/distribution of aid into Gaza has plummeted still further, with only a tiny fraction of the fuel, food, water and medical supplies needed getting in.
Our Immediate Objective:
- To help respond to the current emergency, getting surgical teams and life-saving equipment/supplies into Gaza as soon as possible. Our first team worked at the European hospital for two weeks from 27th December 2023, and we have deployed another six teams since then to the European and Nasser hospitals, both in Khan Younis. We have been able to support local colleagues, exhausted and fearful for their families, with the emergency surgical management of survivors of major trauma (predominantly blast and crush injuries), and the subsequent management of patients with complex limb injuries. So many of these patients have lost family members and have devastating, disabling wounds, requiring multiple operations and lifelong rehabilitation.
A Summary of Our Clinical Activity to Date:
Medium/Longer-Term Objectives:
- To continue regular missions and vital equipment procurement over the next year, with the focus changing post ceasefire from emergency care to longer-term reconstruction and rehabilitation.
- To continue support for the established adult/paediatric trauma and limb reconstruction services, to ensure resilience and robust succession planning.
To support our life-saving work please donate through the link above. Thank you.
