Unprecedented Humanitarian Crisis Unfolds at Nasser Medical Complex by Israeli Occupation Forces
In a shocking display of disregard for human life, the Israeli occupation has transformed the Nasser Medical Complex into a military barracks, rendering it non-operational and exacerbating an already dire humanitarian crisis. Medical staff, dedicated to saving lives, have been subjected to reprehensible treatment-bound for extended periods, physically assaulted, beaten, and stripped of their clothing within the confines of the maternity building.
Adding to the gravity of the situation, Israeli forces have arrested a staggering 70 healthcare professionals at the hospital, leaving a mere 25 staff members struggling to cope with cases requiring intensive clinical care. The arrest of the intensive care doctors further compounds the tragedy, leaving critical cases without proper medical oversight. Disturbingly, dozens of bedridden and helpless patients, already undergoing treatment, were forcibly removed from the complex, endangering their lives and well-being.
The appalling conditions are exacerbated by the intentional cutting off of electricity to Nasser Medical Complex for three days, resulting in the interruption of oxygen supply. Tragically, seven patients have already succumbed to the consequences, and there are fears for the lives of dozens currently in critical care. Moreover, the suspension of generators has left the complex without water, food, and hygiene, creating oppressive and unsafe conditions for the three women, one of whom is a doctor, who gave birth within its walls. As sewage water floods emergency departments, the Israeli occupation refusal to coordinate repairs further compounds the suffering. The international community is urged to condemn these reprehensible actions, as we hold the Israeli occupation fully responsible for the lives of medical teams and patients at Nasser Medical Complex.
The specialized delegation of the Palestinian Doctors Association returns from Gaza.
Thanks to God and with His help, the delegation of the Palestinian Doctors Association in Europe, safely returned on 2/5. The delegation entered the Gaza Strip on 23/1, in collaboration with the RAHMA Worldwide Foundation.
The team consisted of 22 doctors, including 12 doctors from the Palestinian Doctors Association in Europe with expertise in the following medical specialties: Professor in War Medicine, Emergency Medicine Specialist, Cardiovascular Surgeon, three specialists in Resuscitation and Intensive Care, Orthopedic Surgeon, Thoracic Surgeon, Pediatric Surgeon, Gynecological Surgeon, and an Intensive Care Nurse. The association equipped the delegation with various medical supplies and equipment, enabling them to perform all the surgical operations needed by the patients.
Several doctors conducted field visits to the medical Clinic affiliated with the association, assessing their needs and discussing ways to improve their workflow under these difficult conditions.
In this context, we affirm that the Palmed Europe will continue to send medical delegations to support our fellow doctors and healthcare workers in the Gaza and to treat the injuries of our afflicted people.
Beneficiary Category: Residents of Rafah Governorate, currently estimated at approximately 1.5 million people
Health Situation in the Project Area:
Since the beginning of the Zionist aggression on the Gaza Strip 119 days ago, the enemy has pursued a policy of forced displacement of the population towards Gaza’s southern governorates through various means. This includes murdering the health personnel in the northern Gaza Strip and directly targeting hospitals and health centres. With the onset of the attack on Khan Yunis Governorate in the southern Gaza Strip about a month and a half ago, most of its residents have fled it, including those who fled from Gaza and the North, towards Rafah Governorate. This led to an increase in Rafah’s population to about 5 times its original number, making the health situation in the governorate catastrophic and complex, particularly given the lack of human, medical, and logistical resources.
The latest statistics indicate the presence of more than 50,000 pregnant women in shelter centres in the Gaza Strip, with a daily birth rate of about 180 cases. The vast majority of the pregnant women suffer from malnutrition and general health problems due to the harsh conditions they experience in the shelter centres, whether in shelter schools or tents. There is no health facility in Rafah Governorate that provides women and maternity medical services except for the Emirati Hospital, which cannot cover the large number of daily cases. Statistics also indicate the presence of more than 60,000 breastfeeding women in shelter centres at the moment who are in need of immediate life-saving preventive, therapeutic, and nutritional interventions.
The Kuwaiti Specialised Hospital is deemed the most important charitable hospital that provides health services to citizens, alongside the only government hospital in Rafah Governorate. The geographic presence of the Kuwaiti Hospital in the heart of Rafah Governorate has strengthened its role, therefore placing on it the burden of providing medical services and healthcare for most of the population and displaced people in the governorate. This prompted the hospital management to take several steps, adopt necessary plans to address this crisis, and attempt to address its future consequences. One of these steps is to provide women and maternity services in the hospital.
Project Idea:
This project aims to provide women and maternity services to citizens and displaced women in Rafah Governorate. The hospital has a designated space for such a section, but it requires rehabilitation, including internal doors, windows, lighting, sanitary tools, painting, curtains, and false ceilings.
Objectives:
Contribute to providing medical services to the residents of Rafah Governorate and those displaced to it at the appropriate time and place.
Contribute to providing healthcare services to women in general and pregnant women in particular.
Contribute to providing maternity services in suitable medical conditions.
Project Justifications:
The significant emergency increase in the population of Rafah Governorate due to waves of forced migration and displacement.
The presence of more than 50,000 pregnant women in shelter centres in the Gaza Strip, with over 180 childbirth cases daily.
Most women, especially pregnant ones, suffer from malnutrition and other health effects due to the difficult conditions they experience in shelter centres and displacement camps.
Project Outcomes:
Equipped delivery room with a capacity of 2 beds.
Two postnatal care rooms, each with a capacity of 4 beds.
Obstetrician’s room and midwives’ room
Two equipped bathrooms for bathing.
Positive Impacts of the Project:
Enhancement of public health among citizens and displaced women in Rafah Governorate.
Reduction of the spread of diseases, epidemics, and postpartum complications among women.
Preservation of women’s dignity by receiving them in places suitable for providing various medical services.
PalMed Europe and David Nott Foundation Doctors upskilling to help Gaza( HEST Course)
Doctors from around the world are upskilling to save the lives of those injured in the conflict in Gaza on a special course organised by PalMed Uk, led by David Nott Foundation team and hosted by the University of Bolton. The PalMed train doctors to go and work in Gaza for four days of training, led by the David Nott Foundation.
PalMed identified the doctors, whilst the foundation provided the training, which will prepare the doctors to head to the Gaza strip in Palestine to assist with saving the lives of thousands of injured civilians.
During the course, doctors from different countries and hospitals learn every field of trauma surgery including neuro, cardiovascular, abdominal, paediatric, obstetrics and gynaecology and anaesthesia, using cutting-edge teaching tools that were made by designers, in collaboration with the charity’s co-founder, renowned war surgeon Professor David Nott.
Doctors practice their techniques on Heston, a one-of-a-kind human war wound simulator, 3D-printed kidneys, silicone hearts, blood vessels, tracheas, and additional teaching models.
The training demonstrates how to deal with trauma caused in war zones, which can include anything from bomb blast and gunshot wounds to severe crush injuries caused by collapsing buildings.
One of the reasons behind the upskilling of doctors is that many are specialised doctors not equipped with dealing with the type of injuries patients may have in a war zone.
On Friday (February 2) 35 surgeons were being trained to offer their services to charities that are going into Gaza, and six anaesthetists.
More than 27,000 people have been killed and 66,000 wounded by Israel’s invasion in Gaza, the Palestinian health ministry said on Thursday.
Dr Riyadh Almasharqah: Plastic surgeon and CEO of PalMed Europe, has worked in various regional plastic surgery and burn units across the UK and abroad.
Dr Almasharqah’s says this course is vital and need more urgent than ever.
He said: “We are grateful to the people of Bolton, the University of Bolton, and the whole community who offered great support to this course. “This is the second course, with the first course being in December. and many people from the first course are already in Gaza and they provided a lot of help there. and they’re feedback about the information they got from this course has been great. So, this encouraged us to do the second course, and hopefully we will continue to do that in the future.
“It’s a really unique course. As a doctor, I have attended many courses before, but this is really structured and organised to cover all emergency aspects in every speciality’’.
“What we can see from what is happening in Gaza is that the magnitude of the need is so high. It’s beyond imagination, people are suffering a lot. The injured people are suffering, and so are the people who are displaced because they are living in shelters without food unfortunately, and no electricity, no water, and of course all of the health sector has collapsed, and kids are suffering from malnutrition, and even the elderly people’’.
“According to estimations, there are more than 40,000 women who are pregnant about to deliver and there are no proper facilities for any doctors to do any antenatal care. And for this purpose, we managed to expand a small hospital in north Rafah in Palestine. In addition to other work we did like sending the delegations and doing a mobile clinic for the displaced people.”
Chief operating officer of The David Nott Foundation Tim Law said:
“As a charity, we were about to go to Gaza in October when the news obviously broke on October 7, and the whole world has seen what’s happened since then. “But we are keen to continue to support the Palestinian people, as we are any person that is affected by conflict or other disasters.”
Tim From David Nott Foundation said: “We train medical professionals so that they can operate effectively in war zones and help patient outcomes – that is the job of our charity. “Now, if you think about most surgery, it can be very specific. So, you might train as a cardiovascular surgeon, and all you do is work on the heart and that system. But, when it comes to war you might find that you’re the only surgeon in the hospital, and there are people presenting with multiple wounds, blasts fragmentation, or all sorts of things like that, and our job is to basically help surgeons who are perhaps quite specialised, become generalists and are then able to deal with the challenges that these sort of environments present. We have some of our doctors who are on the faculty who have travelled to Gaza, who said that the people that don’t really have this grasp of the whole system of surgery are not as well able to meet the challenges that are presented to them, so in many ways, we are certain that this is the best training that you can get. And we feel that we’re backed up in that with the amount of demand there is for our courses.”
Tim added: “Many of our faculty are ex-military, so they’ve got experience of Iraq, Afghanistan, and places like that, so they know what it’s like to be in places where resources that you would have in an NHS hospital in the UK aren’t available to you.
In December, other facilities in Bolton were used by the foundation and PalMed to upskill 42 doctors, many of whom already in Gaza or planning to travel to Palestine to offer their help.
The foundation also delivered a surgical training course in Ramallah, Palestine, last July to empower doctors from across the region, and the team were due to train in Gaza in October before the war started.
Expansion Project of the Emergency and Ambulance Department at Kuwait Specialized Hospital
Gaza Strip – Rafah
Health Situation in Project Area:
Since the onset of the Zionist aggression on the Gaza Strip 100 days ago, the Zionist enemy has pursued a policy of forced displacement of the population towards the southern provinces of the Gaza Strip through various means, including the elimination of health facilities in the northern Gaza Strip and the direct targeting of hospitals and health centres. With the commencement of the attack on Khan Yunis and Central governorates in the south of the Strip over a month ago, most residents of the two governorates, as well as those displaced from Gaza and the north, have been forcefully displaced towards Rafah governorate. It has now become the largest population centre in the Gaza Strip due to its significant influx of displaced individuals. Statistics indicate that its population has reached approximately 1.3 million people, nearly four times its normal population. Consequently, the health situation in the governorate has become disastrous and complex, given the lack of human, medical, and logistical resources.
The Kuwaiti Specialised Hospital is deemed the most significant charitable hospital that provides healthcare services to citizens, alongside the only government hospital in Rafah governorate, due to the significant increase in the number of martyrs and casualties. Thus, there is an urgent need to increase the Hospital’s capacity to cope with the crisis resulting from the ongoing aggression as well as due to the congregation of most of the Strip’s citizens within its walls. Therefore, the proposal is to establish a field hospital attached to the Kuwaiti hospital to alleviate the immense pressure on its various departments.
Objectives:
Contribute towards providing medical services to the residents of Rafah governorate and those displaced to the area at the appropriate time and location.
Contribute towards addressing the significant pressure resulting from the increasing number of cases daily received by the hospital.
Contribute towards expanding the capacity of hospital departments experiencing high volume of cases.
Provide new equipped spaces to receive and handle medical cases using appropriate medical methods.
Project Justifications:
The urgent and significant increase in the population of Rafah governorate due to waves of forced displacement of residents.
The substantial increase in the number of cases received by the Hospital every day.
The urgent need to operate at maximum capacity around the clock, requiring the provision of new spaces equipped with all necessary resources, in addition to the existing spaces.
Project Components:
Medical tents (3), each tent accommodating (12) beds.
Project Outputs:
A field hospital attached to the Kuwaiti Specialised Hospital with a total area of approximately 180 square meters.
Increasing the Hospital’s bed capacity by (36) additional beds (3 tents * 12 beds per tent).
Positive Impact of the Project:
Enhancement of public health among citizens and displaced individuals.
Reduction of the spread of diseases and epidemics, especially given the severe congestion and crowding of citizens in the Rafah governorate.
Preserving the dignity of citizens by receiving them in places suitable for providing various medical services.
Hostile Environment Surgical and Anaesthetic Training (HEST)
In collaboration between the Palestinian Doctors Association and the David Nott Foundation, we aim to train and qualify more than 100 doctors who wish to contribute to providing relief to our people affected by the ravages of war in the besieged Gaza Strip.
Hostile Environment Surgical and Anaesthetic Training (HEST)
Developed and led by David Nott, this course is designed to enhance the skills of surgeons and anesthetists, better preparing them for the daily challenges they face in war zones and disaster-stricken areas. It also aims to assist doctors traveling to such regions.
The course equips doctors with the necessary skills to make rapid, critical decisions while preserving medical resources. It covers a range of surgical procedures and addresses common emergencies during disasters and wars, characterized by equipment shortages and a high volume of medical cases requiring urgent interventions to save lives.
Given that working in crisis zones often rules out cadaveric teaching, the HEST course relies on practical exercises, including suturing prosthetic organs and blood vessels, as well as demonstrations on our specially designed full-body simulator. We also simulate mass casualty scenarios, training our surgeons in the decision-making skills needed to prioritize patients and save lives.
The course focuses on cases associated with wars and disasters, ranging from gunshot and explosive injuries to violent injuries resulting from building collapses and fires. It also covers post-disaster procedures, including skin flaps and grafts, as well as the management of orthopedic fractures using external fixation and amputation cases.
During the course, doctors learn how to make decisions and manage emergency cases related to obstetrics and childbirth, including postpartum hemorrhage and cesarean sections.
The course spans a full four days, during which doctors can expect to cover the following specialties:
Primary and secondary survey, Damage control, Ballistics. Cardiothoracic trauma. Vascular surgery, Head and neck trauma, Paediatric surgery, Abdominal trauma, Orthopaedic surgery, Plastic surgery, Trauma in obstetrics and gynaecology.
Launch of Mobile Medical Clinics and Centres for The Palestinian Doctors Association in Europe to Serve Gaza.
Given the immense destruction caused by the recent aggression on Gaza, with a significant number of hospitals and health centres being destroyed and over 36 centres and hospitals rendered completely out of service, the idea of establishing mobile medical clinics plays a crucial role in providing healthcare services to the displaced. Due to the difficulty of transporting citizens to hospitals and the lack of transportation means, this project is considered a beacon of hope for our people in the besieged region. The mobile medical clinic consists of two doctors, two nurses, a paramedic, and an ambulance driver to provide appropriate treatment for 20 days each month.
This project aims to establish 40 medical points and mobile clinics, offering care to approximately two hundred thousand displaced individuals, with services reaching small communities as needed. The clinics are expected to accommodate nearly four hundred patients per day.
These objectives are designed to address the immediate health needs of displaced communities, aiming to provide essential healthcare services, minimize the risk of disease transmission, and enhance the overall well-being and safety of the displaced population. Additionally, the project aims to showcase its work through informational videos and extend its reach by establishing the Mobile health clinics and medical centres.
The project urgently requires support to provide healthcare and prevent the spread of infectious diseases within the shelter centre, especially in the challenging conditions our people are facing as winter sets in.
Project Goals:-
Main Objective:
Contribute to improving the health conditions of displaced populations within shelter centers.
Subsidiary Objectives:
Ensure the provision of healthcare services to displaced individuals within shelter centers.
Prevent the spread of diseases and epidemics.
Safeguard the well-being of displaced individuals and alleviate financial burdens.
Produce introductory videos about the mobile clinics and their operations during the first month – Gaza.
The United Kingdom Clinics
The Sweden Clinics
The Turkey Clinics
The France Clinics
In this context, we affirm that as a collective, we remain fully prepared to meet the health needs of our people, supporting their resilience. We will continue to work and collaborate with international and local institutions for this purpose.
