Killing of journalists in Gaza hospital attack ‘should shock the world’: UN rights office

OHCHR Spokesperson Thameen Al-Kheetan said condemnation of the two strikes by Israeli forces on the Nasser Hospital in Khan Younis now needs to be channelled into a demand for accountability and justice for all those killed.

At least 20 died, including four health workers and five journalists, later named as Ahed Abu Aziz, Hussam al-Masri, Mariam Dagga, Mohammed Salama and Moaz Abu Taha. They worked for outlets including Middle East Eye, the Associated Press, Al Jazeera and Reuters.

Two strikes

Video taken at the scene shows a second strike apparently targeting rescuers who had arrived at the scene of the initial attack on southern Gaza’s largest medical facility on Monday.

“We know that one of the five journalists appears to have been killed in the first air strike while three others including the women journalist appear to have been killed in the second air strike. This is a shock and this is unacceptable,” said Mr. Al-Kheetan.

“At least 247 Palestinian journalists have been killed in Gaza since the 7th of October 2023,” he continued.

“These journalists are the eyes and the ears of the whole world and they must be protected…This raises many, many questions about the targeting of journalists and all of these incidents must absolutely be investigated and those responsible must be held accountable.

He added that OHCHR was continuing to corroborate the factual details of Monday’s strikes, adding that targeting journalists as well as hospitals is forbidden under international law.

The head of UN cultural agency, UNESCO – which advocates for press freedom and journalists’ safety – also condemned the killings, reiterating her call to respect UN Security Council resolution 2222, unanimously adopted in 2015 on the protection of journalists, media professionals and associated personnel as civilians in situations of conflict.

Audrey Azoulay said UNESCO is providing emergency assistance to journalists in the Gaza Strip, including psychosocial assistance, access to working equipment, and capacity-building

Investigations must ‘yield results’

Israeli Prime Minister Benjamin Netanyahu responded to the killings expressing regret, describing the incident as a “tragic mishap”. He said the Israeli military would carry out “a thorough investigation.”

The OHCHR spokesperson told journalists in Geneva that Israeli authorities had carried out investigations in the past, as the occupying power.

“But these investigations need to yield results. There needs to be justice. We haven’t seen results or accountability measures yet,” he said.

More to follow…

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Gaza: UN calls for probe following deadly strikes on Nasser Hospital

At least 20 people were killed, including four health workers and five journalists, WHO Director-General Tedros Adhanom Gebreyesus said in a tweet.

Fifty other people were injured, including critically ill patients who were already receiving care.

Healthcare under attack

While people in Gaza are being starved, their already limited access to healthcare is being further crippled by repeated attacks,” Tedros remarked.

“We cannot say it loudly enough: STOP attacks on healthcare. Ceasefire now.”

He said the hospital’s main building, which houses the emergency department, inpatient ward, and surgical unit, was hit. 

The strikes also damaged the emergency staircase.

Global indifference and inaction

The head of UN Palestine refugee agency UNRWA also took to social media in the wake of the news.

Silencing the last remaining voices reporting about children dying silently and famine with the world’s indifference and inaction is shocking,” said Commissioner-General Philippe Lazzarini.

He called for compassion to prevail, saying “let us undo this manmade famine by opening the gates without restrictions, ⁠protecting journalists and humanitarian and health workers,” stressing the need for political will now.

The UN recently noted that more than 240 journalists have been killed in Gaza since the war began nearly two years ago following deadly Hamas-led attacks on Israel. 

Roughly 1,200 people were killed and 250 hostages were taken to the enclave, some of whom remain in captivity.

Guterres calls for investigation

UN Secretary-General António Guterres strongly condemned the deadly airstrikes and called for a prompt and impartial investigation.

These latest horrific killings highlight the extreme risks that medical personnel and journalists face as they carry out their vital work amid this brutal conflict,” UN Spokesman Stéphane Dujarric said in a statement. 

The UN Office for the Coordination of Humanitarian Affairs (OCHA) said that among the reporters killed was female journalist Mariam Abu Dagga who partnered with the agency last year on a photo essay depicting the dire situation in Gaza.

The Secretary-General reiterated that medical personnel and journalists must be able to perform their essential duties without interference, intimidation, or harm, in full accordance with international humanitarian law. 

He also renewed his call for an immediate and permanent ceasefire in Gaza, unfettered humanitarian access across the enclave, and the immediate and unconditional release of all hostages.

The Israeli Prime Minister’s office issued a statement later in the day saying the Government “deeply regrets the tragic mishap” which occurred at the Nasser Hospital. 

Famine spreading

The number of deaths in Gaza has surpassed 61,000, according to the local health authorities.

Last week, food security experts confirmed that famine has taken root in Gaza Governorate, projecting that it will spread. 

The Gaza Ministry of Health said on Tuesday that 11 people have died from malnutrition and starvation in the past 24 hours, bringing the overall total to 300.

Displacement deepens

Meanwhile, people across the enclave continue to be displaced while seeking safety and shelter.  

Humanitarians said that between 20 and 24 August, some 5,000 people are estimated to have been displaced from northern Gaza to Deir Al-Balah and Khan Younis. Roughly 8,000 more have been displaced to the west of Gaza City. 

Overall, new displacements have surpassed 800,000 since the end of the ceasefire in mid-March. 

Obstructions to aid delivery

At the same time, aid convoys in Gaza continue to face delays, movement obstructions and other challenges. 

On Sunday, only seven out of 15 humanitarian missions that required coordination with Israel were facilitated, including the collection of fuel from the Kerem Shalom border crossing for distribution to areas where it is needed most. 

“Four missions had to be either cancelled by the organisers or were denied outright by Israeli authorities,” OCHA said.

“The remaining ones were initially approved but then impeded on the ground and only partially accomplished, including the collection of food and vaccines from the crossings.”

Education on hold

As children around the world start heading back to school, their counterparts in Gaza continue to miss out on education.

Several education facilities that are being used as shelters for displaced people were attacked last week, according to aid partners.

“With local authorities announcing that final exams for over 35,000 high school students are due to be held in two weeks, the UN and its partners reiterate their call for the protection of education facilities in accordance with international law,” OCHA said. 

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Gaza crisis deepens as UN warns children are ‘dying before reaching hospital’

With 96 per cent of households lacking clean water, many malnourished children are not surviving long enough to receive hospital care.

James Elder, Spokesperson for the UN Children’s Fund (UNICEF), told at a news briefing in Geneva that it would be a mistake to assume the situation is improving.

There’s a sense through the world’s press that things are improving,” he said. “But unless there is sustained humanitarian aid…there will be horrific results.

He emphasised the scale of need: “When food comes in which supports 30,000 children, there are still 970,000 children not getting enough. It is a drop in the ocean.”

Aid still a trickle

The UN relief coordination office, OCHA, said that although unilateral pauses have allowed some aid into Gaza, the current trickle is vastly insufficient.

“There should be hundreds and hundreds of trucks entering Gaza every day, for months or years to come,” said Jens Laerke, OCHA spokesperson. “People are dying every day. This is a crisis, on the brink of famine.

Thousands of tons of pre-funded aid remain stuck just outside the enclave, he added, as bureaucratic delays and lack of safe access continue to block distribution.

Urgent scale-up needed

In New York, UN Deputy Spokesperson Farhan Haq also noted the impediments to bringing in and distributing sufficient aid.

“Massive food shortages continue to impact people’s chances for survival,” he said. “As malnutrition levels rise, children’s immune systems are weakened, hindering their development and growth far into the future.”

Last Thursday alone, 71 kitchens delivered over 270,000 hot meals across Gaza, including 10,000 to health facilities. But that figure falls far short of what’s needed to feed more than two million people.

We need an urgent scale-up of supplies, as well as an environment that allows humanitarians to reach people in need safely, rapidly and efficiently,” Mr. Haq added.

Health challenges continue

Some medicine has entered Gaza in recent days, but supplies remain limited. Health workers continue to operate under extreme pressure and shortages.

The World Health Organization (WHO) reported 46 cases of Guillain-Barré syndrome in July, including two deaths. The condition, which affects the nervous system, has been linked to compromised immunity, poor nutrition and hygiene-related infections.

The situation of pregnant women and nursing mothers is equally alarming. The UN reproductive health agency, UNFPA, said that 40 per cent of pregnant or breastfeeding women are suffering from severe malnutrition, with newborn deaths and stillbirths on the rise.

Meanwhile, three UN fuel tankers reached Gaza City on Monday. The fuel will power critical health, water and sanitation services, but OCHA stressed this only allows operations to run at “bare minimum” capacity.

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UN aid office denounces attacks on Gaza hospital

OCHA reported that hostilities intensified overnight, with an attack by Israeli forces on the European Gaza Hospital in Khan Younis which killed and injured several people. 

A team from the World Health Organization (WHO) was also inside the hospital at the time.

The hospital premises were hit again on Wednesday morning, reportedly leading to additional casualties.

A ‘decimated’ health system

“These attacks not only further degrade Gaza’s already decimated healthcare system, but also further traumatize patients and medical staff at these facilities,” OCHA said.

The UN Office has documented at least 686 attacks impacting healthcare in the Gaza Strip since war erupted in October 2023, following the deadly Hamas-led attacks on Israel.

OCHA said escalating military activities and increasing explosive ordnance contamination are heightening safety risks for civilians, including aid workers, before stressing once again that civilians and healthcare facilities must always be protected.

First responders in northern Gaza reported that at least 80 people had been killed in the past day following Israeli strikes, including around 50 who died when homes were struck in northern Jabalia.

More displacement orders

Meanwhile, Israel has issued two new displacement orders in North Gaza since Tuesday night, following Palestinian rocket fire.  

Eight neighbourhoods have been affected and humanitarians have already observed some fleeing in search of relative safety.

More than 436,000 people are estimated to have been displaced to various areas of Gaza since 18 March.

Whether they leave or stay, civilians must be able to access the essentials for their survival,” OCHA said.

© UNICEF/Mohammed Nateel

Displaced child in Gaza City

End aid blockade

The agency also continues to call for the immediate lifting of the blockade of Gaza. No cargo, including aid, has entered for more than 70 days.

The humanitarian situation is deteriorating, which has led to dwindling stocks in local markets and rising prices of the few supplies that remain available.

For example, during the first week of May, a single 25-kilogramme bag of wheat flour was being sold in Gaza City for the equivalent of more than $415 – a more than 3,000 per cent increase when compared with the last week of February.

“The blockade is also hampering the provision of hot meals in Gaza, with only about 250,000 individual meals now being provided each day through some 65 community kitchens,” OCHA said.

“This is compared to 25 April – less than three weeks ago – when 180 community kitchens were producing nearly 1.1 million meals on a daily basis.” 

Humanitarian partners have more than 171,000 metric tonnes of food in the region, ready for whenever the blockade is lifted.

This is enough to sustain Gaza’s entire population, roughly 2.1 million people, for up to four months.  

Hospital bombing deepens bleak situation for war-weary South Sudanese

“Every time this happens, people lose access to health services – and sometimes, to hope,” said Dr Humphrey Karamagi, the UN World Health Organization (WHO)’s Representative in South Sudan. “Health is the last safety net. If it fails, everything else will also fall.”

The apparent airstrike on the hospital run by Médecins Sans Frontières (MSF) in Old Fangak in eastern Jonglei state, killed seven civilians and injured another 20, according to the UN humanitarian affairs coordination office (OCHA).

Healthcare not a target

The attack is the eighth time healthcare has been targeted since January “with health workers killed, facilities and essential supplies looted or destroyed”, the WHO official told journalists in Geneva.

“More attacks may lead to closing half the health facilities along the Nile,” he added.

Dr. Karamagi explained that humanitarian convoys and essential cold chain infrastructure had come under fire, at a time of escalating violence that has impacted civilians since South Sudan gained independence in 2011, descending shortly afterwards into civil war.  

Since March, tensions have escalated in Upper Nile state, with deadly clashes between Government forces and armed groups. This has uprooted an estimated 80,000 people in three of the most affected counties, the WHO official said.

He added that clashes have also been reported in parts of Western Equatoria, Central Equatoria and Unity states, forcing communities – “mostly women and children” – to flee into neighbouring countries, including 23,000 arrivals in Ethiopia.

Diseases spreading

Back in South Sudan, outbreaks of cholera, malaria, measles and mpox are spreading rapidly, prompting the UN health agency to deploy rapid response teams and coordinate with local partners where possible, amid access restrictions linked to the escalating violence.

“The alternative, if we do nothing, would be bleak,” the WHO official warned, pointing to cholera cases that may double in just six weeks and measles deaths that could increase by up by 40 per cent.

Cholera alone has infected more than 55,000 people since September, killing over 1,000, the UN health agency said.

‘War crime’ condemnation

In a related development, the UN Commission on Human Rights (OHCHR) in South Sudan condemned the bombing as a potential war crime.

“This was not a tragic accident,” said Yasmin Sooka, Chair of the Commission. “It was a calculated, unlawful attack on a protected medical facility.”

MSF confirmed the hospital’s complete destruction, including its pharmacy and emergency care units. Further aerial bombardments were also reported in New Fangak, raising fears that such attacks are part of a broader military campaign.

The airstrike followed public threats by South Sudanese military forces who demanded the return of seized boats and labelled multiple Nuer-majority counties, including Fangak, as “hostile”.

“Designating entire communities as hostile is deeply irresponsible and may amount to collective punishment,” said Commissioner Barney Afako.

Plea for action

The UN Commission has urged immediate investigations into the bombing and warned that repeated violations threaten to derail South Sudan’s fragile peace.

With high-level delegations from the African Union and IGAD now in the capital Juba, calls for renewed dialogue are growing louder. “The path South Sudan is currently on is perilous,” Ms. Sooka warned. “If attacks like these continue with impunity, the Peace Agreement risks becoming meaningless.”

In his final appeal, Dr Karamagi emphasised the cost of inaction: “Help us make sure this doesn’t become the moment health – and hope – finally give way.”

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A tougher tooth

Fewer trips to the dentist may be in your future, and you have mussels to thank.

Inspired by the mechanisms mussels use to adhere to inhospitable surfaces, UC Santa Barbara researchers have developed a new type of dental composite that provides an extra layer of durability to treated teeth. The potential payoff? Longer lasting fillings, crowns, implants and other work.

“It’s as hard as a typical dental restoration but less likely to crack,” Kollbe Ahn, a materials scientist at UCSB’s Marine Science Institute, said of the composite. The research is highlighted in the journal Advanced Materials. The paper, of which Ahn is the corresponding author, is the result of collaboration between research and industry.

On average, a dental restoration lasts five to 10 or so years before needing replacement. The time frame depends on the type of restoration and how well the patient cares for the treated tooth. However, the continual onslaught of chewing, acidic and hard foods, poor hygiene, nighttime tooth grinding, generally weak teeth and even inadequate dental work can contribute to a filling’s early demise — and another expensive and possibly less-than-pleasant experience in the dental chair.

According to Ahn, one of the primary reasons restorations fall out or crack is brittle failure of the bond with the surrounding tooth. “All dental composites have micro-particles to increase their rigidity and prevent their shrinkage during their curing process,” he explained. “But there’s a trade-off: When the composite gets harder, it gets more brittle.”

With enough pressure or wear and tear, a crack forms, which then propagates throughout the entire restoration. Or, the gap between the tooth and the restoration results in restoration failures, including marginal tooth decay.

So Ahn and his colleagues looked to nature — mussels, to be exact — to find a way not only to maintain strength and hardness but also to add durability. Having perfected the art of adhering to irregular surfaces under the variable conditions of the intertidal zone — evolving to resist pounding waves, the blazing heat of the sun and cycles of salt water immersion and windy dryness — mussels presented the ideal model for more durable dental restoration materials. The byssal threads they use to affix to surfaces allow them to resist the forces that would tear them from their moorings.

“In nature, the soft collagenous core of the mussel’s byssal threads is protected by a 5-to-10 micrometer thick, hard coating, which is also extensible and thus, tough,” Ahn said. This durability and flexibility allow the mollusks to stick to wet mineral surfaces in harsh environments that involve repeated push-and-pull stress.

Key to this mechanism is what the scientists call dynamic or sacrificial bonding — multiple reversible and weak bonds on the sub-nanoscopic molecular level that can dissipate energy without compromising the overall adhesion and mechanical properties of the load-bearing material.

“Say you have one strong bond,” Ahn explained. “It may be strong but once it breaks, it breaks. If you have several weaker bonds, you would have to break them one by one.” Breaking each weak bond, he continued, would dissipate energy, so the overall energy required to break the material would be greater than with a single strong bond.

This type of bonding occurs in many biological systems, including animal bone and tooth. The mussel’s byssus contain a high number of unique chemical functional groups called catechols, which are used to prime and promote adhesion to wet mineral surfaces. The new study shows that using a catecholic coupling agent instead of the conventional silane coupling agent provides 10 times higher adhesion and a 50 percent increase in toughness compared to current dental restorative resin composites.

While research has proven this toughening mechanism in soft materials, this study is one of the first — if not the first — to prove it with rigid and load-bearing materials.

This proof-of-concept, which also demonstrates no cytotoxicity, could mean tougher, more durable dental fillings. And that, in the long run, could mean fewer dental visits. Because each replacement filling also requires the dentist to file the surrounding tooth to prime its surface, given enough replacements a tooth might need to be crowned or extracted; and if not replaced, the tooth loss could have adverse consequences for the individual’s diet and health.

The next step, Ahn said, is to increase the material’s durability even further.

“By changing the molecular design you could have even denser coupling agents that exist on the surface, and then we can have a stronger and more durable dental composite,” he said, estimating a commercial product within a couple of years.