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‘Humanitarian work, a moral obligation’: Retired doctor returns to face the ‘silent threat’ in Gaza

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After a successful career that lasted 43 years, during which he worked in Saudi Arabia, for the Palestinian Ministry of Health and then the UN Children’s Fund (UNICEF), Dr. Awadallah decided to retire at the end of 2021.

But, that was short-lived. As the crisis in Gaza escalated and polio reappeared, he decided to return to the field. Doing so was not just a job assignment. As he describes it, it’s a “message of loyalty” to his profession, to the children of Gaza and to the institution that gave him so much.

Dr. Awadallah’s return was driven by a “deep inner sense of responsibility and belonging”.

“I felt that my long experience and field knowledge could make a difference in these critical times,” he told UN News.

‘The Silent Threat to Gaza’

Dr. Awadallah’s story was the focus of the film The Silent Threat to Gaza, produced by UNICEF in conjunction with World Humanitarian Day, observed annually on 19 August. The organization emphasises that the film is a powerful testament to the resilience of humanitarian workers who are facing the dangers of conflict.

Named in May on Time Magazine’s TIME100 Health List for leading “a heroic vaccination campaign” that reached 600,000 children in Gaza, Dr. Awadallah was one of the lead subjects of the 32-minute documentary. The film follows him and his colleague Fairuz Abu Warda, who, during short periods of last year’s ceasefire, delivered lifesaving vaccines to children across the Gaza Strip.

Watch the full document here:

UNICEF said their courage underscores a fundamental fact that when humanitarian principles are adhered to, workers are protected and given safe and timely access, lives can be saved even in the most fragile environments. The UN agency stressed that the courage of humanitarian workers, such as Dr. Awadallah and Ms. Warda, reinforces the urgent need for principled action and international accountability.

Dr. Awadallah told UN News how exhaustion, hunger and fear were part of their daily routine under constant bombardment from the air and sea.

However, their priority was to keep vaccinations effective and reach every child, he said, remembering the moments when he would see his colleagues collapse from exhaustion and then immediately return to work.

A living testimony to willpower

Dr. Awadallah points out that every scene in the vaccination campaign, from the smile of a child to the insistence of the teams to reach the farthest house despite the security difficulties and the danger of moving, reminded him that “humanitarian work cannot be retired.”

Children received the polio vaccine as part of a Gaza-wide campaign. (file)

“I provide humanitarian work, and even if I retire, it does not apply to humanitarian work,” he said.

“The Silent Threat to Gaza was not just a film or a depiction of events, but a living testimony to the strength of will and the power of hope.”

He believes that every shot in the film was “a message to the world that despite the wounds, despite the death and the difficulty of life, Gaza is able to rise up and protect its children”.

Despite the risks to their lives, Dr. Awadallah and his fellow humanitarian workers in Gaza continue their work under constant bombardment.

Protecting humanitarian workers is ‘not a luxury’

“Fear knows no way to their hearts,” he said. “We hear the explosion and then we go to do our work. We are moving towards our goal and we are used to it.”

He said more than 350 medical personnel have been killed, hundreds injured and more than 1,300 arrested.

He appealed to the world that the protection of those who lend a helping hand “is not a luxury, but a prerequisite for ensuring that life and hope reach those in need”, and that it is a “humanitarian duty” that is as important as the provision of assistance itself.

Dr. Younis Awadallah administers a polio vaccine in Gaza.

Spreading hope

After decades of experience, Dr. Awadallah said he has learned that human beings have an incredible resilience beyond imagination.

“Resilience is not the absence of pain and suffering, but the ability to persevere and rise despite tragedies,” he said. “I saw mothers smiling and laughing at their children despite the bleeding and pain. I saw patients facing the pain with a smile and hope.”

Their role as humanitarian workers goes beyond providing treatment and material assistance to include “promoting and instilling hope in people’s hearts, supporting them psychologically and maintaining their strength in the face of problems”, he said.

Not just a profession

On World Humanitarian Day, Dr. Awadallah pays tribute to all those who choose to walk towards danger rather than away from it.

I believe in this business

“We are throwing ourselves into perdition for the sake of others,” he said.

Humanitarian workers in Gaza and everywhere in the world – regardless of their specialties – “are witnesses that mercy knows no boundaries and that human solidarity can flourish even during wars or amid the rubble”, he added.

He said he hopes he would be able to reunite with his family soon.

“My message today is that humanitarian work is not just a profession, but a moral and humanitarian obligation. I left my family and haven’t seen them for two years because I believe in this business.”

‘A moral failure’: Security Council hears about grave violations against children caught in war

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“From that day on, our home became a travel bag and our path became that of displacement … My childhood was filled with fear and anxiety and people I was deprived of,” she said, speaking via videoconference from Syria.  

Seema Sen Gupta, director of child protection and migration at UNICEF, briefs the Security Council. 

Sila, now 17, described her experiences during the Syrian Civil War to a meeting of the UN Security Council held on Wednesday to discuss the findings of the Secretary-General’s latest report on Children and Armed Conflict.

The report documented a 25 per cent increase in grave violations against children in 2024, the largest number ever recorded in its 20-year history. 

“This year’s report from the Secretary-General once again confirms what too many children already know — that the world is failing to protect them from the horrors of war,” said Sheema Sen Gupta, director of child protection at the UN Children’s Fund (UNICEF).

“Each violation against children in every country around the globe represents a moral failure.”

The real scale of the harm

The report presented to the Security Council is published annually to document grave violations against children affected by war. It relies entirely on data compiled and verified by the UN, meaning that the real numbers are likely much higher than reported.  

In 2024, the report documented a record 41,370 grave violations — including killing and maiming, rape, abduction and the targeting of infrastructure such as schools which supports children.  

“Each child struck by these attacks carries a story, a stolen life, a dream interrupted, a future obscured by senseless violence and protracted conflict,” said Virginia Gamba, the Secretary-General’s Special Representative for Children and Armed Conflict, whose office produced the report.  

Virginia Gamba, the Secretary-General’s Special Representative for Children and Armed Conflict, briefs the Security Council. 

While many of these violations occurred during times of conflict — especially as urban warfare is on the rise — grave violations can persist even after a conflict ends. 

They persist in the unexploded ordinances which still pepper the ground.  

“Every unexploded shell left in a field, schoolyard, or alley is a death sentence waiting to be triggered,” said Ms. Sen Gupta.  

They persist in the spaces which remain destroyed, impeding children from accessing healthcare and education.  

And they persist in the trauma and injuries which never fully leave a child.  

Scars that never heal

Children who survive the grave violations do not escape unscathed — if they suffered violence, the injuries will stay with them for a lifetime. And even if they were not injured, the trauma remains.

“The physical and psychological scars borne by survivors last a lifetime, affecting families, communities and the very fabric of societies,” said Ms. Gamba.  

This is why UNICEF and its partners have worked to provide reintegration programmes and psychosocial support for children who are victims of grave violations.

Sila said that the trauma of her childhood is still with her, and has pushed her to become an advocate for children in conflicts.  

“From that moment on, nothing has felt normal in my life. I’ve developed a phobia of any sound that resembles a plane, of the dark, and even of silence,” she said.  

‘This cannot be the new normal’

Ms. Gamba called for “unwavering condemnation and urgent action” from the international community in order to reverse the worrying trends which the report details.  

“We cannot afford to return to the dark ages where children were invisible and voiceless victims of armed conflict… Please do not allow them to slip back into the shadows of despair,” she said. 

Current funding cuts to humanitarian aid are impeding the work of UN agencies and partners to document and respond to grave violations against children.

In light of this, Ms. Sen Gupta’s call for the Security Council was simple: “Fund this agenda.”

She said that the international community cannot allow this to become “a new normal,” and reminded the members of the Security Council that children are not and should never be “collateral damage.”

Despite the devastation which the report detailed, there were “glimmers of hope” according to Ms. Sen Gupta. For example, the Syrian National Army signed an action plan which will prevent the recruitment, killing and maiming of children.  

Sila also spoke of hope — she hopes that hers is the last generation to suffer these grave violations.  

“I am from a generation that survived. Physically,” she said. “Our bodies survived but our hearts are still living in fear. Please help us replace the word displacement with return, the word rubble with home, the word war with life.” 

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