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

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.”

Societies grappling with a ‘silent but growing’ prison crisis

A decade ago, the UN General Assembly adopted the Nelson Mandela Rules — a set of 122 guidelines setting minimum standards for the treatment of prisoners, inspired by one of the world’s most influential former political prisoners – the South African civil rights icon, Nelson Mandela.

These rules aim to ensure safety, security and respect for human dignity, offering clear benchmarks for prison staff.

Despite this, prison systems worldwide continue to face deep-rooted challenges. The General Assembly  convened on Friday to discuss how to better protect societies from crime by focusing on rehabilitation and preparing inmates for life after prison.

Overcrowded cells

“Prison cells are overflowing,” said Ghada Waly, Executive Director of the UN Office on Drugs and Crime (UNODC), noting that 11.5 million people are currently imprisoned globally.

Overcrowding deprives people of their most basic rights, including access to healthcare, clean water and sanitation,” she warned. Yet prison services remain underfunded, under-prioritised and undervalued.

These systemic failures not only endanger inmates and staff but also weaken efforts to reintegrate former prisoners — posing risks for the wider community, added General Assembly President Philémon Yang.

Women behind bars

The number of women in prison has increased by 57 per cent over the past 20 years — nearly triple the rate of men.

Most systems are not equipped to meet their specific needs. “This is not safe. And this is not humane,” said Ms Waly.

Women in detention are especially vulnerable, facing greater risks of sexual violence, limited access to reproductive healthcare and separation from their children.

Time for bold reform

We need a bold vision — one that goes beyond bricks and bars to focus on people and their potential,” said Ms Waly, urging governments to reimagine how prisons are managed.

Handled responsibly, prisons can support public safety, justice and the rule of law. But today’s prison environments often remain dangerous and counterproductive.

UN officials stressed that rehabilitation must be at the heart of reforms, including support systems that reduce the likelihood of reoffending and help former prisoners reintegrate into society.

“The true measure of justice is not how we punish,” Mr Yang concluded, “but how we protect, rehabilitate, and build a better future for everyone, everywhere.” 

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‘A silent crisis’: Obstetric fibrosis affects 500,000 women, yet it’s fully treatable

16 years – that is how long Dah had to live with the agonising condition, undergoing eight different surgical procedures before finally getting the fistula repaired.

In recognition of the over 500,000 women like Dah who are forced to endure what is a highly treatable condition, the International Day to End Obstetric Fistula is being marked on Friday.

Obstetric fistula is a medical condition which refers to the development of a small hole between the birth canal and the bladder or rectum, leading to leaking urine or faeces.

This year’s theme, “Her Health, Her Right: Shaping a Future without Fistula” will seek to make progress towards the goal of eliminating fistula by 2030.

Women’s bodies become battlegrounds — not only through sexual violence but through deliberate denial of reproductive rights and health
– Sima Bahous, Executive Director of UN Women

“Women’s bodies become battlegrounds — not only through sexual violence but through the deliberate denial of reproductive rights and health services” said Sima Bahous, Executive Director of UN Women.

‘A silent crisis’

It is often brought on by prolonged or difficult childbirth. Most of the half million women suffering the condition live in the Global South.

Many women who have a fistula experience social isolation and exclusion brought on by leaking urine or faeces. This, in turn, can lead to depression and exacerbated poverty.

Kambiré, a small business owner who lives in Bouna, lived with obstetric fistula for 23 years. She even had another child before getting medical assistance.

“I preferred to isolate myself because of the fistula,” she said. “I couldn’t sit for long for fear of getting wet.”

She only learned that it was treatable when listening to a radio show, inspiring her to go to a UN sexual and reproductive health agency (UNFPA)-supported hospital for treatment. Now, she owns a small pot-making business.

Kambiré had obstetric fistula for 23 years and now owns her own pot-making business.

Entirely preventable and treatable

UNFPA set the goal of elimination by 2030 – which seems doable given that, as a medical condition, it is both completely preventable and fully treatable.

Between 2003 and 2024, UNFPA supported nearly 150,000 surgical fistula repairs, 4,400 of which alone happened in Côte d’Ivoire for women like Dah and Kambiré.

Catherine, a mother of two in Bouna, also received medical assistance from a UNFPA-supported hospital.

“Now that I’m healthy, I’m happy. I can run my business and spend time with my friends,” she said.

Nevertheless, obstetric fistula has remained stubbornly persistent throughout the world due to disparities in global health systems.

UNFPA says that midwives are key to preventing fistula, and other childbirth injuries. However, there is a global shortage of over 900,000 midwives, 500,000 of which are in Sub-Saharan Africa.

Reproductive health education and empowerment are similarly essential to addressing and preventing obstetric fistula.

“The most effective shield we can offer women and girls is their own power, voice and leadership,” Ms. Bahous said.

Networks of solidarity

After Dah received successful treatment for her obstetric fistula, she, like Kambiré, began a seasonal food business through which she prepares and sells produce.

She has also banded together with other fistula survivors from Bouna to enhance community awareness and reduce stigma.

“When women lead, they protect not only themselves but their families and communities … The impact is transformative,” Ms. Bahous said.