Joint UN mission transfers critical patients from Al-Shifa Hospital in Gaza, under intense fighting
24 November 2023, Geneva/Cairo - On 22 November, in cooperation with the Palestine Red Crescent Society, WHO participated in another joint-UN mission to transfer 151 patients, relatives and health workers accompanying them from Al-Shifa hospital in northern Gaza. The mission was undertaken following specific requests from health authorities and hospital officials in Gaza.
This was the third mission to Al-Shifa carried out by WHO, other UN agencies and partners in less than a week; the first was an assessment mission (18 November) and the second was an evacuation mission to transport 31 infants (19 November).
During this mission, the team transferred 73 severely ill or injured patients, including 18 dialysis patients; 26 patients with serious spinal injuries; 8 patients with severe chronic conditions; two in need of critical care; and 19 patients in wheelchairs. The patients were transported in 14 ambulances supplied and staffed by the Palestine Red Crescent Society, and two buses, with 8 health workers and 70 family members accompanying them.
This was a high-risk mission, as intense fighting and shelling continued in proximity of Al-Shifa hospital.
It took 20 hours for the team to complete the evacuation, including 6 hours at a checkpoint where the team and patients were screened by the Israeli Defense Force. This was despite an initial agreement to only screen participants at the origination point in Al-Shifa Hospital.
The screening process involved checks on the patients, their relatives, and the personnel; these included elderly, children and severely ill patients. Three medical personnel from the Palestine Red Crescent Society and three from the Ministry of Health were detained.
After 6 hours at the security checkpoint, the convoy proceeded as the condition of some of patients was already deteriorating. Patients reached their final destination late at night.
Most of the patients were ultimately transferred to the European Gaza Hospital, with the dialysis patients admitted to Al Najjar Hospital. Both facilities are in the south of Gaza.
WHO is extremely concerned about the safety of the estimated 100 patients and health workers remaining at Al-Shifa. Due to the limited time that the mission members were able to spend in the hospital and the urgency of moving the most critical, it was difficult to determine exactly how many remain.
Two of the six detained health workers have reportedly been released. We do not have information about the well-being of the four remaining health staff, including the director of Al-Shifa hospital. WHO calls for their legal and human rights to be fully observed during their detention.
This and other evacuations were requested by health authorities, health workers and patients, and became necessary as Al-Shifa Hospital is no longer able to function due to lack of water, fuel, medical supplies, food, and staff, and recent military incursions.
Also on 21 November, WHO and partners undertook a mission to Al-Ahli Hospital in northern Gaza to assess medical priorities. Al-Ahli, which is one of the only functional hospitals in the north, must be urgently and regularly supplied with fuel, water, food and medical supplies to ensure the continuity of care. Today, 22 patients along with 19 companions arrived at the European Gaza hospital, in the transfer mission undertaken with the Palestine Red Crescent Society, following the assessement mission.
WHO again asks all relevant authorities to ensure that the medical evacuations that WHO has been requested to assist in can proceed safely, under agreed procedures, without endangering the lives of patients. Ultimately, the safety, security and evacuation decisions rest with the relevant authorities.
Gaza Health Emergency Response Project
WHO appalled by latest attack on Indonesian Hospital in Gaza
20 November 2023 — WHO is appalled by the attack today on the Indonesian Hospital in North Gaza, which reportedly resulted in the killing of at least 12 persons including patients and their companions residing at the hospital. According to reports, tens of people were also injured in the attack, including some with critical and life-threatening injuries. Health workers and civilians should never have to be exposed to such horror, and especially while inside a hospital.
According to the latest reports, the Indonesian Hospital continues to be besieged. No one has been allowed to enter or leave the hospital: there have been reports of shooting towards those attempting to leave but no injuries or fatalities thus far. The hospital, like others in northern Gaza and Gaza City, has faced power outages since the main and secondary generators stopped functioning several weeks ago due to lack of fuel; it also faces severe shortages of water, essential medicines and supplies. The hospital is only able to provide basic services, putting the lives of those with severe injuries and other medical emergencies at immediate risk.
There have been multiple and ongoing attacks on health facilities in the last six weeks, that have resulted in forced mass evacuations from hospitals, and multiple fatalities and casualties among patients, their companions, and those who had sought refuge in hospitals. The Indonesian Hospital had already reportedly sustained damages due to at least five attacks since 7 October.
WHO has recorded 335 attacks on health care in the occupied Palestinian territory since 7 October, including 164 attacks in the Gaza Strip and 171 attacks in the West Bank. There were also 33 attacks on health care in Israel during the violent events of October 7.
As a result of these attacks and shortages of fuel, medicines, and safe water, and other essential resources, hospital bed capacity in Gaza has gone down from 3500 beds before 7 October to 1400 beds, leaving critical gaps for patients with injuries and other illness that require hospitalization.
The world cannot stand silent while these hospitals, which should be safe havens, are transformed into scenes of death, devastation, and despair.
WHO reminds the parties to the conflict of their obligation under International Humanitarian Law to respect the sanctity of, and actively protect, health facilities.
Health care is not a target. #NotATarget
WHO-led joint UN and Red Crescent mission evacuates 31 infants from Al-Shifa Hospital in Gaza
19 November 2023, Geneva/Cairo – A second WHO-led joint UN mission, working in collaboration with the Palestine Red Crescent Society, earlier today evacuated 31 babies from Al-Shifa Hospital in northern Gaza, to a hospital in southern Gaza. The severely ill babies were transported in 6 ambulances supplied and staffed by the Palestine Red Crescent. Other mission members included UN Mine Action, UNICEF and UNRWA. The mission was once again assessed as high-risk, due to the active combat taking place in close proximity to the hospital.
These premature and low birthweight babies had earlier been moved from the neonatal unit in Al-Shifa to a safer area in the hospital, due to lack of electricity to run their life support, and security risks in the hospital. Yesterday and last night, two babies died before the evacuation could take place. (Note, there were 33 babies under care yesterday, according to a Ministry of Health update.
The babies were successfully transported to the neonatal intensive care unit at Al-Helal Al-Emarati Maternity Hospital in southern Gaza, where they are being assessed and stabilized. Doctors there say all the babies are fighting serious infections due to lack of medical supplies and impossibility to continue infection control measures in Al-Shifa Hospital. Eleven are in critical condition.
Sadly, none of the infants were accompanied by family members, as the Ministry of Health has only limited information, and is not currently able to find close family members. Six health workers and 10 of their family members, who had been sheltering at the hospital, were also evacuated.
The evacuation, which was requested by health workers and patients during the joint mission yesterday, became necessary as Al-Shifa Hospital is no longer able to function due to a lack of clean water, fuel, medical supplies, food, other essential items and the intense hostilities. WHO remains deeply concerned about the safety and health needs of patients and health workers who remain at Al-Shifa Hospital, and in the few partially functional hospitals in the north that face imminent closure.
Al-Shifa Hospital, previously the largest and most advanced referral hospital in Gaza, together with other hospitals, must be fully restored to provide urgently needed health services in Gaza.
Today’s mission was led by senior WHO staff, including a medical specialist and a doctor, and representatives from UNICEF, UNMAS and UNRWA as noted above. It included medical staff from the Palestine Red Crescent Society, along with their ambulances. WHO is grateful for their partnership, and the support of the rest of the UN, working together as One UN.
The complex and high-risk operation, occurring in an active conflict zone, follows an assessment mission yesterday, 18 November, which included public health experts, logistics specialists, and security staff from OCHA, UNDSS, UNMAS/UNOPS, UNRWA and WHO. Today’s mission was deconflicted with the Israel Defense Forces and with the defacto authorities.
There remain over 250 patients and 20 health workers at Al-Shifa, who all request immediate evacuation. Planning is on-going to evacuate the remaining patients, their families and the health care workers. Given the complex security and logistics constraints, these evacuations will take several days to complete. Priority will be given to the 22 dialysis patients and 50 patients with spinal injuries. WHO reaffirms its respect for the dedication, professionalism, humanity and courage of the health staff who have continued to care for their patients under unimaginably difficult conditions.
WHO reiterates its plea for collective efforts to bring an end to the hostilities and humanitarian catastrophe in Gaza. We call for an immediate ceasefire, the sustained flow of humanitarian assistance at scale, unhindered humanitarian access to all of those in need, the unconditional release of all hostages—many of whom have serious medical needs—and the cessation of attacks on health care and other vital infrastructure.