Israel’s border battle strains Gaza hospitals
GAZA: Raed Jadallah belonged to an exclusive club – a small band of surfers who escaped the claustrophobia of blockaded Gaza by riding the waves of the Mediterranean. Now he’s immobile, a metal rod clamped to his left leg after an Israeli bullet fractured his femur in two places.
The 25-year-old plasterer from a seaside refugee camp says he doesn’t know when he’ll be able to walk again, let alone surf.
‘‘Sea and surfing are everything to me,’’ he said on Thursday, a day after being discharged from hospital, his lower body covered by a blanket as he rested on a sofa at his home.
Jadallah is among 1297 Palestinians shot and wounded by Israeli soldiers, including snipers, during the past two weeks of mass protests on the Gaza-Israel border, according to a computerised count by the Gaza Health Ministry. An additional 1554 Gaza residents have been treated for tear gas inhalation or injuries by rubber-coated steel pellets.
A look at Gaza’s health system found crowded hospital rooms lacking basic supplies or detailed electronic records of gunshot victims, and dozens of people still suffering from serious wounds. Some acknowledged approaching Israel’s border fence during the protests and throwing stones, though they said they were otherwise unarmed. The surge of patients has severely taxed Gaza’s clinics and hospitals.
In addition, 33 Palestinians have been killed during this period, including 26 in border demonstrations. The latest casualties came yesterday, when Israel said it bombed Hamas militant targets in the Gaza Strip, killing one Palestinian and wounding another.
The Israeli military has disputed the Gaza count of wounded, saying that at most, dozens were struck by Israeli fire, but it has not offered supporting evidence.
In a response yesterday, the military did not refer to its previous challenging of the figures of wounded Palestinians. It said that it ‘‘contends with terrorist organisations that are trying to turn the area between Israel and the Gaza Strip into a combat zone, above and below ground’’, near Israeli communities.
The casualty figures are at the heart of an intensifying debate over the military’s open-fire orders, branded as unlawful by rights groups because soldiers are permitted to use potentially lethal force against unarmed Palestinians approaching the border fence.
Israel has accused Gaza’s Hamas rulers of using the protests as a cover for carrying out attacks, including a possible mass breach of the border fence, and says it has a right to defend its sovereign border. It said yesterday that ‘‘the tools used by the Israeli military include warnings, riot control measures and, as a last resort, live fire in a precise and measured manner’’.
The protests have been organised by Hamas, but have also been fuelled by widespread despair among the territory’s 2 million people. Gaza has endured more than a decade of border closures, imposed by Israel and Egypt after the Islamist militant group seized the territory in 2007, a year after winning Palestinian parliamentary elections.
More bloodshed on the border is likely, with organisers calling for protests to continue until midMay and Israel saying it won’t change its rules of engagement.
Already, the recent surge of patients with gunshot wounds has severely taxed Gaza’s clinics and hospitals.
Gaza’s health system has been buckling under years of shortages of essential medicines and equipment caused by the blockade and Hamas’s power struggle with the rival Palestinian Authority, doctors say. The West Bank-based authority accuses Hamas of selling medicines it sends, while Hamas accuses it of delaying medicine shipments.
The violence comes at a time when 40 per cent of basic medicines are no longer in stock in Gaza hospitals, according to the World Health Organisation. Equipment is also in short supply. At Gaza’s main hospital, Shifa, half of the 200 available fixators had been used up for bones broken by bullets, officials said.
Doctors carefully managed scarce resources, said Ayman Sahbani, the spokesman and emergency room director at the Shifa Hospital. Those with relatively simple soft-tissue gunshot wounds were treated and sent home the same day, to make room for the most serious cases and new arrivals, he said.
Earlier this week, 64 patients with complications from gunshot wounds – mainly suffered in large protests on two consecutive Fridays – were still hospitalised, filling up orthopedic and surgery wards.
A majority suffered either open, compound or multiple fractures, or damage to blood vessels, said Sahbani, adding that there was concern about permanent disability in some cases.
‘‘A noticeable number of the gunshot injuries comprise an exit point larger than the entry point,’’ he added. The Israeli military did not respond to questions about the type of ammunition used by its snipers, but such wounds could be consistent with rifle fire.
The European Hospital in southern Gaza received 100 people with gunshot wounds last Friday, including 78 who were still in hospital this week, said spokesman Yehiyeh Nawajha. Among the wounded were four women.
Jadallah, the surfer, was among those shot last Friday. He said he had been throwing stones about 15 metres from the fence, and was leaving when he was shot.
He said he had been drawn to the protests by the organisers’ slogan of a ‘‘Great March of Return’’ to destroyed Palestinian communities in what is now Israel.
Hamas leaders have sent mixed signals about a possible border breach, which Israel says it will prevent at all costs.
Two-thirds of Gaza residents, including Jadallah, are descendants of Palestinian refugees who fled or were forced from their homes in the 1948 war over Israel’s creation.
‘‘We want to return to our land,’’ Jadallah said.