2 April 2024

 

Key concerns

  • Continued dismantling of the health system, jeopardizing health service provision, access to health, and delivery of life-saving supplies. This further strains the capacity of the health system to meet the health care needs of the vulnerable population.
  • Following the latest military operation, Al-Shifa Hospital – the largest hospital in the Gaza Strip – remains non-functional. The hospital has suffered massive destruction. Reportedly, 21 patients died during the siege. Prior to the siege, Al-Shifa served as the main referral hospital in the Gaza Strip with a 750-bed capacity, a laboratory, and a blood bank, providing secondary and tertiary services to more than 250,000 people annually, including some 17,000 surgical operations.
  • The situation in Khan Younis, in south Gaza, is also critical. Nasser Medical Complex remains out of service for the sixth week. Al-Amal hospital also remains non-functional following the latest raid and hostilities.
  • Increasing insecurity, destroyed roads and infrastructure, and lack of proper facilitation of humanitarian missions continue to hinder health access. On 1 April, seven World Central Kitchen (WCK) team members were killed during a strike. The team was traveling in a deconflicted zone in two armored cars branded with the WCK logo. WHO calls for a sustained and functional deconfliction mechanism to facilitate safe delivery of humanitarian aid across the Gaza Strip, as per the International Humanitarian Law.
  • According to the Gaza Strip Interim Damage Assessment conducted by the World Bank, the European Union (EU), and the Âé¶¹APP (UN), ongoing hostilities have so far damaged or destroyed 84% of all health facilities, costing USD554 million. Those remaining partially functional lack access to medicines, ambulances, basic lifesaving treatments, electricity and water. This has severely compromised the health system¡¯s response capacity, and disrupted delivery of essential health services.
  • The IPC Acute Food Insecurity Situation Report stated that Famine is imminent in the northern Gaza and is projected to occur anytime between mid-March and May 2024. About 2.13 million people across the Gaza Strip face high levels of acute food insecurity classified as IPC Phase 3 or above (Crisis or worse) between 15 February and 15 March, including nearly 677,000 experiencing catastrophic food insecurity (IPC Phase 5).
  • Alarming rates of malnutrition: since January, a total of 28,180 children across the Gaza Strip have been screened for malnutrition, as part of opportunistic screening, with close cooperation with the Nutrition Cluster. In the north, 22% of screened children were identified to be suffering from acute malnutrition – 3.5% cases of severe SAM; 18.7% moderate cases of MAM. 5.4% children screened in the south were found malnourished, including 1.2% suffering from SAM and 4.2% with MAM. According to MOH reports, 28 patients have died due to complications of dehydration and SAM, including 25 children less than five years old.
  • Access of Emergency Medical Teams (EMT) to north Gaza hospitals has not been possible due to the security situation. Only one EMT has managed to deploy in the area.
  • Estimated 9,000 critical patients need to be medically evacuated out of Gaza, including over 6,000 trauma-related patients, and 3,000 patients with serious chronic conditions (e.g. cancer).
  • Partner operations continue to be negatively affected by the displacement of staff, operational challenges, and disrupted telecommunication.
  • Limited access to proper WASH facilities continues contributing to infectious disease outbreaks.
  • Limited access to proper WASH facilities continues contributing to infectious disease outbreaks, including diarrhoeal illness and hepatitis A.