
Doctors and moms say these babies in Gaza may die without more formula. They blame Israel's blockade
KHAN YOUNIS, Gaza Strip (AP) — Seham Fawzy Khodeir watches as her son lies inside a dilapidated incubator and listens to his faint cry, mixed with the muted sound of the equipment.
The mother of six is increasingly concerned about the survival of Hisham al-Lahham, who was just days old, breathing with the help of equipment and being fed through a tube in his tiny nose.
Most alarming is that the medical-grade formula he needs to survive is running out.
'There is no milk,' the 24-year-old mother told The Associated Press. He needs it to 'to get better, to live and to see life.'
Hisham is among 580 premature babies at risk of death from starvation across the war-battered Gaza Strip, according to the Gaza Health Ministry. Khodeir and others blame Israel's blockade for the plight of their children. Doctors say that although some formula has been delivered, the situation is dire. Their desperation comes as the war in Gaza has been overshadowed by the Israel-Iran war.
'These babies have no time … and no voice,' said Dr. Ahmed al-Farah, head of the pediatrics and obstetrics department at Nasser Hospital, the main medical facility still partially functional in southern Gaza.
Khodeir's son is one of 10 babies in incubators at Nasser's neonatal intensive care unit. Last week, al-Farah rang the alarm, saying the hospital's stock of medical-grade formula was 'completely depleted.'
He said the tiny babies who relied on it would face 'an avoidable disaster' in two to three days.
His pleas were answered, in part, by the delivery of 20 boxes of formula sent over the weekend by a U.S. aid group, Rahma Worldwide. The new delivery is enough to cover the needs for the 10 infants for up to two weeks, al-Farah said.
Al-Farah, however, expressed concern about future deliveries, saying that it wasn't guaranteed that more formula would be allowed into Gaza.
'This is not enough at all,' he said. 'It solved the problem temporarily, but what we need is a permeant solution: Lift the siege.'
Meanwhile, fortified formula required for newborns is already out of stock at Al-Rantisi Hospital in Gaza City, its director, Dr. Jamil Suliman, said.
'Many mothers are unable to breastfeed due to severe malnutrition,' he said, warning of a looming crisis.
Infants are among the hardest hit by Israel's blockade, which started on March 2 with the complete ban of any food, water, shelter or medication.
Under mounting international pressure and repeated warnings of famine from the United Nations, Israel began allowing what Prime Minister Benjamin Netanyahu called 'minimal' aid, starting May 19.
Since then, more than 1,000 tons of baby food, including formula, have entered Gaza, according to COGAT, the Israeli defense agency in charge of aid coordination in the Palestinian territory.
'Food for babies is certainly entering (the Gaza Strip), as the organizations are requesting it we are approving it, and there is no withholding of food for babies,' a COGAT spokesperson said.
But Gaza's health officials say that for these babies, that aid hasn't included enough critical medicine, formula, medical equipment, and spare parts to keep the existing equipment operational.
The Palestinian Center for Human Rights said in a report Monday that fortified infant formula was nearly depleted from local markets, with several types already completely out of stock.
'Any limited quantities available in some pharmacies are being sold at skyrocketing prices, far beyond the purchasing power of most families,' it said.
COGAT said the baby food is being distributed mostly through international organizations — not via the Gaza Humanitarian Foundation, an Israeli-backed private contractor that has drawn criticism from other groups. Palestinian witnesses and health officials say Israeli forces have opened fire on crowds heading to GHF sites. The Israeli military says it has fired warning shots.
Israel has said the blockade aims to pressure Hamas into releasing the 50 hostages it still holds from its Oct. 7, 2023, attack on southern Israel that sparked the war. Fewer than half are still believed to be alive.
Israel has accused Hamas of siphoning aid, without providing evidence. The United Nations says there's been no significant diversion of aid.
Militants killed around 1,200 people, mostly civilians, and took 251 hostage on Oct. 7. Most of the hostages have been released by ceasefire agreements.
The war has unleashed unrelenting destruction, with more than 56,000 Palestinians killed and more than 131,00 wounded in Israel's offensive, according to Gaza health officials. The officials don't distinguish between combatants and civilians but say more than half the casualties are women and children.
The war and the blockade have sparked a humanitarian crisis, creating shortages of the most basic necessities and pushing Gaza's health care system to the brink of collapse.
Seventeen of the enclave's 36 hospitals remain partially functioning, providing health care to more than 2 million people amid bombings, rising malnutrition rates and dwindling medical supplies.
'Starvation is increasing,' said Jonathan Whittall, head of the U.N.'s humanitarian affairs office for the occupied Palestinian territories. More than 110 children have been admitted for treatment for malnutrition every day since the start of this year, he said.
'Our warehouses stand empty while Israel restricts shipments to minimal quantities of mainly medical supplies and food,' Whittall added.
Human Rights Watch said in a recent report that all medical facilities in Gaza are operating in unsanitary and overcrowded conditions and have serious shortages of essential health care goods, including medicine and vaccines.
'Since the start of the hostilities in Gaza, women and girls are going through pregnancy lacking basic health care, sanitation, water, and food,' said Belkis Wille, associate crisis, conflict and arms director at Human Rights Watch. 'They and their newborns are at constant risk of preventable death.'
The Health Ministry has repeatedly warned that medical supplies and fuel were running out at hospitals, which use fuel-powered generators amid crippling power outages.
Whittall said hospitals were forced to ration the little fuel they have 'to prevent a complete shutdown of more life-saving services.'
'Unless the total blockade on fuel entering Gaza is lifted, we will face more senseless and preventable death,' he said.
Nasser Hospital was forced to cut off electricity for some departments, despite the nonstop flow of patients, as part of a plan to save fuel, said Ismail Abu-Nimer, head of engineering and maintenance.
Supplies have been running out amid the influx of wounded people, many coming from areas close to aid distribution centers, said Dr. Mohammad Saqer, Nasser's director of nursing.
'The situation here is terrifying, immoral, and inhumane,' he said.
___
Magdy reported from Cairo. Melanie Lidman contributed from Tel Aviv, Israel.

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9 hours ago
- UPI
Dozens of Palestinians killed in Israeli airstrikes in Gaza
Displaced Palestinians wait to receive aid from World Food Program USA on Thursday. Starvation is intensifying amid more Israeli airstrikes against Hamas on the Gaza Strip. Photo by Mohammed Saber/EPA-EFE June 28 (UPI) -- Dozens of Palestinians died in several rounds of Israeli airstrikes from Friday night until Saturday morning, officials said. At least 44 people died in the Gaza Strip since dawn, hospital sources told Al Jazeera Arabic. The Guardian reported at least 62 people died in overnight strikes. The Gaza Health Ministry, which is controlled by the Iran-funded militant group Hamas, said 81 people have died and 422 were wounded over 24 hours. Al Jazeera reported an airstrike in a residential building in Gaza City killed at least 20 Palestinians, including nine children. "We were sitting peacefully when we received a call from a private number telling us to evacuate the entire block immediately -- a residential area belonging to the al-Nakhalah family. As you can see, the whole block is nearly wiped out," Mahmoud al-Nakhala told Al Jazeera. "We still don't know why two, three-story homes were targeted ... It's heartbreaking that people watch what's happening in Gaza -- the suffering, the massacres -- and stay silent. At this point, we can't even comprehend what's happening here anymore," he added. Rescuers were working to remove victims from under rubble. Those hurt were taken to al-Ahli Hospital, which is lacking medical resources. There were also drone strikes elsewhere on Gaza Strip, including in the city of Khan Younis and the Bureij refugee camp. The Guardian reported that a dozen people were killed near a displacement camp near Palestine Stadium in Gaza City, after which a nearby airstrike nearby killed at least 11 people and a family sleeping in a tent was reported to have died in a strike in al-Mawasi, southern Gaza. At least 56,412 Palestinians have been killed 133,054 wounded since the war began on Oct. 7, 2023, according to Gaza's Health Ministry. Hamas' attack on Israel that day killed approximately 1,200 people and 251 hostages were taken. President Donald Trump on Friday said there could be a cease-fire agreement "within the next week" despite no signs of negotiations underway. Humanitarian conditions in Gaza have worsened since Israel resumed airstrikes on March 18 after a cease-fire that ran from Jan. 19 to March 1. Unicef said last week that 60% of water production facilities in Gaza weren't working and acute child malnutrition increased 51% from April to May. In a separate strike in southern Lebanon on Friday, Israel Defense Forces killed Hezbollah terrorist Hassan Muhammad Hammoudi, the military told the Jerusalem Post on Saturday night. Lebanon's President Joseph Aoun accused Israel of continually violating the U.S.-brokered cease-fire deal.

11 hours ago
Inside one of Gaza's last functioning hospitals: How staff in Nasser Hospital are fighting to keep people alive
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The Israeli military has previously called for evacuations of hospitals in Gaza after evacuating surrounding areas, in advance of large-scale raids which the IDF said were militarily necessary as Hamas operatives had embedded themselves within those hospitals. The IDF previously raided Nasser hospital itself, spending a week at the complex in February 2024. The IDF has also attacked Nasser hospital without issuing evacuation orders. In March of this year, it conducted a strike on the surgery wing of the hospital. The IDF said it was targeting a member of Hamas' political bureau operating from the hospital and confirmed the strike in a statement at the time. Hamas said the senior Hamas member who was targeted, Ismail Barhoum, was receiving medical treatment in the hospital when he was killed. A doctor at the hospital said a teenager was also killed in the attack. "The hospital continues to function, continues to provide extremely high-level service even with limited resources," Dr. Mark Brauner, an emergency physician who recently left the facility, told ABC News in an interview Thursday. "But it's extremely uncomfortable to be in close proximity to warfare. Bombs are exploding just hundreds of meters away, and gunfire can be heard throughout the day." Dr. Brauner said the staff at Nasser Hospital are treating patients who are not only suffering from injuries caused by airstrikes but also from chronic malnutrition. "One of the most important aspects of healing from an injury is protein intake, and they have no protein in their diets," he said. That delays healing and increases the risk of infection, he said, adding, "There are at least 100 children at direct risk due to the lack of pediatric formula." The Israel-Hamas war has taken a grim human toll. Since the war began, nearly 56,000 people in Gaza have been killed and more than 131,000 have been wounded, according to Gaza's Hamas-run health ministry. The war began on Oct. 7, 2023, when 1,200 people were killed in a Hamas-led surprise attack on southern Israel. Hundreds more were taken hostage. At least 20 living hostages are believed to still remain in Hamas captivity. Nasser Hospital is now the only fully functioning major hospital in the southern Gaza Strip. The few remaining hospitals in Gaza City are operating at minimal capacity, and there are no functioning hospitals in northern Gaza. "Medical services are critically under-resourced, with nearly half of essential supplies already out of stock, and over one fifth, 21 percent, projected to run out in two months," the United Nations Relief and Works Agency for Palestine Refugees in the Near East said in a June 20 update. Also known as UNRWA, the organization is the main UN agency operating inside Gaza. Just five out of 22 UNWRA-run health centers and two UNRWA-rented facilities used as temporary health centers are still operational in Gaza as of June 15, UNWRA said. The Hamas-run Gaza Ministry of Health describes a dire situation when it comes to the territory's health system. "The remaining operating hospitals in the Strip will have no more time to continue operating in the face of the serious crises they face. Hospitals are experiencing overcrowding with wounded and sick patients, exceeding their capacity, especially in inpatient and intensive care units," the ministry said in a June 25 statement. Overall, just 45 of Gaza's 312 operating rooms are still in service, and most are functioning with extremely limited capacity, the Gaza Ministry of Health said. Cancer and heart patients are among the most impacted by the medicine and medical supply shortage, with 47% of essential medicines and 65% of medical supplies now at zero stock, the ministry said. Nine out of 34 oxygen stations are partially operational, and blood banks are nearly empty, according to the ministry. "Community blood donation campaigns have become futile due to worsening malnutrition and anemia," the ministry said. The supplies impacted include "medicine for non-communicable diseases, antimicrobials and antiparasitic products, dermatological and eye preparations, analgesic and anti-inflammatory medications, gastrointestinal products, respiratory medications and family planning methods," UNWRA said in the situational update. Earlier this week, the World Health Organization (WHO) delivered a shipment of medical aid to Gaza for the first time since March 2, WHO Director-General Tedros Adhanom Ghebreyesus wrote on the social platform X. The shipment of nine trucks included "essential" medical supplies, 2,000 units of blood and 1,500 units of plasma, Ghebreyesus said. The supplies were transported from Israel through the Kerem Shalom crossing point without any reported looting, and the blood and plasma were delivered to Nasser Hospital's cold storage facility for distribution to other medical centers, the organization and the hospital reported. COGAT, the Coordination of Government Activities in the Territories, the Israeli authority that oversees supplies that enter the Gaza Strip, confirmed the shipment of medical supplies. "Along with the blood units, truckloads of medical supplies and emergency and chronic care medicines entered Gaza to support the medical response," COGAT said in the statement. "We continuously facilitate medical and humanitarian responses for the civilian population in Gaza." However, Ghebreyesus said the delivery was far from sufficient to meet the needs inside Gaza. "These medical supplies are only a drop in the ocean," he said in the X post. "Aid at scale is essential to save lives. WHO calls for the immediate, unimpeded, and sustained delivery of health aid into Gaza through all possible routes." For some, even these rare deliveries come too late. The group Doctors Without Borders evacuated most of its staff from Nasser Hospital two weeks ago, citing safety concerns. "I don't want to call it a collapsed system anymore. There is no health system in Gaza," Dr. Mohammed Abu Mughaiseeb, the group's deputy medical coordinator in Gaza, told ABC News in an interview. "The hospitals that remain are overwhelmed with mass casualties, many now coming from the food distribution points. We're treating patients with severe burns and complicated injuries, and we don't have the supplies, the fuel or the infrastructure to handle it," he said. Some patients are also suffering because the medical care available in the Gaza Strip does not meet the level of care they need. The Gaza Ministry of Health said 513 patients have died due to restrictions on travel for medical care, and 338 cancer patients have died while waiting to leave for treatment abroad. An IDF spokesperson did not immediately comment on the current travel restrictions in Gaza. Despite these challenges, the doctors and staff at Nasser Hospital continue their work. Electricity shortages are also exacerbating the crisis. Just 49 hospital generators are still running -- and even they are operating with limited fuel, according to the health ministry. "We are holding on by a thread," Brauner said. "This is not a sustainable situation. If Nasser goes down, the entire southern region will be left without a hospital. And that will be the final collapse."


Hamilton Spectator
13 hours ago
- Hamilton Spectator
Takeaways from interviews with families forever changed by diseases that vaccines can prevent
SIOUX FALLS, S.D. (AP) — In the time before widespread vaccination, devastating infectious diseases ran rampant in America, killing millions of children and leaving others with lifelong health problems. Over the next century, vaccines virtually wiped out long-feared scourges like polio and measles and drastically reduced the toll of many others. Today, however, some preventable, contagious diseases are making a comeback as vaccine hesitancy pushes immunization rates down. And well-established vaccines are facing suspicion even from public officials, with Robert F. Kennedy Jr., a longtime anti-vaccine activist , running the federal health department. 'This concern, this hesitancy, these questions about vaccines are a consequence of the great success of the vaccines – because they eliminated the diseases,' said Dr. William Schaffner, an infectious disease expert at Vanderbilt University Medical Center. 'If you're not familiar with the disease, you don't respect or even fear it. And therefore you don't value the vaccine.' Anti-vaccine activists even portray the shots as a threat, focusing on the rare risk of side effects while ignoring the far larger risks posed by the diseases themselves — and years of real-world data that experts say proves the vaccines are safe. Some Americans know the reality of vaccine-preventable diseases all too well. Here are takeaways from interviews with a few of them by The Associated Press. Getting a disease while pregnant can change two lives. Janith Farnham has helped shepherd her daughter Jacque through life for decades. Jacque, 60, was born with congenital rubella syndrome, which resulted in hearing, eye and heart problems at birth. There was no vaccine against rubella back then, and Janith contracted it in early pregnancy. Though Janith, 80, did all she could to help Jacque thrive, the condition took its toll. Jacque eventually developed diabetes, glaucoma, autistic behaviors and arthritis. Today, Jacque lives in an adult residential home and gets together with Janith four or five days a week. Janith marvels at Jacque's sense of humor and affectionate nature despite all she's endured. Jacque is generous with kisses and often signs 'double I love yous,' even to new people she meets. Given what her family has been through, Janith finds it 'more than frustrating' when people choose not to get children the MMR shot against measles, mumps and rubella. 'I know what can happen,' she said. 'I just don't want anybody else to go through this.' Delaying a vaccine can be deadly. More than half a century has passed, but Patricia Tobin still vividly recalls seeing her little sister Karen unconscious on the bathroom floor. It was 1970, Karen was 6, and she had measles. The vaccine against it wasn't required for school in Miami where they lived. Though Karen's doctor discussed immunizing the first grader, their mother didn't share his sense of urgency. 'It's not that she was against it,' Tobin said. 'She just thought there was time.' Then came a measles outbreak. After she collapsed in the bathroom, Karen never regained consciousness. She died of encephalitis. 'We never did get to speak to her again,' Tobin said. Today, all states require that children get certain vaccines to attend school. But a growing number of people are making use of exemptions. Vanderbilt's Schaffner said fading memories of measles outbreaks were exacerbated by a fraudulent, retracted study claiming a link between the MMR shot and autism. The result? Most states are below the 95% vaccination threshold for kindergartners — the level needed to protect communities against measles outbreaks. Preventable diseases can have long-term effects. One of Lora Duguay's earliest memories is lying in a hospital isolation ward with her feverish, paralyzed body packed in ice. She was three years old. It was 1959 and Duguay, of Clearwater, Florida, had polio. It was one of the most feared diseases in the U.S., experts say, causing some terrified parents to keep children inside and avoid crowds during epidemics. Given polio's visibility, the vaccine against it was widely and enthusiastically welcomed. Given polio's visibility, the vaccine against it was widely and enthusiastically welcomed. But the early vaccine that Duguay got was only about 80% to 90% effective. Not enough people were vaccinated or protected yet to stop the virus from spreading. Though treatment helped her walk again, she eventually developed post-polio syndrome, a neuromuscular disorder that worsens over time. She now gets around in a wheelchair. The disease that changed her life twice is no longer a problem in the U.S. So many children get the vaccine — which is far more effective than earlier versions — that it doesn't just protect individuals but it prevents occasional cases that arrive in the U.S. from spreading further and protects the vulnerable. When people aren't vaccinated, the vulnerable remain at risk. Every night, Katie Van Tornhout rubs a plaster cast of a tiny foot, a vestige of the daughter she lost to whooping cough at just 37 days old. Callie Grace was born on Christmas Eve 2009. When she turned a month old, she began having symptoms of pertussis, or whooping cough. She was too young for the Tdap vaccine against it and was exposed to someone who hadn't gotten their booster shot. At the hospital, Van Tornhout recalled, the medical staff frantically tried to save her, but 'within minutes, she was gone.' Today, Callie remains part of her family's life, and Van Tornhout shares the story with others as she advocates for vaccination. 'It's up to us as adults to protect our children – like, that's what a parent's job is,' Van Tornhout said. 'I watched my daughter die from something that was preventable … You don't want to walk in my shoes.' ____ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.