Under Blockade and Bombs, Gazans Fear Covid-10 Disaster
Ali Adam / Al-Araby
GAZA (August 28, 2020) — Worry and fear have gripped the densely populated Gaza Strip after the first public outbreak of Covid-19, prompting authorities to immediately announce a lockdown and curfew until Sunday.
Officials confirmed four cases of Covid-19 from a single family in Al-Maghazi refugee camp in central Gaza, with a further 80 cases reported in three days across the coastal enclave.
Since the start of the pandemic, Palestinian officials and international health figures have expressed concern about the potential impact of the virus on Gaza, one of the world’s most densely populated territories with a severely debilitated health sector.
Despite the global spread of coronavirus, extreme Israeli restrictions on movement in and out of the besieged territory have curtailed the transmission of the virus.
In order to limit the spread of Covid-19, Palestinian authorities have imposed a strict 21-day quarantine in official facilities for anyone returning from abroad. Until the recent outbreak, Gaza had recorded 109 confirmed cases and one death, all amongst those in government-run quarantine facilities.
The entire Gaza Strip has been placed under lockdown since the discovery of the new cases, with schools, universities, mosques, shops, and markets all closed. There are now a total of more than 117 active Covid-19 cases, with three recorded deaths.
Gaza’s only power plant was forced to shut down last week after Israel cut fuel supplies, triggering a severe electricity crisis
“We made great efforts during the past period to prevent the virus from finding its way into the Gaza Strip, and we now are making greater efforts to prevent its spread within society,” Gaza’s Ministry of Health spokesperson Ashraf Al-Qidra told The New Arab.
“We expected that the virus would ultimately (infiltrate) the Gaza Strip due to the nature of the virus, human error and points that cannot be controlled,” he added, noting that the ministry cannot determine the source from which the virus entered. Given the density of Gaza, “every case of coronavirus infection may result in hundreds of new cases,” he said.
Authorities are taking samples from residential areas where infections have been reported, but a lack of equipment is hindering efforts to contain the outbreak.
“We have a shortage in testing swabs, medicine, alongside the electricity crisis, all this affects our work with respect to fighting the epidemic,” Al-Qidra told TNA. “The international response for the medical aid we’re asking for is minimal and doesn’t meet our needs”.
Palestinian health officials in Gaza have on multiple occasions in the past few days called on international health organisations to take concrete steps to support the health sector in the Gaza Strip.
In addition to enforcing a lockdown, security services in Gaza have restricted access between major cities with cement blocks, sand barriers, as well as checkpoints in an attempt to contain the spread of the virus.
Gaza’s interior ministry said that they may have to resort to closing down squares and public spaces if the situation worsens. The European Hospital in Gaza has been designated as a treatment centre for those infected with coronavirus.
Israel’s blockade has devastated Gaza’s vital economic and civic sectors, most notably the health system
The Gaza Strip has been under an Israeli blockade since 2007 that has devastated all of the coastal territory’s vital economic and civic sectors, most notably the health system. Even before Covid-19 there were 50 percent shortages of medicines, medical equipment and laboratory supplies.
Al-Qidra says that if the situation gets worse the Ministry of Health may have to suspend other services in order to tackle the pandemic.
“The International Committee of the Red Cross (ICRC) is concerned that the already stretched health system in Gaza would not be able to deal with more than a few dozen coronavirus patients who need the ICU,” Suhair Zakkout, ICRC spokesperson in Gaza, told The New Arab.
“Gazans can’t face the virus alone. They need all the international assistance they can get to make sure they are equipped to deal with this crisis. We also urge all authorities and entities concerned to find an immediate solution to the fuel shortage in the Strip,” he added.
The ICRC has provided supplies and equipment, including vital ICU equipment, chlorine, personal protective equipment (PPE) and hospital supplies, and carried out infrastructure improvements in the hospital assigned to treat Covid-19 patients in Gaza. However, Zakkout said that “this cannot cover all the needs.”
In a survey done by the ICRC last month, the people of Gaza were the most concerned among Palestinians that the health system could not respond to an outbreak of the virus.
Israel has bombed Gaza almost daily since 6 August in response to incendiary balloons
To make matters worse, Israel cut fuel supplies to the Gaza Strip in response to incendiary balloons launched from the territory to pressure Israel to ease the blockade. Israel has bombed Gaza almost daily since 6 August in response to the airborne devices.
The end result was that Gaza’s sole power plant was forced to shut down, triggering a severe electricity crisis and daily power outages of up to 20 hours a day.
The lack of power disrupts sewage treatment and pumps, meaning water is in short supply in the midst of a pandemic in which handwashing is a vital preventative measure. Current electricity rates mean only a quarter of Gaza’s water needs can be met. Local authorities have resorted to operating 16 water wells, previously shut down due to high salinity, due to power shortages to compensate.
The Insan Center for Human Rights in Gaza warned of “the danger of the catastrophic effects of the spread of the virus, in light of the deteriorating humanitarian conditions and limited health capabilities.”
“The Israeli occupation must be held responsible for all the consequences that occur to the Gaza Strip as a result of the spread of the epidemic, as it controls the crossings,” the centre added, calling on the World Health Organisation (WHO) and other international bodies to urgently send supplies.
The international community must “put pressure on the occupation to open the crossing, to bring in fuel, and lift the blockade imposed on the Strip, in order to save it from the humanitarian catastrophe that might occur if the situation continues as it is.”
Ali Adam is a journalist and researcher whose work focuses on issues linked to the Israeli-Palestinian conflict.
Desperate and Trapped, Gaza’s Youth Turn to Suicide
Mental health conditions such as PTSD, anxiety disorders and clinical depression are widespread in Gaza.
GAZA (July 29, 2020) — Human rights activist Suleiman Al Ajuri, 25, was a beacon of hope to many Palestinians in the Gaza Strip.
His death by suicide on 3 July sent shockwaves through the community – this was a man who led the ‘We Want to Live’ movement against poverty in March 2019, and fearlessly stood up to Hamas.
Many Palestinians felt that if he had reached a point where life was no longer worth living then there was little hope for other Gazans, who have been living under a crushing blockade for 14 years in what human rights groups describe as an open-air prison.
In a society where suicide is taboo, Al Ajuri’s father Abu Muhammed spoke to BBC World Newslast week. “I don’t really know what pushed my son to commit suicide. We were sitting together at home and we ate his last meal together,” he said.
“There was no problem and I don’t know yet what happened to him. I don’t think poverty alone is a reason for suicide. We as a family, are still living in a state of great shock.”
However, Suleiman’s close friend Shaher Al Habbash was able to provide an insight into Suleiman’s life and how he was feeling shortly before his death. Al Habbash told The Nationalthat Suleiman had been hoping to emigrate from Gaza but had been unable to collect the money to do so which had left him devastated.
There have been 30 deaths and 600 attempted suicides in the first seven months of 2020
“Hamas’ Internal Security Force arrested him several times. They attacked his family home and humiliated him during his interrogation inside Hamas prisons,” he added. “They even raided the home during his sister’s wedding. This bothered him a lot.”
The ‘We Want to Live’ movement last year was viewed by Hamas as a threat and the protests were violently broken up. Suleiman was arrested for “spreading chaos.” His friends attribute Hamas’ ongoing harassment and the despair of realising there was no way out of Gaza as the factors that led to his death.
On the day that Suleiman died, another three young Gazans committed suicide. Ayman Al Ghoul, 24, threw himself off the 5th floor of a building in al-Shati refugee camp. A 30-year-old woman hung herself in Rafah, and Ibrahim Yassin, 21, a teacher employed by UNRWA, died from wounds sustained from setting himself on fire the previous week.
The day after Suleiman’s death, Ahmed Al Malahi swallowed fifty pills, a young teenager attempted to throw herself off the balcony of her home, and an 18-year-old swallowed dozens of pills in an attempted suicide.
Another three days later, a young Gazan tried to jump off a balcony at the Ministry of Social Affairs when he was denied aid. And then, on 9 July, Eyas Shehada was arrested by Hamas for threatening to commit suicide if his problems were ignored. Eyas went from door to door asking Hamas officials for help while recording a Facebook Live, talking about his homelessness, destitution and inability to provide for his family.
Journalist Usama Al Kahlout was arrested by Hamas that day for covering Eyas’ story. Al Mezan Centre for Human Rights reported that on the day of Suleiman’s funeral, thirteen of his friends were arrested, nine at the cemetery and four at his house paying condolences. Two journalists reporting on his suicide were arrested that same day.
While authorities in Gaza do not keep an official toll of suicides, rights groups say there has been an alarming spike in deaths. The Palestinian Centre for Conflict Resolution has reported 30 deaths by suicide and 600 attempted suicides in the first seven months of 2020, a threefold increase in five years. In 2015, a total of 10 suicides were recorded in Gaza, according to statistics compiled by The New Arab’s Arabic-language site
Hamas denies that the rate of deaths by suicide is increasing but has arrested journalists and activists who openly talk about it.
The idea of committing suicide is on the mind of most young Gazans I know
“The reasons for people dying by suicide in Gaza are the absence of hope that things will change for the better, the mental health pressures as a result of Israel’s blockade on Gaza, as well as internal division and suppression of freedoms,” Palestinian human rights defender and activist Issa Amro, who is based in the West Bank, told The New Arab.
“In an Arab and Islamic society death by suicide is not accepted. It is one of the major sins in Islam and is considered by society as something that brings shame on the person and their family,” he added.
Despite the strong social stigma, Gazan writer, analyst and manager at Euro-Med Monitor Muhammed Shehada says that nearly everyone he knows in Gaza has contemplated suicide at least once. “Generally, the idea of committing suicide is on the mind of most young Gazans I know as a result of being stuck in a state of non-life, of neither living nor dying for most of their adult lives,” Shehada tells The New Arab.
“They feel that even their basic survival has become a burden on their families, a painful existence, and a matter shame, as most young Gazans see themselves approaching the age of 30 without a job, without savings, without being able to secure the minimum of a decent life or start a family of their own.”
“The answer to this conundrum is usually to escape a sunken vessel. Whether through emigration and travel to the unknown, drugs that help one ignore his surroundings, or taking one’s life.”
The factors that have been attributed to Gaza’s suicide crisis are numerous and multi-faceted. First there is the dire economic situation and high rates of unemployment as a result of both Israel and Egypt s’ blockade on the Gaza Strip. The UN describes Gaza as “unliveable”, with 80 percent of the population reliant on international aid, 69 percent living below the poverty line, a rate of 64 percent youth unemployment, and between two to four hours of running water and electricity a day.
The reason for people dying by suicide in Gaza is the absence of hope that things will change for the better
Before President Abdel-Fattah al-Sisi closed Egypt’s border crossings and cracked down on Gaza’s smuggling tunnels in 2014, there were still ways in which young Gazans could gather the money needed to acquire the required travel documents, cross the border into Egypt and then make their way to Turkey, with the hopes of finding opportunities there or further beyond in Europe. This is now impossible.
“The blockade imposed by Egypt is more severe than the blockade of Israel, as Egypt has, since Abdel Fattah al-Sisi assumed power, closed and destroyed tunnels and narrowed the world,” Bassem Eid, a Palestinian human rights activist, journalist and political analyst based in Jerusalem, told The New Arab.
Eid explains that in addition to the blockade Gazans “face and are subject to…beatings, arrests, repression of freedoms, silencing of prisoners and torture in prisons from Hamas militants.”
Then there is the lasting trauma and staggering rates of Gazans suffering from mental health conditions such as PTSD, anxiety disorders and clinical depression as a result of three major Israeli military operations since 2008, most notably the 50-day war in 2014 which killed over 2,200 Palestinians.
“Rocket fire from Gaza into Israel and the violent Israeli response have destroyed the rest of the Strip. Such wars burden the people, and the people of Gaza are no longer able to bear the burdens resulting from those wars. The people of Gaza dream about death more than they dream of living,” says Eid.
Gaza’s healthcare sector is overwhelmed and priority is given to those with physical injuries, such as the thousands that were shot and wounded by Israeli forces during the Great March of Return last year, in addition to injuries from rocket fire between both sides and excessive use of force by Israeli forces at the borders.
The UN describes Gaza as ‘unliveable’, with 80 percent of the population reliant on international aid.
Those with mental health illnesses come second. It doesn’t help that US President Donald Trump cut $90 million from the UN’s aid budget to Gaza in 2018, which has left UNRWA’s mental health unit in Gaza with a £315 million funding deficit.
Against all odds, the Gaza Community Mental Health Programme (GCMHP) does its best to provide mental and psychological health support to the local population, as does Sumud Palestine, a charity based in the UK that sends mental health professionals to volunteer in Gaza. But with a heavily traumatised population of two million people, including 400,000 children that UNICEF says are in need of psychological support, they can’t reach everybody.
“There’s little that psychologists can fix. Rehabilitation and psychological treatment are meant to help individuals to reintegrate into society and return to a normal life, but in Gaza there’s no life in the first place, the siege psychologically and emotionally suffocates life out of the enclave,” says Shehada from Euro-Med Monitor.
“Furthermore, an Israeli Arab psychologist, Mohammed Mansour, who travelled to Gaza in late 2017 noted that even Gazan psychologists themselves were suffering from depression, anxiety and despair, the very issues they are supposed to treat amongst the population.”
Most young Gazans see themselves approaching the age of 30 without a job, without savings, without being able to secure the minimum of a decent life or start a family of their own
The Covid-19 pandemic has also played a role in the recent spike in suicides in Gaza over the past four weeks. Travel restrictions from Egypt and Israel to control the pandemic, plus Israel’s recent annexation plans, have resulted in the Palestinian Authority ceasing all coordination with Israel, making leaving Gaza virtually impossible.
Since the outbreak of Covid-19, 4,000 Gazans have lost their jobs and 50 factories have closed their doors forever. New pressures such as extreme overcrowding in the home — with children unable to attend school and men unemployed — has also resulted in increased rates of domestic violence.
The Gaza Community Mental Health Programme (GCMHP) has reported drops in calls from women from 60 percent to 30 percent since lockdown, which is worrying. With men stuck at home, abused women are finding it difficult to make calls for help. GCMHP has responded by operating for longer hours, 12 hours a day, 7 days a week.
“Israel’s threat of annexation didn’t only kill whatever hope remained of the two-state solution, but it already psychologically paralysed the Palestinian Authority and compromised — along with the coronavirus — the Palestinian economy, most seriously in Gaza,” Shehada explains.
“A large proportion of Gaza’s economy is sustained through the salaries the PA sends to its tens of thousands of employees each month, but the PA hasn’t been receiving its tax revenues from Israel since May, which made it unable to pay those salaries.”
With the mental health crisis in Gaza continuing to grow, Shehada says a number of measures are needed to alleviate the suffering of Palestinians. Internally, Gazans need genuine unity between Hamas and Fatah and proper national elections so that people can elect a truly representative leadership.
Internationally, the global community needs to seriously challenge Israel and Egypt’s blockade on Gaza, and demand that Israel assumes its responsibilities to an occupied population.
Shehada also suggests that the world community creates special scholarships for people from Gaza and create remote learning opportunities. “Through my calls with some of the youth in Gaza, they tell me that if Israel opens its crossings for hours, 30 percent will go out and migrate to other countries. This may lead to a decrease in the suicide rate in the future,” says Eid.
Yousra Samir Imran is a British Egyptian writer and author who is based Yorkshire. She is the author of Hijab and Red Lipstick, being published by Hashtag Press in the UK in October 2020.
Posted in accordance with Title 17, Section 107, US Code, for noncommercial, educational purposes.