Human Catastrophe at Gaza’s Hospitals

The U.S. mainstream media is again downplaying the horror of Israel’s latest invasion of Gaza. The Washington Post’s front-page headline said “Israel edges into Gaza.” But the carnage is more dramatic at Gaza’s overflowing hospitals, as Dr. Mads Gilbert explained to Dennis J Bernstein.

By Dennis J Bernstein

The Israeli latest war in Gaza has claimed more than 330 lives, including scores of children, and left thousands wounded, forcing overworked and under-supplied medical personnel to scramble in a desperate struggle to save lives.

One of those doctors, Norwegian physician Mads Gilbert, was in Gaza during Israel’s last major assault, Operation Cast Lead in 2008-09, and is now tending to the flood of wounded pouring into Shifa Hospital as a result of Israel’s Operation Protective Edge. Dr. Gilbert was interviewed by Dennis J Bernstein for Pacifica’s “Flashpoints” program.

An Israeli soldier prepares for a night attack inside Gaza as part of Operation Protective Edge. (Israel Defense Forces photo)

An Israeli soldier prepares for a night attack inside Gaza as part of Operation Protective Edge. (Israel Defense Forces photo)

DB: Give us an overview in terms of the medical situation. What can you tells us in terms of the extent of the wounds, what type is most prevalent, the number of dead and wounded at this hour.

MG: I am now in Shifa Hospital in central Gaza City. Shifa Hospital is the trauma center for the 1.7 million Palestinians living in the Gaza Strip. It’s a very important hospital, but its function is almost crippled by the longstanding, seven-year Israeli siege of Gaza, which has caused extensive deficiencies on all types of equipment needed for running a hospital; disposable instruments, sutures, and the more basic things like water and electricity.

So, it’s really a miracle that the staffing at Shifa managed to improvise all that you need to improvise in order to sustain a caseload, like we had [Thursday], of around 100 cases coming into Shifa, many of them severally injured. And before I go to the injuries, let me just underline one thing. Health is not only a question of a health-care system, it is in as much a question of the basic commodities in life  – water, food, human security, education, work and so on. And all these basic pre-conditions for public health are lacking in Gaza as a result of the occupation and the siege of Gaza.

As for the injuries, we have had a steady current of injured, dying, dead during this close to two weeks of Israeli onslaught. The most striking impression and documented feature is that 80 – 90 percent of the injured and killed are civilians. This is according to U.N. and the Palestinian Minister of Health. Fifty percent, pretty much exactly 50 percent of the injured are women and children. About one-quarter to one-third of the killed are children.

This is really a large-scale attack on the Palestinian civilian society. And bear in mind, that to a man in Gaza there absolutely is nowhere to hide, there is nowhere to hide. There is no shelter, there is no early warning system, no sirens, no civil defense. On top of that you can’t see, you can’t really get away from this mess. You can’t take you family and escape to a neighboring state or up in the mountains or away. Because you are incarcerated. It is like a prison being bombed. Completely.

DB: Now let me ask you, in terms, you said that most of the wounded and killed are civilians. Could you say a little bit more about, just to keep a human face on this, who you’ve seen, who’s coming in, and what do the wounds look like? Are they consistent with advanced weaponry? What can you tell us about that?

MG:  Well, you know, war is a dirty thing. And we just received up to thirty [victims] from families that were bombed now around 8:30 [on Friday] just as we’re having these talks, women, children, elders coming in with shrapnel injuries from the heavy Israeli artillery that has been shot … since last night. These artillery grenades produce deadly shrapnel that travels at a very high speed and, if you are unlucky, they will penetrate one of your cavities, the abdomen, the chest or the brain, and cause life threatening bleedings. And this is a time critical event if you want to survive. The doctors and the surgeons must detect the bleeding, and immediately do surgery to stop the bleeding. This is one type of injuries.

The other type of injuries we are seeing are the traumatic amputations. We have seen now, like in 2006, 2009 and 2012, extreme amputations: legs ripped off at the level of the hip, arms ripped off under the armpit and bodies cut in two, with no signs of shrapnel injuries. Now we don’t really know what kind of explosives these are, but it has been discussed among people who are knowledgeable about weapons, that this might be the result of explosives called the DIME [Dense Inert Metal Explosive] weapon, a metal explosive.

But I underline, we don’t have any proof of this. And it doesn’t really matter what type of weapon you are injured or killed by. If you are killed or injured, the end point is the same. So if I should talk about any illegal weapon used by the Israeli forces, it is the weapons that are illegal according to the international regulations and laws of war regulated in the Geneva Conventions.

And there are three illegal weapons that Israel is using. Number one, is the collective punishment defined by the siege that has lasted for seven years and that is really making the whole population suffer really large difficulties. The second illegal weapon is the indiscriminate shelling of civilian areas, not protecting the civilians at all, which is against the Geneva Conventions, Article 33. And the third illegal weapon is the disproportionate use of force. The fighting parties are obliged to use proportional force. Israel is using an overwhelmingly disproportional use of force which is reflected in the fact that now close to 300 Palestinians have been killed or massacred, and 1 Israeli is killed [at the time of the interview on Friday]. That is 1 to 300 which tells you everything about the disproportion.

So really this is a very uneven, if you can even call it a war. It is an occupant who is viciously bombing a large civilian population. They have nowhere to fly and are basically defenseless.

DB:  Now we know about all the embargoes. We talked a little about this before. Do the hospitals, where you are in Shifa [Hospital] in Gaza, do the hospitals have the supplies that they need? Are people getting what they need? Is it able to come in?

MG: Absolutely not. As a result, as I said, of the siege, the hospital system has been sort of slowly crippled along with the civilian society. And when the Egyptian president closed the tunnels which was really the life-line into Gaza, the fuel crisis went up 400 percent and it basically sort of crushed all the public budgets. So for example, doctors in this municipality can no longer afford fuels for the generators which is producing electricity in order to run the waste water pumps and the cleaning machinery for sewage. So currently 65,000 cubic meters of raw sewage is running into the Mediterranean area.

And in every aspect of civilian life, and a normal life, they are effects of the siege. So the hospitals are only one sector where this lack of supplies has really reduced the capacity. And let me illustrate this by saying that on the 17th of June, the leadership in Shifa Hospital decided to cancel all elective surgeries, meaning planned surgery and only doing emergencies. This was a few weeks before the attacks started.

And on the 3rd of July, two days before the attack started, they decided to only do life-saving emergency surgery. That means, basically, that 1.7 million Palestinian people are without the health care that you need for your daily life. Like for cancer, for orthopedic, for anything that you are being treated for.

So, it’s running on sort of an emergency, very basic level, and on top this now comes this large influx of very severely wounded. We were running six operating rooms last night. We were operating continuously as these 100 plus, injured came pulling into the hospital.

I am amazed. I am deeply impressed by the quality and the morality of the Palestinian health workers. From the ambulance paramedics, to the nurses, to the doctors, to the cleaners. They stand tall. They haven’t been paid normal salaries since March and before that they had 50 percent salary for eight months, still they come to work. They are working for nothing. … They are exhausted, extremely exhausted, but they don’t leave their people. I am deeply impressed by their morality.

DB:  And, Dr. Gilbert, when you were there in 2008 and 2009, there were multiple attacks on hospitals. There were many attacks on ambulances. We understand that a hospital in the north that deals with the elderly and the infirmed was under attack. What can you tell us about that?

MG: This was the Al-Wafa hospital which was the most important rehabilitation hospital in Gaza and the Gaza Strip. Al-Wafa is – or was – a rather well organized rehabilitation center. They have 18 patients now. They were actually ordered by the Israeli armed forces to evacuate the hospital because they were going to bomb it.

Now, don’t forget that hospitals are protected by the international laws and the Geneva Convention. You can’t bomb hospitals like that, but Israel can. Where was the ICRC [International Committee of the Red Cross]? Where was the U.N? Where were the white cars rolling up to protect this hospital?

There’s total lawlessness, here. Israeli impunity seems to allow them to do whatever they want. Kill children. Kill elders. Bomb hospitals. Stop the water. Stop the electricity. Stop the supply of drugs. What is this, medieval times? What is this? What kind of morality is this? What kind of treatment of decent people is this? You call somebody terrorist and you think that you’re exempted from the laws of moral and international regulations? It shouldn’t go on like this. This has to be stopped.

And I tell Mr. Obama, if you have a heart, come to Gaza. Spend a night with me in Shifa Hospital and I’m absolutely sure that he will change his mind. Mr. Obama, come here and tend to the children of Gaza, screaming, injured, so many shrapnels and burns. See what this is actually on the ground. This is not a war against some enemy called terrorist. This is an all-out war against a civilian population of Gaza who has deserved nothing to have this hell upon them from the Israeli war machine. This is state terrorism, at a very high level.

DB:  And, finally, you bring up the children. We know there have been multiple deaths of children, I think it’s over 40 now. We saw the slaughter on the beach. We saw other families being wiped out. There are the kids who already dead, and what about the impact on the tens, and hundreds of thousands of young people in the Gaza Strip? How does this impact on the child’s health if you are not wounded?

MG: That’s an important question. Let me just give you the numbers updated as of 4 o’clock this afternoon [Friday]. So hard, 62 children have been killed by the Israelis in Gaza, 24 women — that is 86 women and children, those already killed. This is among the 270 to be killed, so far. Among the 2,196 injured Palestinians, 637 are children. So the Israelis have injured almost 650 children and killed 62.

Now for a moment, God forbid, turn it around and ask yourself, what would the world leaders have said if Palestinian fighters had killed 62 Israeli children and injured 637 Israeli children in less than two weeks? This is what really troubles the Palestinians. We are treated like second-class citizens, like animals.

The laws that apply to the world, do not apply to us. Israel can do what they like. Nobody reacts. They can kill us, they can bomb our houses, they can close our borders, they can do whatever they like, and nobody reacts. This has to stop. This is not a world war. This is so extremely provocative, for the people all over the world.

As for the psychological trauma, Palestinians are strong. They have a very strong coherence in their families. They are filled with what the Arabs and Palestinians call sumud which means steadfastness, they stand tall, they stick together, they don’t rock. They have an extreme resilience. They are not beggars. They are not creeping around, asking for mercy. They say “Give us peace. Give us equity and equality and we will be fine. We don’t need developmental assistance, we just need basic human rights, and peace, and we will manage fine.”

But, of course, it’s an enormous psychological burden. I see like myself. I mean, the Israelis bombing day and night, it’s extremely frightening. We’re in a hospital, but imagine now these coming in from their homes, sitting there having their Christmas dinner, basically, and Israeli grenades hits right in the sitting room, in the living room. And mother and father are sprayed with blood, and two sisters are killed, and everything around them … they’re phoning an ambulance, that are coming to them, they’re getting help in the hospital.

You know, these are scars on your mind for a lifetime. But they mend, they come away. The unfortunate thing is that, they are re-traumatized every third, fourth year by the Israeli war machine, by the Israeli government, who seems actually to have a plan with these repetitious attacks on Gaza, to break the backbone of the Palestinian resistance. That’s never going to happen. Palestinians are like others who are occupied. They will never yield to the occupant.

Norway was occupied for five years, by the Germans, a couple of tens of years by the Swedes, 400 years by the Danes. We get rid of them. We’re a small but we’re a proud and independent nation. People want to be free, like the people in the United States. Why should the Palestinians demand less than freedom and independence?

DB:  Well, that’s the question we’re going to leave it at right now. Dr. Mads Gilbert outside the operating room where the bombs continue to fall. Are they continuing to fall, the bombs, the drones?

MG: Oh, yes, oh yes. Oh yes, sir. We heard the drones, which means the hummers, or the humming bees, all over our heads. We are having a large, yellow … the light grenades, hanging over our heads, to light up the ground for the Israeli forces when they want to shoot. And we hear this deafening detonations and explosions from the Israeli air-to-ground rockets and from the artillery shells. I don’t want anybody to experience this, my friend. This is so frightening. This is so painful. And to see this current of injured, and bleeding, and dying children and women. It is even more than I can take, many times.

Dennis J Bernstein is a host of “Flashpoints” on the Pacifica radio network and the author of Special Ed: Voices from a Hidden Classroom.

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14 comments on “Human Catastrophe at Gaza’s Hospitals

  1. rosemerry on said:

    Obama is a complete coward who would not dream of spending a minute in Gaza where he could, despite his cold, cruel attitude to anyone but his rich friends and Israel, perhaps see something to turn him into a human being.
    To hear the lies, the blaming of Hamas for the murders of children and adults by the “IDF”, the pretence that a minute’s “warning” is an excuse to destroy buildings full of people with unspeakable cruelty and violence, makes anyone with any morality or compassion cringe.
    The USA -land of the feeblemorals and home of the cowardly.

  2. Joe Tedesky on said:

    What upsets me, is while the U.S. moves heaven and earth to fix the blame for the downed Malaysian flight MH17 on the Pro-Russian forces then there is this. There are more people dead and injured in Gaza, yet demonize Russia for our own instigated coup in Ukraine. After all Israel is only defending itself. Yet, if Russia even stares to long in the direction of it’s next door neighbor Ukraine then we break out the riot gear. What’s wrong with this picture, besides everything?

    By the way, American hospitals are always throwing away medical equipment for upgrades. Couldn’t the older equipment be rebuild, and distributed to poorer nations? Better yet, instead of giving Israel their 3 billion in aid give it to the Palestinians!

  3. John J on said:

    I am absolutely disgusted with our Prime Minister in Canada, Stephen Harper, and the Foreign Affairs Minister John Baird. We have these darn adds on TV “Stand with Israel.” When questioned about it, Baird retorted that he deserved better questions. Excuse me, I’ve met Palestinians who lost their home in 1948, lived in a refugee camp in the desert for some time until one boy escaped to Egypt and eventually managed to get the family out. Then they made their way to the US and Canada. Of the two boys, both attended universities, one to become a teacher the other a doctor. I have met students in Canada because Israel closed their schools.
    Either they are naïve ignorant idiots, playing for donations and votes from radical Zionist and their Christian supporters, or both. The insensitivity and divisiveness with such crass behaviour is an embarrassment. Would anyone help me move the Parliament building in Ottawa to Gaza or the West Bank and perhaps educate these oafs.

  4. All Western so-called leaders are zionist puppets.

  5. Troy on said:

    Eye-opening reporting here. I’d heard about Pacifica before, I plan on tuning into it now.

    The quality of news media has become so incredibly awful, and I knew this before Protective Edge began. There is just something so repulsive now, how this slaughter is justified by demonizing Hamas, it is enough to make me tune out of the newspapers and mainstream outlets for good. Everybody with an opinion should be made to read this account, as well as the numerous videos which show firsthand the bloodshed, the sheer disregard for humanity, the callousness and intrinsically unethical actions for that government which the United States lends its helping hand.

    The one positive I see coming out of this is that more and more people around the world are being awakened to the visceral brutality that is laid down upon the people of Palestine with frightening regularity. For what it’s worth, when this happens again in 2016, 2019 and onwards, more and more people are going to wake up to the reality that it is not anti-semitic to say that Israelis are committing war crimes against the Palestinians.

    How many more have to die before this is all over?

  6. borat on said:

    hamas started this period. They have a history of using human shields, civilian homes for weapon/munition storage, and have sent thousands of rockets into Israel. None of these radical islamist sympathizers never mention the murder of Israeli citizens by hamas terrorists financed by iran. The double standard applied to Israel defending itself is totally hypocritical.

    • TheAZCowBoy on said:

      Hard to belive that these ought-right lies being stated on this site are believed by anyone.

      Bibi ‘tore into Gaza’ looking 4 his 3 baby viper Settler Jews and when he couldn’t solve his case in hours he proceded to invade Gaza, arrest and savage some 500 Palys, rearrested the Shalit exchange Arabs who had already been served amnesty by Natanyahu. His IDF’eers then proceeded to murder 6 Palestinian teens ad buen down two homes where the ‘killers’ lived – total lie! When he had reached this abuse level Hamas declared war on the ZioNazi’s and started to fire ‘useless’ Qassams into israel. He (Bibi) then proceeded with his criminal army to devstate Gaza (who he decided to destroy as long as he was there).
      God bless Hamas, they have been hero’s of the Iwo Jima type and history will pay them their dues. So, you Jewish ‘butt sniffers’ can say what U want about the ‘elected’ government of Palestine, I pray that there will be ‘many Jews to add to Hamas’ ‘gun notches’ in the following dayze!

      For the 1st time in my life I have sent $100′s to MECA to help these downtrodden people and this coming week I will be at the County court building with my Palestinian flag damning the Jewish monsters!!!!

    • TheAZCowBoy on said:

      To Borat….
      Hey Pal this isn’t Arutz-7, Haartez or the Jerusalem Post. Me think you need to go buy candles for the 27 IDF war criminals and the babies they have (((shredded))) like sausage and thank UR G-D that Hamas hasn’t got hold of UR pale white Jewish ass and done ‘funny’ things with UR bloody carcass to visit a ‘little’ vengence on the ZioNazies of the world.

  7. borat on said:

    Even the UN which tilts toward the radical islamists has found hamas weaponry housed in civilian buildings.

    UNRWA said it found rockets hidden in a vacant Gaza school near two buildings housing refugees, in the second such instance of militants accused of storing weaponry in a school during the latest offensive.

    An UNRWA statement said staff were removed from the building where the rockets were found adding that it “strongly and unequivocally condemns the group or groups responsible”.

    • TheAZCowBoy on said:

      Try putting 1.7m sardines in a barrel and then blame them 4 being elbow-to-elbow. The Palestinian people have been savaged by these hoodlum Jews 4 65+ years. And fenced in as they are, (with nowhere to run) they have decided to ‘die where they stand with dignity.’ The biggest lie in the UNITED SNAKES (US/Israel/NATO) repertoire (in Gaza, Libya and Syria, has been the ‘Oh well, they use their people as human shields/fodder and the US Jewish owned and operated media ‘plays on these lies’ and the ‘sheeple’ bleat the lies in defense of the UNITED SNAKES genociders ( who’s tarnished human rights records (and reputations) in AF/PAK, Libya, Lebanon, Gaza, Somalia, Yemen, Vietnam, Laos, Cambodia, Honduras, Guatemala, Nicaragua, Panama and Chile would fill the Nuremburg Courts for decades!

      I love the Palestinian people and would gladly raise money for Stinger missiles, more sophisticated IED’s (as we saw them this past week – to the chagrin of the Great Satan who finnces these cut-throats 12/52.

  8. borat on said:

    Hamas is a terror organization that is openly sworn to Israel’s destruction.

    Hamas has rained more than 14,000 rockets on Israel since 2001, and despite many cease-fire agreements continues to violate them and re-ignite the conflict with renewed rocket attacks.

    Hamas aims its rockets purposefully at Israeli civilians, not at military targets. (This is a war crime.)

    Israel never aims its attacks at Arab civilians unless the enemy is hiding among them (and it usually warns those civilians first).

    Hamas hides its military installations and weapons in heavily populated civilian areas, ensuring that when Israel attacks, Gazans will be hurt or killed. (Using civilians as human shields is also a war crime.)

    Buried in a number of foreign media reports from Gaza are acknowledgments that amid the images of Palestinian civilians, Hamas terrorists are operating amongst the population. Here are some examples:

    Globe and Mail correspondent in Gaza, Patrick Martin, wrote in his article from 20 July:

    The presence of militant fighters in Shejaia became clear Sunday afternoon when, under the cover of a humanitarian truce intended to allow both sides to remove the dead and wounded, several armed Palestinians scurried from the scene.

    Some bore their weapons openly, slung over their shoulder, but at least two, disguised as women, were seen walking off with weapons partly concealed under their robes. Another had his weapon wrapped in a baby blanket and held on his chest as if it were an infant.

    Washington Post correspondent Willian Booth reporting from Gaza, wrote in an article from 15 July:

    At the Shifa Hospital in Gaza City, crowds gathered to throw shoes and eggs at the Palestinian Authority’s health minister, who represents the crumbling “unity government” in the West Bank city of Ramallah. The minister was turned away before he reached the hospital, which has become a de facto headquarters for Hamas leaders, who can be seen in the hallways and offices.

    Another report by Washington Post correspondents from 17 July recounts:
    During the lull, a group of men at a mosque in northern Gaza said they had returned to clean up the green glass from windows shattered in the previous day’s bombardment. But they could be seen moving small rockets into the mosque.

    • JohnJ on said:

      You reap what you sow Borat. Treat a people like they are unworthy, steal their land (Israeli terrorists), occupy them brutally and then you blame them for behaving badly. Absolute blindness. What is it all for, a belief in exceptionalism , a (g)od given land at the expense of first inhabitants by Moses (an Egyptian name and one Biblical verse suggest he didn’t know Hebrew), and now the descendants of all those who have passed through the area be they Jews who converted to Christianity or Islam or whoever are to leave.
      Explain to me why Israel gave Yassin (member of the Muslim Brotherhood team which in time became Hamas) funding and a licence to collect funds in Gaza when Arafat had progressed on the path to peace with Rabin who was then shot by one of your revisionist Zionists settlers.
      How much pain do you have to place upon a people for a racist and illegal venture.
      Here’s to ‘Jews for Peace’ I hope your humanitarian views grow upon us all.
      I am shocked by Canada’s Minister of Foreign Affairs ( John Baird) web site. In support of the Jewish national Fund he says of his Ottawa home:
      “I’ve never had to fight to prove that I belong here.
      I’ve never had to fight to defend my right to live here.
      I’ve never been exiled.”

      What does he think Palestinians have suffered in the recent past and are doing right now.
      He states that, “After 2,000 years of bitter exile……the return of Jewry to its ancestral homeland.” Perhaps he should extend that to the people they slew in Exodus (men, women and children) in order to attain it. Where do you draw the line. Today we supposedly have international laws and the Geneva Conventions to stop such atrocious behaviour, but they seem to be used at the convenience of our leaders whims. These whims are directed by political power and funding, not the ideals of the rules themselves.

  9. John J on said:

    I accidentally misnamed “Jews for Justice”, Jews for Peace. My apologies. I think they are a very honourable group and outward looking. Basically we are all the same, but each family has the good and the bad.