Gaza: Aid agencies and medical professionals warn of dangers of a mass polio outbreak
Without urgent action a generation of children is endangered.
Toronto, ON, August 20, 2024 – Aid agencies and medical professionals have joined forces to call urgently for a ceasefire to allow life-saving polio vaccinations to be administered to about 640,000 children aged under 10 following confirmation of the first case of polio in Gaza in 25 years.
At least 50,000 born during the past 10 months of hostilities are highly unlikely to have received any immunisations due to the collapsed health system, while older children among the one million children in Gaza will have had their regular vaccine schedules disrupted or halted by violence and displacement.
Polio had been in Gaza more than two decades ago, but last month the WHO that the virus had been found in sewage samples from sites in Khan Younis and Deir Al-Balah. This month, one case was confirmed by Gaza’s Ministry of Health in an unvaccinated 10-month-old child in Deir Al-Balah in the central Gaza Strip.
The reemergence of the poliovirus in Gaza is a direct result of the destruction of water and sanitation infrastructure, and the Government of Israel’s restrictions on repairs and supplies. Coupled with overcrowding, displacement, and a crippled healthcare system, these actions have created an environment ripe for the spread of the virus in Gaza.
A group of about 20 aid agencies and 20 medical professionals who have worked in Gaza said polio vaccines are in the region and ready to be distributed in August and September, but this requires full access for humanitarian supplies into Gaza from all border crossings, and safe, unhindered movement within the Strip. This can only be achieved with an immediate end to hostilities.
“Now polio is confirmed, the response needs to be measured in hours, not weeks. Without immediate action, an entire generation is at risk of infection, and hundreds of children face paralysis by a highly communicable disease that can be prevented with a simple vaccine. These children do not have the luxury of time.â€â€¯
Jeremy Stoner, Save the Children’s Regional Director for the Middle East.
Polio, a virus that , is particularly dangerous in Gaza, where high malnutrition rates and toxic stress levels make children more vulnerable to infection. With Ministry of Health in a 10-month-old in Deir Al-Balah, and confirming the presence of , the situation is beyond alarming.
Humanitarian operations across Gaza are severely hindered by the ongoing bombardment and the obstruction of critical aid supplies and fuel at Israeli-controlled crossing points, and dangerous transit inside the Gaza Strip. Specialist refrigerated trucks needed to safely transport vaccines have been repeatedly rejected from entry, leaving thousands of children at risk.
“The health system in Gaza was destroyed long ago, without an immediate ceasefire and access to vaccines and humanitarian aid across the Strip, the people of Gaza are facing a public health disaster that will spread and endanger children across the region and beyond.â€
Nahed Abu Iyada, CARE West Bank and Gaza’s Health Program Field Officer.
Humanitarian organisations urgently call for an immediate and sustained ceasefire to allow polio vaccinations to take place in Gaza. For a polio vaccination campaign to be effective, it must be able to reach at least 95% of targeted children, and this cannot happen in an active war zone.
Any ceasefire or  by the UN must be used to facilitate full humanitarian access, not just for vaccines but for the full range of assistance needed to sustain civilians’ basic needs. All parties to conflict have an obligation to facilitate humanitarian access at all times, regardless of whether conflict is active or not.
                Signed:
                
                Islamic Relief Worldwide 
                MedGlobal 
                ActionAid 
                Churches for Middle East Peace (CMEP) 
                War Child 
                Norwegian Refugee Council (NRC) 
                WeWorld 
                CARE 
                Medical Aid for Palestinians (MAP) 
                Humanity & Inclusion/ Handicap International (HI) 
                DanChurchAid 
                ChildFund Alliance 
                ÀÖ²¥´«Ã½ 
                Accion Contra el Hambre (ACF) 
                Médicos del Mundo (Médecins du Monde Spain) 
                Oxfam 
                International Rescue Committee 
                Mercy Corps 
                Children Not Numbers NGO 
                Save the Children 
                
                Doctors and medical professionals: 
                Feroze Sidhwa, MD, MPH, FACS, FICS 
                Trauma, critical care, acute care, and General Surgeon 
                Served at European Hospital, Khan Younis, March 25 – April 8, 2024 
                French Camp, CA 
                Thaer Ahmad, MD 
                Emergency Medicine Physician 
                Served at Nasser Hospital, January 2024 
                John Kahler, MD, FAAP 
                MedGlobal Cofounder 
                Served in Tel al-Sultan, Rafah, Gaza, January, March 2024 
                Abdullah Ghali, MD 
                Orthopedic Surgery Resident 
                European Hospital in Khan Younis, April 3 – 8, 2024 
                Houston, TX 
                Abeerah Muhammad MSN, RN, CEN 
                Emergency and Critical Care Nurse 
                European Hospital, May 2024 
                Yipeng Ge, MD, MPH, CCFP 
                Primary Care Physician and Public Health Practitioner 
                Tal Al Sultan Primary Health Care Center in Rafah, February 12-19, 2024 
                Ottawa, Canada 
                Benjamin Thomson, MD, MSc, MPH(c), FRCPC 
                Internal Medicine, Nephrology, Public Health 
                Multiple sites in Rafah, Deir-el-balah 
                March 2024 
                Toronto, Canada 
                Noor Amin, MD, CCFP(SEM), FCFP 
                Primary Care, Emergency and Sports Medicine physician 
                Al Aqsa Hospital and European Gaza Hospital April 2024 
                Mississauga, Canada 
                Ahmad Yousaf, MD 
                Internal Medicine/Pediatrician 
                Al-Aqsa Shushes Hospital, June 24- July 16, 2024 
                Nabeel Rana, MD 
                Vascular Surgeon 
                Served at Al-Aqsa Martyrs Hospital, Deir al-Balah, June 20 – July 9, 2024 
                Hina Cheema, MD 
                Obstetrician and Gynecologist 
                Served in Al Emirati hospital, Rafah March 2024 
                Served in Nassar hospital, Khan Younis, June-July, 2024 
                Ahmed Ebeid 
                Anesthesia 
                Served in European General Hospital, January – February 2024 
                Served in Kamal Eledwan Hospital, March- April 2024 
                Bilal Piracha, MD 
                Clinical Assistant Professor Emergency Medicine 
                Served at Aqsa Hospital, DeirAl-Balah, March 7 -19 & July 19- 25, 2024 
                Served at Al Ahli Hospital (Gaza City), July 26 – August 1, 2024 
                Professor Nick Maynard MS, FRCS, FRCSEd 
                Consultant Surgeon (General and Thoracic Surgery) 
                Oxford University Hospitals, Oxford, UK 
                Served as member of Medical Aid for Palestinians Emergency Medical teams in Gaza: 
                December 26, 2023 – January 8, 2024, Al Aqsa Hospital, Deir Al Balah, Gaza 
                April 22– May 6, 2024, Al Aqsa Hospital, Deir Albalah, Gaza 
                Javid Abdelmoneim FRCP, DTMH 
                Emergency Medicine Physician 
                Nasser Medical Complex, Khan Younis June -July 2024 
                Khaled Dawas MD, FRCS (General Surgeon) 
                Consultant Surgeon 
                University College London Hospitals 
                Member of Medial Aid for Palestinians Emergency Medical Teams in Gaza 2023/4 
                Dr. Trish Scanlan 
                Paediatrician & Co-Medical Director 
                Children Not Numbers 
                Dr James Smith MBBS, MA, MSc, MSc 
                Emergency Physician, UK 
                Lecturer in Humanitarian Policy and Practice, UCL, UK 
                Served in Al Aqsa Hospital, December 16, 2023 – January 8, 2024 
                Served in Al-Mawasi, Rafah, Al-Aqsa Hospital, & supported patient evacuations ins Gaza City, North Gaza
                
                Alia Kattan MD 
                Anesthesia and Critical Care Medicine 
                Served in European General Hospital, Gaza, April 29 – May 17, 2024 
                Tanya Haj-Hassan, BMBCh, MSc 
                Served in Gaza, March 11-25, 2024 
            
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