Israel's invasion and intense bombardment of Lebanon—including recent attacks on hospitals and other medical infrastructure—have sparked a potentially catastrophic health crisis in the country, with cholera and other diseases spreading among the more than a million people who have been displaced over the past month.
Last week, the World Health Organization (WHO) announced that it was working to stem the spread of cholera after Lebanon's health ministry confirmed the country's first known case of the bacterial disease since a deadly outbreak that began in October 2022.
Particularly vulnerable to the worsening public health crisis are the hundreds of thousands of children who have been displaced by Israel's bombing and ground attacks. The United Nations Children's Fund stressed that cholera is a severe threat to kids under the age of 5, the unvaccinated, and those suffering from malnutrition.
The humanitarian group Save the Children said Tuesday that "over 400,000 children forced from their homes by the escalating conflict in Lebanon are at risk of skin diseases, cholera, and other waterborne diseases due to overcrowded, basic conditions in collective shelters and a lack of water and sanitation facilities."
Kamal Nasser El Deen, Save the Children Lebanon's emergency response coordinator, said Wednesday that he has been in "multiple" shelters in which families were forced to wait in long lines to access bathrooms.
"The facilities are inadequate for the number of people, and to make matters worse, the water supply is inconsistent," he continued. "This lack of clean, reliable water creates a significant risk for waterborne diseases. It's heartbreaking to know that these children, already displaced and vulnerable, face the additional threat of illness simply because basic needs like sanitation and clean water aren't being met."
"The international community must act now to prevent a humanitarian catastrophe and exert pressure for an immediate cease-fire."
Jennifer Moorehead, Save the Children's country director in Lebanon, likened the intensifying health crisis to the dire conditions in Gaza, which the U.S.-armed Israeli military has decimated with more than a year of relentless bombings and ground attacks, obliterating the enclave's healthcare system and causing the reemergence of polio. Experts have also warned of a looming cholera outbreak in Gaza.
"Thousands of vulnerable children are now unprotected and with winter just round the corner and temperatures dropping, they will become even more susceptible to diseases such as measles, meningitis, and hepatitis A," Moorehead said of the Lebanon crisis. "We have already seen in Gaza how the lethal combination of mass displacement, attacks on healthcare, and lack of nutritious food and water can impact children's lives. We cannot allow this to happen again. The international community must act now to prevent a humanitarian catastrophe and exert pressure for an immediate cease-fire."
Save the Children's warning came as rescue teams searched the rubble for survivors in the aftermath of an Israeli airstrike that hit across the street from Beirut's main public hospital earlier this week, killing at least 18 people including four children.
"Hussein al-Ali, a nurse who was there when the attack happened, said it took him a few minutes to realize it was not the hospital that was hit. Dust and smoke covered the hospital lobby," The Associated Pressreported Tuesday. "The glass in the dialysis unit, the pharmacy, and other rooms in the hospital was shattered. The false roof fell over his and his colleagues' heads."
Some hospitals and clinics operated by humanitarian groups have been forced to shut down due to Israel's military campaign. The New York Timesnoted that facilities that have not been damaged by Israeli bombings "have been abandoned after staff fled, fearing for their safety."
"The ones that remain operational say they are quickly running out of beds as patients evacuated from other facilities are brought in," the newspaper added.
The WHO said last week that it had verified nearly two dozen attacks on healthcare in Lebanon since mid-September. Those attacks killed at least 72 patients and healthcare workers, according to the U.N. body.
Volker Türk, the U.N. high commissioner for human rights, said Tuesday that he was "appalled" by Israel's strike near Beirut's public hospital.
"Hospitals, ambulances, and medical personnel are specifically protected under international humanitarian law because of their lifesaving function for the wounded and the sick," said Türk. "When conducting military operations in the vicinity of hospitals, parties to the conflict must assess the expected impact on healthcare services in relation to the principles of proportionality and precautions. Any incidents which affect hospitals must be subjected to a prompt and thorough investigation."
"I repeat the U.N.'s call for an immediate cessation to hostilities," he added, "and remind all parties that the protection of civilians must be the absolute top priority."