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"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," said Save the Children's Lebanon director.
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."
"The humanitarian suffering in Gaza has already reached catastrophic levels, and it's set to get worse unless something changes immediately," said one human rights official.
The infectious disease outbreaks that doctors on the ground, public health officials, and humanitarian groups have been warning about for weeks in Gaza appear to be in full force, the World Health Organization said Thursday as it reiterated its call for a cease-fire to save lives.
The global public health organization said authorities have reported a surge in cases of diarrhea, with more than half of those affected children under the age of 5, as Israel's decision to cut off fuel access in the blockaded enclave has shut down water desalination plants and disrupted waste collection. The circumstances have created "an environment conducive to the rapid and widespread proliferation of insects, rodents that can carry and transit diseases."
By Thursday, said the United Nations Office for the Coordination of Humanitarian Affairs, all of Gaza's 120 municipal water wells were expected to be depleted.
Health officials in the blockaded enclave, where nearly 11,000 civilians have now been killed, are also reporting nearly 9,000 cases of scabies and lice; 12,600 cases of skin rashes; more than 1,000 reports of chickenpox; and nearly 55,000 cases of upper respiratory infections as roughly 1.5 million displaced people crowd into hospitals, churches, schools, and shelters in search of safety from Israel's relentless bombardment.
The International Rescue Committee (IRC) warned that those disease outbreaks could soon give way to the spread of more deadly illnesses like cholera and typhoid due to 95% of residents' forced reliance on unsanitary water in the past month.
"The humanitarian suffering in Gaza has already reached catastrophic levels, and it's set to get worse unless something changes immediately," said Bob Kitchen, vice president of emergencies for IRC. "While the overwhelming driver of mortality remains the ongoing violence and destruction, a humanitarian ceasefire now would also serve to help aid agencies get ahead of a looming public health crisis within an already vast humanitarian crisis... The conditions are ripe for the spread of communicable and waterborne diseases—diseases that adversely affect children and lead to preventable deaths."
Al Jazeera reported earlier this month that experts have surmised Israel is intentionally leaving Palestinians in Gaza with a lack of safe drinking water, using "water access as a weapon of war" and intensifying the humanitarian catastrophe.
In overcrowded shelters run by the United Nations Relief and Works Agency, WHO said, an average of 160 people are sharing one toilet and there is only one shower for every 700 people, compounding the unsanitary conditions and raising the risk of disease outbreaks.
With aid convoys largelyblocked at the Rafah crossing between Gaza and Egypt, cleaning supplies as well as medicines have no way of getting to hospitals and shelters, and water supplies that humanitarian groups have managed to get through the crossing are only 4% of what is needed.
Medical workers also don't have sufficient personal protective equipment, making it more likely that they will acquire and transmit infections to the patients they are desperately trying to care for.
The impending colder weather is raising alarm over the potential for worsening malnutrition and food shortages, particularly for more than 50,000 pregnant people and about 337,000 children under the age of 5 in Gaza.
Kitchen said groups including the IRC are working to scale up their infection control programs as quickly as they can but warned that their efforts will remain severely obstructed as long as powerful countries including the United States refuse to support calls for a cease-fire.
"Without a meaningful humanitarian cease-fire to allow the free flow of aid, the suffering of innocent Palestinian civilians will continue," said Kitchen. "Immediate and sustained diplomatic intervention is urgently needed to enable a humanitarian cease-fire, which would pave the way for addressing these pressing humanitarian and protection needs and halt the health catastrophe that will lead to more deaths, particularly among children."
WHO also reiterated its demand for "the unconditional release of all hostages [by Hamas] and a humanitarian cease-fire to prevent further death and suffering."
"I've been working on and off in this region for almost 25 years now—and in terms of accumulated emergencies, this is bad as I've ever seen it," the expert said.
Extreme hunger fueled by the climate emergency, violence, and disease has nearly 130,000 people in the Horn of Africa—which has entered its sixth straight failed rainy season—facing starvation, while 48 million others suffer from crisis levels of food insecurity, a United Nations expert warned Friday.
Liesbeth Aelbrecht, a consultant on health and food insecurity for the World Health Organization (WHO) sounded the alarm on what she said was the worst situation she's ever seen in over two decades of work in a region that includes the nations of Djibouti, Ethiopia, Kenya, Somalia, South Sudan, Sudan, and Uganda.
"These 48 million people do include as many as 129,000 who are facing catastrophe," Aelbrecht told reporters in Geneva, Switzerland. "That means they are facing starvation and literally looking death in the eyes."
According to a report published earlier this year by the United Nations High Commissioner for Refugees (UNHCR):
The Horn of Africa region continues to experience the longest and most severe drought on record, threatening lives and livelihoods, including millions of refugees and internally displaced people. Relentless drought and high food prices have weakened many people's ability to grow crops, raise livestock, and buy food... Harvests have yielded little and water sources have dried up. Conflict and insecurity continue to intersect with the drought emergency. As conditions continue to worsen, hundreds of thousands of people have been forced to flee in search of safety and assistance.
UNHCR—which is appealing for $137 million "to respond to the immediate needs of affected populations" in the drought-stricken region—says 1,750,000 people have been internally displaced in Ethiopia and Somalia alone, while more than 180,000 refugees have crossed from Somalia and South Sudan into regions of Kenya and Ethiopia that are also suffering from drought.
The region is also experiencing soaring disease rates.
"All seven countries are battling measles, a deadly disease, Aelbrecht said. "Four of the countries are fighting cholera, South Sudan being one of them; they just declared an outbreak," she added. "Malaria, which we know is endemic in this region and remains the biggest cause reason for [medical] consultation, is really on the rise."
Cases of hepatitis, meningitis, and dengue are also increasing, with Khartoum, the Sudanese capital, reporting its first-ever dengue outbreak this year.
"The frequency of these disease outbreaks is directly linked to these extreme weather events and to climate change," Aelbrecht said. "I've been working on and off in this region for almost 25 years now—and in terms of accumulated emergencies, this is bad as I've ever seen it."
"We need to do anything possible to control these disease outbreaks," she added. "We know how to control cholera, what we need is really the resources to scale this up."