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"It's an impossible situation, because even if we prioritize the little fuel that is left to the most urgent departments, we know that they won't last more than 36 to 48 hours," said Julie Faucon, MSF medical team leader in Gaza.
The international humanitarian group Médecins Sans Frontières, also known as Doctors Without Borders or MSF, warned in a Wednesday statement that newborn babies and other patients are at dire risk as southern Gaza's Nasser Hospital runs out of fuel.
The group warned that electricity for the MSF-supported Nasser Hospital, where MSF members are providing emergency, maternity, pediatric, burn, and trauma care, may be cut off for some hospital departments leaving patients without "lifesaving care." The hospital's neonatal intensive care unit is currently treating children and newborns who are reliant on mechanical ventilation and incubators. All of these young patients are dependent on electricity from fuel generators, MSF wrote.
Nasser Hospital, as well as two other facilities in the Gaza Strip, Al-Aqsa Hospital and European Gaza Hospital, are nearing the need to close due to lack of fuel, the group reported Wednesday.
"It's an impossible situation, because even if we prioritize the little fuel that is left to the most urgent departments, we know that they won't last more than 36 to 48 hours," said Julie Faucon, MSF medical team leader in Gaza, according to the statement. "While some patients are hanging on by a thread, the lack of sustained electricity is impacting the level of care we can provide to those with burns and trauma."
Pascale Coissard, MSF emergency coordinator, said that the situation is "a consequence of Israel's ongoing blockade and continuous criminal looting of lifesaving supplies."
In mid-July, the United Nations reported that "Israeli authorities continue to tightly control allocations of incoming fuel, thereby limiting humanitarian operations, especially by local partners," and just last week the body noted that only 16 of the region's 36 hospitals remained partially in operation.
Pointing to lack of medical supplies, equipment, and personnel, Rik Peeperkorn, the World Health Organization representative for the West Bank and Gaza, told a recent U.N. Security Council meeting that "the health sector is being systematically dismantled."
Attacks by the Israeli military have left northern Gaza's three hospitals—the Kamal Adwan Hospital, al-Awda Hospital, and the Indonesian Hospital—either entirely out of service or barely functioning.
Hussam Abu Safia, the head of the Kamal Adwan Hospital, was detained by Israeli forces during their raid on Kamal Adwan Hospital in late December.
Human rights defenders and the medical community have called for his release, it's believed that he is being held in an Israeli detention center, though the Israeli officials had given news media and human rights groups conflicting messages about his whereabouts.
Defense against dangerous epidemic outbreaks requires constant vigilance. With Robert F. Kennedy Jr. and Donald Trump headed to Washington, D.C., we are entering very troubling territory.
Elvis Presley hardly seems a likely candidate for the pantheon of public health heroes. But in October 1956 the ascending rock idol lent his considerable stardom to helping save lives.
His little remembered role is a cautionary tale as incoming President Trump advances a series of farright and unqualified appointees to major public agencies. The most dangerous is likely to be conspiracy theorist Robert Kennedy Jr. as Secretary of Health and Human Services, augmented by like-minded, perilous public health heads of the Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS), National Institutes of Health (NIH), Federal Drug Administration (FDA), and his choice for Surgeon General.
For a century, polio epidemics made it one of the world’s most terrifying diseases. A 1916 outbreak in New York City killed over 2,000 people; another in the U.S. in 1952 claimed over 3,000. Children were especially targeted, over 60,000 infected yearly, facing lifelong severe spinal injuries requiring braces, crutches, and wheelchairs, and the dreaded iron lung, an artificial respirator, or premature death.
Wealth and status proved no barrier, as evidenced by President Franklin Roosevelt who was diagnosed at age 39 in 1921 with polio and endured it the rest of his life. What was a safeguard was the first vaccine, developed by virologist/medical researcher Jonas Salk. The announcement on April 12, 1955 by University of Michigan School of Public Health scientist Thomas Francis, Jr., who declared it “safe, effective, and potent,” was greeted as a national celebration, spread rapidly over radio, television, and wire services.
Parents lined up to vaccinate their young children, plenty did not. Teen immunization levels stagnated at just 0.6 percent. Enter Elvis. He agreed to go on the popular Ed Sullivan TV show, not to sing, but to get publicly vaccinated, viewed by millions. Vaccination rates among American youth soared to 80 percent in just six months. Overall annual cases of polio plummeted within a year from 58,000 to 5,600. By 1961, only 161 cases remained. After an oral vaccine followed, polio disappeared in the U.S. completely.
Yet polio never vanished globally, especially in underdeveloped nations, as in Africa, and in war zones, including in Gaza today—driven by Israel’s decimation of public health protections during its catastrophic and ongoing assault. In 2022, the first U.S. case in decades was reported by the New York State Department of Health.
Defense against dangerous epidemic outbreaks requires constant vigilance, and public support for full embrace of public health safety measures, including vaccinations. The experience of Trump’s first tenure is far from reassuring, especially his abominable failure in the face of Covid-19, the worst global pandemic in a century which ultimately cost the lives of over 1.2 million Americans.
Initial skepticism over the polio vaccine has a long antecedent in the U.S., described early in the Covid pandemic by what Los Angeles Times writer Carolina Miranda aptly termed “toxic individualism” and rugged individualism. It is traceable to a virulent brew of misguided notions of individual liberty that undermine and sabotage the public good, or a commons of national and community interest. Much of its roots are linked to structural racism, as in the resistance to Civil Rights Movement measures, and continuing today in white opposition to reforms such as expansion of health care and other public programs, immigration rights, and other societal benefits.
That history provides context for the eruption of the anti-vax, anti-public health measures that exacerbated and prolonged Covid suffering and death and seeded the ground for opposition to other essential vaccines. It’s true, as medical ethicist Arthur Caplan writes, that much of “the damage to getting Americans to vaccinate has already been done… There are almost no serious state mandates for childhood vaccines. Parents who want to opt out are easily doing so, as can be seen by the resurgence in measles and whooping cough. Nearly 40% of teenagers are not up to date on the HPV vaccine even as Australia and Scotland are on the verge of eliminating cervical cancer thanks to serious immunization campaigns.”
Further, he adds “Democrats avoided vaccination as an issue this election year because they knew that, post Covid, vaccination has become something of a political third rail. Could Kennedy and [CMS nominee Dr. Mehmet] Oz make things worse—absolutely. But are matters already bad—sadly, yes.”
The Kennedy-Trump threat
Yet Kennedy and his coterie of other department heads can make matters much worse. With the imprimatur of a President-elect already lionized by an often-fawning base will likely discourage more resistance to vaccines that can turn schools into major disease vectors and hasten the spread of new epidemics sure to come.
Even in the wake of Covid, Kennedy, with his power as HHS Secretary has said he would pause NIH’s drug development and infectious disease research and shift its focus to chronic diseases that do need attention but not at the expense of combating global epidemics.
Kennedy has also indicated a desire to shutter “entire” FDA departments, which oversee safety and effectiveness of prescription drugs and vaccines. And he has threatened to purge FDA staff for “aggressive suppression” of unsafe products and therapies, such as raw milk, and discredited COVID treatments, including hydroxychloroquine.
There’s his lurid, scientifically refuted linkage of vaccines to autism and other conspiracies, such as his claim that Covid was bioengineered to exempt Chinese people, already targeted by Trump rhetoric that fueled hate crimes, and Ashkenazi Jews of Eastern Europe origin, reinforcing right-wing antisemitic bigotry.
And that’s not including his attack on fluoride in drinking waterwhich promotes oral health, as cited in a letter by 77Nobel Prize winners opposing Kennedy, or his speculated doubt that HIV causes AIDS and the effectiveness of AZT therapy.
Anti-vax consequences
Still, it is his fanaticism on vaccines that prompts the most alarm.
During the COVID-19 epidemic, Children’s Health Defense, a group Kennedy founded and led, petitioned the FDA to halt the use of all COVID vaccines. In a 2023 podcast, Kennedy proclaimed there is “no vaccine that is safe and effective,” and disputed CDC’s guidelines about if and when kids should get vaccinated.
The implications are alone enough for a mass movement to escalate pressure to block confirmation of Kennedy, and Trump’s nominees to lead the CDC, CMS, FDA, NIH and Surgeon General who mostly share his chilling views on vaccine safety. Multiple studies document what is at stake.
The World Health Organization estimates vaccines have protected 150 million lives over the past 50 years, and that 100 million were infants. About 4 million deaths worldwide are prevented by childhood vaccination every year. More than 50 million deaths can be prevented through immunization between 2021 and 2030. By 2030, it is estimated that measles vaccination alone can save nearly 19 million lives.
In November 2013, University of Pittsburgh researchers issued a similar study. It documented that about 103 million cases of disease had been prevented by vaccination since 1924. The disease with the most cases prevented was diphtheria, 40 million cases. Second was measles, 35 million cases.
Globally, reported Scientific American, measles vaccines, preserved 94 million lives over the past 50 years. It cited a 2024 Lancet study published in October that vaccines against 14 common pathogens protected 154 million people over the past five decades—that's a rate of six lives every minute. They have cut infant mortality by 40 percent globally and by more than 50 percent in Africa. Throughout history vaccines secured more lives than almost any other intervention.
Lancet found that each life defended through immunization contributed to 66 years of full health, without long-term linked to disease.Vaccines impact nearly every measurement of health equity, from improving access to care, to reducing disability and long-term morbidity, to preventing loss of labor and the death of caretakers.
Writing in Forbes, hardly a left-wing Trump critic, earlier this year, ER doctor/health researcher Arthur Kellerman also cited the Pittsburgh study, as well as Johns Hopkins data of nearly 88 million cases of illness. In 1900, he wrote, 30 percent of deaths in the U.S. occurred in children under 5 years of age. In 1999, they accounted for only 1.4 percent. "Vaccines," he concluded, "played a vital role in this progress.”
Measles, a highly contagious childhood disease that can lead to pneumonia and fatal brain swelling, declined rapidly after the first measles vaccine was introduced in 1963. But, the CDC cites 16 measles outbreaks in 2024. Kennedy’s alleged role in promoting vaccine misinformation during a deadly measles outbreak in American Samoa in 2019, which he denies, has also been widely reported. Unvaccinated families, writes Kellerman, “tend to cluster in communities defined by faith, culture or political ideology. When a highly contagious disease gets into such a community, an outbreak can occur. We’ve already seen localized outbreaks of measles, rubella, mumps, and pertussis.”
In 2022, Kennedy’s attorney and close advisor Aaron Siri petitioned the FDA to revoke approval of the polio vaccine for further study despite its long history of success.
Republican Senate Majority Leader Mitch McConnell, who endured polio as a child, has denounced the push “to undermine public confidence in proven cures” like the polio vaccine. Only a “miraculous combination of modern medicine and a mother’s love” saved him from paralysis he said in a statement. “The polio vaccine has saved millions of lives and held out the promise of eradicating a terrible disease. Efforts to undermine public confidence in proven cures are not just uninformed—they’re dangerous,” McConnell said.
Yet McConnell, and similar Republican critics have yet to publicly oppose Kennedy and his similar malefactors of health (to borrow FDR’s “malefactors of wealth” frame).
We can no longer count on Elvis to protect our children, families and communities. It is up to the rest of us.
Special Rapporteur Francesca Albanese condemned Israel's destruction of Gaza's healthcare system as "a critical tool of its ongoing genocide."
As Israeli forces stand accused of war crimes during attacks on multiple Gaza hospitals in recent days, Francesca Albanese—the United Nations special rapporteur on the occupied Palestinian territories—on Monday implored the global medical community to respond by cutting ties with Israel.
"I urge medical professionals worldwide to pursue the severance of all ties with Israel as a concrete way to forcefully denounce Israel's full destruction of the Palestinian healthcare system in Gaza, a critical tool of its ongoing genocide," Albanese wrote on X, the social media platform formerly known as Twitter.
Albanese amplified a post by Dr. Rupa Marya—one of the most vocal defenders of Palestinian human rights in the U.S. medical community—calling on Israeli forces to release Dr. Hussam Abu Safiya, director of Kamal Adwan Hospital in Beit Lahia.
Abu Safiya, who documented Israel's siege and attack on Kamal Adwan and who reported last week that nearly 50 people including five hospital staff members were killed by an Israel Defense Forces airstrike on a nearby apartment tower, was among dozens of other medical staffers abducted by IDF troops on Saturday.
After besieging and attacking the hospital for weeks, Israeli forces raided the facility and rounded up 240 people, according to the Gaza Health Ministry. Israel claimed without evidence that Kamal Adwan was being used as a Hamas command center. With the facility shut down and badly damaged, critical patients and their caregivers were forced to evacuate to the nearby Indonesian Hospital.
The Geneva-based Euro-Mediterranean Human Rights Monitor on Saturday published accounts from witnesses to alleged IDF war crimes during the Kamal Adwan raid, including "deliberate killings, field executions, as well as sexual and physical assaults on women and girls from medical teams and displaced women in the area."
CNNreported Monday that Abu Safiya is believed to be held at Sde Teiman, the notorious prison in Israel's Negev Desert where dozens of detainees have died and former inmates say many others have been tortured and raped. The IDF dubiously claimed that Abu Safiya is "suspected of being a Hamas terrorist operative."
On Sunday, Israeli forces also attacked al-Wafa Hospital in Gaza City, killing seven people, according to Gaza Civil Defense officials. Israel said the strike targeted Hamas militants, without providing further information. Anadolu also reported an IDF artillery attack on the Ahli Baptist Hospital in Gaza City on Sunday.
The World Health Organization (WHO) on Monday said it was "appalled" by the Kamal Adwan raid and called out the "systematic dismantling of the health system" in Gaza by Israeli forces.
WHO Director-General Tedros Adhanom Ghebreyesus—who on Thursday survived a deadly Israeli airstrike on Sanaa International Airport in Yemen—on Sunday condemned and demanded an end to IDF attacks on Gaza hospitals.
"Hospitals in Gaza have once again become battlegrounds and the health system is under severe threat," Tedros said on X. "We repeat: Stop attacks on hospitals. People in Gaza need access to healthcare. Humanitarians need access to provide health aid. Cease-fire!"
On Monday, the International Committee of the Red Cross (ICRC) said in a statement that "repeated hostilities in and around hospitals have obliterated the healthcare system in northern Gaza, putting civilians at an unacceptably grave risk of going without lifesaving care."
"The influx of patients, caregivers, and displaced civilians seeking shelter creates a situation that medical personnel cannot solve," ICRC continued. "The increasingly dangerous situation comes in addition to more than a year of insufficient provision of medical equipment and supplies, fuel, food, and specialized healthcare capacities."
"ICRC reiterates its urgent call for the respect and protection of medical facilities in line with international humanitarian law," the organization added. "This protection is a legal obligation and a moral imperative to preserve human life."
Since October 7, 2023, when Hamas led a massive attack on Israel, at least 45,484 Palestinians have been killed in Gaza, with nearly 120,000 others wounded or missing, according to local health officials. Israel's "complete siege" of Gaza has also forcibly displaced, starved, or sickened most of the enclave's population. Gaza officials reported five infants, a child, and a nurse have died due to cold temperatures and exposure in recent days.
The International Court of Justice is currently weighing a genocide case against Israel brought by South Africa and supported by numerous other countries and rights groups.
Palestine defenders in the international medical community are planning a "call in sick from genocide" global day of action on January 6. Organizers are calling on members of healthcare worker unions to push for a strike, and for doctors and others to organize free clinics that day.
Marya, a professor of medicine at University of California, San Francisco who is currently on paid suspension after questioning whether an incoming student from Israel—where IDF service is near-universal—took part in war crimes in Gaza, posted Monday in support of the day of action.
"It is absolutely essential that when we see any entity, any group, destroying healthcare, and using the destruction of healthcare as a way to accelerate the annihilation of a people, as Israel is doing, it is absolutely urgent that the global medical community calls to stop this," Marya told Common Dreams on Monday.
"And we stop it through demanding an arms embargo, demanding unrestricted humanitarian aid into Gaza, and demanding the end to all institutional relationships between our medical institutions and Israeli institutions," she continued. "What we need to do right now is to stop the normalization of genocide, enablement, and perpetration in our spaces of healthcare."
"What we're seeing is genocide... accelerated through targeting the people who are supposed to heal," Marya added. "The healthcare system in Gaza has been targeted in order to accelerate the annihilation of the Palestinian people. And if the global healthcare community does not stand up right now, this will be the future of all wars."