International outrage is growing over Israel’s abduction of Dr. Hussam Abu 
Safiya, the director of Kamal Adwan Hospital in the Jabaliya refugee camp, who 
was detained after Israeli forces raided and shut down the last major hospital 
in northern Gaza last week. A new United Nations report finds that Israeli 
strikes on and near hospitals in the Gaza Strip have “pushed the healthcare 
system to the brink of total collapse.” Displaced Palestinians throughout the 
territory are dying from the ongoing Israeli bombardment, as well as injuries, 
infections and diseases due to Israel’s restrictions on medical care and 
medical supplies. At least six babies have also died of hypothermia in recent 
days amid plunging winter temperatures. “Living conditions are just deplorable. 
They are not compatible with human life,” says Dr. Mimi Syed, an emergency 
medicine physician who just left Gaza after volunteering there for a month. We 
also speak with trauma surgeon Dr. Feroze Sidhwa, who previously volunteered at 
the European Hospital in Khan Younis. “It’s very likely that tens or even 
hundreds of thousands of people are going to die of the combination of 
malnutrition, displacement, exposure to the elements and hypothermia this 
winter,”

Gaza: Doctors Warn Thousands of Palestinians Could Die This Winter from Cold, 
Hunger, Disease | Democracy Now!

Gaza-Israel War: Winter Flooding Threatens Humanitarian Catastrophe

Thematic Report - Attacks on hospitals during the escalation of hostilities in 
Gaza (7 October 2023 - 30 June 2024) | OHCHR

How Many People Have Died of Starvation in Gaza? | World Peace Foundation
NERMEEN SHAIKH: We end today’s show in Gaza, where relentless winter rainstorms 
have flooded thousands of tents of forcibly displaced Palestinians.


FORCIBLY DISPLACED PALESTINIAN: [translated] Due to the rain yesterday, water 
gathered over the worn-out tents and broke them, broke the wood, and water went 
down on those asleep. And we got up at 3 a.m. to try to gather what is left of 
the tent. This is our situation.


NERMEEN SHAIKH: This comes as at least six infants and one adult living in 
displaced camps in Gaza have died from the cold as winter temperatures drop.

Meanwhile, a United Nations report published today finds that Israeli strikes 
on and near hospitals in the Gaza Strip have, quote, “pushed the healthcare 
system to the brink of total collapse, with catastrophic effect on 
Palestinians’ access to health and medical care.”

The world is still calling on Israel to release Dr. Hussam Abu Safiya, director 
of Kamal Adwan Hospital in Gaza’s Jabaliya refugee camp, after he was detained 
in a raid on the hospital by Israeli forces and reportedly taken to a detention 
camp with his leg badly injured.

For more, we’re joined by two doctors who worked in Gaza this year. In Amman, 
Jordan, Dr. Mimi Syed is an emergency medicine physician. She just left Gaza 
for the second time this year. She volunteered for four weeks at Nasser 
Hospital in Khan Younis and Al-Aqsa Hospital in Deir al-Balah. Also with us is 
her colleague, Dr. Feroze Sidhwa, a trauma surgeon who volunteered at the 
European Hospital in Khan Younis in the early spring. His piece last month for 
Foreign Policy is headlined “The U.S. Must Support Gaza Before Winter: Seasonal 
rains and flooding portend further humanitarian catastrophe.”

We welcome you both to Democracy Now! Dr. Mimi Syed, if you could begin? You 
were just there in Gaza. Describe where you were and the conditions that you’ve 
seen in the hospitals that remain, where you worked.

DR. MIMI SYED: Hi. Thank you for having me. Yes, I actually just got back 
yesterday.

So, yeah, the conditions are terrible. They were terrible in August, but winter 
has kind of brought in a new level of destruction, the children that I saw just 
disproportionately affected by this. The malnourishment, the contamination of 
the water, everything is just tenfold now because of the dropping temperatures. 
You know, there’s the same type of airstrikes and the missiles and the 
targeting of children that I witnessed again. We saw the same type of shrapnel 
injuries, traumatic amputations, you know, blunt trauma, and then open skull 
wounds of children — just the same type of brutal aggression.

NERMEEN SHAIKH: And while you were in Gaza, you gave an interview to Sky News, 
Dr. Syed, and you said — while in Gaza, you said, quote, “Humanity is ending 
here,” that that’s what you see, humanity ending here in Gaza. If you could 
elaborate further on, in particular, this issue of water, why it is that so 
much of the water supply is contaminated, and what this means for people in 
Gaza, in hospitals, and, in particular, the most vulnerable — children, infants 
and the elderly?

DR. MIMI SYED: Yeah, I mean, I had an opportunity this time to actually walk 
around in the camps and talk to the families and actually visit inside of the 
tents, just deep inside those encampments, and the living conditions are just 
deplorable. I mean, they are not compatible with human life.

The contamination of the water is very high. I spoke to the infection control 
manager there that takes care of the water filtration system, and he was 
explaining to me that the filtration, the chlorine, the solvents that they 
need, the membranes that they need, none of that is available. The water is 
coming up, I mean, literally from a hose. Children fill, like, these dirty 
plastic containers, and it’s supposed to be filtered again, but those filters 
that are in front of residential areas, they’re generated — the power is 
generated by fuel, which, of course, is not available. So they end up drinking 
this water that’s actually just meant for, like, washing and such.

But that’s leading to this chronic diarrhea that children have, especially 
small babies, that are affected so much by this. Every child there that I saw 
in the emergency department had diarrhea. And then it leads — with the 
malnourishment on top of that, it’s leading to organ failure, things like 
kidney failure we’d see in children. I mean, it’s rates that you don’t 
typically see in other countries. And it’s all because of this water, very high 
in salt content. You can’t filter that out. It is seawater. And, you know, of 
course, the elderly are at the same risk of becoming ill, critically ill, that 
way.

NERMEEN SHAIKH: And, Dr. Feroze Sidhwa, if you could talk about — you’ve made 
remarks to the effect that hundreds of thousands of toddlers and elderly could 
potentially die in Gaza in February or by February. And respond specifically to 
the raid on Kamal Adwan Hospital, the last remaining functional major hospital 
in northern Gaza, and what the effects of that will be, and the fact that, of 
course, its director, Dr. Hussam Abu Safiya, has been detained, his leg badly 
injured.

DR. FEROZE SIDHWA: Yeah, as far as we know, Dr. Abu Safiya has been detained — 
don’t know where he is, don’t know what’s being done to him, may never find 
out. Who knows?

And yeah, Kamal Adwan has been destroyed. It’s really — it had barely been a 
functional hospital in any sense for months. It’s been under siege for at least 
a month. The Israelis — you know, there was one point at which it really just 
got incredibly sadistic. The Israelis allowed the only delivery of supplies 
during this time and then tank-shelled the little warehouse that it was put 
into in the hospital. It’s just — it’s pretty sadistic at this point. And the 
U.S. goes along with it, so we can’t really blame the Israelis for it. We’re 
the ones allowing it to happen.

But in terms of the public health situation in Gaza, I think it’s exactly like 
Dr. Syed just described. And it’s what Dr. Parkinson and I wrote about in 
Foreign Policy, like you mentioned. You know, Gaza is a half child population. 
The entire — you know, 90% of the population is homeless, meaning their homes 
have been physically destroyed or they’ve just been displaced from them. But 
regardless, they live in temporary shelters. As you heard from the — or, as the 
listeners heard from the — at the beginning of the program, when it rains, 
these shelters don’t provide any protection from the rain and the flooding that 
happens every year in Gaza.

And so, now the temperature is quite chilly. Well, the adults can survive a 
50-degree winter, but even adults, not if they’re wet constantly. I mean, 
you’re talking about being wet for three months straight. And furthermore, 
they’re not just wet; they’re living in a land that literally doesn’t have a 
sewage system anymore. It’s one of the most crowded places in the world, the 
Mawasi, where most of these people are. The 1.8 million people that are 
concentrated there are living in a place that literally has no sewage system; 
1.8 million people are living in a place that has 121 toilets. This is just 
outrageous. And then, on top of that, the Israelis aren’t even allowing soap to 
be brought into Gaza.

So, it’s not hard to figure out what’s going to happen when all of that is put 
together. It’s very likely that tens or even hundreds of thousands of people 
are going to die of the combination of malnutrition, displacement, exposure to 
the elements and hypothermia this winter. And at this point there isn’t 
actually anything that can be done about it.

NERMEEN SHAIKH: And, Dr. Sidhwa, if you could comment also — I mean, given the 
many, many reasons that people are dying prematurely in Gaza — hypothermia, 
hunger, etc. — what do you think of this, the count that’s always — 45,000 
people have been killed in Gaza since the war began in October 2023. What do 
you think the actual count might be, given all of these reasons?

DR. FEROZE SIDHWA: It’s very hard to make accurate estimates. You know, Alex de 
Waal just wrote a good blog post at the Tufts peace center that he runs. He’s 
the leading historian of famine in the modern period. And he writes, what he 
wrote, that it’s extremely unlikely that fewer than 10,000 people have died, 
and he was hesitant to make any more — from what are called indirect causes of 
war. And he was hesitant to make more predictions than that. But, you know, if 
you look at the Integrated Food Security Phase Classification data, you can’t 
estimate that less than 60,000 people have died of starvation in Gaza. And 
that’s the only data that’s really available. There’s nothing else.

There actually was just a study published in a nutrition science journal. It 
just came across my desk yesterday, and I’ve requested it from our library, so 
I haven’t been able to read it yet, so I don’t know what it says. But the 
abstract was terrifying, saying that, basically, the entire population has lost 
weight, which, you know, Mimi and I having been there, we can definitely attest 
to that.

But it’s very likely that tens of thousands of people have starved to death in 
Gaza, many of them small children. But what’s more important than the number is 
that we don’t know. We’re doing this to an entire population of child refugees, 
and we don’t even know if we’re starving tens of thousands of children to 
death? That’s crazy. What kind of behavior is that?

NERMEEN SHAIKH: Well, Dr. Mimi Syed, let me get your response to that, in other 
words, you know, what the U.S. has been doing in all this time. They could have 
easily, as many have pointed out, pushed and made a ceasefire happen. That has 
not occurred. And now we have Trump coming in, in three weeks. He said if the 
hostages are not released by Inauguration Day, January 20th, all hell is going 
to break out. What do you imagine might happen then?

DR. MIMI SYED: Oh, I mean, it needs to stop, is the number one point. But there 
is absolutely no dignity left. And that’s what I mean when I say humanity has 
ended. You know, Feroze is talking about malnourishment. Absolutely. Every 
single child has some sort of hypopigmentation. And, you know, you and I both 
know as physicians, that’s the number one sign of acute malnourishment. 
Children are displaying these signs all the time.

And then, when we talk about dignity, imagine, you know, this population was 
not poor to begin with. The majority of people were well-to-do. They had 
professions like you and I do. They had education, 98% literacy rate there. 
Overnight, their lives were changed. Imagine living in a tent that’s made out 
of scraps in cold weather with about 20 other people. You know, on so many 
levels, that’s a violation of a person’s dignity and basic human needs. You 
know, I spoke to so many people, so many women especially, that commented on — 
you know, there’s no menstrual pads. They can’t even afford those.

NERMEEN SHAIKH: I’m so sorry, Dr. Mimi Syed. We’re going to have to end it 
there, American emergency medicine physician who just left Gaza, and Dr. Feroze 
Sidhwa, trauma surgeon who volunteered in Gaza.



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