Gaza’s Healthcare System Under Strain: MSF Suspension Signals Deeper Crisis
Doctors Without Borders (MSF) has suspended some operations at Nasser Hospital in Khan Yunis, Gaza, following reports of armed men within the facility. This move underscores the escalating challenges facing Gaza’s already decimated healthcare system and raises serious concerns about the neutrality of medical facilities during conflict.
The Situation at Nasser Hospital
Nasser Hospital, a critical facility treating hundreds of patients daily, including those wounded in the ongoing conflict and individuals awaiting release as part of the ceasefire deal, has seen an increased presence of armed men since the U.S.-brokered ceasefire. MSF reported “a pattern of unacceptable acts,” including intimidation, arbitrary arrests of patients, and suspicions of weapons movement. Whereas the affiliation of these armed men remains unclear, their presence has forced MSF to halt non-critical medical operations.
A Pattern of Attacks on Healthcare
This incident is not isolated. Throughout the conflict, which began on October 7, 2023, hospitals in Gaza have been repeatedly targeted. Israel has accused Hamas of operating within or around medical facilities, while Hamas security personnel have been observed inside hospitals, restricting access to certain areas. Some hostages released from Gaza have also reported being held in hospitals during their captivity.
MSF’s decision marks a rare public acknowledgement by an international organization of armed presence within Gaza’s medical infrastructure. The aid group has expressed concern to “relevant” authorities, emphasizing the need for hospitals to remain neutral and civilian spaces.
Beyond Nasser Hospital: A Collapsing System
The suspension of services at Nasser Hospital will significantly impact patient care, particularly in maternity and burn wards, where hundreds are admitted daily. MSF is continuing critical services like inpatient and surgical care for traumatic and burn injuries but is ending support for pediatrics, maternity wards, and mental health services.
This situation reflects a broader collapse of Gaza’s healthcare system. Aid groups and rights organizations report that Israel has heavily damaged or forced the closure of most hospitals in the territory. Israeli forces have also raided hospitals, detaining healthcare workers.
Legal Implications and International Law
International law provides special protections for hospitals during wartime. However, this immunity can be lost if combatants use facilities to hide fighters or store weapons. Crucially, any military operation targeting a hospital requires ample warning to allow for the safe evacuation of patients and staff, and any harm to civilians must be proportionate to the military objective.
Israel’s Restrictions on Aid Groups
MSF’s challenges extend beyond security concerns. Israel has been cracking down on aid groups operating in Gaza and the West Bank, banning over three dozen organizations, including MSF, for failing to comply with new registration rules. MSF argues that this decision will have a “catastrophic impact” on its ability to provide vital aid, including funding, international staff, and support for hospitals, and clinics.
Continued Violence and Rising Death Toll
Despite the ceasefire, violence continues in Gaza. Almost daily Israeli fire has resulted in the deaths of 591 Palestinians since the ceasefire took effect. The overall Palestinian death toll from the war has reached at least 72,051, according to Gaza’s Health Ministry, which maintains detailed and generally reliable casualty records.
Frequently Asked Questions
What is MSF doing to continue providing aid?
MSF is continuing to support critical services at Nasser Hospital, including inpatient and surgical departments for patients with traumatic or burn injuries.
Why are armed men present in hospitals?
The affiliation of the armed men is currently unknown. Reports suggest a complex situation with the presence of various groups, including those backed by Israel’s army.
What are the implications of losing hospital immunity?
If hospitals are used for military purposes, they can lose their protected status under international law, potentially making them legitimate targets for attack.
What is the current status of the ceasefire?
While a ceasefire is in place, almost daily Israeli fire continues, resulting in ongoing casualties.
What can be done to assist?
Supporting organizations like Doctors Without Borders and advocating for the protection of healthcare facilities in conflict zones are crucial steps.
