“We see children who withstood previous injuries only to be hurt again. Doctors and nurses with no resources, struggling to save lives. Thousands of boys and girls sick, hungry, injured, or separated from their families,” she said. “The violence and deprivation are leaving permanent scars on their vulnerable bodies and minds. And now, with a breakdown in sanitation and sewage treatment, the polio virus joins the list of threats, especially for the thousands of unvaccinated children.” 

New York, N.Y. The head of the U.N. Children’s Fund (UNICEF) appealed on Wednesday for an immediate improvement in the security situation in Gaza, where dangerous operating conditions and attacks against humanitarian workers continue to hamper aid delivery to communities in need. 

“Simply put – we do not have the necessary conditions in the Gaza Strip for a robust humanitarian response,” UNICEF Executive Director Catherine Russell said in a statement issued in the wake of an attack on one of the agency’s vehicles and the latest Israeli evacuation order in Khan Younis.

Children suffer ‘permanent scars’ 

Ms. Russell began by highlighting the dire conditions in Gaza, where “with each passing week, families face new horrors”. 

She said devastating attacks on schools and sites housing displaced people continue, reportedly killing hundreds more Palestinians and further straining the already overburdened hospitals in the enclave.

“We see children who withstood previous injuries only to be hurt again. Doctors and nurses with no resources, struggling to save lives. Thousands of boys and girls sick, hungry, injured, or separated from their families,” she said.

“The violence and deprivation are leaving permanent scars on their vulnerable bodies and minds. And now, with a breakdown in sanitation and sewage treatment, the polio virus joins the list of threats, especially for the thousands of unvaccinated children.” 

Humanitarian situation ‘beyond catastrophic’ 

Meanwhile, “as families are repeatedly forced to move to escape the immediate violence, the humanitarian situation is beyond catastrophic,” she said. 

Although UNICEF and other humanitarian agencies are doing everything they can to respond, “the dire situation and attacks against humanitarian personnel continue to obstruct our efforts.”

On Tuesday, a clearly-marked UNICEF vehicle was hit by bullets while waiting at a designated holding point near the Wadi Gaza checkpoint.  It was one of two vehicles that were going to collect five young children and reunite them with their father after their mother was killed. 

“Fortunately, no one was injured, and the team managed to reunite the family,” she said. “Yet in this incident, like others before it, the humanitarian consequences could have been horrific.” 

Safe, unimpeded aid access 

Stating that the conditions in Gaza do not support a robust humanitarian response, she said that “the flow of aid must be unimpeded and access must be regular and safe.” 

For nearly nine months, aid has trickled in, civilians have been deprived of supplies, and the commercial sector has been decimated, she said. 

The result has been growing competition for the little that is available, smuggling of goods into Gaza, and the increasingly organized looting of aid supplies which  “not only impedes our efforts to reach vulnerable families but puts our teams and the civilians we are supporting at risk.” 

At least 278 aid workers killed

The situation is exacerbated by the operating conditions on the ground, she continued, noting that at least 278 aid workers have already been killed to date – a record number – while others are put in harm’s way or prevented from doing their jobs.

“We need an immediate improved security environment, including security for aid delivery trucks, to allow aid workers to safely reach the communities they intend to serve,” Ms. Russell said.

“Most critically, we need an immediate and sustainable ceasefire.”

The UNICEF chief called on all parties to the conflict to respect their obligations under international humanitarian law, and to protect civilians and civilian infrastructure. 

“It is long past time for this crisis to end, for hostages to be returned to their families and for the children of Gaza to have a healthy and secure future,” she said.

15 seriously ill children to receive urgent care in Spain 

Fifteen children from Gaza with complicated medical conditions arrived in Spain on Wednesday through an evacuation process involving the World Health Organization (WHO) and partners.

The mother of one of the children will also receive treatment.

The patients had been in hospital in Egypt for the past several months, after evacuating from Gaza. They represent but a small portion of the thousands who need access to special medical care outside of the enclave.

Care and cooperation

“These very sick children will be getting the care they need thanks to cooperation between several partners and countries,” said Tedros Adhanom Ghebreyesus, the WHO Director-General.

While expressing gratitude to Egypt and Spain for their support and facilitation, he urged other countries “who have the capacity and medical facilities to welcome people who, through no fault of their own, are caught in the grips of this war.”

The children range between the ages of three and 17 years. Thirteen have complex injuries, one has a chronic heart condition, and one is living with cancer. They are being accompanied by 25 family members and other caregivers.

The youngsters have been in Egypt since before 6 May, after which evacuations became almost impossible with the closure of the Rafah crossing. Since then, only 23 people have been evacuated via the Kerem Shalom crossing.

Thousands still waiting

WHO noted that roughly 5,000 people have been evacuated for treatment outside Gaza since last October. The majority, over 80 per cent, are receiving care in Egypt, Qatar and the United Arab Emirates. Another 10,000 Gazans still need to be evacuated.

Given the situation, the children “are just the tip of the iceberg”, said Dr. Hanan Balkhy, WHO Regional Director for the Eastern Mediterranean.

“Patients who need evacuation outside of the Gaza Strip must be able to exit, preferably to the West Bank, including East Jerusalem, but also to Egypt or Jordan and then onwards,” she added.

Wednesday’s evacuation was supported through the European Union (EU) Civil Protection Mechanism in partnership with WHO. 

The Palestine Children’s Relief Fund facilitated the patients’ documentation, the Government of Egypt supported their care while there, and similar support is being provided by Spain, where the children will be treated at various hospitals across the country.