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Little light, no beds, not enough anesthesia: A view from Gaza's hospitals_我的网站

一 |     DEIR AL-BALAH, Gaza Strip -- The only thing worse than the screams of a patient undergoing surgery without enough anesthesia are the terror-stricken faces of those awaiting their turn, a 51-year-old orthopedic surgeon says.When the Israeli bombing intensifies and the wounded swamp the Gaza City hospitals where Dr. Nidal Abed works, he treats patients wherever he can — on the floor, in the corridors, in rooms crammed with 10 patients instead of two. Without enough medical supplies, Abed makes do with whatever he can find – clothes for bandages, vinegar for antiseptic, sewing needles for surgical ones. Hospitals in the Gaza Strip are nearing collapse under the Israeli blockade that cut power and deliveries of food and other necessities to the territory. They lack clean water. They are running out of basic items for easing pain and preventing infections. Fuel for their generators is dwindling.Israel began its bombing campaign after Hamas militants surged across the border on Oct. 7 and killed over 1,400 people, mostly civilians, and abducted more than 200 others. Israel's offensive has devastated neighborhoods, shuttered five hospitals, killed thousands and wounded more people than its remaining health facilities can handle.“We have a shortage of everything, and we are dealing with very complex surgeries,” Abed, who works with Doctors Without Borders, told The Associated Press from Al Quds Hospital. The medical center is still treating hundreds of patients in defiance of an evacuation order the Israeli military gave Friday. Some 10,000 Palestinians displaced by the bombing have also taken refuge in the hospital compound.“These people are all terrified, and so am I," the surgeon said. “But there is no way we'll evacuate.” The first food, water and medicine trickled into Gaza from Egypt on Saturday after being stalled on the border for days. Four trucks in the 20-truck aid convoy were carrying drugs and medical supplies, the World Health Organization said. Aid workers and doctors warned it was not nearly enough to address Gaza’s spiraling humanitarian crisis. “It's a nightmare. If more aid doesn’t come in, I fear we’ll get to the point where going to a hospital will do more harm than good,” Mehdat Abbas, an official in the Hamas-run Health Ministry, said. Across the territory’s hospitals, ingenuity is being put to the test. Abed used household vinegar from the corner store as disinfectant until the stores ran out, he said. Too many doctors had the same idea. Now, he cleans wounds with a mixture of saline and the polluted water that trickles from taps because Israel cut off the water. A shortage of surgical supplies forced some staff to use sewing needles to stitch wounds, which Abed said can damage tissue. A shortage of bandages forced medics to wrap clothes around large burns, which he said can cause infections. A shortage of orthopedic implants forced Abed to use screws that don't fit his patients' bones. There are not enough antibiotics, so he gives single pills rather than multiple courses to patients suffering terrible bacterial infections. “We are doing what we can to stabilize the patients, to control the situation,” he said. “People are dying because of this." When Israel cut fuel to the territory's sole power plant two weeks ago, Gaza's rumbling generators kicked in to keep life-support equipment running in hospitals. Authorities are desperately scrounging up diesel to keep them going. United Nations agencies are distributing their remaining stocks. Motorists are emptying their gas tanks. In some hospitals, the lights have already switched off. At Nasser Hospital in the southern city of Khan Younis this week, nurses and surgical assistants held their iPhones over the operating table, guiding the surgeons with the flashlights as they snipped. At Shifa Hospital, Gaza’s biggest, where Abed also worked this week, the intensive care unit runs on generators but most other wards are without power. Air conditioning is a bygone luxury. Abed catches beads of sweat dripping from his patients’ foreheads as he operates.People wounded in the airstrikes are overwhelming the facilities. Hospitals don't have enough beds for them. “Even a normal hospital with equipment would not be able to deal with what we’re facing,” Abed said. “It would collapse.” Shifa Hospital — with a maximum capacity of 700 people — is treating 5,000 people, general director Mohammed Abu Selmia says. Lines of patients, some in critical condition, snake out of operating rooms. The wounded lie on floors or on gurneys sometimes stained with the blood of previous patients. Doctors operate in crowded corridors filled with moans. The scenes — infants arriving alone to intensive care because no one else in their family survived, patients awake and grimacing in pain during surgeries — have traumatized Abed into numbness. But what still pains him is having to choose which patients to prioritize.“You have to decide," he said. “Because you know that many will not make it."___DeBre reported from Jerusalem.。    New Delhi, Oct 17 (UNI) Prime Minister Narendra Modi on Monday released the 12th instalment amount of Rs 16,000 crore to eligible farmers under the Pradhan Mantri Kisan Samman Nidhi (PM-KISAN) through Direct Benefit Transfer.

He inaugurated a two-day event 'PM Kisan Samman Sammelan' at Indian Agricultural Research Institute.

Addressing the gathering, the prime minister said, "I congratulate the farmers and their family members for having received the 12th installment today under Pradhan Mantri Kisan Samman Nidhi through Direct Benefit Transfer ahead of Deepawali."

Under the scheme, eligible farmer families are provided a benefit of Rs 6000 per year in three equal instalments of Rs 2,000 each.

So far, eligible farmer families have received benefits of more than Rs 2 lakh crore under PM-KISAN.

The Prime Minister termed the scheme a transformational initiative.

During the event, Modi also inaugurated 600 Pradan Mantri Kisan Samruddhi Kendras (PMKSK) under the Ministry of Chemicals and Fertilizers.

Under the scheme, the fertilizer retail shops in the country will be converted into Pradan Mantri Kisan Samruddhi Kendras in a phased manner.

Pradan Mantri Kisan Samruddhi Kendras will cater to a wide variety of needs of the farmers and provide agri-inputs (fertilizers, seeds, implements); testing facilities for soil, seeds, fertilizers; generate awareness among farmers; provide information regarding various government schemes and ensure regular capacity building of retailers at block and district level outlets, the PMO said.

More than 3 lakh retail fertilizer shops are planned to be converted into PMKSK.

"From today, the work will start to convert over 3.15 lakh fertilizer shops into Pradhan Mantri Samruddhi Kendras. These Kendras will be a one stop solution catering to all requirements of our annadatas," the Prime Minister said.

The Prime Minister also launched Bharat Urea Bags, which will help companies market fertilizers under the single brand name Bharat.

"Through One Nation One Fertilizer, urea will now be available under one brand name - Bharat. This will ensure farmers do not undergo confusion and there is consistency in the quality of fertilizers," the Prime Minister said.

The Prime Minister also inaugurated the Agri Startup Conclave and Exhibition.



About 300 startups will showcase their innovation related to Precision Farming, Post-Harvest and Value Add Solutions, Allied Agriculture, Waste to Wealth, Mechanisation for Small Farmers, Supply Chain Management, Argi-Logistic, among others.

The platform would facilitate startups to interact with farmers, FPOs, agri-experts, corporates etc. Startups will also share their experience and interact with other stakeholders in technical sessions.

During the event, Modi also launched ‘Indian Edge’, an e-magazine on fertilizer.

It will provide information on domestic and international fertilizer scenarios, including recent developments, price trends analysis, availability and consumption, success stories of farmers, among others.

UNI ASU SY。

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