Juan Cole
Informed Comment / August 24, 2024
Ann Arbor – Julian Borger at The Guardian reports that the first verified case of type 2 poliovirus in 25 years in Gaza, in a baby, has resulted in the paralysis of the infant. It is only the first of many if the UN is not allowed to administer vaccines to 650,000 children in the Strip, which will definitely require a ceasefire. The Israeli authorities are refusing to consider this step.
There is no cure for polio once it is contracted. Its victims can be paralyzed or can die.
Without a ceasefire, UNICEF points out, you cannot get the families to line up their children to receive the vaccine by mouth. Some 95% of the infants in Gaza need to have the vaccine administered to prevent an outbreak, and they need two doses. Without a ceasefire, the aid workers cannot even safely move around to make arrangements for giving out the doses. The aid organizations want to use Deir al-Balah to store and distribute the vaccines, but the Israeli army has just once again ordered everyone out of it and has invaded it, risking destroying the remaining medical infrastructure there. Some 250,000 Palestinians have once again been expelled from their shelters since the beginning of August.
UNRWA head Philippe Lazzarini warned regarding Gaza, “Delaying a humanitarian pause will increase the risk of spread among children.” He suggested that some Israeli children could suffer from an epidemic, as well, but of course Israeli children have largely been vaccinated continually. Palestinian children had also been almost entirely vaccinated up until the Israeli total war on Gaza was implemented last fall.
UNICEF wrote of another war, Ukraine, “UNICEF helps vaccinate over 400 million children globally against polio every year, to eradicate polio worldwide. In Ukraine, UNICEF works to secure uninterrupted availability of life-saving vaccines for children and adults and to maintain high routine immunization coverage. As the war and subsequent displacement continues, gaps in immunization coverage put children’s health at risk.”
Although children in Ukraine are also at risk from polio outbreaks, the human toll of that war pales in comparison to Gaza. Some 2,000 children have been killed as a result of Vladimir Putin’s invasion of Ukraine.
Israeli Prime Minister Benjamin Netanyahu’s total war on the Gaza population has blown over 15,000 children to smithereens.
Whereas Putin’s Russia has been massively sanctioned for its illegal occupation and warfare in Ukraine by the US and most NATO countries, Israel’s government, which illegally occupied Gaza in 1967 and which has shown a reckless disregard for civilian life that may amount to genocide, has been given tens of billions of dollars by the Biden administration.
Type 2 polio vaccinations are substantially down over the past ten months, since the population and the aid workers have been constantly expelled from a succession of supposed safe zones by the Israeli military, medical facilities have been destroyed, and medicine deliveries have been made difficult or impossible by the bombings, artillery barrages, machine gun fire, drone strikes, lack of fuel and general chaos deliberately inflicted on the entire population by monstrously permissive Israeli rules of engagement — which entirely disregard the value of civilian, noncombatant life.
Although Israeli authorities are allowing the delivery of the refrigerated trucks necessary for the vaccines, as well as the vaccine doses themselves, through the Kerem Shalom crossing, the aid workers are pointing out that these steps do no good at all unless there is a ceasefire that allows the aid workers to move around and give the vaccines to the children. Borger quotes Lazzarini as saying, “It is not enough to bring the vaccines into Gaza and protect the cold chain. To have an impact, the vaccines must end up in the mouths of every child under the age of 10.”
UNICEF points out that “The world has made tremendous progress against polio in the past three decades, vaccinating over 2.5 billion children and reducing cases by 99 percent. But this progress is fragile, and we cannot afford to lose focus. Millions of children are still missing out on routine vaccinations because of pandemic disruptions, conflict, climate disasters and displacement.”
It quotes Yuliia Dovjanych, Head Doctor at the ‘Dbayu’ medical centre “Infectious diseases do not disappear during the war. The fight against them is our ‘medical front’ where we must remain resilient. Therefore, we must continue to get vaccinated, take care of our health and the health of our children!” Some 11,520 civilians have been killed in the Ukraine war, whereas over 40,000 people have been killed in Gaza, a majority of them women and children.
At the medical front in Gaza, the war to save the children is going very badly. It will be lost without a ceasefire.
Juan Cole is the founder and chief editor of Informed Comment; he is Richard P. Mitchell Professor of History at the University of Michigan and the author of, among others, Muhammad: Prophet of Peace amid the Clash of Empires and The Rubaiyat of Omar Khayyam
