Meanwhile, the WHO’s spokesperson, Margaret Harris, said that the deaths of newborn Palestinian babies in the Strip are increasing. Harris noted that 15 newborn babies enter the phase of starvation daily in the Kamal Adwan hospital in northern Gaza due to malnutrition. Harris stressed that medical needs have now increased more than in any other time. Harris also said that the WHO has difficulty documenting the exact number of child deaths in the Strip due to the large-scale destruction and the fact that many people don’t even go to the remaining hospitals, where deaths are recorded. http://donshafi911.blogspot.com/2024/04/operation-al-aqsa-flood-day-181-deaths.html https://donshafi911.blogspot.com/2024/04/operation-al-aqsa-flood-day-181-deaths.html?m=1

The WHO Pandemic Agreement: A Guide By David Bell, Thi Thuy Van Dinh March 22, 2024 Government, Society 30 minute read The World Health Organization (WHO) and its 194 Member States have been engaged for over two years in the development of two ‘instruments’ or agreements with the intent of radically changing the way pandemics and other health emergencies are managed. One, consisting of draft amendments to the existing International health Regulations (IHR), seeks to change the current IHR non-binding recommendations into requirements or binding recommendations, by having countries “undertake” to implement those given by the WHO in future declared health emergencies. It covers all ‘public health emergencies of international concern’ (PHEIC), with a single person, the WHO Director-General (DG) determining what a PHEIC is, where it extends, and when it ends. It specifies mandated vaccines, border closures, and other directives understood as lockdowns among the requirements the DG can impose. It is discussed further elsewhere and still under negotiation in Geneva. A second document, previously known as the (draft) Pandemic Treaty, then Pandemic Accord, and more recently the Pandemic Agreement, seeks to specify governance, supply chains, and various other interventions aimed at preventing, preparing for, and responding to, pandemics (pandemic prevention, preparedness and response – PPPR). It is currently being negotiated by the Intergovernmental Negotiating Body (INB). Both texts will be subject to a vote at the May 2024 World Health Assembly (WHA) in Geneva, Switzerland. These votes are intended, by those promoting these projects, to bring governance of future multi-country healthcare emergencies (or threats thereof) under the WHO umbrella. The latest version of the draft Pandemic Agreement (here forth the ‘Agreement’) was released on 7th March 2024. However, it is still being negotiated by various committees comprising representatives of Member States and other interested entities. It has been through multiple iterations over two years, and looks like it. With the teeth of the pandemic response proposals in the IHR, the Agreement looks increasingly irrelevant, or at least unsure of its purpose, picking up bits and pieces in a half-hearted way that the IHR amendments do not, or cannot, include. However, as discussed below, it is far from irrelevant. Historical Perspective These aim to increase the centralization of decision-making within the WHO as the “directing and coordinating authority.” This terminology comes from the WHO’s 1946 Constitution, developed in the aftermath of the Second World War as the world faced the outcomes of European fascism and the similar approaches widely imposed through colonialist regimes. The WHO would support emerging countries, with rapidly expanding and poorly resourced populations struggling under high disease burdens, and coordinate some areas of international support as these sovereign countries requested it. The emphasis of action was on coordinating rather than directing. In the 80 years prior to the WHO’s existence, international public health had grown within a more directive mindset, with a series of meetings by colonial and slave-owning powers from 1851 to manage pandemics, culminating in the inauguration of the Office Internationale d’Hygiene Publique in Paris in 1907, and later the League of Nations Health Office. World powers imposed health dictates on those less powerful, in other parts of the world and increasingly on their own population through the eugenics movement and similar approaches. Public health would direct, for the greater good, as a tool of those who wish to direct the lives of others. The WHO, governed by the WHA, was to be very different. Newly independent States and their former colonial masters were ostensibly on an equal footing within the WHA (one country – one vote), and the WHO’s work overall was to be an example of how human rights could dominate the way society works. The model for international public health, as exemplified in the Declaration of Alma Ata in 1978, was to be horizontal rather than vertical, with communities and countries in the driving seat. With the evolution of the WHO in recent decades from a core funding model (countries give money, the WHO decides under the WHA guidance how to spend it) to a model based on specified funding (funders, both public and increasingly private, instruct the WHO on how to spend it), the WHO has inevitably changed to become a public-private partnership required to serve the interests of funders rather than populations. As most funding comes from a few countries with major Pharma industrial bases, or private investors and corporations in the same industry, the WHO has been required to emphasize the use of pharmaceuticals and downplay evidence and knowledge where these clash (if it wants to keep all its staff funded). It is helpful to view the draft Agreement, and the IHR amendments, in this context. Why May 2024? The WHO, together with the World Bank, G20, and other institutions have been emphasizing the urgency of putting the new pandemic instruments in place earnestly, before the ‘next pandemic.’ This is based on claims that the world was unprepared for Covid-19, and that the economic and health harm would be somehow avoidable if we had these agreements in place. They emphasize, contrary to evidence that Covid-19 virus (SARS-CoV-2) origins involve laboratory manipulation, that the main threats we face are natural, and that these are increasing exponentially and present an “existential” threat to humanity. The data on which the WHO, the World Bank, and G20 base these claims demonstrates the contrary, with reported natural outbreaks having increased as detection technologies have developed, but reducing in mortality rate, and in numbers, over the past 10 to 20 years.. A paper cited by the World Bank to justify urgency and quoted as suggesting a 3x increase in risk in the coming decade actually suggests that a Covid-19-like event would occur roughly every 129 years, and a Spanish-flu repetition every 292 to 877 years. Such predictions are unable to take into account the rapidly changing nature of medicine and improved sanitation and nutrition (most deaths from Spanish flu would not have occurred if modern antibiotics had been available), and so may still overestimate risk. Similarly, the WHO’s own priority disease list for new outbreaks only includes two diseases of proven natural origin that have over 1,000 historical deaths attributed to them. It is well demonstrated that the risk and expected burden of pandemics is misrepresented by major international agencies in current discussions. The urgency for May 2024 is clearly therefore inadequately supported, firstly because neither the WHO nor others have demonstrated how the harms accrued through Covid-19 would be reduced through the measures proposed, and secondly because the burden and risk is misrepresented. In this context, the state of the Agreement is clearly not where it should be as a draft international legally binding agreement intended to impose considerable financial and other obligations on States and populations. This is particularly problematic as the proposed expenditure; the proposed budget is over $31 billion per year, with over $10 billion more on other One Health activities. Much of this will have to be diverted from addressing other diseases burdens that impose far greater burden. This trade-off, essential to understand in public health policy development, has not yet been clearly addressed by the WHO. The WHO DG stated recently that the WHO does not want the power to impose vaccine mandates or lockdowns on anyone, and does not want this. This begs the question of why either of the current WHO pandemic instruments is being proposed, both as legally binding documents. The current IHR (2005) already sets out such approaches as recommendations the DG can make, and there is nothing non-mandatory that countries cannot do now without pushing new treaty-like mechanisms through a vote in Geneva. Based on the DG’s claims, they are essentially redundant, and what new non-mandatory clauses they contain, as set out below, are certainly not urgent. Clauses that are mandatory (Member States “shall”) must be considered within national decision-making contexts and appear against the WHO’s stated intent. Common sense would suggest that the Agreement, and the accompanying IHR amendments, be properly thought through before Member States commit. The WHO has already abandoned the legal requirement for a 4-month review time for the IHR amendments (Article 55.2 IHR), which are also still under negotiation just 2 months before the WHA deadline. The Agreement should also have at least such a period for States to properly consider whether to agree – treaties normally take many years to develop and negotiate and no valid arguments have been put forward as to why these should be different. The Covid-19 response resulted in an unprecedented transfer of wealth from those of lower income to the very wealthy few, completely contrary to the way in which the WHO was intended to affect human society. A considerable portion of these pandemic profits went to current sponsors of the WHO, and these same corporate entities and investors are set to further benefit from the new pandemic agreements. As written, the Pandemic Agreement risks entrenching such centralization and profit-taking, and the accompanying unprecedented restrictions on human rights and freedoms, as a public health norm. To continue with a clearly flawed agreement simply because of a previously set deadline, when no clear population benefit is articulated and no true urgency demonstrated, would therefore be a major step backward in international public health. Basic principles of proportionality, human agency, and community empowerment, essential for health and human rights outcomes, are missing or paid lip-service. The WHO clearly wishes to increase its funding and show it is ‘doing something,’ but must first articulate why the voluntary provisions of the current IHR are insufficient. It is hoped that by systematically reviewing some key clauses of the agreement here, it will become clear why a rethink of the whole approach is necessary. The full text is found below. The commentary below concentrates on selected draft provisions of the latest publicly available version of the draft agreement that seem to be unclear or potentially problematic. Much of the remaining text is essentially pointless as it reiterates vague intentions to be found in other documents or activities which countries normally undertake in the course of running health services, and have no place in a focused legally-binding international agreement. REVISED Draft of the negotiating text of the WHO Pandemic Agreement. 7th March, 2024 Preamble Recognizing that the World Health Organization…is the directing and coordinating authority on international health work. This is inconsistent with a recent statement by the WHO DG that the WHO has no interest or intent to direct country health responses. To reiterate it here suggests that the DG is not representing the true position regarding the Agreement. “Directing authority” is however in line with the proposed IHR Amendments (and the WHO’s Constitution), under which countries will “undertake” ahead of time to follow the DG’s recommendations (which thereby become instructions). As the HR amendments make clear, this is intended to apply even to a perceived threat rather than actual harm. Recalling the constitution of the World Health Organization…highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition. This statement recalls fundamental understandings of public health, and is of importance here as it raises the question of why the WHO did not strongly condemn prolonged school closures, workplace closures, and other impoverishing policies during the Covid-19 response. In 2019, WHO made clear that these dangers should prevent actions we now call ‘lockdowns’ from being imposed. Deeply concerned by the gross inequities at national and international levels that hindered timely and equitable access to medical and other Covid-19 pandemic-related products, and the serious shortcomings in pandemic preparedness. In terms of health equity (as distinct from commodity of ‘vaccine’ equity), inequity in the Covid-19 response was not in failing to provide a vaccine against former variants to immune, young people in low-income countries who were at far higher risk from endemic diseases, but in the disproportionate harm to them of uniformly-imposed NPIs that reduced current and future income and basic healthcare, as was noted by the WHO in 2019 Pandemic Influenza recommendations. The failure of the text to recognize this suggests that lessons from Covid-19 have not informed this draft Agreement. The WHO has not yet demonstrated how pandemic ‘preparedness,’ in the terms they use below, would have reduced impact, given that there is poor correlation between strictness or speed of response and eventual outcomes. Reiterating the need to work towards…an equitable approach to mitigate the risk that pandemics exacerbate existing inequities in access to health services, As above – in the past century, the issue of inequity has been most pronounced in pandemic response, rather than the impact of the virus itself (excluding the physiological variation in risk). Most recorded deaths from acute pandemics, since the Spanish flu, were during Covid-19, in which the virus hit mainly sick elderly, but response impacted working-age adults and children heavily and will continue to have effect, due to increased poverty and debt; reduced education and child marriage, in future generations. These have disproportionately affected lower-income people, and particularly women. The lack of recognition of this in this document, though they are recognized by the World Bank and UN agencies elsewhere, must raise real questions on whether this Agreement has been thoroughly thought through, and the process of development been sufficiently inclusive and objective. Chapter I. Introduction Article 1. Use of terms (i) “pathogen with pandemic potential” means any pathogen that has been identified to infect a human and that is: novel (not yet characterized) or known (including a variant of a known pathogen), potentially highly transmissible and/or highly virulent with the potential to cause a public health emergency of international concern. This provides a very wide scope to alter provisions. Any pathogen that can infect humans and is potentially highly transmissible or virulent, though yet uncharacterized means virtually any coronavirus, influenza virus, or a plethora of other relatively common pathogen groups. The IHR Amendments intend that the DG alone can make this call, over the advice of others, as occurred with monkeypox in 2022. (j) “persons in vulnerable situations” means individuals, groups or communities with a disproportionate increased risk of infection, severity, disease or mortality. This is a good definition – in Covid-19 context, would mean the sick elderly, and so is relevant to targeting a response. “Universal health coverage” means that all people have access to the full range of quality health services they need, when and where they need them, without financial hardship. While the general UHC concept is good, it is time a sensible (rather than patently silly) definition was adopted. Society cannot afford the full range of possible interventions and remedies for all, and clearly there is a scale of cost vs benefit that prioritizes certain ones over others. Sensible definitions make action more likely, and inaction harder to justify. One could argue that none should have the full range until all have good basic care, but clearly the earth will not support ‘the full range’ for 8 billion people. Article 2. Objective This Agreement is specifically for pandemics (a poorly defined term but essentially a pathogen that spreads rapidly across national borders). In contrast, the IHR amendments accompanying it are broader in scope – for any public health emergencies of international concern. Article 3. Principles 2. the sovereign right of States to adopt, legislate and implement legislation The amendments to the IHR require States to undertake to follow WHO instructions ahead of time, before such instruction and context are known. These two documents must be understood, as noted later in the Agreement draft, as complementary. 3. equity as the goal and outcome of pandemic prevention, preparedness and response, ensuring the absence of unfair, avoidable or remediable differences among groups of people. This definition of equity here needs clarification. In the pandemic context, the WHO emphasized commodity (vaccine) equity during the Covid-19 response. Elimination of differences implied equal access to Covid-19 vaccines in countries with large aging, obese highly vulnerable populations (e.g. the USA or Italy), and those with young populations at minimal risk and with far more pressing health priorities (e.g. Niger or Uganda). Alternatively, but equally damaging, equal access to different age groups within a country when the risk-benefit ratio is clearly greatly different. This promotes worse health outcomes by diverting resources from where they are most useful, as it ignores heterogeneity of risk. Again, an adult approach is required in international agreements, rather than feel-good sentences, if they are going to have a positive impact. 5. …a more equitable and better prepared world to prevent, respond to and recover from pandemics As with ‘3’ above, this raises a fundamental problem: What if health equity demands that some populations divert resources to childhood nutrition and endemic diseases rather than the latest pandemic, as these are likely of far higher burden to many younger but lower-income populations? This would not be equity in the definition implied here, but would clearly lead to better and more equal health outcomes. The WHO must decide whether it is about uniform action, or minimizing poor health, as these are clearly very different. They are the difference between the WHO’s commodity equity, and true health equity. Chapter II. The world together equitably: achieving equity in, for and through pandemic prevention, preparedness and response Equity in health should imply a reasonably equal chance of overcoming or avoiding preventable sickness. The vast majority of sickness and death is due to either non-communicable diseases often related to lifestyle, such as obesity and type 2 diabetes mellitus, undernutrition in childhood, and endemic infectious diseases such as tuberculosis, malaria, and HIV/AIDS. Achieving health equity would primarily mean addressing these. In this chapter of the draft Pandemic Agreement, equity is used to imply equal access to specific health commodities, particularly vaccines, for intermittent health emergencies, although these exert a small fraction of the burden of other diseases. It is, specifically, commodity-equity, and not geared to equalizing overall health burden but to enabling centrally-coordinated homogenous responses to unusual events. Article 4. Pandemic prevention and surveillance 2. The Parties shall undertake to cooperate: (b) in support of…initiatives aimed at preventing pandemics, in particular those that improve surveillance, early warning and risk assessment; .…and identify settings and activities presenting a risk of emergence and re-emergence of pathogens with pandemic potential. (c-h) [Paragraphs on water and sanitation, infection control, strengthening of biosafety, surveillance and prevention of vector-born diseases, and addressing antimicrobial resistance.] The WHO intends the Agreement to have force under international law. Therefore, countries are undertaking to put themselves under force of international law in regards to complying with the agreement’s stipulations. The provisions under this long article mostly cover general health stuff that countries try to do anyway. The difference will be that countries will be assessed on progress. Assessment can be fine if in context, less fine if it consists of entitled ‘experts’ from wealthy countries with little local knowledge or context. Perhaps such compliance is best left to national authorities, who are more in use with local needs and priorities. The justification for the international bureaucracy being built to support this, while fun for those involved, is unclear and will divert resources from actual health work. 6. The Conference of the Parties may adopt, as necessary, guidelines, recommendations and standards, including in relation to pandemic prevention capacities, to support the implementation of this Article. Here and later, the COP is invoked as a vehicle to decide on what will actually be done. The rules are explained later (Articles 21-23). While allowing more time is sensible, it begs the question of why it is not better to wait and discuss what is needed in the current INB process, before committing to a legally-binding agreement. This current article says nothing not already covered by the IHR2005 or other ongoing programs. Article 5. One Health approach to pandemic prevention, preparedness and response Nothing specific or new in this article. It seems redundant (it is advocating a holistic approach mentioned elsewhere) and so presumably is just to get the term ‘One Health’ into the agreement. (One could ask, why bother?) Some mainstream definitions of One Health (e.g. Lancet) consider that it means non-human species are on a par with humans in terms of rights and importance. If this is meant here, clearly most Member States would disagree. So we may assume that it is just words to keep someone happy (a little childish in an international document, but the term ‘One Health’ has been trending, like ‘equity,’ as if the concept of holistic approaches to public health were new). Article 6. Preparedness, health system resilience and recovery 2. Each Party commits…[to] : (a) routine and essential health services during pandemics with a focus on primary health care, routine immunization and mental health care, and with particular attention to persons in vulnerable situations (b) developing, strengthening and maintaining health infrastructure (c) developing post-pandemic health system recovery strategies (d) developing, strengthening and maintaining: health information systems This is good, and (a) seems to require avoidance of lockdowns (which inevitably cause the harms listed). Unfortunately other WHO documents lead one to assume this is not the intent…It does appear therefore that this is simply another list of fairly non-specific feel-good measures that have no useful place in a new legally-binding agreement, and which most countries are already undertaking. (e) promoting the use of social and behavioural sciences, risk communication and community engagement for pandemic prevention, preparedness and response. This requires clarification, as the use of behavioral science during the Covid-19 response involved deliberate inducement of fear to promote behaviors that people would not otherwise follow (e.g. Spi-B). It is essential here that the document clarifies how behavioral science should be used ethically in healthcare. Otherwise, this is also a quite meaningless provision. Article 7. Health and care workforce This long Article discusses health workforce, training, retention, non-discrimination, stigma, bias, adequate remuneration, and other standard provisions for workplaces. It is unclear why it is included in a legally binding pandemic agreement, except for: 4. [The Parties]…shall invest in establishing, sustaining, coordinating and mobilizing a skilled and trained multidisciplinary global public health emergency workforce…Parties having established emergency health teams should inform WHO thereof and make best efforts to respond to requests for deployment… Emergency health teams established (within capacity etc.) – are something countries already do, when they have capacity. There is no reason to have this as a legally-binding instrument, and clearly no urgency to do so. Article 8. Preparedness monitoring and functional reviews 1. The Parties shall, building on existing and relevant tools, develop and implement an inclusive, transparent, effective and efficient pandemic prevention, preparedness and response monitoring and evaluation system. 2. Each Party shall assess, every five years, with technical support from the WHO Secretariat upon request, the functioning and readiness of, and gaps in, its pandemic prevention, preparedness and response capacity, based on the relevant tools and guidelines developed by WHO in partnership with relevant organizations at international, regional and sub-regional levels. Note that this is being required of countries that are already struggling to implement monitoring systems for major endemic diseases, including tuberculosis, malaria, HIV, and nutritional deficiencies. They will be legally bound to divert resources to pandemic prevention. While there is some overlap, it will inevitably divert resources from currently underfunded programs for diseases of far higher local burdens, and so (not theoretically, but inevitably) raise mortality. Poor countries are being required to put resources into problems deemed significant by richer countries. Article 9. Research and development Various general provisions about undertaking background research that countries are generally doing anyway, but with an ’emerging disease’ slant. Again, the INB fails to justify why this diversion of resources from researching greater disease burdens should occur in all countries (why not just those with excess resources?). Article 10. Sustainable and geographically diversified production Mostly non-binding but suggested cooperation on making pandemic-related products available, including support for manufacturing in “inter-pandemic times” (a fascinating rendering of ‘normal’), when they would only be viable through subsidies. Much of this is probably unimplementable, as it would not be practical to maintain facilities in most or all countries on stand-by for rare events, at cost of resources otherwise useful for other priorities. The desire to increase production in ‘developing’ countries will face major barriers and costs in terms of maintaining quality of production, particularly as many products will have limited use outside of rare outbreak situations. Article 11. Transfer of technology and know-how This article, always problematic for large pharmaceutical corporations sponsoring much WHO outbreak activities, is now watered down to weak requirements to ‘consider,’ promote,’ provide, within capabilities’ etc. Article 12. Access and benefit sharing This Article is intended to establish the WHO Pathogen Access and Benefit-Sharing System (PABS System). PABS is intended to “ensure rapid, systematic and timely access to biological materials of pathogens with pandemic potential and the genetic sequence data.” This system is of potential high relevance and needs to be interpreted in the context that SARS-CoV-2, the pathogen causing the recent Covid-19 outbreak, was highly likely to have escaped from a laboratory. PABS is intended to expand the laboratory storage, transport, and handling of such viruses, under the oversight of the WHO, an organization outside of national jurisdiction with no significant direct experience in handling biological materials. 3. When a Party has access to a pathogen [it shall]: (a) share with WHO any pathogen sequence information as soon as it is available to the Party; (b) as soon as biological materials are available to the Party, provide the materials to one or more laboratories and/or biorepositories participating in WHO-coordinated laboratory networks (CLNs), Subsequent clauses state that benefits will be shared, and seek to prevent recipient laboratories from patenting materials received from other countries. This has been a major concern of low-and middle-income countries previously, who perceive that institutions in wealthy countries patent and benefit from materials derived from less-wealthy populations. It remains to be seen whether provisions here will be sufficient to address this. The article then becomes yet more concerning: 6. WHO shall conclude legally binding standard PABS contracts with manufacturers to provide the following, taking into account the size, nature and capacities of the manufacturer: (a) annual monetary contributions to support the PABS System and relevant capacities in countries; the determination of the annual amount, use, and approach for monitoring and accountability, shall be finalized by the Parties; (b) real-time contributions of relevant diagnostics, therapeutics or vaccines produced by the manufacturer, 10% free of charge and 10% at not-for-profit prices during public health emergencies of international concern or pandemics, … It is clearly intended that the WHO becomes directly involved in setting up legally binding manufacturing contracts, despite the WHO being outside of national jurisdictional oversight, within the territories of Member States. The PABS system, and therefore its staff and dependent entities, are also to be supported in part by funds from the manufacturers whom they are supposed to be managing. The income of the organization will be dependent on maintaining positive relationships with these private entities in a similar way in which many national regulatory agencies are dependent upon funds from pharmaceutical companies whom their staff ostensibly regulate. In this case, the regulator will be even further removed from public oversight. The clause on 10% (why 10?) products being free of charge, and similar at cost, while ensuring lower-priced commodities irrespective of actual need (the outbreak may be confined to wealthy countries). The same entity, the WHO, will determine whether the triggering emergency exists, determine the response, and manage the contracts to provide the commodities, without direct jurisdictional oversight regarding the potential for corruption or conflict of interest. It is a remarkable system to suggest, irrespective of political or regulatory environment. 8. The Parties shall cooperate…public financing of research and development, prepurchase agreements, or regulatory procedures, to encourage and facilitate as many manufacturers as possible to enter into standard PABS contracts as early as possible. The article envisions that public funding will be used to build the process, ensuring essentially no-risk private profit. 10. To support operationalization of the PABS System, WHO shall…make such contracts public, while respecting commercial confidentiality. The public may know whom contracts are made with, but not all details of the contracts. There will therefore be no independent oversight of the clauses agreed between the WHO, a body outside of national jurisdiction and dependent of commercial companies for funding some of its work and salaries, and these same companies, on ‘needs’ that the WHO itself will have sole authority, under the proposed amendments to the IHR, to determine. The Article further states that the WHO shall use its own product regulatory system (prequalification) and Emergency Use Listing Procedure to open and stimulate markets for the manufacturers of these products. It is doubtful that any national government could make such an overall agreement, yet in May 2024 they will be voting to provide this to what is essentially a foreign, and partly privately financed, entity. Article 13. Supply chain and logistics The WHO will become convenor of a ‘Global Supply Chain and Logistics Network’ for commercially-produced products, to be supplied under WHO contracts when and where the WHO determines, whilst also having the role of ensuring safety of such products. Having mutual support coordinated between countries is good. Having this run by an organization that is significantly funded directly by those gaining from the sale of these same commodities seems reckless and counterintuitive. Few countries would allow this (or at least plan for it). For this to occur safely, the WHO would logically have to forgo all private investment, and greatly restrict national specified funding contributions. Otherwise, the conflicts of interest involved would destroy confidence in the system. There is no suggestion of such divestment from the WHO, but rather, as in Article 12, private sector dependency, directly tied to contracts, will increase. Article 13bis: National procurement- and distribution-related provisions While suffering the same (perhaps unavoidable) issues regarding commercial confidentiality, this alternate Article 13 seems far more appropriate, keeping commercial issues under national jurisdiction and avoiding the obvious conflict of interests that underpin funding for WHO activities and staffing. Article 14. Regulatory systems strengthening This entire Article reflects initiatives and programs already in place. Nothing here appears likely to add to current effort. Article 15. Liability and compensation management 1. Each Party shall consider developing, as necessary and in accordance with applicable law, national strategies for managing liability in its territory related to pandemic vaccines…no-fault compensation mechanisms… 2. The Parties…shall develop recommendations for the establishment and implementation of national, regional and/or global no-fault compensation mechanisms and strategies for managing liability during pandemic emergencies, including with regard to individuals that are in a humanitarian setting or vulnerable situations. This is quite remarkable, but also reflects some national legislation, in removing any fault or liability specifically from vaccine manufacturers, for harms done in pushing out vaccines to the public. During the Covid-19 response, genetic therapeutics being developed by BioNtech and Moderna were reclassified as vaccines, on the basis that an immune response is stimulated after they have modified intracellular biochemical pathways as a medicine normally does. This enabled specific trials normally required for carcinogenicity and teratogenicity to be bypassed, despite raised fetal abnormality rates in animal trials. It will enable the CEPI 100-day vaccine program, supported with private funding to support private mRNA vaccine manufacturers, to proceed without any risk to the manufacturer should there be subsequent public harm. Together with an earlier provision on public funding of research and manufacturing readiness, and the removal of former wording requiring intellectual property sharing in Article 11, this ensures vaccine manufacturers and their investors make profit in effective absence of risk. These entities are currently heavily invested in support for WHO, and were strongly aligned with the introduction of newly restrictive outbreak responses that emphasized and sometimes mandated their products during the Covid-19 outbreak. Article 16. International collaboration and cooperation A somewhat pointless article. It suggests that countries cooperate with each other and the WHO to implement the other agreements in the Agreement. Article 17. Whole-of-government and whole-of-society approaches A list of essentially motherhood provisions related to planning for a pandemic. However, countries will legally be required to maintain a ‘national coordination multisectoral body’ for PPPR. This will essentially be an added burden on budgets, and inevitably divert further resources from other priorities. Perhaps just strengthening current infectious disease and nutritional programs would be more impactful. (Nowhere in this Agreement is nutrition discussed (essential for resilience to pathogens) and minimal wording is included on sanitation and clean water (other major reasons for reduction in infectious disease mortality over past centuries). However, the ‘community ownership’ wording is interesting (“empower and enable community ownership of, and contribution to, community readiness for and resilience [for PPPR]”), as this directly contradicts much of the rest of the Agreement, including the centralization of control under the Conference of Parties, requirements for countries to allocate resources to pandemic preparedness over other community priorities, and the idea of inspecting and assessing adherence to the centralized requirements of the Agreement. Either much of the rest of the Agreement is redundant, or this wording is purely for appearance and not to be followed (and therefore should be removed). Article 18. Communication and public awareness 1. Each Party shall promote timely access to credible and evidence-based information …with the aim of countering and addressing misinformation or disinformation… 2. The Parties shall, as appropriate, promote and/or conduct research and inform policies on factors that hinder or strengthen adherence to public health and social measures in a pandemic, as well as trust in science and public health institutions and agencies. The key word is as appropriate, given that many agencies, including the WHO, have overseen or aided policies during the Covid-19 response that have greatly increased poverty, child marriage, teenage pregnancy, and education loss. As the WHO has been shown to be significantly misrepresenting pandemic risk in the process of advocating for this Agreement and related instruments, its own communications would also fall outside the provision here related to evidence-based information, and fall within normal understandings of misinformation. It could not therefore be an arbiter of correctness of information here, so the Article is not implementable. Rewritten to recommend accurate evidence-based information being promoted, it would make good sense, but this is not an issue requiring a legally binding international agreement. Article 19. Implementation and support 3. The WHO Secretariat…organize the technical and financial assistance necessary to address such gaps and needs in implementing the commitments agreed upon under the Pandemic Agreement and the International Health Regulations (2005). As the WHO is dependent on donor support, its ability to address gaps in funding within Member States is clearly not something it can guarantee. The purpose of this article is unclear, repeating in paragraphs 1 and 2 the earlier intent for countries to generally support each other. Article 20. Sustainable financing 1. The Parties commit to working together…In this regard, each Party, within the means and resources at its disposal, shall: (a) prioritize and maintain or increase, as necessary, domestic funding for pandemic prevention, preparedness and response, without undermining other domestic public health priorities including for: (i) strengthening and sustaining capacities for the prevention, preparedness and response to health emergencies and pandemics, in particular the core capacities of the International Health Regulations (2005);… This is silly wording, as countries obviously have to prioritize within budgets, so that moving funds to one area means removing from another. The essence of public health policy is weighing and making such decisions; this reality seems to be ignored here through wishful thinking. (a) is clearly redundant, as the IHR (2005) already exists and countries have agreed to support it. 3. A Coordinating Financial Mechanism (the “Mechanism”) is hereby established to support the implementation of both the WHO Pandemic Agreement and the International Health Regulations (2005) This will be in parallel to the Pandemic Fund recently commenced by the World Bank – an issue not lost on INB delegates and so likely to change here in the final version. It will also be additive to the Global Fund to fight AIDS, tuberculosis, and malaria, and other health financing mechanisms, and so require another parallel international bureaucracy, presumably based in Geneva. It is intended to have its own capacity to “conduct relevant analyses on needs and gaps, in addition to tracking cooperation efforts,” so it will not be a small undertaking. Chapter III. Institutional and final provisions Article 21. Conference of the Parties 1. A Conference of the Parties is hereby established. 2. The Conference of the Parties shall keep under regular review, every three years, the implementation of the WHO Pandemic Agreement and take the decisions necessary to promote its effective implementation. This sets up the governing body to oversee this Agreement (another body requiring a secretariat and support). It is intended to meet within a year of the Agreement coming into force, and then set its own rules on meeting thereafter. It is likely that many provisions outlined in this draft of the Agreement will be deferred to the COP for further discussion. Articles 22 – 37 These articles cover the functioning of the Conference of Parties (COP) and various administrative issues. Of note, ‘block votes’ will be allowed from regional bodies (e.g. the EU). The WHO will provide the secretariat. Under Article 24 is noted: 3. Nothing in the WHO Pandemic Agreement shall be interpreted as providing the Secretariat of the World Health Organization, including the WHO Director-General, any authority to direct, order, alter or otherwise prescribe the domestic laws or policies of any Party, or to mandate or otherwise impose any requirements that Parties take specific actions, such as ban or accept travellers, impose vaccination mandates or therapeutic or diagnostic measures, or implement lockdowns. These provisions are explicitly stated in the proposed amendments to the IHR, to be considered alongside this agreement. Article 26 notes that the IHR is to be interpreted as compatible, thereby confirming that the IHR provisions including border closures and limits on freedom of movement, mandated vaccination, and other lockdown measures are not negated by this statement. As Article 26 states: “The Parties recognize that the WHO Pandemic Agreement and the International Health Regulations should be interpreted so as to be compatible.” Some would consider this subterfuge – The Director-General recently labeled as liars those who claimed the Agreement included these powers, whilst failing to acknowledge the accompanying IHR amendments. The WHO could do better in avoiding misleading messaging, especially when this involves denigration of the public. Article 32 (Withdrawal) requires that, once adopted, Parties cannot withdraw for a total of 3 years (giving notice after a minimum of 2 years). Financial obligations undertaken under the agreement continue beyond that time. Finally, the Agreement will come into force, assuming a two-thirds majority in the WHA is achieved (Article 19, WHO Constitution), 30 days after the fortieth country has ratified it. Further reading: WHO Pandemic Agreement Intergovernmental Negotiating Board website: https://inb.who.int/ International Health Regulations Working Group website: https://apps.who.int/gb/wgihr/index.html On background to the WHO texts: Amendments to WHO’s International Health Regulations: An Annotated Guide An Unofficial Q&A on International Health Regulations On urgency and burden of pandemics: https://essl.leeds.ac.uk/downloads/download/228/rational-policy-over-panic Disease X and Davos: This is Not the Way to Evaluate and Formulate Public Health Policy Before Preparing for Pandemics, We Need Better Evidence of Risk Revised Draft of the negotiating text of the WHO Pandemic Agreement: Published under a Creative Commons Attribution 4.0 International License For reprints, please set the canonical link back to the original Brownstone Institute Article and Author. Authors David Bell David Bell, Senior Scholar at Brownstone Institute, is a public health physician and biotech consultant in global health. He is a former medical officer and scientist at the World Health Organization (WHO), Programme Head for malaria and febrile diseases at the Foundation for Innovative New Diagnostics (FIND) in Geneva, Switzerland, and Director of Global Health Technologies at Intellectual Ventures Global Good Fund in Bellevue, WA, USA. View all posts Thi Thuy Van Dinh Dr. Thi Thuy Van Dinh (LLM, PhD) worked on international law in the United Nations Office on Drugs and Crime and the Office of the High Commissioner for Human Rights. Subsequently, she managed multilateral organization partnerships for Intellectual Ventures Global Good Fund and led environmental health technology development efforts for low-resource settings. View all posts Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work. https://brownstone.org/articles/the-who-pandemic-agreement-a-guide/ https://www.minds.com/donshafi911/blog/the-who-pandemic-agreement-a-guide-1621719398509187077

The Silent Shame of Health Institutions J.R. Bruning For how much longer will health policy ignore multimorbidity, that looming, giant elephant in the room, that propagates and amplifies suffering? For how much longer will the ‘trend’ of increasing diagnoses of multiple health conditions, at younger and younger ages be rendered down by government agencies to better and more efficient services, screening modalities, and drug choices? Multimorbidity, the presence of many chronic conditions, is the silent shame of health policy. All too often chronic conditions overlap and accumulate. From cancer, to diabetes, to digestive system diseases, to high blood pressure, to skin conditions in cascades of suffering. Heartbreakingly, these conditions commonly overlap with mental illnesses or disorders. It’s increasingly common for people to be diagnosed with multiple mental conditions, such as having anxiety and depression, or anxiety and schizophrenia. Calls for equity tend to revolve around medical treatment, even as absurdities and injustices accrue. Multimorbidity occurs a decade earlier in socioeconomically deprived communities. Doctors are diagnosing multimorbidity at younger and younger ages. Treatment regimens for people with multiple conditions necessarily entail a polypharmacy approach – the prescribing of multiple medications. One condition may require multiple medications. Thus, with multimorbidity comes increased risk of adverse outcomes and polyiatrogenesis – ‘medical harm caused by medical treatments on multiple fronts simultaneously and in conjunction with one another.’ Side effects, whether short-term or patients’ concerns about long-term harm, are the main reason for non-adherence to prescribed medications. So ‘equity’ which only implies drug treatment doesn’t involve equity at all. Poor diets may be foundational to the Western world’s health crisis. But are governments considering this? The antinomies are piling up. We are amid a global epidemic of metabolic syndrome. Insulin resistance, obesity, elevated triglyceride levels and low levels of high-density lipoprotein cholesterol, and elevated blood pressure haunt the people queuing up to see doctors. Research, from individual cases to clinical trials, consistently show that diets containing high levels of ultra-processed foods and carbohydrates amplify inflammation, oxidative stress, and insulin resistance. What researchers and scientists are also identifying, at the cellular level, in clinical and medical practice, and at the global level – is that insulin resistance, inflammation, oxidative stress, and nutrient deficiencies from poor diets not only drive metabolic illness, but mental illnesses, compounding suffering. There is also ample evidence that the metabolic and mental health epidemic that is driving years lost due to disease, reducing productivity, and creating mayhem in personal lives – may be preventable and reversible. Doctors generally recognise that poor diets are a problem. Ultra-processed foods are strongly associated with adult and childhood ill health. Ultra-processed foods are ‘formulations of ingredients, mostly of exclusive industrial use, typically created by series of industrial techniques and processes (hence ‘ultra-processed’).’ In the USA young people under age 19 consume on average 67% of their diet, while adults consume around 60% of their diet in ultra-processed food. Ultra-processed food contributes 60% of UK children’s calories; 42% of Australian children’s calories and over half the dietary calories for children and adolescents in Canada. In New Zealand in 2009-2010, ultra-processed foods contributed to the 45% (12 months), 42% (24 months), and 51% (60 months) of energy intake to the diets of children. All too frequently, doctors are diagnosing both metabolic and mental illnesses. What may be predictable is that a person is likely to develop insulin resistance, inflammation, oxidative stress, and nutrient deficiencies from chronic exposure to ultra-processed food. How this will manifest in a disease or syndrome condition is reflective of a human equivalent of quantum entanglement. Cascades, feedback loops, and other interdependencies often leave doctors and patients bouncing from one condition to another, and managing medicine side effects and drug-drug relationships as they go. In New Zealand it is more common to have multiple conditions than a single condition. The costs of having two NCDs simultaneously is typically superadditive and ‘more so for younger adults.’ This information is outside the ‘work programme’ of the top echelons in the Ministry of Health: Official Information Act (OIA) requests confirm that the Ministries’ Directors General who are responsible for setting policy and long-term strategy aren’t considering these issues. The problem of multimorbidity and the overlapping, entangled relationship with ultra-processed food is outside of the scope of the work programme of the top directorates in our health agency. New Zealand’s Ministry of Health’s top deputy directors general might be earning a quarter of a million dollars each, but they are ignorant of the relationship of dietary nutrition and mental health. Nor are they seemingly aware of the extent of multimorbidity and the overlap between metabolic and mental illnesses. Neither the Public Health Agency Deputy Director-General – Dr Andrew Old, nor the Deputy Director-General Evidence, Research and Innovation, Dean Rutherford, nor the Deputy Director-General of Strategy Policy and Legislation, Maree Roberts, nor the Clinical, Community and Mental Health Deputy Director-General Robyn Shearer have been briefed on these relationships. If they’re not being briefed, policy won’t be developed to address dietary nutrition. Diet will be lower-order. The OIA request revealed that New Zealand’s Ministry of Health ‘does not widely use the metabolic syndrome classification.’ When I asked ‘How do you classify, or what term do you use to classify the cluster of symptoms characterised by central obesity, dyslipidemia, hypertension, and insulin resistance?’, they responded: ‘The conditions referred to are considered either on their own or as part of a broader cardiovascular disease risk calculation.’ This is interesting. What if governments should be calculating insulin resistance first, in order to then calculate a broader cardiovascular risk? What if insulin resistance, inflammation, and oxidative stress are appearing at younger and younger ages, and ultra-processed food is the major driver? Pre-diabetes and Type 2 diabetes are driven by too much blood glucose. Type 1 diabetics can’t make insulin, while Type 2 diabetics can’t make enough to compensate for their dietary intake of carbohydrates. One of insulin’s (many) jobs is to tuck away that blood glucose into cells (as fat) but when there are too many dietary carbohydrates pumping up blood glucose, the body can’t keep up. New Zealand practitioners use the HbA1c blood test, which measures the average blood glucose level over the past 2-3 months. In New Zealand, doctors diagnose pre-diabetes if HbA1c levels are 41-49 nmol/mol, and diabetes at levels of 50 nmol/mol and above. Type 2 diabetes management guidelines recommend that sugar intake should be reduced, while people should aim for consistent carbohydrates across the day. The New Zealand government does not recommend paleo or low-carbohydrate diets. If you have diabetes you are twice as likely to have heart disease or a stroke, and at a younger age. Prediabetes, which apparently 20% of Kiwis have, is also high-risk due to, as the Ministry of Health states: ‘increased risk of macrovascular complications and early death.’ The question might become – should we be looking at insulin levels, to more sensitively gauge risk at an early stage? Without more sensitive screens at younger ages these opportunities to repivot to avoid chronic disease are likely to be missed. Currently, Ministry of Health policies are unlikely to justify the funding of tests for insulin resistance by using three simple blood tests: fasting insulin, fasting lipids (cholesterol and triglycerides), and fasting glucose – to estimate where children, young people, and adults stand on the insulin resistance spectrum when other diagnoses pop up. Yet insulin plays a powerful role in brain health. Insulin supports neurotransmitter function and brain energy, directly impacting mood and behaviours. Insulin resistance might arrive before mental illness. Harvard-based psychiatrist Chris Palmer recounts in the book Brain Energy, a large 15,000-participant study of young people from age 0-24: ‘Children who had persistently high insulin levels (a sign of insulin resistance) beginning at age nine were five times more likely to be at risk for psychosis, meaning they were showing at least some worrisome signs, and they were three times for likely to already be diagnosed with bipolar disorder or schizophrenia by the time they turned twenty-four. This study clearly demonstrated that insulin resistance comes first, then psychosis.’ Psychiatrist Georgia Ede suggests that high blood glucose and high insulin levels act like a ‘deadly one-two punch’ for the brain, triggering waves of inflammation and oxidative stress. The blood-brain barrier becomes increasingly resistant to chronic high insulin levels. Even though the body might have higher blood insulin, the same may not be true for the brain. As Ede maintains, ‘cells deprived of adequate insulin ‘sputter and struggle to maintain normal operations.’ Looking at the relationship between brain health and high blood glucose and high insulin simply might not be on the programme for strategists looking at long-term planning. Nor are Directors General in a position to assess the role of food addiction. Ultra-processed food has addictive qualities designed into the product formulations. Food addiction is increasingly recognised as pervasive and difficult to manage as any substance addiction. But how many children and young people have insulin resistance and are showing markers for inflammation and oxidative stress – in the body and in the brain? To what extent do young people have both insulin resistance and depression resistance or ADHD or bipolar disorder? This kind of thinking is completely outside the work programme. But insulin levels, inflammation, and oxidative stress may not only be driving chronic illness – but driving the global mental health tsunami. Metabolic disorders are involved in complex pathways and feedback loops across body systems, and doctors learn this at medical school. Patterns and relationships between hormones, the brain, the gastrointestinal system, kidneys, and liver; as well as problems with joints and bone health, autoimmunity, nerves, and sensory conditions evolve from and revolve around metabolic health. Nutrition and diet are downplayed in medical school. What doctors don’t learn so much – the cognitive dissonance that they must accept throughout their training – is that metabolic health is commonly (except for some instances) shaped by the quality of dietary nutrition. The aetiology of a given condition can be very different, while the evidence that common chronic and mental illnesses are accompanied by oxidative stress, inflammation, and insulin resistance are primarily driven by diet – is growing stronger and stronger. But without recognising the overlapping relationships, policy to support healthy diets will remain limp. What we witness are notions of equity that support pharmaceutical delivery – not health delivery. What also inevitably happens is that ‘equity’ focuses on medical treatment. When the Ministry of Health prefers to atomise the different conditions or associate them with heart disease – they become single conditions to treat with single drugs. They’re lots of small problems, not one big problem, and insulin resistance is downplayed. But just as insulin resistance, inflammation, and oxidative stress send cascading impacts across body systems, systemic ignorance sends cascading effects across government departments tasked with ‘improving, promoting, and protecting health.’ It’s an injustice. The literature solidly points to lower socio-economic status driving much poorer diets and increased exposures to ultra-processed food, but the treatments exclusively involve drugs and therapy. Briefings to Incoming Ministers with the election of new Governments show how ignorance cascades across responsible authorities. Health New Zealand, Te Whatu Ora’s November 2023 Briefing to the new government outlined the agency’s obligations. However, the ‘health’ targets are medical, and the agency’s focus is on infrastructure, staff, and servicing. The promotion of health, and health equity, which can only be addressed by addressing the determinants of health, is not addressed. The Māori Health Authority and Health New Zealand Joint Briefing to the Incoming Minister for Mental Health does not address the role of diet and nutrition as a driver of mental illness and disorder in New Zealand. The issue of multimorbidity, the related problem of commensurate metabolic illness, and diet as a driver is outside scope. When the Briefing states that it is important to address the ‘social, cultural, environmental and economic determinants of mental health,’ without any sound policy footing, real movement to address diet will not happen, or will only happen ad hoc. The Mental Health and Wellbeing Commission, Te Hiringa Mahara’s November 2023 Briefing to Incoming Ministers that went to the Ministers for Health and Mental Health might use the term ‘well-being’ over 120 times – but was silent on the related and overlapping drivers of mental illness which include metabolic or multimorbidity, nutrition, or diet. Five years earlier, He Ara Ora, New Zealand’s 2018 Mental Health and Addiction enquiry had recognised that tāngata whaiora, people seeking wellness, or service users, also tend to have multiple health conditions. The enquiry recommended that a whole of government approach to well-being, prevention, and social determinants was required. Vague nods were made to diet and nutrition, but this was not sufficiently emphasised as to be a priority. He Ara Ora was followed by 2020 Long-term pathway to mental well-being viewed nutrition as being one of a range of factors. No policy framework strategically prioritised diet, nutrition, and healthy food. No governmental obligation or commitment was built into policy to improve access to healthy food or nutrition education. Understanding the science, the relationships, and the drivers of the global epidemic, is ‘outside the work programmes’ of New Zealand’s Ministry of Health and outside the scope of all the related authorities. There is an extraordinary amount of data in the scientific literature, so many case studies, cohort studies, and clinical trials. Popular books are being written, however government agencies remain ignorant. In the meantime, doctors must deal with the suffering in front of them without an adequate toolkit. Doctors and pharmacists are faced with a Hobson’s choice of managing multiple chronic conditions and complex drug cocktails, in patients at younger and younger ages. Ultimately, they are treating a patient whom they recognise will only become sicker, cost the health system more, and suffer more. Currently there is little support for New Zealand medical doctors (known as general practitioners, or GPs) in changing practices and recommendations to support non-pharmaceutical drug treatment approaches. Their medical education does not equip them to recognise the extent to which multiple co-existing conditions may be alleviated or reversed. Doctors are paid to prescribe, to inject, and to screen, not to ameliorate or reverse disease and lessen prescribing. The prescribing of nutrients is discouraged and as doctors do not have nutritional training, they hesitate to prescribe nutrients. Many do not want to risk going outside treatment guidelines. Recent surges in protocols and guidelines for medical doctors reduce flexibility and narrow treatment choices for doctors. If they were to be reported to the Medical Council of New Zealand, they would risk losing their medical license. They would then be unable to practice. Inevitably, without Ministry of Health leadership, medical doctors in New Zealand are unlikely to voluntarily prescribe non-drug modalities such as nutritional options to any meaningful extent, for fear of being reported. Yet some doctors are proactive, such as Dr Glen Davies in Taupo, New Zealand. Some doctors are in a better ‘place’ to work to alleviate and reverse long-term conditions. They may be later in their career, with 10-20 years of research into metabolism, dietary nutrition, and patient care, and motivated to guide a patient through a personal care regime which might alleviate or reverse a patient’s suffering. Barriers include resourcing. Doctors aren’t paid for reversing disease and taking patients off medications. Doctors witness daily the hopelessness felt by their patients in dealing with chronic conditions in their short 15-minute consultations, and the vigilance required for dealing with adverse drug effects. Drug non-compliance is associated with adverse effects suffered by patients. Yet without wrap-around support changing treatments, even if it has potential to alleviate multiple conditions, to reduce symptoms, lower prescribing and therefore lessen side effects, is just too uncertain. They saw what happened to disobedient doctors during Covid-19. Given such context, what are we to do? Have open public discussions about doctor-patient relationships and trust. Inform and overlay such conversations by drawing attention to the foundational Hippocratic Oath made by doctors, to first do no harm. Questions can be asked. If patients were to understand that diet may be an underlying driver of multiple conditions, and a change in diet and improvement in micronutrient status might alleviate suffering – would patients be more likely to change? Economically, if wrap-around services were provided in clinics to support dietary change, would less harm occur to patients from worsening conditions that accompany many diseases (such as Type 2 diabetes) and the ever-present problem of drug side-effects? Would education and wrap-around services in early childhood and youth delay or prevent the onset of multimorbid diagnoses? Is it more ethical to give young people a choice of treatment? Could doctors prescribe dietary changes and multinutrients and support change with wrap-around support when children and young people are first diagnosed with a mental health condition – from the clinic, to school, to after school? If that doesn’t work, then prescribe pharmaceutical drugs. Should children and young people be educated to appreciate the extent to which their consumption of ultra-processed food likely drives their metabolic and mental health conditions? Not just in a blithe ‘eat healthy’ fashion that patently avoids discussing addiction. Through deeper policy mechanisms, including cooking classes and nutritional biology by the implementation of nourishing, low-carbohydrate cooked school lunches. With officials uninformed, it’s easy to see why funding for Green Prescriptions that would support dietary changes have sputtered out. It’s easy to understand why neither the Ministry of Health nor Pharmac have proactively sourced multi-nutrient treatments that improve resilience to stress and trauma for low-income young people. Why there’s no discussion on a lower side-effect risk for multinutrient treatments. Why are there no policies in the education curriculum diving into the relationship between ultra-processed food and mental and physical health? It’s not in the work programme. There’s another surfacing dilemma. Currently, if doctors tell their patients that there is very good evidence that their disease or syndrome could be reversed, and this information is not held as factual information by New Zealand’s Ministry of Health – do doctors risk being accused of spreading misinformation? Government agencies have pivoted in the past 5 years to focus intensively on the problem of dis- and misinformation. New Zealand’s disinformation project states that Disinformation is false or modified information knowingly and deliberately shared to cause harm or achieve a broader aim. Misinformation is information that is false or misleading, though not created or shared with the direct intention of causing harm. Unfortunately, as we see, there is no division inside the Ministry of Health that reviews the latest evidence in the scientific literature, to ensure that policy decisions correctly reflect the latest evidence. There is no scientific agency outside the Ministry of Health that has flexibility and the capacity to undertake autonomous, long-term monitoring and research in nutrition, diet, and health. There is no independent, autonomous, public health research facility with sufficient long-term funding to translate dietary and nutritional evidence into policy, particularly if it contradicted current policy positions. Despite excellent research being undertaken, it is highly controlled, ad hoc, and frequently short-term. Problematically, there is no resourcing for those scientists to meaningfully feedback that information to either the Ministry of Health or to Members of Parliament and government Ministers. Dietary guidelines can become locked in, and contradictions can fail to be chewed over. Without the capacity to address errors, information can become outdated and misleading. Government agencies and elected members – from local councils all the way up to government Ministers, are dependent on being informed by the Ministry of Health, when it comes to government policy. When it comes to complex health conditions, and alleviating and reversing metabolic or mental illness, based on different patient capacity – from socio-economic, to cultural, to social, and taking into account capacity for change, what is sound, evidence-based information and what is misinformation? In the impasse, who can we trust? Published under a Creative Commons Attribution 4.0 International License For reprints, please set the canonical link back to the original Brownstone Institute Article and Author. Author J.R. Bruning is a consultant sociologist (B.Bus.Agribusiness; MA Sociology) based in New Zealand. Her work explores governance cultures, policy and the production of scientific and technical knowledge. Her Master’s thesis explored the ways science policy creates barriers to funding, stymying scientists’ efforts to explore upstream drivers of harm. Bruning is a trustee of Physicians & Scientists for Global Responsibility (PSGR.org.nz). Papers and writing can be found at TalkingRisk.NZ and at JRBruning.Substack.com and at Talking Risk on Rumble. View all posts Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work. https://brownstone.org/articles/the-silent-shame-of-health-institutions/

‘Operation Al-Aqsa Flood’ Day 171: ‘Horrific’ eyewitness accounts continue to emerge from Israel’s siege on Gaza’s hospitals Leila WarahMarch 25, 2024 Injured Palestinians, including children, are brought to Al-Aqsa Martyrs Hospital in Deir El-Balah for treatment following the Israeli attacks in the Gaza Strip, on March 23, 2024. (Photo: Omar Ashtawy/APA Images) Injured Palestinians, including children, are brought to Al-Aqsa Martyrs Hospital in Deir El-Balah for treatment following the Israeli attacks in the Gaza Strip, on March 23, 2024. (Photo: Omar Ashtawy/APA Images) Casualties 32,333 + killed* and at least 74,694 wounded in the Gaza Strip. 435+ Palestinians killed in the occupied West Bank and East Jerusalem.** Israel revises its estimated October 7 death toll down from 1,400 to 1,147. 594 Israeli soldiers killed since October 7, and at least 3,221 injured.*** *Gaza’s Ministry of Health confirmed this figure on its Telegram channel. Some rights groups estimate the death toll to be much higher when accounting for those presumed dead. ** The death toll in the West Bank and Jerusalem is not updated regularly. According to the PA’s Ministry of Health on March 17, this is the latest figure. *** This figure is released by the Israeli military, showing the soldiers whose names “were allowed to be published.” Key Developments UNRWA: Israel says no more UNRWA food convoys to north Gaza. UNRWA chief: Israeli decision to deny all UNRWA food convoys to northern Gaza is “obstruct[ing] lifesaving assistance during a man-made famine.” Doctors Without Borders “deeply concerned” after medical staff arrested at al-Shifa Hospital amid “heavy air strikes by Israeli forces and fierce fighting” nearby. Tanks crushed bodies, ambulances at al-Shifa Hospital, reports AP News, citing witnesses. Footage emerges of Israeli soldiers assaulting Palestinian boy Casualties in Israeli attack on aid distributors at Kuwaiti roundabout in Gaza City, reports Al Jazeera. Israeli forces raid Al Aqsa mosque during nightly prayers, assault and expel worshipers, reports Al Jazeera journalist. WHO Chief: Israel must reverse decision on blocking north Gaza aid. Israeli war cabinet minister threatens to quit if bill exempting ultra-Orthodox Jews from conscription passes UNRWA: U.S. funding cut will ‘compromise access to food’ in Gaza. UN special rapporteurs decry underreporting of sexual violence against Palestinians. Israel blocks access to Jerusalem for West Bank Christians on Palm Sunday, reports Wafa. PRCS says it has lost radio contact with staff at al-Amal Hospital in Khan Younis. Euro-Med: Israel’s attacks on academics in line with Gaza ‘genocide’ WAFA correspondent killed along with son Israeli airstrike on Gaza MAP report: Doctor says conditions inside European Gaza Hospital ‘unimaginable’ Gaza: Three Hospitals under military siege The Israeli military has imposed ongoing sieges on at least three medical facilities in the besieged enclave, terrorizing, injuring, and killing thousands of civilians in the process. Al-Shifa Hospital in northern Gaza has entered its seventh day under siege, and the civilians able to flee are reporting ruthless massacres in and around the medical complex. A teenage Palestinian boy, Farouk Mohammed Hamd, told Al Jazeera he witnessed Israeli soldiers executing a group of eight people, including his father and brother, inside al-Shifa Hospital. He said he and the others were stripped of their clothing and moved several times inside the al-Shifa Hospital building in central Gaza over the course of hours before being taken to the top floor of the facility. “They left us for about three hours, then said, ‘You are safe. You can go south.” “We stood up, but then they opened fire. We all laid down on the floor again. Then, the snipers entertained themselves by shooting us one after the other.” Hamad said his father told him before being killed to run away if he could, and he managed to run, but not before seeing the unresponsive bodies of the executed group. On Sunday, Doctors Without Borders (MSF) said its staff have reported “heavy air strikes by Israeli forces and fierce fighting” in the vicinity of al-Shifa hospital, “endangering patients, medical staff and people trapped inside with very few supplies.” Jameel al-Ayoubi, one of the thousands of Palestinians sheltering at the hospital, saw Israeli tanks and armored bulldozers drive over at least four bodies in the hospital courtyard, AP News reports. Ambulances were also crushed, he says. Kareem Ayman Hathat, who lived in a five-story building about 100 meters (328 feet) from the hospital, told AP he hid in his kitchen for days waiting as explosions shook the building. “From time to time, the tank would fire a shell,” he said. “It was to terrorise us.” MSF added that Israeli forces have carried out a mass-arrest campaign of medical staff and other people and that the organization is “deeply concerned” for the safety of those detained. Meanwhile, another two hospitals in Khan Younis have been under Israeli military siege for the last 24 hours: al-Amal and Nasser hospitals, reports Al Jazeera correspondent Hani Mahmoud from Gaza. “Military vehicles, tanks and attack drones are encircling these two facilities. They’re also blocking the entrance with piles of sand, preventing medical staff, patients and injured people inside from leaving safely and constantly failing to provide a safe corridor for people and evacuees trapped inside the hospital,” Mahmoud said. Palestinian Red Crescent (PRCS) gave their latest update on the situation in al Amal hospital on Sunday afternoon, saying Israeli tanks and armored vehicles have completely surrounded all entrances to the hospital and control any movement in and out. Israeli forces attacked the hospital earlier on Sunday, surrounding it with tanks and forcing nearly everyone inside, from patients to displaced Palestinians sheltering there, to evacuate. “What we’re getting confirmed from al-Amal Hospital is that not only has it been under constant bombing and tank shells, but loudspeakers are ordering people inside the hospital to come out only with their underwear on. And that has been confirmed by multiple sources and witnesses on the ground, those who managed to flee the harrowing situation,” Mahmoud added. On Sunday evening, the PRCS announced that they lost radio contact with their staff at the hospital. While all displaced Palestinians and patients who could move independently were evacuated towards the al-Mawasi area west of Khan Younis, hospital staff remain, along with nine patients and their ten companions and a displaced family with children who have disabilities. PCRS says all of them need to be safely evacuated. PRCS added that staff member Amir Abu Aisha and a wounded individual who was being treated at the hospital after being shot in the head by the Israeli military were both killed, and their bodies need to be removed. In a statement, Hamas said the Israeli military is systematically targeting hospitals across Gaza with the goal of displacing all Palestinians from their lands, showing Israel wants to continue its “war of extermination” against Palestinians and forcibly displace them from their land “by destroying all means of life in the Gaza Strip, especially hospitals,” reported Al Jazeera. Underreporting of sexual violence against Palestinians Witnesses at al-Shifa hospital have reported that “Palestinian women have been subjected to rape, torture, and execution by Israeli forces.” Reem Alsalem, the UN special rapporteur on violence against women and girls, said in a post on X that it is “abhorrent” that reports of rape by Israeli forces keep coming out without any consequences. “Rape and other forms of sexual violence can constitute war crimes, crimes against humanity or a constitutive act with respect to genocide! It must stop!” Francesca Albanese, the UN special rapporteur on the occupied Palestinian territory, similarly said, “I lost count of how many renowned journalists interviewed me on the alleged mistreatment of/sexual abuse against Palestinian women by Israeli forces, and never published any article on this.” “What we can see on the ground is a systematic creation of a corrosive environment in which Israel, with its destruction of neighborhoods and hospitals, is making Gaza unliveable for the majority of Palestinians,” said Al Jazeera co-respondent, Tareq Abu Azzoum from Gaza while reporting on the besieged hospitals. “Horrific scenes” at European Hospital Meanwhile, at Gaza’s European Hospital near Khan Younis, one of the last functioning medical facilities, medical staff report “horrific scenes” at the hospital with patients “dying from infections with evidence of serious malnutrition,” reported Medical Aid for Palestinians (MAP). Husam Basheer, an orthopedic surgeon working at the hospital, says he and his staff are “managing with the bare minimum of resources” at the medical facility due to Israeli restrictions on medical aid entering the besieged enclave. “One day we wanted to do a plate and screw, which is a standard procedure for bone fixation, but we didn’t have the right equipment. Sometimes we’ve also lacked gauze which is a basic supply for surgery. We worked around the challenges we faced and managed in a different way, but the staff here are overwhelmed,” he said. Similarly, Konstantina Ilia Karydi, an anesthetist, described the situation inside the medical facility as “unimaginable.” “This hospital had an original capacity of just 200 beds. Now, it has expanded to 1,000 beds,” she said. “There are around 22,000 displaced people sheltering in the corridors and in tents inside the hospital because people feel that it’s safer to be here than anywhere else.” Israel bars UNRWA from northern Gaza The United Nations Relief and Works Agency for Palestine Refugees (UNRWA) announced on Sunday that Israel has officially barred it from making aid deliveries in northern Gaza, where the threat of famine is highest. “This is outrageous [and] makes it intentional to obstruct lifesaving assistance during a man-made famine. These restrictions must be lifted,” the head of the UNRWA, Philippe Lazzarini, wrote in an X post. Famine is likely to occur by May in northern Gaza and could spread across the enclave by July, according to the world’s hunger watchdog, Integrated Food-Security Phase Classification (IPC), said last week. Lazzarini warned that Israel’s decision would speed up the coming of famine in the north of the Strip and said that “many more will die of hunger, dehydration.” Tedros Adhanom Ghebreyesus, the head of the World Health Organization (WHO), says Israel must “urgently reverse” its decision to block the entry of food convoys organized by UNRWA into northern Gaza, where humanitarian needs are most urgent. “The levels of hunger are acute. All efforts to deliver food should not only be permitted but there should be an immediate acceleration of food deliveries,” Ghebreyesus said in a post on X. Martin Griffiths, the undersecretary-general for humanitarian affairs and emergency relief coordinator at the UN, says he repeatedly urged Israel to lift all its restrictions on aid to Gaza. Still, it has now done the exact opposite. “UNRWA is the beating heart of the humanitarian response in Gaza,” Griffiths said on X , “The decision to block its food convoys to the north only pushes thousands closer to famine. It must be revoked.” No other agency is able to provide lifesaving assistance in Gaza in the same way as UNRWA, Natalie Boucly, the deputy commissioner-general of the UN agency, has said on X. Boucly added that attempts to “isolate” UNRWA will result in more people dying, “UNRWA is part of the UN and it was given a specific mandate by the General Assembly.” In January, several countries cut funding to UNRWA following unverified Israeli allegations that less than a dozen employees participated in Hamas’s operation on October 7. While some countries, including Canada and Sweden, have since reinstated their funding, several countries, including the US, have yet to follow suit, which will have severe implications for Palestinians in Gaza and the region. Israel is using famine as a “weapon of war” in Gaza to put pressure on the Palestinian people to leave the besieged enclave, Adel Abdel Ghafar, an analyst at the Middle East Council on Global Affairs, told Al Jazeera. “In Gaza, the humanitarian community is racing against the clock to avert famine. As the backbone of the humanitarian response, any gap in funding to UNRWA will compromise access to food, shelter, primary health care & education at a time of deep trauma,” the organization’s chief, Lazzarini, wrote on X. “Palestine Refugees are counting on the international community to step up support to meet their basic needs.” Israel is using famine as a “weapon of war” in Gaza to put pressure on the Palestinian people to leave the besieged enclave, Adel Abdel Ghafar, an analyst at the Middle East Council on Global Affairs, told Al Jazeera. The “dream” of many far-right politicians in Israel is to make Gaza “uninhabitable” for Palestinians, with the goal of re-establishing settlements for the Israelis, Ghafar continued. “The destruction of schools, hospitals, infrastructure [is making Gaza] almost unlivable and it will force the international community to take further refugees and thin out the population of Gaza,” he said. “I think Israel wants to have a big chunk of the population leave and become refugees elsewhere.” UN Resolution for ceasefire On Monday, the UN Security Council is expected to vote on yet another resolution regarding Israel’s war on Gaza. Since October seven, only two of eight resolutions have been accepted, with both mainly dealing with humanitarian aid to the besieged enclave. Guterres says the most recent UN Security Council resolution does not link a ceasefire in Gaza to the release of Israeli captives, reported Al Jazeera. In the resolution, “a ceasefire is required together with, but not in a linkage with, the unconditional release of all hostages,” he said. “And we have also claimed the need for that release.” Diplomats told the AFP news agency that the resolution had been worked on with the U.S. to avoid a veto, reported France 24. The U.S. has vetoed three resolutions calling for a ceasefire in Gaza. “We expect, barring a last-minute twist, that the resolution will be adopted and that the US will not vote against it,” one diplomat told AFP. Last Friday, the Security Council voted on a draft submitted by the U.S. that called for an “immediate” ceasefire linked to the release of captives. China and Russia vetoed the resolution, criticizing it for stopping short of explicitly demanding Israel halt its campaign. No progress on negotiations. Meanwhile, Israel and Hamas have continued negotiations mediated by Qatar with little progress. Hamas’s political bureau official Basem Naim says a lot of “misinformation” has recently been circulated through the media regarding the ongoing truce talks in Doha, reported Al Jazeera. Naim said the Israelis are focusing on only one aspect of the negotiations, the release of captives, and are unwilling to discuss Hamas’s three demands – a permanent end to the war, “total withdrawal” from Gaza, and the return of displaced people to their homes. Hamas had proposed the release of some 100 Israeli captives in phases in exchange for a permanent end to the war, total withdrawal of Israeli troops, and the return of displaced people to their homes; however, according to Al Jazeera, Israel rejected the demand to end the war and withdraw troops from Gaza. Al Jazeera added that Israeli negotiators said they would allow only 2,000 Palestinians to return to their homes each day, meaning it would take more than two years for all displaced Palestinians to leave Rafah. Meanwhile, Israel wants all Israeli captives released immediately. Hamas has indicated it will only release women and children in the first phase. As negotiations continue, Yossi Amrosi, an ex-senior official of Shin Bet, Israel’s domestic security service, was quoted by The Jerusalem Post as admitting that the Israeli army does not have the means to return all captives currently held in Gaza by Hamas and other Palestinian groups. Hamas’s armed wing, the Qassam Brigades, said at the start of the war that it had taken 250 captives during its October 7 incursion into Israel. According to the Qassam Brigades, 50 captives have been killed in Israeli air raids. Israeli intelligence officers say 30 captives have died in Gaza so far since they were taken to the enclave. https://mondoweiss.net/2024/03/operation-al-aqsa-flood-day-171-horrific-eyewitness-accounts-continue-to-emerge-from-israels-siege-on-gazas-hospitals/

The story of Yazan Kafarneh, the boy who starved to death in Gaza Tareq S. HajjajMarch 25, 2024 Yazan Kafarneh after dying of starvation. (Photo: Rabee' Abu Naqirah) Yazan Kafarneh after dying of starvation. (Photo: Rabee’ Abu Naqirah) This is not a photo of a mummy or an embalmed body retrieved from one of Gaza’s ancient cemeteries. This is a photo of Yazan Kafarneh, a child who died of severe malnutrition during Israel’s genocidal war on the Gaza Strip. Yazan’s family now lives in the Rab’a School in the Tal al-Sultan neighborhood in Rafah City. His father, Sharif Kafarneh, along with his mother, Marwa, and his three younger brothers, had fled Beit Hanoun in northern Gaza early on in the war. Yazan Kafarneh died at the age of nine, the eldest of four brothers — Mouin, 6, Ramzi, 4, and Muhammad, born during the war in a shelter four months ago. Advertisement Watch now: ANGELA DAVIS on Witnessing Palestine with Frank Barat Living in conditions not fit for human habitation, the grieving family had witnessed Yazan’s death before their eyes. It didn’t happen all at once but unfolded gradually over time, his frail body wasting away one day after another until there was nothing left of Yazan but skin and bones. Sharif was unable to do anything for his son. He died due to a congenital illness that required a special dietary regimen to keep him healthy. Israel’s systematic prevention of food from reaching the civilian population in Gaza meant that severe malnutrition — suffered by most children in the besieged enclave — in the case of Yazan meant death. “We first left from Beit Hanoun to Jabalia refugee camp,” Sharif told Mondoweiss. “Then the occupation called us again and warned us against staying where we were. So we left for Gaza City. Then, the occupation forced us to flee further south, and we did.” Yazan Kafarneh's parents and three brothers in their shelter in Rafah. (Photo: Tareq Hajjaj/Mondoweiss) Sharif Kafarneh’ (left), his wife Marwa (right), and their three surviving sons (center) in their shelter in Rafah. (Photo: Tareq Hajjaj/Mondoweiss) “If it weren’t for Yazan, I would have never left my home,” Sharif maintained. “Yazan required special care and nutrition.” Yazan suffered from a congenital form of muscular atrophy that made movement and speech difficult, but Sharif said that it never caused him much grief in his nine short years before the war. “He just had advanced nutritional needs,” Sharif explained. “But getting that food for him was never an issue before the war.” It was a point of pride for Sharif that he, a taxi driver, had never left his child wanting or deprived. “That changed in the war. The specific foods that he needed were cut off,” he said. “For instance, Yazan had to have milk and bananas for dinner every day. He can’t go a day without it, and sometimes he can have only bananas. This is what the doctors told us.” “After the war, I couldn’t get a single banana,” Sharif continued. “And for lunch, he had to have boiled vegetables and fruits that were pureed in a blender. We had no electricity for the blender, and there were no fruits or vegetables anymore.” As for breakfast, Yazan’s regimen demanded that he eat eggs. “Of course, there aren’t any more eggs in Rafah City,” Sharif said. “No fruits, no vegetables, no eggs, no bananas, nothing.” “But our child’s needs were never a problem for us,” Sharif rushed to add. “We loved taking care of him. He was the spoiled child of the family, and his younger brothers loved him and took care of him, too. God gave me a living so I could take care of him.” Due to his special needs, charitable societies used to visit Yazan’s home in Beit Hanoun before the war, providing various treatments such as physical therapy and speech therapy. All in all, Yazan had a functional, happy childhood. ‘He got thinner and thinner’ The family continued to take care of Yazan throughout the war. They tried to make do with what they could find, trying as much as possible to find alternatives to the foods Yazan required. “I replaced bananas with halawa [a tahini-based confection], and I replaced eggs with bread soaked in tea,” Sharif said. “But these foods did not contain the nutrients that Yazan needed.” In addition to his nutritional needs, Yazan had specific medicines to take. Sharif used to bring him brain and muscle stimulants that helped him stay alive and mobile, allowing him to move around and crawl throughout their home. Those medicines ran out during the second week of the war. With the lack of nutrition and medication, his health took a turn for the worse. “I noticed him getting sick, and his body was becoming emaciated,” Sharif recounts. “He got thinner and thinner.” His family took him to al-Najjar Hospital in Rafah, where his health continued to deteriorate over the course of eleven days. “Even after we took him to the hospital, they couldn’t do anything for him,” Sharif continued. “All they were able to give him were IV fluids, and when his situation got worse, the hospital staff placed a feeding tube in his nose.” “My son required a tube with a 14-unit measurement, but all the hospital had was an 8-unit,” he added. When asked what was the most important factor that led to the deterioration of his son’s condition, Sharif said that it was the environment he lived in. “Before the war, he was in the right environment. After, everything was wrong. He was in his own home, but then he was uprooted to a shelter in Rafah.” “The situation we’re living in isn’t fit for humans, let alone a sick child,” Sharif explained. “In the camps, people would light fires to keep themselves warm, but the smoke would cause Yazan to cough and suffocate, and we weren’t able to tell them to turn their fires off because everyone was so cold.” Dr. Muhammad al-Sabe’, a pediatric surgeon in Rafah who works at the al-Awda, al-Najjar, and al-Kuwaiti hospitals, took a special interest in Yazan’s case. “The harsh conditions Yazan had to endure, including malnutrition, were the main factors contributing to the deterioration of his health and his ultimate death,” Dr. al-Sabe’ told Mondoweiss. “This is a genetic and congenital illness, and it requires special care every day, including specific proteins, IV medicines, and daily physical therapy, which isn’t available at Rafah.” “If things don’t change, if they stay the way they are, we’re going to witness mass death among children.” Dr. Muhammad al-Sabe’normal Dr. al-Sabe’ said that most foods administered to patients who cannot feed themselves through feeding tubes are unavailable in Gaza. “The occupation prevents these specific foods and medicines from coming in,” he explained. “Including a medicine called Ensure.” Ensure is a special nutritional supplement used in medical settings for what is called “enteral nutrition” — feeding patients through a nasal tube. “Special treatment for patients, especially children, is nonexistent,” Dr. al-Sabe’ added. “We don’t even have diapers, let alone baby formula and nutritional supplements.” “If things don’t change, if they stay the way they are, we’re going to witness mass death among children,” he stressed. “If any child doesn’t receive nutrition for an entire week, that child will eventually die. And even if malnourished children are eventually provided with nutrition, they will likely suffer lifelong health consequences.” “If medicine is cut off from children who need it for one week, this will also likely lead to their death,” he continued. Yazan Kafarneh after dying of starvation. (Photo: Rabee' Abu Naqirah) Images of Yazan Kafarneh’s emaciated body circulated widely on social media. (Photo: Rabee’ Abu Naqirah) Children disproportionately affected by famine According to a UNICEF humanitarian situation report on March 22, 2.23 million people in Gaza suffer at least from “acute food insecurity,” while half of that population (1.1 million people) suffers from “catastrophic food insecurity,” meaning that “famine is imminent for half of the population.” An earlier report in December 2023 had already concluded that all children in Gaza under five years old (estimated to be 335,000 children) are “at high risk of severe malnutrition and preventable death.” UNICEF’s most recent March 22 report estimates that the famine threshold for “acute food insecurity” has already been “far exceeded,” while it is highly likely that the famine threshold for “acute malnutrition” has also been exceeded. Moreover, UNICEF said that the Famine Review Committee predicted that famine would manifest in Gaza anywhere between March and May of this year. Dr. al-Sabe’ stresses that such dire conditions disproportionately affect children, who have advanced nutritional needs compared to adults. “Their bodies are weak, and they don’t have large stores of muscle and fat,” he explained. “Even one day of no food for a young child will lead to consequences that are difficult to control in the future.” “An adult male may go a week without food before signs of malnutrition begin to show,” he continued. “Not so with children. Their muscle mass increases whenever they eat, which in turn leads to a greater need for nutrients.” The lack of nutrients means that children will grow weak, the pediatric surgeon said, and that they will quickly begin to exhibit symptoms such as fatigue, sleepiness, diarrhea, vomiting, anemia, sunken eyes, and joint pains. For the same reason, Dr. al-Sabe maintained, children also respond to treatment fairly quickly — but “on the condition that they have not experienced malnutrition for more than a week.” After one week, reversing the effects of malnutrition becomes much more difficult. Al-Sabe’ asserts that children’s digestive tracts will slow down, they might begin to suffer from kidney failure, and their bellies can swell with fluids. That is what is particularly devastating for Gaza — over 335,000 children have undergone varying degrees of extreme malnutrition for months on end. The consequences are difficult to fathom on a population-wide level and for future generations. As of the time of writing, over 30 children have already died due to malnutrition in northern Gaza, but the real number is likely much higher given the lack of reporting in many areas in the north. ‘He didn’t need a miracle to save him’ Yazan’s mother, Marwa Kafarneh, could barely contain her tears as she spoke of her son. “He was a normal boy despite his illness,” she told Mondoweiss. “He played with his brothers. He crawled and moved about, and he could open closets and use the phone, and he would watch things on it for hours.” “He could have lived a long life, a normal life,” she continued. “His father would have brought him everything that he needed. He wouldn’t have had to feel hungry for even a single day.” When she saw that the images of her son’s emaciated body had gone viral on social media, Marwa said that she preferred death over looking at the photos. “My eldest son died in front of my eyes, in front of all of our eyes,” she said. “We weren’t able to save him. And he didn’t need a miracle to save him either. All he needed was the food that we’ve always been able to provide for him.” Reflecting as she cried, she added: “But finding that food in Gaza today takes nothing less than a miracle.” Tareq S. Hajjaj Tareq S. Hajjaj is the Mondoweiss Gaza Correspondent and a member of the Palestinian Writers Union. He studied English Literature at Al-Azhar University in Gaza. He started his career in journalism in 2015, working as a news writer and translator for the local newspaper Donia al-Watan. He has reported for Elbadi, Middle East Eye, and Al-Monitor. Follow him on Twitter at @Tareqshajjaj. BEFORE YOU GO – At Mondoweiss, we understand the power of telling Palestinian stories. For 17 years, we have pushed back when the mainstream media published lies or echoed politicians’ hateful rhetoric. Now, Palestinian voices are more important than ever. Our traffic has increased ten times since October 7, and we need your help to cover our increased expenses. Support our journalists with a donation today. https://mondoweiss.net/2024/03/the-story-of-yazan-kafarneh-the-boy-who-starved-to-death-in-gaza/

CV19 Vaxed and Unvaxed Need Treatment Now – Dr. Betsy Eads Greg Hunter On March 24, 2024 In Market Analysis 180 Comments » » CV19 Vaxed and Unvaxed Need Treatment Now – Dr. Betsy Eads By Greg Hunter’s USAWatchdog.com (Saturday Night Post) Dr. Betsy Eads warned about extreme disease and death coming because of the CV19 bioweapon/vax since the beginning of Covid from infection to injection. She warned about AIDS, infertility, turbo cancers, heart disease, blood clots and many other problems caused by the CV19 bioweapon injection. Dr. Eads was right every single time. Now, Dr. Eads is saying everyone needs treatment whether you are CV19 vaxed or unvaxed. Dr. Eads explains, “We are getting transmission from the vaxed to the unvaxed. We are getting chemtrails. They are putting the mRNA in our food. People have to understand, people need to detox and protect yourself whether you are vaxed or not. I contend everybody should be taking some Ivermectin.” What about the so-called “Long Covid” that people are experiencing in the last few years? Dr. Eads says, “My definition of ‘Long Covid’ is vax injury and/or transmission from the spike protein . . . injured. I think that term has evolved, and Dr. Kory is also including that definition with his vaccine injured patients. He is treating not only vaccine injured patients but patients that have been injured by transmission from the CV19 vaxed. We know transmission (from the CV19 vaxed) is a real thing.” A little more than a year ago on USAWatchdog.com, Dr. Eads predicted “At Least 1 Billion Dead or Disabled from CV19 Bioweapon.” We have already eclipsed that number, and there is no end in sight with new and skyrocketing death and injury numbers. Dr. Eads says, “Ed Dowd’s numbers, actuary numbers and looking at UK numbers finds 2.2 billion people permanently injured or killed by the CV19 vax. If you look at the Deagel Report, we may see some huge population losses by 2025. The Deagel predictions show the US falling from 330 million to 89 million people. In the UK, Deagel predicts population will fall from 67 million to 15 million people as a direct result of the Covid 19 bioweapons.” When does the death and disability peak? Dr. Eads says, “On a previous interview here, I said we would get our peak in five years. We are seeing huge numbers in the DMED data. That’s the military data, and it is more accurate than VAERS data. 97% of our military was CV19 vaxed. In that data, which is very accurate, cancers have increased across the board 1,000%. We do have some treatments to handle the spike protein from the CV19 shots. . . . but we don’t have any treatment to shut down the mRNA that produces the spike protein. . . .So, these numbers may go up exponentially until we have treatments.” One way to lessen the disabilities and deaths from the CV19 vax is to use Ivermectin. Dr. Eads says it is one of the best and safest treatments out there now to treat CV19 for the vaxed or unvaxed being shed on by the vaxed. The FDA just settled a lawsuit from Dr. Pierre Kory and other doctors. Dr. Eads says, “Breaking news that has just come out is the FDA loses the war on Ivermectin. The FDA has to retract . . . anything that was negative about Ivermectin.” So, it looks like Ivermectin will be getting easier to get a prescription with the FDA doing an about face on Ivermectin, which is arguably the safest and most effective drug ever invented. There is much more cutting edge, frontline medical information in the nearly 44-minute interview. Join Greg Hunter as he talks to 25-year veteran Dr. Elizabeth Eads, DO, exposing the lies that Big Pharma, CDC, FDA and NIH are telling the public. Dr. Eads continues to highlight the real unreported effects of the CV19 bioweapons.. (To Donate to USAWatchdog.com Click Here) After the Interview: You can follow Dr. Elizabeth (Betsy) Eads on Twitter, Telegram and Truth Social Dr Betsy and CloutHub DrEads Dr. Eads has a new website called HealingHumanityWorldwide.com. Dr. Eads also recommends FLCCC.net and the “I-RECOVER: post vaccine treatment.” You can help Dr. Eads continue her mission to get the truth out about everything CV19 vax by donating here: Pay $Docbetsy55 on Cash App, or you can use Dr. Betsy’s Venmo account to donate. (Please support the truth tellers!!) You can support Dr. Betsy Eads by snail mail below: 124 N. Nova Road #105 Ormond Beach, FL 32174 Protocols FLCCC.NET : I-RECOVER: post vaccine treatment therealdrjudy.com: Recovery Protocol bundle Detox Bundle- Ener DMG liquid 60 (dimethylglycine) Dr Eads protocols: Acute Symtoms: Ivermectin/HCQ NAC/Glutathione Humic/fulvic minerals Bioactive immune support Quercetin Melatonin Zinc Copper Vitamin D3 Vitamin C Selenium Budesonide inhaler nattokinase Hydrogen peroxide nasal wash or Nanonist nasal/mouth spray Zithromax/Doxycycline Detox Bioweapon: HCQ/IVM- ivermectin.com Interferon spray- rupharma.com Iodine 12.5 mg Chlorine dioxide- kvlabs.com NAC/Glutathione Quercetin Selenium Copper Chromium/Berberine Cardiocleans Ener [email protected] Humic/fulvic minerals Nanomist IV chelation therapy Zeolite- www.life-enthusiast.com Fenebendazole Infrared sauna Suramin- mahoneylive.com nattokinase Turn off 5G/block – bodyalign.com Clean nutrition Clean water, no GMO Do not treat fever with advil/tylenol Stay Connected Advertise Related Posts: CV19 Vaxed are Sick Superspreaders - Dr. Betsy Eads Cancer is Exploding because of CV19 Vax – Dr. Betsy Eads CV19 Vax Humanitarian Catastrophe being Turbocharged without Treatment – Dr. Pierre Kory CV19 Vax is a Crime & Coverup – Ed Dowd Iran War, Border War, CV19 Vax War, Economic War https://usawatchdog.com/cv19-vaxed-and-unvaxed-need-treatment-now-dr-betsy-eads/

‘Operation Al-Aqsa Flood’ Day 169: Israel kills 7 aid-seekers in northern Gaza, 4 children in Rafah as siege of al-Shifa Hospital enters sixth day Israel continued its airstrikes on Rafah, killing four children, while in northern Gaza Israel turned back food aid for the second time in a week and killed at least 7 Palestinian aid-seekers near the Kuwaiti roundabout. Mondoweiss Palestine BureauMarch 23, 2024 Injured Palestinians, including children, brought to Al-Aqsa Martyrs Hospital in Deir al-Balah, central Gaza following Israeli attacks on March 23, 2024. (Photo: Ali Hamad/APA Images) Injured Palestinians, including children, brought to Al-Aqsa Martyrs Hospital in Deir al-Balah, central Gaza following Israeli attacks on March 23, 2024. (Photo: Ali Hamad/APA Images) Casualties 32,070+ killed* and at least 74,412 wounded in the Gaza Strip. 435+ Palestinians killed in the occupied West Bank and East Jerusalem.** Israel revises its estimated October 7 death toll down from 1,400 to 1,147. 590 Israeli soldiers have been killed since October 7, and at least 3,221 injured.*** *Gaza’s Ministry of Health confirmed this figure on its Telegram channel on March 22, 2024. Some rights groups put the death toll number closer to 35,000 when accounting for those presumed dead. ** The death toll in West Bank and Jerusalem is not updated regularly. According to PA’s Ministry of Health on March 6, this is the latest figure. *** This figure is released by the Israeli military, showing the soldiers whose names “were allowed to be published.” Advertisement Subscribe to the Mondoweiss YouTube Channel! Key Developments Israeli airstrikes on Rafah continue, killing four children in a residential home and injuring several others. UN General Secretary Antonio Guterres visits Rafah, calls blocking of aid “moral outrage.” Israeli siege of al-Shifa Hospital enters sixth day, army reportedly sets buildings on fire around hospital, tortures and kills civilians who attempt to evacuate. Israeli army kills at least 7 Palestinian aid-seekers at aid distribution point near Kuwaiti roundabout in northern Gaza. New UN Security Council resolution calling for immediate ceasefire postponed to Monday, March 25. Martyred Palestinian, who injured 7 Israeli soldiers near Kufr Ni’ma ambushed soldiers after chase, targeted soldiers with sniper fire during five-hour standoff, according to Ynet. 136 Palestinian journalists in Gaza killed since October, says Gaza media office. Siege of al-Shifa enters sixth day, airstrikes on Rafah kill 4 children Israel’s siege on al-Shifa Hospital has entered its sixth consecutive day. The government media office in Gaza released a statement saying it holds the U.S. and the international community responsible for Israel’s “crime” perpetrated against al-Shifa’s doctors, staff, patients, and the displaced people sheltering at the medical compound. As reported by Al Jazeera, the media office said that the Israeli army was bombing buildings inside the medical complex and engaging in acts of torture and extrajudicial field executions. The Israeli army claims it has arrested over 170 Hamas fighters and 800 suspects at al-Shifa. Moreover, according to Al Jazeera, the Israeli army has reportedly set fire to the buildings around the hospital. The siege on al-Shifa comes in the context of Israel’s attempt to target civil employees and members of the police in Gaza who were based in al-Shifa, in an attempt to sow civil unrest and cause a breakdown in social order in the north. Claiming these civil employees to be “top Hamas operatives,” Israel assassinated the Director of the Operations of the Gaza Police, Faiq Mabhouh, on March 18. Mabhouh was an instrumental figure in successfully coordinating the delivery of humanitarian aid to northern Gaza in cooperation with international organizations, local tribes, and UNRWA. In light of the widespread compliance of the populace with the directives of Gaza’s civil employees, Israel has laid siege to al-Shifa, where many of them are based. Israel continues to claim that these civil and police employees are Hamas and Islamic Jihad fighters, despite offering no evidence to back up its claims. The Gaza government media office said that the Israeli army has threatened al-Shifa’s hospital’s staff and displaced civilians that the buildings they are staying in will be bombed in the event that they do not evacuate. The media office based its statement on testimonies from people who remain stranded inside the medical compound as Israel lays siege to it, asserting that those who have evacuated the buildings are either arrested, tortured, or killed, as reported by Middle East Eye. MEE also reported that six wounded patients in the hospital died amid the Israeli siege due to the lack of medical care, quoting the Gaza Ministry of Health as saying that “besieged medical teams and patients are appealing to UN institutions and the international community to intervene urgently to save their lives.” In southern Gaza, Israel continued its airstrikes on Rafah and Khan Younis, killing several civilians. In one airstrike on the north of the city of Rafah, five civilians were killed, four of them children, following the bombing of a two-story residential building in the Mirage area, reports Wafa. The number of casualties from Israeli airstrikes and shelling in the last 24 hours has risen to 72 people killed and 114 injured. Meanwhile, on Friday, the Israeli army released a statement on X saying that it had opened an investigation into the incident of the deliberate killing of four unarmed Palestinian men in civilian clothing in Khan Younis last February by an Israeli attack drone, the footage of which recently came to light after Al Jazeera obtained from sources in Gaza. The footage of the deliberate killing of the unarmed men made shockwaves, highlighting Israel’s deliberate policy of killing civilians. Gaza drone video shows killing of Palestinians in Israeli air attack | Al Jazeera Newsfeed ‘The unbearable cannot become the new normal’ In a statement on X, Philippe Lazzarini, head of the United Nations Relief and Works Agency (UNRWA), said that food aid had been denied to northern Gaza for the second time in a week. “Today, the Israeli Authorities denied another UNRWA convoy with much needed food supplies from going to the north where people are on the verge of famine,” the UNRWA chief said. “The last time UNRWA was able to send food aid to the north was nearly 2 month [sic] ago.” Lazzarini went on to say that Israel the “man made hunger & looming famine” in Gaza could still be averted if Israel allowed “delivering food aid at scale to the north including via UNRWA, the largest humanitarian organisation in Gaza.” “Meanwhile, children will continue to die of malnutrition & dehydration under our watch,” he added. “The unbearable cannot become the new normal.” By late afternoon, Al Jazeera correspondents reported that Israeli shelling on Palestinian aid-seekers at the Kuwaiti roundabout had killed at least seven people. This latest attack on civilians at aid distribution points comes after the assassination of Faiq Mabhouh and Gaza’s civil employees, who were instrumental in organizing orderly deliveries of aid to Gaza without resulting in these Israeli attacks on starving Palestinians. The most infamous of such attacks was the “Flour Massacre” on March 3, which killed over 100 people. Meanwhile, 7,000 trucks carrying humanitarian aid and food aid are currently stationed outside the Rafah crossing, waiting to enter the besieged Gaza Strip. As reported by Al Jazeera, the governor of North Sinai, Muhammad Shousha, said that the Israeli inspection procedures are holding up the flow of trucks into Gaza. Shousha received UN General Secretary Antonio Guterres at al-Arish Airport in the Egyptian Sinai for the UN chief’s planned visit to the Rafah border crossing later today. During his press conference at the Rafah crossing, Guterres lambasted the blocking of aid to Gaza as a “moral outrage” and said that he had made his trip to the border to shed light on the pain of Palestinians in Gaza. New UN Security Council resolution postponed to Monday Following China and Russia’s vetoing of the U.S.-led draft resolution for a Gaza ceasefire at the UN Security Council, a new resolution demanding an “immediate ceasefire” during Ramadan in advance of a more “permanent sustainable ceasefire” has been postponed to Monday, March 25, according to diplomatic sources that spoke to AFP, as reported on Al Mayadeen. In the earlier U.S.-led draft, China and Russia used their veto against the resolution, with Russia citing it as a “hypocritical spectacle” that contained an “effective green light” for Israel to continue its invasion of Rafah, while China believed that the resolution “dodged the most central issue, that of a ceasefire” through the use of nebulous language.” The ambiguous language to which Russia and China referred was the resolution’s emphasis on the “imperative of an immediate and sustained ceasefire,” instead of demanding its implementation in the short term. The U.S. resolution also condemned the Hamas-led attacks on October 7. West Bank: resistance operation and record settlement expansion In the West Bank, Israeli settlement building has reached a record high. As reported by Middle East Eye, the United Nations and Israeli rights group Peace Now have asserted that in 2023, Israel expanded its settlements at a record pace in the occupied West Bank. According to Peace Now, ten out of the 26 illegal outposts established in the West Bank were built after October 7, resulting in the forcible displacement of 21 Palestinian communities (16 of which were uprooted since the outbreak of the war). Meanwhile, UN human rights chief Volker Turk asserted that the record expansion of settlements risks eliminating the chances for a Palestinian state, and that 24,300 new settlement housing units were built in 2023, a record high since the UN began monitoring in 2017. Yesterday, a Palestinian man from the village of Kufr Ni’ma, west of Ramallah, launched a shooting operation against Israeli soldiers, injuring seven soldiers before an Israeli attack helicopter fired missiles on his position in the hills, killing him. New details have emerged since the incident that shed light on the nature of the resistance operation and detail the expertise of the shooter, identified as Mujahid Mansour. According to reports by Ynet and Quds News Network, Mansour had opened fire on a settler bus, resulting in no fatalities, before retreating and being chased by Israeli army vehicles. It would seem that Mansour was leading the soldiers into an ambush, perching himself on top of a hill and hiding behind trees and bushes. Mansour then proceeded to intermittently engage the forces with a sniper rifle from a distance, resulting in a standoff that lasted for five hours due to the inability of Israeli drones and helicopters to identify him as a result of poor weather. Mansour was able to down an Israeli drone with his rifle during the standoff, while at other times, he fell silent and maintained his cover, while the Israeli troops were reluctant to advance. An Israeli helicopter eventually launched a missile where he was hiding when the weather cleared. Reports have since emerged that Mansour was a member of the Palestinian Authority (PA) security forces. In preparation for the punitive demolition of Mansour’s family home, the Israeli army took measurements for the house on Saturday, Wafa reported. This is part of Israel’s larger policy of punitive home demolitions, in which the Israeli army destroys the homes of the families of Palestinians who launched attacks against Israel, which has been described as a policy of collective punishment. BEFORE YOU GO – At Mondoweiss, we understand the power of telling Palestinian stories. For 17 years, we have pushed back when the mainstream media published lies or echoed politicians’ hateful rhetoric. Now, Palestinian voices are more important than ever. Our traffic has increased ten times since October 7, and we need your help to cover our increased expenses. Support our journalists with a donation today. https://mondoweiss.net/2024/03/operation-al-aqsa-flood-day-169-israel-kills-7-aid-seekers-in-northern-gaza-4-children-in-rafah-as-siege-of-al-shifa-hospital-enters-sixth-day/

‘Operation Al-Aqsa Flood’ Day 166: Israel kills Gaza officials handling food delivery to the north; Canada votes to halt arms sales to Israel Mustafa Abu SneinehMarch 20, 2024 Palestinians embrace in a bombed out building that was attacked by Israeli airstrikes in the Nuseirat refugee camp in central Gaza, killing 27 members of the same family (Photo: APA Images) A view from the damaged buildings after Israeli airstrikes on Nuseirat in central Gaza killed 27 members of the same family on March 20, 2024. As a result of the attack, many buildings were destroyed and surrounding buildings were damaged. Palestinians in the area carried out search and rescue operations in the rubble of buildings destroyed in the attack. (Omar Ashtawy/apaimages) Casualties 31,923 + killed* and at least 74,096 wounded in the Gaza Strip. 435+ Palestinians killed in the occupied West Bank and East Jerusalem.** Israel revises its estimated October 7 death toll down from 1,400 to 1,147. 594 Israeli soldiers killed since October 7, and at least 3,221 injured.*** *Gaza’s Ministry of Health confirmed this figure on Telegram channel. Some rights groups put the death toll number at more than 40,000 when accounting for those presumed dead. ** The death toll in West Bank and Jerusalem is not updated regularly. According to PA’s Ministry of Health on March 17, this is the latest figure. *** This figure is released by the Israeli military, showing the soldiers whose names “were allowed to be published.” Advertisement Follow the Mondoweiss channel on WhatsApp! Key Developments Israel bombs members of Palestinian clans and officers of Gaza’s emergency committee who handled aid supplies and delivery in north Gaza. Among people Israel killed on Tuesday evening is Amjad Hathat, director of Gaza’s emergency committee. On Monday, Israel assassinated Faiq Mabhouh, head of police operations in Gaza, who handled delivery of food in north Gaza. Hamas accuses Israel of spreading chaos in north Gaza in bid to create “administrative vacuum” by targeting members of emergency committee. In north Gaza, every 25 individuals share one kilogram of flour, or 20 loaves of bread, over one or two days. However, thousands of others cannot get a single loaf. Doctor who visited Gaza tells UN that “infections are getting worse and worse,” with whole families suffering from explosive injuries and burns. Israeli airstrikes on houses in Nuseirat refugee camp kill at least 27 Palestinians from the Habbash family. Israel’s Finance Minister says expanding settlements is “holistic Zionist response to [EU] declaration” of planned sanctions on Israeli settlers in the West Bank. Israeli forces and settlers kill two Palestinians in the West Bank in separate incidents. Canada to halt arms sales to Israel after non-binding vote in parliament. Agreement made between White House and U.S. Congress bars U.S. funds to UNRWA until March 2025, according to a Reuters report. Italian Prime Minister Giorgia Meloni says, “We will reiterate our opposition to military action on the ground by Israel in Rafah that could have even more catastrophic consequences for the civilians crowded in that area.” Israel bombs north Gaza’s Kuwait roundabout, targeting authorities tasked with aid delivery Israeli forces bombed a gathering point of dozens of Palestinians near the Kuwait roundabout in Gaza City, killing at least 23 people and injuring dozens on Tuesday evening. Most of them were members of Palestinian clans and officers of Gaza’s emergency committee who handled aid supplies and deliveries to starving people in north Gaza. Since Saturday, they had successfully ensured the arrival of 35 aid trucks at the Kuwait and Nabulsi roundabouts, unloading the deliveries in shelters and centers of the UN agency for Palestinian refugees (UNRWA) in Gaza’s Al-Tuffah neighborhood and Jabalia refugee camp. Such a mission could not have been successful without Gaza Police directing Palestinians not to gather around aid trucks on Al-Rashid and Sala El-Din streets in north Gaza and allowing the emergency committee to do its job of unloading and distributing food. The missions between local police, the heads of clans in Gaza, and UNRWA were coordinated in an effort to protect civilians in the north after numerous attacks in recent weeks in which Israeli forces shot and killed hundreds of Palestinians as crowds attempted to get food and flour from trucks in Gaza since late February; a number of the dead were also reportedly killed in the crowd crush. In the past few days, Palestinians lined up to get their rations of flour inside the premises of the humanitarian centers in Jabalia and Gaza. Among the people Israel killed on Tuesday evening is Amjad Hathat, the director of Gaza’s emergency committee. Hamas says Israel is ‘spreading chaos’ in north Gaza In response to the targeting of the local officials in north Gaza, Hamas accused Israel of “spreading chaos” in a bid to create an “administrative vacuum” by targeting the emergency committee. Ismail Al-Thawabteh, a media government spokesperson, told Al-Jazeera Arabic that Israel allows aid trucks to enter north Gaza and then bombs people approaching it. On Monday evening, Israel assassinated Faiq Al-Mabhouh, the head of police operations in Gaza, who handled the entry of food trucks and managed to deliver 13 of them to north Gaza. Israel said Mabhouh was “the head of Operations Directorate of the Internal Security Service of Hamas.” Tel Aviv is trying to create an authority in the Gaza Strip in place of Hamas, and it views the successful coordination between local clans, Gaza Police and UN agencies to deliver aid as a sign of Hamas’s ability to administer in Gaza. Israel is still trying to use food and medical deliveries as a tool to strengthen and push some clan leaders to the front seat and put them in charge of handling the aid, coordinating with Israel and the international agencies. However, several Palestinian clans in the Gaza Strip refused to be “an alternative political regime” in the Gaza Strip and coordinate humanitarian missions with Israel. One kilogram of flour for every 25 people Although dozens of aid trucks reached north Gaza in the past days, where thousands of Palestinians are at risk of famine and starvation, the loads remain short to meet people’s needs. Al-Akhbar reported that a flour truck arrived at Abu Bakr al-Razi shelter center in Gaza’s Al-Tuffah neighborhood on Monday, where 8,000 people currently live, and contained 1,000 bags of flour, each weighing 25 kilograms. “We give each family what is sufficient for one or two days only. We have no other choice,” a member of the emergency committee told Al-Akhbar’s correspondent. “Every 25 individuals share one kilogram of flour. Knowing that a kilogram is enough to make 20 loaves, it means that a large number of people… won’t get even a single loaf of bread,” in Gaza, he added. Children in Gaza face grave injuries, malnutrition as hospitals struggle to operate A few trucks were also loaded with medical supplies and delivered to the UNRWA clinic in Jabalia, to Al-Awda and Kamal Adwan hospitals in north Gaza, which are depleted and partially operating. Hospitals in the Gaza Strip are still short of fuel, medicine and medical machines, while other hospitals like Al-Shifa in Gaza City have been under Israeli attack since Sunday. The World Health Organization (WHO) has long warned that Israel is generating a famine in north Gaza, and that “over a million people are expected to face catastrophic hunger unless significantly more food is allowed to enter Gaza.” Children have already started dying of malnutrition in Gaza, which has long-term effects, such as “low consumption of nutrient-rich foods, repeated infections, and [the] lack of hygiene and sanitation services slow children’s overall growth,” the WHO added. Israel has killed more than 13,000 children in bombing Gaza since October 7, according to the United Nations Children’s Fund (UNICEF). Four doctors from France, the U.S. and the U.K., who visited the Gaza Strip, said during a UN event in New York that the healthcare system in the enclave is collapsing and that they treated children severely burned by Israel’s bombs. Nick Maynard, a cancer surgeon with British charity Medical Aid for Palestinians, saw a Palestinian girl so badly burned in an Israeli bombardment that he could see her facial bones. “We knew there was no chance of her surviving that but there was no morphine to give her,” Maynard said. “So not only was she inevitably going to die but she would die in agony.” Maynar said that an Israeli ground invasion of Rafah “will be apocalyptic, the number of deaths we’re going to see.” Amber Alayyan, a pediatrician doctor, said hospitals in Gaza are operating on patients and the injured amid lack of supplies and in dire conditions. “The infections are getting worse and worse,” she said. “We have seen patients who traveled, who were victims of explosive injuries, a family of 11, for example, a whole family that arrived at our hospital in the south from the north,” Alayyan told the UN. “They’ve been moving for three months looking for hospital care. They were victims of explosions. Eleven members of the family were burnt,” she added. Israeli attack on Nuseirat refugee camp kills 27 family members In the past 24 hours, Israeli forces committed 10 massacres in various areas of the Gaza Strip, according to the Gaza Ministry of Health on Telegram, killing at least 104 people and injuring 162. Thousands remain under the rubble of bombed buildings, and nearly 32,000 Palestinians were killed and 74,000 injured. Israeli air strikes on houses in Nuseirat refugee camp, in central Gaza, killed at least 27 Palestinians from the Habbash family and injured dozens, Wafa news agency reported. In north Gaza, Israel bombed Al-Rimal and Al-Daraj neighborhoods. Palestinian rescue team recovered the bodies of 20 people in Gaza City following an Israeli bombardment. In Beit Lahia and Deir Al-Balah, Israeli artillery bombed several areas, while in Bureij refugee camp, six Palestinians were recovered from under the rubble of a bombed house. Italian PM opposes Rafah Invasion, Canada votes to stop arms transfers to Israel The Israeli government has vowed to press on with its planned invasion of the crowded city of Rafah in southern Gaza, despite warnings from international leaders and humanitarian groups. Italy’s Prime Minister Giorgia Meloni has joined the chorus, saying that her country opposes the planned offensive. “We will reiterate our opposition to military action on the ground by Israel in Rafah that could have even more catastrophic consequences for the civilians crowded in that area,” Meloni told lawmakers in the Senate. Ursula von der Leyen, the president of the European Commission, said during a meeting with Egypt’s President Abdel Fattah al-Sisi this week, that she is “concerned about the risks a full-scale offensive in Rafah would have on the most vulnerable civilian population. This needs to be avoided at all costs.” An Israeli invasion of Rafah, the southernmost town in the Gaza Strip where 1.2 million Palestinians are sheltering, could spike tensions with Egypt which watches the western side of the border. Some Israeli officials and ministers said their wish is to evacuate Palestinians from the Gaza Strip to Egypt. However, Egypt is closing its borders firmly, and is not allowing mass flux of Palestinians to its territories. Meanwhile, Canada’s House of Commons voted on Tuesday to halt arms sales to Israel, with Canadian foreign affairs minister, Mélanie Joly, reaffirming the vote, saying her government would halt future arms shipments to Israel, saying “it is a real thing.” Smotrich calls settlements ‘holistic’ response to sanctions Israel’s Finance Minister and far-right settler Bezalel Smotrich, suggested that expanding settlement was the “holistic” response to an agreement by the EU on Monday to sanction Israeli settlers, who assaulted Palestinians in the occupied West Bank. “There is one holistic Zionist response to this [EU] declaration, strengthening and entrenching settlement in all parts of the Land of Israel,” Smotrich said on Tuesday. He claimed that the Israeli justice system could deal with incidents of settlers’ violence on Palestinians. Israeli authorities systematically fail to investigate and prosecute ideological crimes against Palestinians in the occupied West Bank, and are often documented joining the settlers in their attacks on Palestinian communities. The far-right minister is a vocal opponent of the establishment of Palestinian state, and is a supporter of annexing the West Bank into Israel. In January, he said Israel should “encourage the migration of Gaza residents as a solution to the humanitarian crisis”. The U.S. has recently sanctioned several Israeli settlers involved in attacks against Palestinians, including two entire outposts for the first time. Israeli forces and settlers kill two Palestinians in West Bank Two Palestinian were killed in separate incidents in the West Bank on Tuesday afternoon. Ziad Farhan Diab Hamran, 31, from the Al-Hashimiyah village in Jenin, was shot by Israeli forces near the entrance of Beit Fajjar village and the settlement of Gush Etzion, near Bethlehem. His body remains in Israel’s custody. Israel said that Hamran shot two intelligence officers from the Shin Bet, who were injured in the attack. Hamran succumbed to his wounds on Tuesday evening. In Nablus, Israeli settlers killed Fakher Bassem Bani Jaber, 43, from Aqraba village, south of Nablus. Wafa reported that Jaber was taken to Rafidiya Hospital where he died. Settlers attacked Khirbet al-Tawil area, near Aqraba village, which prompted Palestinians to defend their lands.In occupied Jerusalem, only 20,000 Palestinians performed Ramadan’s Al-Tarawih prayer on the tenth night as Israeli authorities kept restricting the numbers of Palestinians who could enter Jerusalem from the West Bank. It was also rainy and cold in Jerusalem on Tuesday night, Wafa reported. BEFORE YOU GO – At Mondoweiss, we understand the power of telling Palestinian stories. For 17 years, we have pushed back when the mainstream media published lies or echoed politicians’ hateful rhetoric. Now, Palestinian voices are more important than ever. Our traffic has increased ten times since October 7, and we need your help to cover our increased expenses. Support our journalists with a donation today. https://mondoweiss.net/2024/03/operation-al-aqsa-flood-day-166-israel-kills-gaza-officials-handling-food-delivery-to-the-north-canada-votes-to-halt-arms-sales-to-israel/ 👉https://telegra.ph/Operation-Al-Aqsa-Flood-Day-166-Israel-kills-Gaza-officials-handling-food-delivery-to-the-north-Canada-votes-to-halt-arms-sales--03-20

Understanding the Effects on Your Body When You Consume Turmeric-Infused Lemon Water Daily, Backed by Science 8 March 2024 grandmaremedy.net Understanding the Effects on Your Body When You Consume Turmeric-Infused Lemon Water Daily, Backed by Science Ensuring proper hydration is essential for the optimal functioning of the body. By incorporating lemon and turmeric into your water, you can significantly enhance the benefits of regular water consumption. While individual water needs may vary based on climate and activity levels, a general guideline is to consume 8 ounces of water eight times a day or about half a gallon. Turmeric, a powerful antioxidant, is widely used in Ayurveda for its ability to combat cancer-causing free radicals. It serves as an antiseptic, natural anti-inflammatory, and is a staple in Indian cuisine, offering a distinctive and appealing flavor. Known for its antiviral, antibacterial, and anticancer properties, turmeric has been used to address various conditions, including skin issues, digestive problems, diabetes, high cholesterol, and even neurodegenerative diseases like Alzheimer’s and dementia. On the other hand, lemons are a nutritional powerhouse, rich in vitamin C, soluble fiber, potassium, and an array of other beneficial nutrients. They contribute to heart health, skin improvement, weight loss, and enhanced cognitive function. The citric acid content aids digestion, while vitamin C supports the immune system. To harness the combined benefits of turmeric and lemons, simply add a teaspoon of turmeric and the juice from half a lemon to an 8-ounce glass of water. Enjoy this refreshing beverage throughout the day. For added flavor, consider incorporating honey or mint. This simple yet potent concoction can positively impact your overall health and well-being. https://grandmaremedy.net/understanding-the-effects-on-your-body-when-you-consume-turmeric-infused-lemon-water-daily-backed-by-science/

‘Operation Al-Aqsa Flood’ Day 164: Israeli army storms al-Shifa again, aid reaches Jabalia for first time in months Leila WarahMarch 19, 2024 Palestinians gather in front of UN agency for Palestinian refugees (UNRWA) building to receive flour in Jabalia, Gaza City, March 17, 2024. (Photo: Ashraf Amra/APA Images) Palestinians gather in front of UN agency for Palestinian refugees (UNRWA) building to receive flour in Jabalia, Gaza City, March 17, 2024. (Photo: Ashraf Amra/APA Images) Casualties 31,726 + killed* and at least 73,792 wounded in the Gaza Strip. 435+ Palestinians killed in the occupied West Bank and East Jerusalem.** Israel revises its estimated October 7 death toll down from 1,400 to 1,147. 591 Israeli soldiers killed since October 7, and at least 3,221 injured.*** *Gaza’s Ministry of Health confirmed this figure on its Telegram channel. Some rights groups put the death toll number closer to 40,000 when accounting for those presumed dead. ** The death toll in the West Bank and Jerusalem is not updated regularly. According to the PA’s Ministry of Health on March 17, this is the latest figure. *** This figure is released by the Israeli military, showing the soldiers whose names “were allowed to be published.” Key Developments Gaza Health Ministry: Israeli military storms al-Shifa Hospital for the fourth time, killing and wounding a number of people. 30,000 people in al-Shifa Hospital ordered to evacuate to Khan Younis. Palestinian Prisoners Society: Thirteenth Palestinian prisoner dies in Israeli custody since October 7. UK charity Oxfam accuses Israel of “actively hindering” aid operations in Gaza. PRCS provides mental support groups for traumatized Palestinian children, medics. IPC: 1.1 million people, about half of Gaza, face “imminent” famine. Nineteen aid trucks arrive in Jabalia without being blocked or fired on by Israeli forces in months. UNICEF chief Catherine Russell: Airdrops and maritime deliveries are “a drop in a bucket” compared to the scale of humanitarian need. UNICEF: one in three babies under the age of two in northern Gaza suffers from acute malnutrition. Gaza Health Ministry: Israeli attacks killed 81 Palestinians and wounded 116 in Gaza during the last 24 hours. Biden reportedly shouts and swears upon learning Michigan and Georgia poll numbers dropped over handling of Gaza war, according to NBC News. Israeli army storms al-Shifa’ hospital…again In the early hours of Monday morning, Israeli forces stormed al-Shifa Hospital in northern Gaza with tanks and heavy gunfire. There have already been a “number of martyrs and wounded” in the ongoing Israeli onslaught, which began around 2:00 a.m. Gaza’s Ministry of Health said about 30,000 people, including displaced civilians, wounded patients, and medical staff, are trapped inside the complex. Sniper bullets and quadcopters target anyone who tries to move. A fire also broke out at the entrance to the hospital, and cases of suffocation occurred among the displaced women and children inside. Less than two hours after the attack began, the Israeli military announced that it was conducting a “precise operation” in the al-Shifa Hospital in Gaza City, claiming that Hamas was using the medical facility to “conduct and promote terrorist activity.” “We know that senior Hamas terrorists have regrouped inside the [al-Shifa] Hospital and are using it to command attacks against Israel,” Israeli military spokesperson Daniel Hagari said in a video posted on X. The Israeli military used similar unverified claims to justify three prior attacks on the medical complex, killing dozens of Palestinians. Hagari added in his English video statement that the Israeli military would be conducting a “humanitarian effort” during the planned assault, providing food and water. At the same time, he emphasized that there is “no obligation” for patients and medical staff to evacuate the hospital. However, in Arabic, Israeli military’s spokesman Avichay Adraee called on Palestinians to evacuate the hospital and its surrounding area on X: “In order to maintain your security, you must immediately evacuate the area to the west and then cross Al-Rashid (Al-Bahr) Street to the south to the humanitarian area in Al-Mawasi.” Al-Mawasi, a “humanitarian zone” in western Khan Younis, is a severely overcrowded strip of land in the west of the Gaza Strip, serving as one of Gaza’s few designated safe areas despite being subjected to Israeli fire. According to Gaza-based Al Jazeera correspondent Hani Mahmoud, “leaflets dropped by the Israeli military told people inside al-Shifa Hospital, its vicinity and the entire residential blocks surrounding the medical complex to evacuate immediately.” “People are caught up between whether to leave and trust the statement or stay where they are. We are talking about thousands of Palestinians who have been sheltering inside the complex since the start of the war,” Mahmoud continued. “In early December, the Israeli military made a list of allegations and stormed al-Shifa Hospital, destroyed the vast majority of its property, and severely damaged major buildings and medical equipment inside the hospital. About 250 people were arrested from inside the hospital,” Mahmoud said. The Times of Israel, citing the Israeli military, reports that the army has taken control of al-Shifa Hospital and detained 80 people since the most recent attack began. “The crimes of the [Israeli] occupation will not create any image of victory for Netanyahu and his Nazi army,” Hamas said, as cited by Al Jazeera. “The crimes of the occupation express confusion and loss of hope of achieving a military achievement.” In a joint statement, Palestinian factions said targeting hospitals “is a continuation of the war of extermination waged by the occupation against the Palestinian people and a flagrant violation of all international conventions and laws,” reported Al Jazeera. Gaza’s Health Ministry has described the assault as a “massacre against the sick, the wounded, the displaced,” and has called on all international institutions to immediately stop the invasion. “What the occupation forces are doing is a flagrant violation of international humanitarian law,” the Ministry continued. “The Israeli occupation is still using its fabricated narratives to deceive the world and justify the storming of the al-Shifa Medical Complex.” ‘Babies don’t even have the energy to cry’ Meanwhile, Palestinians in the besieged enclave are still being starved by Israel’s ongoing blockade, especially those living in the north, where Israeli forces have repeatedly blocked the entry of aid. In a new report, UK charity Oxfam has accused Israel of “actively hindering” aid operations in Gaza, defying orders by the International Court of Justice to prevent genocide in the besieged Palestinian enclave. Oxfam outlined seven ways Israel prevents the delivery of aid, including by only opening two crossings into Gaza, imposing a dysfunctional inspection system that keeps supplies help up, and cracking down on humanitarian missions. “The ICJ order should have shocked Israeli leaders to change course, but since then, conditions in Gaza have actually worsened,” said Sally Abi Khalil, Oxfam’s Middle East and North Africa Director. One in three babies under the age of two in northern Gaza is suffering from acute malnutrition, according to UNICEF. Catherine Russell, the executive director of the UN’s children’s agency, says acute malnutrition is when “the body starts to consume itself as it has nothing else, and it’s a painful, painful death for children. I have been in wards where babies are suffering from malnutrition. The whole ward is absolutely quiet because the babies don’t even have the energy to cry.” “If we can get therapeutic feeding to them, they can survive, but often, they are stunted for life, and stunted means your cognitive ability is impacted as well, so it is a lifelong challenge for these children — if they survive,” she continued in an interview with CBS News. While some aid is being airdropped or delivered by sea, experts, NGOs, and residents say it is nowhere near enough to meet the needs of millions of Palestinians. Russell says that the aid coming in through airdrops and a maritime route is “a drop in a bucket in both cases.” “We have so little access right now and it’s very challenging. We are also facing very great bureaucratic challenges moving trucks in by land, which is by far the most efficient and effective way to get aid in,” she added. “If things are dual use, sometimes they get rejected. So, we can’t get plastic pipes in, we can’t get some medical kits in if they have little scissors. It’s almost Kafkaesque, sometimes trying to figure out how to get things into this bureaucratic mess.” Similarly, displaced Palestinian Zahr Saqr, told Al Jazeera, “The situation is so bad that no one can imagine it, and the ship, even if it helps, will be a drop in the ocean, because the entire region is in need of aid, and people are competing to take aid from the shore.” Airdrops have caused chaos and killed several people by falling pallets when parachutes failed to open. “We keep waiting for aid. This is not a solution, whether by ship or by plane. We saw planes dropping aid and people fighting over it. There are some children who drowned in the sea for aid,” Wael Miqdad, a Khan Younis resident, said. The UN warns that nearly 600,000 people are on the brink of famine. “The living situation is very bad. We cannot eat, or drink, and aid is very scarce. They told us there is aid in the south, but it is very scarce,” Iman Wadi, another displaced Palestinian, told Al Jazeera. “Israeli authorities are not only failing to facilitate the international aid effort but are actively hindering it. We believe that Israel is failing to take all measures within its power to prevent genocide,” Abi Khalil continued. Israel has created “the perfect storm for humanitarian collapse and only the state of Israel can fix it,” she added. Over a million Gazans face “imminent famine” as aid reaches Jabalia On Sunday evening, Al Jazeera cameras captured a convoy of 19 aid trucks entering the Jabalia refugee camp in northern Gaza. The trucks were carrying flour, rice, and other foodstuffs on their way to a UNRWA distribution center. The delivery marks the first convoys to travel from the south to the north of the Gaza Strip without incident in four months. The Integrated Food Security Phase Classification (IPC), the body responsible for assessing and monitoring famine, said that about half of Gaza is facing “imminent” famine. “Between mid-March and mid-July, in the most likely scenario and under the assumption of an escalation of the conflict including a ground offensive in Rafah, half of the population of the Gaza Strip (1.11 million people) is expected to face catastrophic conditions (IPC Phase 5), the most severe level in the IPC Acute Food Insecurity scale,” the IPC said in a statement. “This is an increase of 530,000 people (92 percent) compared to the previous analysis.” The IPC also said that the rest of Gaza will likely face “a risk of famine” in July 2024 in the event of a “worst-case scenario.” “The southern governorates of Deir al-Balah and Khan Younis, and the Governorate of Rafah, are classified in IPC Phase 4 (Emergency),” the IPC said. Long way to go until Israeli military goals are achieved The Netanyahu administration shows no intention of ending its war on Gaza anytime soon, despite a growing choir of voices, including Israeli allies, calling for the end of the ongoing assault. Israeli military Chief of Staff Herzi Halevi said in a press statement that much has been achieved during a “multi-front and complex war,” but that it will take time to achieve more, according to Al Jazeera. “We still have a long way to go until the war goals are achieved,” he said. Halevi also said the army continues to plan operations in “areas where we have not yet operated,” in reference to Rafah in southern Gaza, where more than 1.5 million Palestinians are sheltering. “The military is preparing for offenses in the additional areas and together with the political echelon we will decide on the timing and the appropriate conditions,” he said. “We are determined to act wherever Hamas is building its strength. It is wrong to leave Hamas brigades and Hamas battalions functioning.” However, former military commander Yitzhak Brick says Israel has already lost its war against Hamas in the Gaza Strip. “You can’t lie to many people for a long time,” Yitzhak Brick said in an article in Israel’s Maariv newspaper, as reported by Al Jazeera. “What is happening in the Gaza Strip and against Hezbollah in Lebanon will blow up in our faces sooner or later.” Brick said the Israeli home front “is not prepared for a regional war, which will be thousands of times more difficult and serious than the war in the Gaza Strip.” Biden fears upcoming elections U.S. President Joe Biden’s endless support for Israel’s genocide in Gaza has jeopardized his chances of winning elections in 2024, reportedly sending him into a frenzy. Biden began to shout and swear after learning that his poll numbers in the battleground states of Michigan and Georgia had dropped over his handling of the Gaza war, according to NBC News. The report cited a lawmaker familiar with the private meeting in January at the White House, where the scene played out. He believed he had been doing what was right despite the political fallout, Biden told the group, according to the lawmaker. When asked about the episode, White House spokesman Andrew Bates said: “President Biden makes national security decisions based on the country’s national security needs alone — no other factor.” In a post on X, Amnesty International reminded President Biden that Israel used U.S.-made munitions to kill more than 30,000 people in Gaza and called on the President to demand a ceasefire and stop the transfers of arms to Israel. On Sunday, during a shamrock ceremony at the White House, the U.S. President said he agreed with Irish Prime Minister Leo Varadkar on the need for a truce deal in Gaza, still offering no plans to put material pressure on Israel. “The Taoiseach [Irish leader] and I agree about the urgent need to increase humanitarian aid in Gaza and reach a ceasefire deal that brings hostages home and moves toward a two-state solution, which is the only path for lasting peace and security,” Biden said, according to CNN. Varadkar says the Irish have such empathy for the Palestinian people because: “We see our history in their eyes, a story of displacement, of dispossession, a national identity questioned and denied, forced emigration, discrimination, and now hunger,” he said. The Irish leader, who has previously criticized U.S. arms transfers to Israel, said he “was not shocked” that Washington has decided to continue arming Israel. https://mondoweiss.net/2024/03/operation-al-aqsa-flood-day-164-israeli-army-storms-al-shifa-again-aid-reaches-jabalia/

“Children suffering malnutrition in Gaza will be stunted for life.” https://x.com/facethenation/status/1769412634326007908?s=46&t=wKg-ZXV94UavVhVcD_fLmw

‘Operation Al-Aqsa Flood’ Day 156: Israel deploys 15,000 troops in West Bank as Ramadan starts Ceasefire talks falter as Izz El-Din Al-Qassam Brigades spokesperson says Israel is using “deception and evasion.” Israel deploys thousands of troops in the West Bank and Jerusalem ahead of plans to restrict access to Al-Aqsa Mosque during Ramadan. Mustafa Abu SneinehMarch 10, 2024 Palestinians attempt to collect some personal belongings after returning briefly to check on what remains of their homes in Khan Younis in the southern Gaza Strip, on March 9, 2024. (Photo: Saeed Jaras/ APA Images) Palestinians attempt to collect some personal belongings after returning briefly to check on what remains of their homes in Khan Younis in the southern Gaza Strip, on March 9, 2024. (Photo: Saeed Jaras/ APA Images) Casualties 31,045+ killed* and at least 72,645 wounded in the Gaza Strip. According to the Gaza Ministry of Health, 25 children in Gaza have died of malnutrition and dehydration since the beginning of March. 423+ Palestinians killed in the occupied West Bank and East Jerusalem.** Israel revises its estimated October 7 death toll down from 1,400 to 1,147. 588 Israeli soldiers killed since October 7, and at least 3,221 injured.*** *Gaza’s Ministry of Health confirmed this figure on Telegram channel. Some rights groups put the death toll number closer to 40,000 when accounting for those presumed dead. ** The death toll in West Bank and Jerusalem is not updated regularly. This is the latest figure according to PA’s Ministry of Health as of March 6. *** This figure is released by the Israeli military, showing the soldiers whose names “were allowed to be published.” Advertisement Follow the Mondoweiss channel on WhatsApp! Key Developments Israel deploys 15,000 soldiers and military police in West Bank and Jerusalem ahead of Ramadan, including 5,000 reservists, 24 battalions, 20 Border Police companies, and two special forces units. Hamas’s Izz El-Din Al-Qassam Brigades spokesperson rules out any breakthrough in ceasefire talks, and describes Israel’s position as “deceptive.” Abu Obaida warns that Israel’s campaign of starvation against Palestinians in Gaza is affecting Israeli captives, some of whom “suffer from hunger, malnutrition and dehydration.” Izz El-Din Al-Qassam Brigades announces names of four out of seven Israeli captives who died “due to the aggressive Israeli raids on the Gaza Strip.” 25 Palestinian children have died of malnutrition and dehydration since March. The total death toll in Gaza surpasses 31,000 people, 72 percent of whom are women and children. Gaza City municipality says Israel destroyed a one-million-meter square of roads in the Gaza Strip. Gaza City municipality needs heavy vehicles and fuel supplies to clean rubble and nearly 70,000 tons of rubbish. Rescue teams transfer 37 bodies of Palestinian martyrs and 118 injured people to Al-Aqsa Martyrs Hospital in Deir Al-Balah overnight. U.S. to send army vessel to Eastern Mediterranean to deliver aid and supplies to Gaza. Wafa reports that Israeli bombing of tents of displaced Palestinians killed 15 people in Al-Mawasi area, west of Khan Younis. Spain is considering recognizing a Palestinian state by 2027, according to Prime Minister Pedro Sanchez. Ceasefire talks falter as Israel braces for Ramadan The meditated talks between Israel and Hamas have faltered after weeks of expectations and efforts to agree on a permanent ceasefire and the release of hostages and prisoners. The month of Ramadan is due to start tomorrow, March 11, and Israel is set to restrict access of Palestinians in occupied Jerusalem and the West Bank to the Al-Aqsa Mosque while it is bombing the Gaza Strip, starving Palestinians, and shunning calls to allow humanitarian supplies into Gaza. Ramadan is a month of fasting, prayer, and contemplation for millions of Muslims. But it has an extra layer of holiness for Palestinians in the West Bank, who are barred from entering Jerusalem all year round without an Israeli permit. Ramadan, hence, is an opportunity to reconnect with their capital city and pray in the Al-Aqsa. Israel’s plan to restrict access to Jerusalem marks an escalation and will likely lead to violence. Knowing this, the Israeli government has already deployed 15,000 soldiers and military police in the West Bank and Jerusalem since Friday. Those include 5,000 reservists, 24 battalions, 20 Border Police companies, and two special forces units. Hamas describes Israel’s position in ceasefire talks as “deceptive” It remains unclear if a ceasefire in the Gaza Strip can be reached on Sunday at the eleventh hour. Some Israeli officials appear to be optimistic that this could be done. According to Ynet, Israel’s external intelligence, the Mossad, involved alongside the CIA with the mediated talks with Hamas, said on Saturday evening that “contacts and cooperation with the mediators [of Qatar and Egypt] continue all the time in an effort to narrow the gaps and reach agreements.” For thousands of families in the Gaza Strip, they will spend Ramadan in tents, shelters, or amid the shattered walls and rubble of what is left of their bombed houses and neighborhoods. The 2.5 million Palestinians in Gaza are also barred entry by Israel to visit Jerusalem without a permit. Some of them, who were displaced from north Gaza since October, are now blocked from going back to their houses by Israeli forces stationed on Salah El-Din Street, which splits Gaza into north and south. The U.S. has exerted pressure on meditators to convince Hamas to agree to a six-week truce, including the month of Ramadan, in which hostages and prisoners would be released, and sufficient aid would be supplied. The U.S. Secretary of State, Antony Blinken, said on Saturday that “the ball is in their court,” referring to Hamas. “We’re working intensely on it and we’ll see what they do.” Hamas has been adamant that it will only agree to a permanent truce, which would end Israel’s bombing of Gaza and permit the return of thousands of families to north Gaza. During a speech on Friday evening, Abu Obaida, the spokesperson of Hamas’s Izz El-Din Al-Qassam Brigades, ruled out any breakthrough in the talks of a ceasefire. Abu Obaida said Israel was using “deception and evasion” during the talks, and its position was cloaked with “confusion and inconsistency”. He said that Hamas’s ultimate goal from any truce is “stopping [Israeli] aggression, Gaza’s reconstruction, and the withdrawal of [Israeli] forces” from the Gaza Strip. He warned that the campaign of starvation Israel is launching against the people of Gaza is affecting Israeli captives, some of whom “suffer from hunger and deprivation, lack of food and medicine, and suffer malnutrition, dehydration, and emaciation.” “The ball is in their court to save whoever of them can be saved,” Abu Obaida said, addressing Israelis and adding that the Israeli government “insists on receiving [the captives] in coffins.” Later, Izz El-Din Al-Qassam Brigades announced the names of four out of seven captives who died “due to the aggressive Israeli raids on the Gaza Strip, and we have [previously] disclosed the identities of three of them.” Rescue teams transfer 37 bodies to Al-Aqsa Hospital In the past 24 hours, Israeli forces committed eight “massacres” in various areas of the Gaza Strip, according to the Gaza Ministry of Health on Telegram, killing at least 85 people and injuring 130. The total death toll in Gaza has now surpassed 31,000 people, 72 percent of whom are women and children. The ministry added that 25 children have died of malnutrition and dehydration since March. Assem Nabih, a member of Gaza City’s emergency department, told Al-Jazeera Arabic that since October, Israel has destroyed one-million-meter square of roads in the Gaza Strip. The Gaza City municipality needs heavy vehicles and fuel supplies to clean rubble and nearly 70,000 tons of rubbish. Nabih said that insufficient aid is trickling into Gaza, while water in Gaza’s wells is drying out as summer approaches. On Sunday morning, Dr. Khalil Al-Daqran, the spokesperson of the Al-Aqsa Martyrs Hospital in Deir Al-Balah told Al-Jazeera Arabic that rescue teams transferred 37 bodies of Palestinian martyrs and 118 injured people to the hospital overnight. “However, we can’t treat all the injured due to the lack of capabilities and medical supplies,” he said, adding that all hospitals close to the Al-Aqsa Hospital are out of service. “What we are offering is modest medical care to the injured as there is not enough operation rooms,” Al-Daqran said, calling international organizations to send medical and fuel supplies urgently. U.S. sending army vessel to deliver aid to Gaza On Saturday evening, the U.S. Central Command (CENTCOM) said it is sending an army vessel to the Eastern Mediterranean, following President Biden’s State of the Union address on Friday, in which he pledged to build a floating pier near Gaza’s shore to facilitate the delivery of aid and food. “Besson, a logistics support vessel, is carrying the first equipment to establish a temporary pier to deliver vital humanitarian supplies,” CENTCOM wrote on the X platform. The floating pier would take up to 60 days to be built and was proposed by Biden after the U.S. airdropped aid on north Gaza in the past weeks, an expensive and cumbersome method to deliver aid, which killed five Palestinians as the parachutes malfunctioned last week. “There are more efficient and faster ways to get assistance to Gazans: Biden can pressure Israel to allow the entry of hundreds of aid trucks that are needed in the territory each day,” Mohamad Bazzi, the director of the Hagop Kevorkian Center for Near Eastern Studies, wrote in The Guardian. “Instead, Biden and his administration are complicit in prolonging a war in which a U.S. ally has killed more than 30,000 Palestinians and is intentionally starving the population into submission,” he added. Israeli soldiers cheer killing of Palestinian during home raid The Israeli aggression on Gaza has entered six months. There is plenty of footage documenting Israeli brutality and acts of genocide. Lately, head-cam footage was released of Israeli soldiers cheering the killing of a 72-year-old Palestinian civilian with four bullets when they stormed a home in Gaza. Al-Jazeera Arabic also released Israeli drone footage showing a Palestinian child lying dead on the ground after being shot by Israeli forces near Al-Fakhura School in Jabalia, in north Gaza, in December. On Saturday, an Israeli bombing on a house of the Al-Nuwairi family west of Nuseirat camp in central Gaza killed ten people, Wafa news agency reported. Wafa reported that the Israeli bombing killed 15 displaced Palestinians in the Al-Mawasi area, west of Khan Younis. One Palestinian was killed and three injured when Israel bombed a vehicle driving on Salah El-Din Street near the city of Rafah, south of Gaza. In Gaza City’s Al-Zaytoun neighborhood, Israeli forces killed five Palestinians who were among people waiting for aid trucks to arrive near the Kuwait roundabout on Saturday. In Beit Lahia, an Israeli air raid on the house of the Abu Nasser family killed and injured several people, Wafa reported. Thousands of Palestinian students had attended a makeshift school in Rafah. Since October, students in the Gaza Strip have not attended lessons as their schools have either been bombed by Israel or turned into shelters. Palestinian kids were sitting on the ground in a “classroom” made of groundsheets and without a roof, Wafa reported. On Saturday, millions of people protested worldwide in cities of Hannover, Berlin, Paris, Tunis, Copenhagen, Milan, London, Manchester, Sarajevo, Seoul, and Auckland, among others, in support of Palestinians in the Gaza Strip, calling for an immediate ceasefire. Spain to recognize Palestinian state by 2027 Spain is mulling the recognition of a Palestinian state, however, by the year 2027, according to Pedro Sanchez, the Spanish Prime Minister. Sanchez’s mandate ends by 2027. He said on Saturday that he will put the recognition of a Palestinian state to vote by the Spanish parliament’s lower half. “We will do it because of moral conviction, because it’s a just cause, but also because it is the only way that two states – Israel and Palestine – can live together and co-exist in peace and security,” Sanchez wrote on X platform. Spain has been supportive of Palestinians in the Gaza Strip since October, and unlike other European countries who suspended funding to the UN agency for Palestinian refugees (UNRWA), Madrid pledged to pay $22m extra to help UNRWA’s aid operations in Gaza. In the occupied West Bank, Israeli forces have arrested 7,505 Palestinians since October. Overnight, 15 Palestinians were detained from Nablus, Tubas, Ramallah, and Hebron, Wafa reported. A recent Israeli soldier’s arrest of a 7-year-old girl in Jenin was described as “kidnapping.” In released video footage, Israeli soldiers appear to drag the girl from her home into a military jeep as she resisted and pushed her into the vehicle. “Israeli army stormed Jenin city, in the West Bank, yesterday and kidnapped a 7 years old girl from her family’s house!” the Palestinian embassy in Romania wrote on X platform on Sunday. “This is not a first, they have long history of kidnapping and arresting Palestinian kids,” it added. Overnight, Israeli forces stormed Silat Al-Dhahr and Al-Fandqumiya villages, south of Jenin, and confiscated surveillance cameras. Wafa reported that Israeli forces raided several houses in the two villages following a shooting and booby trap attack on Israeli soldiers near the illegal settlement of Homesh last week, which injured seven Israeli soldiers. BEFORE YOU GO – At Mondoweiss, we understand the power of telling Palestinian stories. For 17 years, we have pushed back when the mainstream media published lies or echoed politicians’ hateful rhetoric. Now, Palestinian voices are more important than ever. Our traffic has increased ten times since October 7, and we need your help to cover our increased expenses. Support our journalists with a donation today. https://mondoweiss.net/2024/03/operation-al-aqsa-flood-day-156-israel-deploys-15000-troops-in-west-bank-as-ramadan-starts/ https://telegra.ph/Operation-Al-Aqsa-Flood-Day-156-Israel-deploys-15000-troops-in-West-Bank-as-Ramadan-starts-03-11

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Intergenerational genocide: 5400 women in Gaza are expected to give birth in the coming month. Most have experienced undernutrition for five months, got little, if any, medical supervision during traumatic pregnancy, and had limited access to medication. ~The Lancet https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02835-0/fulltext#%20

‘Operation Al-Aqsa Flood’ Day 143: Gaza famine is ‘man-made,’ says UNRWA Chief UNRWA says that the famine in northern Gaza can be avoided if more food convoys are allowed in, but Israel continues to hold up over 2000 aid trucks. Meanwhile, Netanyahu reaffirms plans to invade Rafah, where 1.5 million Gazans have sought shelter. Leila WarahFebruary 26, 2024 Palestinians stand in line for food aid, Deir al-Balah, February 2, 2024. (Photo: Omar Ashtawy/APA Images) Palestinians stand in line for food aid, Deir al-Balah, February 2, 2024. (Photo: Omar Ashtawy/APA Images) Casualties 29,782+ killed* and at least 70,043 wounded in the Gaza Strip. 380+ Palestinians killed in the occupied West Bank and East Jerusalem Israel revises its estimated October 7 death toll down from 1,400 to 1,147. 579 Israeli soldiers killed since October 7, and at least 3,221 injured.** *This figure was confirmed by Gaza’s Ministry of Health on Telegram channel on February 24. Some rights groups put the death toll number at more than 38,000 when accounting for those presumed dead. ** This figure is released by the Israeli military, showing the soldiers whose names “were allowed to be published.” Key Developments Israeli Prime Minister Benjamin Netanyahu stresses that the assault on the crowded city of Rafah will take place but may be delayed by captive exchange deal. UNRWA: Famine in northern Gaza can be avoided if more food convoys are allowed in. Orthodox Jews take over Muslim shrine, vandalize graves in West Jerusalem. WFP: Enough food is waiting across Gaza’s borders to feed entire population. Aerial photos show over 2,000 aid trucks on Egyptian side of Rafah crossing. Renowned Gazan artist Fat’hi Ghabin dies after being denied treatment abroad. Gaza Ministry of Health: Dialysis and intensive care patients facing death in northern Gaza as hospitals run out of fuel. 18-year-old Israeli woman jailed for refusing to serve in army over war on Gaza. UNRWA: Report of two-month-old baby dying in Gaza from hunger “horrific.” Israeli defense minister vows to continue targeting Hezbollah regardless of the situation in Gaza. Israeli forces partially withdraw from Nasser Hospital on Sunday, reports Al Jazeera. Israeli military erects watchtower with surveillance cameras at Al-Aqsa Mosque. Israeli forces kill at least 10 people waiting for aid in Gaza City, reports Wafa. U.S. airman sets self on fire in protest over Israel’s genocide in Gaza. Israel advances construction of 3,344 new illegal housing units in the occupied West Bank. Gaza Media Office: Israeli forces have taken Palestinian civilians hostage and used them as human shields in several military operations. ‘One in six children in northern Gaza is malnourished’ While Israel’s violent aggression on Gaza approaches the five-month mark, the situation in the besieged enclave deteriorates by the day as the population undergoes an Israeli-imposed famine as a result of the blockade. Following reports of a two-month-old baby starving to death on Friday, the United Nations Relief and Works Agency for Palestine Refugees (UNRWA) has said the high risk of malnutrition continues to increase, with one in six children in northern Gaza “severely malnourished.” “We continue to appeal for regular humanitarian access,” UNRWA said in a post on X. Mads Gilbert, a Norwegian physician and humanitarian advocate, says infant death from starvation is a direct consequence of Israeli restrictions on aid entering the coastal enclave. “This is not a tragedy; it is man-made. Starvation is being forced upon the people of Gaza by the Israeli occupation forces,” Gilbert, who has more than 30 years of experience working in Gaza hospitals, told Al Jazeera. “Just two days ago, the international nutrition cluster came out with a very alarming report … that there is a sharp increase in the drivers of malnutrition in Gaza — food insecurity, a lack of diversity in the diet and decreasing infant and young child feeding possibilities.” Gilbert said Israel’s restriction of food and water in the enclave was a “huge war crime.” “How can the world just sit idly by and watch children die from starvation?” The situation is the worst in the north of Gaza, where UNRWA chief Philippe Lazzarini says Israel has not allowed food to be delivered since January 25 and that the U.N.’s calls to send food aid have been denied and fallen on deaf ears. Since then, Lazzarini said, UNRWA and other UN agencies “have warned against looming famine, appealed for regular humanitarian access, and stated that famine can be averted if more food convoys are allowed into northern Gaza on a regular basis.” “This is a man-made disaster. The world committed to never let famine happen again. Famine can still be avoided, through genuine political will to grant access and protection to meaningful assistance. The days to come will once again test our common humanity and values,” he said. Similarly, Samer Abdeljaber, the World Food Programme’s (WFP’s) director for emergencies, says enough food is stocked up across Gaza’s borders to feed the entire population. However, it cannot safely reach the war-torn population due to the ongoing violence and extensive Israeli security checks. Ariel photos posted by Al Jazeera Arabic show over 2,000 aid trucks piled up on the Egyptian side of the Rafah crossing in the southern Gaza Strip. “We have enough food across the borders, even from Jordan and Egypt, to be able to support 2.2 million people,” said Abdeljaber, as cited by Al Jazeera. “But we need to make sure we have the right access to Gaza from different crossings so that we can actually reach the people — whether they are in the north or the south or in the central areas.” “Safe routes is one of our requirements to continue assistance to the north and that can only be guaranteed if that is a speedy process,” Abdelkader said. “Delays at the checkpoints are making it impossible for us to reach deeper into the north.” Nada Tarbush, a diplomat at the Palestine Mission to the U.N., has urged world governments to intervene and ensure the “urgent delivery of food, clean water and medicine via airdrops in Gaza.” “Blocking the delivery of humanitarian aid is a war crime. Using starvation as a means of warfare is a war crime. Collective punishment is a war crime,” she said in a post on X. On Monday afternoon, Israel allowed the entry of 10 aid trucks into the northern part of the Gaza Strip amid reports of starvation, according to Al Jazeera correspondents. However, it is likely to be only a trickle compared to the needs of the desperate population. “Clean water is scarce. Solid waste is accumulating. The spread of diseases is on the rise,” UNRWA has said. “The situation is catastrophic, but UNRWA teams continue working to provide critical aid.” Israeli forces kill Palestinians waiting for aid…again Meanwhile, when humanitarian aid is allowed into the besieged enclave, the safety of civilians collecting the assistance is not protected or assured. Several reports continue to surface of Israeli forces targeting Palestinians waiting for humanitarian aid. Most recently, on Sunday evening, Israeli forces killed at least ten people waiting for aid in Gaza City by shelling and firing on the crowds of Palestinians waiting for food aid trucks to arrive, reported Wafa. At least 15 people were injured in the attack, and they have been transferred to the nearby al-Shifa Hospital. According to Al Jazeera, two fishermen were also shot dead at the shore of Khan Younis. Israel: Invasion of Rafah will happen no matter what Israeli Prime Minister Benjamin Netanyahu has continued planning the Israeli assault on Rafah. Approximately 1.5 million Palestinians are seeking shelter in the southernmost city after being forcibly displaced, many of them several times, from other areas of Gaza. Netanyahu has said if Israel and Hamas reach a deal, that it will delay a military operation in Rafah, but stressed to CBS News that Israel would have to invade at a certain point later. “If we have a deal, it will be delayed somewhat, but it will happen. If we don’t have a deal, we’ll do it anyway,” Netanyahu said. Senior Hamas official Sami Abu Zuhri has said that Netanyahu’s remarks have cast doubt over Israel’s willingness to secure a deal. “Netanyahu’s comments show he is not concerned about reaching an agreement,” Abu Zuhri told Reuters, accusing the Israeli leader of wanting “to pursue negotiation under bombardment and the bloodshed [of Palestinians].” As Israel’s plans advance, global concern has increased over the human cost of the operation. The U.S. has called on Israel to present a “credible” plan for protecting civilians crammed into the city before launching the assault. At the same time, Israel’s European allies have warned against the offensive altogether. “If the Israeli army were to launch an offensive on Rafah under these conditions, it would be a humanitarian catastrophe,” German Foreign Minister Annalena Baerbock has said. “We think it is impossible to see how you can fight a war amongst these people. There’s nowhere for them to go,” said U.K. Foreign Secretary David Cameron UNICEF has also warned that an attack on Rafah would be catastrophic, with more than 600,000 children sheltering in the path of an assault and a severely limited humanitarian lifeline already on the brink of collapse. “Thousands more could die in the violence or by lack of essential services, and further disruption of humanitarian assistance. We need Gaza’s last remaining hospitals, shelters, markets and water systems to stay functional. Without them, hunger and disease will skyrocket, taking more child lives,” UNICEF Executive Director Catherine Russell said in a statement. Meanwhile, Israeli defense minister Yoav Gallant has vowed to continue targeting Hezbollah regardless of the situation in Gaza. “If anyone thinks that when we get a hostage release deal and pause in Gaza, it will alleviate what is going on here — they’re wrong,” Gallant said, according to Haaretz. He added that Israel would push Hezbollah to retreat from its northern border “either by agreement or by force.” Hezbollah and Israel have been exchanging fire since October, and the Lebanese group says it will not stop its attacks until the war on Gaza ends. Netanyahu’s office issued a brief statement on Monday morning stating that they presented the War Cabinet with a “plan for evacuating the population from the areas of fighting in the Gaza Strip.” It is unclear what those plans are. However, there are fears that Israel plans on forcibly expelling Gaza’s population to Egypt. Gaza’s hospitals are still under attack Hospitals across the Gaza Strip continue to struggle under Israel’s attacks, making it extremely difficult for Palestinian civilians to receive adequate medical care. In Northern Gaza, the Palestinian Ministry of Health has said the situation is “beyond description,” as hospitals run out of fuel. Medical refrigerators have run out of electricity, which risks the destruction of large quantities of sensitive medication. The lack of fuel has also had devastating consequences for rescue missions in the war-torn area, as dozens of ambulances and medical services have been taken out of service. The effects of this shortage have also left dialysis and intensive care patients facing death due to the lack of basic supplies. In Khan Younis, southern Gaza, a UN delegation observed “catastrophic conditions” during a visit to the besieged al-Amal Hospital in the city. “The delegation witnessed the extent of the damage caused by Israeli occupation artillery shelling to several floors of the hospital, as well as the catastrophic conditions inside due to severe shortages in food, drinkable water, medical supplies, and medication,” the Palestinian Red Cresent said. Meanwhile, at Nasser Hospital in Khan Younis, “snipers are still in the vicinity of the hospital and, tragically, are still shooting at anything moving near it,” Al Jazeera correspondent Hani Mahmoud reported from Gaza. “Despite the Israeli military’s statement that it has completed operations inside Nasser Hospital.” Occupied West Bank: Illegal settlement construction While the world’s eyes are on Gaza, Israel is taking the chance to advance the construction of 3,344 new housing units in the occupied West Bank, 2,350 units in the settlement of Maale Adumim, 694 in Efrat, and 300 in Kedar, according to Peace Now. “They are significant and expansive projects that will greatly impact the possibility of reaching a two-state solution, especially the plans in Efrat and Kedar,” the Israeli nonprofit said in a statement. “The decision to promote thousands of unnecessary and harmful housing units in settlements is a hasty and irresponsible decision by an extremist government that has long lost the trust of the people,” it added. Palestinian Prime Minister Muhammad Shtayyeh resigns Palestinian Prime Minister Muhammad Shtayyeh handed in his resignation to President Mahmoud Abbas at the opening of Monday’s government meeting in Ramallah, reports Reuters. Shtayyeh said he was moved to step down due to the “unprecedented escalation” in the occupied West Bank and Jerusalem and the “war, genocide and starvation in the Gaza Strip,” as cited by Al Jazeera. Shtayyeh noted there are “efforts to make the [Palestinian Authority] an administrative and security authority without political influence, and the PA will continue to struggle to embody the state on the land of Palestine despite the occupation.” “I see that the next stage and its challenges require new governmental and political arrangements that take into account the new reality in Gaza and the need for a Palestinian-Palestinian consensus based on Palestinian unity,” he added. U.S. military member self-immolation A U.S. military service member set himself on fire in an act of protest against the war in Gaza outside the Israeli Embassy in Washington. According to Reuters, an Air Force spokesperson confirmed that the incident, which occurred on Sunday afternoon and was live-streamed on Twitch, involved an active-duty airman. “I will no longer be complicit in genocide,” said the man, wearing military fatigues, in the live video as he approached the embassy. He then doused himself in a clear liquid and set himself on fire, repeatedly screaming, “Free Palestine,” in the viral footage. NBC News has reported that the man, identified by social media as Aaron Bushnell, has succumbed to his wounds. Similarly, in December 2023, CNN reported a person set themselves on fire outside the Israeli consulate in Atlanta. https://mondoweiss.net/2024/02/operation-al-aqsa-flood-day-143-gaza-famine-is-man-made-says-unrwa-chief/