OPT: Signs of worsening malnutrition among children

IRIN News

A six-month-old underweight girl with her grandmother in Gaza City. Her father was a medic who was killed during the recent conflict. The child comes two times a week to local NGO Ard El-Insan for nutritional supplements
A six-month-old underweight girl with her grandmother in Gaza City. Her father was a medic who was killed during the recent conflict. The child comes two times a week to local NGO Ard El-Insan for nutritional supplements

21 April 2009

Rising poverty, unemployment and food insecurity in Gaza, compounded by the recent 23-day Israeli offensive, have increased the threat of child malnutrition, say UN agencies, health ministry officials and healthcare NGOs in Gaza.

UN World Health Organization (WHO) officials are concerned by the warning signs, including rising malnutrition indicators – like increased cases of stunting, wasting and underweight children – and continuing high rates of anaemia among children and pregnant women.

A Food and Agriculture Organization (FAO)/World Food Programme (WFP) qualitative food security assessment for Gaza in 2008 and early 2009 points to increasing food insecurity compared to 2007, said FAO food security adviser Erminio Saco based in Jerusalem; and according to the Palestinian Central Bureau of Statistics (PCBS) food acquisition and energy consumption in Gaza declined by 10 percent between 2005 and 2007.

Over the past 18 months the agricultural sector has been struggling to cope with an Israeli blockade on imports and exports, causing lower productivity and reducing access to affordable fresh food, according to FAO.

Stunting

The UN Children’s Fund (UNICEF) said in January that 10.3 percent of children under five are stunted (low height for age), a steadily increasing trend over recent years.

Stunting is usually attributed to a chronic lack of protein and micronutrients, including iron and essential vitamins, according to WHO. “More than 10 percent of children in Gaza are chronically malnourished,” said WHO officer Mahmoud Daher in Gaza, reporting a slight increase over 2008.

Children’s hygiene has also declined due to the lack of a consistent electricity supply since the blockade was instituted. Clothes washing and bathing has been limited, especially during the conflict, according to residents.

In April 2008 UNICEF estimated there were about 255,000 under-five children in Gaza, with about 26,265 at risk of malnutrition, and 657 most likely to be severely wasted.

Roughly two-thirds of the population – 50 percent of whom are under 18 – is deemed food insecure, according to FAO.

Wasting and underweight

The number of under-five children suffering from acute malnutrition – wasting (low weight for height) – in Gaza almost doubled between 2006 and 2008 from 1.4 to 2.4 percent, according to UNICEF. Wasting is considered a public health problem if the affected population exceeds 5 percent, but WHO is concerned by the significant increase.

In 2008, 2.5 percent of under fives were underweight (weight for age), according to WHO in Gaza.

Karram El-Essy, 10 months old and from the A-Tufah area of Gaza city, is brought to local NGO Ard El-Insan three times a week for nutritional supplements, including soup and fruit, after he was diagnosed with anaemia
Karram El-Essy, 10 months old and from the A-Tufah area of Gaza city, is brought to local NGO Ard El-Insan three times a week for nutritional supplements, including soup and fruit, after he was diagnosed with anaemia

Anaemia

“Anaemia among children and pregnant women is high in Gaza and there are fluctuations in the rates according to availability of food and the political and economic situation in the area,” said Daher.

WHO believes iron and vitamin A deficiencies have increased during and since the conflict. The results of WHO’s current anaemia assessment in Gaza are due in May, but according to Daher, 65 percent of children aged 9-12 months, and 35 percent of pregnant women are anaemic.

The UN agency for Palestinian refugees (UNRWA) has an assessment due in July, but is also concerned about the increase in anaemia cases, according to UNRWA health officer Mohammed Maqadma.

There is a positive correlation between malnutrition and low meat (animal proteins) intake, low consumption of fruit, family size and income, according to UNICEF.

The amount of affordable fresh fruit and protein on the Gaza market has been significantly reduced due to the closures, according to OCHA. “The last shipment of livestock entered Gaza on 31 October 2008, and since the Hamas takeover in June 2007 livestock imports have been severely restricted,” said OCHA field officer Hamada al-Bayari in Gaza.

The director of all 56 primary healthcare centres run by the health ministry in Gaza, Fouad Issawi, said cases of stunting and anaemia increased in 2008 and 2009. Since 2007 the amount of anti-anaemia drugs – like ferrous carbonate (with vitamin C) and folic acid – required by primary health clinics had increased dramatically, he said.

“There was a rise in anaemia amongst children in our centres in 2008 and [this is] continuing,” said Adnan al-Wahaidi, director of Ard al-Insan Benevolent Association in Gaza, the main healthcare NGO supporting an estimated 16,000 undernourished children.

“Women with children who are underweight or wasting have been coming to the centres in greater numbers over the last few months; many of their husbands died during the recent conflict or are unemployed.”

Report: Olmert, Livni may face war crimes charges in Norway

Ha’aretz

22 April 2009

Former prime minister Ehud Olmert and opposition leader Tzipi Livni may face war crimes charges in Norway over their role in Israel’s offensive against Hamas in Gaza, AFP reported Tuesday.

The news agency said six Norwegian lawyers announced plans Tuesday to accuse the pair, as well as Defense Minister Ehud Barak and seven senior Israel Defense Forces officers, of the crimes.

The lawyers, who planned to file their complaint with Norway’s chief prosecutor on Wednesday, were quoted as saying they would also call for the arrest and extradition of the Israeli leaders.

Under the Norwegian penal code, courts may hear cases involving war crimes and other major violations of human rights.

The lawyers released a statement quoted by AFP accusing Israel of “massive terrorist attacks” in the Gaza Strip from December 27 last year to January 25, killing civilians, illegally using weapons against civilian targets and deliberately attacking hospitals and medical staff.

“There can be no doubt that these subjects knew about, ordered or approved the actions in Gaza and that they had considered the consequences of these actions,” the lawyers’ statement said.

It also said the lawyers were representing a number of people living in Norway.

“It involves three people of Palestinian origin living in Norway and 20 families who lost loved ones or property during the attack,” one of the lawyers, Kjell Brygfjeld, told AFP.

Israel’s stated goal in the three-week offensive was the halting of the cross-border rocket attacks from Gaza.

Gaza officials have said over 1,300 Palestinians died during the campaign, a majority of whom were civilians. But the Israel Defense Forces has disputed these claims, stating that the vast majority of the dead were Hamas militants.

Israeli refusal to cooperate with United Nations investigation represents an attempt to shield alleged war criminals from justice

Palestinian Center for Human Rights

21 April 2009

The Palestinian Centre for Human Rights (PCHR) is concerned at recent Israeli statements implying that the State of Israel will not cooperate with the independent investigation established by the United Nations Human Rights Council.

The investigation is led by Justice Richard Goldstone, former chief prosecutor at the International Criminal Tribunal for the former Yugoslavia, and the International Criminal Tribunal for Rwanda. Both tribunals were established by the United Nations Security Council, acting under Chapter VII of the United Nations Charter. The independent fact finding mission is mandated to investigate all violations of international humanitarian law (IHL) and international human rights law, related to the recent 23 day Israeli military offensive in the Gaza Strip.

The offensive claimed the lives of 1,417 Palestinians, 1,181 (83%) of whom were non-combatants: the protected persons of IHL. 13 Israelis also died, including 3 civilians. Civilian property in the Gaza Strip was extensively destroyed, initial investigations indicate that 21,000 houses were completely or partially destroyed, 6,636 dunums of agricultural land were razed, and approximately 1,500 factories and workshops were completely destroyed.

The excessively disproportionate civilian death toll and the extensive destruction of Gaza’s property and infrastructure demand judicial review. Many of the cases documented by PCHR amount to war crimes, and grave breaches of the Geneva Conventions.

PCHR believe that Israel’s unwillingness to cooperate with this independent investigation represents an attempt to shield alleged perpetrators of war crimes from justice. Israel has consistently proven unwilling to effectively investigate serious allegations of illegal behaviour committed by its forces in the occupied Palestinian territory.

On 30 March 2009, Military Attorney General Achivai Mandelblit closed an investigation into Israeli soldiers accounts of alleged crimes committed in the Gaza Strip. Although the soldiers had made allegations that including war crimes and grave breaches of the Geneva Conventions, the inquiry was terminated after just 11 days.

On 29 January 2009, the Central Investigative Judge No. 4 of the Audencia Nacional (Spanish National Court) ruled that Israeli authorities were not willing to investigate and bring to trial persons responsible for the Shehadeh assassination in 2002.

Since the outbreak of the second Intifada, Israel no longer opens a mandatory investigation into cases where Israeli forces killed or wounded Palestinian civilians not taking part in hostilities.

PCHR believe that the rule of law must be upheld: it is civilians who suffer the consequences of illegal acts. A lack of accountability and a culture of impunity only serve to encourage continued violations of IHL and international human rights law.

PCHR remind the State of Israel of its legally-binding obligation – as codified in Article 146 of the Fourth Geneva Convention – to effectively investigate and prosecute all those suspected of committing grave breaches of the Geneva Conventions. Should Israel prove unable or unwilling to do so, as is evidently the case, then in accordance with the principle of universal jurisdiction, all High Contracting Parties to the Geneva Conventions are obliged to search for and prosecute persons accused of committing grave breaches, irrespective of where theses crimes occurred. There is no valid pretext, legal or otherwise, for not respecting the Conventions in their entirety.

YNet: Relatives: Bilin protester was persistent in his struggle

Ali Waked | Ynet

19 April 2009

Medical inquiry confirms Bassem Abu Rahma died after being hit by gas grenade fired from tear gas canister. IDF claims demonstrators rioted in West Bank village, but protestor’s relative says ‘there was no violence or provocation on our part’

The family of 30-year-old Bassem Ibrahim Abu Rahma, who was killed Friday by a tear gas grenade in a demonstration against the separation fence near Bilin, was comforted Saturday at its home in the West Bank village by many friends and relatives.

Bassem’s relative, Abdullah Abu Rahma, told Ynet that there was no provocation on the part of the protestors during the rally.

The Israel Defense Forces is still investigating the circumstances of the incident, which has been defined by the army as a riot. Military representatives met over the weekend with Palestinian medical representatives in a meeting brokered by the Civil Administration, in order to conduct a joint medical inquiry, which confirmed that Abu Rahma was killed by an object which hit his chest, and not by a bullet.

A video filmed at the scene of the incident shows the protesters approaching the fence, including Bassem Abu Rahma, who is seen wearing a yellow shirt.

Abdullah was near Bassem when he was hurt. “I can say for certain that there was no violence or provocation on the part of the protestors,” he says. “The casualty’s last words were to the soldiers and police officers: ‘Stop firing, stop firing.’ And then the grenade hit him and he was critically injured.”

‘He died in my hands’

In his version of the incident, Abdullah says that as there was no close ambulance, he carried Bassem himself into the car with the help of other residents.

“We rushed to a hospital in Ramallah, but Bassem died between my hands,” he says. “It was a very difficult sight, and the family received the news with great pain. Bassem was known as a simple man, everyone’s friend, a person who was loved by all of the village’s residents, all the families and the residents of nearby villages, because of his integrity, plainness and his persistence in the struggle for his land.”

He adds that Bassem was the youngest of five brothers and that he also had a sister. “It’s a simple family, a poor family which suffered a lot of pain after part of its land was robbed, and was always involved in the non-violent struggle to return the lands,” he says.

“Those who came to the house came to grieve the fatal casualty and console, but also to show their appreciation for the family, which has suffered directly for a second time.”

This is not the first time the Abu Rahma family makes headlines under unfortunate circumstances: Bassem’s brother, Ashraf, was one of the most famous victims of the Palestinian struggle against the separation fence, when an IDF soldier was filmed shooting him while he was bound, after being arrested while trying to transfer foods and medications to residents of the nearby village of Naalin, which was under curfew. The shooting soldier was accused of inappropriate behavior, and the regiment commander who was present during the incident was moved to a different post.

‘Struggle non-violent – and Israel is losing’

Abdullah claims that the increasing incidents of firing on demonstrators in recent weeks, and the growing number of protestors injured and killed in anti-fence rallies, show that the Israelis don’t know how to handle the non-violent protests.

“When the struggle is armed, the Israelis like it,” he says. “They know that with their weapon, with one aircraft, one bombing, they can handle the struggle. But when the struggle is non-violent, and when peace activists from Israel and the entire world are taking part in the demonstrations, it’s harder to conceal the truth, to hide the robbery and violence.

“We’re noticing that they’re losing their senses, and this why, over time, they run wilder and become more violent.”

According to Abdullah, “We know that what worries the Israelis more is that this style of a non-violent struggle might spread from Bilin, Naalin and other numbered centers and become a wide model. So they are seeking to suppress this model before it spreads even more, because they know our struggle is justified and that they are losing.

“Moreover, Bassem was killed when we were trying to enter land which an Israeli court ruled we are allowed to enter.”