Haya Alkhammash, Sanaa Al Najjar, Amro Tabaza, Masako Horino, Jiaxin Chen, Reham Jaffal, Ghada Al Jadba, Akihiro Seita
{"title":"Integrating emergency nutrition into UNRWA's humanitarian response in Gaza.","authors":"Haya Alkhammash, Sanaa Al Najjar, Amro Tabaza, Masako Horino, Jiaxin Chen, Reham Jaffal, Ghada Al Jadba, Akihiro Seita","doi":"10.26719/2025.31.4.274","DOIUrl":"https://doi.org/10.26719/2025.31.4.274","url":null,"abstract":"<p><strong>Background: </strong>The October 2023 war in Gaza triggered a humanitarian crisis. It disrupted access to food and nutrition services, thus worsening food insecurity and increasing malnutrition risks.</p><p><strong>Aim: </strong>To document the experience of United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) in providing emergency nutrition services in Gaza during the conflict.</p><p><strong>Methods: </strong>Through partnership with the United Nations Children's Fund and other partners, UNRWA tracked emergency nutrition interventions in Gaza, including piloting and scaling middle upper arm circumference (MUAC) screening for under-5 children, capacity building for staff providing nutrition services and modifying food parcels to meet nutrition needs within the context of the war.</p><p><strong>Results: </strong>Between January and September 2024, UNRWA distributed food parcels to nearly 1.15 million people in Gaza, conducted 87 551 MUAC screenings for children aged 6-59 months and referred 6398 malnourished cases (MUAC < 12.5 cm) for treatment. UNRWA trained 110 physicians, nurses and midwives to provide nutrition interventions.</p><p><strong>Conclusion: </strong>Coordination with other partners enabled UNRWA to provide emergency nutrition services during the conflict in Gaza despite the infrastructure damage, resource constraints and operational disruptions. Sustained, flexible and well-coordinated nutrition interventions are needed in Gaza and similar conflict zones to prevent severe acute malnutrition, impaired child growth and development, and child mortality.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"274-280"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multiple fractures after an explosive injury in Gaza.","authors":"Hasan Kh Hamdan, Samah Ya Al Shami","doi":"10.26719/2025.31.4.228","DOIUrl":"10.26719/2025.31.4.228","url":null,"abstract":"<p><strong>Background: </strong>Treating cases that require different surgical specialties requires high-level interdisciplinary coordination, and prioritization of the patient's needs, which is nearly impossible in a war zone.</p><p><strong>Aim: </strong>To document the case of a woman who was diagnosed with multiple fractures from an explosive injury sustained during the October 2023 war in Gaza.</p><p><strong>Methods: </strong>The woman underwent 3 surgical operations, internal fixation for the rib fracture, internal fixation of the left humerus, and fixation of the mandible fracture. She was hospitalized for nearly one month in 2 admission intervals-14 days at the surgical department and 16 days at the intensive care unit.</p><p><strong>Result: </strong>After prolonged interdisciplinary management, recurrent admissions and multiple operations, the patient recovered significantly well.</p><p><strong>Conclusion: </strong>This case highlights the significance of a multidisciplinary approach to managing these types of injuries, and how a severe polytrauma patient can recover when provided with appropriate care in spite of the conflict.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"228-232"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Omar Shamieh, Ghadeer Alarjeh, Waleed Alrjoob, Dua Al Habahbeh, Farah Hashem, Leen Aldabbas, Mohanad Absi, Abdulrahman Shamieh, Rawad Rihani, Asem Mansour
{"title":"Psychosocial experiences of refugee Gaza children who received cancer treatment in Jordan.","authors":"Omar Shamieh, Ghadeer Alarjeh, Waleed Alrjoob, Dua Al Habahbeh, Farah Hashem, Leen Aldabbas, Mohanad Absi, Abdulrahman Shamieh, Rawad Rihani, Asem Mansour","doi":"10.26719/2025.31.4.235","DOIUrl":"https://doi.org/10.26719/2025.31.4.235","url":null,"abstract":"<p><strong>Background: </strong>Due to war, paediatric cancer patients from Gaza face several healthcare challenges, including frequent treatment disruptions, limited medication supplies, poor infrastructure, psychosocial burden, and war-related trauma.</p><p><strong>Aim: </strong>To assess the psychosocial status of paediatric cancer patients from Gaza treated at King Hussein Cancer Center (KHCC), Jordan.</p><p><strong>Methods: </strong>Using the psychosocial assessment tool, psychologist observations and caregiver reports, we collected data from 23 paediatric cancer patients aged 1-18 years, from Gaza, who received treatment at KHCC between November 2023 and April 2024. We conducted a retrospective thematic analysis of the data using Braun and Clarke's six-step process.</p><p><strong>Results: </strong>About half (52%) of the children had leukaemia, while others presented with sarcomas, lymphoma and other tumours. The patients reported emotional stress and sadness due to the war, separation from family, loss, or displacement, reflecting significant mental health challenges. They exhibited symptoms such as fatigue and poor appetite and expressed heightened fear and anxiety regarding their hospital stay and medical treatment. Strong family support was key in helping the children cope, for those who had immediate family members with them.</p><p><strong>Conclusion: </strong>This study highlights the complex health challenges that paediatric cancer patients from Gaza face and the need for integrated care to improve their physical and psychosocial wellbeing.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"235-242"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of October 2023 war on health care costs in Gaza.","authors":"Bara Asfour, Mohammad R Asia, Hatem A Hejaz","doi":"10.26719/2025.31.4.254","DOIUrl":"https://doi.org/10.26719/2025.31.4.254","url":null,"abstract":"<p><strong>Background: </strong>The October 2023 war in Gaza has impacted the health system and increased the economic burden in Gaza.</p><p><strong>Aim: </strong>To assess the effects of the war in Gaza on health care costs and access to services.</p><p><strong>Methods: </strong>Between February and May 2024, this cross-sectional survey collected data from 658 individuals in Gaza on health care costs, obstacles to access and the effectiveness of health care services. Data analysis was conducted using SPSS version 25 and the relationships between the variables were determined using the chi-square test. Associations were considered statistically significant at P < 0.05.</p><p><strong>Results: </strong>Seventy percent of the study participants reported increased health care costs because of the war; 40% relied on personal savings and 25% on aid to cover their medical expenses. The main barriers to accessing medications were shortages (70%), high prices (60%) and poor distribution (50%). Higher income levels were correlated with reduced barriers to access (P < 0.01) and higher education levels were associated with greater satisfaction with services (P = 0.02).</p><p><strong>Conclusion: </strong>The war has disrupted the healthcare system in Gaza, seriously affecting the cost, access and quality of services. In addition to a permanent ceasefire, targeted actions are needed to lessen the economic burden on the population and improve service delivery.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"254-261"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Awni Hashem Ankah, Mohammed Moin Alanqar, Baraa M Mansour, Mohammed M AlZebda, Abubakr El Sheikh Idris, Philippa Brown, Nabil Ziad Melhem, Nabil Ahmed Ayyad
{"title":"Experiences of children with kidney failure in Gaza.","authors":"Awni Hashem Ankah, Mohammed Moin Alanqar, Baraa M Mansour, Mohammed M AlZebda, Abubakr El Sheikh Idris, Philippa Brown, Nabil Ziad Melhem, Nabil Ahmed Ayyad","doi":"10.26719/2025.31.4.250","DOIUrl":"https://doi.org/10.26719/2025.31.4.250","url":null,"abstract":"<p><strong>Background: </strong>Children with kidney failure in Gaza are particularly vulnerable because of the conflict.</p><p><strong>Aim: </strong>To document the condition of children with kidney disease in Gaza and the impact of the October 2023 war on their health.</p><p><strong>Methods: </strong>We report the experience of children with kidney disease in Gaza, including those supported by Children Not Numbers.</p><p><strong>Results: </strong>Of the 45 children who lived with kidney failure in Gaza, Children Not Numbers supported 18. Six of those supported by Children Not Numbers were on haemodialysis and had significant electrolyte abnormalities. Ten of the children, among those not supported by Children Not Numbers, died of kidney failure due to inadequate access to dialysis.</p><p><strong>Conclusion: </strong>Children with kidney failure in Gaza currently have suboptimal access to dialysis and transplant, thus reducing their chances of survival. Urgent actions are needed to enable them to access life-sustaining treatment and care.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"250-253"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Izzeldin Abuelaish, Negar Balouchestani-Asli, Sara Tamjidi, Lana Yacoub, Jocelyn Brady
{"title":"Restoring stolen dreams and futures, saving Gaza's children from generational trauma.","authors":"Izzeldin Abuelaish, Negar Balouchestani-Asli, Sara Tamjidi, Lana Yacoub, Jocelyn Brady","doi":"10.26719/2025.31.4.216","DOIUrl":"https://doi.org/10.26719/2025.31.4.216","url":null,"abstract":"","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"216-218"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenges of children amputees in Gaza.","authors":"Abdullah Al Shami, Abdulqadir J Nashwan","doi":"10.26719/2025.31.4.233","DOIUrl":"https://doi.org/10.26719/2025.31.4.233","url":null,"abstract":"","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"233-234"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V Kavidha, P Munieswari, R Thanga Shymala, P Sakthi Lakshmi
{"title":"Measuring the impact of Gaza war on the wellbeing of Israeli civilians using real-time wireless sensing.","authors":"V Kavidha, P Munieswari, R Thanga Shymala, P Sakthi Lakshmi","doi":"10.26719/2025.31.4.288","DOIUrl":"https://doi.org/10.26719/2025.31.4.288","url":null,"abstract":"<p><strong>Background: </strong>The conflict in Gaza has had catastrophic effects on the wellbeing of Gaza's inhabitants as well as civilians in Israel.</p><p><strong>Aim: </strong>To investigate the impact of the conflict in Gaza on the wellbeing of Israeli civilians, using real-time wireless sensing on smart phones and smart watches.</p><p><strong>Methods: </strong>We prospectively monitored acute and robust reaction to the conflict in Gaza among 954 Israelis aged ≥ 50 years over a 6-week period. Measurements were recorded using mental related, energy expenditure related and sleep related indicators. We calculated the weighted average for 4 different periods, examined the correlation between the distances of participants' residential city from Gaza, and tested the long-term effect of the war on different wellbeing indicators using mixed ANOVA.</p><p><strong>Results: </strong>Sixty-eight (7.1%) of the participants lived in high-risk areas, 704 (73.8%) in medium-risk areas and 182 (19.1%) were not exposed to missile attacks. The Israelis showed acute and robust reaction to the conflict, as all indicators worsened during the war, including spikes in heart rates, excessive onscreen time and reduction in sleep duration and quality. The changes were more significant among people who lived closer to the battlefield, younger individuals and women. However, all the indicators returned to normal within 2 weeks after ceasefire or humanitarian pause.</p><p><strong>Conclusion: </strong>Real-time monitoring of victims during a humanitarian crisis can help in early detection of their subjective and objective wellbeing and in designing and providing prompt assistance.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"288-294"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strengthening the healthcare workforce in post-conflict Gaza.","authors":"Hanan Balkhy","doi":"10.26719/2025.31.4.208","DOIUrl":"10.26719/2025.31.4.208","url":null,"abstract":"","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"208-209"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tobacco control in the State of Palestine during wartime.","authors":"Tom Gatehouse, Nour A Obeidat, Raouf Alebshehy","doi":"10.26719/2025.31.4.285","DOIUrl":"https://doi.org/10.26719/2025.31.4.285","url":null,"abstract":"","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"285-287"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}