{"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":"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}
Shehreen Latif, Enas Abdelraof A Muaileq, Hani Chaabo, Fatima Rashid, Mairead Kelly, Nida Khatri, Hannah Alice King, Neil M Fournier
{"title":"Cases of trauma due to war and violence among children in Gaza.","authors":"Shehreen Latif, Enas Abdelraof A Muaileq, Hani Chaabo, Fatima Rashid, Mairead Kelly, Nida Khatri, Hannah Alice King, Neil M Fournier","doi":"10.26719/2025.31.4.210","DOIUrl":"10.26719/2025.31.4.210","url":null,"abstract":"<p><strong>Background: </strong>The conflict in Gaza has exposed children to continuous cycles of violence and trauma, profoundly affecting their mental health.</p><p><strong>Aim: </strong>To illustrate the psychological burden on Gaza's children and highlight their complex mental health needs amid the conflict.</p><p><strong>Methods: </strong>We report cases of 4 children receiving support from Children Not Numbers, who have lived through the violence in Gaza, illustrating the devastating impact of the conflict on their mental health.</p><p><strong>Results: </strong>The children exhibited symptoms of trauma, including emotional dysregulation, social withdrawal, grief, and worsening of pre-existing conditions. Common factors were displacement, loss of family members, physical injuries, and lack of mental health care resources.</p><p><strong>Conclusion: </strong>The cases highlight the severe psychological impact of the conflict on children and the urgent need for interventions to address the crisis and provide mental health services to prevent long-term consequences for the wellbeing of children in Gaza.</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":"210-215"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192615","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}
Shahed Khafaji, Muhammad Naveed Noor, Sujith Kumar Prankumar, Irene Torres, Mohammed Alkhaldi
{"title":"A call for global actions on academic justice in Gaza.","authors":"Shahed Khafaji, Muhammad Naveed Noor, Sujith Kumar Prankumar, Irene Torres, Mohammed Alkhaldi","doi":"10.26719/2025.31.4.295","DOIUrl":"https://doi.org/10.26719/2025.31.4.295","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":"295-297"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192613","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}
Ala Shatali, Fatima Rashid, Ilham Lubbad, Joanne Potterton, Bart Geilen, Sanah Ali, Abu Sidhanee
{"title":"Meeting the rehabilitation needs of children with debilitating injuries and disability in Gaza.","authors":"Ala Shatali, Fatima Rashid, Ilham Lubbad, Joanne Potterton, Bart Geilen, Sanah Ali, Abu Sidhanee","doi":"10.26719/2025.31.4.219","DOIUrl":"https://doi.org/10.26719/2025.31.4.219","url":null,"abstract":"<p><strong>Background: </strong>Children have been severely affected by the October 2023 war in Gaza. Over 12 000 of them have been injured and many live in unprecedented circumstances with debilitating injuries and disability.</p><p><strong>Aim: </strong>To document the rehabilitation needs of children with debilitating injuries and disability in Gaza.</p><p><strong>Methods: </strong>We reviewed the clinic data of children in need of rehabilitation from the Children Not Numbers database to highlight their disability types and the treatment and care required and received.</p><p><strong>Results: </strong>Until the time of this documentation, 242 children from Gaza had been referred to Children Not Numbers for management, of which 63 (26%) required rehabilitation due to debilitating injuries and disability. The majority (60%) of those requiring rehabilitation presented with traumatic conditions and 32% presented with neurologic conditions. Average age of these children was 6.9 years (range 4 months to 17 years).</p><p><strong>Conclusions: </strong>Rehabilitation and continuous care and support is essential for injured and disabled children who survive the war in Gaza, to give them a better chance of achieving optimal functional outcomes and wellbeing. And this can only be achieved through intersectoral, international collaborations and partnerships to address their needs beyond the cessation of hostilities.</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":"219-225"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192624","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}
Rawad Rihani, Sima Jeha, Zeena Salman, Shrouq Amer, Ibrahim Qaddoumi, Carlos Rodriguez-Galindo, Asem Mansour
{"title":"Restoring health and hope to displaced Gaza children with malignant disease at a cancer centre in Jordan.","authors":"Rawad Rihani, Sima Jeha, Zeena Salman, Shrouq Amer, Ibrahim Qaddoumi, Carlos Rodriguez-Galindo, Asem Mansour","doi":"10.26719/2025.31.4.243","DOIUrl":"https://doi.org/10.26719/2025.31.4.243","url":null,"abstract":"<p><strong>Background: </strong>Gaza children with cancer have faced critical delays in diagnosis and treatment due to the conflict, leading to late-stage presentation.</p><p><strong>Aim: </strong>To assess the impact of disruptions on treatment outcome for Gaza children with cancer treated at King Hussein Cancer Center in Amman, Jordan.</p><p><strong>Methods: </strong>We collected and analysed data from Gaza children aged 0-21 years with malignant disease, who were evacuated and received treatment at King Hussein Cancer Center between October 2023 and October 2024. We used the Kaplan-Meier survival estimates to analyse their overall survival rate.</p><p><strong>Results: </strong>Fifty-one Gaza children received treatment for cancer at the centre during the study period; median age 8.2 years, 66.7% male. Of the cases, 25.5% were newly diagnosed, 11.8% were relapsed and 62.7% had been previously treated in Gaza; 39.2% had leukaemia and 21.6% had solid tumours. Their referral had been delayed by 3-4 months, and at presentation, 51% exhibited psychological distress and 27.5% were underweight. After 4 months of follow-up, 96% survived.</p><p><strong>Conclusion: </strong>Most of the children experienced delays in diagnosis, referral and treatment and these impacted their treatment outcomes. Well-coordinated strategies such as streamlined referral systems, cross-border collaborations and timely medical evacuations through protected humanitarian corridors are crucial to provide life-saving care for paediatric cancer patients in Gaza and similar conflict zones.</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":"243-249"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192566","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}
Shiza Aftab, Eesha Yaqoob, Shahzad Ali Khan, Saad Javed
{"title":"Addressing emergency trauma care needs in the Gaza Strip.","authors":"Shiza Aftab, Eesha Yaqoob, Shahzad Ali Khan, Saad Javed","doi":"10.26719/2025.31.4.226","DOIUrl":"https://doi.org/10.26719/2025.31.4.226","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":"226-227"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192614","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}
Amena Masrur, Yousef Atef Yousef Yasin, Eyad Oa Alhalis, Enas Abdelraof A Abu Muaileq
{"title":"Challenges in providing ophthalmic care to children in Gaza.","authors":"Amena Masrur, Yousef Atef Yousef Yasin, Eyad Oa Alhalis, Enas Abdelraof A Abu Muaileq","doi":"10.26719/2025.31.4.262","DOIUrl":"https://doi.org/10.26719/2025.31.4.262","url":null,"abstract":"<p><strong>Background: </strong>There are several challenges in providing ophthalmic services to children in Gaza due to the conflict.</p><p><strong>Aim: </strong>To document the challenges in providing ophthalmic care to paediatric patients in Gaza and offer possible solutions.</p><p><strong>Methods: </strong>Between March and September 2024, we interviewed 23 children in 4 hospitals in Gaza, aged < 20 years and diagnosed with traumatic and non-traumatic ophthalmic disorder. We assessed their visual acuity, adnexal, anterior and posterior segments, and ocular motility and analysed the data using SPSS version 20. We discussed their cases during the weekly meetings and devised a management plan for each of them.</p><p><strong>Results: </strong>Eleven (48%) of the children (95% CI 27.42-68.92%) presented with ocular trauma and 12 (52%) with nontraumatic ocular disorders (95% CI 31.08-72.58%). The most common challenge in managing these patients was ineffective communication; it was difficult to obtain relevant clinical information for 52% of the cases. Other challenges included the degraded infrastructure, limited number of trained personnel and inefficient evacuation corridors.</p><p><strong>Conclusion: </strong>The conflict in Gaza and the lack of facilities to adequately cater to their ophthalmic needs expose children to the risk of developing amblyopia and long-term vision loss. Multifaceted actions are needed to increase access to specialized eye care for the children, including permanent ceasefire, opening of safe evacuation corridors, timely and safe provision of aid, and enhanced medical training for service providers.</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":"262-267"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192616","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}
Nadine Bahour, Ola Anabtawi, Rania Muhareb, Bram Wispelwey, Yara Asi, Weeam Hammoudeh, Mary T Bassett, David Mills, Osama Tanous
{"title":"Food insecurity, starvation and malnutrition in the Gaza Strip.","authors":"Nadine Bahour, Ola Anabtawi, Rania Muhareb, Bram Wispelwey, Yara Asi, Weeam Hammoudeh, Mary T Bassett, David Mills, Osama Tanous","doi":"10.26719/2025.31.4.281","DOIUrl":"https://doi.org/10.26719/2025.31.4.281","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":"281-284"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192621","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}