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I have photographs of two children who were each shot with extreme precision in the chest and head. It's impossible for a toddler to be shot twice by mistake, especially by a sniper. In just my first week in Gaza, the carnage against civilians surpassed all the disasters I've witnessed in 30 years of mission trips, including ground zero and earthquakes. The victims are almost exclusively children. I've never seen anything like it. I've seen more incinerated and shredded children in one week than in my entire life. Shredded means missing body parts, often from buildings collapsing or bomb explosions. We've removed large shrapnel from children and have seen kids shot multiple times by snipers.

J'ai vu l'horreur, le chaos et la souffrance, mais aussi de l'espoir et de la résilience. Chaque jour apporte son lot de douleur. À l'hôpital européen de Ragnès à Gaza, les nuits sont calmes mais les matins sont intenses avec un afflux de patients blessés qui n'ont pas pu se déplacer ou qui ont eu peur.

I am at Al Amal Hospital in Gaza, a facility marked with the red crescent emblem. Just 2 hours ago, this area was hit, resulting in the death of five people, including a 5-day-old child. It is heartbreaking to see a child killed in a space meant to provide safety. The world should be horrified and outraged by this tragedy. There are no safe spaces in Gaza, and it is a shame that this continues.

The humanitarian situation in Gaza is dire. During a recent visit, it was clear that conditions have worsened since the last visit. At the vocational training center of Oumuwa, which serves 45,000 people, I met a father and his five children. They were living in a makeshift space of only 4 square meters, sleeping on the floor without a mattress or blanket. The father broke down in tears, expressing how his dignity had been taken away. This story highlights the struggles faced by many in Gaza.

Since my return, I feel like I'm in a crazy world, having to explain that people are dying. In 2024, with social media and the media, I have to say that there are children dying. I appeal to all of you who can do something, we need to stop this. It's already too late, even if we stop today, it's already too late. Patients arrive already dead on stretchers carried by their families. We've had patients arrive on carts pulled by donkeys because there's no more fuel to transport the dead or because the ambulance drivers are too scared to move in certain areas. We've had patients arrive already dead, and families bring their deceased loved ones. The mortality rate is high, and the lack of resources is a problem. We need to talk about the indirect victims, the lack of means, and the healthcare workers who are also grieving. The children in Gaza are suffering physically and psychologically, and it's heartbreaking to see them play amidst death. We need to do something for the hospitals and especially for the children. It should be the limit for any human being to doubt the innocence of a child. Is it normal that a seven-year-old is paralyzed because of a bullet? Is it normal that a diabetic mother's baby dies because she couldn't receive treatment? We need to open our eyes and acknowledge the inhumanity of it all.

The ceasefire is over and the bombing has resumed in Gaza. I am at the largest functioning hospital, which is already overwhelmed at 200% capacity. The health system here cannot handle any more children with war injuries. There are children everywhere, some sleeping, after a bomb exploded just 50 meters away. The hospitals have been severely impacted in the past 7 weeks, unable to treat more children with burns, shrapnel wounds, and broken bones. The inaction of those with influence is allowing the killing of children. This is a war on children.

Most people died due to malnutrition, starvation, or lack of blood. Directors could only breathe when fuel, medicine, and food arrived, which always felt last minute. Now that supplies are cut off, the situation is desperate. Over 1,000 children are alive but amputated. One girl was buried alive for 12 hours next to her dead parents after an airstrike. Another 5-year-old girl arrived with mangled legs after an explosion. A 7-year-old girl came in with her arm blown off. A surgeon broke down in tears after 6 months. The psychic scars are the hardest to heal. Everyone in Gaza has a horrifying story of loss: home, loved one, limb, or eye. Every day brings more of it.

I visited Kibbutz Berri, a village, and witnessed unimaginable horrors. I never thought anyone could commit such atrocities or see body parts of babies and children. The bodies were cut and burned, while others remained untouched. It was difficult to identify the faces of the victims. They were shot multiple times, making it almost unrecognizable. It's beyond a nightmare, and I'm at a loss for words. I want the world to see this. I'll share as much as I can. Please pray for Israel. Don't mute, Alex. There's nowhere else.

I am Dr. Mohammed Harara, a doctor who worked at Shittair Hospital and now at Mossad Hospital. Israel tanks surround us and the situation is dire. We have received 128 injuries and 56 casualties today. 19% of the doctors have left due to fear for their lives, leaving the remaining doctors overwhelmed with multiple cases at once. Most cases involve amputations. The conditions are miserable and the smell is pervasive. It feels like we are facing an even greater level of danger.

40% of the cases I've seen involve children who have lost one or both parents. Today, I treated a 5-year-old girl who suffered severe injuries to her arms, hands, and back. These contaminated wounds will require multiple surgeries and extensive reconstructive procedures. Tragically, a missile strike hit the hospital at night, resulting in a massacre. Around 500 people were killed, and many more were injured. I was in the operating room when the missile struck, causing the ceiling to collapse. There were numerous amputated body parts and patients with severe injuries. One patient with a neck injury was transferred to another facility and is currently in intensive care.

Dr. Ghassan Abusita, a plastic and reconstructive surgeon, was called to Al Ali Hospital to help treat the overwhelming number of wounded patients. While operating, a missile struck, causing part of the ceiling to collapse. Outside, he witnessed children's bodies and injured individuals, some with amputations. Dr. Abusita assisted in carrying a wounded person to an ambulance, surrounded by body parts and piles of bodies. He returned to Shifa Hospital, where families had sought refuge, only to find them dead or critically wounded. Israel's warning of attacking Palestinian hospitals has become a reality, and those who unconditionally support Israel's actions bear responsibility for this war crime. If Israel faces no consequences, more war crimes will occur, and hospitals will continue to be targeted.

Children in Gaza are being shot by snipers with deadly precision. I have seen two children shot directly in the chest and head, which is not a mistake. In my 30 years of experience and 40 mission trips, I have never witnessed such a level of civilian carnage, particularly among children. The devastation I observed in just one week in Gaza surpasses anything I've encountered before. The number of incinerated and shredded children is staggering and unprecedented in my lifetime.

The ceasefire is over and the bombing has resumed in Gaza. I am at the largest functioning hospital, which is already overwhelmed at 200% capacity. The health system here cannot handle any more children with war injuries. There are children everywhere, some sleeping, but they have been affected by the recent bomb that exploded just 50 meters away. The hospitals have been severely impacted in the past 7 weeks, and it is heartbreaking to see more children with burns, shrapnel wounds, and broken bones. The lack of action from those in power is allowing the killing of innocent children. This is a war on children.

The ceasefire is over and the bombing has resumed in Gaza. I am at a hospital that is already overwhelmed and operating at 200% capacity. The hospital cannot take in any more children with war-related injuries. There was a bomb explosion just 50 meters away from here, and the hospital's capacity has been severely reduced over the past 7 weeks. It is heartbreaking to see children with burns, shrapnel wounds, and broken bones. The inaction of those with influence is allowing the killing of innocent children. This is a devastating war on children.

Over time, we treated many children, especially during my month at NASA. Most injuries were from explosions, where debris penetrated the skin, causing broken bones or internal injuries. We also saw burns and bullet wounds, particularly from drones targeting children aged 5 to 15, who often couldn't escape quickly. The psychological trauma was severe; many children, like a 7-year-old named Mohammed, struggled to cope after losing their parents. Despite medical treatment, his wounds wouldn't heal due to his mental state. This highlights the significant psychological impact on children in Gaza, which now has the highest number of child amputees in the world.

A surgeon was feeling depressed about the situation in Gaza when a colleague invited them to join a trip there. In the hospital, they saw a high number of injuries, with 50% being children. The European Hospital had turned into a refugee camp with around 20,000 people. People had no place to go after treatment, so they lived in the hospital. The suffering was worse than expected, with starvation, lack of water, and overcrowded makeshift shelters. The trauma surgeon had to make difficult decisions about who to prioritize for surgery due to the lack of medical supplies. Working with Palestinian doctors was an honor, and leaving Gaza was emotional for everyone involved. They hope the media will show the reality of the situation, where a child is killed every 10 minutes.

The ceasefire is over and the bombing has resumed in Gaza. I am at a hospital that is already overwhelmed and operating at 200% capacity. The hospital cannot take in any more children with war-related injuries. The impact on hospitals in the past 7 weeks has been severe, with children suffering from burns, shrapnel wounds, and broken bones. The lack of action from influential parties is resulting in the killing of innocent children. It is clear that this is a war on children.

I went on a 5-week medical mission to a field hospital on the border of Chani Yunus and Rafa. The devastation was beyond what I expected. We managed mass casualty incidents, performed surgeries with limited supplies, and saw many children with shrapnel and gunshot wounds. It was heartbreaking to treat so many innocent victims.

In Gaza, a colleague witnessed a heartbreaking scene of a young girl with a severe injury having her leg amputated without anesthesia. This cruelty has been inflicted on thousands of children in the past 84 days by the Israeli occupation, causing immense pain and suffering. Many couldn't bear the agony and lost their lives, including a father who had to amputate all four limbs of his own 8-year-old child. This is the tragic reality we face as we enter the new year.

My friend, a doctor in Gaza, shared that children there are experiencing severe trauma due to ongoing bombings. Lack of sleep and intense fear are causing cardiac arrests in kids. Malnutrition is also a concern. The situation is so dire that 1,000 children had amputations without anesthesia, many without parents for comfort. In comparison, my child seeks comfort for a paper cut.

I witnessed the devastating impact of war in Gaza, where many young children are suffering. The attacks have led to numerous casualties, including 166 children dead and 1310 wounded. The images of injured children, like Maha at Shiva hospital, are haunting. It's a tragedy that demands our attention and action. We must not turn a blind eye to the suffering in Gaza. Together, we can make a difference.

The situation was worse than expected, with many injuries, especially in women and children. Despite the narrative of targeting Hamas militants, more women were treated than men. Many children with severe injuries arrived, some beyond saving. Lack of morphine and proper care meant they often died without dignity, left on the floor of the emergency department.

I volunteered in Gaza and witnessed extreme carnage against civilians, mostly children. I've never seen so many incinerated and shredded children in my 30 years of disaster relief work. Children are being shot by snipers, with some even shot twice in critical areas. Other doctors in Gaza have also reported numerous children with gunshot wounds to the head, some captured on video.

I've heard heartbreaking stories of forced displacement in Gaza. Families have minutes to flee before bombings. Many aren't warned. Children are left injured and traumatized. There is no safe place in Gaza.

Since my return, I feel like I'm in a crazy world, having to explain that people are dying. I've seen children die and have helped extract bullets from their heads. I appeal to everyone who can do something to stop this. Patients arrive already dead, carried by their families or on donkey-drawn carts because there is no fuel or ambulances are too scared to go to certain areas. The mortality rate is high, and the lack of resources leads to amputations and infections. The children in Gaza suffer physically and psychologically, and it's heartbreaking to see them play amidst death. The world needs to open its eyes and realize the inhumanity of it all.