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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.

Families trapped in a hospital during conflict faced severe shortages of water and food. Reports of indiscriminate shooting by the IDF were denied. Siblings with amputated limbs from an airstrike are in critical condition, with efforts to evacuate them ongoing. Concerns are raised for their well-being and that of other patients left behind in the hospital. Communication has been lost, leaving them isolated and in urgent need of assistance.

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.

Doctors from Australia describe catastrophic conditions in Gaza. At a lifestyle hospital they faced 'there was no water, no food.' with 'most of our patients are kids and pregnant women.' They were 'not allowed to bring any baby formula, any money' and 'cards don't work,' with equipment down to the basics and patients on the floor, mass casualty. They moved to Al Shikhar Hospital and call it a nightmare as bombing continues; attacks included 'Apache, F-thirty five, F-sixteen, rowboats,' and more than 1,500 people still dead under rubble in the hospital. There was 'no Internet and no electricity,' and staff worked forty eight hour shifts. They demand unimpeded medical aid and an arms embargo, noting 'the F-thirty five parts are not non lethal, They are absolutely lethal.' They describe delivering 'a beheaded lady who's nine months pregnant that we had to deliver her by an emergency C-section in the ER.'

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.

In Gaza, Dr. Perlmutter witnessed unprecedented levels of civilian carnage, mostly children, with severe injuries from bombings and sniper shootings. The IDF denies targeting children but acknowledges risks in combat zones. Over 80% of Gaza's population is displaced, with emotional scars on children. Doctors report a shortage of supplies, including basic hygiene items. Starvation threatens all children in Gaza, with accusations of a deliberate campaign by Israel. Despite claims of aid delivery, challenges persist in providing essential resources.

In Gaza, children are being shot by snipers, with some suffering fatal injuries. Doctors have seen numerous cases of children with gunshot wounds, including to the head. The level of devastation in Gaza surpasses all other disaster zones combined, with civilians, especially children, bearing the brunt of the violence. Emotional scars are immeasurable, as children witness their families being killed. The impact on children's well-being is severe, with many left orphaned.

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.

The speaker witnessed a tangible increase in starvation and emaciation of patients during their three weeks in Gaza. They recount mass casualty events, including people being killed in tents in green zones. A healthcare worker friend was followed by a quadcopter drone and killed with his three children in their tent. The UN reports over 1,500 healthcare workers have been killed, including ten scrub nurses at Nassau Hospital. Staff members are starving and losing family, yet continue to work. Before the war, about 500 trucks of aid entered Gaza daily, but since then, it's been less than 10%, despite Israel controlling all entry points. Gaza, a quarter the size of London, has been reduced to 14% of its landmass, holding 2,000,000 starving people with no resources, which is the equivalent of the population of Exeter. The speaker reports that the Israeli army bombed the WHO medical warehouse on July 22, endangering international volunteers.

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.

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.

Gaza's death toll and civilian injuries continue to rise as airstrikes persist. In the Al Shateh refugee camp, people desperately dig through rubble to save loved ones. Over 440 children have been killed by Israeli airstrikes, according to Gaza's health ministry. Israel claims to target Hamas, but medical facilities, schools, and residential areas have been affected. Displaced individuals, including 47% children, seek refuge in UN-run schools. However, Gaza now faces a complete siege, with no access to water for drinking or hygiene. Schools have been bombed, and many innocent lives lost. The people of Gaza question why they are suffering.

Gaza is a dire situation for its one million children, worsening daily due to airstrikes and military operations. A recent encounter with a 7-year-old girl named Kamar illustrates this tragedy. She was injured in an attack and taken to a maternity hospital under siege, where doctors had to amputate her leg due to infection. Kamar, her mother, and her injured sister were then forced to evacuate on foot, living in a tent surrounded by stagnant water. The trauma from constant bombings adds to Kamar's suffering, and there are no prosthetics available in Gaza. Her story is not unique; many children face similar fates. Despite the overwhelming evidence of suffering and urgent pleas for aid, action to alleviate their plight remains inadequate, and the situation for children in Gaza continues to deteriorate.

This is a catastrophic humanitarian crisis, entirely man-made, with immense suffering in Gaza. The healthcare system collapsed a week ago, and indiscriminate bombardment has targeted hospitals, schools, and refugee camps, resulting in devastating losses. Nearly 1,000 families have lost at least two members, and almost 4,000 children have been killed, with many more trapped under rubble. A new term, "Wounded child, no surviving family," highlights the tragedy of children left alone after losing their families. The call for a humanitarian pause is inadequate; what is needed is an immediate cessation of bombardment. The global community must push for a ceasefire and adhere to the resolutions voted on by the United Nations General Assembly, which are currently being ignored by those in power.

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.

We're two doctors from Australia. We're here in Gaza at the moment. most of our patients are kids and pregnant women. there was no water, no food and people living in the hospital everywhere. no internet and no electricity. the bombs outside the hospital front door. The f 35 parts are not non lethal. They are absolutely lethal. at least 10 to 20 dead on arrival or GCS three that we can't do anything about. The only thing that we have is ketamine. There was zero internet. We've got no WiFi.

A surgeon in Gaza describes the worsening conditions and the ongoing attack on Al Shefa Hospital. The hospital is under siege, surrounded by Israeli tanks, with no access to food, water, or electricity. Decomposing bodies lie on the ground, unable to be buried, and the morgues cannot preserve the bodies. The intensive care unit has been targeted, leaving patients without oxygen. Dialysis patients are unable to receive treatment, leading to a slow and painful death. Leaving the hospital is dangerous, and even humanitarian corridors are targeted. Doctors Without Borders struggles to contact staff and provide relief. Dead bodies are seen on the streets, but it is too dangerous to help.

Last week, the UN humanitarian chief described Gaza as a place of death and despair. The head of the World Health Organization (WHO) also used similar words, stating that the situation was indescribable. The WHO, along with the World Food Programme and UNICEF, have warned of the serious risks of deadly epidemics and famine. Access to basic necessities is increasingly difficult, with some parents in certain areas of Gaza sacrificing their own meals to feed their children. The healthcare system is collapsing, with only 15 out of 36 hospitals and 18 out of 77 health centers functioning. This humanitarian disaster is worsening, especially with the approaching winter and ongoing fighting.

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 spent 2 weeks at Al Aqsa Hospital and witnessed horrific atrocities, especially towards women and children. One child with severe burns had no morphine for pain relief, facing a painful death. The lack of resources meant she was left on the floor to die. These experiences haunt me.

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.