Ex-NHS doctor stuck in Gaza during hospital placement says family are ‘terrified’ but he ‘has to keep going’
The European Hospital, in southern Gaza, is a dangerous place to be.
The facility is the only remaining hospital east of the city of Rafah and an Israeli military operation has come perilously close to its doors.
It was a hazardous time then, for three British medics to begin a short placement, arriving at the hospital just a few days before the Israel Defence Forces (IDF) began its campaign.
Now they are unable to leave.
A patient is treated at the European Hospital. Pic: Fajr Scientific
We managed to speak to one of these doctors – an orthopaedic and peripheral nerve surgeon from London called Mohammed Tahir.
He volunteered with a non-profit medical charity called Fajr Scientific and I asked him to describe what he has been seeing.
“In the last few days, with the intensifying of the bombing in Rafah, we are getting many blast injuries here,” he said.
“People literally, their limbs and their bodies torn to shreds. Children with mutilated faces, kids whose limbs we’ve had to amputate because of the complexity of the injuries.”
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Pic: Fajr Scientific
“When did you arrive? What date did you enter Gaza?” I asked.
“I’ll be honest with you. I mean, right now, night, day, (the) days of the week have all evaporated.
“I work from morning until night, every day. Sometimes I finish at 4am, so I’ve lost track of time. I can’t even remember what day (it is). It was circa around one and a half weeks ago.”
He accepts that he was taking a risk by travelling to Gaza when he did.
Pic: Fajr Scientific
“Before coming here, I was warned by several friends, do not go now, because the Rafah invasion is imminent, and you are going over a very dangerous time,” he said.
“But I was anxious, a little bit scared to come, but then I thought if not me, then who?”
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Dr Tahir has dealt with anxiety – but has had to grapple with personal distress.
This is the first time he has worked in a war zone and the nature and intensity of the work has been overwhelming.
The surgeon says he has dealt with 150 cases in the past 10 days.
Pic: Fajr Scientific
“(There was) an airstrike, the parents were killed, there were two small children, one of whom we tried to resuscitate, but he was covered in burns from head to toe and we called it, he died,” he said.
“His sister by the side was also covered in wounds, massive wounds to our forehead. Her skull was exposed and she had a skull fracture too.
“And I’m there looking at these two children wondering: ‘What did they do?’.”
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Israel Rafah incursion explained
The staff at the European Hospital do their best to keep people alive – but their workplace has also become a refuge.
“This is a refugee camp,” said Dr Tahir.
“It is a hospital within a refugee camp. You have people, children and women sleeping on floors, in corridors, on stairs, even with makeshift tents inside, tents outside too.”
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“There are a lot of families here looking for shelter because they know outside of the perimeter of this hospital they can be killed,” he said.
“When they see us as people from foreign (medical) missions, they feel that we are, in effect, human shields for them against Israeli airstrikes because we are their protection.
“And when they hear that we have to be evacuated or that there is a whisper (of that), the entire population in the hospital are gripped with fear and panic that they are about to die.”
When I put it to the surgeon that the Israelis have described their operation in southern Gaza as a limited, counter-terrorism operation, he took 4 or 5 seconds to respond.
“What I see on the floor in real life is very different to that.”
People have taken refuge at the hospital
Tents have been set up on the grounds of the facility
One thing Dr Tahir cannot do is leave.
When the IDF captured the Gaza side of the Rafah Crossing on the first day of their operation, they shut down the main humanitarian route in and out of the territory.
I asked the surgeon how he felt about it.
“I feel for my family, not for myself. I know that they are terrified,” he said.
“I know that my friends and family are really concerned for my wellbeing.
“And I think it hurts them more than it hurts me… but the intensity of the feeling that I have because of the tragedies that I am seeing, because of the suffering I’m seeing it.
“I just feel like it cannot stop. I have to keep going and going and going. There is no time to rest, there is no time to sleep. I don’t have that luxury right now.”
Faces marked by terror and torment fill North Darfur’s displacement camps.
Their eyes fill with despair as they describe what they have survived during a 16-month siege on one of Sudan‘s oldest cities.
It has entrapped their loved ones and spread armed violence, leaving village after village burnt to the ground.
Extreme cases of torture, rape and forced starvation are shared again and again in horrifying detail.
This elderly man told us he was blinded by the RSF when he tried to flee
Women collapse into sobs as they contemplate the future and the elderly raise their hands to the sky, trembling and empty, to pray for overdue relief.
In shelters which have seen little to no humanitarian aid, camp directors hand us lists showing requests for clean water, medical supplies and food. Even the trademark white United Nations tarp is scarce.
Some frayed tent material is used to close the gaps in the stick-lined walls that surround the traditional huts displaced families have built for themselves.
They use them as a temporary refuge from the battles that rage for control of the regional capital, Al Fashir.
Instead of fleeing into nearby Chad, they wait here for news that the siege has been lifted and they may finally be able to return.
But that news may never come.
The battle for Al Fashir – and Sudan
Al Fashir is being suffocated to death by the paramilitary Rapid Support Forces (RSF) as they push to claim full control of the Darfur region as a base for their parallel government, after the military recaptured the capital Khartoum and other key sites in central Sudan.
Close to a million people are facing famine in Al Fashir and surrounding camps as the RSF enforces a full blockade, launching armed attacks on volunteers and aid workers risking their lives to bring in food.
Inside the city, thousands are bombarded by almost daily shelling from surrounding RSF troops.
The RSF have physically reinforced their siege with a berm – a raised earth mound. First spotted by Yale Humanitarian Research Lab, the berm is visible from space.
The Sudan war started in April 2023, when long-simmering tensions between the Sudanese army and the RSF broke out in Khartoum.
UN agencies said in July that some 40,000 people have been killed and almost 13 million displaced.
Several mediation attempts have failed to secure a humanitarian access mechanism or any lulls in fighting.
‘We could hear some of them being killed’
As the bombs drop on Al Fashir, war-wounded civilians travel by road to the last functioning hospital in the state. But the beds in Tina Hospital are largely empty.
The facility cannot afford to provide free or subsidised treatment to the people that need it.
“It is so difficult. This hospital cannot care for a patient without money,” says Dr Usman Adam, standing over an emaciated teenager with a gunshot wound in his stomach.
“We need support.
“Either medication or money to the victims – by anyhow, we need support.”
Maaz, 18, a victim of a gunshot wound, is treated in the last functioning hospital in North Darfur
In nearby camps, women are grieving brothers, fathers, and husbands killed, missing or still trapped inside Al Fashir. Many of them were forced to face Rapid Support Forces (RSF) torture as they tried to escape.
“If you don’t have money to pay ransom, they take you inside a room that looks like an office and say ‘if you don’t have anything we will kill you or worse’,” says 20-year-old mother Zahra, speaking to us at a girls’ school in Tine that is now a makeshift shelter.
“They beat the men, robbed them and whipped them. We could hear some of them being killed while we women were rounded up on a mat and threatened. We gave them money, but they took the other girls into a room, and we couldn’t tell if they were beaten or raped.”
Zahra was threatened by the RSF and heard people being killed
The women around her on the mat echo Zahra’s anguish.
“They beat us, tortured us, humiliated us – everything you can imagine!” one yells out in tears.
A mother named Leila sits next to her four children and stares down at the ground. I ask her if she has hope of returning to Al Fashir, and she starts to say no as the women nearby shout: “Yes! We will return by the grace of God.”
Leila complies with weak affirmation, but her eyes have the haunting resignation of permanent loss. Her city, as she knows it, is gone.
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Babies and young children silently stare out from their laps. Many of them wear the signs of physical shock. An older woman on the mat tells us her infant grandson was blinded by the extreme conditions of their escape and takes us to see him and his mother in their hut.
“We fled Al Fashir to Tawila camp while I was heavily pregnant,” says Nadeefa, as her son Mustafa cries on her lap, unable to focus his eyes.
Mustafa was blinded as a newborn after his mother fled the RSF
“After I had given birth, we made the journey here. Mustafa was only 16 days old and could not handle the harsh conditions. As time went on, we realised he couldn’t see. We think he was blinded as a newborn on the road.”
Her mother and mother-in-law sit on the mat next to her and take turns trying to calm Mustafa down. Her mother-in-law Husna tells us that her own son, Mustafa’s father, is missing.
“We don’t know where my son is,” she says. “He disappeared as we fled.”
Mustafa’s father went missing as the family fled the RSF
‘They killed my children’
An elderly woman, Hawa, approaches us in the same yard with her own story to tell.
“These people [the RSF] killed my children. They killed my in-laws. They orphaned my grandchildren. They killed two of my sons.
“One of my daughters gave birth on the road and I brought her with me to this camp. I don’t have anything,” she says, trembling as she stands.
“They raped my two younger daughters in front of me. There is nothing more than that. They fled from shame and humiliation. I haven’t seen them since.”
The RSF raped Hawa’s daughters in front of her
Dr Afaf Ishaq, the camp director and emergency response room (EER) volunteer, is sobbing nearby.
“I have dealt with thousands and thousands of cases, I am on the verge of a mental breakdown,” she says.
“Sometimes in the morning, I have my tea and forget that I need to eat or how to function. I just sit listening to testimony after testimony in my head and feel like I am hallucinating.”
Everyone we speak to points to her as a source of relief and help, but Dr Ishaq is largely carrying the burden alone. When haphazard financial support for the ERR community kitchens ends, she says people flock to her complaining of hunger.
Dr Ishaq lives in the camp by herself after fleeing her home in Khartoum at the start of the war in April 2023. She says she quickly escaped after her husband joined the RSF.
Dr Afaf Ishaq has seen thousands of cases of violence and sexual violence
Since then, she has been constantly reminded of the atrocities committed by her husband’s ranks in Khartoum, her hometown Al Fashir and the ethnic violence they are carrying out across the region.
“The RSF focuses on ethnicity,” she says. “If you are from the Zaghawa, Massalit, Fur – from Darfuri tribes – you should be killed, you should be raped.
“If they find that your mother or father are from another tribe like Rizeigat or Mahamid – they won’t rape you, they won’t touch you.”
The RSF has besieged Al Fashir for 16 months. File pic: Reuters
A message for the West
In January, the Biden administration determined that the RSF are carrying out genocide in Darfur, 20 years after former US secretary of state Colin Powell made the declaration in 2004.
But the designation has done little to quell the violence.
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Sudan’s government has accused the United Arab Emirates (UAE) of supplying arms and logistical support to the RSF. The UAE denies these claims but many on the ground in Darfur say its role in this war is accepted as fact.
The silence from the UAE’s allies in the West, including the UK and US, is felt loudly here – punctuated by gunfire and daily bombs.
Dr Ishaq fled her home in Khartoum at the start of the war after her husband joined the RSF
Dr Ishaq’s distress ratches up when I ask her about neglect from the international community.
“I direct my blame to the international community. How can they speak of human rights and ignore what is happening here?
“Where is the humanity?”
The prime suspect in the disappearance of Madeleine McCann has refused to be interviewed by the Metropolitan Police.
German drifter Christian B, as he is known under privacy laws, became a leading person of interest following the three-year-old British girl’s disappearance from a holiday resort in Portugal in 2007.
He is expected to be released from a jail in Germany as soon as Wednesday, at the end of a sentence for raping an elderly woman in Praia da Luz in 2005.
The Met said it sent an “international letter of request” to the 49-year-old for him to speak with them – but he rejected it.
Madeleine vanished shortly after she was left sleeping by her parents, Kate and Gerry McCann, who went for dinner in a nearby restaurant in Praia da Luz.
The search for the British toddler has gone on for 18 years
The Met said Christian B remains a suspect in its own investigation – with Portuguese and German authorities also probing Madeleine’s disappearance.
He has previously denied any involvement.
Detective Chief Inspector Mark Cranwell, a senior investigating officer, said the force will “continue to pursue any viable lines of inquiry” in the absence of an interview with Christian B.
He said: “For a number of years we have worked closely with our policing colleagues in Germany and Portugal to investigate the disappearance of Madeleine McCann and support Madeleine’s family to understand what happened…
“We have requested an interview with this German suspect but, for legal reasons, this can only be done via an International Letter of Request which has been submitted.
“It was subsequently refused by the suspect. In the absence of an interview, we will nevertheless continue to pursue any viable lines of inquiry.”
Madeleine was taken from her family’s apartment while her parents dined in a nearby restaurant
In June, a hit-and-run theory emerged in connection with Madeleine’s death.
But her mother, Kate, has long dismissed the suggestion her daughter managed to get out of the apartment alone.
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Sky’s Martin Brunt investigates the hit-and-run theory in the case of Madeleine McCann
A number of searches have been carried out by German, Portuguese and British authorities since her disappearance – with the latest taking place near the Portuguese municipality of Lagos in June.
In 2023, investigators carried out searches near the Barragem do Arade reservoir, about 30 miles from Praia da Luz.
Christian B spent time in the area between 2000 and 2017 and had photographs and videos of himself near the reservoir.
In October last year, the suspect was cleared by a German court of unrelated sexual offences, alleged to have taken place in Portugal between 2000 and 2017.
The total funding given to the Met’s investigation, titled Operation Grange, has been more than £13.2m since 2011 after a further £108,000 was secured from the government in April.
On NATO’s doorstep, Russia is rehearsing for war.
It has deployed tanks, battleships and supersonic bombers for military drills with Belarus that are happening on land, at sea and in the air.
‘Zapad-2025′ are the allies’ first joint exercises since the invasion of Ukraine, and on Sunday involved the launch of a hypersonic missile in the Barents Sea.
“There are several strategic goals here that [Russia and Belarus] want to achieve,” Hanna Liubakova, an independent Belarusian journalist, told Sky News.
“Scare, show that they are capable, show that they can threaten… and of course, they’re also checking what the reaction and response could be.”
The reaction so far has been frosty, to say the least.
A Russian nuclear submarine sets out to sea during the practice run. Pic: AP.
Russia launches a Zircon hypersonic missile at a target during the Zapad joint strategic exercise. Pic: Reuters
Ahead of the drills, Poland closed its border with Belarus and deployed more than 30,000 troops as part of its own military exercises.
Lithuania is also holding drills and said it would bolster defences along its frontiers with Russia and Belarus.
The authorities in Minsk, and in Moscow, insist the drills are defensive and not aimed at any other country.
A Russian nuclear submarine sets out to sea during the practice run. Pic: AP.
On Friday, the Kremlin even described Europe’s concerns as “emotional overload”.
But the last time these drills happened four years ago, it led to a massive build-up of Russian troops in Belarus, which Moscow then used for part of its invasion of Ukraine a few months later.
And the drills aren’t the only thing Europe is worried about.
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The show of strength comes at a time of heightened tension after recent Russian drone incursions into NATO airspace – first in Poland and then Romania.
There’s a feeling in the West that the drones and drills are a test of NATO’s defences and Western resolve.
But you’re unlikely to find that opinion on the streets of the Belarusian capital, Minsk.
“There is no aggression,” Mikhail told Sky News. “Exercises are normal, especially planned ones. So I think it’s fine.”
Pic: AP
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According to Kristina, Russia and Belarus are “not the aggressors”.
“I think our head of state [Alexander Lukashenko] will solve this issue and we will support him. He’s not aggravating the situation.”
A provocation or not, the drills offer NATO a fresh chance to scrutinise Russia’s military, after three-and-a-half years of costly combat in Ukraine.
It would feel a lot more comfortable, though, if they weren’t happening so close to home.
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