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It was a moment of horror from Gaza which went viral – a video of an amputation on a dining table. No anaesthetic. No bandages. Just a bucket, some soap and a kitchen knife.

It was 19 December 2023, and the war in Gaza was in its third month. Israel’s bombardment of the northern part of the narrow strip of land was at its most intense.

Inside the Bseiso family home, an apartment on the ground floor of a six-storey block not far from Gaza City’s Shifa Hospital, 17-year-old Ahed Bseiso was laid across the kitchen table.

The table, where Ahed’s mother had been making bread moments before, was now a scene of unimaginable horror, as Ahed’s uncle Hani, who is a doctor, carried out an emergency operation.

Ahed’s left leg was badly wounded, and her right lower leg was in shreds.

Desperate, she had pleaded with her uncle not to amputate it but Hani knew he had no choice.

It was her leg or her life.

Minutes earlier, Ahed had been on the top floor of their building, trying to call her father who lives in Belgium. The high floors were best for phone signal and every day, she and her older sister, Mona, would head up there to tell him they were still alive.

Ahed's uncle was tearful as he amputated her leg to save her life
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Ahed (left) had no anaesthetic as her uncle (right) amputated her leg

On this particular morning, as she struggled to get a connection, she noticed some large Israeli tanks outside on the street. Then a huge explosion split the air.

“I heard a bang and a wall came tumbling on top of me,” Ahed told Sky News. “There was dust all over the place and I couldn’t understand where I was.”

Trapped in the rubble, Ahed was disorientated. She called for Mona. Her mother and her cousins rushed to help. They managed to free her from the rubble, revealing the young Gazan – alive but with one leg broken and the other in pieces.

“I asked my cousin, ‘Is my leg gone?’ and he said, ‘No, don’t look’.”

Her cousins carried Ahed down the stairs to their apartment. There was gunfire outside.

“There was no surgical equipment,” Ahed recalled. “My uncle got soap and the scrubber from the kitchen and started to clean my leg… He started to cry. Then he cut my leg off.

“I remained conscious the entire time without anaesthesia. My only solace was my cousin, who stood next to me, reciting the Koran.”

ahed feature
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The spot where Ahed was injured

Her uncle Hani saved her life. He had also felt compelled to film the procedure; to show the world what had come of life, and death, for the people of Gaza.

“What is this injustice that has befallen us?” he screamed straight at the camera as he cleaned Ahed’s wound.

“We have been surrounded for 15 days. I had to amputate my niece’s leg without anaesthesia. Where is the mercy? Where is humanity? What have we done to deserve this?”

The decision to upload the video to social media would in time precipitate a journey for Ahed out of Gaza, to Egypt and eventually to America.

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Six thousand miles away in the small American town of Aiken, South Carolina, a woman called Wafa Abed was online. Like so many exiled Palestinians around the world, she was deeply affected by the images emerging from her homeland.

As she scrolled, she came across the video of Hani Bseiso, his niece and the amputation. The Bseisos were strangers to her but the footage had an immediate impact.

“You have to get this girl out,” Wafa told her son Tareq. “You have to do this.”

Tareq Hailat, 27, a medical student, had recently taken on a new part-time role. As an Arab-American, he was consumed by the tragedy of the Israel-Gaza conflict, and had started working for a charity.

The Palestine Children’s Relief Fund (PCRF) is an American charity with a long history of helping the region’s vulnerable children. Since this latest conflict began it has tried, initially with little success, to evacuate injured children.

Ahed feature
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Tareq Hailat, Head of the Treatment Abroad Program, Palestine Children’s Relief Fund

Now, desperate to help Ahed and others who he had seen online, Tareq began to put together a global network of strangers. Despite the huge obstacles in his path, he pulled every lever and followed every lead.

PCRF’s long-established status in Gaza and the West Bank – combined with this young medical student’s drive and determination – began to work wonders.

“I kept working on ensuring that we can pull Ahed out,” Tareq said over a Palestinian breakfast at his parents’ South Carolina home.

“I started reaching out to my professors and they connected me with different physicians here in the US. Once that was established, then I started connecting with people inside Gaza and in Egypt.”

It took over a month, and 17 failed attempts, to get Ahed out of Gaza.

Israel repeatedly denied her permission to leave. Her ambulance convoy was attacked and the vehicle next to hers was destroyed.

In Egypt, in preparation, there were passports to apply for, and visas to be issued.

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Ahed’s journey out of Gaza was fraught with danger


For Tareq and his new team, it felt like a logistical and bureaucratic impossibility. He was on the phone daily, sometimes hourly, for two weeks to the Red Crescent.

“They would ask the Israelis for permission to go up to the north of Gaza to get her. We would never get the green light. Finally, we did.”

Ahed Bseiso arrived in Greenville, South Carolina, on 17 February 2024, having just turned 18.

She had never left Gaza before and was now in a new world with her sister Mona beside her. The rest of the Bseiso family had to remain behind, trapped in Gaza.

Greenville was where they ended up because Tareq studies medicine there and he knew people willing to treat her injuries.

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Ahed’s sister Mona travelled with her to America

Ahed was sitting in her wheelchair, with her sister, a faint smile on her face, when I first met her.

Like Tareq’s mother and many millions of others, I had seen the viral video months earlier. I never imagined I would meet the young woman at the heart of it.

“Marhaba,” I said – Arabic for hello. She replied in English. “Hello.”

I wasn’t quite sure where to begin. But she chose to start on that fateful day explaining it all with bravery and poise.

I asked her the question I’d wondered about ever since I’d first seen the video. Why wasn’t she screaming? How on earth did she cope?

​​”The strength came from within me,” she replied, “…because I never want to give my occupier the opportunity that they were able to kill us and silence us.”

Last week was the latest stage of Ahed’s journey, from South Carolina to Colorado. The strangers compelled to help her through every step were taking her to see a doctor in Denver.

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Ahed was grateful for the kindness she received in America

Dr Omar Mubarak is a leading American vascular surgeon and another remarkable character who makes things happen. He’d been contacted by the PCRF and immediately wanted to help.

Beyond the welcome party he gathered at the arrivals hall at Denver airport, Dr Omar had arranged a new prosthetic leg. For free, for Ahed.

The morning of the fitting began with a smile. Ahed had left her right shoe in Greenville. There wouldn’t be anything to put on the new foot. She giggled and we all laughed.

The fitting itself was private – her moment.

But then, as the clinic door opened, one tentative step. Then lots. Ahed marched down the hospital corridor. “It feels great,” she said.

Dr Omar watched, smiling, but with a tear in his eye. “She took to it like a fish. She made four steps before we could stop her. Awesome day. Awesome. She’s extremely excited.”

Ahed seemed so grateful to those who have helped her, only a handful of whom could be mentioned in this story.

“It is something I will never forget,” she said.

Ahed feature

But how did she feel about coming to America – a place where she’s found such kindness but the country which is the biggest supporter of the nation which caused her injuries? It was a tricky question but an important one.

Her answer spoke volumes.

“When you see people happy to see you or trying their best to support you… it is something I will never forget.

“But the first thing I thought was ‘how I could leave Gaza and seek treatment in a country that is possibly – even more than Israel – largely responsible for my condition?'”

Out of a war which has stirred so much and damaged so many, I found a young woman grateful but hugely conflicted too.

Ahed will now head back to South Carolina to continue her recovery. She wants to return home as soon as possible.

“I’m happy for this opportunity, but my heart is still with my family in northern Gaza, which is the most terrible place on earth right now.”

The Palestine Children’s Relief Fund (PCRF) has now extracted about 100 injured children from Gaza since this latest conflict began. Seven of them, including Ahed, have come to the United States.

Most have been sent for treatment in the region – 47 have been moved to Qatar and 15 to the United Arab Emirates. Many are in hospital in Egypt. Lebanon, South Africa and Jordan have all agreed to take patients. Others have gone to Europe. The UK has not accepted any Gazans.

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Israeli airstrike on Beirut causes more shock to a country already rocked to its core

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Israeli airstrike on Beirut causes more shock to a country already rocked to its core

The Israeli airstrike in the southern suburbs of Beirut came as the Lebanese caretaker government was having an emergency meeting to discuss the previous two days of pager and radio explosions.

It caused yet more shock in a nation which considers itself battle-hardened after years of strife, disaster and wars.

But Lebanon has been truly rocked to its core by the string of attacks over the past few days.

“These are war crimes,” one Lebanese minister told us.

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Watch Yalda Hakim’s interview with Lebanon’s energy minister

The Israeli military said it had targeted and killed a senior Hezbollah military commander. They named him as Ibrahim Aqil – a man with a $7m US bounty on his head.

He’s been on the US most wanted list for more than forty years after being accused of being involved in the bombing of the US embassy and US marine barracks in 1983 which killed hundreds.

But the Hezbollah stronghold of Dahieh is a heavily populated crowded residential area and packed with shops, markets, and high-rise apartments.

The strike appeared to have flattened an entire block, flipping cars and leaving other vehicles covered in a heavy blanket of thick dust and rubble.

Damage caused by an Israeli air attack on a southern suburb of Beirut. Pic: AP
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Damage caused by an Israeli air attack on a southern suburb of Beirut. Pic: AP

Several people could be seen in video footage filmed by neighbours, trapped under piles of rubble.

The Lebanese health authority keeps on updating the number of people killed in the strike, with the latest figures reaching 14.

There are more than 60 injured, with some of those believed to be in critical condition. Children are said to be among the dead, missing and injured.

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Aftermath of IDF strike on Lebanon

‘Our actions speak for themselves’

The Israeli military immediately claimed success – saying that, along with Aqil, the strike had wiped out about 10 of his elite Radwan Force.

According to an IDF spokesman, who did not provide any evidence, Aqil’s team had been planning an attack into northern Israel similar to the Hamas attack on 7 October.

The Israeli Prime Minister Benjamin Netanyahu issued a very short statement on X, saying: “Our goals are clear and our actions speak for themselves.”

Both the prime minister and defence minister have vowed to restore security to the north of Israel so the 60,000 residents who have fled the cross-border attacks can return to their homes.

An estimated 120,000 Lebanese have also been forced out of their homes along the border.

The airstrike in the capital is the second in Beirut in two months – both, according to the IDF, targeted at senior Hezbollah commanders.

According to sources being quoted in Lebanese media, the Hezbollah group of senior leaders was meeting in an underground basement of a large housing block when the missile penetrated.

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‘Things are escalating by the minute’

It is unlikely to be seen as a justifiable precision attack – or a “targeted strike”, as described by the Israeli military – if the Lebanese government ministers’ reactions are anything to go by.

We spoke to several as they arrived for their emergency cabinet meeting in the hour before the attack.

They were already incensed by the back-to-back coordinated booby trap explosions of communication devices across the country. Israel has yet to confirm or deny its involvement in the blasts.

Speaking about the pager and radio explosions across Lebanon earlier this week, the country’s environment minister and head of its disaster management committee Nasser Yassin said: “It’s genocidal, it’s indiscriminate and a violation of international humanitarian law and every other law.

“We have an insane leadership on the southern end of our borders who don’t want to be indicted by the International Court of Justice.”

The head of the country’s disaster management, Nasser Yassin
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The head of the country’s disaster management committee, Nasser Yassin

The information minister Ziad Makary called the explosions of communication devices “a new crime… it’s a war crime and not something that would pass easily trying to kill three thousand or four thousand civilians as we see them”.

The information minister Ziad Makary
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The information minister Ziad Makary

And Amin Salam, the economy minister, warned: “Things are escalating by the minute.

“There’s more tension, more provocation. We have been doing our best to get to a peaceful solution but the escalation is unprecedented.

“It’s an act of terror, regardless of who was targeted.”

Most intense border fighting in nearly a year

The airstrike in Beirut came after a marked increase in cross-border exchanges – the most intense in nearly a year.

The Israeli military said Hezbollah had spent the early part of the day firing nearly 200 rockets across the border into Israel.

Many of them were intercepted by the Iron Dome defence system.

This followed the Israeli bombing of more than 50 targets in the south of Lebanon overnight – which the IDF said hit launchers and weapons stores.

The Israeli military is suffering losses too – there were two funerals today for Israeli soldiers killed on their northern border – but it’s Hezbollah which seems to be paying a far heavier price right now.

Read more from Sky News:
Iran mulls next move as fears of war grow
Israel’s history of secret operations

Hezbollah unilaterally entered this latest war on 8 October, much to the frustration of Lebanon’s caretaker government, and a day after the Hamas attack on southern Israel.

Hezbollah have repeatedly said their actions are in support of Gaza and have continued to insist they will only stop once there’s a ceasefire.

But right now, the fighting group allied to Iran – and designated a terror group by the US and UK – appears to be very much on the backfoot after three attacks in four days.

Meanwhile, Israel is ploughing on despite the cries of indignation and condemnation from the international community.

Additional reporting from Beirut with camera Jake Britton, specialist producer Chris Cunningham and Lebanon producers Jihad Jineid and Sami Zein.

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Why Western allies calculate there is hope for avoiding all-out war between Israel and Iran-backed Hezbollah

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Why Western allies calculate there is hope for avoiding all-out war between Israel and Iran-backed Hezbollah

Even after exploding pagers, thousands of casualties and the killing of a top Hezbollah commander in an Israeli airstrike, the UK and other allies are still hoping that all-out war between Israel and the Iran-backed militant group in Lebanon can be avoided.

But events are unfolding at a dizzying pace – far faster than governments can react – and each new attack raises the chance of escalation into wider, regional confrontation.

A big unknown is how Iran will respond.

Hezbollah is regarded as its most powerful proxy – and Tehran directly suffered from the pager bombs with its own ambassador to Lebanon being injured.

Adding to the pressure, the Iranian regime has yet to carry out any major retaliation for the killing by Israel of a top Hamas leader – Ismail Haniyeh – in Tehran in July.

 Ismail Haniyeh. Pic: AP
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Ismail Haniyeh. Pic: AP

Iran launched a barrage of drones and missiles against Israel in April in response to an attack on an Iranian consular building in Damascus. Israeli air defences, bolstered by the US, the UK and other allies, ensured that strike failed.

Tehran will not want to fall short a second time – or else risk looking weak.

Doing nothing is also not an option.

The same is true for Hezbollah.

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Hezbollah: ‘Enemy crossed all red lines’

But a calculation by Western allies when considering the timing and scope for Hezbollah’s next move appears to be that the group’s ability to retaliate in any meaningful way for the damage it has suffered is in disarray, following the targeting of thousands of its fighters’ pagers and walkie-talkies.

Israel is accused of turning the devices into remotely detonated bombs in an unprecedented attack on Tuesday and Wednesday that left dozens of people dead and thousands wounded across Lebanon, including an undisclosed number of Hezbollah members. Israel has neither confirmed nor denied its involvement.

The blasts also devastated the group’s communication channels making it much harder to muster a speedy response – though Hassan Nasrallah, the leader, has vowed retribution.

A second factor behind the West’s hope for calm heads is a belief that neither Israel nor Hezbollah nor Iran want a full-blown war.

Read more:
UK fears Britons might need evacuating from Lebanon
Top Hezbollah commander ‘killed in Israeli strike’

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Lebanon minister: ‘Israel has committed war crimes’

Israel does not yet appear to have the scale of troops on its northern border that would be needed for a large-scale ground offensive – though a ground attack is only one option.

Only striking from the air is another.

On Thursday, Israel Defence Forces launched their most intense barrage of airstrikes into southern Lebanon since the start of this latest round of hostilities almost a year ago.

The Israeli government has said it wants to enable tens of thousands of its citizens to return to their homes close to the border with Lebanon in the north from where they were forced to flee in the wake of increased Hezbollah rocket attacks.

At the same time, Nasrallah has promised to prevent this from happening, which puts the two sides on a direct collision course.

It means the risk of escalation remains high.

Against such uncertainty, David Lammy, the British foreign secretary, chaired a meeting of the government’s emergency COBRA committee on Friday.

He discussed the crisis and the UK’s ability to deal with what would be a hugely complex and risky evacuation operation of British nationals from Lebanon should the situation deteriorate significantly.

The previous evening, he had called for an immediate ceasefire by both sides following a meeting in Paris with his American, French, German and Italian counterparts.

But less than 24 hours later, Israel said it had killed Ibrahim Aqil, one of Hezbollah’s most senior commanders, in a strike on a southern suburb of Beirut – another significant blow to the group and yet one more reason for Hezbollah and Iran to want to retaliate.

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Lebanese minister accuses Israel of ‘committing war crimes’ in a ‘blatant way’ after ‘terror’ of pager blasts

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Lebanese minister accuses Israel of 'committing war crimes' in a 'blatant way' after 'terror' of pager blasts

A Lebanese government minister has accused Israel of committing war crimes “in a blatant way and without immediate condemnation”, in an interview with Sky News. 

Walid Fayad, the country’s energy minister, also said Lebanon was “losing faith” in the UN and international laws.

He called this week’s pager attacks a move “from targeted terror to distributed and blind terror”.

Communication devices used by Hezbollah members, such as pagers and walkie-talkies, exploded on Tuesday and Wednesday, killing at least 37 people and injuring thousands.

The blasts increased fears of an all-out war in the Middle East.

Lebanon and Hezbollah say Israel was behind the pager attacks. Israel has neither denied nor confirmed its involvement.

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Hezbollah fighters carry the coffins of fallen four comrades who were killed Monday after their handheld pagers exploded, during their funeral procession in the southern suburb of Beirut, Lebanon, Wednesday, Sept. 18, 2024. (AP Photo/Bilal Hussein)
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Hezbollah fighters carry the coffins of fallen comrades who were killed after their handheld pagers exploded. Pic: AP

“What I am shocked not to see is an immediate, overwhelming condemnation by all countries of the world,” Mr Fayad told The World With Yalda Hakim.

“What we have seen in front of our own eyes is civilian people in the supermarkets or going about their business in the city of Beirut and anywhere else in Lebanon dying or getting injured.”

Mr Fayad added: “This attack was perpetrated deliberately in a clear contradiction with and disobedience to all humanitarian international laws or UN resolutions with respect to Israel and Lebanon. What we are seeing is very alarming because the world is silent on a very large scale.”

He said Lebanon is losing faith “with the international laws, with the ability of the UN to enforce any law and order at world scale and at regional scale”.

He continued: “We would be certainly asking for the implementation of UN resolutions and for the implementation of the latest security council decision asking Israel to stop its attacks on the Palestinians and on the Lebanese.”

Lebanon's energy minister Walid Fayad
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Lebanon’s energy minister Walid Fayad

Reflecting on the approaching anniversary of the 7 October attack on Israel, in which Hamas killed 1,200 people and took around 250 hostages, Mr Fayad said: “We are looking at one year of useless conflict where Israel is not making any accomplishments with these conflicts other than total destruction for the Palestinian people and not only the people themselves, but also the infrastructure.”

Since Israel’s military response began last October, more than 41,000 Palestinians have been killed in Gaza, according to the Hamas-run health ministry there. The ministry’s count does not differentiate between fighters and civilians.

A population of more than 2.3 million people has also been displaced by the conflict in Gaza.

Read more from Sky News:
Attack on Hezbollah is warning to governments
Hezbollah chief’s message means devastation will continue
Middle East is ‘closest to regional war since 1970s’

Mr Fayad also criticised President Joe Biden and Antony Blinken, the US secretary of state, saying that “sometimes they can be driven by national priorities”.

He said: “You have a situation in the US where it’s currently the election race time, and there are lobbies that are very strong in the US and where any change in the establishment’s policy or stance might have a bearing.”

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Mr Fayad urged world leaders to prevent “escalation into a much broader conflict” on the Israel-Lebanon border.

“World leaders happen to have a lot of leverage whether in the supply of ammunition or in the supply of financial support to the state of Israel,” he added.

“It is in their hands to use this leverage to put a stop to these atrocities and to start going in the right direction, a direction that allows… peace and stability in the region rather than complete chaos and risking everybody’s lives and escalation into a much broader conflict.”

Despite the minister’s calls for de-escalation, Israel said it hit Beirut in a “targeted” strike on Friday afternoon after Hezbollah fired 140 rockets into Israel.

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