‘The doctor told me count to three – and he cut my leg’: The generation of Palestinian children with devastating amputations after a year of war
A generation of children and young adults in Gaza are coping with devastating amputations after a year of brutal war.
It’s left a terrible legacy, with thousands – many of them babies – coping with missing limbs.
Warning: This story contains images and descriptions readers may find distressing
Those in Gaza like Jihad have absolutely heart-breaking war wounds. The three-year-old’s left leg has been amputated right up to the hip, his right leg cut below the knee. The doctors couldn’t save three of the fingers on his left hand.
Jihad, who lost both his legs and three fingers
He cries constantly and he’s writhing around in pain when Sky’s Gaza crew sees him. His mother Mai tells our team that he’s completely changed since the bombing – going from an active, talkative toddler to a depressed little boy who can’t accept his crushing lack of mobility.
“He keeps asking me for slippers and he has no feet,” she says despairingly.
The whole family was injured when a bomb landed near their tent in Khan Younis where they’d fled to. But Jihad was by far the worst affected.
She’s desperate to get him the help he so urgently needs but there’s very little aid getting into Gaza, and there has been no evacuations from the war zone, even for the very sick or wounded, for weeks now.
We were given rare access on board a planeload of aid and personnel being flown into the area. But this aid was not going into Gaza. It was instead going to a floating hospital run by the United Arab Emirates and anchored off the coast of Egypt – the nearest secure position it has permission for near Gaza.
The entrance to the floating hospital
The hospital’s patients are all wounded or ill from Gaza. They include children – some who arrived like ten-year-old Yazan, alone without even a guardian, his left leg already cut below the knee. He’s already spent several weeks on board the floating hospital. The doctors and nurses all know him.
Yazan, 10, who arrived at the hospital without a guardian
The hospital’s director, Dr Ahmed Mubarak tells us: “We are his family right now and we try to give him all the support he needs.”
Dr Ahmed Mubarak, director of the floating hospital
Yazan tells the director he’s “good” and that he plays football and games like the other children on board – but his eyes are sunken and he has dark shadows around them. He’s just a little boy, all alone, thrown into and devastated by this man’s war which has changed his life forever.
The ship has been converted into a state-of-the-art medical facility with five decks of equipment including an emergency room, operating theatre and ICU.
Here, the rescued patients are given access to specialist surgeons, medics, nursing staff and equipment and medicines beyond the wildest dreams of those trapped in the Gaza war zone. And most of all, those here are given sanctuary from the bombing, mayhem, blood and chaos of the war a short distance away.
Read more:
How life changed in a year for a group of Gaza civilians
Israel-Hamas war: Timeline of events since 7 October
The UN has estimated about one thousand children like Yazan had amputations in just one month of the war last November. It’s a shuddering thought wondering how many more there must be now.
Children playing at the humanitarian centre
‘I just want to walk properly again’
At the Humanitarian City in Abu Dhabi – as it’s named by the Emiratis who set it up – we see a horrifying number of them. Amidst the children playing on the swings, or boys having a go at the arcade machines provided or those making their way along the corridors, you’ll catch glimpses of them.
There’s a young girl doing her best to get momentum on the swings with only one arm. At the arcade, there are boys in wheelchairs with legs missing or riding the arcade motorbike with only one leg.
In the physio room, a 13-year-old girl called Tuqa is being persuaded to try to walk on her artificial limbs. She has not one but two prosthesis to try to balance on and get the measure of. The double-amputee is struggling.
Tuqa and her prosthetic legs
“I’m scared,” she tells the physio who is trying to coax her into letting go of him. “Try, try, come on, let’s go,” he says.
Tuqa in Gaza
I ask her what her ambition is and she says with heart-rending simplicity: “I just want to walk properly again.” Then she adds: “And go back home.”
A childhood of surgeries
Rakan is one little baby who has made it out. He has his right leg missing but he’s too young to know that he’s seen as one of the “lucky” ones.
Baby Rakan’s parents were denied permission to leave Gaza
He’s not too young to be wary of the doctors who are measuring him up for his new prosthesis though. He’s learned this process can sometimes hurt.
He has a lot more pain to come. His childhood is going to be consumed with multiple surgeries as he’s fitted and re-fitted with artificial limbs as he grows.
Rakan’s grandmother is his guardian on the floating hospital
Rakan too came out of Gaza without his parents who were refused permission to leave. His guardian now is his grandmother. She tells us she doesn’t support Hamas. We’re not naming her for the safety of the family still in Gaza.
“Me, my family, all of us, don’t like Hamas,” she tells us. “If I have a neighbour who says they are [Hamas], I’ll distance myself from them.”
She adds: “I don’t like them and I won’t live in the same area but it’s impossible to know who’s who.”
‘The doctor told me to count to three’
When we hear Fuad’s tale of survival, I begin to think the loss of one of his legs might be the least of his wounds. He tells of a bomb hitting his parents’ bedroom in Gaza, killing them instantly as well as three siblings.
Fuad testing out his prosthetic leg
The sixteen-year-old was showered in rubble and pulled out by his cousin who took him to Al Shifa hospital which was already crowded. “I was laying in the hallway of the hospital,” he tells us, “I could see my leg was half gone.”
The doctor told him he was going to have to amputate it and he had no anaesthetic.
“I told him, wait for my father,” he said. “I didn’t know my father was killed then… and he told me: count to three – and he cut it. He put my leg in a bag next to me.”
Fuad in hospital in Gaza
He shows us pictures of himself in the crowded hospital, sometimes with dressings on his amputated leg, sometimes not. He spent 20 days there until the hospital was stormed for the first time by Israeli troops.
“We had no water, food or electricity,” he says. “And me and the guy next to me had a spoonful of food a day.”
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I ask him if he saw any armed men or Hamas in the hospital as the Israelis designated Al Shifa a command and control centre for the militant group. “The only armed men I saw were Israeli soldiers,” he said angrily. “And if you’re asking me if we were Hamas. We are not. My father was a doctor. We had nothing to do with Hamas.”
Everywhere we look there are tales of survival and horrifying death-defying battles. A year on, the trauma and war is still waging.
:: Alex Crawford reports with camera operator Jake Britton, specialist producer Chris Cunningham and our Sky News teams inside the Gaza Strip
World
‘At least 59 killed’ in Gaza after Israeli military opens fire near aid centre and carries out strikes
At least 59 Palestinians have reportedly been killed after the Israeli military opened fire near an aid centre in Gaza and carried out strikes across the territory.
The Red Cross, which operates a field hospital in Rafah, said 25 people were “declared dead upon arrival” and “six more died after admittance” following gunfire near an aid distribution centre in the southern Gazan city.
The humanitarian organisation added that it also received 132 patients “suffering from weapon-related injuries” after the incident.
The Red Cross said: “The overwhelming majority of these patients sustained gunshot wounds, and all responsive individuals reported they were attempting to access food distribution sites.”
The organisation said the number of deaths marks the hospital’s “largest influx of fatalities” since it began operations in May last year.
The IDF has said it fired “warning shots” near the aid distribution site but it was “not aware of injured individuals” as a result.
It said in a statement: “Earlier today, several suspects were identified approaching IDF troops operating in the Rafah area, posing a threat to the troops, hundreds of metres from the aid distribution site.
“IDF troops operated in order to prevent the suspects from approaching them and fired warning shots.”
Palestinians mourn a loved one following the incident near the aid centre. Pic: Reuters
Mother’s despair over shooting
Somia Alshaar told Sky News her 17-year-old son Nasir was shot dead while visiting the aid centre after she told him not to go.
She said: “He went to get us tahini so we could eat.
“He went to get flour. He told me ‘mama, we don’t have tahini. Today I’ll bring you flour. Even if it kills me, I will get you flour’.
“He left the house and didn’t return. They told me at the hospital: your son…’Oh God, oh Lord’.”
Asked where her son was shot, she replied: “In the chest. Yes, in the chest.”
Somia Alshaar, pictured with her daughter, says her son was shot dead. Pic: Reuters
‘A policy of mass murder’
Hassan Omran, a paramedic with Gaza’s ministry of health, told Sky News after the incident that humanitarian aid centres in Gaza are now “centres of mass death”.
Speaking in Khan Younis, he said: “Today, there were more than 150 injuries and more than 20 martyrs at the aid distribution centres… the Israeli occupation deliberately kills and commits genocide. The Israeli occupation is carrying out a policy of mass murder.
“They call people to come get their daily food, and then, when citizens arrive at these centres, they are killed in cold blood.
“All the victims have gunshot wounds to the head and chest, meaning the enemy is committing these crimes deliberately.”
Israel has rejected genocide accusations and denies targeting civilians.
Two boys mourn their brother at Nasser Hospital in Khan Younis. Pic: Reuters
‘Lies being peddled’
The Gaza Humanitarian Foundation (GHF), the controversial US and Israeli-backed group which operates the distribution centre near Rafah, said: “Hamas is claiming there was violence at our aid distribution sites today. False.
“Once again, there were no incidents at or in the immediate vicinity of our sites.
“But that’s not stopping some from spreading the lies being peddled by ‘officials’ at the Hamas-controlled Nasser Hospital.”
The Red Cross said its field hospital in Rafah has recorded more than 250 fatalities and treated more than 3,400 “weapon-wounded patients” since new food distribution sites were set up in Gaza on 27 May.
Read more:
‘At least 798 killed’ at Gaza aid points
’10 children killed’ waiting for Gaza health clinic to open
Israel says permanent ceasefire ‘questionable’
Palestinians inspect the wreckage after an Israeli airstrike in Deir al Balah. Pic: AP
It comes after four children and two women were among at least 13 people who died in Deir al Balah, in central Gaza, after Israeli strikes pounded the area starting late on Friday, officials in Al Aqsa Martyrs hospital in the territory said.
Fifteen others died in Israeli airstrikes in Khan Younis, in southern Gaza, according to Nasser Hospital.
The Israel Defense Forces (IDF) has not responded to a request for comment on the reported deaths.
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Israeli has been carrying out attacks in Gaza since Hamas-led militants killed some 1,200 people and took 251 hostages on 7 October 2023.
Hamas still holds 50 hostages, with fewer than half of them believed to be alive, after most of the rest were released in ceasefire agreements or other deals.
Israel’s offensive in Gaza has killed more than 57,000 Palestinians, more than half of them women and children, according to Gaza’s health ministry, which does not distinguish between civilians and combatants in its count.
US President Donald Trump has said he is closing in on another ceasefire agreement that would see more hostages released and potentially wind down the war.
But after two days of talks this week with Israeli Prime Minister Benjamin Netanyahu, there were no signs of a breakthrough.
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The latest fatalities in Gaza comes as a 20-year-old Palestinian-American man was beaten to death by settlers in the Israeli-occupied West Bank on Friday, the Palestinian Health ministry said.
Sayafollah Musallet, also known as Saif, was killed during a confrontation between Palestinians and settlers in Sinjil, north of Ramallah, the ministry said.
A second man, Hussein Al-Shalabi, 23, died after being shot in the chest.
Mr Musallet’s family, from Tampa Florida, has called on the US State Department to lead an “immediate investigation”.
A State Department spokesperson said it was aware of the incident but it had no further comment “out of respect for the privacy of the family and loved ones” of the reported victim.
The Israeli military said the confrontation broke out after Palestinians threw rocks at Israelis, lightly injuring them.
As investigators continue to piece together the full picture, early findings of the Air India crash are pointing towards a critical area of concern — the aircraft’s fuel control switches.
The flight, bound for London Gatwick, crashed just moments after taking off from Ahmedabad airport on 12 June, killing all but one of the 242 people on board the plane and at least 19 on the ground.
According to the preliminary report by India’s Aircraft Accident Investigation Bureau (AAIB), the two engine fuel control switches on the plane were moved from the “RUN” to “CUTOFF” position.
These switches control fuel flow to the engines and should only be used when the aircraft is on ground, first to start the engines before a flight and later to shut them down at the gate.
They are designed so they’re unlikely to be changed accidentally, pointing to possible human error on the Air India flight.
The findings include the final conversation between the pilots and show there was confusion in the cockpit as well.
When one pilot asked the other why he cut off the fuel, he responded to say he did not do so.
The Air India plane before the crash. Pic: Takagi
Moments later, a Mayday call was made from the cockpit, but the plane could not regain power quickly enough and plummeted to the ground.
Captain Amit Singh, founder of Safety Matters Foundation, an organisation dedicated to aviation safety, told Sky News: “This exchange indicates that the engine shutdowns were uncommanded.
“However, the report does not identify the cause – whether it was crew error, mechanical malfunction, or electronic failure.”
Previous warning of ‘possible fuel switch issue’
“The Boeing 787 uses spring-loaded locking mechanisms on its fuel control switches to prevent accidental movement,” Mr Singh explained.
But a previous bulletin from the Federal Aviation Administration (FAA) “warned that these switches might be installed with the locking feature disengaged,” he said.
This could “make them susceptible to unintended movement due to vibration, contact, or quadrant flex”, he added.
The plane’s tail lodged in a building. Pic: Reuters
Speaking to Sky News, aviation expert Terry Tozner said: “The take-off was normal, the aircraft rotated at the correct speed left the ground and almost immediately, the cut-off switches were selected to off, one then two.
“But nobody has said with any clarity whether or not the latch mechanisms worked okay on this particular aircraft. So we can only assume that they were in normal working order.”
In India, there has been a backlash over the findings, with some saying the report points to pilot error without much information and almost dismisses the possibility of a mechanical or electric failure.
Indian government responds
India’s civil aviation minister Kinjarapu Ram Mohan Naidu has been quick to respond, saying: “We care for the welfare and the wellbeing of pilots so let’s not jump to any conclusions at this stage, let us wait for the final report.
“I believe we have the most wonderful workforce of pilots and crew in the whole world.”
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India plane crash survivor carries brother’s coffin
Both pilots were experienced, with around 19,000 flying hours between them, including more than 9,000 on Boeing 787s.
The report says the aircraft maintenance checks were on schedule and that there are no signs of fuel contamination or a bird strike.
So far, no safety recommendations have been issued to Boeing or General Electric, the engine manufacturers.
Concern over destroyed flight recorder
Mr Singh said “the survivability of the flight recorders also raises concern”.
The plane’s rear flight recorder, designed to withstand impact forces of 3,400 Gs and temperatures of 1,100C for 60 minutes, “was damaged beyond recovery”.
Read more:
Everything you need to know about the crash
Air India’s lone survivor is nothing short of miracle
“The Ram Air Turbine (RAT), which deploys automatically when both engines fail and power drops below a threshold, was observed as deployed in CCTV footage when the aircraft was approximately 60ft above ground level,” Mr Singh said.
“This suggests that the dual engine failure likely occurred before the official timestamp of 08:08:42 UTC, implying a possible discrepancy.”
India’s Prime Minister Narendra Modi visiting the crash site. Pic: X/AP
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Mr Singh said it was also “of particular note” that the plane’s emergency locator transmitter (ELT) did not send any signal after the crash.
“Was the ELT damaged, unarmed, mis-wired, or malfunctioning?” he said.
The report has generated more questions than answers on topics including human error, power source failures and mechanical or electrical malfunction.
The final report is expected to take a year. Meanwhile, families grapple with the unimaginable loss of loved ones in one of the worst disasters in India’s aviation history.
Donald Trump has announced he will impose a 30% tariff on imports from the European Union from 1 August.
The tariffs could make everything from French cheese and Italian leather goods to German electronics and Spanish pharmaceuticals more expensive in the US.
Mr Trump has also imposed a 30% tariff on goods from Mexico, according to a post from his Truth Social account.
Announcing the moves in separate letters on the account, the president said the US trade deficit was a national security threat.
In his letter to the EU, he wrote: “We have had years to discuss our trading relationship with The European Union, and we have concluded we must move away from these long-term, large, and persistent, trade Deficits, engendered by your tariff, and non-Tariff, policies, and trade barriers.
“Our relationship has been, unfortunately, far from reciprocal.”
In his letter to Mexico, Mr Trump said he did not think the country had done enough to stop the US from turning into a “narco-trafficking playground”.
The president of the European Commission, Ursula von der Leyen, said today that the EU could adopt “proportionate countermeasures” if the US proceeds with imposing the 30% tariff.
Ms von der Leyen, who heads the EU’s executive arm, said in a statement that the bloc remained ready “to continue working towards an agreement by Aug 1”.
“Few economies in the world match the European Union’s level of openness and adherence to fair trading practices,” she continued.
“We will take all necessary steps to safeguard EU interests, including the adoption of proportionate countermeasures if required.”
Ms von der Leyen has also said imposing tariffs on EU exports would “disrupt essential transatlantic supply chains”.
Meanwhile, Dutch Prime Minister Dick Schoof said on the X social media platform that Mr Trump’s announcement was “very concerning and not the way forward”.
He added: “The European Commission can count on our full support. As the EU we must remain united and resolute in pursuing an outcome with the United States that is mutually beneficial.”
Mexico’s economy ministry said a bilateral working group aims to reach an alternative to the 30% US tariffs before they are due to take effect.
The country was informed by the US that it would receive a letter about the tariffs, the ministry’s statement said, adding that Mexico was negotiating.
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How ‘liberation day’ unfolded
Trump’s tariff threats and delays
On his so-called “liberation day” in April, Mr Trump unleashed “reciprocal tariffs” on many of America’s trade partners.
The US president said he was targeting countries with which America has a trade imbalance.
However, since then he’s backed down in a spiralling tit-for-tat tariff face-off with China, and struck a deal with the UK.
The US imposed a 20% tariff on imported goods from the EU in April but it was later paused and the bloc has since been paying a baseline tariff of 10% on goods it exports to the US.
In May, while the US and EU where holding trade negotiations, Mr Trump threated to impose a 50% tariff on the bloc as talks didn’t progress as he would have liked.
However, he later announced he was delaying the imposition of that tariff while negotiations over a trade deal took place.
As of earlier this week, the EU’s executive commission, which handles trade issues for the bloc’s 27-member nations, said its leaders were still hoping to strike a trade deal with the Trump administration.
Without one, the EU said it was prepared to retaliate with tariffs on hundreds of American products, ranging from beef and auto parts to beer and Boeing airplanes.
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