How the lives of the few child amputees allowed to leave Gaza are being rebuilt elsewhere
Warning: This story contains distressing images
To find safety from Gaza, you need first to become the victim of a catastrophic injury and then be lucky enough to be identified, selected and extracted.
That’s one of the many brutal truths from this long war.
I have followed the stories of some of the few Palestinians who have left Gaza for medical care.
Less than 100 children have been granted permissions and temporary visas for the United States to receive treatment since the war began in October 2023.
In all, several hundred children have left Gaza for treatment in that time – most to other Middle Eastern countries. It has not been possible to confirm a precise number but we do know that the UK has not accepted any.
Eight Palestinian children were aboard Royal Jordanian flight 263
A few weeks ago, at Chicago’s O’Hare airport, the largest single group of children from Gaza arrived in America for treatment.
Eight Palestinian children were aboard Royal Jordanian flight 263 from Amman.
The number, tiny though it is, reflects an enormous achievement by the charity that has made this happen – the Palestine Children’s Relief Fund (PCRF).
But it is also reflective of deep diplomatic and political failures; the fact that it was only possible to extract eight of many thousands who need urgent medical treatment.
The doors into the arrival hall at O’Hare opened to reveal a fleet of wheelchairs each carrying a child bearing the scars of the war they had left behind.
Among them, two brothers who survived the bombing that killed their sister.
Behind them, a boy who lost all his siblings and his arm. He is now his mother’s only child. She travelled with him. She too is now an amputee.
The last to emerge through the arrival door was a dot in her wheelchair.
Rahaf, just two, lost both her legs in an Israeli attack on her home in August, not long after she had learnt to walk.
Both Rahaf’s legs had to be amputated
Rahaf at home in Gaza
All their stories reflect a collective horror. They are the civilian victims of Israel’s bombardment of Gaza which followed the Hamas attacks of 7 October 2023.
The children arrived in America after a massive collective effort involving the PCRF and Shriners – one of America’s largest non-profit children’s hospital networks.
Working with multiple governments they facilitated the extractions.
Israel controls all of Gaza’s borders and has only granted evacuations in rare circumstances, only in exceptional cases and only with one parent or guardian.
After their flight, the children travelled to Shriners Hospitals in different parts of the country – California, Oregon, Illinois, South Carolina, Kentucky and Missouri.
It was in Missouri this week that I spent a day with two-year-old Rahaf and her mother Israa Saed.
Rahaf Saed plays in the park near her new home in Missouri
Rahaf with her mother Israa Saed
We met at the home of the American couple who have volunteered to be their hosts for their time in the US.
Six months since the bombing of Rahaf’s home and three weeks since she and her mother arrived in America, I’d come to see how a little life was now being rebuilt.
The first thing that hit me as we sat in the host family’s living room was how happy Rahaf now seems.
Her right leg is missing from below her knee and her left leg is almost completely gone – amputated just below her hip.
Yet she was darting around the floor in front of us chasing a blue balloon with shrieks of laughter. Her mum smiled as she watched.
The mood belied the enormity of their experience and the dilemma of their journey.
The family’s apartment block before it was bombed
The apartment building engulfed in flames as it was bombed in August
The apartment block after the bombing
Until this month, Israa and Rahaf had never left Gaza. Now they are in America, without the language and without the rest of their family – Israa’s husband and her two young boys.
“My other two sons are still young and… do I need to stay with my other kids or do I need to come out?,” she said about her dilemma.
“Rahaf needs her mum. I could not let her go [to America] alone. And especially also with my fractures, my elbows, my arms. I was hoping for some treatment for myself.”
Israa was injured in the same attack on 1 August. Both her arms were badly damaged. New X-rays taken since she arrived in America show a section of bone still missing in her right forearm.
Israa still has a section of bone missing in her right forearm
I asked about her family back in Gaza.
“Yes, we do talk but the internet is not the best. We still manage to have some conversations. The question that is always repeated is: ‘when can you come back? When will the little ones get you back? When can we meet again?'”
Israa sobbed. The pain was clear on her face.
“God willing, my wish is for my kids to live safely far from any conflicts and war. Safely. That is my wish.”
We looked at photographs on Israa’s phone of Rahaf in a pink dress before the attack and a video of her walking up the steps of their apartment block.
“She loved to be a princess,” Israa said.
Rahaf back in Gaza
Israa then showed me a photograph of Rahaf on a hospital bed in Gaza a few weeks after the attack looking down at her amputated legs.
I asked if she understands what has happened to her.
“She did ask ‘my legs are destroyed, what happened?'” Israa said they told her it was a rocket. Now, Rahaf avoids the subject. “If we start the conversation, she will change the subject.”
The good news is that Rahaf’s amputations were done well given the situation.
Circumstance has ensured that Gazan medics have become among the best in the world at trauma surgery. But that’s where the care ends in Gaza. The shortage of doctors, equipment and functioning hospitals makes prolonged care impossible.
Amputations require ongoing work from doctors with various skills including orthopaedic surgeons, plastic surgeons, and prosthetists.
Children with lost limbs demand a whole extra layer of care because they are still growing. Rahaf will need new prosthetic limbs frequently as she gets bigger.
Prosthetists estimate that for every death in a war, there are likely to be three times as many surviving amputees. According to the Gaza health ministry the number of dead in the war has now topped 45,000.
According to analysis by the charity Oxfam more children have been killed in Gaza by the Israeli military than in the equivalent period in any other conflict of the past 18 years.
Those numbers give a sense of the number of amputees, adults and children, still inside Gaza.
Through pressure from charities and commitments of treatment from hospitals, the United States has admitted a small number of Gazan children, but the key blocker is the Israeli government, which controls access to the strip through all the borders.
Josh Paul is a former US State Department official who resigned last year over the Gaza war.
Speaking to Sky News he said the situation with injured children represents a deep failure of American diplomacy.
“Even on something as humanitarian as saving the lives of children, getting them to critical care, it’s not that America isn’t willing to ask. It’s that America isn’t willing to press,” Mr Paul said.
“And it could be done in a second if they wanted to. If President Biden picked up the phone [to Israel] and said, ‘we are stopping our arms shipments until you let out children, until you let out critically injured children or critically sick children for care, we are not standing by you’.”
On why more hasn’t been done, Mr Paul said: “It’s the political costs… he believed he would pay. I think that is a severe miscalculation.
“I think American public opinion has shifted radically and is going to continue to shift.
“I also think that the geopolitical incentives here have also shifted and there is a cost, a clear cost, that we are paying for our unconditional support to Israel.”
Watch and read our other stories on Gaza’s children:
Stuck in Gaza with the rarest of diseases
Girl with rare disease leaves Gaza
Sky meets teenager whose uncle amputated her leg
Israa, Rahaf and Sky correspondent Mark Stone
The next step for Rahaf is prosthetics. It is the kindness of strangers and their donations that will make all this happen.
Then it will be time for her to walk again. But a reunion with family is, for now, far less certain.
Britain’s ambassador to the United States will use a keynote speech today to underline the UK-US special relationship – while also attempting to ‘Reform-proof’ his own struggling government.
Lord Mandelson, the architect of New Labour, master of political spin and now Britain’s man in Washington, will use the 2025 annual lecture at Ditchley Park to offer a positive spin on a presidency which has proudly upended norms and frayed alliances.
In the speech, parts of which have been released in advance, Mandelson will describe President Trump as a “risk taker” with an “iron-clad stomach”.
Lord Mandelson was chosen as ambassador by Prime Minister Sir Keir Starmer late last year. He is a political appointee rather than a career diplomat.
And with intriguing language he will offer his take on the parallels between Trump and Starmer’s challenges and mandates.
He will say: “I credit President Trump’s political instincts in identifying the anxieties gripping not only millions of Americans, but also far more pervasive Western trends: economic stagnation for many, a sense of irreversible decline, the lost promise of meaningful work…
“These American concerns find their mirror image in British society, where Keir Starmer won an electoral mandate for national renewal which is similar to Donald Trump’s.”
Yet Mandelson delivers the speech at the end of a week when Nigel Farage was in town.
Screaming for his own form of Trump-like national renewal, the disruptive leader of the UK’s top-polling political party – Reform – was in Washington to hobnob in the Oval Office and to tell Congress that Keir Starmer is turning Blighty into North Korea.
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Farage likens UK to North Korea in Congress
Mr Farage enjoys lapping up the limelight in Washington, where he is an old-world conservative celebrity in the new MAGA White House.
His calculation is that the MAGA wave will reach the UK shores soon.
Reform‘s policy platform is a mirror of the Trump agenda in many respects, tweaked accordingly. The administration is happy to support him. There is a MAGA-Reform mutual respect.
And so it is politically savvy or unavoidably necessary for Lord Mandelson, New Labour‘s architect laying the foundations of the current UK government, to proclaim: ‘We respect Trump too.’
The truth is the government, like so many around the world, sees Donald Trump as an infuriating and unpredictable disrupter with the ability to upend norms at the stroke of a Sharpie. But they can’t articulate that publicly.
Instead, the ‘Prince of Darkness’ will cast Mr Trump as the consequence not the cause of the disruption to international systems, even if many argue that he can be both.
As a master of spin, strategy and ruthlessness, Mandelson clearly has an admiration for Trump’s political style and sheer chutzpah.
Lord Mandelson’s speech comes a week before Mr Trump’s UK state visit. Pic: AP
He will tell the Ditchley Park lecture: “The president may not follow the traditional rulebook or conventional practice, but he is a risk taker in a world where a ‘business as usual’ approach no longer works.”
At a time when the Labour government is struggling and feeling the heat from Farage and his disrupters, are these words to be read as a not-so-subtle message to Prime Minister Starmer?
Mandelson is an old-fashioned liberal. He hasn’t the stomach for ‘wokey’ politics or own goals like the arrest of Graham Linehan. Is there a frustration that the political party he built is now messing it all up?
“Indeed, he seems to have an iron-clad stomach for political risk…” he will say of Trump, decrying the tendency of previous presidents to descend “into an analysis paralysis and gradual incrementalism”.
Lord Mandelson may be Britain’s man in Washington now but, more than anyone else to hold the post, he is deeply integrated into the Downing Street machine.
He is tight with Number 10 chief of staff Morgan McSweeney and was inside Downing Street when Friday’s reshuffle took place. A total coincidence I am told.
A week before the president’s state visit to the UK, Lord Mandelson’s speech is designed to steady a special relationship put under pressure by the return of Trump.
“Do we always have identical views?” he will say. “Of course not, we never have. And we are not looking for special treatment. Our alliance exists because it serves both nations’ interests, because the core values of Britons and Americans remain aligned, as the world around us becomes more threatening.”
Lord Mandelson will say Brexit has freed the UK to pursue closer ties with the US. Pic Reuters
Read more from Sky News:
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And, in a shapeshifting manoeuvre that only the original spin doctor could manage, Lord Mandelson, a cheerleading remainer in the EU referendum campaign, now casts Brexit as a liberator.
“Brexit has freed us to pursue closer US ties,” he will say in his speech.
“Britain has the opportunity to use its regulatory freedom and independence from European law to deepen American investment opportunities. This is crucial as, post-Brexit, we need to leverage every advantage we can to spur UK growth and employment.”
The ambassador is expected to concede that pre-referendum warnings of the demise of Britain’s trans-Atlantic clout have not transpired, while maintaining that Brexit has hit the UK financially with a net-loss to its economy.
Listen to The World with Richard Engel and Yalda Hakim every Wednesday
They say the British ambassador is the custodian of the US-UK special relationship. This ambassador has seen what the relationship looks like under Trump.
With trademark political gymnastics, he seems now to be both admiring of the Trumpian movement but also anxious that if Britain under Labour doesn’t get its house in order, then it too will get its own Trumpian disrupter.
Officers detained 475 people during an immigration raid on a Hyundai factory for electric vehicles in Georgia.
The majority of those detained at the 3,000-acre site west of Savannah are from South Korea, according to Steven Schrank, special agent in charge at Homeland Security Investigations.
Mr Schrank said the raid was the “largest single-site enforcement operation” in the history of the agency and followed an investigation of several months, which involved leads from community members and former workers.
The spokesman for the South Korean foreign ministry, Lee Jaewoong, said there was a “large” number of South Koreans among those detained in the raid, but did not provide an exact number.
A ‘large’ number of those detained were from South Korea
He said the detained workers were part of a “network of subcontractors” and that the employees worked for several different companies on the Georgia site.
Mr Lee said South Korea’s foreign ministry is dispatching diplomats from its embassy in Washington and consulate in Atlanta to the site, and plans to form an on-site response team centred on the local mission.
“The business activities of our investors and the rights of our nationals must not be unjustly infringed in the process of US law enforcement,” Mr Lee added.
The Department of Homeland Security said in a statement that agents executed a search warrant “as part of an ongoing criminal investigation into allegations of unlawful employment practices and other serious federal crimes”.
The manufacturing site, which employs about 1,200 people, has been hailed as the largest economic development project in the state’s history by Governor Brian Kemp and other officials.
The Hyundai Motor Group plant in Georgia. File pic: AP Photo/Mike Stewart
Hyundai Motor Group, the biggest automaker in South Korea, started manufacturing electric vehicles at the $7.6bn (£7.4bn) site a year ago and partnered with LG Energy Solution to build an adjacent battery plant, which is set to open in 2026.
ICE spokesman Lindsay Williams confirmed the raid and said agents were focused on the construction site for the battery plant.
LG said in a statement that it was “closely monitoring the situation and gathered all relevant details”. The firm said it couldn’t immediately confirm how many of its employees or Hyundai workers had been detained.
“Our top priority is always ensuring the safety and well-being of our employees and partners. We will fully cooperate with the relevant authorities,” LG said.
Hyundai and LG’s battery joint venture, HL-GA Battery Company, said in a statement that it’s “cooperating fully with the appropriate authorities” and paused construction of the battery site to assist the investigation.
Operations at Hyundai’s electric vehicle manufacturing plant weren’t interrupted, plant spokesperson Biance Johnson said.
Read more from Sky News:
Trump to rebrand Pentagon as Department of War
Former President Biden has skin cancer surgery
The raid is the latest in a series of sweeping ICE operations as part of President Donald Trump’s mass deportation agenda, which saw immigration officers raid farms, construction sites, restaurants and auto repair shops.
The US labour force lost more than 1.2 million immigrants from January through July, which includes legal and illegal immigrants, according to the Pew Research Centre, citing preliminary census data.
Former US president Joe Biden has had surgery for skin cancer, his spokesperson has said.
It’s unclear when he had the procedure, but video from late August showed him leaving church in Delaware with a large, fresh scar on his head.
The spokesperson told Sky’s US partner, NBC News, that he was recovering well.
Mr Biden had Mohs surgery, which involves removing a layer of tissue, examining it under a microscope to see if any cancer cells remain, and repeating if necessary.
The 82-year had a basal cell carcinoma, one of the two most common skin cancer types, removed from his chest in 2023.
His doctor said at the time that all the cancerous cells had been removed.
The same year, Mr Biden’s wife, Jill, had two basal cell carcinomas removed from near her eye and on her chest.
The former president also revealed this May that he had stage-four prostate cancer – with the disease having spread to his bones and having a Gleason score of nine.
Such a score means the disease is “likely to grow quickly”, according to Cancer Research UK.
Listen to The World with Richard Engel and Yalda Hakim every Wednesday
Read more from Sky News:
Trump to rebrand Pentagon as ‘Department of War’
The proxy war that will redefine US public health
His office said the prostate cancer was discovered when Mr Biden visited a doctor for urinary symptoms and that he was considering “multiple treatment options”.
“While this represents a more aggressive form of the disease, the cancer appears to be hormone-sensitive which allows for effective management,” said a statement.
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