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.
US
Financial markets were always going to respond to Trump tariffs but they’re also battling with another problem
Stock markets around the world fell on Thursday after Donald Trump announced sweeping tariffs – with some economists now fearing a recession.
The US president announced tariffs for almost every country – including 10% rates on imports from the UK – on Wednesday evening, sending financial markets reeling.
While the UK’s FTSE 100 closed down 1.55% and the continent’s STOXX Europe 600 index was down 2.67% as of 5.30pm, it was American traders who were hit the most.
Trump tariffs latest: US stock markets tumble
All three of the US’s major markets opened to sharp losses on Thursday morning.
The S&P 500 is set for its worst day of trading since the COVID-19 pandemic. File pic: AP
By 8.30pm UK time (3.30pm EST), The Dow Jones Industrial Average was down 3.7%, the S&P 500 opened with a drop of 4.4%, and the Nasdaq composite was down 5.6%.
Compared to their values when Donald Trump was inaugurated, the three markets were down around 5.6%, 8.7% and 14.4%, respectively, according to LSEG.
Worst one-day losses since COVID
As Wall Street trading ended at 9pm in the UK, two indexes had suffered their worst one-day losses since the COVID-19 pandemic.
The S&P 500 fell 4.85%, the Nasdaq dropped 6%, and the Dow Jones fell 4%.
It marks Nasdaq’s biggest daily percentage drop since March 2020 at the start of COVID, and the largest drop for the Dow Jones since June 2020.
Please use Chrome browser for a more accessible video player
The latest numbers on tariffs
‘Trust in President Trump’
White House press secretary Karoline Leavitt told CNN earlier in the day that Mr Trump was “doubling down on his proven economic formula from his first term”.
“To anyone on Wall Street this morning, I would say trust in President Trump,” she told the broadcaster, adding: “This is indeed a national emergency… and it’s about time we have a president who actually does something about it.”
Later, the US president told reporters as he left the White House that “I think it’s going very well,” adding: “The markets are going to boom, the stock is going to boom, the country is going to boom.”
He later said on Air Force One that the UK is “happy” with its tariff – the lowest possible levy of 10% – and added he would be open to negotiations if other countries “offer something phenomenal”.
Please use Chrome browser for a more accessible video player
How is the world reacting to Trump’s tariffs?
Economist warns of ‘spiral of doom’
The turbulence in the markets from Mr Trump’s tariffs “just left everybody in shock”, Garrett Melson, portfolio strategist at Natixis Investment Managers Solutions in Boston, told Reuters.
He added that the economy could go into recession as a result, saying that “a lot of the pain, will probably most acutely be felt in the US and that certainly would weigh on broader global growth as well”.
Meanwhile, chief investment officer at St James’s Place Justin Onuekwusi said that international retaliation is likely, even as “it’s clear countries will think about how to retaliate in a politically astute way”.
He warned: “Significant retaliation could lead to a tariff ‘spiral of doom’ that could be the growth shock that drags us into recession.”
Read more:
Do Trump’s ‘Liberation Day’ tariff numbers add up?
Tariffs about something more than economics: power
It comes as the UK government published a long list of US products that could be subject to reciprocal tariffs – including golf clubs and golf balls.
Running to more than 400 pages, the list is part of a four-week-long consultation with British businesses and suggests whiskey, jeans, livestock, and chemical components.
Meanwhile, Prime Minister Sir Keir Starmer said on Thursday that the US president had launched a “new era” for global trade and that the UK will respond with “cool and calm heads”.
It also comes as Canadian Prime Minister Mark Carney announced a 25% tariff on all American-imported vehicles that are not compliant with the US-Mexico-Canada trade deal.
He added: “The 80-year period when the United States embraced the mantle of global economic leadership, when it forged alliances rooted in trust and mutual respect and championed the free and open exchange of goods and services, is over. This is a tragedy.”
Tanking stock markets, collapsing world orders, devastating trade wars; economists with their hair ablaze are scrambling to keep up.
But as we try to make sense of Donald Trumps’s tariff tsunami, economic theory only goes so far. In the end this surely is about something more primal.
Power.
Understanding that may be crucial to how the world responds.
Yes, economics helps explain the impact. The world’s economy has after all shifted on its axis, the way it’s been run for decades turned on its head.
Instead of driving world trade, America is creating a trade war. We will all feel the impact.
Please use Chrome browser for a more accessible video player
PM will ‘fight’ for deal with US
Donald Trump says he is settling scores, righting wrongs. America has been raped, looted and pillaged by the world trading system.
But don’t be distracted by the hyperbole – and if you think this is about economics alone, you may be missing the point.
Above all, tariffs give Donald Trump power. They strike fear into allies and enemies, from governments to corporations.
This is a president who runs his presidency like a medieval emperor or mafia don.
It is one reason why since his election we have seen what one statesman called a conga line of sycophants make their way to the White House, from world leaders to titans of industry.
The conga line will grow longer as they now redouble their efforts hoping to special treatment from Trump’s tariffs. Sir Keir Starmer among them.
President Trump’s using similar tactics at home, deploying presidential power to extract concessions and deter dissent in corporate America, academia and the US media. Those who offer favours are spared punishment.
His critics say he seeks a form power for the executive or presidential branch of government that the founding fathers deliberately sought to prevent.
Whether or not that is true, the same playbook of divide and rule through intimidation can now be applied internationally. Thanks to tariffs
Each country will seek exceptions but on Trump’s terms. Those who retaliate may meet escalation.
This is the unforgiving calculus for governments including our own plotting their next moves.
The temptation will be to give Trump whatever he wants to spare their economies, but there is a jeopardy that compounds the longer this goes on.
Read more:
Do Trump’s numbers on tariffs really add up?
Trump hits island home only to penguins with 10% tariffs
Could America’s traditional allies turn to China? Pic: AP
Malcolm Turnbull, the former Australian prime minister who coined the conga line comparison, put it this way: “Pretty much all the international leaders I have seen that have sucked up to Trump have been run over. The reality is if you suck up to bullies, whether it’s global affairs or in the playground, you just get more bullying.”
Trading partners may be able to mitigate the impact of these tariffs through negotiation, but that may only encourage this unorthodox president to demand ever more?
Ultimately the world will need a more reliable superpower than that.
In the hands of such a president, America cannot be counted on.
When it comes to security, stability and prosperity, allies will need to fend for themselves.
And they will need new friends. If Washington can’t be relied on, Beijing beckons.
America First will, more and more, mean America on its own.
-
Sports2 years ago‘Storybook stuff’: Inside the night Bryce Harper sent the Phillies to the World Series
-
Sports12 months agoStory injured on diving stop, exits Red Sox game
-
Sports1 year agoGame 1 of WS least-watched in recorded history
-
Sports2 years agoMLB Rank 2023: Ranking baseball’s top 100 players
-
Sports4 years ago
Team Europe easily wins 4th straight Laver Cup
-
Environment2 years agoJapan and South Korea have a lot at stake in a free and open South China Sea
-
Environment2 years agoGame-changing Lectric XPedition launched as affordable electric cargo bike
-
Business3 years agoBank of England’s extraordinary response to government policy is almost unthinkable | Ed Conway