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.
Melania Trump has threatened to sue Hunter Biden for more than $1bn (£736.5m) in damages if he does not retract comments linking her to Jeffrey Epstein.
Mr Biden, who is the son of former US president Joe Biden, alleged in an interview this month that sex trafficker Epstein introduced the first lady to President Donald Trump.
“Epstein introduced Melania to Trump. The connections are, like, so wide and deep,” he claimed.
Ms Trump’s lawyer labelled the comments false, defamatory and “extremely salacious” in a letter to Mr Biden.
Hunter Biden. File pic: AP
Her lawyer wrote that the first lady suffered “overwhelming financial and reputational harm” as the claims were widely discussed on social media and reported by media around the world.
The president and first lady previously said they were introduced by modelling agent Paolo Zampolli at a New York Fashion Week party in 1998.
Mr Biden attributed the claim that Epstein introduced the couple to author Michael Wolff, who was accused by Mr Trump of making up stories to sell books in June and was dubbed a “third-rate reporter” by the president.
The former president’s son doubled down on his remarks in a follow-up interview with the same YouTube outlet, Channel 5 with Andrew Callaghan, entitled “Hunter Biden Apology”.
Asked if he would apologise to the first lady, Mr Biden responded: “F*** that – that’s not going to happen.”
He added: “I don’t think these threats of lawsuits add up to anything other than designed distraction.”
Ms Trump’s threat to sue Mr Biden echoes a strategy employed by her husband, who has aggressively used legal action to go after critics.
Public figures like the Trumps must meet a high bar to succeed in a defamation suit like the one that could be brought by the first lady if she follows through with her threat.
In his initial interview, Mr Biden also hit out at “elites” and others in the Democratic Party, who he claims undermined his father before he dropped out of last year’s race for president.
Read more from Sky News:
What to expect from Trump-Putin summit
National Guard on streets of Washington DC
The letter threatening legal action against Mr Biden is dated 6 August and was first reported by Fox News Digital.
It was addressed to Abbe Lowell, a lawyer who has represented Mr Biden in his criminal cases. Mr Lowell has not yet commented on the letter.
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Trump claims Epstein ‘stole’ Virginia Giuffre
Read more: What you need to know about Trump, Epstein and the MAGA controversy
This comes as pressure on the White House to release the Epstein files has been mounting for weeks, after he made a complete U-turn on his administration’s promise to release more information publicly.
The US Justice Department, which confirmed in July that it would not be releasing the files, said a review of the Epstein case had found “no incriminating ‘client list'” and “no credible evidence” the jailed financier – who killed himself in prison in 2019 – had blackmailed famous men.
Donald Trump and Vladimir Putin will meet for the first time in six years on Friday, with a possible deal to end the Ukraine war on the agenda.
Mr Trump has threatened “very severe consequences” if his Russian counterpart doesn’t agree to a ceasefire at the summit, being hosted at a remote US army base in snowy Anchorage, Alaska.
Follow latest updates from Ukraine war
But there are fears they will discuss a deal robbing Ukraine of the land currently occupied by Russia – something Volodymyr Zelenskyy has said he won’t accept.
Here’s what three of our correspondents think ahead of the much-anticipated face-to-face.
Putin’s legacy is at stake – he’ll want territory and more
By Ivor Bennett, Moscow correspondent, in Alaska
Putin doesn’t just want victory. He needs it.
Three and a half years after he ordered the invasion of Ukraine, this war has to end in a visible win for the Russian president. It can’t have been for nothing. His legacy is at stake.
So the only deal I think he’ll be willing to accept at Friday’s summit is one that secures Moscow’s goals.
These include territory (full control of the four Ukrainian regions which Russia has already claimed), permanent neutrality for Kyiv and limits on its armed forces.
I expect he’ll be trying to convince Trump that such a deal is the quickest path to peace. The only alternative, in Russia’s eyes, is an outright triumph on the battlefield.
Vladimir Putin and Donald Trump meeting in Osaka in 2019
I think Putin‘s hope is that the American president agrees with this view and then gives Ukraine a choice: accept our terms or go it alone without US support.
A deal like that might not be possible this week, but it may be in the future if Putin can give Trump something in return.
That’s why there’s been lots of talk from Moscow this week about all the lucrative business deals that can come from better US-Russia relations.
The Kremlin will want to use this opportunity to remind the White House of what else it can offer, apart from an end to the fighting.
Read more:
What could Ukraine be asked to give up?
Trump-Putin summit starting to feel quite ‘Midnight Sun’
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What will Kyiv be asked to give up?
Ukraine would rather this summit not be happening
By Dominic Waghorn, international affairs editor, in Ukraine
Ukraine would far rather this meeting wasn’t happening.
Trump seemed to have lost patience with Putin and was about to hit Russia with more severe sanctions until he was distracted by the Russian leader’s suggestion that they meet.
Ukrainians say the Alaska summit rewards Putin by putting him back on the world stage.
But the meeting is happening, and they have to be realistic.
Most of all, they want a ceasefire before any negotiations can happen. Then they want the promise of security guarantees.
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Does Europe have any power over Ukraine’s future?
That is because they know that Putin may well come back for more even if peace does break out. They need to be able to defend themselves should that happen.
And they want the promise of reparations to rebuild their country, devastated by Putin’s wanton, unprovoked act of aggression.
There are billions of Russian roubles and assets frozen across the West. They want them released and sent their way.
What they fear is Trump being hoodwinked by Putin with the lure of profit from US-Russian relations being restored, regardless of Ukraine’s fate.
US Army paratroopers train at the military base where discussions will take place. File pic: Reuters
That would allow Russia to regain its strength, rearm and prepare for another round of fighting in a few years’ time.
Trump and his golf buddy-turned-negotiator Steve Witkoff appear to believe Putin might be satisfied with keeping some of the land he has taken by force.
Putin says he wants much more than that. He wants Ukraine to cease to exist as a country separate from Russia.
Any agreement short of that is only likely to be temporary.
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Zelenskyy: I told Trump ‘Putin is bluffing’
Trump’s pride on the line – he has a reputation to restore
By Martha Kelner, US correspondent, in Alaska
As with anything Donald Trump does, he already has a picture in his mind.
The image of Trump shaking hands with the ultimate strongman leader, Vladimir Putin, on US soil calls to his vanity and love of an attention-grabbing moment.
There is also pride at stake.
Joint Base Elmendorf-Richardson in Alaska, where Trump will meet his Russian counterpart. File pic: Reuters
Trump campaigned saying he would end the Russia-Ukraine war on his first day in office, so there is an element of him wanting to follow through on that promise to voters, even though it’s taken him 200-plus days in office and all he’s got so far is this meeting, without apparently any concessions on Putin’s end.
In Trump’s mind – and in the minds of many of his supporters – he is the master negotiator, the chief dealmaker, and he wants to bolster that reputation.
He is keen to further the notion that he negotiates in a different, more straightforward way than his predecessors and that it is paying dividends.
So far, despite sanctions on Russia, despite warnings and deadlines, the situation in Ukraine is only getting worse.
He’s hoping that this meeting, simply the act of sitting down with Putin, can change the tide.
The Russian president may have different ideas.
US
Trump praises Frank Spencer actor as he prepares for major summit – sometimes the script writes itself
It’s official. Donald Trump will host the 2025 Kennedy Center Honors – Washington’s annual black-tie celebration of artistic achievement.
In previous years, occupants of the White House simply attended the event in the building named after President John F Kennedy.
Earlier this year, the US president sacked the board and installed himself as chairman and is threatening to put his own name on the door.
“GREAT nominees for the TRUMP/KENNEDY Center, whoops, I mean KENNEDY CENTER AWARDS…” he posted on his Truth Social platform.
Vowing that the show will be “non-woke”, he announced this year’s nominees – a stroll through Trump’s cultural sweet spot:
- George Strait, who’s branded the king of country music
- Sylvester Stallone, who, as Rocky Balboa, defeated the Cold War in a boxing ring
- Gloria Gaynor, whose “I will survive” could double as Trump’s campaign theme
- KISS, whose pyrotechnics will have the Secret Service on edge all evening
- And, wait for it, the British Broadway star, Michael Crawford
Crawford’s West End and Broadway career spans Barnum, The Woman in White and, of course, The Phantom Of The Opera..
The Phantom’s tendency to buy grand, chandelier-filled buildings, has won the approval of the real-estate mogul now remodelling the White House.
Read more:
Trump’s aims for Putin summit appear fluid
The snowy remote base where Trump will host Putin for talks
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Trump hopes of Zelenskyy-Putin meeting
But there’s something Americans might have missed – the character who made Michael Crawford a household name back home: Frank Spencer.
The star of the sitcom “Some Mothers Do ‘Ave ‘Em” was endlessly optimistic but completely hapless, and oblivious to his own incompetence.
Revealing that he would host the awards himself, just two days before he hosts Vladimir Putin, is quintessential Trump, the prime-time president.
But “Ooh Betty,” as Frank Spencer would say, when Donald Trump extols Michael Crawford, an icon of slapstick comedy, the script writes itself.
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