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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
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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 Rafah's legs had to be amputated
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Both Rahaf’s legs had to be amputated

Rafah at home in Gaza
Image:
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.

Rafah plays in the park near her new home in Missouri
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Rahaf Saed plays in the park near her new home in Missouri

Mother and daughter Israa and Rafah
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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
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The family’s apartment block before it was bombed

Israa and Rafah's apartment block as it was bombed in August
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The apartment building engulfed in flames as it was bombed in August

The apartment block after it was bombed
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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.

An x-ray shows a section of bone still missing in Rafah's right forearm
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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.

Rafah back in Gaza
Image:
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.

Rafah

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, Rafah and Sky correspondent Mark Stone
Image:
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.

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‘Don’t bite me’: Man heard screaming moments before fatal shark attack in Sydney

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'Don't bite me': Man heard screaming moments before fatal shark attack in Sydney

A man was heard screaming in the water moments before he died after a shark attack in Sydney, witnesses have said.

Emergency services responded to reports that a man in his 50s had suffered critical injuries at Long Reef Beach shortly after 10am (1am in the UK) on Saturday.

The man, whose identity has yet to be confirmed, was brought to shore but died at the scene, authorities have said.

Two sections of a surfboard have been recovered and taken for examination, and beaches near the area are closed as drones search for the animal.

Police are liaising with wildlife experts to determine the species of shark involved.

Pic: Sky News Australia
Image:
Pic: Sky News Australia

Surfer screamed ‘don’t bite me’

Speaking to Sky News Australia, witness Mark Morgenthal said he saw the attack and that the shark was one of the biggest he had ever seen.

“There was a guy screaming, ‘I don’t want to get bitten, I don’t want to get bitten, don’t bite me,’ and I saw the dorsal fin of the shark come up, and it was huge,” Mr Morgenthal said.

“Then I saw the tail fin come up and start kicking, and the distance between the dorsal fin and the tail fin looked to be about four metres, so it actually looked like a six-metre shark.”

Mark Morgenthal said it 'looked like a six metre shark' in the attack. Pic: Sky News Australia
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Mark Morgenthal said it ‘looked like a six metre shark’ in the attack. Pic: Sky News Australia

Victim was a father and experienced surfer

New South Wales Police Superintendent John Duncan said at a press conference that the victim was 57 years old, calling the incident a “terrible tragedy”.

“The gentleman had gone out about 9.30 this morning with some of his friends, about five or six of his mates,” he added. “He’s an experienced surfer that we understand.

“Unfortunately, it would appear that a large, what we believe to be a shark, has attacked him. And as a result of that, he lost a number of limbs.

“His colleagues managed to make it back to the beach safely, and a short time later, his body was found floating in the surf, and a couple of other people went out and recovered it.”

Mr Duncan added that officers “understand he leaves behind a wife and a young daughter… and obviously tomorrow being Father’s Day is particularly critical and particularly tragic”.

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Local surfer and eyewitness Bill Sakula also told reporters at the beach: “It’s going to send shockwaves through the community.

“Everyone is going to be a little bit nervous for a while.”

Read more:
British couple killed in Lisbon funicular crash named
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Surf Life Saving NSW has deployed a drone to search for further shark activity.

Its chief executive Steve Pearce said: “Our deepest condolences go to the family of the man involved in this terrible tragedy.”

Shark attacks are very rare, with this incident widely thought to be the first in New South Wales this year.

The last time a person in Sydney was killed in a shark attack was in February 2022 – the city’s first fatal shark attack since 1963.

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British couple killed in Lisbon funicular crash named

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British couple killed in Lisbon funicular crash named

Two of the three Britons killed in the Lisbon funicular crash have been named.

Kayleigh Smith, 36, and William Nelson, 44, were a couple and died alongside 14 others in Wednesday’s incident.

Ms Smith graduated from the Arden School of Theatre in Manchester, where Mr Nelson ran the master’s degree in directing.

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Lisbon crash: What happened?

The identity of the third British victim has not yet been confirmed.

MADS theatre in Macclesfield, Cheshire, said Ms Smith was a “valued member of our society” who will be “greatly missed”.

It said she was an award-winning director and actress, who had also done multiple crew and front-of-house roles.

Five Portuguese citizens died when the packed carriage plummeted out of control – four of them workers at a charity on the hill – but most victims were foreigners.

Police said the other fatalities were two Canadians, two South Koreans, one American, one French citizen, one Swiss and one Ukrainian.

All but one were declared dead at the scene – and 21 others in the packed carriage were injured.

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‘We felt no brakes anymore’

The yellow carriages of the Gloria funicular are a big draw for tourists, as well as a proud symbol of the Portuguese capital.

The journey is just 265m (870ft) up a steep hill and takes three minutes, with two carriages travelling in opposite directions on a linked cable.

Read more:
Everything we know about the Lisbon crash

Witnesses reported seeing one of the carriages hurtle down the hill before derailing and crashing 30m from the bottom.

The aftermath shows it crumpled and twisted against the side of a building.

People who were in the bottom carriage said they were a few metres into the climb when it started going backwards.

When they saw the other car speeding towards them, many jumped through the windows to escape.

The crash happened around 6pm on Wednesday. Pic: Reuters
Image:
The crash happened around 6pm on Wednesday. Pic: Reuters

Prime Minister Luis Montenegro called the crash “one of the biggest tragedies of our recent past” and authorities are under intense pressure to quickly identifying the cause.

One witness who was in the lower carriage told Sky’s Europe correspondent Alistair Bunkall that the brakes appeared to fail.

The carriage’s brakeman, Andre Marques, has also been confirmed among the dead.

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‘I screamed, we’re all going to die’

Officials said the streetcar, which has been running since 1914, had a half-hour visual inspection every day and underwent full maintenance last year.

The line links the downtown area near Restauradores Square with Lisbon’s Bairro Alto neighbourhood.

A preliminary technical report due on Friday has now been delayed until Saturday. Another report with a broader scope is expected within 45 days.

Three other funicular lines in Lisbon have been suspended.

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Vladimir Putin sends grave warning to Ukraine’s allies over Western troop deployment

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Vladimir Putin sends grave warning to Ukraine's allies over Western troop deployment

Russian President Vladimir Putin has said any foreign troops operating as part of a peacekeeping force in Ukraine would be considered a “legitimate target” by Moscow.

It comes a day after French President Emmanuel Macron said 26 of Ukraine’s allies had formally committed to deploying troops “by land, sea or air” to help guarantee Kyiv’s security the day after any ceasefire or peace is achieved.

Mr Macron stressed any troops would be deployed to prevent “any new major aggression” and not at the frontline, adding the force does “not have the will or the objective of waging war against Russia”.

Mr Putin quickly poured cold water on the proposals when speaking at an economic forum in Russia’s eastern Vladivostok region on Friday.

Directly responding to Mr Macron’s comments, he said: “If any troops appear there, especially now, during military operations, we proceed from the fact that these will be legitimate targets for their destruction.

“And if decisions are reached that lead to peace, to long-term peace, then I simply do not see any sense in their presence on the territory of Ukraine, full stop.”

Russia has long argued that one of its reasons for going to war in Ukraine was to prevent NATO from admitting Kyiv as a member and placing its forces in Ukraine.

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Speaking today, Ukrainian President Volodymyr Zelenskyy said it was important that security guarantees “start working now, during the war, and not only after it ends”.

On Thursday, NATO chief Mark Rutte said Russia had no veto on Western troops being deployed to Ukraine: “Why are we interested in what Russia thinks about troops in Ukraine? It’s a sovereign country. It’s not for them to decide.”

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Our Moscow correspondent Ivor Bennett reveals the that three things Vladimir Putin’s warning to foreign peacekeeping troops in Ukraine reveals.

‘Please come to Moscow’

Mr Putin also addressed the chances of a direct meeting between himself and Mr Zelesnkyy aimed at ending the war.

Such a proposal looked positive after the Russian met Donald Trump in Alaska last month, but Mr Putin said on Friday he did not see much point in such a meeting because “it will be practically impossible to reach an agreement with the Ukrainian side on key issues”.

However, he reiterated an offer he made earlier this week to host Mr Zelenskyy for talks in Moscow, which Ukraine’s defence minister previously declared as “knowingly unacceptable”.

“I said: ‘I’m ready, please, come, we will definitely provide working conditions and security, a 100% guarantee’,” Mr Putin said.

Russian President Vladimir Putin visits an interactive exhibition in Vladivostok. Pic: Sputnik/Reuters
Image:
Russian President Vladimir Putin visits an interactive exhibition in Vladivostok. Pic: Sputnik/Reuters

“But if they tell us: ‘we want to meet with you, but you have to go somewhere else for this meeting’, it seems to me that these are simply excessive requests on us.”

Speaking at a news conference in Paris on Thursday, Mr Zelenskyy said US mediators informed him about Mr Putin’s invitation.

“Our American partners told us that Putin invited me to Moscow, and I believe that if you want to avoid a meeting, you should invite me to Moscow,” he said.

However, he said the fact that the issue of organising a meeting arose was “not bad”.

Drone strikes continue

While talks to end the war continue at a diplomatic level, more heavy drone strikes were recorded across Ukraine.

Kyiv’s air force said Moscow attacked Ukraine overnight with 157 strike and decoy drones, as well as seven missiles of various types.

Air defences shot down or jammed 121 of the drones, it said, but 35 drones and seven missiles still struck 10 locations.

Russian drone attack damages houses in Dnipro. Pic: Reuters
Image:
Russian drone attack damages houses in Dnipro. Pic: Reuters

Russian drone attack damages houses in Dnipro. Pic: Reuters
Image:
Russian drone attack damages houses in Dnipro. Pic: Reuters

Elsewhere, Russian troops destroyed 92 Ukrainian drones overnight, according to its defence ministry.

Local social media channels in the city of Ryazan, approximately 200 kilometres (125 miles) southeast of Moscow, reported that the city’s Rosneft oil refinery had been targeted. Ryazan’s regional governor said that drone debris had fallen on an “industrial enterprise” but did not give further details.

Ukraine has stepped up attacks on Russian oil infrastructure that it says fuels Moscow’s war effort in recent months.

Military analyst Professor Michael Clarke said Ukraine’s campaign on Russia’s oil refineries has been a successful one so far, but doubts it will hurt Moscow’s war machine too much.

“Will that directly affect the war? Probably not. Because the Russian military runs on diesel,” he said.

“It filters through to the war in the sense that it inconveniences and bothers the Russians and reminds the Russian population that this war has a cost to them as well.”

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