I felt I had to go back to help Gaza’s hospitals, says British plastic surgeon
Dr Victoria Rose is a consultant plastic surgeon who worked in Gaza hospitals for two separate periods last year. This is her first-hand story of the war in Gaza.
The word “dire” does not adequately describe the situation in Gaza’s hospitals.
On a daily basis when I was working there, I had a list of at least 10 patients, and 60% of them were under the age of 15.
These were tiny children with life-threatening burns and limbs blown off, often losing significant family members in the attacks and left to cope with their life-changing injuries alone.
Dr Victoria Rose in Gaza
I first joined the charity IDEALS, which helps medical professionals during crises, in Gaza in 2019. I returned last year, working with orthopaedic surgeons.
I felt compelled to go back after becoming aware that a plastic surgeon from Gaza who trained with me in London had been inundated with complex trauma cases since the war broke out in October 2023.
Our aim was to deliver essential surgical equipment and assist our colleagues with the increasing trauma workload they faced. But as the war progressed, it became apparent that we had a third objective: to bear witness.
I worked at the European Gaza Hospital in March 2024 and then returned in August of that year for a month, working at Nasser Hospital.
The transformation of the landscape during these two visits was staggering. The streets were unrecognisable, just pile after pile of dust and rubble. Such a scale of destruction could only be justified if every single building in Gaza was part of Hamas’s infrastructure.
In February 2024, we were denied entry by COGAT – part of the Israel Defence Forces (IDF) controlling activities in the occupied territories – which, regrettably, has become a standard outcome for 50% of foreign doctors attempting to gain access. However, we managed to regain access in May.
Medics treating patients in Gaza
This mission was intended to last four weeks at the European Gaza Hospital. However, due to its bombing on the day we arrived and its subsequent decommissioning by the IDF, we were redirected to Nasser for three and a half weeks.
The population had now been relentlessly displaced, bombed in their tents, deprived of water and sanitation, and ultimately starved. I remember thinking it couldn’t get any worse – and then they cut the internet.
We ploughed on without essential equipment such as painkillers and antibiotics, patching the patients up, knowing that they were likely to be bombed again.
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When we left the hospital we went into the red zone – an area of active fighting that needed to be evacuated.
This meant that nothing could enter without the journey being “deconflicted” by the IDF. Minimal journeys have thus far been deconflicted. Patients struggle to gain entry, and staff cannot leave, as equipment continues to be depleted.
Much of Gaza has been reduced to rubble by Israeli strikes
Nasser is the only hospital in the south equipped with a CT scanner, a blood bank, ICU capabilities and an oxygen generator.
I work with two orthopaedic surgeons who run the IDEALS charity. They have been travelling to Gaza since 2009.
A severely malnourished child in Gaza
IDEALS started the lower limb reconstruction programme in 2013, visiting Gaza every other month and bringing four orthopaedic surgeons back to the UK for short periods of training.
In 2021, I arranged for a plastic surgeon from Gaza to come to London to train with me. He was an incredible trainee and returned to Gaza in February 2023 to take up the post of chief of plastic surgery at Shifa Hospital.
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Gaza crisis ‘acute’ and continuing
Shortly after the war broke out, I felt compelled to help him.
All eyes are now on Israel’s next move.
Gaza: Doctors On The Frontline will air on Sky News at 9pm on 19 June
World
US blocks Palestinian President Mahmoud Abbas and 80 other officials from United Nations’ annual meeting in New York
Palestinian President Mahmoud Abbas and 80 other officials have been blocked from attending September’s annual meeting of the United Nations General Assembly in New York.
US secretary of state Marco Rubio has revoked the US visas of delegates from the Palestinian Authority (PA) and Palestine Liberation Organisation (PLO), and denied others from applying for one.
It is the latest step by Donald Trump’s administration to target Palestinians with visa restrictions, and follows the suspension of a programme to allow injured children from Gaza to receive treatment in the US.
Mahmoud Abbas addressed the general assembly in 2024, but is barred from next month’s meeting. Pic: Reuters
“It is in our national security interests to hold the PLO and PA accountable for not complying with their commitments, and for undermining the prospects for peace,” a statement from the US State Department said.
It added that, to be considered partners for peace, both groups “must consistently repudiate terrorism, and end incitement to terrorism in education, as required by US law and as promised by the PLO”.
Offensive will cause ‘intolerable deaths’
Several US allies, including France, Malta, and Australia have announced plans to recognise Palestine as a state at September’s United Nations General Assembly. Canada and the UK will too, unless Israel meets certain conditions.
Israel declared Gaza’s largest city a dangerous combat zone on Friday.
The army launched a planned offensive that has drawn international condemnation.
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Thick smoke rises from Gaza City after Israeli strikes
Foreign ministers from Iceland, Ireland, Luxembourg, Norway, Slovenia and Spain released a joint statement saying the military operations in Gaza City will cause “intolerable deaths of innocent Palestinian civilians”.
Gaza latest: Israel’s Gaza City offensive condemned
Hundreds of thousands of Palestinians are sheltering in Gaza City while enduring famine.
An Israeli armoured vehicle in northern Gaza on Friday. Pic: AP
Palestinians ride a truck carrying humanitarian aid in Gaza City. Pic: AP
The Palestinian ambassador to the United Nations (UN), Riyad Mansour, said Mr Abbas had planned to lead the delegation to the UN meetings and was expected to address the general assembly at the general debate, which begins on 23 September.
He was also expected to attend a high-level meeting co-chaired by France and Saudi Arabia on 22 September about a two-state solution, a broad idea involving Israel coexisting with an independent Palestinian state.
The State of Palestine is an observer member of the UN, meaning it can speak at meetings but not vote on resolutions.
The State of Palestine cannot vote on UN resolutions. Pic: AP
US decision ‘contravenes international law’
The Palestinian Authority “expressed its deep regret and astonishment” at the visa decision, calling it “a violation of US commitments” as the host of the UN, and claiming it “contravenes international law”.
UN spokesman Stephane Dujarric said the world body would be seeking clarification in the “hope that this will be resolved”.
Hundreds of diplomats left when Israeli leader Benjamin Netanyahu began speaking at the general assembly in 2024. Pic: Reuters
The State Department said that the Palestinian Authority’s mission to the UN, comprising officials who are permanently based there, would not be included in the restrictions.
Under a 1947 UN agreement, the US is generally required to allow access for foreign diplomats to the UN in New York.
But Washington has said it can deny visas for security, extremism and foreign policy reasons.
Read more from Sky News:
Analysis: Israel is killing a lot of journalists
Hospitals ‘overwhelmed’ by malnutrition cases
Tony Blair meets Trump over Gaza
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The death toll in Gaza has now risen to 63,025, according to the Hamas-run health ministry, which does not differentiate between civilians and combatants.
It also reported five more malnutrition-related deaths in the last 24 hours, bringing the total number during the war to 322, with 121 of them children.
World
Brazil implores businesses to attend major climate summit, despite ‘second thoughts’ amid Trump backlash
The Brazilian hosts of the biggest climate meeting of the year have implored businesses to attend in November, amid concerns some are backing away from the climate agenda into the shadow of Donald Trump.
In an interview with Sky News, Ana Toni, chief executive of the COP30 climate summit in November, admitted some companies were having “second thoughts” about the global switch to green economies because policymakers were creating uncertainty.
The US President Donald Trump has been attacking wind farms and waging tariff wars that could slow the transition to green energy.
Banks including HSBC and Barclays have ditched a net zero alliance set up just four years ago by Mark Carney, now the Canadian Prime Minister.
Ana Toni, Brazil’s climate secretary, is chief executive of the COP30 climate talks. Pic: Reuters
But even before Trump took office, tech companies were quietly dropping climate targets to prioritise energy-hungry AI, and other businesses were “greenhushing” their climate initiatives for fear of backlash.
In this environment, there are fears fewer business leaders will attend the annual talks, which are also being hosted in a city on the edge of the Amazon that hasn’t enough hotel rooms.
On Friday, the COP30 team wrote to business leaders urging them to “step forward, not back” and travel to Belem, despite “logistical challenges” and the “background of systemic uncertainty”.
Ana Toni told Sky News: “We are very concerned that the enabling conditions must be there so that the private sector can also deliver where they do best, which is bringing in technology, bringing innovation and accelerating the process of decarbonisation.”
In August the share price of Danish wind farm developer plummeted after the US halted its Rhode Island wind farm, while the British Tories and Reform parties are also attacking net zero.
Ana Toni met with King Charles and leaders of other COP summits at Clarence House last year. Pic: Reuters
But Ms Toni there is “nothing to panic [about], because we can see that the transition is inevitable,” citing major progress in China, India and Europe and Brazil.
Referring to the US’s withdrawal from the COP process, she said: “198 countries minus one is not zero. And we will put all our efforts of working with the 197 countries that want to go forward and want to protect their population.”
“Climate action is not only [still] cool, it is necessary,” Ms Toni said.
“We all need to face reality. We are going through a huge climate crisis… If you’re not part of the solution, you’re part of the problem. Companies understand that.”
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