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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
Image:
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
Image:
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
Image:
Rahaf Saed plays in the park near her new home in Missouri

Mother and daughter Israa and Rafah
Image:
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
Image:
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
Image:
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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Video emerges of aid workers being fired on in Gaza – contradicting Israeli account of deadly attack

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Video emerges of aid workers being fired on in Gaza - contradicting Israeli account of deadly attack

Footage has emerged of the moment 15 aid workers were killed in Gaza last month – showing their ambulances and fire insignia were clearly visible when Israeli troops are believed to have opened fire on them.

The bodies of 15 aid workers – eight medics working for the Palestine Red Crescent Society (PRCS), six civil defence members, and one United Nations employee – were found in a “mass grave” after the incident, according to the head of the UN Office for Coordination of Humanitarian Affairs Jonathan Whittall.

The Israeli military said it is investigating – claiming before the video came to light that its initial inquiry found its troops opened fire on vehicles without headlights or emergency signals, which therefore looked “suspicious”. It also says there was an evacuation order in place in the area at the time of the incident.

But video footage obtained by the PRCS – and verified by Sky News – shows ambulances and a fire vehicle clearly marked with flashing red lights.

The three vehicles are seen with red flashing lights in the footage
Image:
Vehicles are seen with red flashing lights in the footage

Sky News has used aftermath video and satellite imagery to verify the location and timing of the footage.

It was filmed on 23 March north of Rafah. It shows a convoy of marked ambulances and a fire-fighting vehicle travelling south along a road towards central Rafah. All of the vehicles visible in the convoy have their flashing lights on.

It was filmed early in the morning, with a satellite image seen by Sky News taken at 9.48am local time on the same day showing a group of vehicles bunched together off the road.

The PRCS first posted about losing contact with its crews just before 7am local time.

Satellite imagery shows the area on 26 March, three days later. Tyre tracks are visible, as are groundworks likely created by military vehicles.

Pic: Planet Labs PBC
Image:
Pic: Planet Labs PBC

The footage is first filmed from inside a moving vehicle, through the windscreen a convoy of vehicles is visible – including ambulances and a fire truck with flashing emergency signal lights.

When the convoy stops, a vehicle is seen having veered off the road to the left-hand side.

The vehicle where the video is being filmed from stops and the aid workers get out. Intense gunfire then breaks out and continues for around five minutes.

The paramedic filming the video is heard saying in Arabic that there are Israelis present – and reciting a declaration of faith used before someone dies.

Hebrew voices are also heard in the background but it is not clear what they are saying.

Stills from video footage shows a Red Crescent symbol on the back of one of the vehicles
Image:
The footage was filmed from a moving vehicle

Israel conducting ‘thorough examination’

In a fresh statement on Saturday, the Israel Defence Forces (IDF) said the incident is “under thorough examination”.

“All claims, including the documentation circulating about the incident, will be thoroughly and deeply examined to understand the sequence of events and the handling of the situation,” it added.

In its statement on Saturday, the PCRS said the clip was “found on the phone of martyred EMT Rif’at Radwan, after his body was recovered” and that it “clearly shows that the ambulances and fire trucks they were using were visibly marked, with flashing emergency lights on at the time they were attacked”.

“This video unequivocally refutes the occupation’s claims that Israeli forces did not randomly target ambulances, and that some vehicles had approached ‘suspiciously without lights or emergency markings’,” it added.

‘They should have been protected’

Speaking at the United Nations on Friday, PRCS president Dr Younis Al Khatib said the organisation has “asked for an independent investigation”.

He added: “Something I can release, I heard the voice of one of those kids. I heard the voice of one of those team members who was killed and his phone was found with his body and he recorded the whole event.

“His last words before being shot, ‘Forgive me, mom. I just wanted to help people. I wanted to save lives’.”

Pic: Palestine Red Crescent Society (PRCS)
Image:
Pic: Palestine Red Crescent Society (PRCS)

Dylan Winder, permanent observer of the International Federation of the Red Cross (IFRC) said it is “outraged at the deaths of eight medics from the Palestinian Red Crescent Society killed on duty in Gaza“.

“They were humanitarians. They wore emblems that should have been protected. Their ambulances were clearly marked, and they should have returned to their families. They did not,” he said.

“Even in the most complex conflict zones, there are rules. These rules of international humanitarian law could not be clearer: civilians must be protected, humanitarians must be protected, health services must be protected.”

In a statement issued before the footage of the incident emerged, the IDF said it condemned “the repeated use of civilian infrastructure by the terrorist organisations in the Gaza Strip, including the use of medical facilities and ambulances for terrorist purposes”.

It claimed that several members of the militant groups Hamas and Palestinian Islamic Jihad were killed in the incident.

It did not comment directly on the deaths of the Red Crescent workers but later told the Reuters news agency it had allowed the bodies to be recovered from the area, which it described as an active combat zone.

The clip is filmed through a vehicle windscreen - with three red light vehicles visible in front
Image:
Fifteen people died in the incident on 23 March

Bodies found in ‘mass grave’

The bodies of the missing aid workers were found in sand in the south of the Gaza Strip in what Mr Whittall, called a “mass grave”, marked with the emergency light from a crushed ambulance.

He posted pictures and video of Red Crescent teams digging in the sand for the bodies and workers laying them out on the ground, covered in plastic sheets.

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Bodies of aid workers found in Gaza

Philippe Lazzarini, head of the UN agency for Palestinian Refugees (UNRWA), said that the bodies had been “discarded in shallow graves” in what he called “a profound violation of human dignity”.

According to the UN, at least 1,060 healthcare workers have been killed in the 18 months since Israel launched its offensive in Gaza after Hamas fighters stormed southern Israel on 7 October 2023.

The UN is reducing its international staff in Gaza by a third because of safety concerns.

Palestinian health authorities say more than 50,000 people have been killed since Israel launched its campaign in Gaza in response to the 7 October assault, when Hamas militants crossed the border into southern Israel, killing more than 1,200 people, and taking some 250 hostage.

Gaza’s health ministry records do not distinguish between civilians and combatants.

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Hundreds of names removed from official Gaza war death list

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Hundreds of names removed from official Gaza war death list

Gaza’s health ministry has removed 1,852 people from its official list of war fatalities since October, after finding that some had died of natural causes or were alive but had been imprisoned.

The list of deaths currently stands at 50,609 following the removals. Gaza’s health ministry records do not distinguish between civilians and combatants.

Almost all of the names removed (97%) had initially been submitted through an online form which allows families to record the deaths of loved ones where the body is missing.

The head of the statistics team at Gaza’s health ministry, Zaher Al Wahidi, told Sky News that names submitted via the form had been removed as a precautionary measure pending a judicial investigation into each one.

“We realised that a lot of people [submitted via the form] died a natural death,” Mr Wahidi said. “Maybe they were near an explosion and they had a heart attack, or [living in destroyed] houses caused them pneumonia or hypothermia. All these cases we don’t [attribute to] the war.”

Others submitted via the form were found to be imprisoned or to be missing with insufficient evidence that they had died.

Some families submitting false claims, Mr Wahidi said, may have been motivated by the promise of government financial assistance.

It is the largest removal of names from the list since the war began, and comes after 1,441 names were removed between August and October – 54% of them originating in hospital morgue records rather than the online form.

chart

Mr Wahidi says his team audited the hospital data after receiving complaints from people who had ended up on the list despite being alive.

They found that hospital clerks, when operating without access to the central population registry and lacking full names or dates of birth for the dead, had marked the wrong people as dead in their records.

In total, 8% of people who were listed as dead in August have since been removed from the official death toll. Many of those may later be added back in, as the judicial investigations proceed.

‘It doesn’t look like manipulation’

Gabriel Epstein, a research assistant at US thinktank The Washington Institute for Near East Policy, said there’s no reason to think the errors are the result of deliberate manipulation intended to inflate the share of women and children among the dead.

“If 90% of the removed entries were men aged 18-40, that would look like manipulation,” he said. “But it doesn’t look like that.”

Of those entries removed since the start of the war and whose demographic information was recorded, 41% are men aged 18 to 60, while 59% are women, children and elderly people.

By comparison, 44% of remaining deaths are working-age men. This means that the removals have had the effect of slightly reducing the share of women and children in the official list.

chart

Names were previously added to the list without verification

Until October, Mr Wahidi said, names submitted via the online form had been added to the official list of registered deaths before undergoing a judicial confirmation process.

The publication of unverified deaths submitted via the form had previously led to issues with the data, with 1,295 deaths submitted via the form being removed from the list prior to October. This included 474 people who were later added back again.

Sky News previously understood that names from the form were only published after undergoing judicial confirmation. However, Mr Wahidi says this practice only began in October.

“This does cause me to downgrade the quality of the earlier lists, definitely below where I thought they were,” said Professor Michael Spagat, chair of Every Casualty Counts, an independent civilian casualty monitoring organisation.

Read more:
Analysis: Gaza aid workers’ deaths
What happened to the ceasefire?

A Ministry of Health document from July 2024 confirms that names submitted through the online form were, at the time, included in the official fatality list before being verified.

These names “are initially included in the final count of martyrs, but verification procedures are undertaken afterward”, the document says.

“They basically said that they were posting these things provisionally pending investigation,” said Prof Spagat.

“There may have been literally zero people, including us, who actually absorbed this message, but they weren’t hiding it either.”

More than 1,200 Israelis have been killed in the 7 October attack and ensuing war.


The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.

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Global markets have given Trump a clear no-confidence vote – and his fickleness is making the problem worse

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Global markets have given Trump a clear no-confidence vote - and his fickleness is making the problem worse

Global financial markets gave a clear vote of no-confidence in President Trump’s economic policy.

The damage it will do is obvious: costs for companies will rise, hitting their earnings.

The consequences will ripple throughout the global economy, with economists now raising their expectations for a recession, not only in the US, but across the world.

Tariffs latest: FTSE 100 suffers biggest daily drop since COVID

Financial investors had been gradually re-calibrating their expectations of Donald Trump over the past few months.

Hopes that his actions may not match his rhetoric were dashed on Wednesday as he imposed sweeping tariffs on the US’ trading partners, ratcheting up protectionism to a level not seen in more than a century.

FILE PHOTO: U.S. President Donald Trump holds a "Foreign Trade Barriers" document as he delivers remarks on tariffs in the Rose Garden at the White House in Washington, D.C., U.S., April 2, 2025. REUTERS/Carlos Barria/File Photo
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On Wednesday, Donald Trump announced global tariffs, ratcheting up protectionism. Pic: Reuters

04 April 2025, Hesse, Frankfurt/Main: Stock exchange traders watch their monitors on the trading floor of the Frankfurt Stock Exchange while the display board with the Dax curve shows falling prices. US President Trump had issued a huge tariff package against trading partners around the world. The European Union and China have already announced countermeasures. Photo by: Arne Dedert/picture-alliance/dpa/AP Images
Image:
Traders at the Frankfurt stock exchange watched the DAX plummet on Friday. Pic: Picture-alliance/dpa/AP

Markets were always going to respond to that but they are also battling with another problem: the lack of certainty when it comes to Trump.

More on Donald Trump

He is a capricious figure and we can only guess his next move. Will he row back? How far is he willing to negotiate and offer concessions?

Read more:
No winners from Trump’s tariff gameshow
Trade war sparks ‘$2.2trn’ global sell-off

These are massive unknowns, which are piled on to uncertainty about how countries will respond.

China has already retaliated and Europe has indicated it will go further.

Aerial view of a ro-ro terminal for vehicle shipment in Yantai in eastern China's Shandong province, Thursday, April 3, 2025. (Chinatopix Via AP) CHINA OUT
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Vehicles destined for export, like these in Yantai in eastern China, face massive US tariffs. Pic: Chinatopix/AP

Cargo containers line a shipping terminal at the Port of Oakland on Thursday, April 3, 2025, in Oakland, Calif. (AP Photo/Noah Berger)
Image:
Container ports like Oakland in California might expect activity to fall. Pic: AP

That will compound the problems for the global economy and undoubtedly send shivers through the markets.

Much is yet to be determined, but if there’s one thing markets hate, it’s uncertainty.

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