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Little light, no beds, not enough anesthesia: A view from Gaza's hospitals_我的网站
一 | DEIR AL-BALAH, Gaza Strip -- The only thing worse than the screams of a patient undergoing surgery without enough anesthesia are the terror-stricken faces of those awaiting their turn, a 51-year-old orthopedic surgeon says.When the Israeli bombing intensifies and the wounded swamp the Gaza City hospitals where Dr. Nidal Abed works, he treats patients wherever he can — on the floor, in the corridors, in rooms crammed with 10 patients instead of two. Without enough medical supplies, Abed makes do with whatever he can find – clothes for bandages, vinegar for antiseptic, sewing needles for surgical ones. Hospitals in the Gaza Strip are nearing collapse under the Israeli blockade that cut power and deliveries of food and other necessities to the territory. They lack clean water. They are running out of basic items for easing pain and preventing infections. Fuel for their generators is dwindling.Israel began its bombing campaign after Hamas militants surged across the border on Oct. 7 and killed over 1,400 people, mostly civilians, and abducted more than 200 others. Israel's offensive has devastated neighborhoods, shuttered five hospitals, killed thousands and wounded more people than its remaining health facilities can handle.“We have a shortage of everything, and we are dealing with very complex surgeries,” Abed, who works with Doctors Without Borders, told The Associated Press from Al Quds Hospital. The medical center is still treating hundreds of patients in defiance of an evacuation order the Israeli military gave Friday. Some 10,000 Palestinians displaced by the bombing have also taken refuge in the hospital compound.“These people are all terrified, and so am I," the surgeon said. “But there is no way we'll evacuate.” The first food, water and medicine trickled into Gaza from Egypt on Saturday after being stalled on the border for days. Four trucks in the 20-truck aid convoy were carrying drugs and medical supplies, the World Health Organization said. Aid workers and doctors warned it was not nearly enough to address Gaza’s spiraling humanitarian crisis. “It's a nightmare. If more aid doesn’t come in, I fear we’ll get to the point where going to a hospital will do more harm than good,” Mehdat Abbas, an official in the Hamas-run Health Ministry, said. Across the territory’s hospitals, ingenuity is being put to the test. Abed used household vinegar from the corner store as disinfectant until the stores ran out, he said. Too many doctors had the same idea. Now, he cleans wounds with a mixture of saline and the polluted water that trickles from taps because Israel cut off the water. A shortage of surgical supplies forced some staff to use sewing needles to stitch wounds, which Abed said can damage tissue. A shortage of bandages forced medics to wrap clothes around large burns, which he said can cause infections. A shortage of orthopedic implants forced Abed to use screws that don't fit his patients' bones. There are not enough antibiotics, so he gives single pills rather than multiple courses to patients suffering terrible bacterial infections. “We are doing what we can to stabilize the patients, to control the situation,” he said. “People are dying because of this." When Israel cut fuel to the territory's sole power plant two weeks ago, Gaza's rumbling generators kicked in to keep life-support equipment running in hospitals. Authorities are desperately scrounging up diesel to keep them going. United Nations agencies are distributing their remaining stocks. Motorists are emptying their gas tanks. In some hospitals, the lights have already switched off. At Nasser Hospital in the southern city of Khan Younis this week, nurses and surgical assistants held their iPhones over the operating table, guiding the surgeons with the flashlights as they snipped. At Shifa Hospital, Gaza’s biggest, where Abed also worked this week, the intensive care unit runs on generators but most other wards are without power. Air conditioning is a bygone luxury. Abed catches beads of sweat dripping from his patients’ foreheads as he operates.People wounded in the airstrikes are overwhelming the facilities. Hospitals don't have enough beds for them. “Even a normal hospital with equipment would not be able to deal with what we’re facing,” Abed said. “It would collapse.” Shifa Hospital — with a maximum capacity of 700 people — is treating 5,000 people, general director Mohammed Abu Selmia says. Lines of patients, some in critical condition, snake out of operating rooms. The wounded lie on floors or on gurneys sometimes stained with the blood of previous patients. Doctors operate in crowded corridors filled with moans. The scenes — infants arriving alone to intensive care because no one else in their family survived, patients awake and grimacing in pain during surgeries — have traumatized Abed into numbness. But what still pains him is having to choose which patients to prioritize.“You have to decide," he said. “Because you know that many will not make it."___DeBre reported from Jerusalem.。
二 | 4月27日下午，网传哈尔滨市道里区康安小区一居民楼出现墙体开裂，且裂缝逐渐增大。现场画面显示，事发居民楼楼体外出现明显裂缝，且一侧楼体有倾斜迹象。附近居民称现场能闻到明显煤气味，周边已被警戒线围起，有公安人员在场维持秩序。 4月28日上午，哈尔滨市道里区出现整体倾斜险情的康安小区10号楼拆除工作已经开始。据哈尔滨市道里区政府通报，4月27日，哈尔滨一住宅楼楼体突然裂开逐渐倾斜，该楼体居民已于2022年8月全部迁出安置，现处于空置状态。现场根据专家组排查、监测和技术研判，决定对出现险情的独立结构楼体实施拆除。 据房屋交易网站信息，康安小区建成于1998年，2022年7月27日，黑龙江省哈尔滨市道里区人民政府官方网站曾发布信息称，经现场沉降检测，该区康安三道街31号至45号房屋存在极大安全隐患，房屋内及楼上的企业、商家和人员、物资连夜撤离。据极目新闻消息，官方公布出现安全隐患的房屋正是此次出现整体倾斜险情的康安小区10号楼。 28日，哈尔滨道里区人民政府发布情况通报，表示事发辖区康安小区，出现楼体倾斜的楼现处于空置状态，现决定拆除，通报全文如下： 情况通报 2024年4月27日17时40分，道里区在日常巡查中发现，康安小区由3个独立结构楼体组成的10号楼，其中一个独立结构楼体出现整体倾斜险情（该楼体居民已于2022年8月全部迁出安置，现处于空置状态）。 现场根据专家组排查、监测和技术研判，与之相邻的两个独立结构楼体安全未受影响；决定对出现险情的独立结构楼体实施拆除。 （图源网络 中国小康网综合@青蜂侠Bee、纵览新闻、哈尔滨日报）。
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