{"id":20273,"date":"2018-10-29T16:23:21","date_gmt":"2018-10-29T16:23:21","guid":{"rendered":"http:\/\/qatar-news.org\/qatarnewsEn\/?p=20273"},"modified":"2018-10-29T16:23:21","modified_gmt":"2018-10-29T16:23:21","slug":"gazas-drinking-water-spurs-blue-baby-syndrome-serious-illnesses","status":"publish","type":"post","link":"https:\/\/qatar-news.org\/qatarnewsEn\/?p=20273","title":{"rendered":"Gaza’s drinking water spurs blue baby syndrome, serious illnesses"},"content":{"rendered":"
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This article is the first of a two-part series on Gaza\u2019s water crisis. The second, which\u00a0examines solutions to Gaza\u2019s water and health catastrophe, will be published on Tuesday, October 30.<\/em><\/strong><\/p>\n

Gaza –<\/strong> The unshaven doctor with circles under his eyes enters the\u00a0children’s ward at Al Nassar hospital in Gaza City. It’s a Thursday evening, almost the weekend. The ward is\u00a0bleak and\u00a0eerily quiet, but for the occasional\u00a0wail\u00a0of an infant.<\/span><\/p>\n

At each cubicle, sectioned off by curtains, it’s a similar image: A baby lies alone in a bed, hooked up to tubes, wires and a generator; a mother sits in silent witness at the bedside.<\/p>\n

Dr Mohamad Abu Samia, the hospital’s director of paediatric medicine, exchanges a few quiet words with one mother, then gently lifts the\u00a0infant’s gown, revealing a scar from heart surgery nearly half the length of her body.<\/p>\n

At the next cubicle, he attends to a child suffering from severe malnutrition. She lies still, her tiny body connected to a respirator. Because electricity runs only four hours a day in Gaza, the baby must stay here, where generators keep her alive.<\/span><\/p>\n

“We are very busy,” the overwhelmed doctor says.\u00a0“Babies suffering from dehydration, from vomiting, from\u00a0diarrhoea, from fever.” The skyrocketing rate of\u00a0diarrhoea, the world’s\u00a0<\/span>second largest killer<\/span>\u00a0of children under five, is reason enough for alarm.<\/span><\/p>\n

But in recent months Dr Abu Samia has seen sharp rises in\u00a0gastroenteritis, kidney disease, paediatric cancer, marasmus – a disease of severe malnutrition appearing in infants \u2013 and “blue baby syndrome”, an ailment causing\u00a0bluish lips, face, and skin,\u00a0and blood the colour of chocolate. <\/span><\/p>\n

Before, the doctor says, he saw\u00a0“one or two cases”\u00a0of blue baby syndrome in five years. Now it’s the opposite – five cases in one year.<\/span><\/p>\n

Asked if he has studies to back up his findings, he says: “We live in Gaza, in an emergency situation \u2026 We have time only to relieve the problem, not to research it.”<\/span><\/p>\n

Yet Palestinian Ministry of\u00a0Health<\/span> figures support the doctor’s findings. They show a “doubling”\u00a0of\u00a0diarrheal\u00a0disease, rising to epidemic levels, as well as spikes last summer in salmonella and even\u00a0typhoid fever. <\/span><\/p>\n

Independent, peer-reviewed medical journals have\u00a0also\u00a0documented increased\u00a0infant mortality<\/span><\/a>,\u00a0anaemia<\/span><\/a>, and an\u00a0“<\/em>alarming magnitude”\u00a0<\/span>of stunting<\/a> among Gaza’s children. <\/span><\/p>\n

A\u00a0Rand Corporation study<\/a> has found that bad water is a\u00a0leading cause of child mortality<\/span>\u00a0in Gaza. <\/span><\/p>\n

Simply put, Gaza’s children are facing a deadly health epidemic of unprecedented proportions. <\/span><\/p>\n

“So much suffering,”\u00a0says Dr Abu Samia. It is, he says, a matter of “life and death”.<\/span><\/p>\n

Multiple factors are to blame for\u00a0the uncoiling health crisis,\u00a0but medical experts agree on one central culprit: Gaza’s scarce and contaminated drinking water, owing to Israel’s economic siege, its repeated bombing of water and sewage infrastructure and a collapsing aquifer of such poor quality that 97 percent<\/a> of\u00a0Gaza’s drinking-water wells\u00a0<\/em><\/span>are below minimal health standards\u00a0for human consumption.<\/span><\/p>\n

Dr Majdi Dhair, director of preventive medicine at the Palestinian Ministry of Health, reports a “huge increase” in waterborne disease, which he says a “directly related to\u00a0drinking water” and to contamination from untreated sewage water flowing directly into the Mediterranean. <\/span><\/p>\n

A visit to Gaza’s densely-packed Shati\u00a0(or “Beach”)\u00a0refugee camp\u00a0helps explain\u00a0why. There, 87,000 refugees and their families – expelled from their towns and villages during the creation of Israel in 1948 – are packed into half a square kilometre of cement-block structures along the Mediterranean.<\/span><\/p>\n

“Water and electricity? Forget about it,” says Atef Nimnim, who lives with his mother, wife, and two younger generations – 19 Nimnims in all – in a small three-room dwelling in Shati.<\/span><\/p>\n

The Gaza aquifer that sputters through\u00a0their taps is far too salty, hardly anyone in Gaza drinks it any more. For drinking water, Atef’s 15-year-old son piles plastic jugs onto a wheelchair and rolls it to the mosque, where he fills the family’s containers, courtesy of Hamas<\/a>.<\/span><\/p>\n

Most families, even in the refugee camps,\u00a0<\/span>spend up to half their modest income on the desalinated water from Gaza’s unregulated wells. But even that sacrifice comes at a cost.<\/p>\n

Faecal contamination<\/span><\/h2>\n

Palestinian Water Authority tests show that up to 70 percent of the desalinated water delivered by a small army of private trucks and stored in the camps’ rooftop tanks, is prone to faecal contamination.<\/span><\/p>\n

Even\u00a0microscopic\u00a0amounts of E coli can bloom into a health crisis.<\/span><\/p>\n

The reason for that, explains\u00a0Gregor von Medeazza, UNICEF’s\u00a0water and sanitation specialist for Gaza, is that the longer the E coli remain in the water, the more “they start growing” in the water and the worse it\u00a0gets.\u00a0This leads to chronic diarrhoea, which in turn can lead to stunting in Gaza’s children, as a\u00a0British medical journal\u00a0<\/span>recently documented<\/a>. One effect, von\u00a0Medeazza\u00a0says, is on “brain development,” and a “measurable effect on the IQ” of affected children.\u00a0<\/span><\/p>\n

High salinity and nitrate levels from Gaza’s collapsing aquifer –<\/span>\u00a0so badly\u00a0overpumped<\/span><\/span>\u00a0that seawater is flowing in – are at the root of many of Gaza’s health problems. <\/span>Elevated nitrate levels<\/span>\u00a0lead to hypertension and renal failure, and\u00a0are linked to the rise in blue baby syndrome. Waterborne maladies like infant diarrhoea, salmonella and typhoid fever are\u00a0caused by\u00a0faecal contamination – both from the rooftop desalinated water and from the\u00a0<\/span>110 million litres<\/span>\u00a0<\/span>of\u00a0raw and poorly-treated\u00a0sewage that flows into the Mediterranean every day.\u00a0<\/span><\/span><\/p>\n

Because electricity here is shut off for 20 hours a day, Gaza’s sewage plant is essentially useless; hence, brown water spews into the sea, 24\/7, from long pipes above a beach just north of Gaza City. Yet in the summertime, children continue\u00a0to swim along Gaza’s beaches.\u00a0<\/span><\/p>\n

In 2016, five-year-old Mohammad Al-Sayis\u00a0swallowed sewage-laced seawater, ingesting faecal bacteria that led to a fatal\u00a0<\/span>brain disease<\/span>. Mohammad’s was the\u00a0<\/span>first known death<\/span>\u00a0by sewage in Gaza.<\/span><\/p>\n

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Children make their way through sewage water in Mighraqa neighbourhood on the outskirts of Gaza City [File: Khalil Hamra\/AP Photo]<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n

Making matters worse:\u00a0<\/span>Israeli rockets and shells\u00a0<\/span>damaged or destroyed Gaza\u00a0water\u00a0<\/span>towers<\/span>\u00a0and pipelines,\u00a0<\/span>wells<\/span>\u00a0and\u00a0<\/span>sewage plants<\/span>\u00a0causing an estimated\u00a0$34m in damages. This further\u00a0crippled the delivery of safe, clean water, deepening the health catastrophe here. An even greater impact comes from\u00a0Israel’s economic blockade, which Dr Abu Samia blames directly on the area’s growing malnutrition. <\/span><\/p>\n

The severe shortages of water and electricity, along with rising poverty,\u00a0have damaged nutritional levels,\u00a0Dr Abu Samia says. <\/span><\/p>\n

“It is affecting babies.”\u00a0<\/span><\/span><\/p>\n

Before the siege, he said, he had no patients suffering from\u00a0malnutrition. <\/span><\/p>\n

Now he frequently sees children with nutritional disease. <\/span><\/p>\n

“We are seeing babies with marasmus” – a severe\u00a0nutritional\u00a0disease. “The last two years, it is increasing more and more.”\u00a0<\/span><\/p>\n

Gazans well remember the\u00a0<\/span>cynical words<\/span>\u00a0of Israeli minister Dov Weissglas in 2006, when he infamously compared the blockade to “a\u00a0meeting with a dietician \u2026We have to make them much thinner, but not enough to die.”<\/span><\/p>\n

Gaza to become\u00a0uninhabitable by 2020<\/span><\/span><\/h2>\n

Now, quite apart from the hundreds of deaths by rockets, missiles and bullets in the three most recent Gaza wars, children here are getting ill and dying from bad water and the\u00a0infectious diseases that result.<\/span><\/p>\n

“Occupation and siege are the primary impediments to the successful promotion of public health in the Gaza Strip,” declared a 2018 study in\u00a0the\u00a0<\/span>Lancet,<\/span>\u00a0which cited “significant and deleterious effects to health care.” <\/span><\/p>\n

Without a major intervention by the international community, and soon, humanitarian groups warn Gaza will become\u00a0<\/span>uninhabitable by 2020<\/span>\u00a0– barely a year from now.<\/span><\/p>\n

Failure to urgently intervene will result in “a huge collapse”, says Adnan Abu Hasna, Gaza spokesperson for UNRWA, the UN agency for Palestinian refugees, which recently had all its US funding\u00a0<\/span>cut<\/span>\u00a0by the Trump administration.\u00a0<\/span><\/p>\n

Otherwise, in less than two years, he says, “Gaza will not be a liveable place.”<\/span><\/p>\n

And yet, liveable or not, the vast majority of Gaza’s two million people have nowhere else to go. Most are simply trying to live as normal lives as possible under extremely abnormal circumstances.<\/span><\/p>\n

At dusk on\u00a0a summer night, on a spit of\u00a0rock and earth in the middle of Gaza harbour, five of those two million people try to enjoy a few minutes of quiet.\u00a0<\/span><\/span><\/p>\n

All around Ahmad and Rana Dilly and their three young children, the harbour\u00a0ripples\u00a0with life.\u00a0Fishermen haul in their nets. Kids pose for selfies on broken concrete blocks and rebar –\u00a0remnants of an old bombing raid.<\/span><\/p>\n

Rana pours mango soda; Ahmad insists\u00a0on handing out some chocolate wafers.\u00a0<\/span><\/p>\n

“You are with Palestinians,” he laughs, dismissing those who reject his offer.<\/span><\/p>\n

Their three young children\u00a0nibble on chips.<\/span><\/p>\n

The Dillys have the same problems as many Gaza families. <\/span><\/p>\n

Ahmad, a money changer, had to rebuild his shop in 2014 after an Israeli missile destroyed it.<\/span><\/p>\n

Like most Gazans, the family has to contend with the salty water from the taps and the inherent risks of disease from the trucked water they rely on. But these problems mean little to them compared with their wish to feel safe and to enjoy fleeting moments of living like a normal family.<\/span><\/p>\n

“I\u00a0know the situation is horrible, but I just want to let my kids have a little change from time to time,” Ahmad\u00a0says. “I want them to see something different.\u00a0I want my family to feel safe.” <\/span><\/p>\n

In the distance,\u00a0an explosion\u00a0echoes. Ahmad pauses for a short moment, then ignores it.\u00a0<\/span><\/span><\/p>\n

He says, “I come here\u00a0to the sea, and forget about all the world.”<\/span><\/p>\n

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The Dilly family visit a spit of land near the Gaza harbour to escape their daily difficulties [Abdel Kareem Hana\/Al Jazeera]<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

This article is the first of a two-part series on Gaza\u2019s water crisis. The second, which\u00a0examines solutions to Gaza\u2019s water and health catastrophe, will be published on Tuesday, October 30. Gaza – The unshaven doctor with circles under his eyes enters the\u00a0children’s ward at Al Nassar hospital in Gaza City. It’s a Thursday evening, almost…<\/p>\n","protected":false},"author":10,"featured_media":20274,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-20273","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-middle_east_news"],"_links":{"self":[{"href":"https:\/\/qatar-news.org\/qatarnewsEn\/index.php?rest_route=\/wp\/v2\/posts\/20273","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/qatar-news.org\/qatarnewsEn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/qatar-news.org\/qatarnewsEn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/qatar-news.org\/qatarnewsEn\/index.php?rest_route=\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/qatar-news.org\/qatarnewsEn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20273"}],"version-history":[{"count":0,"href":"https:\/\/qatar-news.org\/qatarnewsEn\/index.php?rest_route=\/wp\/v2\/posts\/20273\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/qatar-news.org\/qatarnewsEn\/index.php?rest_route=\/wp\/v2\/media\/20274"}],"wp:attachment":[{"href":"https:\/\/qatar-news.org\/qatarnewsEn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/qatar-news.org\/qatarnewsEn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/qatar-news.org\/qatarnewsEn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}