Effects of the 2008–2009 Israel–Gaza conflict
Encyclopedia
There are multiple humanitarian, medical, economic, and industrial effects of the 2008–2009 Gaza War which started with the Israeli air strikes on 27 December 2008 and ended on 18 January with a cease-fire implemented unilaterally by Israel, and later the same day by Hamas and other Palestinian factions. The cease-fire followed twenty-two days of bombardment by land, sea and air which left over 1,300 Palestinians dead and over 5,000 injured, and the death of 13 Israelis. The United Nations Development Programme warned that there will be long-term consequences of the attacks on Gaza because the livelihoods and assets of tens of thousands of Gaza civilians have been affected.

Gaza humanitarian crisis

The United Nations Office for the Coordination of Humanitarian Affairs
Office for the Coordination of Humanitarian Affairs
The United Nations Office for the Coordination of Humanitarian Affairs , is a United Nations body formed in December 1991 by General Assembly Resolution 46/182...

 states that the Gaza strip humanitarian crisis is significant and should not be understated. The UN stated in 2009 that the situation in the Gaza Strip was a "human dignity crisis," entailing "a massive destruction of livelihoods and a significant deterioration of infrastructure
Infrastructure
Infrastructure is basic physical and organizational structures needed for the operation of a society or enterprise, or the services and facilities necessary for an economy to function...

 and basic services." Fear and panic were widespread, with 80 percent of the population unable to support themselves and dependent on humanitarian assistance. The International Red Cross
International Committee of the Red Cross
The International Committee of the Red Cross is a private humanitarian institution based in Geneva, Switzerland. States parties to the four Geneva Conventions of 1949 and their Additional Protocols of 1977 and 2005, have given the ICRC a mandate to protect the victims of international and...

 said the situation was "intolerable" and a "full blown humanitarian crisis."

On January 3, prior to the IDF ground operation, Israel's foreign minister Tzipi Livni
Tzipi Livni
Tzipporah Malkah "Tzipi" Livni is an Israeli lawyer and politician. She is the current Israeli Opposition Leader and leader of Kadima, the largest party in the Knesset. Raised an ardent nationalist, Livni has become one of her nation's leading voices for the two-state solution. In Israel she has...

 stated that Israel had taken care to protect the civilian population of Gaza, and that it had kept the humanitarian situation "completely as it should be", maintaining Israel's earlier stance. The head of the Arab League
Arab League
The Arab League , officially called the League of Arab States , is a regional organisation of Arab states in North and Northeast Africa, and Southwest Asia . It was formed in Cairo on 22 March 1945 with six members: Egypt, Iraq, Transjordan , Lebanon, Saudi Arabia, and Syria. Yemen joined as a...

, Amr Moussa
Amr Moussa
Amr Mohammed Moussa is an Egyptian politician and diplomat who was the Secretary-General of the Arab League, a 22-member forum representing Arab states, from 1 June 2001 until 1 June 2011. He is a candidate in the 2011 Egyptian presidential election....

, criticised Livni for the statement and further criticised the Security Council for not responding faster to the crisis. On subsequent reports, the UN stated that "only an immediate cease-fire will be able to address the large-scale humanitarian and protection crisis that faces the people of Gaza."

Protection and displacement

The UN
United Nations
The United Nations is an international organization whose stated aims are facilitating cooperation in international law, international security, economic development, social progress, human rights, and achievement of world peace...

 described the situation as a "critical protection crisis". The entire civilian population in the Gaza strip remains vulnerable, the UN reported, with no safe haven, no bomb shelters and with closed borders, making it one of the rare conflicts where civilians have no place to flee. There is a sense of "panic, fear and distress" throughout the whole strip. Civilians have implemented a self-imposed curfew since no public warning systems or effective shelters exist. People have been evacuating their homes and staying in streets for long hours exposed to further danger, or staying with relatives. Civilians face insecurities while re-stocking basic food items, water and cooking gas. Children, 56% of the population, have no outlets and they remain "dangerously exposed" to the fighting around them.

The Palestinian Red Crescent
Palestine Red Crescent Society
The Palestine Red Crescent Society was founded in 1968, by Fathi Arafat, Yassar Arafat's brother. It is a humanitarian organization that part of the International Red Cross and Red Crescent Movement. It provides hospitals, emergency medicine and ambulance services, and primary health care centers...

 estimates that thousands of homes have been damaged and it became "increasingly difficult" for their residents to stay in them due to the cold weather. The UNRWA
United Nations Relief and Works Agency for Palestine Refugees in the Near East
United Nations Relief and Works Agency for Palestine Refugees in the Near East is a relief and human development agency, providing education, health care, social services and emergency aid to 5 million Palestine refugees living in Jordan, Lebanon and Syria, as well as in the West Bank and the Gaza...

 has prepared its schools to act as temporary shelters for displaced persons. As reported by both the Save the Children Alliance
International Save the Children Alliance
The International Save The Children Alliance is a worldwide non-profit organisation which aims to improve the living of children. There are 27 Save the Children member organisations around the world....

 and the Al Mezan Center
Al Mezan Center for Human Rights
The Al Mezan Center for Human Rights is a nongovernmental organization based in the Jabalia Palestinian refugee camp in the Gaza Strip. Al Mezan was chartered "to promote, protect and prevent violations of human rights in general and economic, social and cultural rights in particular, to provide...

, prior to the IDF
Israel Defense Forces
The Israel Defense Forces , commonly known in Israel by the Hebrew acronym Tzahal , are the military forces of the State of Israel. They consist of the ground forces, air force and navy. It is the sole military wing of the Israeli security forces, and has no civilian jurisdiction within Israel...

 ground operation on January 3, more than 13,000 people (2000 families) have been displaced in the strip. The majority of those families seek shelter with relatives while others are staying at the temporary emergency shelters provided by the UNRWA
United Nations Relief and Works Agency for Palestine Refugees in the Near East
United Nations Relief and Works Agency for Palestine Refugees in the Near East is a relief and human development agency, providing education, health care, social services and emergency aid to 5 million Palestine refugees living in Jordan, Lebanon and Syria, as well as in the West Bank and the Gaza...

. As of the thirteenth of day the Israeli military operation, 21,200 displaced Palestinian people were staying at these shelters. By the third week of the attacks, this number has increased by 14,300 refugees, reaching 35,520 Palestinians staying under the UNRWA shelters. In the same period, Al Mezan Center
Al Mezan Center for Human Rights
The Al Mezan Center for Human Rights is a nongovernmental organization based in the Jabalia Palestinian refugee camp in the Gaza Strip. Al Mezan was chartered "to promote, protect and prevent violations of human rights in general and economic, social and cultural rights in particular, to provide...

 also estimated that a total of 80,000-90,000 Palestinians have been displaced, including up to 50,000 children. The numbers of displaced refugees are constantly increasing that UNRWA had to open new emergency shelters throughout the Gaza strip. The shelters are overcrowded and are sheltering double their originally planned capacities.

By 18 January, the number of Palestinians seeking the UNRWA shelters has peaked to around 51,000 displaced people, with only basic level of support due to the unprecedented number of refugees. After the unilateral lull, displaced persons began moving from the emergency centers. As of 23 January, UNRWA was still operating 15 emergency centers while aiming to close those shelters as soon as possible so that they can reopen the schools. As of 9 February, three non-school UNRWA shelters remain open, hosting 388 displaced people. Thousands of Gazans remain homeless.

After the end of the Israeli operation and moving from the emergency shelters, many Palestinians (preliminary assessments shows 10,991 displaced household
Household
The household is "the basic residential unit in which economic production, consumption, inheritance, child rearing, and shelter are organized and carried out"; [the household] "may or may not be synonymous with family"....

s, or 71,657 people) have been homeless and remain with host families due to the extensive attacks. The host families are overstretched and face shortages of food, non-food items, water and electricity. Priority needs for those families include kitchen sets, hygiene kits, blankets, mattresses and plastic sheeting.

One year after the ceasefire approximately 20,000 people remained displaced.

Buildings destruction

Aid agencies have reported that Gaza "looks like earthquake zone": widespread destruction of houses, infrastructure, roads, greenhouses, cemeteries, mosques and schools are reported in Jabalia
Jabalia
Jabalia also Jabalya is a Palestinian city located north of Gaza City. It is under the jurisdiction of the North Gaza Governorate, in the Gaza Strip. According to the Palestinian Central Bureau of Statistics, Jabalia had a population of 82,877 in mid-year 2006...

, Tal Al Hawa, Beit Hanoun
Beit Hanoun
Beit Hanoun is a city on the north-east edge of the Gaza Strip. According to the Palestinian Central Bureau of Statistics, the town had a population of 32,187 in mid-year 2006. It is administered by the Palestinian Authority...

, and Beit Lahia
Beit Lahia
Beit Lahia is a city located north of Jabalia, near Beit Hanoun and the 1949 Armistice Line with Israel. According to the Palestinian Central Bureau of Statistics, the city had a population of 59,540 in mid-year 2006. Hamas, an Islamist party, took control of it during the 2005 municipal...

 in the northern Gaza Strip. According to the ICRC
International Committee of the Red Cross
The International Committee of the Red Cross is a private humanitarian institution based in Geneva, Switzerland. States parties to the four Geneva Conventions of 1949 and their Additional Protocols of 1977 and 2005, have given the ICRC a mandate to protect the victims of international and...

, "a number of areas, including parts of Beit Lahia looked like the aftermath of a strong earthquake". Meanwhile, Al Mezan Center field workers reported that "entire urban blocks have disappeared" in North Gaza and eastern of Gaza City. The International Red Cross reports that in Jabalia
Jabalia
Jabalia also Jabalya is a Palestinian city located north of Gaza City. It is under the jurisdiction of the North Gaza Governorate, in the Gaza Strip. According to the Palestinian Central Bureau of Statistics, Jabalia had a population of 82,877 in mid-year 2006...

 alone, between one and two thousand households are now living in the rubble of their houses. John Holmes
John Holmes (British diplomat)
Sir John Holmes, GCVO, KBE, CMG is a British diplomat who is a former United Nations Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator-Life and career:Holmes was born in Preston, in the north of England...

, the Under-Secretary General
Under-Secretary-General of the United Nations
An Under-Secretary-General of the United Nations is a senior official within the United Nations System, normally appointed by the General Assembly on the recommendation of the Secretary-General for a renewable term of four years....

 of the United Nations, in his statement to the Security Council
United Nations Security Council
The United Nations Security Council is one of the principal organs of the United Nations and is charged with the maintenance of international peace and security. Its powers, outlined in the United Nations Charter, include the establishment of peacekeeping operations, the establishment of...

, reports that he saw an entire industrial and residential area in East Jabalia which had been "systematically bulldozed", an area of at least one square kilometer and that one of the best schools in Gaza is reduced to rubble 2,000 refugee
Refugee
A refugee is a person who outside her country of origin or habitual residence because she has suffered persecution on account of race, religion, nationality, political opinion, or because she is a member of a persecuted 'social group'. Such a person may be referred to as an 'asylum seeker' until...

 families had their shelters totally destroyed. UNRWA
United Nations Relief and Works Agency for Palestine Refugees in the Near East
United Nations Relief and Works Agency for Palestine Refugees in the Near East is a relief and human development agency, providing education, health care, social services and emergency aid to 5 million Palestine refugees living in Jordan, Lebanon and Syria, as well as in the West Bank and the Gaza...

 was ready to provide cash assistance and shelter repair for those families, but has been unable to deliver this assistance to beneficiaries due to a shortage of liquidity and construction material in the Gaza Strip.

An initial survey conducted by the UNDP
United Nations Development Programme
The United Nations Development Programme is the United Nations' global development network. It advocates for change and connects countries to knowledge, experience and resources to help people build a better life. UNDP operates in 177 countries, working with nations on their own solutions to...

 estimates that 14,000 homes, 68 government buildings, and 31 non-governmental organization offices (NGOs) were either totally or partially damaged. As a result, an estimated 600,000 tonnes of concrete rubble will need to be removed. Since 2007, construction material have not permitted entry into Gaza, adversely affecting UN
United Nations
The United Nations is an international organization whose stated aims are facilitating cooperation in international law, international security, economic development, social progress, human rights, and achievement of world peace...

 projects, in particular UNRWA
United Nations Relief and Works Agency for Palestine Refugees in the Near East
United Nations Relief and Works Agency for Palestine Refugees in the Near East is a relief and human development agency, providing education, health care, social services and emergency aid to 5 million Palestine refugees living in Jordan, Lebanon and Syria, as well as in the West Bank and the Gaza...

 and UNDP which were forced to suspend more than $100 million in construction projects due to lack of materials. Another UNDP rapid damage assessment of 170 out of the 407 government and private schools in the Gaza strip found that ten schools were severely damaged, and that 160 government and ten private schools were partially damaged during the Israeli military operation. Eight kindergartens were severely damaged and 60 were partially damaged. The UN humanitarian office
Ocha
Ocha is a genus of moth in the family Lasiocampidae....

 stated that repairing such schools remains an urgent priority. Ten UNICEF tents were brought to Gaza to be used as learning spaces in the most damage-stricken areas. The Israeli Coordinator of Government Activities in the Territories
Coordinator of Government Activities in the Territories
The Coordinator of Government Activities in the Territories is a unit in the Israeli Ministry of Defense that engages in coordinating civilian issues between the Government of Israel, the Israel Defense Forces, international organizations, diplomats, and the Palestinian...

 has confirmed that there is as yet no intention to revise the policy prohibiting clearance of reconstruction materials which would enable aid agencies working in Gaza to transition to rehabilitation and reconstruction.

A satellite-based damage assessment of the Gaza Strip by the United Nations revealed 2,692 destroyed and severely damaged buildings, 220 impact craters on roads and bridges with an estimated length of 167 kilometres (103.8 mi) of paved and unpaved roads damaged, 714 impact craters on open ground or cultivated land with an estimated land area of 2100 hectares (21 km²), 187 greenhouses completely destroyed or severely damaged with an estimated area of 28 hectare (0.28 km²), and 2232 hectares (22.3 km²) of demolished zones targeted by IDF bulldozers, tanks and phosphorus shelling.

Vandalization of Gazan homes by the Israeli defense forces has been reported: plastic bottles of urine
Urine
Urine is a typically sterile liquid by-product of the body that is secreted by the kidneys through a process called urination and excreted through the urethra. Cellular metabolism generates numerous by-products, many rich in nitrogen, that require elimination from the bloodstream...

 and closed bags of excrement were left. There were also houses where excrement was smeared on the walls or in dry piles in corners. In many cases, Haaretz
Haaretz
Haaretz is Israel's oldest daily newspaper. It was founded in 1918 and is now published in both Hebrew and English in Berliner format. The English edition is published and sold together with the International Herald Tribune. Both Hebrew and English editions can be read on the Internet...

 reports, smells indicates that soldiers had urinated on piles of clothing or inside a washing machine. In all the houses, the report continues, the toilets were overflowing and clogged, and there was "filth all around". The Associated Press
Associated Press
The Associated Press is an American news agency. The AP is a cooperative owned by its contributing newspapers, radio and television stations in the United States, which both contribute stories to the AP and use material written by its staff journalists...

 reported that several homes had graffiti in Hebrew scribbled on the walls including "Death to the Arabs", "The eternal people have no fear", "Long live Jewish people" and other markings. On other incidents, an Israeli commander has reported that he has ordered his soldiers not to deface property and reprimanded anyone who did.

Medical facilities and equipment

Weakened by the eighteen-month Blockade of the Gaza Strip, as of December 31 the central drug store reported that 105 drugs and 255 medical supplies of the essential drug and supplies list
Essential medicines
Essential medicines, as defined by the World Health Organization are "those drugs that satisfy the health care needs of the majority of the population; they should therefore be available at all times in adequate amounts and in appropriate dosage forms, at a price the community can afford."The WHO...

 are still unavailable, and approximately 20 percent of the ambulances were grounded due to lack of spare parts. Ambulances are experiencing difficulties in reaching the injured because of continuous fire. Hospitals reporting severe gas shortages expect total depletion in the coming days. As a result of shortages, the WFP distributed canned meat and high energy biscuits. The World Health Organisation reported that at least 1,000 medical machines were out of order, with shortage of equipment and spare parts. Sources from the Palestinian Ministry of Health reported that the situation on January 2, while extremely precarious, has stabilized after the arrival of medical supplies.

From January 4, all of Gaza City hospitals were without main electricity, depending on back-up generators that were close to collapse. From January 4 to 5, UNRWA
United Nations Relief and Works Agency for Palestine Refugees in the Near East
United Nations Relief and Works Agency for Palestine Refugees in the Near East is a relief and human development agency, providing education, health care, social services and emergency aid to 5 million Palestine refugees living in Jordan, Lebanon and Syria, as well as in the West Bank and the Gaza...

 was forced to shut down 19 health centers due to hostilities in the area, and Ministry of Health closed down generators at ambulance stations, vaccine stores, labs and warehouses due to the lack of fuel to run the generators until more was delivered. There existed an urgent need for strong pain killers, body gas, bed sheets for wrapping the dead, and for neuro-
Neurosurgery
Neurosurgery is the medical specialty concerned with the prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spine, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system.-In the United States:In...

, vascular-
Vascular surgery
Vascular surgery is a specialty of surgery in which diseases of the vascular system, or arteries and veins, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. The specialty evolved from general and cardiac surgery...

, orthopedic- and open heart surgeons. Collateral damages to hospitals like broken glass were not being repaired. The Palestinian Red Cross was unable to respond to many calls due to the military operations. Only urgent cases and surgery is being carried out in hospitals and all out-patient clinics have been closed.
Only three out of the 56 primary health care
Primary health care
Primary health care, often abbreviated as “PHC”, has been defined as "essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost...

 clinics are open; 70% of the chronic disease patients
Chronic (medicine)
A chronic disease is a disease or other human health condition that is persistent or long-lasting in nature. The term chronic is usually applied when the course of the disease lasts for more than three months. Common chronic diseases include asthma, cancer, diabetes and HIV/AIDS.In medicine, the...

 regularly attending those centers had to interrupt their treatment due to the security situation. Chronically ill patients who were accessing care outside of the Gaza strip prior to the conflict urgently need to resume their treatment. Because of the Israeli closure of the Gaza strip, which has lasted more than a year and a half, hospitals are run down and much of the equipment is unreliable and in need for repair. The UN labeled the importance of spare parts for medical equipment as a priority.

By 2 February, most health facilities have resumed normal operation. Large volumes of medical supplies have been donated, but the most urgently needed equipment identified by the Palestinian Ministry of Health, notably pulse oximeter
Pulse oximeter
A pulse oximeter is a medical device that indirectly monitors the oxygen saturation of a patient's blood and changes in blood volume in the skin, producing a photoplethysmograph. It is often attached to a medical monitor so staff can see a patient's oxygenation at all times...

s, defibrillators, infusion pump
Infusion pump
An infusion pump infuses fluids, medication or nutrients into a patient's circulatory system. It is generally used intravenously, although subcutaneous, arterial and epidural infusions are occasionally used....

s, syringe pumps, ventilators, and anesthesia
Anesthesia
Anesthesia, or anaesthesia , traditionally meant the condition of having sensation blocked or temporarily taken away...

 monitors, have still not been received. Psychotropic drugs are still lacking and urgently needed. In a damage assessment by the World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

, 48% of the 122 health facilities assessed were found to be damaged or destroyed. 15 of Gaza's 27 hospitals and 41 primary health care
Primary health care
Primary health care, often abbreviated as “PHC”, has been defined as "essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost...

 centers has suffered damage. Two centers were destroyed, and 29 ambulances have been partially damaged or destroyed. The only rehabilitation
Physical therapy
Physical therapy , often abbreviated PT, is a health care profession. Physical therapy is concerned with identifying and maximizing quality of life and movement potential within the spheres of promotion, prevention, diagnosis, treatment/intervention,and rehabilitation...

 center in Gaza has also suffered severe damage. Palestinian Ministry of Health reports 16 health staff were killed, and 22 injured while on duty.

The policy of the Government of Israel is to condition the access of Palestinians who live in the Palestinian territories to healthcare in Israel upon financial coverage from the Palestinian Authority. In January 2009, following the war, the Palestinian Authority cancelled financial coverage for all medical care for Palestinians in Israeli hospitals, including coverage for chronically ill Palestinian patients, and those in need of complex care that is not available in other tertiary medical centers in the region. This decision was protested by human rights organizations.

Population

The UNFPA warns about serious risks that faces more than 40,000 pregnant women in Gaza. Stress, trauma, and poor nutrition could result in life threatening complications along with silent death and injuries for such population. Due to the lack of warm clothing or blankets among the increasing number of displaced people, shock and trauma, an alarming number of premature labour and delivery and the exposure of newborn infants to hypothermia
Hypothermia
Hypothermia is a condition in which core temperature drops below the required temperature for normal metabolism and body functions which is defined as . Body temperature is usually maintained near a constant level of through biologic homeostasis or thermoregulation...

 are reported. The organization has also voiced concerns about neonatal care post-crisis as many women who delivered their babies in hospitals during the crisis were sent home as early as 30 minutes after giving birth. The World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

 warns of the risk of an outbreak of epidemic disease due to unrecovered bodies, many severely decomposed, and due to the sewage flowing in Beit Hanoun
Beit Hanoun
Beit Hanoun is a city on the north-east edge of the Gaza Strip. According to the Palestinian Central Bureau of Statistics, the town had a population of 32,187 in mid-year 2006. It is administered by the Palestinian Authority...

 and Beit Lahya. With the help of the Unicef, two therapy
Therapy
This is a list of types of therapy .* Adventure therapy* Animal-assisted therapy* Aquatic therapy* Aromatherapy* Art and dementia* Art therapy* Authentic Movement* Behavioral therapy* Bibliotherapy* Buteyko Method* Chemotherapy...

 centers are working at full capacity to provide services for 120 malnutrition
Malnutrition
Malnutrition is the condition that results from taking an unbalanced diet in which certain nutrients are lacking, in excess , or in the wrong proportions....

ed, a medical condition of inadequate diet, children per day. Injured patients needing referral outside Gaza for specialized care were evacuated exclusively through the Egyptian Rafah
Rafah
Rafah , also known as Rafiah, is a Palestinian city in the southern Gaza Strip. Located south of Gaza, Rafah's population of 71,003 is overwhelmingly made up of Palestinian refugees. Rafah camp and Tall as-Sultan form separate localities. Rafah is the district capital of the Rafah Governorate...

 border crossing. Gaza Ministry of Health reported that between 29 December and 22 January, 608 injured were evacuated through Rafah. The Israeli Erez crossing was closed much of the period and only 30 patients were able to exit during the crisis.

Handicap International
Handicap International
Handicap International is a non-governmental organization created in 1982 to provide help in refugee camps in Cambodia and Thailand. Based in Belgium and France, it has since opened branches in six other countries : Switzerland, Luxembourg, United Kingdom, Germany, Canada and the United States...

 estimates that up to 50 percent of people injured during the attacks have sustained severe injuries that will require rehabilitation
Physical therapy
Physical therapy , often abbreviated PT, is a health care profession. Physical therapy is concerned with identifying and maximizing quality of life and movement potential within the spheres of promotion, prevention, diagnosis, treatment/intervention,and rehabilitation...

 to prevent permanent disability
Disability
A disability may be physical, cognitive, mental, sensory, emotional, developmental or some combination of these.Many people would rather be referred to as a person with a disability instead of handicapped...

. Of the 1.5 million people living in the Gaza Strip, international and national agencies working in disability and rehabilitation estimate that, even before the military operation, over 10 percent had moderate or severe impairments. They estimate that as many as half of the 5,380 men, women and children injured over the past three weeks of conflict may suffer life-long impairment, exacerbated by the inability of rehabilitation workers to provide early intervention. These agencies has highlighted the importance of providing early intervention for those newly injured, especially those discharged prematurely from health facilities; re-establishing and strengthening the capacity of rehabilitation services and disabled peoples organizations to respond to the increased need. This is especially critical given that the main provider of specialist rehabilitation services in Gaza sustained severe damage and is not yet fully operational. Even before 27 December, the first day of the attacks, there was already a back-log of people waiting for specialised services including rehabilitation and surgery.

The Unicef and the International Red Cross warn from the dangers proposed by the unexploded ordnance
Unexploded ordnance
Unexploded ordnance are explosive weapons that did not explode when they were employed and still pose a risk of detonation, potentially many decades after they were used or discarded.While "UXO" is widely and informally used, munitions and explosives of...

, which killed two children as of the 20th of January. Gaza is one of the most densely populated areas in the world, which renders the problem much more acute. The unexploded ammunition problem represents a major threat for the population, the rescue teams working in the field and can hold back the pace of humanitarian work. Those unexploded weapons are also considered a major obstacle to the work of organizations removing rubble. On 16 February, one person was killed and four wounded by an unexploded ordnance in Beit Lahia
Beit Lahia
Beit Lahia is a city located north of Jabalia, near Beit Hanoun and the 1949 Armistice Line with Israel. According to the Palestinian Central Bureau of Statistics, the city had a population of 59,540 in mid-year 2006. Hamas, an Islamist party, took control of it during the 2005 municipal...

. Pupils also discovered white phosphorus wedges in a school in Tal El Hawa. The UN stated that the inability to identify a suitable area to which ordnance can be demolished remains a major constraint, as also the inability to bring any of the materials and equipment needed to destroy or isolate the ordnance to Gaza.

Psychological Effects

Widespread panic was reported among student population, exacerbated by the attack timing during school hours. Classes were in session at the time of the IAF
IAF
IAF may refer to the following air forces:* Indian Air Force* Indonesian Air Force* Iraqi Air Force* Israeli Air Force* Italian Air ForceIAF may also refer to:* International of Anarchist Federations* Indian Armed Forces...

 airstrikes, with some students sitting for midyear exams. Other students were either on their way to school for the afternoon shift, or returning home. Parents rushed to schools to collect their children. The United Nations
United Nations
The United Nations is an international organization whose stated aims are facilitating cooperation in international law, international security, economic development, social progress, human rights, and achievement of world peace...

 has several times warned from the devastating effects of the attacks on children, who form 56% percent of the population, and who are bearing the brunt of violence and a significant proportion of the injured who are severely maimed
Mutilation
Mutilation or maiming is an act of physical injury that degrades the appearance or function of any living body, usually without causing death.- Usage :...

. Schools are currently focusing on providing psychological and mental health support to the students, before resuming teaching core subjects. The head of Gaza's mental health program, has said that half of the population will suffer from post-traumatic stress disorder
Post-traumatic stress disorder
Posttraumaticstress disorder is a severe anxiety disorder that can develop after exposure to any event that results in psychological trauma. This event may involve the threat of death to oneself or to someone else, or to one's own or someone else's physical, sexual, or psychological integrity,...

 as a result of the crisis. The UN states that according to reports by the consultancy company Near East Consulting, about 96 percent of Gaza residents feel depressed and disheartened. The highest level of depression is in North Gaza
North Gaza Governorate
The North Gaza Governorate is one of 16 Governorates of the Palestinian National Authority in the Gaza Strip which is administered by the Palestinian National Authority aside from its border with Israel, airspace and maritime territory...

 and Rafah
Rafah
Rafah , also known as Rafiah, is a Palestinian city in the southern Gaza Strip. Located south of Gaza, Rafah's population of 71,003 is overwhelmingly made up of Palestinian refugees. Rafah camp and Tall as-Sultan form separate localities. Rafah is the district capital of the Rafah Governorate...

, where 81 percent of the respondents do not feel secure about their households and family members.

The World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

 estimates that 25,000 to 50,000 new people are likely to be in need of psychological intervention for longer term effects of the hostilities. Groups particularly at risk include separated children, people with pre-existing mental disabilities, pre-existing or new physical disabilities, elderly who have lost family support and female-headed households. A UNDP report on the aftermath of the Israeli military operation highlights that over 1 million of 1.4 million, 75% of the Gaza population, feel insecure and that although moust households have suffered from limited access to basics such as food, water, sanitation, and money, their highest need is personal security.

Energy

The only power plant in Gaza is not operational due to the lack of industrial fuel and spare parts. As of January 1, power outages last 16 hours per day. Due to localised damage following the airstrikes, some electrical lines have been cut, causing some areas to suffer from power cuts lasting 24 hours. In addition, due to the damage caused by the air strikes to 15 electrical transformers, as many as 250,000 people in central and northern Gaza have no electricity supply during the entire day and night. On the first of January, a 5MW line from Egypt to Rafah was damaged, extending the power cuts to Rafah
Rafah
Rafah , also known as Rafiah, is a Palestinian city in the southern Gaza Strip. Located south of Gaza, Rafah's population of 71,003 is overwhelmingly made up of Palestinian refugees. Rafah camp and Tall as-Sultan form separate localities. Rafah is the district capital of the Rafah Governorate...

, which usually has a continuous supply. Fuel for heating and cooking are no longer available and most of the 240 gas stations in Gaza City have been closed.

As of January 4, there is almost total blackout in Gaza City, North Gaza, Middle Area and Khan Yunis
Khan Yunis
Khan Yunis - often spelt Khan Younis or Khan Yunnis - is a city and adjacent refugee camp in the southern part of the Gaza Strip. According to the Palestinian Central Bureau of Statistics the city, its refugee camp, and its immediate surroundings had a total population of 180,000 in 2006...

. 90% of the telephone network, including both cellular service and land lines, is down, since it depends on backup generators with dwindling fuel stocks. Since the Israeli ground operation, 75% of Gaza's electricity has been cut off and the Palestinian technicians face difficulties reaching damaged lines because of the military attacks. As of January 7, much of the population of the Gaza Strip continues to live without electricity. By 16 January, the twenty first day of the attacks, most households still do not have any electricity. As of 22 January, twenty five days after the beginnings of the attacks, 40 percent of the 1.5 million population remains without electricity. The remaining 60 percent receive only intermittent supply that can reach only 6 hours per day in the north of the Gaza strip. Spare parts and other equipments are a priority. After 8 days of the ceasefire, a month since the beginning of the attacks, the power plant is working on only one turbine
Turbine
A turbine is a rotary engine that extracts energy from a fluid flow and converts it into useful work.The simplest turbines have one moving part, a rotor assembly, which is a shaft or drum with blades attached. Moving fluid acts on the blades, or the blades react to the flow, so that they move and...

, producing 30 MW instead of the daily full capacity of 80 MW cause of the lack of industrial fuel. By 29 January, the electricity situation has returned to its pre-27 December status, with much of the Gaza strip receiving only intermittent electricity. Certain areas are receiving very little power as a result or some low-volatage lines breakage. In order to meet demand throughout the territory, GEDCO (Gaza Electricity Distribution Co.) has put in place a power cut schedule where Gaza and North Gaza will face power cuts of eight hours three times a week; and the Middle Area and Khan Yunis
Khan Yunis
Khan Yunis - often spelt Khan Younis or Khan Yunnis - is a city and adjacent refugee camp in the southern part of the Gaza Strip. According to the Palestinian Central Bureau of Statistics the city, its refugee camp, and its immediate surroundings had a total population of 180,000 in 2006...

 will face power cuts of 6–8 hours twice per week. Those cuts does include unintentional power cuts.

GEDCO estimates the damage to the electricity network due to the recent hostilities at over $10 million. Even before the conflict, its reserves of spare parts were close to depletion due to the 18-month blockade on Gaza. By 29 January, 38 transformers essential for the repair of the electricity system are still waiting permission from the Israelis to be allowed into Gaza. Due to the lack of supplies, GEDCO continues to partially repair the network where possible. The UN warns that those ad-hoc partial repairs will increase technical losses by 25-30 percent, reduce the lifetime of network components, and further expose sections of the newtwork to possible collapse. Since the cease-fire, Israel has allowed approximately 87 tonnes cooking gas per day, which is much less than the estimated need of 300 tonnes per day. No petrol or diesel has been allowed into Gaza since 2 November, except for UNRWA
United Nations Relief and Works Agency for Palestine Refugees in the Near East
United Nations Relief and Works Agency for Palestine Refugees in the Near East is a relief and human development agency, providing education, health care, social services and emergency aid to 5 million Palestine refugees living in Jordan, Lebanon and Syria, as well as in the West Bank and the Gaza...

. No petrol, diesel or cooking gas was allowed by Israel into Gaza between 8 and 14 February.

Water

Since November 5, there has been a shortage of chlorine
Chlorine
Chlorine is the chemical element with atomic number 17 and symbol Cl. It is the second lightest halogen, found in the periodic table in group 17. The element forms diatomic molecules under standard conditions, called dichlorine...

 for water treatment due to Israeli blockades, increasing the risk of outbreak of water diseases. On December 27, Israeli airstrikes extensively damaged two water wells, rendering a population of 30,000 Palestinians without water. On January 2, airstrikes in the al-Mughraqa
Al-Mughraqa
al-Mughraqa is a Palestinian town located six kilometers southwest of Gaza. It is located within the Gaza Governorate, in the northern Gaza Strip. According to the Palestinian Central Bureau of Statistics, al-Mughraqa had a population of 5,075 in mid-year 2006....

 area damaged a main drinking water pipe, cutting off water supplies to 30,000 people in the Nuseirat Camp
Nuseirat (camp)
Nuseirat camp is a Palestinian refugee camp located five kilometers north-east of Deir al-Balah. The refugee camp is in the Deir al-Balah Governorate, Gaza Strip. According to the Palestinian Central Bureau of Statistics, the Refugee Camp had a population of 64,423 in mid-year 2006.- External...

. The UN sums the situation that as of January 2, 250,000 people in Gaza City and northern Gaza are without water supply; seven water wells were seriously damaged and cannot be repaired due to bombardments. As of the fourth of January, and as reported by the Palestinian Coastal Municipality Water Utility (CMWU) throughout the UN
United Nations
The United Nations is an international organization whose stated aims are facilitating cooperation in international law, international security, economic development, social progress, human rights, and achievement of world peace...

 reports, 70% of the Gaza strip 1.5 million population have no access to water, in particular in Gaza City and northern Gaza. As of the sixth of January, 800,000 Palestinians have no access to water, and those who still enjoy water access face problems in purifying such water as well as risking additional danger of contamination due to waste water leakage. This situation lasts in the third week of the attacks where 500,000 Palestinians still have no access to running water, another 500,000 receive water for four to six hours only every five to seven days, and the rest receive water for four to six hours every two or three days. Five days after the unilateral lull, one fifth of the Gaza strip 1.5 million population has no direct access to drinking water and currently depends on water purchased from private suppliers. As of 26 January, 8 days after the unilateral ceasefire, at least 70% of the water system is functioning, although this does not mean that everyone is receiving water due to localized damage. By 5 February, a month and 8 days since the beginning of the Israeli attacks, the CMWU reports that 50 percent of Gaza's 1.5 million population receives running water for 6–8 hours every second day; 30 percent of the population receives running water every third day; and ten percent of the population receives water every five days. Ten percent of the population does not receive running water and depends on tankered water. As of 9 February, the CMWU reports that 50,000 people do not have access to water and an additional 150,000-200,000 receive water every 5 or 6 days. According to the World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

 guidelines, 80% of drinking water in Gaza is not currently safe for human consumption. In light of the poor quality of water, the Ministry of Health and the UNICEF has stated concerns about the increased risk of diarrhea
Diarrhea
Diarrhea , also spelled diarrhoea, is the condition of having three or more loose or liquid bowel movements per day. It is a common cause of death in developing countries and the second most common cause of infant deaths worldwide. The loss of fluids through diarrhea can cause dehydration and...

 and other water-borne diseases in infants.
In a damage assessment carried by the CMWU, four water wells in Beit Hanoun
Beit Hanoun
Beit Hanoun is a city on the north-east edge of the Gaza Strip. According to the Palestinian Central Bureau of Statistics, the town had a population of 32,187 in mid-year 2006. It is administered by the Palestinian Authority...

, Gaza City, and Jabalia
Jabalia
Jabalia also Jabalya is a Palestinian city located north of Gaza City. It is under the jurisdiction of the North Gaza Governorate, in the Gaza Strip. According to the Palestinian Central Bureau of Statistics, Jabalia had a population of 82,877 in mid-year 2006...

 have been totally destroyed. Damage to several water carriers are widely reported. Preliminary findings shows that some Gaza areas like Al Atatra and Izbet Abd Raboo sustained 50 percent of their water networkds damaged, while others have sustained a 30 to 35 percent damage to their networkds. In total, 5,708 roof-top tanks were completely destroyed, and 2,985 were damaged. 2,204 solar heaters were destroyed and 1,762 were damaged. In some areas, the price of tankered water
Water tender
A water tender, also known as a tanker in some regions, is a specialized firefighting apparatus designed for transporting water from a water source to a fire scene...

 is as high as 175 Israeli new sheqel
Israeli new sheqel
The Israeli New Shekel is the currency of the State of Israel. The shekel is divided into 100 agorot...

 per metre cube. Several humanitarian organizations including Action Against Hunger
Action Against Hunger
Action Against Hunger is an international humanitarian organization with a focus on ending world hunger. Action Against Hunger specializes in responding to emergency situations of war, conflict, and natural disaster...

, CARE
CARE (relief)
CARE is a broad-spectrum secular relief, humanitarian, and development non-governmental organization fighting global poverty. It is non-political, non-sectarian and operates annually in more than 70 countries across the globe.One of the organization’s primary focuses in its fight to eradicate...

, ICRC
International Committee of the Red Cross
The International Committee of the Red Cross is a private humanitarian institution based in Geneva, Switzerland. States parties to the four Geneva Conventions of 1949 and their Additional Protocols of 1977 and 2005, have given the ICRC a mandate to protect the victims of international and...

, Oxfam
Oxfam
Oxfam is an international confederation of 15 organizations working in 98 countries worldwide to find lasting solutions to poverty and related injustice around the world. In all Oxfam’s actions, the ultimate goal is to enable people to exercise their rights and manage their own lives...

, and Unicef continue to provide drinking water to people in need, and also material and financial support to the CMWU for emergency repairs. Oxfam and Action Against Hunger report a short supply of water tanks for distributing water, which makes it difficult for them to cover all areas in need. The CMWU has created a list of prioritized elements items including pipes, generators, and pumps awaiting clearance by the Israeli authorities for entry into Gaza. The International Red Cross requested approval from the Israeli authoroties for the entry of 36 trucks containing such repair material, but only 13 trucks were allowed. The PVC
PVC
Polyvinyl chloride is a plastic.PVC may also refer to:*Param Vir Chakra, India's highest military honor*Peripheral venous catheter, a small, flexible tube placed into a peripheral vein in order to administer medication or fluids...

 pipes that the Red Cross previously cleared were refused entry by the Israeli authoroties. On February 9, the UN states that the entry of needed spare parts into Gaza remains problematic, and as a consequence major repairs to Gaza's water network can not take place.

Sanitation

Since December 31, sewage and water systems in Beit Hanoun
Beit Hanoun
Beit Hanoun is a city on the north-east edge of the Gaza Strip. According to the Palestinian Central Bureau of Statistics, the town had a population of 32,187 in mid-year 2006. It is administered by the Palestinian Authority...

 were hit at five locations causing considerable damage to the main sewage pipeline leading to sewage water pouring into the streets. The sanitation system cannot treat the sewage and is dumping 40 million litres of raw sewage into the sea daily. On 3 January, The UN reported emerging fears that continued shelling near the Beit Lahiya sewage lagoon
Lagoon
A lagoon is a body of shallow sea water or brackish water separated from the sea by some form of barrier. The EU's habitat directive defines lagoons as "expanses of shallow coastal salt water, of varying salinity or water volume, wholly or partially separated from the sea by sand banks or shingle,...

, which contains 3 million cubic meteres of waste water, will cause a massive sewage overflow. In addition to agricultural areas, up to 15,000 people are directly at risk. As of 5 January, Gaza sewage system was on the verge of collapse due to the lack of power and fuel; sewage is flooding into Beit Lahya, farmland and the sea. As of 13 January, UNRWA was still unable to deliver fuel to water treatment plants to alleviate pressure on the banks of the Beit Lahiya lagoon. On 16 January, eyewitnesses report that a stream of sewage is flowing up to one kilometer from the Gaza City water treatment plant. Since December 31 and As of 19 January, a day after twenty-three days of the Israeli attacks, sewage continues to flow in the streets of Beit Lahya and Beit Hanoun
Beit Hanoun
Beit Hanoun is a city on the north-east edge of the Gaza Strip. According to the Palestinian Central Bureau of Statistics, the town had a population of 32,187 in mid-year 2006. It is administered by the Palestinian Authority...

, 30 cubic meters of sewage are flowing into the streets of Beit Hanoun every hour. By 29 January, following repairs, sewage is no longer leaking in the streets of Beit Lahia and Beit Hanoun
Beit Hanoun
Beit Hanoun is a city on the north-east edge of the Gaza Strip. According to the Palestinian Central Bureau of Statistics, the town had a population of 32,187 in mid-year 2006. It is administered by the Palestinian Authority...

.

In the CMWU damage assessment report, waste water networks in Gaza City, Beit Hanoun
Beit Hanoun
Beit Hanoun is a city on the north-east edge of the Gaza Strip. According to the Palestinian Central Bureau of Statistics, the town had a population of 32,187 in mid-year 2006. It is administered by the Palestinian Authority...

, Jabalia
Jabalia
Jabalia also Jabalya is a Palestinian city located north of Gaza City. It is under the jurisdiction of the North Gaza Governorate, in the Gaza Strip. According to the Palestinian Central Bureau of Statistics, Jabalia had a population of 82,877 in mid-year 2006...

, and Beit Lahia
Beit Lahia
Beit Lahia is a city located north of Jabalia, near Beit Hanoun and the 1949 Armistice Line with Israel. According to the Palestinian Central Bureau of Statistics, the city had a population of 59,540 in mid-year 2006. Hamas, an Islamist party, took control of it during the 2005 municipal...

 have sustained severe damage. The Ash Sheikh ‘Ijleen sewage plant which treats the raw sewage of an area inhabited by 400,000 people has been out of order since it was struck by a shell in the second week of the conflict. The final report of the damage assessment carried out by the CMWU reveals that repairing the water and wastewater network and facilities will cost approximately 6 million US dollars, including 830,000 dollars to repair the wastewater network. According to the Palestinian Hydrology Group, solid waste is accumulating in most areas affected by the hostilities, with the exception of Gaza city where only two areas face problems with solid waste. The group also reported that on 13 February, 3,000 litres of fuel had leaked into wastewater inflitration basin of the Beit Lahia emergency wastewater treatment plant, posing a risk for chemical contamination of the aquifer
Aquifer
An aquifer is a wet underground layer of water-bearing permeable rock or unconsolidated materials from which groundwater can be usefully extracted using a water well. The study of water flow in aquifers and the characterization of aquifers is called hydrogeology...

 by hydrocarbons. Major repairs can not take place without the entry of needed spare parts into Gaza, which remains problematic.

Banknotes

The Israeli shekel
Israeli new sheqel
The Israeli New Shekel is the currency of the State of Israel. The shekel is divided into 100 agorot...

 is a widely used currency in the Gaza Strip, and the territory needs at least 400 million shekels, or about $100 million each month in new currency to replace aging notes and to pay salaries. Since December 24, the ban on the entry of banknotes into Gaza has hampered several humanitarian programs run by the UNRWA
United Nations Relief and Works Agency for Palestine Refugees in the Near East
United Nations Relief and Works Agency for Palestine Refugees in the Near East is a relief and human development agency, providing education, health care, social services and emergency aid to 5 million Palestine refugees living in Jordan, Lebanon and Syria, as well as in the West Bank and the Gaza...

, the largest humanitarian assistance provider in the Gaza Strip. Cash needs for the UNRWA included banknotes for distribution programs to 94,000 dependent "Special Hardship" families, for suppliers and contractors of critical programs including school feedings, as well as for its "cash for work" program. As of 18 January, the first day following the twenty-two days of attacks, cash has still not entered the strip and was urgently needed, including for the UNRWA activities.

After the operation, cash was still urgently needed to reactivate the private sector
Private sector
In economics, the private sector is that part of the economy, sometimes referred to as the citizen sector, which is run by private individuals or groups, usually as a means of enterprise for profit, and is not controlled by the state...

 and prevent increasing dependence on humanitarian aid. This lack of cash also prevented access to basic supplies including the limited stocks of food in the markets. By 5 February, 18 days after the operation, cash still did not enter the strip except for a few international organizations. The UN Humanitarian Affairs
Ocha
Ocha is a genus of moth in the family Lasiocampidae....

 office stated that a system must be urgently established that ensures the regular and predictable monthly transfer of the necessary cash. On 6 February, Israel allowed the transfer of 42 million US dollars from banks in the West Bank
West Bank
The West Bank ) of the Jordan River is the landlocked geographical eastern part of the Palestinian territories located in Western Asia. To the west, north, and south, the West Bank shares borders with the state of Israel. To the east, across the Jordan River, lies the Hashemite Kingdom of Jordan...

 to the Gaza Strip. According to the Bank of Palestine, this money transfer will enable the Palestinian Authority to pay the salaries of its 70,000 Gaza based employees. Israel last allowed cash in mid-December 2008. Afterwards, the UN reported that more cash is needed for private sector reactivation and to prevent increasing dependence on aid.

Economic Infrastructure

Extensive destruction was caused to commercial enterprises and to public infrastructure. According to Palestinian industrialists, 219 factories were destroyed or severely damaged during the Israeli military operation. Of the three per cent of industrial capacity that was still operating after the 18-month Israeli blockade, much has now been destroyed. The biggest Palestinian food-processing plant, Alweyda was devastated, as were both Abu Eida, the largest ready-mixed concrete producer, with four factories demolished, and the Al Badr flour mills, with the biggest storage facilities in the Strip. All three had close and long-standing contact with Israeli partner firms and suppliers. The owners stated that they see this as part of an economic war to make Gaza dependent on Israel.

According to the World Food Programme
World Food Programme
The World Food Programme is the food aid branch of the United Nations, and the world's largest humanitarian organization addressing hunger worldwide. WFP provides food, on average, to 90 million people per year, 58 million of whom are children...

, between 35-60 percent of the agriculture industry has been damaged by the Israeli military operation. The Food and Agriculture Organization
Food and Agriculture Organization
The Food and Agriculture Organization of the United Nations is a specialised agency of the United Nations that leads international efforts to defeat hunger. Serving both developed and developing countries, FAO acts as a neutral forum where all nations meet as equals to negotiate agreements and...

 estimates that 13,000 families who depend directly on farming, herding and fishing have suffered significant damage to their livelihoods.

Crossings and Aid

Further information: Humanitarian aid during the 2008–2009 Israel–Gaza conflict

There has been an extreme shortage of trucks entering the Gaza strip since the beginning of the conflict. In December 2005, an average of 631 trucks was entering Gaza strip on a daily basis. This figure has dropped to 475 trucks daily by May 2007, and by 27 December 2008, the first day of the attacks, Kerem Shalom
Kerem Shalom
Kerem Shalom is a kibbutz in the Eshkol Regional Council and a border crossing near the meeting of the Gaza Strip-Israel-Egypt borders.- Kibbutz :The kibbutz was founded in 1966 adjacent to the triborder area by members of Hashomer Hatzair...

 has a daily average of 73 trucks entering the Gaza strip. The UN reports that international agencies have faced "unprecedented denial" of access to Gaza since the fifth of November. Humanitarian access remains unreliable and needs to be granted everyday without restriction. By February 5, one month and 8 days after the beginning of Israeli attacks, the UN reported that the number of truckloads of aid permitted to enter Gaza daily by the Israeli authorities remains insufficient.

John Holmes
John Holmes (British diplomat)
Sir John Holmes, GCVO, KBE, CMG is a British diplomat who is a former United Nations Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator-Life and career:Holmes was born in Preston, in the north of England...

, the United Nations Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator has stated in his statement to the Security Council that after the end of the Israeli operation, and on "good days", only 120 truckloads gets into Gaza, instead of the normal daily requirement, including commercial traffic, of 500 trucks at minimum. Essential items such as construction materials, water pipes, electrical wires, and transformers continue to be effectively banned, or only allowed infrequently after "endless haggling", Holmes declard. He also added that commercial goods must be allowed in and out, since Gaza Palestinians "do not want or deserve to be dependent on humanitarian aid" and that the "limited trickle" of items into Gaza continue the effective collective punishment of the civilian population and force the counter-productive reliance on tunnels for daily essentials.

The Gas Station Owners Association in Gaza reported a significant drop in the amount of fuel smuggled through the Gaza-Egyptian border since the beginning of February, largely due to the destruction of tunnels by Israel. The UN reports that sources in Rafah
Rafah
Rafah , also known as Rafiah, is a Palestinian city in the southern Gaza Strip. Located south of Gaza, Rafah's population of 71,003 is overwhelmingly made up of Palestinian refugees. Rafah camp and Tall as-Sultan form separate localities. Rafah is the district capital of the Rafah Governorate...

 suggest a decrease in amount of merchandise being smuggled into Gaza through the tunnels due to the ongoing Israeli attacks. The UN reports that although the Israeli authorities have informed the humanitarian community that 150 trucks would be allowed into Gaza per day, capacity has not exceeded 120 truckloads. In addition, only a restricted list of items is being allowed into Gaza.

As of the morning of 28 January, approximately 30 International NGO staff members were in Gaza, along with approximately 22 UN international staff members. There are outstanding requests for over 200 people to enter Gaza and this number is growing "by the day". The chair of the Association of International Development Agencies, which includes 75 humanitarian organizations has stated that "it is unacceptable that staff of international aid agencies with expertise in emergency response are still not given full access into Gaza, and that the crossings are not fully operational for humanitarian and commercial goods". Many NGOs have failed to receive a response from the Israeli authorities regarding their applications, while others were requested to provide additional information regarding their specific mandates, activities and funding sources. Others have been denied entry altogether. The UN
United Nations
The United Nations is an international organization whose stated aims are facilitating cooperation in international law, international security, economic development, social progress, human rights, and achievement of world peace...

 reports that a key problem has been inconsistency in the application process; some staff members are informed that they have been approved, only to be denied entry when they attempt to cross Erez
Erez
Erez , is a kibbutz in south-western Israel. Located in the north-western Negev around 18 kilometres south of Ashkelon, it falls under the jurisdiction of Sha'ar HaNegev Regional Council. In 2006 it had a population of 333.-History:...

. In other cases, staff receive conflicting information from Israeli authorities regarding regulations that must be met before entry is allowed. The UN has described the Israeli procedures as inconsistent and unpredictable ones that impedes the ability of organizations to effectively plan their humanitarian response and obstructs efforts to address the humanitarian crisis.

On the second of February, the UN reported that the number of truckloads of aid permitted to enter Gaza daily by the Israeli authorities remains insufficient, and humanitarian organizations continue to face serious restrictions to enter Gaza. On 16 February and on behalf of the humanitarian community, The Logistic Cluster was negotiating with the Israeli authorities regarding transport of goods into Gaza. A list of priority items for transport into the Gaza Strip, which was consolidated based on input from sector leads to reflect humanitarian needs in Gaza, is being used as the basis for negotiations with the Israeli authorities.

On January 7, Israel agreed to a three-hour humanitarian truce, allowing supplies and fuel into Gaza. The UN welcomed the move, but stated that round the clock assistance was required to meet the population humanitarian needs. The Human Rights Council expressed a similar position. The International Red Cross
International Committee of the Red Cross
The International Committee of the Red Cross is a private humanitarian institution based in Geneva, Switzerland. States parties to the four Geneva Conventions of 1949 and their Additional Protocols of 1977 and 2005, have given the ICRC a mandate to protect the victims of international and...

, United Nations
United Nations
The United Nations is an international organization whose stated aims are facilitating cooperation in international law, international security, economic development, social progress, human rights, and achievement of world peace...

 and aid workers have reported intolerable conditions and a deepening humanitarian crisis in Gaza. The Red Cross has accused the Israeli military of failing "to meet its obligation under international humanitarian law."

On January 9, the UN resumed aid work, after receiving assurances from Israel that its workers will no longer be targeted. As of January 14, 2009, close to 900 trucks (including 20,000 tons of basic foods and medical supplies) have been delivered to Gaza. Addressing the aid situation on January 7, Save the Children
Save the Children
Save the Children is an internationally active non-governmental organization that enforces children's rights, provides relief and helps support children in developing countries...

 stated that, "The small amount of aid allowed in, while better than nothing, is a pitiful gesture in the face of such an overwhelming humanitarian crisis," noting that insufficient amounts of food, fuel and medical supplies were delivered. The UN
United Nations
The United Nations is an international organization whose stated aims are facilitating cooperation in international law, international security, economic development, social progress, human rights, and achievement of world peace...

 has also stated that the aid delivered is insufficient to address the chronic humanitarian crisis given the "scale of the attacks".

On February 3, blankets and food parcels were confiscated by Hamas police personnel from an UNRWA distribution center, and on February 4, the UN Emergency Relief Coordinator demanded that the aid be returned immediately. The Hamas government issued a statement stating that the incident was a misunderstanding between the drivers of the trucks and has been resolved through direct contact with the UNRWA. On February 9, UNRWA lifted the suspension on the movement of its humanitarian supplies into Gaza, after the Hamas authorities returned all of the aid supplies confiscated.

Several countries have pledged aid after the offensive on Gaza began, promising financial support and humanitarian assistance (see map). Aid delivering international organizations include the European Union
European Union
The European Union is an economic and political union of 27 independent member states which are located primarily in Europe. The EU traces its origins from the European Coal and Steel Community and the European Economic Community , formed by six countries in 1958...

, UNRWA, the Red Cross, the Red Crescent, the Red Star of David
Magen David Adom
The Magen David Adom is Israel's national emergency medical, disaster, ambulance and blood bank service. The name means "Red Star of David"...

, and the World Food Programme
World Food Programme
The World Food Programme is the food aid branch of the United Nations, and the world's largest humanitarian organization addressing hunger worldwide. WFP provides food, on average, to 90 million people per year, 58 million of whom are children...

.

Israel

The Israeli Home Front Command issued detailed emergency instructions to Israeli citizens for preparing for and dealing with rocket attacks from the Gaza Strip. The instructions included orders to stay within a certain distance of bomb shelter
Bomb shelter
A bomb shelter is any kind of a civil defense structure designed to provide protection against the effects of a bomb.-Types of shelter:Different kinds of bomb shelters are configured to protect against different kinds of attack and strengths of hostile explosives. For example, an Air-raid shelter...

s based on proximity to the source of the rockets. Residents adjacent to the Gaza border were instructed to remain in fortified rooms. Israelis ascribed their low civilian casualties to an orderly public response to these instructions. Hamas Grad rockets' increased range of 40 km put more than 700,000 Israelis within strike range.

Internal refugees

A large section of the residents of Ashkelon
Ashkelon
Ashkelon is a coastal city in the South District of Israel on the Mediterranean coast, south of Tel Aviv, and north of the border with the Gaza Strip. The ancient seaport of Ashkelon dates back to the Neolithic Age...

, a southern coastal city put in range of Grad-type rockets since the beginning of the conflict, fled the city for the relative safety of central and northern Israel. On January 10–11, according to Israeli media, 40 percent of the residents fled the city, despite calls by the Mayor to stay.

Closure of schools

Beginning December 27, schools and universities in southern Israel closed due to rocket threats. Hamas rockets landed on Israeli educational facilities several times (such as empty schools in Beersheba
Beersheba
Beersheba is the largest city in the Negev desert of southern Israel. Often referred to as the "Capital of the Negev", it is the seventh-largest city in Israel with a population of 194,300....

) from 2008 to 2009, with no casualties as of January 15, except for cases of shock. Studies resumed starting January 11, with IDF Home Front Command representatives stationed at schools. Only schools with fortified classrooms and bomb shelters were allowed to bring in children. Israeli Education Minister Yuli Tamir said she hoped a return to school would provide a little structure and routine in a time of great stress and uncertainty for the children. However, students were reluctant to return, with students at Sapir College in Sderot reporting less than 25 percent attendance.

The largest hospital on Israel's southern coast, Ashkelon's Barzilai Hospital, forced its critical treatment facilities into an underground shelter after a Gaza-fired rocket struck beside its helicopter pad on December 28, 2008.

Foreigners

At the start of the conflict, more than a thousand foreigners were living in or near Gaza, including nationals from several Western
Western world
The Western world, also known as the West and the Occident , is a term referring to the countries of Western Europe , the countries of the Americas, as well all countries of Northern and Central Europe, Australia and New Zealand...

 nations, most of them were Palestinian dual citizens and spouses of Palestinians. As of January 8, diplomats estimated that some 400 foreign nationals from 22 countries remained in Gaza. Agencies assisting in the evacuation of foreigners, including the Red Cross, stated that their efforts were hampered by the violence, by bureaucratic obstacles and by lack of coordination between Israel, the United Nations
United Nations
The United Nations is an international organization whose stated aims are facilitating cooperation in international law, international security, economic development, social progress, human rights, and achievement of world peace...

 and host countries. On January 4, New York City
New York City
New York is the most populous city in the United States and the center of the New York Metropolitan Area, one of the most populous metropolitan areas in the world. New York exerts a significant impact upon global commerce, finance, media, art, fashion, research, technology, education, and...

 Mayor Michael Bloomberg
Michael Bloomberg
Michael Rubens Bloomberg is the current Mayor of New York City. With a net worth of $19.5 billion in 2011, he is also the 12th-richest person in the United States...

 was rushed into a bomb shelter as warning sirens sounded while he was visiting the Israeli city of Sderot
Sderot
Sderot is a western Negev city in the Southern District of Israel. According to the Israel Central Bureau of Statistics , at the end of 2009 the city had a total population of 20,700. The city has been an ongoing target of Qassam rocket attacks from the Gaza Strip...

. On January 8, in Gaza city, a Ukrainian
Ukraine
Ukraine is a country in Eastern Europe. It has an area of 603,628 km², making it the second largest contiguous country on the European continent, after Russia...

 woman and her child were killed, while her other child was injured. One of the militants killed was proven to be Saudi Arabian on January 15.

International

Antisemitic incidents escalated worldwide in frequency and intensity during the Gaza War, and were widely considered to be a wave of reprisal attacks in response to the conflict.

External links



Involved parties

Maps
  • Gaza crisis: key maps and timeline. BBC News
    BBC News
    BBC News is the department of the British Broadcasting Corporation responsible for the gathering and broadcasting of news and current affairs. The department is the world's largest broadcast news organisation and generates about 120 hours of radio and television output each day, as well as online...

    .
The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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