WHO have visited Al Shifa to assess possible evacuation and called it a 'death zone' - more severely ill patients than previously reported and more babies have died - it all sounds unbelievably awful
''Here is some further detail from the World Health Organisation on the “very high risk” mission it led to Al-Shifa Hospital on Saturday, which aimed to assess the situation on the ground.
As reported earlier, the WHO has said it is urgently developing plans for the immediate evacuation of the patients, staff and families who remain at Al-Shifa Hospital within the next 24–72 hours “pending guarantees of safe passage by parties to the conflict”. Patients will be moved from Al-Shifa to Nasser Medical Complex and European Gaza Hospital in the south of Gaza - though the WHO has warned these hospitals are already working beyond capacity.
The WHO earlier described desperate conditions at Al-Shifa:
Lack of clean water, fuel, medicines, food and other essential aid over the last six weeks have caused Al-Shifa Hospital - once the largest, most advanced, and best equipped referral hospital in Gaza - to essentially stop functioning as a medical facility. The team observed that due to the security situation, it has been impossible for the staff to carry out effective waste management in the hospital. Corridors and the hospital grounds were filled with medical and solid waste, increasing the risk of infection. Patients and health staff with whom they spoke were terrified for their safety and health, and pleaded for evacuation. Al-Shifa Hospital can no longer admit patients, with the injured and sick now being directed to the seriously overwhelmed and barely functioning Indonesian Hospital.
There are 25 health workers and 291 patients remaining in Al-Shifa, with several patient deaths having occurred over the previous 2 to 3 days due to the shutting down of medical services. Patients include 32 babies in extremely critical condition, two people in intensive care without ventilation, and 22 dialysis patients whose access to life-saving treatment has been severely compromised.
The vast majority of patients are victims of war trauma, including many with complex fractures and amputations, head injuries, burns, chest and abdominal trauma, and 29 patients with serious spinal injuries who are unable to move without medical assistance. Many trauma patients have severely infected wounds due to lack of infection control measures in the hospital and unavailability of antibiotics. The WHO has expressed deep concern about the situation for patients and health workers and has called for an immediate ceasefire and the flow of humanitarian assistance.
Updated at 01.39 GMT