porn is, uh, has joined us from WHO.
That said, I think we could start our
today, the 12th of December.
I'd like to welcome you all to this all virtual, uh, meeting.
We are resorting to this format exceptionally today, given
the many goings on here at Geneva and hopefully facilitating your work.
However, we want to make sure we have a sharp focus on the situation.
Feel particularly situation in Gaza. We're very pleased to have
Peppercorn, who, you know.
Well, the WHO representative on the occupied Palestinian territory
From speaking from Gaza, I think maybe Christian, if Christians online maybe, uh,
you'd like to start off if there's something you wanted to, uh,
add before we turn to, uh, Dr
Well, thank you very much. Uh, Rolando. Thanks, everyone. Um, yeah. Great.
To have, uh, doctor Richard
Peppercorn available today. We sent out a press release just this morning.
Um, so the the the updates are really hot and glad to have him right here.
As you know, he's called talking from Gaza. So the, uh the the
connection might be unstable. He warned us before.
So we'll see how far we get.
We'll also try to share any specific talking points at
least the main figures or or names of hospitals.
Whatever we're talking about
so that you have those in writing as soon as we can share.
And with that, thank you very much. And back to you.
Great. Thank you, Christian. Over to Doctor.
Thank you very much. Good morning. Uh, well,
um, I would like to start, um,
on the hospital functionality and and everything related to that.
Uh, I understand the press statement came out just now,
so I'm sure we'll be getting some questions on that as well.
But let's focus first on the functionality. And and
the health system has gone from 36
functional hospitals to 11 partially functional hospitals.
and 10 in the south. So again, from 36 to 1 in the north and 10 in the south.
The four minimal functional in the north are
And you've heard stories about Ada
I don't think we can call them a functional at the moment or even not even barley.
Very functions functional.
besides this, just 29% of primary healthcare functional, uh,
facilities are functional.
And I wanna describe a little bit what we we saw.
I'm here now more than two weeks and and visited most of the hospitals in the south
where WHO delivered essential, uh,
medical and trauma supplies essential medicines,
but also to the north and and to our recent visit on 9 December to Al
also known, uh, formerly known as the Baptist Hospital, I think,
uh, in north of Gaza, first of all, north of Gaza.
I know this very well. I come there every month, Uh, a week.
It's It looks like a wasteland.
the devastation destroyed. Uh,
devastation is is simply enormous. We were still surprised that
so many people, actually on the streets, lying on the streets, Children, men,
women said coming out surprised,
that, you know, we had this convoy of, uh, of of, uh uh PO CS ambulances. Uh,
the UN two UN vehicles, one WHOD
uh, UN DS S and of course, a truck, food, medical supplies.
basically the only partially functional hospital in the north. And
and many people. I mean, I know that hospital is a relatively small hospital.
Uh, the situation is completely different. And I can tell you, I worked 7.5
years in Afghanistan. I've seen some grim scenes in and after the
blast in in the Helmand, in the in the emergency trauma hospital in Kandahar, Kabul,
I've never seen scenes like this actually in my life.
So it's usual, uh, usually and and and
But given the resources available, it was only really
it's only realistically capable of treating 40.
Yes, there are more than 202 150 patients, and
we saw many. The the hospital grounds are
also full of ID, PS and and full of people.
And we saw many patients turned up many trauma
patients up on donkey carts on horse cars,
Dead people unfortunately, uh um,
seriously injured, uh, people on food, uh,
and personal vehicles everywhere. Every room at the moment in Al
not only every ward, but every corridor in the courtyard outside the library.
you can only describe it as as a
chaos and and and a humanitarian disaster zone.
the building, of course, had already sustained damages.
Uh, because of the hostilities.
we talked to the hospital staff, we know. Well, uh, doctor fado,
the orthopaedic, uh, surgeon And, um,
and and doctor uh, Mohamad
Rawan, who came from Indonesian hospital, actually to to support.
He supports a general, uh,
And they listed out similarly, as we hear everywhere,
the lack of the shortage of fuel
oxygen, essential medical supplies,
as well as a lack of food and water for patients and health workers Uh,
that our specifically our OT uh, operations, uh,
and the trauma case were immediately removed, uh,
from the truck and brought to the sterilisation room of the
the functional, the self functional Operation Theatre.
minimum specifically, the nursing care there is
The hospital at the moment is heavily relying on volunteers,
and and and I must say they do an amazing job,
but because the patients everywhere and many of them
They hardly received the, um let's say the nursing care they should receive,
So face with with With With this huge number of
of patients everywhere on the streets outside and all wars,
the doctors are are are really forced to prioritise. Who receives cares who doesn't
and and theyre they're treating many of the serious cases actually in straight
away in the corridors or on the floor or even on the chapel.
as I said, severely short staffed
and is looking, um, unfortunately, there is no vascular. Um uh, surgeon.
the medical specialists they are forced something to do.
Limb amputations are decided as the last resort to save life. And
We brought in medical goods in NASA medical, uh,
complex and and described the the incredible congested.
I would say horrific situation there on the trauma ward that
and the and and it is sadly to say it.
We hear this the similar stories. Yesterday
hospital, which is in the middle area.
This is, I would say, still one of the better functional hospitals.
Also there normally the hospital for 200 patients currently over 600
thousands of ID PS also camping in the hospital grounds.
the hospital still functions relatively well because they still had an
They had a number of, uh,
medical specialists and medical doctors coming
from from from the nurse assisting.
They still had a number of nursing staff and they still kept going.
They raised the same issues, by the way, uh, that
the staff is also completely preoccupied, of course, by the safety of their family
and and and so they cannot always concentrate on their on their job.
Enormous need to expand beds
and the bed capacity and and
AA, I would like to set up, uh, with assistance of parkers
and an additional bed capacity of 200 beds, uh, close by.
There is some emergency medical teams now moving in, and and there are some, uh,
promising plan IC OC moving with and, uh,
planning an additional capacity of 150 beds in the European Gaza Hospital.
Of course, there's already Emiratis,
uh field hospital MS F with
WHL We've tried to get more in and coordinate,
and this is what we should focus on.
All the efforts must be made to keep the remaining hospitals functional
and urgently protect and restore the health system.
Now, I'm only talking about hospitals and and mainly focusing all the trauma cases.
We we have to get a primary healthcare system
and the linkages between primary healthcare systems, uh,
and hospital care, uh, functional again.
because, of course, most patients, uh, as we always see,
they go to basic health service.
They will need basic health care, health care services. Uh,
we think about reproductive maternal and child health, emergency obstetric care.
comical diseases and specific diabetes, cardiovascular diseases, oncology and,
of course, mental health or psychosocial support.
I wanna leave it here as an introduction and and describe a little bit, uh,
the situation specifically up north, uh, in
Thank you. Thank you very much. Richard.
And I think I'm gonna turn back to Christian.
I think, uh, Christian has a, uh, additional comment to make, uh,
I was I was offering to read out the, uh, the statement, but, um,
I understand that Rick has a limited time available, so let's maximise that,
um and Rick, if you agree, I would then read the statement that we sent after you.
You're done with your Q and a and let's use Q
and a now for you because you're not always available.
Right? All right. Thanks. It's, uh, thank you. That's that's a practical approach.
Thank you very much, Christian. OK, in that case, let's turn to questions. We have
two questions so far. Emma from Reuters over to you. Emma.
I was wondering if you could give us an overview of how bad the spread of diseases is.
what it means for the sick that the the health
care system is overwhelmed with all these trauma injuries.
Um, are these people being neglected? And
do you have any estimate for how many have been killed from diseases, not bombs.
OK, let me start with, uh, with with I think the question, of course,
on chronical disease, infectious disease and and and outbreaks.
and NNW. I said Ministry of Health Technical.
Uh uh, partners of the Ministry of Health
is together with WHO. Try to get an assessment
I mean, even over the two week I'm here
and and and and in a rough area and make all these trips up north and and everywhere
there is an enormous influx of ID PS.
And I think, uh, Gaza is probably one of the few areas where, as a refugee,
you become an an an an ID P,
specifically here in the Rafa area, which is, I think, normally, a city of 280,000,
uh, and and must harbour more than a million now.
I mean, even everywhere around us, every day
you've seen this, uh, growing, uh,
the UN rushed shelters are completely, completely full and and and overwhelmed.
But you see everywhere makeshift shelters around the streets, on every street,
Rafa is teeming with people everywhere around the street.
So just to give some figures, we
we looking, of course, on acute respiratory infections and and and since, uh,
the start, we you see more than 161 165,000 cases.
Diarrhoea. Um, this, of course. Uh, under five years, we see more than 60,000 cases.
that is, uh, I believe, um,
four or five times as no more, Much more,
but 40 times as much as we see in normal time during this year.
Diarrhoea over five years as well over 60,000. So,
skin diseases lies, uh, over 25,000. Uh, skin rashes, Uh,
Uh, we also saw cases of jaundice, and these are all syndromic case management.
with jaundice. You think?
Is it hepatitis A or is it hepatitis E, which is much more serious.
So we try to get in mobile labs
and check on that. And also, we try to refer, uh, samples. That is not yet
Overall, if you look at, uh, fatalities, I mean, like,
they are now standing as over 18,000.
Of which more than 60% is is women and Children and injuries. 50,000. So,
now all the trauma cases. No they are not neglected.
I think the the hospitals, Uh, although the hospital system is on his knees,
they do whatever they can do.
And specifically in the in the southern areas, where
what we see. Of course, multiple traumas. We see spinal injuries. We see,
uh, there's a lot of, uh, burns and and skin and a need for skin grafts.
and I we never even discussed that the impacts
enormous flow of injured people. So, uh,
close to 50,000 injured people,
the impacts it will have on their future and their and their family lives
Ali. I described the situation which is
is so unfortunate that there is no vascular surgeon and that sometimes
the medical specialist there, they have to go over to amputation
to save, uh, to save lives
Thank you very much. Richard.
Um, I just take note that Christian has dropped some figures in the chat.
Some disease figures. Um, as of the 10th of December, So do take note of that,
Jeremy, if you don't mind, I think Well, Emma, you have a follow up,
perhaps to your earlier question.
So maybe let's go back to Emma, then back to Jeremy afterwards. Go ahead, Emma.
Uh, yeah. Just quickly to clarify. I think you said fatalities of 80,000.
Is that from disease? Could you just clarify that figure? Thank you.
I think this is, um and I must say, you must have must have seen the figures.
I mean, like they've been, uh, these are the reported figures,
uh, or fatality. Yeah. 18,205 Current 11th December and injuries 49,645.
Thanks for that. Clarification. Uh,
we'll take a questionnaire from Jeremy of Radio Falls International.
uh, I'd like you to just to to to mention what happened.
Uh um, to the UN staff, uh, on the way to Al
Ali II. I understand that, uh, one of the member of the staff was was arrested twice,
on the way back and forth, and he was detained and, uh,
specify, Uh, because on on the on your communique, it doesn't say that it is
the Israeli armed forces that arrested him. We all understand that it's the,
uh, Israeli armed force, but it doesn't really specify in in in the communication.
So just can you explain what happened? Basically,
and let me explain this as, um as well.
Well, first of all, I think you will also see this reflected in the
I wanna make that that the space for humanitarian actors to provide aid within Gaza
And it's it seems to be shrinking.
And and it is very difficult for us to safely and swiftly move supplies,
And and the needs the needs are enormous to alleviate this cat
catastrophic humanitarian situation, which is only, uh, uh
So we are as WHO definitely committed to stay and and deliver.
We're doing everything possible to support and also
our, uh the other other agencies humanitarians, uh, around.
And, uh, i again, I want to specifically call out to support UN.
we we have carried out multiple missions,
actually and and extremely difficult conditions.
And and and the the latest, I would say very complex one. The one yesterday in Al
Ali in, uh, in Gaza City.
We and I forgot to mention that.
So we also managed We work with six P CS, uh, vehicles and PS CS staff, Uh, and the the,
because we and they are how key and trust apart.
the needed essential medical supplies,
also were there to transfer critical patients.
And we were planning to transfer 12 critical patients finally,
facilitated and supported and managed by, uh, PS CS with the WHO team.
19 critical patients and 14 companions were
where we were taken from Al
National Medical Complex in the south of Gaza and also
which is also overwhelmed. But there they
they can get better treatments, uh,
than than and definitely better treatment than and and
I mean, when we did an assessment,
we probably could have taken 30 or 40% of the patients if you look at the criticality
of it, the journey was extremely dangerous, and and it was delayed
your military checkpoint and detention of health partners. And,
this is what I say on the way north,
the UN convoy was inspected at Awadi
Gaza checkpoints and and and ambulance and crew
and the crew members had to leave the vehicles for identification,
exposing them to risk, uh, risk.
Two of the PAP CS staff were detained for over an hour,
and we had to wait there and further delaying the missions.
And and we witnessed that one of the staff was being made to to nil at
finally, uh, he he came, uh, he he returned, and we could move on.
Uh, as well. I also want to mention that, uh, that's SWHO we
we have an obligation to to, um, monitor,
analyse and report on attacks on health care.
So one of the truck, uh, carry medical supplies,
and one of the ambulances were hit by bullets, actually, uh,
on the way entering Gaza,
all the way south. And this is much more serious, et cetera.
Again with the patients from Mala
Then the convoy was again stopped at the wide Gaza's checkpoint.
P CS staff and most of the patients had to leave the ambulances for security checks
and critical patients remaining in the ambulance were all searched, uh,
uh, one of the same two P CS. Uh, staff temporarily detained earlier on the way in
was taken for inter interrogation on a second, uh, time
we waited and we made numerous attempts
to coordinate his release.
We waited and waited, and we tried. And through all our channels, uh, in
Jerusalem. And then eventually,
um, after 2.5 hours, uh, you had to make this incredibly difficult choice. Uh,
to leave this this highly dangerous area and proceed
for the safety and well being of the patients.
But of course, also from the humanitarian workers, uh, ourselves.
the PU CS staff member or colleague was released later
we interviewed him yesterday at
and his story is is harrowing. And and the humiliation and enemy
treatments he was subject to is, uh,
is, uh, is rather shocking
Thank you very much, Richard.
And maybe just on a related note, I draw your attention.
Colleagues to the latest update from UR
which, uh, was published yesterday,
contains up figures as of the 10th of December this past, uh,
among other things and notes, uh, that very sadly that, uh, to date,
100 and 34 un work colleagues have been killed
and it cites a number of, um
well, the number of 1.1 million I GPS sheltering at 97 on R facilities
in the middle in Communist and Rafa area. So do take a look at that UN R update.
OK, we'll take a question now from John Zara.
Costas John, over to you?
Yes. Uh, good morning, Rick.
I was wondering if you have, uh,
the figures for the number of Children that have had their limbs amputated.
the Children's limbs being amputated,
endless reports by your partners on the ground.
Um, I think it's a very good question.
And I think we discussed this even this morning. And, um um, Philippe
Lazzarini was here. The the
UNICEF colleagues, of course, also stressed,
um everything around Children.
And we need to get better granularity on this, uh, so I cannot give you, uh
um the updates. We need to get a better overview. And we need to do that. Uh uh. Sw
WHO together with, uh, with UNICEF
to to make a better assessment and that we can indeed, like,
uh, get back to this kind of questions.
What we see, of course, we see among the fatalities and enormous amounts of, uh,
and also among the injuries. So it's definitely issues.
Unfortunately, I cannot answer this more specifically now.
Uh, Rick, I just take note there are a couple of questions in the chat,
but maybe we'll get to those in a minute.
I, I understand that Christian is sending a note, uh, in by email,
but we'll turn now to Lisa Schlein, the Voice of America.
Thank you, Rolando. Good morning and good morning, doctor.
Porn. Thank you for all this.
Um, I'd like to know whether you believe that, uh,
whether you feel secure that the hospitals in the south where the conflict has now,
uh, primarily shifted our safe from, uh, bombing. Whether the Israelis
are are are and will be respecting the particular status
And also, since the conflict
seems to have shifted from the north to the south, do you
uh, returning to the north? Because
safety so-called exist in the south are getting smaller and smaller and smaller,
And, uh, II I don't know.
I mean, you've reached the breaking point in many cases, but,
talk about your, uh, your view of the situation. Thank you.
Yeah. All my observations and what we get, uh, around.
I don't see many people moving up north
because I think even when I, um, I can recall our mission up north to a
extremely dangerous. So, I, I don't see. I don't see many people moving up north.
I see many people moving down south
and, for example, in the middle area de
Bala and I know that place very well.
And when we we had to drive to the trip to DBA
and I've never seen so such big crowds in that place.
Everywhere we were completely swarmed with people. Uh, when we drove through
and every time, of course, we had to say that these were that these were medications,
meant for a Latin hospital because
many people thought that maybe there's food or water and such right we would be in
We would be in big problems, actually, uh,
in in, in among these crowds. So
more and more people coming in this area in the Rafa area.
As I said, Rafa is everywhere.
Everywhere you see, uh, shelters and makeshift shelters. Uh, around
on the hospital situation. I think W HR has been very clear
and I want to stress again
a reasonable, functional health system
producing health indicators at par,
which is neighbouring countries.
So people say, Oh, the health sector was always very bad. No, that is not true.
Yes, There were issues in quality and in primary health care.
Yes, mental health should be much more addressed.
Yet there were some specialties lacking, uh,
which we were trying to assist to to to get a cancer centre within Gaza. And
we know that that was not yet happening. And
5200 patients need to be referred to East Jerusalem and the West Bank today,
and 40% of that were cancer.
But it was a functional health system with a lot of,
uh despite all the despite all the challenges and all the issues,
they were they they were going through,
3500 deaths. I think we are now probably down.
If we always say number of 1500 we must be less now,
Although we are adding bets that the health system
is adding deaths in the in the South,
I can say, like, am I concerned? Yes. WHO is very concerned.
And that's why I think the whole protection of health and
and health care health care facilities is so much, Uh uh,
reflected in in in everything WHO does and and brings out,
we cannot afford to lose any more hospital beds.
the South is now the backbone
We need to get at least two functional hospitals running in the north as well.
And I really want to make a plea for, of course, not only Al
Ahli Hospital, but also Shifa Shifa
is still barely functional but dysfunctional. The infrastructure is there.
It used to be the backbone, the best referral hospital in Gaza
that needs to be functional again. Because there are still many people in the north.
Estimations range from everything from 2 to 600,000 or something like that.
In the South, the two most important hospitals, uh,
are NASA Medical Complex with all the specialisation European Gaza Hospital.
Now all the other hospitals are,
let's say they have made more first level referral, uh, hospitals.
Every hospital needs to expand its death capacities.
And that's why we're trying to get EMT emergency medical teams in
uh, the bed capacity and and
probably an estimation now that 1400 deaths
already you, uh, in both in Nasser,
they expanded with another 100 deaths. I mean, next to the hospital.
As I said, we have a number of field hospitals and EMTS coming in.
European Gaza Hospital is currently being expanded
through the assistance of IC UC.
the issue is we cannot afford to lose any health facility and hospital,
nor I wanna stress primary health care facilities we need to expense.
And we need to expand the back capacity, and we need to restore
the functionality of the system. We need to get the back.
It needs et cetera, standing up again.
are we concerned? Yes, we are concerned. We We hope
that we we we plead that this will not happen
that incredibly vulnerable health infrastructure will be left intact
and that we can actually expand on this.
We hear very concerning stories about, uh,
And attacks on Kamal at one,
And at one hospital we get calls as well to
assist with evacuation of patients there and of of,
We again want to call out, uh, health facilities and health care
that should be protected can never be a target over to you.
Thank you very much, Rick.
I know that you're a bit pressed for time,
but if we could maybe we have still two hands up.
If, uh, maybe could you stay with us? Just a few more minutes.
Excellent. This way we'll just say, if you don't mind. And yes.
And, Isabel, if you can, maybe we'll pose your questions back to back to save time.
But, uh, just before we take your questions, uh, Rick, I think there was, uh,
a need to clarify whether the delays were at the Israeli checkpoints.
That's one clarification. And then, uh, John is asking whether
So maybe if you could address that quickly and then we'll take the questions.
Yeah. Uh, sorry. I just got a call.
Yeah. So the question was on on, um
um, on what was happening and the delays on the on the on on the checkpoint,
Whether it was an please to clarify whether it was indeed an Israeli checkpoint,
a military checkpoint or something else.
yeah, yeah, definitely. It was Israel military, and I think this is
it was Israeli military checkpoint, and
this is what makes it. And I think I made a point in the beginning,
Uh, humanitarian actors, including WHO.
We are here to assist, and we want to assist much better, because we are
only scratching the minimum. We need to assist in a much more effective way, and
it is incredibly complex to actually organise these missions.
I mean, everything needs to be notified deconflict et cetera, to,
and it becomes very difficult to move safely and and and
and swiftly if it is supplies or patients or staff,
And then when you get these delays because, for example,
we have plans to stay at least two hours, 2.5 3 hours at hospitals.
We only have 15 minutes left because we
needed to get back to the military checkpoint,
Uh, by 4 p.m. That was because of all the delays and including, of course, the delays.
because first on the detention going in, the temporary
detention going in and definitely
the detention, uh, going out, which took a long time as I, I tell you,
more than going out more than 2.5 hours.
uh, again wanna say one more thing about that and and attacks on house.
this of course reported to us we only could observe part of this.
But when we interviewed the
the the P CS, uh, person the next day,
uh, so he informed us that he was harassed, beaten, threatened,
and even stripped of his uniform blind folders,
hands tied behind his back and and and and treated in a degrading and
manner And and once released,
he had to walk towards the south with his hands still tight
and and without with a t-shirt only and and no shoes. And there he was.
He could make a call and and get his colleagues from Pier C as in on the other side.
And then they collected him, uh, like that.
I think this is an issue.
This is not the first time we see delays and and and detentions. And
I want to remind everyone in three weeks after, um
uh, that was on a mission
that mission where we, uh, brought supplies to shiv
a and and actually and no and and
and and bring patients to a more safer place down south.
Um, that was on 18 November
the whereabouts of four people and were three of the Ministry of
Health and one PO CS staff which were detained on that trip.
And of course, the the P CS is raising this with us. And and
the Ministry of Health is raising this with us.
And I'm sure with many Ottawas their families are deeply concerned.
Their colleagues are deeply concerned and there's no updates from them since then.
There's no place on their on their where whereabouts,
that's simply unacceptable. Um, and
And we are deeply concerned about that.
So we hope to get some updates, uh,
on the whereabouts of these four people three from
the Ministry of Health and one P CS staff
I know we're mindful of the time, and I know that you're a bit pressed,
so just please just, uh, put your hand up when you've got to go.
virtual hands that just popped up.
Uh, maybe we can just take two and then two very quickly.
Colleagues, if you could just pose your question briefly
and yes, from a FP and then Isabel from Spanish news agency. Go ahead and yes,
Hi. Doctor Peppercorn. Uh, it's a question, actually, on the Kamal
Adan hospital that you mentioned earlier
the a bit earlier this morning, the health Ministry of the Hamas said that, uh,
the Israeli forces were were raiding these hospitals,
and we would like you to ask, um,
if you could explain if you have any information about what is going on, uh,
And if you have, uh, information of how many patients there are,
uh, still there. And if there are other kind of,
uh, people inside trapped, maybe
So any information you have about what is going on and who is inside? Thank you.
Ok, thank you. And Yes. OK. Uh, Isabel, Go ahead.
Yes, thank you very much. I am.
a hospital is barely functioning,
I would like to know exactly, um what is the situation there?
How many staff and patients are there? Still been there?
And how? What is what is what is needed
shifa hospital to to work again, more or less in in in a more functionally,
Ok, by the way, II, I realise I've got the answer.
One question on the numbers and yes, the numbers I mentioned
were, uh, was, of course, reported to us 18,205.
Uh uh, fatalities 11 December and 49,645
And I think from the fatalities, I think we reported as well reported over 60%
now, on the question on, uh, Kamala
a We get similar concerning reports,
Um uh, attack, et cetera. We know we, uh, Kamal at one has, um
limited number of patients left. That's what we get reporters.
So we haven't been able to access that hospital. I want to be very clear.
That's what we get. Reports, limited number of patients.
I heard something like Twitty but
And, um you say what we hear about a lot
Yeah, we heard about, um, uh, fights at the court in the courtyard, et cetera.
This is again reporters. We cannot, uh we don't have
uh, and and and And just go to my,
So I say come out at 120 critical ill patients, including, uh,
six babies on incubators.
That's what I just getting now.
And And the hospital is also sustained damages from 8 December.
Uh, whether it was, uh the power generators, uh,
Um, so we we we call this hospital as minimal, uh, functioning.
And and I think there is an, uh, update from the Ministry of Health.
It's all that's all, uh, reported. So this is all report information. The same
one. What? We now get a request. We get a request of
with a potential a possible evacuation of patients and and staff.
Uh, we will consider that we will discuss this. Of course, with our P CS partners.
We cannot do this alone, but we can only do this when this is properly managed.
We cannot afford I mean, like, other mission.
Like we went through to Allah
, we went to, uh, to shifa.
we cannot afford that because,
uh, simply our partners our key part of PS CS so nobody can be detained.
Uh, when When they are part of a medical mission
that we cannot. Of course, we cannot afford any delays on these missions.
We have to really carefully plan this. Well, what and how
and and yeah, how we can manage that.
So we will look into that,
and and and I'm sure we will update you over the over the coming days.
again. So we we have to report that CIA
again we call barely functional that some of the dialysis patients are Becca
from the technical point of view,
the most important referral hospital.
A lot of the infrastructure there is still functional.
uh, there is there are still some stuff
How could it be operational then? Of course. First it needs to be safe around S
A. That's just that's one thing.
But why do we stress? It is so much needless
Because there are still many, many people
which is, as I described,
completely, completely, utterly overwhelmed,
utterly overwhelmed. I've never seen something like that.
And then you have the other barely functional hospitals, which we just discussed.
is, of course, the best option to
to start functioning again and to to expand health services in North for the people.
OK, we'll take the last two questions, so we'll start with Ruth
Fox News. Go ahead, Ruth.
Hi. Hi. Uh, good morning. Thank you for, uh, for holding this.
So, I, I I'm very curious about the numbers that you just quoted, um, of 18,000
um, especially with, uh, such chaos and such,
Uh um, you know, un uncertainty,
as you described in the hospitals and in the health system.
How? How can you confirm that these numbers are reliable?
I know that in the past, conflicts in 2014,
um, the the death count was more or less accurate.
But now we're seeing, uh, a war on the size and scale that we haven't seen
in previous conflicts. And we know that.
You know, many people have moved to the south. We know, as you mentioned the hos.
Many of the hospitals, especially in the North, are not operating as they should.
And, uh, even the officials who were trained and were
keeping good track of the numbers are no longer, uh, available. Either
they were arrested or unfortunately were killed.
So I wondered if you could
explain how you're calculating those figures
and how you are certain that they are accurate. Thank you.
Ok, thank you, Ruth. OK, last question from Su
Thanks. Thanks very much for taking my questions.
I know that the WHO executive board adopted a resolution on Sunday last Sunday.
And does it make possible to facilitate, for example,
the review to the medical infrastructure as more hospitals,
as you said that are part partially functional know?
let me first, uh, try to address the first question.
This is complex, and thanks for that. Uh,
uh, on the on the on the numbers. So we I think the WHO got a lot of questions
on the numbers, I think from the from the start, and
and again, I wanna report until a number of, uh, weeks ago.
you know, how do we take this number in WHO? Of course, we rely in any complex,
everywhere around the world,
we rely on figures from the Ministry of Health everywhere,
WHO does assessments of health information
systems the so called core assessments.
uh, every two years, I believe.
by Palestinian territory.
If it's the West Bank or Gaza, East Jerusalem, they score very high on that
in our own assessments, uh,
in the past as well, we've been the fight of statistics. Death, birth, et cetera,
was always very well managed in in
Maybe you read, uh, you can recall.
And secondly, I think also on our area of health information
system, for example, the vaccination coverage or, in the time of covid et cetera,
Palestine actually produced very reliable data and very good. Uh, good figures and
number of assessments have been constantly, uh, done.
Maybe you remember in the it was in the start of the of the con.
Uh, well, not in the start. It was already
what was it, 8000 or 9000 deaths? Something like that.
And it was also questions. And the Ministry of Health produced this 12 page
long list with all the ID numbers and all the
and all the all all the details,
uh, on on that as well. Now,
when the conflicts of the the let's say this crisis on is ongoing,
um, until a couple of weeks ago and and want to
make 12 other points on this
in every former escalation of conflicts
the figures reported when they were assessed after
they were more or less correct.
They often were actually a little bit underestimated instead of overestimated.
Even if you look at a number of UN staff killed and extrapolate on that,
you come almost to the similar,
uh, type of, uh, figures.
The last point I wanna make on this the lenses
that made a very good that you should really look at that.
And I'm sure that my colleague, uh,
statement will share that with you. They did an assessment.
I think it was 10 days ago.
And they analysed these figures as well.
And and they come to the conclusion that these figures are unfortunately, uh,
uh, again, I can only describe how WHO works and and and how we work in all countries.
we already made the point that the and the Ministry
of Health as well in the last couple of weeks,
it becomes indeed impossible.
The the the system of reporting deaths
and fatalities and the health information system,
unfortunately, and all their services,
all the data servers which were all in the in the north, uh, collapsed.
And they made a point that since that time since a couple of weeks,
they're making estimations of this.
they did don't even include
Children, women and men under the rubble.
Now, based on all of this, including the Lancet analysis,
I'm afraid to say that this these figures are most likely pretty correct.
they might even be an underestimation.
That's probably all what I can say about how WHO is
taking and working in in all countries around the world.
I try to describe a little bit, uh, that that process and
and well, including the, um, the Lancet analysis, uh,
and and report on on this topic as well.
Please have a look at this and and and and
draw the conclusion for yourself
I. I didn't get the full questions. It was a system.
Um, and I think I understand a system on functionality, etcetera. So again,
Yeah, I didn't get the full the the the specific question.
Perhaps our colleague from CMG.
If you could perhaps restate your question because I took notes,
but I couldn't quite make it out myself.
executive board adopted a resolution last Sunday.
So it does it make possible to facilitate to rebuild, for example, the medical infra
As more hospitals are partially functional in functional,
so does it make possible,
uh, to facilitate all the rebuild of the instructor medical ins
That's uh, that's based on on information we receive on the grounds that and
and, of course, it's always, Uh, yeah, it's difficult to qualify.
When do you call a hospital? Partially functional or barely functional, I said.
what we get now from from Kamala
one, for example, and and and from other places
you can only call it barely barely functional. Or reports from
You can only call it barely functional
hardly any hospitals is what I would say fully functional. I was really impressed.
Maybe yesterday with my visit to Al
Hospital in the middle area.
also completely overwhelmed. So everyone has 300%. Uh uh, bad capacity as
but still a number of their units were working, as you would expect
in a normal, functional hospital. The IC U
was really well protected as a and they you should still see there was order.
there were There was no chaos. I mean,
a hospital completely overwhelmed. Uh, and and
and unfortunately, after chaos,
because of that limited staff completely overwhelmed in
yeah, we constantly we get? Of course, all the information.
We have a whole team on the ground.
We do all these missions, Uh, always with WHO stuff whenever we deliver,
uh, essential medical supplies, Uh,
and we make it everywhere. A quick assessment as good as possible for the rest.
a lot of contact with the health workers, which we have worked with for four decades,
and and And we will continue to do so
Great. Thank you very much.
Uh, Rick, we much appreciate it as always, uh,
for sharing this update as grim as it is,
it's important that, uh, you do so with our colleagues here in Geneva. So
I like to thank you once again.
Uh, stay safe and and thanks again. And you're always welcome back here.
We still have Christian online, and I know that Christian wanted to, uh,
address a particular point.
So over to you, Christian,
I know that there are also a few questions that are pending in the chat.
if you could address those, um, if if possible, over to your Christian.
All right. Uh, well, originally, I thought I wanna read out.
Uh, the the main statement.
But I think, you know, in the in the second part, uh, doctor
peppercorn actually elaborated on it. So, um, I don't wanna repeat what was said.
uh, just let me know if you think, uh, I should, uh,
pick this up or whether it's been taken care of.
That's for our friends here.
I, I would say. I think the doctor
porn was very comprehensive.
So I addressed I think many of the points that you want to address.
But let's say if colleagues have any appended questions,
any details and to be clarified, please,
you can either pose them now to Christian or online bilaterally.
I think there was one question, uh, about, um
Adwan Hospital that was referred to,
uh, there's a question there, but, um,
yeah, perhaps we could liaise with his colleagues.
If you can liaise with Christian directly that that
would perhaps be the best way to pursue this
because John's question was addressed.
Uh, the names of the two hospitals I don't have at my hand right now.
Um, and and I agree, Rolando, I think we and I should not add now more than what he said
again, I think that the statement was taken care of. I think that,
for now covers it. Thank you.
Yeah. Thanks very much, Christian. I appreciate you being here as well.
And and maybe just staying on subject, um, again,
to remind you of the updates we continue to share with you, including the UN W update
with some updated statistics, Uh,
that we shared with you yesterday as well as the usual, uh,
update, which comes out on a daily basis.
Please do consult that, uh, for the latest, uh, figures, Uh, on the,
uh, difficult situation, Uh, in the OPT.
So I think that is it for our briefers, but, uh, before we conclude,
I just have a few updates as noted, The reason why we're doing this virtual.
It's obviously to ease all our work,
namely because of the the big event taking place here in in Geneva.
The human rights, 75th, uh, Universal Declaration of Human Rights,
You will have received the statements
of the High Commissioner earlier today he's addressing He
addressed the opening of the high level event this morning
with several dignitaries to consult, uh,
the updates shared with you by the office of the High Commissioner for Human Rights
in terms of the Secretary General.
As you well know, uh, the Secretary General, Antonio Guterres,
is, uh, currently in Dubai, where he's attending the, uh, cop.
Now. He did speak with your colleagues of the press yesterday,
where he did say that now is the time for maximum ambition and maximum flexibility.
He urged ministers and negotiators to move beyond the arbitrary red lines,
entrenched positions and blocking tactics to
come up with a meaningful, uh, result of the cop meeting.
Uh, the meet the cop, uh, wraps up today, and the Secretary general will remain
in Dubai for the closing today.
I just wanted to point out, uh,
just a couple of other statements that we shared with you or rather,
one in particular on South Sudan, an issue which we have focused on in the past.
And we certainly want to keep that sharp focus
on the very difficult situation in south Sudan.
Specifically, the violence
members of the Security Council and the statement from
the Security Council that we shared with you.
Members of the Security Council strongly condemn the violence in war
and southern A B, a administrative area,
that has claimed approximately 75 lives in November last month and 10 lives already
this month. So very worrying situation in South Sudan.
So to do take a look at that statement,
I should note that the Security Council later today
in New York is actually a meeting holding a public meeting at 3
p.m. New York time on the situation in Sudan and South Sudan.
I also wanted to just highlight a statement that we shared with you yesterday.
It was, uh, from the special representative of the Secretary General, Binta Kaa
on the Democratic Republic of Congo
on the monusco mandate, the UN peacekeeping operation.
So that was a statement that she delivered to the Security Council,
in terms of meetings. No human rights treaty body meetings taking place this week.
Of course, the human rights 75th
H HR 75 events is taking place started yesterday and continues today.
Another big meeting happening tomorrow,
which you well know about is a global refugee forum which will take place at
And it's taking place, uh, from tomorrow through Friday,
it's convened by five states, uh, namely Colombia,
France, Japan, Jordan and Uganda
and co-hosted by the Swiss government.
You've have a lot of information at your disposal.
In terms of press conferences, we have two press conferences today,
one taking place in about an hour and a half from now at 1 p.m.
from the, uh, permanent mission of Israel.
There's a stakeout, Uh, the ambassador, Ambassador
permanent representative of Israel to the United Nations in Geneva
will be speaking at 1 p.m. at the stakeout,
then at that same location at 6. 30 approximately 6. 30.
Uh, this evening we have the high Commissioner of Human Rights, Volker
who will, um, share some closing remarks.
Uh, with with you at the end of this two day high level event marking the 75th, 75th, 7.
Excuse me? 75 years of the Universal Declaration of Human Rights.
One last press conference I wanted to flag is that, uh,
which is taking place on Thursday, the 14th of December
in connection with the global Refugee Forum. It's taking place at P Expo.
It's the European Union press conference at 1030 at P Expo
and it's about the E U's resettlement pledge for 2024 2025.
And we have the EU commissioner for home affairs,
If you have questions for me, I have a a couple of hands up John, go ahead.
a logistical question to Christian. I was wondering Christian if, uh,
Doctor Tedros will be addressing the high level meeting
of the human Rights uh, Council on the 75th anniversary today, given
the attacks on health is, uh, front and centre on the world stage.
And the right to health is one of the core rights
if he's planning to hold a bilateral meeting with the Secretary General
concerning the situation in
Thank you, John. Um, I don't have any info on that.
I will need to check and get back to you.
OK, fair enough. Thank you for that, Christian.
And I'm putting you on the hot
in reference to what I just saw in the chat, if you could
please elaborate on, uh, the situation in the
Adwan hospital. Uh, and, uh, the chat says that it's forcefully being
evacuated. Could you elaborate upon this? Uh, why is that happening?
Uh, is it happening right now? And, uh, what are the consequences for the patients?
That and the staff that are inside the hospital. Thank you.
Yeah, thank you very much.
Uh, Lisa, I don't have much more than what I put in the chat,
because that's what we received.
obviously talking about, uh, Kamal a
we received that the Ministry of Health is reporting
just now that the hospital is being forcefully evacuated.
There are currently 68 patients inside the hospital,
um, 18 intensive care unit patients and including six
That's reports from the Ministry of health, which I'm just forwarding,
uh. It means just that another another one,
unnecessary. And, uh, evacuations.
Uh, and it's again putting another hospital out of use. It's again putting,
um, the last, uh, patients who need help out on the street. So, yes.
Uh, but again, um, I cannot comment really on this,
as these are figures that just came in,
I think, uh, Lisa, is there a quick follow up
and John as well. But Lisa, go ahead.
Yeah, there is. Um, could you remind me, um
uh, functioning or barely functioning hospitals in, uh, northern Gaza.
Right now, I've I've forgotten,
uh, has, uh, uh, uh, This particular hospital been under siege in the past. Is there,
uh, any indication that, uh, Hamas is somehow or other,
uh, this situation. Thank you.
Well, thanks, Lisa I. I won't add much on what Doctor
Pong just notice would have been great to to ask him. Uh, So he reported that we have,
um, one partially functioning he
hospital in the north and 10 in the south if if I listened Well,
uh, and again, the the important word here in this is partially functioning.
Uh, this is there's nothing that,
uh, that that is fully functioning as we would need it.
You also elaborated that we we've been talking normally about 1500 beds available.
Although that is a fluctuating, a
fluctuating figure as well.
And that, um, the need is much higher, of course,
way higher and way higher than the 3500 beds we used
to have in Gaza before the hostilities before the war.
Um, now, with injuries with trauma, with amputations with more wounds, uh,
Thanks. Thanks, Christian. Uh, I'm sorry you're not off the hook just yet.
Uh, I know John. You have a question, but there is and yes, poses a question.
If you can clarify. From what hospital did you get a request for help for evacuation.
And when exactly did you get that? I don't know if you have insight on that.
out at one hospital we're talking about. So the these, uh, I put it in the chat as well.
The It's the an update that the Ministry of Health gives on the, uh,
out at one hospital just now.
and I That's all I have right now.
Um, that means I have no further update on what requests. What's going on?
That's the only update I have,
Uh, on top of what? Doctor Por
OK, Sorry. Uh, just last two questions. If you stay with us another minute, John.
And you know if you can do
it could be helpful for us if, um,
the, uh, emergencies unit of WHO could provide us with a list of the, um, uh,
hospitals and health facilities
that have had to be evacuated because of, uh,
uh, orders by the ID F forces.
That would be helpful for us because we're getting lost in all these numbers,
and the amount of patients that were forced to be relocated. Thank you very much.
Yeah, Well, well noted John.
Uh, and yes, but mind you, this is also a fluctuating thing, right?
uh, hospital gets evacuated, and they're then they're allowed to run a ward again,
and then it gets again evacuated.
uh, the way I understand There are no very few absolute numbers here, but yes,
Thank you so much, Christian.
And then this last comment or a question, perhaps, Nina,
I suppose that's also for Christian.
Uh, yeah. Thank you very much. Uh, I just want to
was asking about, um, a comment made by
Um, saying that WHO had received a request for assistance, uh, to evacuate, Uh,
from what we understood, And we were wondering from what hospital that was to
if you could clarify that,
um and then also on Kamal Adwan.
I was wondering, I've seen that it was, uh,
functioning as a maternity hospital and that, um,
and that there are, uh, mothers who may have been also killed in, uh,
If that's something that you've heard and what
your reaction to that might be as well.
Yeah. On on the second part, I have no further information to what? Uh what?
Uh uh, I just shared or what the paper
con shared on on the hospital, which she talked about.
I'll need to check back to be absolutely sure.
Ok, uh, on that note. Thank you very much, Christian. And of course, we will.
We will continue to update you on all these, uh, figures, as we have been doing.
So thank you very, very much for joining us.
All of you. And a special thanks to Doctor Peppercorn and Christian.
Um, we will return, uh, to the hybrid format on Friday for the next regular briefing.
Until then, have a good afternoon and good rest of your week. Thank you.