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WHO Press Conference: Update on health situation in Gaza - 21 December 2023
Injured patients ‘waiting to die’ in northern Gaza as last hospital shuts down: WHO
There are no functioning hospitals in the north of Gaza and injured patients who need surgery and cannot be moved are “waiting to die”, the UN health agency said on Thursday, in a plea for a ceasefire to allow more aid into the shattered enclave.
The latest grave assessment from the World Health Organization (WHO) came after UN teams reached Al Ahli Arab hospital and Al Shifa hospital on Wednesday, amid reports of intensifying ground operations by Israeli Defense Forces and continuing airstrikes in the Gaza Strip, in response to Hamas’s 7 October terror attacks on southern Israel.
“Patients were crying out in pain, but they were also crying out for us to give them water,” said WHO Emergency Medical Teams coordinator Sean Casey, describing the scene at Al Ahli Arab hospital, where medical staff were struggling to cope with “no food, no fuel, no water”.
“It looks more like a hospice now than a hospital. But a hospice implies a level of care that the doctors and nurses are unable to provide…. It's pretty unbearable to see somebody with casts on multiple limbs, external fixator on multiple limbs, without drinking water and almost no IV fluids available.
“At the moment, it's a place where people are waiting to die unless we are able to move them to a safer location where they can receive care.”
Guterres aid call
Highlighting the need to relieve the deteriorating humanitarian crisis in Gaza, UN Secretary-General António Guterres on Thursday said that “intense fighting, lack of electricity, limited fuel and disrupted telecommunications” had severely restricted the UN’s efforts to provide life-saving aid to people in the enclave.
“Conditions to allow for large-scale humanitarian operations need to be re-established immediately,” the UN chief insisted in a tweet.
Growing hunger
The high-risk mission to northern Gaza involving the WHO, the UN aid coordination office, OCHA, the UN Mine Action Service (UNMAS) and the UN Department of Safety and Security (UNDSS) ensured the delivery of seven pallets of urgently needed medicines, intravenous fluids and supplies for surgery and to treat the wounded, along with equipment to support women giving birth.
Important though the delivery of medical supplies to the north is to provide some relief to patients, much more worrying is the growing and already widespread shortage of food and water.
“We are behind. There is not enough food, every single person I speak to everywhere I go in Gaza is hungry,” Mr. Casey said, speaking to journalists in Geneva. “The time is now. We are dealing with starving people now, adults, children, it's unbearable. Everywhere we go, people are asking us for food even in the hospital, I walked around in the emergency department, somebody with an open bleeding wound, an open fracture; they asked for food. If that's not an indicator of the desperation, I don't know what is.”
Crippling shortages
According to the UN health agency, only nine out of 36 health facilities in Gaza are partially functional; all of them are located in the south.
“There are no operating theatres (in the north) anymore due to the lack of fuel, power, medical supplies and health workers, including surgeons and other specialists,” said Dr Richard Peeperkorn, WHO Representative and now acting UN humanitarian coordinator in the Occupied Palestinian Territory, speaking from Jerusalem.
At Al Ahli Arab hospital approximately 10 staff – “all junior doctors and nurses” – have continued to provide basic first aid to some 80 patients now sheltering in a church within the hospital grounds, Dr. Peeperkorn explained. “Some of them are severely injured and have been waiting for surgery for two weeks or have been operated on but are now at risk of post-operation infection due to lack of antibiotics and other drugs. All these patients cannot move and need to be transferred urgently, to have a chance to survive.”
Heavy bombing and clashes
According to the UN aid office OCHA’s latest update on the crisis, “heavy Israeli bombardments from air, land and sea”, continued across Gaza on Wednesday.
The most intense shelling was reported in Beit Lahiya and multiple areas in Gaza city (north), eastern Khan Younis in the south and the eastern and western areas of Rafah city, also in the south.
OCHA also reported “intense ground operations” and continuing clashes between Israeli forces and Palestinian armed groups in northern Gaza, Gaza City, the Middle Area, and Khan Younis, along with the firing of rockets by Palestinian armed groups into Israel.
Latest casualty figures from Gaza’s health authorities from Tuesday shared by OCHA indicated that 19,667 Palestinians have killed in Gaza since 7 October, about 70 per cent are believed to be women and children. More than 52,586 people have been injured, according to the same source, which reported that many more were missing, likely buried under the rubble.
The UN update also noted that two Israeli soldiers were reported killed in Gaza between 19 and 20 December. “Since the start of the ground operations, 134 soldiers have been killed in Gaza, and 740 soldiers have been injured, according to the Israeli military,” OCHA said.
New evacuation order
The update also flagged a 20 December immediate evacuation order from the Israeli military covering about 20 per cent of central and south of Khan Younis city. The area was marked in an online map published on social media. Before the 7 October escalation, the area was home to nearly 111,542 people, according to OCHA, which noted that it also included 32 shelters housing about 141,451 internally displaced persons - the vast majority having been previously displaced from the north.
STORY: Gaza healthcare update – WHO
TRT: 3:09”
SOURCE: UNTV CH
LANGUAGE: ENGLISH
ASPECT RATIO: 16:9
DATELINE: 21 December 2023 - GENEVA, SWITZERLAND
SHOTLIST
- Exterior wide shot: UN building with UN flag, UN Geneva.
- SOUNDBITE (ENGLISH) – Sean Casey, WHO Emergency Medical Teams coordinator: “It's pretty unbearable to see people who are already victims of conflicts who are in what should be a safe place where they should be able to access care, where they're sitting, waiting to die unless something dramatically changes that will allow them to survive. And that required safe movement, it requires a huge uplift of fuel, it requires medicine, medical supplies, human resources. They're starving. They're dying of thirst.”
- Cutaway: Medium shot, UN building with UN flag
- SOUNDBITE (ENGLISH) – Sean Casey, WHO Emergency Medical Teams coordinator: “Patients were crying out in pain, but they were also crying out for us to give them water. It's pretty unbearable to see somebody with casts on multiple limbs, external fixator on multiple limbs, without drinking water and almost no IV fluids available.”
- Cutaway: Medium shot UN entrance at Place des Nations
- SOUNDBITE (ENGLISH) – Dr. Richard Peeperkorn, WHO Representative in the Occupied Palestinian Territory: “Over 20,000 people now have been killed in the hostilities in Gaza. This is actually almost one per cent of the entire population. WHO calls again for a humanitarian ceasefire. This is needed now to reinforce and restock remaining health facilities, deliver medical services needed by thousands of injured people and those needing essential care, and above all, stop the bloodshed and death.”
- Cutaway: Wide shot, Ariana Park at UN Geneva
- SOUNDBITE (ENGLISH) - Sean Casey, WHO Emergency Medical Teams coordinator: “We went through the courtyard where we stepped over a hole from shelling that had happened just a couple of days before, passed a row of bodies that had been wrapped in white, in plastic sheeting,”
- Cutaway: Wide shot, UN flag with ICRC building in background
- SOUNDBITE (ENGLISH) – Sean Casey, WHO Emergency Medical Teams coordinator: “What would be considered unnecessary amputations in the rest of the world where there is capability to save limbs, where there's orthopedic capability, where there is vascular capability, that's not there. There's no surgery happening right now in northern Gaza. And so actually, many of the patients that I saw yesterday will need amputation if and when they're able to access surgical care.”
- Cutaway: Wide shot, UN building
- SOUNDBITE (ENGLISH) – Sean Casey, WHO Emergency Medical Teams coordinator: “It's too late. We’re behind. There is not enough food. Every single person I speak to, everywhere I go in Gaza, is hungry. The time is now. We are dealing with starving people now, adults, children. It's unbearable. Everywhere we go, people are asking even in the hospital, I walk around in the emergency department, somebody with an open bleeding wound, with an open fracture, they ask for food.”
- Cutaway: Wide shot, UN flag alley
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New data showing that rivers were at their lowest level for decades last year provides further evidence that the climate crisis is real and countries must act immediately to protect themselves from the increasing threat to communities and livelihoods, the UN World Meteorological Organization (WMO) said on Thursday.
The key findings from WMO’s State of Global Water Resources 2025 report covering the hydrological cycle and extreme events in the five-year period to last year:
- 2025 was one of driest years for river discharge in 35 years
- Past seven years have seen abnorfmal river flows
- Water storage on Earth’s land surface has decreased in past decade
- Widespread glacier loss across all regions for fourth consecutive year
- Asia and Africa are regions most affected by water-related disasters
- Water data availability has improved, but gaps remain in hard-hit areas
Highlighting the long-term decline in the Earth’s freshwater storage and glacier melt, WMO Secretary-General Celeste Saulo explained that the planet’s water reserves used to act as a planetary “savings account” that absorbed the occasional dry season, avoiding a water crisis. “One of the central stories of the 2025 report is what is happening to that savings account? And the simple answer is that we are depleting it,” she told journalists in Geneva.
Groundwater reserves are equally stretched and have been in decline since 2014, WMO’s report states, with nearly two-thirds of monitored wells worldwide showing levels lower than the historical norm and indicating a shift “further toward deficit…not recovery”.
“At the same time, we are seeing more water-related disasters,” Ms. Saulo said, while also stressing that the currently strengthening El Niño “will increase the risk of drought in some areas, and flooding in others”.
Glaciers disappearing
In 2025, for the fourth consecutive year, every major glaciated region on Earth lost ice mass, leading to short-term hazards including floods and long-term water insecurity, according to WMO.
Responding to a question about whether the changing global water cycle might have contributed to the deadly Nepal-China flooding disaster, Ms. Saulo explained that melting ice and rock was just one factor in the chain of events that ultimately sent a massive and deadly wall of water and debris downstream on 26 August, killing at least 1,367 people.
“You asked if it could happen again? Absolutely; the problem in this region is that there’s 63,700 glaciers at the last count,” she told a Press Conference in Geneva. “Even if you’re looking with remote sensing with satellites at these glaciers, you might see some faults, you might see some slight shifting, that does not mean necessarily catastrophic collapse. So, in order to plan for this, it’s very, very difficult. But the international community is looking very hard at ways in which we can bring people together to solve some of these monitoring issues.”
Data indicates that glaciers shrank between 2023 and 2025 with cumulative losses of 1,400 gigatonnes of water – or about one third of annual fresh water needs.
Every major glacier region on Earth lost ice for the fourth consecutive year.
“All 19 glacier regions around the globe lost ice; in Central Asia, Iceland, the Russian Arctic and western Canada and the United States, it was among the three worst years on record,” said Wayne Jenkinson, WMO’s Director of Hydrology and Cryosphere.
Some regions with smaller glaciers such as Central Europe, the Caucasus, the western Canada and the United States may already have reached “peak water”, Mr. Jenkinson warned.
“After this point, the glacier gives less meltwater each year simply because there is less ice left to melt. That matters for every community downstream that relies on water during hot, dry summers,” he explained.
Narelle van der Wel, WMO’s Head of Cryosphere Monitoring, Predictions and Services, stressed that while some further glacier loss is unavoidable, the eventual scale of the decline is not predetermined.
“Some glacier loss is inevitable, but total loss of glaciers is not yet inevitable,” she said, pointing to emissions reductions as central to limiting future losses.
Preparing for moving baselines
The report does not attribute every observed change to climate change alone. WMO says pressure on water resources and natural variability also contribute.
Mr. Jenkinson said governments need to prepare for “moving baselines” as historical patterns become less reliable.
“The situation 30 years ago is not where we are today,” he said. Countries, he added, need to prepare “for those changes that have really already arrived”.
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