UN Geneva Press Briefing 28 May 2024
/
1:32:51
/
MP4
/
5.5 GB

Press Conferences | IFRC , IOM , ITU , UNICEF , UNRWA

UN Geneva Press Briefing - 28 May 2024

ANNOUNCEMENTS:

- ITU, David Hirsch

  • WSIS+20 Forum High-Level Event and AI for Good Global Summit

 

TOPICS:

- UNRWA, Amal Arefeh, Head Health Communication at HQ Amman with Dr. Akihiro Seita, UNRWA Director of Health

  • UNRWA Health Programme Annual Report 2023 release. Main indicators of the programme and UNRWA Health Response to Health needs in Gaza.

- IOM, Itayi Viriri, regional spokesperson for Asia and the Pacific (From Bangkok)

  • IOM on Papua New Guinea landslide: context, IOM response, urgent needs.

- IFRC, Friederike Otto, World Weather Attribution and Imperial College in London, one of the co-authors of the report (From London)

  • Launch of the report: “Climate change and the escalation of global extreme heat”
  • Heat Action Day (2 June) that this year will focus attention on an unprecedented twelve months.

 

PRESS BRIEFING BY THE UNITED NATIONS INFORMATION SERVICE

28 May 2024

Alessandra Vellucci, Director of the United Nations Information Service (UNIS) in Geneva, chaired the hybrid briefing, which was attended by spokespersons and representatives from the United Nations Relief and Works Agency for Palestine Refugees in the Near East, the International Organization for Migration, the International Federation of Red Cross and Red Crescent Societies/World Weather Attribution, the United Nations Children's Fund, the World Health Organization and the International Telecommunication Union.

 

Update on Dire Health Needs in Occupied Palestinian Territories 

Dr. Akihiro Seita, Director of Health, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), said UNRWA covered not only the occupied Palestinian territories (OPT) but also Jordan, Lebanon and Syria, where the Agency had hosted in total around six million Palestinian refugees since 1950, when it started operations.

UNRWA’s 2023 Annual Health Report showed that UNRWA was continuing to provide services in difficult conditions, not only in Gaza and the West Bank. Lebanon was in an economic crisis and insecurity prevailed in Syria, but the Agency had never stopped any of its services.

Last year, UNRWA provided around seven million consultations and two million Palestinian refugees used its services, including 300,000 people with diabetes and hypertension. It had also taken care of around 70,000 pregnant women, almost all of whom had delivered their babies in hospitals, thanks to coordination with the Governments of Jordan, Lebanon, Syria and Palestine. There were also an increasing number of mental health and psychosocial support services provided; the Agency treated over 33,000 persons for depression, anxiety and other mental health conditions in 2023. 

These robust primary healthcare services were supported by the Agency’s staff, almost all of whom were Palestinian. The Agency had high quality electronic medical records connected to 140 health centres. The UNRWA mobile application for pregnant women and breastfeeding mothers was being used by over 270,000 women, and around 200,000 people were using applications for persons with diabetes hypertension and non-communicable diseases. UNRWA had a long history of providing quality services, as indicated by the data presented in the annual report.

The situation in the West Bank was very dire. There were over 40 UNRWA health centres in the West Bank. It was difficult to move staff between these centres. The Agency had relocated staff closer to the centres they worked in to prevent a disruption in the provision of services.

On Gaza, Dr. Seita said that he had visited the strip last month, and he could not reconcile what he saw in his mind. He had visited Gaza several times previously, but the Gaza he saw in April was unrecognisable.

Despite the situation, UNRWA had not stopped providing services in Gaza. As of yesterday, it provided primary health care in seven health centres and 105 medical points in shelters. Every day, it was treating between 15,000 and 25,000 people. Before the war, the average number of daily consultations was 15,000. The Agency provided services to both refugees and non-refugees. 

Health conditions were dire. Because of the lack of water and sanitation, there was a high rate of acute respiratory infections, diarrhoea, including bloody diarrhoea, and hepatitis A. Mental health problems were also on the rise.

UNRWA was working closely with international partners such as the World Health Organization (WHO) to increase access to health services. The Agency continued to provide vaccinations and had so far vaccinated over 100,000 children this year.  

Preliminary data showed that there was an increasing trend of malnutrition. Around 10 per cent of children in southern Gaza were acutely malnourished. UNRWA was working with the United Nations Children's Fund (UNICEF) and others to provide treatment. 

The situation in Gaza was very dire. UNRWA was doing its best, but a ceasefire was needed now. Without peace on the ground, the civilians of Gaza would continue to suffer.

In response to questions, Dr. Seita said a major problem for UNRWA was ensuring how to continue services. In some cases, health centre staff could not travel to medical centres or were delayed for several hours at checkpoints. The Agency was reallocating staff to continue to provide services.

UNRWA’s main medicine warehouses were in Jerusalem. Moving medicine from Jerusalem to the West Bank was always challenging. The agency was working closely with the Ministry of Health and other partners to make sure that the medicine could reach Hebron and Ramallah. This was an extraordinary challenge.

Mental health problems and non-communicable diseases were on the rise. UNRWA’s aim was to ensure access for support services in collaboration with the Ministry of Health.

On the financial situation, at the beginning of the year, 16 countries stopped financing UNRWA. Currently, 14 countries had resumed financing. This was positive. However, UNRWA had yet to reach a sustainable financing level. It had sufficient cash flow for June, after then, financing would be challenging.

Many injured people visited UNRWA’s health centres and medical points, as hospitals could not keep patients for a long time. Around 20 to 30 per cent of patients sought wound care, which UNRWA was working with WHO to provide. 

Also answering questions, Dr. Seita said that Karam Shalom border crossing opened yesterday, so he hoped that this would lead to an inflow of medicine. UNRWA was exploring two routes with UN partners on the Egyptian side and the Jordan side. At the beginning of the war, UNRWA lost all its stock in its central warehouse in Gaza City. It had since bought medicine stock for six months, with the support to the international communities and also the Government of Egypt. Consumption of some medicines, including for wound care, antibiotics and anti-diarrhoea medicines, had increased dramatically since the start of the war. In shelters, there was one toilet for 800 people and one shower for 4,000 people. This led to an increase in diarrhoea and hepatitis. UNRWA hoped that additional routes for supplying medicines would open soon.

All wounds were treated by hospitals. Patients came to UNRWA medical points for services such as wound care and dressing after operations as hospitals were overwhelmed. Midwives in shelters were there to support pregnant mothers and babies, but there was a very limited number of deliveries there.

UNRWA was critical and essential for people in the West Bank and Gaza. It covered 60 per cent of patients for primary health care. Continuation of UNRWA was extremely important.

When settler violence happened, it affected access to health centres. This was a very serious situation.

There were 1,000 health staff working in Gaza. Some had been killed; many had been displaced. Dr. Seita expressed sincere admiration and respect for them. One of the staff had asked him, “When will the world consider us as human beings?” It was Dr. Seita’s mission to make the world understand their situation.

Alessandra Vellucci, Director of the United Nations Information Service (UNIS) in Geneva, said that last night, a statement had been issued by the UN Special Coordinator for the Middle East Peace Process, Tor Wennesland, on airstrikes in Rafah.

Ms. Vellucci said the United Nations Secretary-General António Guterres had last night posted on X about the latest Israeli airstrike, saying he condemned Israel’s actions which killed scores of innocent civilians who were only seeking shelter from this deadly conflict. “There is no safe place in Gaza. This horror must stop,” he said.

Ms. Vellucci also said UNRWA was the backbone of the humanitarian operation in Gaza. No other entity had the capacity to deliver assistance to the people of Gaza and the Palestinian territories.

Margaret Harris for the World Health Organization (WHO) said medical supplies and fuel supplies were running very, very low. WHO had managed to get three trucks in through the Karam Shalom border crossing since the Rafah incursion began, and there were 60 WHO supply trucks waiting at El-Arish unable to cross into Rafah due to the closure of the border.

Fuel was critical; the estimated requirement was 200,000 litres per day, but WHO had been able to deliver approximately 70,000 litres per day, and some days had delivered none. All hospitals were really struggling. Fourteen hospitals were functioning but not accepting in-patients. In Rafah, only the Emirati Hospital remained barely functional. There were five field hospitals, but all were overwhelmed and undersupplied. This meant the key health services were not available in Rafah, including dialysis, medical imaging, surgery, paediatrics, internal medicine and maternity care.

Fuel was needed for generators, hospitals, bakeries and desalination plants. Everyone was making very difficult decisions about what could be done. There was one bright spot: dialysis services had returned to Nasser General Hospital and were beginning to return to Al-Shifa. Despite the difficult circumstances, people kept coming back to restore services. There were no CT scans working south of Wadi Gaza, so doctors could not see bone fractures. Doctors were doing their best, but were not able to provide the level of service that they could before 7 October.

There had been an abrupt halt to all medical evacuations since 7 May. There were normally around 10,000 patients needing to be evacuated. Due to the increase in the violence in the area in Rafah and the limitation on services, there were now an extra 1,000 critically ill and injured patients who had been unable to leave Gaza to receive much needed medical treatment elsewhere.

What happened on the weekend was not a mishap but a horrific incident, a deplorable attack on displaced people who were sheltering in tents in Rafah, Ms. Harris said. The Ministry of Health reported that 35 people had been killed, including women and children. The injured were treated by a trauma stabilization point, as well as in the five field hospitals, but the attack had overwhelmed them. Many people would have suffered from terrible burns. Treatment required high level medical services.

WHO was increasingly struggling to provide high level medical doctors and nurses, who had been displaced by the incursion in Rafah. Doctors and nurses were watching people die in front of them as they lacked the tools, skills or supplies to do what needed to be done. Decisions were having to be made by doctors to remove a limb to save a life; this was a horrible decision to have to make.

Before October 7, between 50 and 100 people were referred out of the Gaza Strip each day for medical procedures. At any one time, over 10,000 people in Gaza needed to be referred outside Gaza for treatment. Burns needed complex treatments such as skin transplantation. People with severe limb injuries needed definitive treatment that was not available elsewhere. There were currently over 6,000 trauma related patients who needed to be evacuated. Since the escalation in hostilities on 7 May, 1,000 additional people needed medical evacuations.

James Elder for United Nations Children's Fund (UNICEF) said the so defined “limited” invasion of Rafah had displaced around one million people. Both desalination plants in central and southern Gaza had shut, one for 18 hours and one for eight hours. Throughout this past week, 10 per cent of the required fuel had made it through to those desalination plants. On average in Rafah, people were getting around one litre of water per day, catastrophically below any emergency level. They would now be able to access only a fraction of that, based on the closure of Rafah and ongoing military offensive there.

The number reported in November that 1,000 children had received amputations had not been updated. Children who had received amputations were now sitting in tents rather than in hospitals. 

The recent attack had been called a “tragic mishap” and a “mistake”. What, then, should we call the ferocious attacks that had killed thousands and thousands of children? How could we describe the actions that have pushed the entire population to starvation? What should we say of those countless children who had had arms and legs amputated, all the thousands who had been orphaned? What language could describe the unprecedented devastation to homes and schools? How many more “mistakes” was the world going to tolerate?

UNICEF did not have updated figures on nutrition since reporting last month that famine was imminent. Every day in Gaza, the situation got worse. The only hospital providing paediatric care for malnutrition had been attacked. The United Nations had advocated for Erez crossing to open because Erez was ten minutes away from mothers hunched over skeletal children. The closure meant that the nutritional situation, which was already hanging by a thread, had only deteriorated. There was no need for children to be in this precarious position. The humanitarian response was nowhere near what it needed to be for the civilians of Gaza.

IOM Responds to Urgent Needs in the Wake of the Papua New Guinea Landslide

Alessandra Vellucci, Director of the United Nations Information Service (UNIS) in Geneva, read a statement by the spokesperson of the Secretary-General, who said that the Secretary-General was deeply saddened by the reported loss of hundreds of lives in a massive landslide in Papua New Guinea and extended the heartfelt condolences of the Secretary-General to the families of the victims. He expressed solidarity with the people and government of Papua New Guinea and expressed the availability of the United Nations to support the Government's response efforts.

Itayi Viriri, Regional Spokesperson for Asia and the Pacific, International Organization for Migration (IOM), said that up to 2,000 people were estimated to be still buried under the rubble after the landslide occurred around 3 a.m. on Friday. The total number of people affected was around 7,849 from 1,427 households. This included around 1,750 previously displaced people and people buried under the rubble. Six bodies had been recovered so far.

The population of Papua New Guinea was 42 per cent under the age of 16, so it was estimated that many children had been affected. Many people who had been affected by the landslide had moved to the region after escaping tribal conflict in other regions. 

The response was underway, with United Nations agencies, including IOM, UNICEF, the United Nations Development Programme (UNDP), the United Nations Population Fund (UNFPA) and UN Women providing support to the Government, along with other international agencies. What was needed now was access to clean water. Much of the water was under rubble. IOM was providing clothing, food items and shelter to those affected to try to alleviate the hardship people were facing. 

The area was still unstable and there was a risk of further landslides. Access to the area was quite difficult; a bridge on the main thoroughfare leading to the area had collapsed and needed to be fixed to support access. The National Disaster Center had asked for international support in mobilising resources to ensure people received the help they needed as soon as possible. 

Water coming from the mountain where the landslide occurred was contaminated; this needed be considered. This was a horrible situation, but there was some good news yesterday, with a couple being rescued from under the rubble after three days of being trapped.

In response to questions, Mr. Viriri said the 7,849 people affected included the around 2,000 people suspected of being buried under the rubble and displaced people.

Authorities were attempting to bring in heavy equipment to clear rubble to reach the bodies underneath. Access to the site was very difficult. The bridge collapse had cut off the main highway to the site, making the journey to the site two to three hours longer. Authorities were working frantically to fix the bridge. They needed engineering support to clear the rubble and fix the bridge. IOM would have an update tomorrow on progress in fixing the bridge and on providing air support to the site, which was also difficult given the terrain. 

Donors such as the European Union and the United States had reached out to provide support. Australia was sending in heavy lifting equipment. IOM was working on a fund appeal that would be ready soon. It was difficult to clarify what was needed. In some parts, land was still moving in areas where rescue operations were taking place. 

All response efforts needed to be carried out in a careful manner. Efforts were being led by the UN disaster coordination team. With the continued heavy rains, the soil was unsteady, and water was coming out through the rubble. Another landslide could occur. Authorities were treading carefully to prevent another disaster.

In case there was any further threat of a landslide, people would need to be moved again. Authorities were preparing to move much of the affected population to neighbouring provinces. Anything could happen; this was difficult terrain, and another landslide could happen again. Caution was key, as was urgency.

IFRC Reports on the Escalation of Global Extreme Heat and Heat Action Day

Dr. Friederike Otto, Co-Lead of World Weather Attribution, and Senior Lecturer in Climate Science, Imperial College London, co-author of the International Federation of Red Cross and Red Crescent Societies (IFRC)’s report, said heat was a very silent but increasingly common killer. It was particularly disastrous last year; this year was likely to be worse. This May was hotter than any May before, as had all months for the past 12 months. Temperatures right now were around 50 degrees in India and Pakistan. 

Every heatwave that was happening today was hotter and lasting longer than it would have without human-induced climate change; that is, without the burning of coal, oil and gas. There were also many more heatwaves than there would be otherwise. Dr. Otto said she had co-authored a report that spelled out what that meant, and why it mattered. 

The average inhabitant of the planet experienced 26 more days over the last 12 months that were extremely hot than they would have if it wasn’t for climate change. In Ecuador, it was not 26 more days but 170 more days. In other words, in the last 12 months, the people of Ecuador experienced 180 days of extreme heat; without climate change that would have just been 10.

Extreme heat was dangerous, leading to excess mortality in the thousands at least. Heat harmed especially vulnerable people: the elderly, the very young, those with pre-existing health conditions, and also healthy people who were exposed to extreme temperatures, like outdoor workers in construction or agriculture and people living in refugee camps.

It was thus paramount to stop burning fossil fuel to prevent this situation from getting even worse. But the world also needed to adapt. 26 more days of extreme heat on average was almost a month.

Heat was killing us, but it did not have to. There were many solutions, some of which were available at low or no cost, ranging from individual actions to population-scale interventions that reduced the urban heat island effect. At the individual level, people could cool their bodies by self-dousing with water, using cooling devices or modifying their built environment to increase shade around their homes.

But individual action alone was not sufficient, especially for those who lacked access to water, electricity and shade. Action at the community, city, regional and country levels was imperative. Cities could develop and implement heat action plans that outlined how they would prepare for the heat season, respond to imminent heatwaves and plan for the future. On a larger scale, policies could be introduced to incorporate cooling needs into social protection programmes that supplemented energy costs for the most vulnerable, and building codes could be updated to encourage better housing. 

The significant impact of heatwaves and the potential to prevent them was why the IFRC and its partners were mobilising on 2 June for Heat Action Day. IFRC was raising awareness and engaging communities on how dangerous extreme heat could be, and how to take the right action.

More information about the report and Heat Action Day here.

In response to questions, Dr. Otto said high temperatures might not be problematic for people who lived in cities that were well-built for heat, but heat could be devastating for people living in refugee camps.

Humanity’s biological limit was based on both temperature and humidity. There were not many days yet above the biological limit, but heat was deadly, even below the biological limit, as figures on heat wave deaths showed.

Maya Vahlberg for Red Cross Red Crescent Climate Centre said colder countries were less prepared to deal with extreme heat and were more susceptible to extreme heat. A 31-degree Celsius heat wave in Sweden in 2018 was estimated to have killed around 600 people, most of whom were older adults who were physiologically more vulnerable to heat. There was a need to consider the vulnerability of communities, which was a focus of Heat Action Day.

World Health Assembly Update

In response to questions, Fadela Chaib, for the World Health Organization (WHO) said that in Committee A of the World Health Assembly today, there were four important issues to be discussed: the WHO budget, the global program of work, the amendment to the International Health Regulation and the Intergovernmental Negotiating Body (INB). These were processes led by Member States.

The INB had not reached a consensus on the draft pandemic treaty, and did not have a final report to submit to the General Assembly. A report had been released by the WHO Director-General on the progress made in discussions on the INB. It was up to Member States to decide how to take this discussion forward. Usually, what was decided in Committees A and B needed to go to plenaries.

Committee B usually discussed the occupied Palestinian territories. There was a report by the Director-General on the situation in the territories since 7 October, in addition to the Director-General’s regular report on the situation in the territories from January 2023 to before 7 October.

The resolutions of World Health Assembly 77 were posted on the session’s website. Today, there would be two strategic roundtables held, one on the investment case, another on the expanded programme of immunization. WHO was celebrating the 50th anniversary of this wonderful initiative that saved millions of lives, especially those of children. These events could be followed online.

The world needed to take lessons from the COVID-19 pandemic and be prepared for the next pandemic. It was important to stress the need for sharing vaccinations and medicines. Member States all agreed that this was important. Multilateral negation could be long and difficult, as was the case for the amendment to the International Health Regulation, which had been discussed for two months. Member States were working on the next steps for reaching an accord.

Announcements

David Hirsch for International Telecommunication Union (ITU) said the World Summit on the Information Society (WSIS)+20 Forum High-Level Event opened yesterday and continued through the week at the International Conference Center Geneva (CICG) and ITU headquarters. AI Governance Day took place tomorrow at CICG. It would feature discussions on moving from principles of AI governance to implementation. 

The AI for Good Global Summit 2024 would run from Thursday through Friday at CICG and feature a press conference on brain-machine interfaces on Friday, 31 May at 1:00 p.m. Reporters were encouraged to RSVP for the press conference. Physical and remote participation were available for most events. Online registration for event media accreditation was required. Advance badge pickup at the Varembe Conference Centre (CCV) was encouraged to avoid lines.

In response to questions, Mr. Hirch said an announcement made by ITU yesterday reported that over 50.96 billion United States dollars had been pledged to Partner2Connect, a global platform for to expand digital connectivity. These were pledges by industry, governments, and civil society. The money did not come into ITU. The Partner2Connect system raised the visibility of investments. Over 900 pledges had been received from 400 entities and about 140 countries. There was an overall goal of having 100 billion dollars pledged to the platform by 2026.

Alessandra Vellucci, Director of the United Nations Information Service (UNIS) in Geneva, said today was Menstrual Hygiene Day. Every month, more than two million people around the world menstruated. Although a natural process, menstruation interrupted lives and the rights and freedoms of millions of women and girls because they could not afford or access menstrual products, sanitation and hygiene facilities, or lacked education and awareness to manage their menstrual health and hygiene.

On this very important day, the movement against period poverty was celebrating 10 years of collective action by women and girls worldwide today. We needed to make talking about periods a normal part of life and take action to end period poverty. A description of the problems and of the action taken was available on the UN Women website.

29 May was the International Day of UN Peacekeepers. On this day, the international community paid tribute to all the men and women who have served in UN peacekeeping operations, whether as military, police or civilians. This was a day to recognise their high level of professionalism, dedication and courage, and to honour the memory of those who had lost their lives in the course of peace. 

UN Geneva would commemorate this day on Friday, 31 May in Ariana Park. A ceremony would be held, attended by the Permanent Representative of Nepal, the International Association of Peace Soldiers and, for the first time, representatives of the Swiss Armed Forces International Command (SWISSINT), the section of the Swiss Armed Forces responsible for the conduct of peace support operations abroad. 

The Committee on the Elimination of Discrimination against Women would close its 88th session next Friday at 5pm and issue its concluding observations on the eight countries reviewed: Republic of Korea, Montenegro, Singapore, Estonia, Kuwait, Malaysia, Brazil and Rwanda.

The Conference on Disarmament was having this morning a public plenary meeting, the first under the presidency of H.E. Mr. Abdul-Karim Hashim Mostafa of Iraq.

 

***

 

The webcast for this briefing is available here: https://bit.ly/unog28052024

The audio for this briefing is available here: https://bit.ly/UNOG28052024

 

Teleprompter
Good morning.
Welcome to the press briefing of the UN Information Service here in Geneva.
We are going to start immediately with a briefing on the situation
in the occupied
Palestinian territories. We have with us Dr
Akihiro Ceta,
who is the director of health at UN
R.
As you may have seen, we have distributed it to you this morning.
UN R
A has published a health programme annual report
and
Mr Doctor Ceta
is here to tell us about it. I also wanted to
remind you before we start listening to
Dr Ceta
The statement by the UN Special Coordinator for the Middle East
process that we have distributed
to you last night
about the airstrikes in Rafa.
So I give the floor now to
Ceta
and please have your initial remarks. And then we will open the floor to questions.
Thank you.
Good morning. Thank you very much for good gathering.
And my name is
I'm the director of Health of UNRWA
UN.
W a kaba
is not only the occupied Palestinian territory Gaza, West Bank,
including east Jerusalem, but also Jordan, Lebanon and Syria,
where we have in total around 6 million Palestinian refugees since 1948 or in 1950.
When we start operations,
I briefly talk about the entire UNRWA operations in these five fields. We call it
and they go to the West Bank and Gaza
in the
in a couple of minutes.
So for the health report,
which clear said that the UN W a
continued the services under such a difficult timing,
not only Gaza and the West Bank, you know Lebanon in the economic crisis,
Syria is also in, security prevails and we never stop any services
and last year we provide the services around
7 million consultations. So it's a quite a good number
and the 2 million Palestinian refugees use our
services because some of them come multiple times,
which includes that
300,000
people with diabetes,
hypertension because of prevailing poverty and difficulty in lifestyle.
Diabetes hypertension is quite predominant among Palestinian refugees
and also we took care of that 70,000 pregnant women
and almost all of them, except for the current Gaza
that almost all of them deliver their babies in the hospital.
So it's quite good co ordination with the host government of Jordan, Lebanon,
Syria as well as Palestine
and also we have an increased number of mental health and psychosocial support.
Last year we treated 33 33,000 patients with mental health. We introduced the
gap and this 33,000 includes that the depression,
anxiety and other mental health conditions.
So it's a very good, robust primary health care services.
Of course, it is supported by the 3200 staff.
It's a great staff, almost all of them except me
Palestinian refugees.
They were born there and they studied there.
They came to our services and provide the services to their own population.
I think that's a good reason that we are extremely good
commitment
and we have a very good electron
medical records
that it is a cloud basis.
It is collected 140 health centres and day to day,
and so many of the health centres are paperless or digitalized
and
recording that medical condition. The prescription by digitally
and we also have a smartphone applications.
One is for the mother and childhood pregnant mothers.
So
far, 270,000 mothers using these applications
and the diabetes, hypertension or non communicable diseases. Around 200,000
uh, people using this application.
So una is quite a robust primary skill with a long history of good
quality of services and indicate about which you can see the annual report.
The second half of the annual report is all the data and you can see this
next
West Bank.
The West Bank situation is very dire. We have 40 plus health centres,
but it is very difficult to move Typical example that health staff who are working
in health centre X may not be able to reach the health centre on time.
So what we did is we reallocate the staff and
so that the people living near that health centre can go
to the health centre to work and so that we do
not have a disruption of the provision of the services.
But it is very difficult in the West Bank
and particular the incursion
and some of the health centres are affected, and that is also our main concern.
Now let me go to Gaza.
I was in Gaza last month, uh, three weeks
and then that I still can't forget what I have seen or I. I still cannot, uh,
how do you call it?
Reconcile of what I've seen in the brain and the mind is the correct expression,
the
correct expression.
And then so I went because of my job. I went to Gaza many times pure
particular Gaza City.
I went there on the eighth of April. I really couldn't understand where I was
when I saw the street.
When I saw the buildings, I really couldn't understand why it was a big shock to me.
But nevertheless,
I'm very proud to tell that the UN
R never stop the services.
We provide the
primary health care
at this point of time. Seven health centres I need I need to check today.
But it was a seven health centre yesterday
and there are also 100 and five medical points which are all in the shelters.
We have still quite a large number of shelters
and so we provide the primary health
care primary health services in these health facilities
and every day we we treat almost 1515 to 20,000
and some 25,000.
Before the war, the average daily consultation in Gaza
was 15 1,
5000 so that we are catching up and providing services not only the refugees,
which accounts for the 70% of the population.
But the non refugees as well We treat everybody
and then that the the health condition is dire
because of the lack of the good to wash water and sanitation
that we have still very high rate of the acute respiratory infections,
diarrhoea, including bloody diarrhoea as well as hepatitis A.
This remains still high
and then that's our main concern
and also that the mental is on the rise. But, uh, we we we do as much as possible
and then that access to the hospital services.
We are working very closely thanks to WHO and the international partners
that we try to have access to the health service,
hospital services to the Palestine, refugees, refugees, others.
But all in all
again, as I said, we never stop services.
We continue to provide the services and include the vaccinations
and then we start the vaccination from the beginning of
the year and so far we have 100,000 Children vaccinated.
And so it's a quite a good catch up to the pre war level and thanks to the community,
because their mothers are very much keen to vaccinations.
nutritions
we do the work,
which is the middle upper
arm measurement
and our data is still preliminary.
And but it shows that there is an increasing trend of the malnutrition
less than two years in the southern part of Gaza that 10%
of kids we found that are acutely malnourished and working with the
and
to provide a high per
treatment.
So Gaza situations are again very dire and we do our best.
But
because of this massive, deteriorating situations,
what do we need now is ceasefire.
We continue to do whatever we can do but without ceasefire,
without peace on the ground, peace in mind, we continue to suffer.
And I'm sorry to say
that the people in Gaza may continue to suffer, so ceasefire is highly requested.
That's OK,
that's all. Thank you, Thank you very much, Doctor Sita
and I'm sure there will be a lot of questions. I also wanted to
mention I should have done it before they they tweet that Antonio Guterres,
our secretary general, posted last night
about the Israeli air strike
where he said,
I condemn Israel's actions which killed a core of innocent
civilians who were only seeking shelter from this deadly conflict,
there is no safe place in Gaza.
This horror must stop.
I'll open the floor to question first in the room, as usual and then on the platform.
Uh, yeah. Isabel Isabel
Sacco,
the Spanish news agency.
Good morning. Um,
yes, yes.
Hello.
Do you hear?
I would like to ask you, uh, more details on the situation in the West Bank.
Um, how? The incursions by the Israeli forces have
affected the
the services in the health centres.
And you mentioned you had to reallocate staff to live near
the health services. But
if you can,
explain a little more of the situation there, um, on a daily basis,
how the work is is happening if if people can access
the health centres also to to to seek for for services,
for health services.
Yeah, thank you very much
that the
yes, that, uh, for from us.
The major problem is how to continue the services to, uh,
ensuring the number of staff in the health centres to come.
When I was there at the beginning of the year, I can share one example I faced
that I went to the one of the health centres where
that some of the health centre staff could not come.
Then they called the head of health centre and told
them that I'm here at the checkpoint for three hours.
We couldn't move.
So they asked the health centre staff. What should we do?
The health centre staff said that you can go home and then that kind
of situation continues and so that we make sure that the where that the
health staff can access. Then we
we reallocate the staff to go to the health centre to continue the service.
In the hype of encouraging. Of course our centre is closed. But after that we open it
and then make sure that the people have continued access
to the services that we are going to do this
and so. And the other problem is the movement
that our warehouse main warehouse of medicines in Jerusalem,
because I'm sure you know that our front office is in Jerusalem.
And so the move in the medicine from
Jerusalem to the West Bank is always challenging,
that we are working closely with the minister
of Health and other partners to make sure that
when the medicine in the warehouse could reach the Hebron or
Ramallah or the nabs.
That's what we're going to do. So it's extraordinary. Challenging.
Thank you.
Have a
follow
up, Isabel.
Yes, Very quickly, if you have any. If you have any idea on
what kind of health problems are increasing because
people don't have access to the medical services.
Oh, sorry. It's all No
one is on. The rise is mental health,
and you can see in the statistic report.
So I don't want to refer to the an inaccurate number.
But one is on the rights,
but also the N CD on the rights. But it is continuous.
So our aim is to make sure that they have access to our services.
And also that access to the specialised services
in collaboration with the Minister of Health.
Yes, please. Can you introduce yourself? I know that you come from the Lancet,
but
but Ah, there you go. Quite quite loud. Anyway,
could you, um, reflect on the financing side of your
work? Because obviously it's very challenging. And you're having to,
um, treat and see so many more individuals. Thanks.
As you know,
I'm the director of health so that I'm not in
the best position to answer to the financial situation,
but let me share what I know and the detail.
You should contact the office
at
the beginning of the year that because of
the allegation that the 16 countries stopped the financing
today, 14 countries resumed
14.
So it's a good sign for us,
but because we still have not yet reached the sustainable financing level.
So
at this point of time, what we have is the next month. June cash flow is OK until June.
Cash flow
are is ok. After that, it is still challenging.
Emma Farage, Reuters.
Good morning.
I don't know if you, uh, amongst your health care centres,
you have kind of trauma centres,
but I'm wondering if any of them were dealing with the, um,
injuries from the Rafah airstrike
Sunday Monday night. Um, what did they see? How were they able to cope with that?
And just a broader question on on medical supplies into Gaza. Ha! Have you had any in
at all since the Rafa
operation began? And And how dire is the supply situation for you?
Thanks a lot.
Thank you very much.
So the for the yesterday's one Rafa
I. I I'm not updating myself, so I'll come back to you later.
But in general, as I said that we have a seven health centre and the 105 medical point.
When I went to the health centre as a medical points,
I saw lots of injured people come to a health centre.
It's simply because the host overwhelmed
and so they cannot keep the patient long so they come to a health centre. So that
wouldn't what you call dressing change
and then that our health centre and the particular medical
point are not the best place to have a clean wound
change. So we are working with Dre
to hold
so that the people come here that
should be able to get clean dress
and the wound care
and that's
one of the main issues. The place I went in medical points in the mid of April mid of
March.
Around 20 to 30% of the patients coming to our medical points are for wound care
and that's also a big burden
and so that we are trying to do this.
The supplies that
I understood that Karam
Salon
opened the day before yesterday or yesterday so
that I hope that the medicine goes in.
Now
we have two routes that our office is exploring together with other UN partners.
One is
Aish
and the Egyptian side. The other one is the Jordan side
and working on the World
Food Programme To make sure that we can send the medicines there.
It has been challenged if we go back a little bit history
that at the beginning of the war we had a major warehouse in Gaza City.
And if you remember the one week after the start of the
war that we needed to evacuate to the South to continue the services
and we lost all the
stock in the central warehouse of medicines. So we ran out of the stock very quickly
and then since then we've been there.
What we did is we bought all the medicine for six months
and because of the support to the
international communities and also the government of
Egypt that they reached by the end of by the end of December,
all of all of them reached.
So that's a good sign.
However, we see that what we call the consumption of medicines
increased. Some of them increased drastically
in component to the poor
wall.
One of them,
like creating the wound care because we did not
deal with the wound care before the war,
but also the antibiotics
and some anti
diarrhoea medicines. Because of the very poor hygiene conditions,
I forgot to mention that in our latest study,
still say that
in the shelters we have, we have one toilet over 4, 800 people
and the one shower for 3 to 4000 people
is simply because we have too many people to care, so it. But it result in the,
uh the increase in the diarrhoea and the hepatitis
and so medical supplies. We still have
a
good stock now, except for the some medicines. We have an increase in consumption.
They are really hoping that
either the
Aish Rafa
route or Carme
Sharon route
or the Jordan route resume
or open and so that we can send the medicines from these places.
And we have Dr
Harris from who
has something to add to answer Emma's question, please. Margaret.
Yes. On the supplies. I've got an update on where we are with that.
Certainly the medical supplies and the fuel supplies are running very, very low.
We've managed to get three trucks in through Carlo
since, um, the the the Rafa
Incursion began.
And we have 60
WHO supply trucks waiting at Al
Arish
unable to cross into Rafah due to the closure of the border,
fuel is particularly critical.
As you know,
uh, the estimated requirement is 200,000 litres per day,
and we have been able to get in approximately 70,000 litres per day at best.
Some days, none. So that's that's an approximation over what's been able to get in.
So all the hospitals are
really struggling and making decisions about what they can do.
We have 14 hospitals that are officially still functioning,
but what we call functioning often they're not accepting in patients.
And they've had to, um,
limit what they can do, particularly in Rafa.
Only Emirati hospital remains barely functional,
and there are five field hospitals, but all are overwhelmed and
unders supplied.
And so this means that the key health services are just not available
in rougher,
including dialysis,
medical imaging, surgery, paediatrics, internal medicine and maternity care.
Uh, I've got a lot more detail if you want it, but I can. I'll give that letter.
Thank you, Margaret. And I see that James has raised his hand.
Maybe also to answer Emma's question.
Good morning. James J is our, uh, spokesperson of UNICEF.
Good morning, everyone. Um, hi, Emma.
Yeah. Just to add on the what's happened in the last three weeks since the,
uh, invasion of Rafa
remembering the limited quote unquote limited invasion of Rafa,
which has now displaced around a
million people.
Um, but when it comes to water, as of today,
both desalination plants in central and southern Gaza have shut
one for 18 hours and one for eight hours.
Um, so throughout this past week, 10% 10% of the required
fuel has got in for those, uh, desalination plants. So when we were talking about,
on average in Rafa,
a person getting around a person getting around one litre of water per day,
catastrophically below any emergency level,
we are now again multiplying by fractions based on the closure of Rafa
and a, um, ongoing military offensive there. Thanks.
Thank you, James, for this update from UNICEF, I'll go to Nina Larson. A FP. Nina.
Yes. Uh, thank you um I was wondering I had a few questions. I was wondering, Um,
can you hear me? Yeah.
Um, if, uh, you're talking about receiving, you know, wound care, uh, in, uh,
in your health centres.
But, um,
can you describe sort of what kind of, uh uh, What kind of injuries are coming in?
And also, are you are you handling, um,
births? Uh, women in labour, women giving birth. And, um and also, um,
uh, amputations and things like that.
If you could just sort of give an impression of of, uh,
what you're seeing there and then in in terms of, um,
the lack of fuel.
Um, I know that, uh, there were warnings at the beginning of the the Rafa
operation that
that all humanitarian, um, assistance would ground to a halt. Uh,
with the 70,000 litres going in per, uh, per day,
You know how how limited are your operations?
Would you say thank you?
Thank you very much. So, uh, sorry.
The wound care what we saw.
All the wound is treated by the hospitals
and then the operations amputation. Whatever fracture, They do it in the hospital.
We are primary health care provider So we have no operations room.
We have no surgeons to do this But once the operation is finished
that stabilise in
the ordinary setting they stay in the hospital longer or they go
to the hospital patient to wound the dressing by the specialist.
But the hospital totally overwhelmed as you heard
this So this patient will come to us.
So what I saw is quite old range of the people, including amputations,
that for the wound care we do not do the social,
all things just to change the wound,
clean the wound and change the dressing that we are
doing this with all the different types of this one.
If you remember that in several years ago that a
couple of years we have a great much of return
in Gaza, where lots of injured had the
same sort of situation, that they came to a clinic for the wound care.
And that's what we are going to do and what we are trying to do.
And the other one is labour, labour are all done in the
hospitals
we have with the help of the UFP
that we have a midwives in our shelters
but they are not there to mend the deliveries.
But they are meant to support the pregnant mothers and babies.
So, so far that the
majority of the delivery is done in the hospitals. And we took care of the process.
There's a
very limited number of deliveries that she,
as far as I know, OK.
Yep,
thank you very much. Uh, M,
Do you wanna add anything
to that?
I think again.
Because of the limitation on fuels, Decision is made every day about
what it's used for. I mean, because it's used for the generators for hospitals.
But it's needed also for the bakeries to try to provide some food
it's needed for the desalination plants. As James mentioned. So
everybody's making very, very difficult decisions about what can be done.
I mentioned dialysis.
The lack of dialysis.
One little bright spot is the dialysis services have returned
in NASA
General Hospital, and I understand also they're going to begin to do so in Al
Shifa. So it's extraordinary how,
despite
the massive destruction and the difficult circumstances,
people are working under what you said.
The people keep on
coming back and
restoring services as best they can to keep on serving the people.
The other big issue actually is lack of medical imaging.
You talked about trauma care.
When you've had your bones smashed by a bomb or other trauma you need
the doctors need to be able to see where they are to put them back
in a way that helps you to heal.
There are no CT scans working.
There's about one in the north in the rest of the south of Wadi
Gaza. There isn't AC T scan, so you can't actually see
you have to really fly blind.
All the work that the doctors and nurses are doing, they're doing,
it's
they're doing their very best.
But they know they're not doing what they really could do if they were just allowed
to provide the level of care and services
they could provide before the seventh of October.
Thank you, Margaret, For this update,
I have Bea
Dome,
who is our correspondent of the Turkish News Agency.
Thank you,
Alessandra.
I have two questions.
Firstly,
I want to ask about can we say that lack of fuel entrance and also ongoing strike,
especially after the
Rafah attacks.
Those increase the number of needs of medical education.
How many
do we have a rough number and is it taking place or not?
And my second question will be more broad
question.
But you can maybe comment from the health point of view.
Yesterday,
EU foreign policy chief Burrell
said that Israeli parliament has been starting to study a lot to
declared that UNRWA will be forbidden to act and work in the West Bank and in Gaza.
Have you evaluated and what would be me?
What would it mean for your operations in the region?
And what would it mean in the health sector? Thank you.
The
first
question
the
second question.
Thank you very much.
I am not in a position to answer or respond to what Israel is discussing now.
But what I can say is this
is critical and essential for the people in the West Bank and Gaza
we provide.
We cover 70% of the people in Gaza for the primary care, quite a large number of them.
And at this point of time, 60 70% of patients are seen by UN
A for the primary care.
So without UNRWA,
it is an extraordinary tough situation.
They already went beyond the limitation,
but it is very tough. So what I would say is UN
D A is critical essential
in providing the services needed to the people. So continental UN R
is extra important.
And I like to back this as you have
seen several times at all levels the UN Secretariat,
all our
officers, including at the highest level. We've been saying it
repetitively
that UNRWA is the backbone of the humanitarian operation in Gaza.
No other entity has the capacity to deliver assistance
to the people of Gaza and of course,
the
Palestinian
territories.
Margaret
on the
issue of the evacuations.
So on the issue of the evacuations,
there has been an abrupt halt to all medical evacuations.
I think as you know, we
normally have around 10,000 people who need to be evacuated.
And since the increase in the violence in the area in Rafah
and the limitation on the services, we now have an extra
1000 critically ill and injured patients who have been unable to leave Gaza
to receive the much needed medical treatment elsewhere.
Thank you very much just for housekeeping.
I've got Jamie here in the room and then two questions on the platform.
And then we will go to Papua New Guinea, which I know is also quite high on the
on the news. And we will listen from the colleague in Bangkok.
Margaret, could you just elaborate on, um,
two things?
One is that you just mentioned that the evacuations have come to an abrupt halt.
When was the halt? I mean, when did that begin?
And then the second question is going back to what Emma had asked earlier.
Can you provide us some more details about the aftermath of
this strike that happened in the weekend over the weekend?
In terms of the the the casualties that
you've seen or that that you've heard reported?
And the type, for example, it looks like there's a lot of burns cases.
I mean, I don't know. We've talked a lot about malnutrition and crushed bones, and
but we haven't often heard about burns.
So do you have the proper equipment in place to treat burns?
Um, like,
they were just anything that you can shed greater
light on what happened from a health perspective.
Um uh, on this, uh, on this, uh, over mishap, um, as,
um as as Prime Prime Minister Netanyahu described it, um, over the weekend.
Thanks, Jamie. On the, um, sorry. My brain has just gone.
Oh, it since the seventh of May. So no evacuation since the seventh of May.
And indeed, um,
the, uh after the
horrific,
incident. Not a mishap.
A horrific event which WHO deplores the attack on
displaced people who were sheltering in tents in Rafa.
The numbers I have so far,
um from the Ministry of Health reportedly killed 35 people,
including women and Children.
Um, the injured were treated by a WHO supported trauma
stabilisation point,
as well as in the five field hospitals that are are being run by UK Med
and I MC field hospitals. But it absolutely overwhelmed them.
And you're quite right that many of the people would have suffered from terrible,
terrible burns.
And that requires intensive care
that requires electricity that requires high level medical services.
Increasingly, we are struggling to even have the high level skilled doctors and
because they've been displaced, they were all displaced by
the incursion in Rafa,
which meant they left wherever they were working.
It's an enormous struggle for all the medical teams to meet the needs.
And this is one of the hardest things for a doctor or nurse. You know,
you want to help, but you don't have what it takes.
And you are watching people who shouldn't die die in front
of you because you simply E either lack the tools,
the skill or the supplies to do what needs to be done.
I go to the last two questions Jarro
Costas de Lancet
and Frans Van Katter
on the line.
Yes. Uh, thank you.
Um, my question is to, um, Doctor Sita and also to Margaret and James.
Um, yesterday,
Doctor Tedros mentioned that over 18,000 surgeries had been conducted in Gaza.
Do we have AAA bird's eye view on how many of these,
um, trauma surgeries would have been for amputations in particular for Children?
And if you have an update on that and
to what extent many of these amputations will be due to these
2000 kilogramme 2000 kilogramme bombs that are often used in Gaza.
Thank you.
Who wants to start?
Um, James has put his camera on. Should I start with James? Maybe
James, Since this is really on, Children?
Yeah, No, my my camera was was turned on by the moderator,
John.
We crunched that number with the Ministry of Health
in November that that is well known now,
around
that 1000 Children had been single or double amputees.
Um, and that was that was late November.
And unfortunately to the best of my knowledge, given
as we've heard time and again the systematic destruction of the health system
a a new number hasn't been updated
to anecdotal. For what it's worth,
there are a lot of Children in tents in Rafa
who should be getting
the best of medical care, as Doctor Harris has explained,
in fact, are sitting in tents having had amputations so beyond the physical,
uh, need the The psychological stress is immense. They are in those tents.
They are They are nowhere near the medical support that they need.
and just to extend on what Doctor Harris was saying this, You know,
we heard this called a tragic mishap.
AAA mistake.
I guess the question is what then,
to call the ferocious attacks that have
killed thousands and thousands of Children?
How do we describe the actions that
have pushed the entire population to starvation.
What do we say to us? Your question, John. What do we say
of those countless Children who've had arms and
legs amputated or the thousands who've been orphaned?
And I What?
What is the language used to describe the unprecedented devastation to homes
and schools to to the the uncharted territory of trauma of Children?
I think then, surely the question that needs to be asked is,
How many more mistakes is the world going to tolerate?
Thank you, James. I don't think there's much to add to that.
Margaret.
I was just going to say, John, it's not simply the bombs.
It's the lack of infection prevention and control, the lack of being able to provide
the level of surgery that could save a limb.
Decisions are having to be made by doctors to remove a limb to save a life.
And again, that's a horrible, horrible decision to have to take.
Lisa Schlein,
Vote of America. Our last question.
Yes. Thank you. Good morning.
Uh, first, uh uh, a question for Doctor
Sato.
I was wondering, uh, regarding the West Bank, whether uh,
there has been or there is any interference by the Israeli
defence forces and the settlers,
Uh, for, uh, the the ability of people to access,
uh, the health care that that they need or whether it's, uh, fairly routine.
And then for you, James, uh, if if you could
kind of describe a little bit more about, uh, how well, if
the, uh uh, mobile I believe there are mobile stabilisation centres in Gaza around,
uh, Rafa and so forth how well they are operating.
What the
How you see the situation of, uh,
what is called famine or or starvation Whether you
believe this is really kicked in and where the Children
are as we are speaking, starving as a consequence of this,
you know any numbers that you might have
regarding the levels of malnutrition and so forth,
Thank you
not
to say
that.
Thank you. I do not have the exact number, but when they encourage all that settles,
violence happens targeting the camps of hours in the West Bank.
It affects access to the people to the health centres. Naturally,
and that's also a major issue that when they need urgent care
and then when the camp is closed, that some of the camps do not always have hospitals.
And so we have to wait until the
closure is open so we can send the patient to get the PR
C Paras
to send the hospital. So yes, it is affecting the case. I.
I do not have the exact number, but it is a very serious situation,
Robert.
Thank you, James.
Yeah? Hi, Lisa. Look,
we don't have updated malnutrition numbers,
but beyond those that were shared a month or so
ago that showed imminent famine in the north and,
um, vastly multiplying, uh, nutritional situation in the south.
What I think that agencies have tried to explain and it's difficult to
to to piece together, Given the horrors of seven months,
every day in Gaza simply gets worse.
So now, as we've seen
since the seventh of May and and the lifeline to Gaza, Rafa
largely been closed, getting no aid through
Rafa. So we will see a continual deterioration.
Kamal Adwan, You'll have heard that hospital referred to
in the North. Uh, it's a hospitalised visit
a couple of times.
It's the only one doing paediatric care for severe acute malnutrition.
It came under attack. Um,
in the last in the last week so again
its operability has been has been damaged severely. Um, attacks have continued in
Jabalia at force. Those people in
Jabalia who were unable to move based on financial means quite frequently.
Um, seven months ago. Yes. So their state is
absolutely perilous.
When the United Nations advocated Lisa for ares crossing
to open because ares is 10 minutes away from
mothers hunched over skeletal Children. Absolutely no need for that.
For those Children to be in that, uh, precarious,
uh, position.
When the United Nations advocated for errors to be opened,
we did so in the knowledge that that cannot be
a cynical move to enable this offensive in Rafa.
And then rapid is shut. That, as it is, has transpired.
And that will mean that the nutritional situation which
was already hanging by a thread people's coping capacity,
the UN S ability
to get food to people that has only deteriorated. And we cannot.
We cannot for a moment pretend that the humanitarian response
is anywhere near what we would like it to be,
what it should be and what it's needed to be by the civilians in Gaza.
Thank you very much, Nina.
We have so many people waiting so really
fast.
Yeah, it was just a follow up. Sorry it was for Margaret.
It was about the, uh, abrupt halt to all medical evacuations.
I was just wondering if you have any idea of how many people or if there
are people who have died as a as a consequence of this lack of of evacuation.
If you could give us a bit just a few more details on that. Thank you.
I don't have numbers of people who've died,
But whenever we analyse who's waiting and who's gone through, we do have
a number of people that have died waiting.
So this is exactly what's happening that while we're waiting
for agreement and this is before medical evacuations came to a halt.
So while we're waiting for an agreement, a
percentage of those people who are waiting to be moved die,
and I do have the numbers not in front of me, but I can provide those numbers from prior
to this abrupt hold. So and and
given the the sort of relatively chaotic situation and people
moving and medical nursing staff and so on moving,
I doubt I'd be able to give you
clarity on who has died since being identified as needing to be moved since May 7th.
But I can give you those numbers from before
I
see other journalist nothing. So maybe
that would be something of interest to everyone.
So thank you very much. We concluded.
Yes, of course. Please, sir,
Thank you very much. Just at the end.
I just want to refer to our staff 1000 health staff working in Gaza,
and then some of them are unfortunately killed.
But we still maintain the services,
and the majority of them are already displaced multiple times.
And then some of them are leaving the tents coming to a clinic to work.
Some are leaving the shelters and they come to the medical point to work in shelter.
I really would like to attribute my sincere
admiration and respect and thanks to them,
but just 11, I want to say one word that they told me one of my friends work in Rafa.
He moved out to Rafa
because of the incursion
and before moving out. He just sent me that
when the world is going to recognise as human being
and I couldn't answer
and I really couldn't answer. But my job is to make sure that he's not
great.
At the end of the day,
I think it's the biggest challenge for us to prove that we are taking care
of them as a human being and that's the biggest challenge to all of us.
Thank you very much.
Absolutely. Thank you so much to say
that and
good luck for the work, which is extremely important and difficult.
Thank you and thank you, Margaret I. I have a feeling you'll come back
later
on. But
thank you.
OK, so now the second question to
treat the second topic we have on our agenda is also high on the news
and it follows the orif
landslides in Papua New Guinea
that has been happening during the weekend.
We have sent you the statement
by the
spokesperson of the secretary general,
who said that the secretary general is deeply saddened by the reported
loss of hundreds of lives in a massive landslide in Papua New Guinea
and extended the heartfelt condolences of the secretary
general to the families of the victims,
expressed solidarity with the people and government of Papua New Guinea,
and expressed the work and the availability of
the United Nations to support the government's response efforts
and offer additional assistance and to tell us about this
we have online from Bangkok. It,
Riri,
I don't need to introduce you to it. A
you know him from his time with us. It's a welcome Sorry for making you wait so much.
But
I think it's very important that we talk to
the journalist about what's happening in Papua New Guinea,
where I
is on at the forefront of the humanitarian response,
and I give you the flow for your introductory remarks. Thank you.
Uh, thank you very much. Uh,
a Sandra for the introduction. Uh, hi, colleagues. Good morning. Um,
let me start.
Maybe by just clarifying some of the figures that, uh, we are aware of as of today.
So as as as, uh, you've seen from from a lot of the media coverage,
the National Disaster Centre, uh,
has estimated that there are up to 2000 people that are still buried
under the rubble after the massive, uh, landslide. Uh, that took place on,
uh, Friday, uh, at 3 a.m. when most people were probably sleeping
the other, uh,
confirmation that we got this morning from
the provincial authorities is that collectively,
the number of people that have been affected by this disaster are around
7840 which is, uh, made up of 1427 households.
So this includes, uh, those presumed, uh um, uh, buried under the rubble,
but also the six,
bodies that have been, uh, recovered so far,
one aspect that I we should certainly emphasise. Is that quite, uh uh uh,
A lot of the people who have been affected by this, uh,
landslide had actually moved to this area after, uh, escaping, um,
tribal conflict in other parts of the province, uh, of anger.
So these are people who are already, uh,
displaced who are now having to move to other locations.
The response is certainly, uh, underway with the United Nations.
Um, mostly IOM, UNICEF, UN, U, NDP, UN, FP a and UN women
providing support to the government,
uh, along with, um, other other other international agencies.
And what is needed now, obviously, is, um, access to clean water.
Quite a lot of the, um,
water that normally, uh, the community would access is already under rubble.
So, uh, providing, uh, that along with, uh, food, of course. Uh, clothing,
Uh, shelter items, um,
kitchen utensils, anything that will, uh, try and alleviate.
Uh, the the hardship that the the the people are facing right now.
The other issue that is obviously, uh, facing the response is the area itself.
Uh, it's still very unstable.
So the, you know, the rain is still falling.
And, uh, there's always a risk that there might be, uh, further landslides.
And
the reality also is that, um, access to to to the area
for, you know, government and other,
uh, agencies is quite difficult.
Just today, this morning, one of the, um, main thoroughfares, uh,
leading to to this area
a bridge that collapsed. And, uh,
now, they they have to fix it to make sure that, uh
um all the, uh, convoys that are going to provide support, uh, have access.
The other issue, of course, is, um, the government itself, through the national,
uh, disaster centre, has, uh, asked for international support to ensure that,
uh, resources are mobilised very quickly to ensure,
uh, all the people who need help. Um uh, get it as soon as possible.
Another concern, especially when it comes to to health, is because, uh,
there's so many,
uh, unrecovered bodies under the rubble.
There's still water flowing underneath because they
it's coming down from the mountain.
That water, uh, obviously will be contaminated. Unfortunately, meaning that
any sources of, uh, clean drinking water further down the,
uh, the mountain where the landslide occur occurred, uh, will be contaminated.
So that's a That's another, uh, aspect that needs to be to be to be, to be dealt with.
I think I'll stop here.
And obviously, if there are any questions, um,
we have teams on the ground at at the side along with our UN agencies, uh,
partner agencies, as I've mentioned.
But we hope to have, uh, a bit more updates, especially in terms of, um,
the recovery process
I should add on.
I mean, this is obviously a horrible, horrible situation, but
there were some good news.
Uh, yesterday a couple were rescued, uh, after three days,
uh, under the rubble.
So I think until the local community or the authorities say stop, I think the rescue
and recovery efforts will continue because you just never
know but I think there will come sadly,
a time when,
uh, it's really a recovery. Um uh, process
it. Thank you very much. I understand.
Maybe you want to ask him which number you because
there was some disturbance when you started your briefing.
So, Christian, I think wants to ask you to repeat some numbers.
Yes, it.
Nice to see you on the screen.
Could you repeat the numbers that you mentioned in the very beginning?
Yeah, that's all I wanted to ask.
Excellent.
So, uh, let me start with the the, uh, the number from the National Disaster Centre,
which has said, uh, 2000 people they believe are still buried under the rubble.
And then this morning, uh, the provincial authorities, uh,
in meeting all the various agencies, uh, present on the ground,
uh, said, uh, the total population affected is 7849
uh, made up, uh, coming from, uh, 1427 households.
These include, uh, those who are presumed to be buried under the rubble.
Uh, and also, uh, over 1650 displaced people.
The ones that I mentioned have actually, uh, escaped, uh,
conflict elsewhere and came to settle in this region.
Maybe just while I'm talking of numbers, Maybe Just also, add this other,
uh, I think important. Uh
uh. Number.
The population of Papua New Guinea is, uh, 42% under the age of 16.
So the expectation is that, uh, quite a lot of, uh,
Children would have been affected by this.
Obviously, we we we won't know until the authorities get a,
uh, a clearer picture in terms of, um, uh, the number of of of, of casualties.
Fatalities. But
if we
if we take it on the basis of the population of Papua New Guinea
yes, that's, uh that's quite a significant,
significantly young population.
Sorry. Just
a clarification.
7849 affected Means what, exactly?
It's not
presumed
under the rubber. No,
no, no, no, no, no,
no. So let me clarify that
7849 is
number of all the people that have been affected.
So this includes the 2000 that the National Disaster Centre has said,
uh, are buried under the rubble.
Uh, this also includes uh, the the of the recovered uh, bodies
and, uh, over 1600 displaced people. So only,
uh, the government or the authorities are saying
2000, uh,
are buried under the rubble.
And of those 2000, uh, 6 have been, uh, six, remains have been recovered.
And
we have, um, as part of that population, 1650
already previously displaced.
Thank you, Emma. Far
Reuters.
I was wondering if you could just give us an idea of
whether you have all of the equipment and personnel really required to,
um, respond to a disaster on this scale.
Is there enough on the ground in this remote location?
And could you elaborate a bit more on the bridge collapse? Um,
how is that affecting the rescue and the recovery efforts?
Um, are there other routes in Thank you.
Thank you.
So, um, right now, uh, the attempts, uh, from the authorities,
especially the government and the defence forces,
is to bring in the heavy equipment that can help with the
going to, uh, get getting, uh, some of the rubble, uh, to reach, um, uh,
the the the bodies underneath.
So that that's ongoing, but of course. As I mentioned, the
access to to the site is very, very difficult.
The bridge collapsed this morning.
Uh, is actually in a neighbouring, um, western highlands Province.
But the road, uh, where this bridge is leads to anger.
Um uh, province.
So what What has happened is that it has cut off the main islands, uh, highway,
uh, which leads to anger.
And it means that the alternative road, for example, that can take, uh,
relief convoys to to anger,
uh, adds another 2 to 3 hours, but, uh,
we understand that the latest update is that they are working frantically to to
to fix the bridge or find an alter, uh, find a temporary solution to this.
So that's another dimension.
I think that certainly, um, they're having to deal with, but
one of the issues that they have certainly, um,
the authorities have brought up is that they need a lot of engineering support.
So
the National Disaster Centre has appealed to through the UN
to get as much, uh, support,
uh, engineering support because obviously trying to get rid of the rubble.
Uh, and we're talking not just, uh, rubble like soil, but heavy boulders.
uh, needs a lot of, um, uh, engineering support or heavy, uh,
equipment that can do the job.
And
yeah, sure, sure. The bridge collapse was because of the landslide conditions.
It was because of the instability in the rain.
Uh, I don't have those specific details.
We just know that it that the bridge collapsed. Um, I have a photo.
I think that we we may be able to share, and it does look like a very flimsy,
um uh, flimsy constructed bridge.
So it could be that maybe there was heavy traffic trying to head to
to To To To anger province I. I mean, I can't speculate.
I can always You can always follow up and find,
uh, the specific details.
But this is just one of the roads that will main road that will lead to
anger
province.
Uh, as I mentioned, there's an alternative road through the southern highlands.
Uh uh,
province, but that takes it's another 2 to 3 hours, uh, to the journey.
Uh,
we hopefully should have an update tomorrow morning as
to how quickly they can fix the the bridge.
And if there are other alternative
ways, uh, of bringing in the relief that is needed to be through air support.
But again, this is a very hilly, mountainous region. So,
uh, even air support is not always, Uh
uh uh, an easy option.
Thank you very much. Uh, Lisa.
Lisa
Schlein?
Yes. Hi.
Good morning.
I'm sorry. How are you doing?
Difficult.
Sorry.
Ok, uh, I, uh I hear, uh,
from media reports that the ground is still
very shaky and that the situation is unstable.
And I'm wondering whether,
uh, you are concerned.
Others are concerned about the possibility of more landslides, and if so, what?
Precautions
are being taken in order to protect people from this possibility.
And then, uh, has there been an international appeal for money?
Or, uh, do you anticipate that this will happen?
Uh, how much? Um,
well, are people talking about,
uh, might actually be needed in order to, uh, help this situation. Thank you.
Uh, thank you, Lisa. Let me start with the second question.
Um, so the the officials, uh, especially the national, uh,
disaster centre have appealed through the UN for international support.
They haven't clarified any any specific, uh, figures,
but, uh, what we can say similarly from IOM side.
And I'm sure other UN agencies will have the same. We've had, uh, donors.
Um uh, reaches, like the usual donors the United States, the European Union
A and others, uh, reach out to say they're on standby to provide support.
I believe Australia is already sending in, um, actual,
um uh, heavy lifting equipment.
And, you know, the kind of, uh um uh, equipment that is needed in this situation.
An appeal. Sh
shortly will be going out.
I believe we are certainly working, uh, on an appeal from IOM.
So hopefully that should be ready
in the next, uh, day or so.
it's really up to To to the government.
Also to to clarify what kind of specific needs there are.
I mentioned, uh, the list of things that are needed now, like water, food, shelter,
and so on. But obviously, this all needs, uh, money
in terms of the conditions. Yes, the conditions are very, very difficult.
Uh, in some parts, Uh, there's still,
um uh the the the mo the The land is still moving in terms of, um
uh, where this rescue operation is going to to to to to to take place
we still, as I mentioned, still have water,
uh, underneath, uh, the rubble. So that is making the whole area quite uneven.
So that also ensures, um, that all the response efforts, uh, have to be done in a very,
very,
uh, careful manner. Meaning that, uh,
you know,
you don't want another disaster on top of another disaster.
So right now, um, the efforts are being led by, uh, uh, UN coordinate,
uh, disaster coordinating team,
along with the, um,
the PNG defence forces and other actors.
And again,
we have to be mindful of of the conditions that are are prevailing there,
and and and just
try as much as possible to help, um, the people who have survived this, but also,
as I say, try and still,
uh, do the recovery work that's needed.
Because ultimately, whenever these, uh, tragedies tragedies take place,
um, communities want the
comfort and solace of, you know, burying their dead,
uh, doing what is necessary in their customs and cultures.
So that's a very, very, very big, uh, aspect of this.
And, um, we are there to provide support to the community as much as we can.
It
is Sorry I think Lisa had also asked about prevention.
I don't know If you consider the word about that.
Yeah, she she asked about if this is happening.
We are providing for seeing that it happens again.
What's been done to prevent or to prepare?
Well, I, I can't speculate, but the the
I mean, this, uh,
landslide that happened on Friday had not happened before in this area.
So it's hard to say if it will happen again.
But with the continued heavy rains and, uh,
in the vicinity, obviously everything is, is, is is is
is, uh, the The soil is unsteady, and all the rubble is, uh, still
some movement. I mean, we've seen some of the,
uh, videos of even water, uh, coming out in some of the, uh,
some of the rubble, so that makes it even more uneven.
So, yes, Unfortunately, we have to consider that it might happen again.
Um, as to what, uh, preparations, the the local authorities are are doing I.
I can't say at this stage, but I think everyone is treading
cautiously, even though this is a very, very urgent,
uh, and desperate situation. In many ways, uh, we still have to, um,
uh, tread carefully and make sure that we don't have another, uh,
disaster on top of the current one.
Thank you very much.
I
don't see the questions for you, but keep us. Oh, sorry. I didn't see your hands.
Sorry, Jimmy
Quito. You remember him from a society.
Nice to see you again.
Could you just tell us what's being done to evacuate people to get them to safety?
Uh, thanks, Jamie.
So, I mean, this morning at the, um,
at the briefing with the provincial authorities, Uh, it was, uh it came up that, uh,
in case, um uh, there was any further,
uh, threat of a landslide. People will be. Will have to be moved again.
I don't have specific figures.
I know some media had come out, uh, came out with some figures of, uh,
just around 8000, but I cannot, uh, verify that
all you know that all we know is that they are ready and and preparing to,
uh, to move. Um, a lot of the affected population to neighbouring,
Um uh, provinces.
We have a daily morning and evening. Um, uh, meetings with the authorities.
So hopefully we'll get a clearer picture, maybe in the meeting tomorrow morning,
and we will certainly provide an update.
But for now, I think everyone is operating on the premise that, uh,
anything can happen.
This is quite, uh, a very,
um, uh, typical terrain.
And the fact that this has happened having having not happened before,
uh means that it can happen again in the same locality.
I'm sure you've all seen the, um uh, visuals from from from from above.
Looking at how the the area is is is is
is, uh, how the mine, the mountain slopes And, um,
how fast also the area is. So,
uh, I think caution is is certainly key here, but at the same time,
there's that urgency,
indeed. Impressive images.
OK, so I don't think I've missed any other hands up. Thank you very much.
And please keep us informed also on the question of the funds.
I think it's of interest to everyone here.
Thank you. And good luck with your important work.
Let me go now to our last topic of the day. Then we will have some announcements.
Uh, David is waiting,
but let me go now to Tomaso
de la
Longa. for IFRC.
Can you introduce us to your colleagues? Thank you.
Thank you, Alessandra. Everyone.
So we are as you know, we are here today to launch a report called
Climate Change and the Escalation of Global Extreme Heat.
This report highlights the role climate change played in increasing the number
of extreme heat days around the world over the last 12 months.
And today we have with us Doctor Frederique
Freddy
Hotto
from World Weather attribution and Emperor College in London,
who is one of the quarters of the report
and will brief us about it.
And also online there is our colleague Maya
Walberg.
Another quarter of the report from the Red Cross Circus and Climate Centre
ready to answer two questions,
particularly on the work done by our teams and
on the upcoming It Action Day next Sunday.
Thank you.
Thank you very much. Doctor
Otto
and you are talking.
You are coming to us from London. I understand.
Yes,
thank you.
Yeah, thank you very much.
So, um,
we are now going to a very silent but increasingly common killer.
Um, that was particularly disastrous last year. Hate.
So this may that we are just sitting through is hotter than every May.
Uh, any may you've ever experienced before,
And that was true for the last 12 months.
Temperatures right now have are around 50 degrees in India and Pakistan.
Every heatwave that's happening today
is hotter and lasts longer than it would have without human induced climate change.
That is, without the burning of coal, oil and gas, and we also see many more heatwaves
than we would have otherwise. And the report that we have put together
that you have in front of you today spells out what that means and why it matters.
Of course,
what temperatures constitute extreme heat differs depending on where you live.
A heatwave in London is different
than a heatwave in Delhi,
but no place on earth is spared from more extreme heat.
The average inhabitant of our planet experienced 26 more
days over the last 12 months that were extremely hot
than it would would. It have not been for climate change,
but of course, we are not average people.
We live in a specific place in a specific country.
So, for example, if you lived in Ecuador, it was not 26 more days,
but it was 100 and 70 more days.
In other words, in the last 12 months,
the people in Ecuador experienced 180 days of extreme heat.
Without climate change, it would have just been 10.
So it's six months of extreme heat instead of 10 days.
Extreme heat is dangerous, leading to excess mortality in the thousands.
At least, heat harms especially vulnerable people the elderly, the very young,
those with pre existing health conditions but also healthy
people who are exposed to the extreme temperatures,
like outdoor workers in agriculture, in construction
and, of course, people living in refugee camps.
It is thus paramount to stop burning fossil
fuels to evade the situation from getting worse.
But we also need to adapt 26 more days of extreme heat.
On average, that's almost a month,
and heat kills,
but it doesn't have to kill.
There are many solutions, some of which are low or no cost,
ranging from individual action to population scale interventions
that reduce the urban heat island effect
at an individual level.
People can cool their bodies by self
dosing with water,
using cooling devices or modifying their build environment. Just
install, shatters increase shade.
But of course, individual action is alone is not sufficient,
especially for those that lack access to water to electricity and to shade.
Action of community, city, regional and country levels is imperative.
Cities can develop and implement heat action plans that outline
how they will prepare for the heat season,
respond to imminent heatwaves and plan for the future.
And on a large scale,
policies can be introduced to incorporate cooling needs into social protection.
Programmes supplement energy costs for the most vulnerable or
building codes can be updated to encourage better housing.
The significant impact of heat waves and the potential
to prevent them is why the Red Cross,
Red Crescent and its partners are mobilising
on the Second of June for the global Heat Action Day.
Because if you don't know how dangerous heat is,
you can definitely not do any of these matters.
And so
we need to raise awareness and engage anyone, all communities in
standing and in what they can do to combat hate.
So
I can answer questions about the role of climate
change in extreme hate and other extreme weather.
But my colleague Maya
Wach,
from the Red Cross climate centre is here and
can also answer all questions about vulnerability and exposure.
Thank you.
Thank you very much to both. Let me see if there are questions.
I see. Jeremy.
Hi. Thank you.
can you just
explain again? What is extreme heat? Technically speaking,
At what temperature do you consider that we can talk about
extreme heat?
That's of course,
the most difficult question you can ask because
what extreme heat is depends where you live,
but also, of course, how vulnerable you are.
So
if you live in a city
that is extremely well built for heat, then very high temperatures
can
can be no problem. But if you are living in a refugee camp with no shade,
much lower temperatures can consider very extreme heat.
So in this report, we have to find extreme heat
just based on each place on Earth, the 10%
highest temperatures that occur in
in that region, but with our team world weather attribution.
We have done a huge amount of studies on individual heat waves and there
we characterise the heat depending on the impacts. So we did a study
on the extreme heat in Palestine, Israel, Jordan and Syria,
where it was very hot for just three days.
So that was what we looked at as extreme heat.
So
as
a
extreme just means rare.
So you usually look at the sort of
10 hottest percentage or fifth hottest percentile,
which is what we have done for simplicity in this report.
But
how much that matters hugely depends on vulnerability.
I was meaning. You do have a biological limit
that you're not supposed to to to go over
like the body shouldn't be at that temperature.
I don't know if it's 4040 something degrees more
than a couple of hours a couple of days.
Can't you just don't you have that in
the report that that that particularly biological limit?
We don't have the biological limit in the report,
so the biological limit is based not just on temperature but also on humidity.
and and so it's, um, if you if it's a dry heat wave and you have 40 degrees,
that's much less damaging to your body, as if it's a very hum.
If you have a humidity of 100% and it's 35 degrees, then that's much more,
much more damaging for your body, so
we don't have
that many days yet globally that are below that are above the biological limit.
But
heat is deadly much, much below this absolute biological limit and therefore
therefore you
Just that, as a measure would not really
is the dangers of heat waves.
Today, heatwaves are killing in these 10% above the average,
which is why we have used that
May may
want to see some.
Yeah, thank you so much.
I just wanted to add on that very important point that you were raising Freddy, that
heat waves and extreme heat are very contextual.
Uh, and they always bring risk, uh, the risk of impact on human health.
So coming from a generally cold country, uh, such as Sweden,
people here are often very are a lot less,
uh,
prepared to cope with heat waves as we lack adequate
infrastructure such as air conditioners and and cooling centres.
And with this limited infrastructural resilience, uh,
acclimatisation and risk awareness populations in these areas may
therefore be more susceptible also to heat related impacts
and to give an example. In 2018, a
three week, uh, heat wave in northern Scandinavia reaching only 31
°C
in Sweden
is still estimated to have killed about 600 people in the country,
Uh, most of whom were older adults who are physiologically more vulnerable to heat.
And I think this exemplifies why we should worry about
temperatures that may not be universally considered high or extreme,
but instead, focus on what is high for the exposed community.
And this is definitely something we want to
help raise awareness about, uh, through heat action day.
Uh, that occurs this Sunday. Thank you.
Thank you very much. Maya. Other question to IFRC and, uh, colleagues.
I don't see any
in the room or on the platform,
so thank you very much. Thanks, Tomaso,
for bringing us this, uh, report.
Um and, uh, I have seen in the notes in the chat that they are asking for your notes so
that be sent very quickly.
Thank you very much, Doctor Otto. Thank you.
Uh, Mrs Walberg, and let me go to our, um uh, colleague from ITU.
David, you are online for an announcement. I think it's on W, SI S
and the A I for good summits, please.
Yes, I. I know it's getting late there. So I will, uh, get through this.
Not breaking any new ground. Mostly some from programme notes,
Uh, with this, uh, the W SI S plus 20 forum, high level,
uh, forum high level event. It continues at C IC G,
today and tomorrow and the move side to you headquarters for Thursday and Friday.
A I governance day, which we've talked to you about and was the feature, Um,
for those who want to learn more of the 17 may, uh,
regular briefing with our colleague Fred Werner.
Um, that opens tomorrow with the session. The public session
in in the afternoon, talking with hosting discussions on how to move,
uh, from imple from, uh, principle to implementation
on a I governance that's available, uh,
to be both physically and remote and then the A i for good.
Global summit,
uh, continues on Thursday and Friday,
um, with, uh, both physical and remote, um, coverage part
participation available to you. Uh, Friday in particular.
I'll just flag that at one o'clock at C IC G will be
the press conference for which we've issued a media advisory on brain
machine interfaces. So,
uh, showcasing that technology,
as was done last year with the humanoid robots this year on,
uh, brain machine interface technology powered by artificial intelligence.
Um, and again, just more on, um, a
background note. We have asked reporters if you can please,
um uh, RSVP, particularly for the press conference.
So we know, uh, to expect you either remotely or physically, that will just help us,
uh, accommodate for those for those events,
uh, registration again is open. And we would impress upon you if you're able
to get over to C CV across from C IC G
to pick up your secondary badge. Um, at an off peak hour. So maybe sometime today.
And I know it's busy there for other things, but if you are able,
we're in the area to do that.
Um, not in the early mornings when we expect the lines to be the biggest.
Thank you very much.
Thank you very much. David is there? Yes. Jamie.
Hi, David. Nice to see you. I'm sure you're very busy at the moment.
Um, I just had a question about your press release last night.
Um, having to do with this, um
uh, partner to connect.
Um uh topping $50
billion. That sounds like a lot of money. And I'm just wondering,
is that money going through Do ITU? Is it just money that you have rallied together?
I mean,
that's, um
you know,
is this just private sector and you guys are kind of putting an umbrella over it.
I mean,
how much of that is actually going through ITU. Thanks. It's not Yeah.
Thank you, Jamie. The the money is mobilised from partner to connect,
um, which is a global platform for to expand digital connectivity.
Um, those commitments are brought into the partner to connect, uh,
system or pledging platform, which is what the announcement is about.
Money doesn't come through necessarily into ITU.
It's It's their industry commitments, their government commitments.
There could be civil society commitments.
Um, once they're in the system. This provides visibility
over those amounts and allows others to know what's being
committed in the system allows those to be leveraged,
um, to see where to see where entities are,
are are putting their investments and also allows, um,
for those that might need those investments for those to be to be able to be seen.
So it does raise visibility currently, as you mentioned
and, um, at the very end of that release, there's a link.
Um, on the pledging platform,
you'll notice that there's just over 50,000,000,050
0.96 billion in commitments that have been,
uh, committed to the partner to commit.
Excuse me to the partner to connect pledging platform.
That's, uh, over 900 pledges received from 400 entities
and about 100 and 40 or so countries.
And I would just other also say that there is,
uh, an overall goal of having 100 billion pledged
to the partner to connect, uh, pledging platform by 2026.
So part of the announcement yesterday was that,
uh, there was just topping the 50 billion point,
which is the halfway mark towards that 100 billion.
Is it OK, Jimmy, I
Yeah. OK.
Is there any other question to to you?
I don't see any, but I think there is a question on the contrary for
on the assembly. I don't know if
fella or Margaret want to come to the podium.
And Margaret,
maybe if you can also come to the podium because Lisa had put a question in the chat,
but I'll ask it afterwards just for your answer.
But,
fella, please come. And, uh, I'll ask Ben to
ask his question.
we don't,
um Well, I'll ask it IN English because it's, uh, of general interest.
Just to know what is the timeline this
afternoon for the decision on the pandemic treaty?
Maybe you have,
uh, details. And can we hope, uh, for an official announcement
before tonight
so that we can speak about it tomorrow morning.
Thanks.
Can you hear me?
Yes.
OK,
thank you for the question.
Today in committee A,
we will have at least four important issues to be discussed.
The
budget,
the global programme of work
and also the investment
round. And two major discussion one about the
amendment to the international health regulation and the
so.
What I can tell you is,
as you know, these are two processes led by member states.
So it's up to them to decide what to do
with the two reports that are already on the website.
One about the
and the other one on
the
in six languages that you can read.
You can see there that some parts of the two
documents are highlighted in yellow or grey or bold.
So you will see what are the issues that are still to be discussed and negotiated.
So to be very short and clear,
it's really up to member states to decide what to do with these two reports.
Do they want to continue the negotiation
this week? Do they want to decide
on a date to resume negotiation? It's really up to them,
so
we will let you know
end of today
in a press release. What is the decision of member states?
They may also decide to open the discussion and
say We will discuss it later in the week.
So
it's really up to them to decide what to do with it.
No,
Sorry, uh, following up on that.
If,
uh if they decide in the committee today that
they want to continue or make a decision,
is that a final decision?
Or do we have to wait for the plenary at the end when this is finalised?
If you could just explain how that works.
And also I had a question on, uh the issue of the Palestinian territories,
which I think is coming tomorrow.
If we have uh,
if you could just explain what's gonna happen there and how to follow things.
OK,
so you know that for
they haven't reached
a
consensus, they don't have a final report to submit to the World Health Assembly.
So we have the report what is called the
report by the Director General to member states.
So with still a lot of issues to be discussed to be negotiated. So
the report we have is the report by the
explaining what is the progress made since the beginning of discussion on the
and nine meetings took place since then
to discuss this report. So it's not a final text.
It's the report by the director General to member states.
So, as I said, I don't know what will happen this week.
What member states will decide to do with this report.
It's really up to them to decide
the step forward to take this discussion forward.
Um, yeah, I. I know there's no deal.
I was asking if they decide that they want to
continue discussions or if they want to cut off this.
I mean, if they decide in the committee,
I know that often the discussions things are hap happen in
the committee and then they have to be approved in plenary.
I'm just wondering
if we have to wait for a final decision until the
end of the week or if we can just assume that the
whatever is decided, uh, I in the committee is,
uh is the final decision on on which way they're going?
Usually what is decided in committee A or B should go to the plenary.
We have three days, three moments in a day
until such a day where the plenary meets
9,
1236 PM.
So there are three moments in the day where the plenary resumes.
So anything that is decided in one or two of the committees
committee A or B should go to the plenary
and on Gaza.
Can you just repeat the question?
What are you expecting to happen and when and how Also,
are there resolutions around this?
If you could just explain what's going to happen
on the Palestinian issue,
to
I need to check if they have decided to
open committee B today because usually it's in committee B
that
is discussed at
the World Health Assembly
just to let you know that we have two important
documents on the agenda of the World Health Assembly.
One is document a
12
and a 2nd 1
77
18.
So the 12 document is a report by the
about the situation in opt
since 7 October.
So this is the most recent one.
And we have, as you know, the regular report by the
about
and East Jerusalem and Syria and occupied Syrian Golan.
It's the document
number 18,
and it is about the situation in this region from January
to before October 7th.
So I will just really invite you to have a look at these two documents 12 and 18.
So if there is a discussion about
normally it's Wednesday afternoon in committee B.
But given the situation now,
I will have to check if they decide to open committee B to discuss Palestine today.
And I will send you an email about this.
Thank you very much.
John, are you?
I can't see. Sorry. I thought you were
10
minutes ago
was virtual but flesh of blood. Now,
good to see you can take your mic.
Yes.
F.
Following up on
the questions on the
pandemic treaty
Is there a website where you're posting the various draught resolutions
that are being put forward by member states?
I couldn't spot it when I went to the site on resolutions. There was nothing there.
And I understand a couple have circulated today.
Let me check because I know that several resolution,
the resolution of the world. That assembly should be posted on the website.
Let me check for you.
If there are no other questions on the assembly, I give the floor to Oh, sorry.
Go ahead. Sure, Sure, sure,
sure.
We sent you this morning.
Highlights pointing to you different things that are happening today.
We have two strategic round tables, one on the investment case, another on
expanded programme of immunisation.
We are celebrating the 50th anniversary of this
wonderful initiative that saved millions of lives,
especially Children.
And I believe my colleagues now are sending you
the names of the speakers at these two events.
One is happening at the
Palais here,
the one on the investment case
and the second one is happening at Chateau de Pont this afternoon.
So you may have received by now the long and
interesting list of people speaking at these two events.
Of course, it's all Webcast, so you can also follow it online. Thank you.
Uh,
Jamie.
Hello, Fra.
I understand it's a member state process.
Can you just remind us for the sake of the record, what WH OS position?
The Secretariat's position is
on the need for a pandemic accord or amendments to I HR to improve readiness and,
uh, and response, Um, in case of a pandemic. How important is this
for you to get a deal this week?
I am glad that you understand. It is a process led by member states.
You know, what we have been through with the covid pandemic is really important,
and we need to
take lessons from what happened for all of us. No one was
not touched or affected by COVID-19. So it is important for
countries to get prepared for the next pandemic.
The question is when we will have a new pandemic, not if we will have one.
So it's very important to stress the need for equity
for sharing of health products and other diagnostics,
and also to make sure that we have the finance we need
and also to respond quickly to any
emergency happening in countries,
I think, member states. They all agree that it's important.
But as you know,
multilateral negotiation can be
difficult and can be long.
So the question is, when are they going to agree on the most important issue?
Sharing of viruses and other benefits?
It's not something that is new to members.
It's
just that now they are negotiating several issues
to make sure that we are better prepared.
So let's see what this week will bring to us. And
all member states have been working
for more than two years
very, very long hours. The only thing that we are expecting today is
what are the next steps? This is what we are all waiting for.
Thank you very much. Lisa. I see your hand is up.
If it's for the figures of the people to be evacuated.
Uh, Margaret is ready. Stay. Stay on the on the po.
Go ahead.
Yeah, I can I Can I elaborate a little bit. This is a catch up on
the question. I didn't ask before, and that is,
uh yeah.
Hi. Uh, yeah.
Uh, are
you hearing me?
Margaret, Hi.
Uh, yeah. If if you have the numbers of people who are waiting to be evacuated.
I know that previously you mentioned that
you don't know how many have may have died. Uh, since, uh,
uh, October 7th.
But but what the current figures are and al also,
could you describe the kind of a medic medical emergencies that require,
uh, their evacuation of, uh for for which, which is not happening. Thank you.
Thanks, Lisa. There are There are two basic categories.
Um before October 7, between 50
100 people went every day
for definitive treatment for complicated
medical illnesses for things like cancer
for things like the complications of of heart
disease or other treatment that wasn't specifically available
in the Gaza Strip, so they would be referred out. That was normal.
Now those people didn't go away simply because conflict started,
so they all still needed referral
and and services also got disrupted.
So, uh, at one point,
we referred a lot of Children who couldn't could
no longer get their chemotherapy for their cancers.
They were referred to different countries and different host countries.
But this is a large number of people who did not get
to go out or did not get approval at some point.
And the numbers fluctuate because, sadly again,
if it's something like a kidney disease or a heart disease or cancer,
you will die while you're waiting to get your definitive treatment.
and
so generally we're saying around 10,000 at any time will be needing to be evacuated.
And there's another group, Uh,
so having said that there were people who
had underlying conditions that needed definitive treatment,
then what's been added to that group are
the people who have suffered severe traumatic injuries.
Jamie mentioned burns burns again are things that need, uh, very,
very complex treatment Often, um,
skin and transplantation and all sorts of different
definitive treatment to get through your burns.
Uh, but if you don't get that treatment,
uh,
you die.
Uh,
so again, we have and other people who've got severe limb injuries,
severe head injuries,
severe chest injuries that again won't recover from
those injuries unless they get the definitive complex,
treatment that's available elsewhere.
Uh, and we've got at least 6000 people in that category.
But again, it fluctuates according to whether they can get out,
because if they don't get the treatment.
Sadly,
they die.
Uh, we do know of at least 1000 people whose since the escalation
in, um,
hostilities and the increase in the number of people being injured We do
know of 1000 people since May 7th who need to be referred out.
I hope that helps.
And as I said, it is tracked and IW.
I've asked the the health cluster partners to see if they can give, you know,
more granular more detailed information on that,
and I'll provide that once I've got it.
Thank you very much,
Margaret. And since I don't see other questions, but before I let, uh uh
uh, we pass to another subject,
let me also remind you that today is menstrual hygiene day.
It's an important day for health. Really. And
if you consider that every month more
than 2 billion people around the world menstruate
although a natural and healthy
process, menstruation interrupts lives,
rights and freedoms of millions of women and girls
because they cannot afford or access menstrual products,
sanitation and energy facilities,
and lack education and awareness to manage their menstrual health and hygiene.
So, on this very important day, the movement against period. Poverty
celebrates 10 years of collective action by women and girls worldwide.
Today and every day I make talking about periods,
a normal part of life and take action to end period poverty.
And we have a long description of the problems and
of the action taken on the website of UN women.
So if there are no other questions for our colleagues, I let them go. I
just want to remind you that there is another
international day coming.
It's the 29th of May International Day of UN peacekeepers. As you know,
the international community celebrates this day and pay tribute
to all the men and women who have served in UN peacekeeping operations,
whether as military, police or civilians.
It is a day to recognise their high level of professionalism,
dedication and courage,
and to honour the memory of those who have lost their lives in the
in the cause of peace.
And I'd like to remind you that we will commemorate this day, but not on the 29th.
There will be on the 31st Friday, the 31st of May at 3 p.m. in the Ariana Park.
If the weather assists us because I
hear
possibility of thunderstorms
as usual, we will have a ceremony
with you and Geneva. The permanent representative of Nepal will be there
the International Association of Searchers of Peace
as usual And for the first time,
we will also have the participation of Swiss
Inc
which is the centre of the Swiss armed forces
responsible for the conduct of peace support operations abroad.
So I hope you will join us on this particular day.
And I just wanted to remind you that the Committee on the
Elimination of Discrimination Against Women will
close the 88th session next Friday
and we will issue the concluding observation of the eight countries reviewed.
So
I just forgot to tell you that the conference on this amendment had this morning
is adding actually still
their
public plenary meeting, which is the first under the presidency of
Abdul
Karim Ashim
Mustafa of Iraq.
So thank you very much.
If there are no other questions,
I thank you for having followed this very long briefing.
Thank you very much for your participation and to colleagues.
And I'll see you on Friday. Thank you