children

Doctors Without Borders, known by its French initials MSF, has warned that babies and children in the Gaza Strip are dying from harsh winter weather, calling on Israel to ease its aid blockade as the military continues to violate the ceasefire and press on with its genocidal war.

Citing the death of a 29-day-old premature baby, Said Asad Abedin, from severe hypothermia in southern Gaza’s Khan Younis, MSF said on Friday that winter storms “combined with the already dire living conditions [are] increasing health risks”.

The death toll from extreme weather stood at 13 as of Thursday, according to Gaza’s Ministry of Health. Another two-week-old baby, Mohammed Khalil Abu al-Khair, froze to death without access to proper shelter or clothing earlier this week.

Ahmed al-Farra, head of the maternity paediatric department at Nasser Medical Complex, said in a video update that “hypothermia is very dangerous” for babies. “If nothing is offered for these families in the tents, for warming, for mobile homes, for caravans, unfortunately, we will see more and more” deaths, al-Farra said.

Children are “losing their lives because they lack the most basic items for survival,” Bilal Abu Saada, a nursing team supervisor at Nasser Hospital, told MSF. “Babies are arriving to the hospital cold, with near-death vital signs.”

In addition to the growing number of deaths, MSF said its staff has recorded high rates of respiratory infections that it expects to increase throughout the winter, posing a particular danger to children under five.

“As Gaza is battered by heavy rains and storms, hundreds of thousands of Palestinians continue to struggle in flooded and broken makeshift tents,” the organisation added. “MSF calls on Israeli authorities to urgently allow a massive scale up of aid into the Strip.”

No letup in Israeli attacks

Palestinian news agency Wafa, meanwhile, reported that Israeli forces demolished buildings, carried out artillery shelling and shot guns in areas east of Gaza City on Saturday morning, with more gunfire reported east of Khan Younis.

On Friday, an Israeli strike on a shelter for displaced Palestinians killed at least six people. The Israeli military claimed to be firing on “suspects”.

Graphic videos from the scene showed body parts and terrified civilians trying to carry wounded people out of danger.

Military vehicles also descended upon the town of az-Zawiya, located west of Salfit in the occupied West Bank, where forces severely beat and injured a number of citizens and stormed homes, the agency said.

‘I can still hear his tiny cries’

Heavy rain, high winds and freezing temperatures have battered Gaza in recent weeks, flooding or blowing away more than 53,000 tents that have served as makeshift shelters for displaced Palestinians.

With huge swaths of buildings and infrastructure destroyed, streets are quick to flood and sewage overflows. Displaced families have sought refuge in the shells of partially fallen-down buildings despite the risk of collapse, with 13 buildings caving in across Gaza last week.

The winter weather and Israel’s blocking of vital aid and mobile homes for shelter have proven deadly for children and babies.

Late in the evening of December 13, Eman Abu al-Khair, a 34-year-old displaced Palestinian living in al-Mawasi west of Khan Younis, found her sleeping baby Mohammed “cold as ice”, his hands and feet frozen and “his face stiff and yellowish”, she told Al Jazeera.

She and her husband couldn’t find transportation to get to hospital, and intense rain made it impossible to make the trek by foot.

After rushing Mohammed by animal-drawn cart to Red Crescent Hospital in Khan Younis at dawn, he was admitted to intensive care with a blue face and convulsions. He died two days later.

“I can still hear his tiny cries in my ears,” Eman said. “I sleep and drift off, unable to believe that his crying and waking me at night will never happen again.”

Mohammed “had no medical problems,” she added. “His tiny body simply couldn’t withstand the extreme cold inside the tents.”

Since the October 10 ceasefire took effect, Israel has continued to block the entry of humanitarian aid into the Gaza Strip despite calls from a host of United Nations agencies, international organisations and other states for it to stop.

The UN has said that Israel has prevented tents and blankets from reaching Palestinians, even as an estimated 55,000 families have seen their belongings and shelters damaged or destroyed in the storm.

Dozens of child-friendly spaces have also been damaged, affecting 30,000 children, according to the UN.

Natasha Hall, a senior advocate for Refugees International, told Al Jazeera that aid is entering Gaza in a “trickle” in part due to its opaque list of “controlled dual-use items” that has included nappies, bandages, tools, tents and other essentials.

“It’s unclear how those could be used as weapons or any kind of dual use,” Hall said.

WASHINGTON — The U.S. Department of Health and Human Services on Thursday unveiled a series of regulatory actions designed to effectively ban gender-affirming care for minors, building on broader Trump administration restrictions on transgender Americans.

The sweeping proposals — the most significant moves this administration has taken so far to restrict the use of puberty blockers, hormone therapy and surgical interventions for transgender children — include cutting off federal Medicaid and Medicare funding from hospitals that provide gender-affirming care to children and prohibiting federal Medicaid dollars from being used to fund such procedures.

“This is not medicine, it is malpractice,” Health Secretary Robert F. Kennedy Jr. said of gender-affirming procedures on children in a news conference on Thursday. “Sex-rejecting procedures rob children of their futures.”

Kennedy also announced Thursday that the HHS Office of Civil Rights will propose a rule excluding gender dysphoria from the definition of a disability.

In a related move, the Food and Drug Administration issued warning letters to a dozen companies that market chest-binding vests and other equipment used by people with gender dysphoria. Manufacturers include GenderBender LLC of Carson, California and TomboyX of Seattle. The FDA letters state that chest binders can only be legally marketed for FDA-approved medical uses, such as recovery after mastectomy surgery.

Proposed rules would threaten youth gender-affirming care in states where it remains legal

Medicaid programs in slightly less than half of states currently cover gender-affirming care. At least 27 states have adopted laws restricting or banning the care. The Supreme Court’s recent decision upholding Tennessee’s ban means most other state laws are likely to remain in place.

Thursday’s announcements would imperil access in nearly two dozen states where drug treatments and surgical procedures remain legal and funded by Medicaid, which includes federal and state dollars.

The proposals announced by Kennedy and his deputies are not final or legally binding. The federal government must go through a lengthy rulemaking process, including periods of public comment and document rewrites, before the restrictions becoming permanent. They are also likely to face legal challenges.

But the proposed rules will likely further intimidate health care providers from offering gender-affirming care to children and many hospitals have already ceased such care in anticipation of federal action.

Nearly all U.S. hospitals participate in the Medicare and Medicaid programs, the federal government’s largest health plans that cover seniors, the disabled and low-income Americans. Losing access to those payments would imperil most U.S. hospitals and medical providers.

The same funding restrictions would apply to a smaller health program when it comes to care for people under the age of 19, the State Children’s Health Insurance Program, according to a federal notice posted Thursday morning.

Moves contradict advice from medical organizations and transgender advocates

Dr. Mehmet Oz, the administrator of the Centers for Medicare and Medicaid Services, on Thursday called transgender treatments “a Band-Aid on a much deeper pathology,” and suggested children with gender dysphoria are “confused, lost and need help.”

Polling shows many Americans agree with the administration’s view of the issue. An Associated Press-NORC Center for Public Affairs Research survey conducted earlier this year found that about half of U.S. adults approved of how Trump was handling transgender issues.

Chloe Cole, a conservative activist known for speaking about her gender-transition reversal, spoke at the news conference to express appreciation. She said cries for help from her and others in her situation, “have finally been heard.”

But the approach contradicts the recommendations of most major U.S. medical organizations, including the American Medical Association, which has urged states not to restrict care for gender dysphoria.

Advocates for transgender children strongly refuted the administration’s claims about gender-affirming care and said Thursday’s moves would put lives at risk.

“In an effort to strongarm hospitals into participating in the administration’s anti-LGBTQ agenda, the Trump Administration is forcing health care systems to choose between providing lifesaving care for LGBTQ+ young people and accepting crucial federal funding,” Dr. Jamila Perritt, a Washington-based OB/GYN and president and CEO of Physicians for Reproductive Health, said in a statement. “This is a lose-lose situation where lives are inevitably on the line. “

Rodrigo Heng-Lehtinen, senior vice president at The Trevor Project, a nonprofit suicide prevention organization for LBGTQ+ youth, called the changes a “one-size-fits-all mandate from the federal government” on a decision that should be between a doctor and patient.

“The multitude of efforts we are seeing from federal legislators to strip transgender and nonbinary youth of the health care they need is deeply troubling,” he said.

Actions build on a larger effort to restrict transgender rights

The announcements build on a wave of actions President Trump, his administration and Republicans in Congress have taken to target the rights of transgender people nationwide.

On his first day in office, Trump signed an executive order that declared the federal government would recognize only two immutable sexes: male and female. He also has signed orders aimed at cutting off federal support for gender transitions for people under age 19 and barring transgender athletes from participating in girls’ and women’s sports.

On Wednesday, a bill that would open transgender health care providers to prison time if they treat people under the age of 18 passed the U.S. House and heads to the Senate. Another bill under consideration in the House on Thursday aims to ban Medicaid coverage for gender-affirming care for children.

Young people who persistently identify as a gender that differs from their sex assigned at birth are first evaluated by a team of professionals. Some may try a social transition, involving changing a hairstyle or pronouns. Some may later also receive hormone-blocking drugs that delay puberty, followed by testosterone or estrogen to bring about the desired physical changes in patients. Surgery is rare for minors.

Swenson, Perrone and Shastri write for the Associated Press. Shastri reported from Milwaukee. AP writer Geoff Mulvihill contributed to this report.

VR headsets are offering injured, traumatised Palestinian children some respite from hardship in war-torn Gaza.

Inside a makeshift tent in the heart of the besieged Gaza Strip, Israel’s genocidal war, which has destroyed neighbourhoods, schools and hospitals, decimated families and shattered lives for more than two years, no longer exists.

Virtual reality technology is taking Palestinian children struggling with physical and psychological wounds to a world away, where they can feel safe again.

“After I was injured in the head, I try to forget the pain,” Salah Abu Rukba, a Palestinian child taking part in the sessions, told Al Jazeera at the VR Tent in az-Zawayda, central Gaza.

“When I put on the headset, I forget the injury. I feel comfort as I forget the destruction, the war, and even the sound of the drones disappears.”

Lama Abu Dalal, communication officer at Gaza MedTech – the technology initiative spearheading the project – said Abu Rukba and the others have constant reminders of the war etched in their bodies.

But the VR headset makes them forget their life-changing wounds and simply be children again, if only for a few moments.

Gaza MedTech was launched by Palestinian innovator Mosab Ali, who used VR to comfort his injured son. Ali was later killed in an Israeli attack.

Studies have confirmed that VR can have beneficial effects in the treatment of mental disorders, including post-traumatic stress disorder (PTSD). Offering this service in Gaza is hard to sustain, as spare parts of the equipment are barred from entry into Gaza by Israel’s ongoing punishing blockade.

Since a ceasefire formally went into effect on October 10, Israel has allowed slightly more aid in, although far less than Gaza’s needs and what the agreement clearly stipulated. Israel continues to restrict the free flow of humanitarian aid and medical supplies.

Authorities in Gaza say the truce has been violated by Israel at least 738 times since taking effect.

The United Nations estimates that more than 90 percent of children in Gaza are showing signs of severe stress driven by the loss of safety and stability, and will require long-term support to heal from the psychological effect of the conflict.

Multiple UN bodies, including the World Health Organization (WHO), the UN humanitarian office OCHA, and independent UN experts, have called for immediate and unimpeded access to Gaza for essential medical equipment and psychological support.

Surat, India – In 2018, Alpesh Bhai enrolled his three-year-old daughter in an English-language private school in Surat. This was something he never imagined possible while growing up in his village in the Indian state of Gujarat, where his family survived on small fields of fennel, castor and cumin, with their earnings barely enough to cover basic needs.

He had studied in a public school, where, he recalled, “teachers were a rarity, and English almost didn’t exist”.

“Maybe if I knew English, I would have been some government worker. Who knows?”, he said, referring to the dream of a majority of Indians, as government jobs come with tenure and benefits.

His finances improved once he joined the diamond cutting industry in Surat, a city perched along India’s Arabian Sea coast, where nearly 80 percent of the world’s diamonds are cut and polished. Monthly earnings of 35,000 rupees ($390) for the first time brought Alpesh a sense of stability, and with it, the means to give his children the education he never had.

“I was determined that at least my children would get the kind of private education I was deprived of,” he said.

But that dream did not last. The first disruption to business came with Russia’s full-scale invasion of Ukraine in 2022. The sanctions on Russia hurt supply chains, as India sourced at least a third of its raw diamonds from Russia, leading to layoffs.

Alpesh’s earnings fell to 18,000 rupees ($200) a month, then to 20,000 rupees ($222). Soon, the 25,000 rupees ($280) annual school fee became unmanageable. By the time his older daughter reached grade three, just as his younger child started school, the pressure became impossible.

Earlier this year, he pulled both children out of private school and enrolled them in a nearby public one. A few months later, when new United States tariffs deepened the crisis as demand slumped further, his polishing unit laid off 60 percent of its workers, Alpesh among them.

“Seems like I’ve come back to where I started,” he said.

Surat, India’s diamond hub, employs more than 600,000 workers, and hosts 15 large polishing units with annual sales exceeding $100m. For decades, Surat’s diamond‑polishing industry has offered migrant workers from rural Gujarat, many with little or no education, higher incomes, in some cases up to 100,000 rupees ($1,112) a month, and a path out of agrarian hardship.

But recent shocks have exposed the fragility of that ladder, with close to 400,000 workers having faced layoffs, pay cuts, or reduced hours.

Even before Russia’s war on Ukraine began in February 2022, Surat’s diamond industry faced multiple challenges: disrupted supplies from African mines, weakening demand in key Western markets, and inconsistent exports to China, the second-largest customer. With the onset of the war, India’s exports of cut and polished diamonds in the financial year ending on March 31, 2024, fell by 27.6 percent, with sharp declines in its top markets – the US, China, and the United Arab Emirates.

The 50 percent tariffs imposed by US President Donald Trump have worsened the downturn.

Alpesh now works loading and unloading textile consignments for about 12,000 rupees ($133) a month, barely enough to cover food and rent.

“If I had kept them in the private school, I don’t know how I would have survived,” Alpesh said. “People here have killed themselves over debts and school fees. When you don’t have enough to eat, how will you think of teaching your children well?”

His daughters are still adjusting. “They sometimes tell me, ‘Pupa, the studies aren’t as good now’. I tell them we’ll put them back in the private school soon, but I don’t know when that will happen.”

‘An exodus’

Some workers have returned to their villages, as many migrant families in Surat can no longer afford rent or find alternative work.

Shyam Patel, 35, was among them. When exports slowed and US tariffs hit in August, the polishing unit where he worked shut down. With no other work available, he returned to his village in the Banaskantha district the following month.

“What other option was there?” he said. “In the city, there’s rent to pay even when there’s no work.”

He now works as a daily-wage labourer in cotton fields in his village. His son, who was in the final year of high school, dropped out after four months of the new academic session.

“We’ll put him back in school next year,” Shyam said. “The government school said they can’t take new students in the middle of the term. Till then, he helps me in the fields.”

Across the city, the disruption is evident in government data. More than 600 students left school mid-session last year as their parents lost work or returned to their villages, mostly in Saurashtra and north Gujarat.

“Most migrants come to Surat to settle – the city has entire [neighbourhoods] and housing clusters built for diamond workers,” said Bhavesh Tank, vice president of the Diamond Workers Union Gujarat. “An exodus in the middle of the year is unprecedented, and the drop in school enrolment suggests many are not coming back soon.”

The union estimates that about 50,000 workers have left Surat over the past 12 to 14 months.

The Vishwa Hindu Parishad (VHP), a Hindu nationalist group allied with Prime Minister Narendra Modi’s governing Bharatiya Janata Party (BJP), has been closely observing the diamond industry crisis in Surat.

“The number of dropouts has reached a point where even government schools are struggling to take in new students, said Purvesh Togadia, a VHP representative in the city. “The poor quality of education is making the transition even more disheartening for families.”

The poor quality of education in public schools is well established. In 2024, only 23.4 percent of grade three students could read at a grade two level, compared with 35.5 percent in private schools. By grade 5, the gap persisted – 44.8 percent in government schools versus 59.3 percent in private ones.

Kishor Bhamre, director at Pratham, an organisation working on children’s rights across education and labour, said the setback is not just academic but psychological.

“Children moving from private to government schools lose the environment they grew up in – their friends, familiar teachers, and a sense of community. For many, it also means shifting from an urban to a rural setting, which makes the adjustment even harder and affects their learning,” he said.

Al Jazeera reached out to the Surat Municipal Corporation and the state’s education minister for comment, but did not receive a response.

Limited help

The Diamond Workers Union has repeatedly appealed to the state government to provide an economic relief package and revise salaries in line with inflation. The union has also urged authorities to address the equally pressing situation of the growing number of school dropouts among workers’ children.

The Gujarat government in May introduced a special assistance package for affected diamond workers – a rare move in the industry.

Under the scheme, the state government committed to paying for one year of school fees for diamond polishers’ children, up to 13,500 rupees ($150) annually. To qualify, workers must have been unemployed for the past year and have at least three years of experience in a diamond factory. The fees will be paid directly to the schools.

The government received nearly 90,000 requests from diamond workers across Gujarat, including about 74,000 from Surat alone.  After a slow start – it had provided assistance to only 170 children by July – officials reported disbursing 82.8 million rupees ($921,000) towards school fees for 6,368 children of jobless diamond workers in Surat by mid-September.

But about 26,000 applicants were rejected, reportedly due to “improper details mentioned” in the forms, leading to frustration and anger among workers. In the past few days, nearly 1,000 diamond polishers have filed applications with the local government, demanding to know who rejected their forms and on what grounds, and alleging opacity in the process.

The scheme’s rigid eligibility criteria have also excluded workers.

“The scheme only covers those who have completely lost their jobs, but it leaves out many who are facing partial cuts or reduced work,” said Tank. “They’re struggling just as much and need support equally.”

Tank added that education remains one of the most common concerns among workers reaching out to the union’s suicide prevention helpline, which was set up by the Diamond Workers Union after Surat had already recorded at least 71 suicides among diamond workers by November 2024. It has received more than 5,000 calls so far.

Divyaben Makwana, 40, lost her 22-year-old son, Kewalbhai, who had been working as a diamond polisher for three years. On June 14, he died by suicide.

Kewalbhai had been under immense mental stress after losing his job in the diamond market, his mother told Al Jazeera.

“He was earning around 20,000 rupees ($220) a month, and when even that collapsed,” he took his life, she said. “We took him to the hospital and did everything we could. I borrowed 500,000 rupees ($5,560) from relatives and friends, but we couldn’t save him. Now, I don’t have a son – only a loan.”

She lives in Surat with her husband, who has been unable to work due to prolonged illness, and their younger son, Karmdeep, 18. With no means to return to their village in Saurashtra, Divyaben has begun working as a domestic worker to make ends meet. Karmdeep dropped out after grade 11, and now attends a local coaching centre, where he is learning diamond faceting while looking for work.

“Education has become so expensive,” Divyaben said. “At least with coaching, he’ll learn a skill. By the time the market recovers, if he’s trained as a craftsman, maybe we’ll be able to repay some of our debts.”

She paused, her voice low. “I don’t know if education, whether taken on loan or given free, can really change our fate. Our only hope is still the diamond.”

If you or someone you know is at risk of suicide, these organisations may be able to help.

You can access the Diamond Workers Union helpline at +91-92395 00009.

At least 153 students and 12 teachers taken from a Catholic school last month remain in captivity.

Nigerian authorities have secured the release of 100 children who were among hundreds kidnapped from a Catholic school in northern Nigeria last month, officials and local media have reported.

The 100 children arrived in Nigeria’s capital, Abuja, and are set to be handed over to local government officials in Niger State on Monday, an unnamed United Nations source told the AFP news agency.

“They are going to be handed over to Niger State government tomorrow,” the source told the AFP news agency.

Nigeria’s The Guardian newspaper reported on Sunday that the rescued children were receiving medical evaluations and would be reunited with their families after a debriefing.

Presidential spokesman Sunday Dare also confirmed reports to the AFP that 100 children were being freed.

Armed gunmen kidnapped 303 students and 12 teachers from St Mary’s School in the Papiri community of Niger State’s Agwara district on November 21.

They included both male and female students aged between 10 to 18 years, according to the Christian Association of Nigeria (CAN).

Fifty of the students escaped captivity in the days after they were kidnapped, returning home to their families. Following the release of 100 students on Sunday, 153 students and 12 teachers are believed to remain in captivity.

Days earlier, gunmen abducted 25 schoolgirls from the Government Girls Comprehensive Secondary School in the neighbouring Kebbi State’s Maga town,170km (106 miles) away.

“We have been praying and waiting for their return. If it is true, then it is a cheering news,” said Daniel Atori, spokesman for Bishop Bulus Yohanna of the Kontagora diocese, which runs the school.

“However, we are not officially aware and have not been duly notified by the federal government.”

The latest abductions are the worst seen in Nigeria since more than 270 girls from Chibok town were snatched from their school in 2014.

In total, more than 1,400 Nigerian students have been kidnapped since 2014, in almost a dozen separate incidents.

The most recent kidnappings came soon after United States President Donald Trump said that Nigeria’s Christians are facing genocide, a claim that has been questioned by local officials and Christian groups, who say that people from different faiths have been caught up in ongoing violence in parts of the country.

Kimiebi Imomotimi Ebienfa, a spokesman for Nigeria’s Ministry of Foreign Affairs, told Al Jazeera last month that people of all faiths have been affected by the ongoing violence.

“We’ve continuously made our point clear that we acknowledge the fact that there are killings that have taken place in Nigeria, but those killings were not restricted to Christians alone. Muslims are being killed. Traditional worshippers are being killed,” Ebienfa said.

“The majority is not the Christian population.”

Trump has threatened military intervention in Nigeria, alleging that the country is failing to protect Christians from persecution. He has also threatened to cut aid to Nigeria.

Nigeria, a country of more than 200 million people, is divided between the largely Muslim north and mostly Christian south.

According to Pew Research Center estimates, Muslims make up 56 percent of Nigeria’s population, while Christians make up just more than 43 percent.

Armed groups have been engaged in a conflict that has been largely confined to the northeast of the country, which is majority Muslim, and has dragged on for more than 15 years.