patients

Gaza City, the Gaza Strip – On February 28, Lama Abu Reida was just a few hours away from what she hoped would change the fate of her sick infant daughter, Alma.

The family had finally been informed that the baby girl – fewer than five months old and unable to breathe without an oxygen machine – was eligible for medical evacuation.

The small travelling bag was packed, the medical documents in order, and Abu Rheida ready to go. All that remained was to exit the Rafah crossing between Gaza and Egypt and from there head to Jordan, where Alma could undergo a surgery that was not available in the Gaza Strip.

But just one day before the scheduled March 1 trip, Israel shut Gaza’s crossings “until further notice”, citing security reasons. The decision coincided with the launch of a joint military attack alongside the United States on Iran – and shattered Abu Rheida’s hopes.

“They told me the crossing had been closed without any warning because of the war with Iran,” the mother says in a choked voice.

Alma, who suffers from a lung cyst, has been at Nasser Hospital in Khan Younis, in southern Gaza, for more than three months now, with her mother staying by her side day and night.

“She cannot do without oxygen at all,” Abu Rheida says. “Without it, she becomes extremely exhausted.”

‘I don’t know what might happen’

The Rafah crossing, Gaza’s main gateway to the outside world, was closed for long periods during Israel’s genocidal war against Palestinians in the Strip that began in October 2023.

On February 1, Israel announced a limited reopening as part of a trial phase following a “ceasefire” with the Palestinian group Hamas. This allowed some movement under the agreement’s arrangements, particularly for medical cases.

But only a few patients were able to travel, and thousands remained on waiting lists until the February 28 closure, which stopped the transfer of wounded patients abroad, as well as medical evacuations of patients like Alma.

Doctors had told her family the only option for Alma, who was previously admitted to intensive care three times within a month, was to have surgery abroad to remove the cyst from the lung. While not particularly risky, such an operation cannot be done inside Gaza due to limited medical resources.

“My daughter’s life depends on a single surgery, and afterwards she could live a completely normal life,” Abu Rheida says.

“If her travel is delayed any longer … I don’t know what might happen. Her condition is not reassuring,” she adds in despair.

On Sunday, Israeli authorities said ⁠the Rafah crossing will ⁠open again on Wednesday for ”limited movement of people” in both directions.

‘The closure killed my children’

The very thing Abu Rheida fears is something Hadeel Zorob has already endured.

Zorob’s six-year-old son, Sohaib, died on March 1, 2025, while her eight-year-old daughter, Lana, passed away on February 18 last month. The two children suffered from a rare genetic disease that causes gradual deterioration in the body’s functions.

They were both waiting for medical referrals to travel abroad for treatment – but that never happened.

“I watched my children die slowly in front of my eyes, one after the other, without being able to do anything,” says Zorob, 32, breaking down in tears.

Lana was only a few days away from travelling before she passed away.

“My daughter’s travel had been scheduled around the same period when the crossing was later closed, but she died before that,” Zorob says.

“When the news of the crossing closure came, my grief for my daughter returned all over again as I remembered the many children who will suffer the same fate.”

Zorob says her children were still able to move and play relatively normally in the early stages of their illness.

Before Israel’s war on Gaza, both children were receiving specialised hospital treatment, which helped stabilise their condition to some extent. But as the Israeli attacks intensified, their condition gradually worsened until it reached a life-threatening stage. The collapse of Gaza’s healthcare system left the family struggling to access the medications they relied on.

“We even tried to bring the medicine from the West Bank, and I asked the Red Cross and the World Health Organization, but nothing worked,” Zorob says.

During the war, she and her family had to leave their home and move into a tent in the al-Mawasi area. The new displacament conditions made caring for the children much harder.

“Both were bedridden … in diapers, and their blood sugar needed regular monitoring. We had to give fluids and watch their food … all this in a tent with no basic necessities.”

Zorob says she feels like “going crazy” when she thinks that her children might have survived and improved if they were able to get treatment abroad.

“The closure of the crossings killed my children!” she adds, her voice filled with anguish. “The world gives no value to our lives or to the lives of our children … this has become something normal.”

Zorob says she is trying to stay strong for her third child, four-year-old Layan, despite the persisting pain.

“All I want is that what happened to my children does not happen to any other mother … that the crossing be reopened and that children and patients be allowed to travel.”

‘Is that too much to ask?’

According to the Health Ministry in Gaza, more than 20,000 patients and wounded people are waiting to travel abroad for medical treatment.

Among them are about 4,000 cancer patients in need of specialised care unavailable in Gaza, and roughly 4,500 children.

The lists also include around 440 “life-saving” cases needing urgent intervention and nearly 6,000 wounded people who require continued hospital care outside of Gaza.

The Al-Dameer Association for Human Rights has called the Rafah crossing’s closure a form of collective punishment for civilians in Gaza, warning that it “sentences more patients to death” and deepens Gaza’s humanitarian crisis.

For Amal al-Talouli, the closure of the Rafah crossing was another devastating blow in her battle with cancer.

The 43-year-old has been suffering from breast cancer for about five years. Although she underwent treatment before the war, the disease returned and spread to other parts of her body, including the spine.

“Praise be to God, we accept our fate,” the mother of two says. “Still, why should our suffering worsen because we are prevented from travelling and the crossings are closed?”

Al-Talouli is currently living with relatives after losing her home in the Beit Lahiya project area, in northern Gaza, during the war.

Displacement was not an easy choice due to her health condition, she says. The situation is compounded by a severe shortage of medications and specialised medical staff – a reality also experienced by other cancer patients in Gaza.

“There is a shortage of everything,” al-Talouli says. “I developed osteoporosis and eye fluid from chemotherapy. Chemo needs good nutrition, but malnutrition and famine made it much harder.”

Al-Talouli says the shutdown of the crossings made things worse.

“[It] affects us very, very much. No medicines are entering, and no essential treatments are coming in,” says al-Talouli, whose name was on a waiting list to travel outside of Gaza for treatment.

She stresses that cancer patients in Gaza urgently need support.

“Now I only want the crossing to reopen so I can have a chance to recover and continue my life with my children,” she says. “Is that too much to ask?”

Appearing on BBC Morning Live, Dr Punam Krishan gave exact time people should have cough for before getting it checked

A BBC doctor has said that this week, two patients came to her with a cough, and it turned out to be a disease with no cure. Appearing on BBC Morning Live, Dr Punam Krishan was speaking out about a chronic condition which 1.7 million suffer from – but hundreds of thousands more have without knowing.

And she explained exactly how long people should have a cough for before they get it checked out properly. Host Nick Knowles raised how a viewer had asked about COPD and cures he’d seen online, which claim it can be sorted out in 7-14 days. Because the weather has changed, people are also experiencing hayfever, and symptoms like a lingering cough or wheezing can be easy to dismiss.

Dr Punam said: “Over the last few years, I’ve been seeing more and more patients coming through to me and saying, ‘Look, I’ve seen this on social media or I’ve tried this’ and it has the potential to cause harm as well and there is a lot of misinformation and it can be really hard and you can see why adverts like this can be so appealing if you are somebody who’s living with COPD.

“So, for anyone who doesn’t know what that stands for, it stands for chronic obstructive pulmonary disease. It’s a term that we use to describe lung conditions that really make your breathing difficult. Now, the thing is if you do come across anything online, you’re not sure about it, always go to a trusted medical source.

“So, the NHS website’s a great place to start. Medical experts, speak to your doctor or your pharmacist before trying anything. Unfortunately, when it comes to COPD, it is a progressive lung condition, which means it can worsen over time. So, sadly, there isn’t a cure. Certainly, nothing over 7 to 14 days that’s going to make a difference.”

Dr Punam said the illness is often missed or just put down to ageing. She said: “Around 1.7 million people in the UK are currently living with COPD, but we believe that number is actually a lot higher. And that’s because the symptoms can develop over a long period of time and they tend to develop slowly . So, people tend to dismiss them or put it off to maybe it’s because I’m getting older. Maybe it’s because I’m unfit. COPD tends to be diagnosed when you’re like middle-aged or older adults, but it can affect anybody earlier as well.”

She said smoking is one of the most common causes. The two main problems within COPD are emphysema and chronic bronchitis. She added: “And what’s really happening in the lungs during that is that it causes inflammation. It causes narrowing of the airways. It causes scarring. It affects the tiny air sacs in our lungs whose job it is to transfer oxygen into the bloodstream so that we can breathe properly. So of course, if those are damaged, it really does impact you long term.”

She said people should not ignore coughs – and gave an exact time people should get it checked out. Dr Punam said: “A lot of people do just sit on it and dismiss it. The earlier you get it diagnosed, the better it is because there are lots of things that we can do to support the symptoms.

“So, if you have a new cough that is persisting, I would say the rule of thumb is four to six weeks. If something is persisting beyond that time, it’s not going away. You don’t know why you’ve got it, so have a chat with your doctor because we can investigate that to look at the root cause, but don’t just dismiss it. Anything more than four weeks, a cough that you just don’t know why it’s there, get it looked at.”

Nick asked: “We’ve had hay fever as we’ve been hearing this week already this year. Is that a complication?” Dr Punam said: “Well, it is. Just this week, actually, I had two patients who have COPD who came in because they felt that their hay fever had started affecting them.

“The thing is a quarter of people that have got COPD will be sensitive to pollen. We’re loving spring – it’s around the corner. But with that, of course, pollen counts rise and if you’re sensitive to that, it can affect your breathing. So often I find people with COPD can get misdiagnosed, or maybe it’s just a flare-up of the condition or a chest infection, but actually, if you’re coughing a lot more, if you’re producing a lot more phlegm, you’re congested, now is the time.”