patients

There is growing anxiety among residents after nine Ebola virus patients escaped from a treatment centre in the Ituri province of the Democratic Republic of Congo (DRC) after a fire outbreak. Authorities and the local population are deeply concerned that these individuals could spread the Ebola disease to other provinces.

On June 30, nine patients suddenly vanished from the health facility after a group of hostile locals set the Nia-Nia Ebola treatment centre on fire. Among the missing patients are two confirmed cases of Ebola infection and seven suspected cases.

According to Joseph Pemanakue, the chief medical officer of the Nia-Nia treatment centre, the patients have still not been found several hours after fleeing the health facility.

“The burnt-down centre was housing two confirmed positive cases of Ebola as well as seven suspected cases. The nine patients fled from the structure and remain to be tracked down, causing fear of an increased propagation of the epidemic within the community,” Joseph said.

The attack on the treatment facility happened after some members of the community refused to surrender the body of a suspected Ebola patient to the medical team. This confrontation escalated quickly, resulting in the destruction of the treatment centre and the loss of a significant stock of medicine and medical equipment.

The local authorities consider the incident to have seriously compromised the efforts to contain the epidemic in Ituri province.

“Some opinion leaders manipulate the population by affirming that Ebola is a business, whereas the disease actually exists. In PK 51, we have recorded ten deaths. A corpse tested positive was removed from a coffin and transported by the population, an action which increases the risk of spreading the disease. The health facility responsible for taking charge of patients, which was created after several efforts, was unfortunately destroyed,” said Alexis Mungaki, a chief of the Ngayo tribal group.

The incident occurred amid heightened tensions between specific communities and the Ebola treatment teams. Health officials are concerned that the escape of confirmed and suspected patients may trigger new transmission chains, as Ituri province continues to be the focal point of the 17th Ebola outbreak in the DRC.

In the early hours of another day of Israel’s genocidal war on Gaza, 20-year-old Hamza al-Ghazali, who lives in the Zeitoun neighborhood south of Gaza City, set out once again in search of an insulin pen.

It was not the first time he had moved between pharmacies and medical centres, looking for a dose. The effort has become a recurring part of his life since the outbreak of war in October 2023 and the tightening Israeli restrictions on the entry of medicines and medical supplies into the Gaza Strip.

Hamza knows that delaying an insulin dose is potentially life-threatening. Type 1 diabetes requires strict daily treatment and continuous monitoring. However, under war and blockade conditions, managing the disease has turned into a daily, high-risk struggle.

Hamza recalls how his health condition was more stable before the war. He used to obtain insulin from pharmacies at prices ranging between 25 and 35 shekels ($8.5 and $12) per pen, sometimes even less.

“I started to know all the pharmacies, and they also knew me, because I was always buying insulin pens,” Hamza says.

But this changed drastically with the war and the tightening of restrictions on the entry of medical supplies. The price of a single insulin pen rose to between 75 and 100 shekels ($25 and $34), and, as Hamza needs six to seven pens per month, he was forced to try to extend the use of each pen for as long as possible.

Fight for survival

The suffering of diabetes patients in Gaza extends to restrictions on the entry of medicines through border crossings, measures that have led to a severe shortage of insulin, glucose metres, and test strips.

Hamza notes that this shortage has created an unstable medical reality, where, in some cases, medicines that may have been stored for long periods or in improper conditions appear on the market, raising concerns about reduced effectiveness or uncertain quality due to the lack of alternatives.

A year ago, when an Israeli blockade on the entry of food led to a famine in northern Gaza, Hamza was forced to eat anything he could find.

But for Hamza, it wasn’t just about securing enough nutrition for his body, but also about finding the right balance between the insulin he had access to and the food he could find.

If he ate more without sufficient insulin doses, then he could have dangerously high blood sugar levels. If he reduced his food intake out of fear of running out of insulin, then that could result in severe and potentially fatal hypoglycemia (low blood sugar).

“I was afraid for myself during the shelling in northern Gaza,” said Hamza. “We were under siege. If the house was bombed, I might survive under the rubble, but die from low blood sugar. And if I ate without insulin, my sugar could rise dangerously. I was living between two fears all the time.”

He adds that the fear was not only about losing insulin, but also about losing glucose metres and test strips, which he relies on daily to monitor his condition. Every time he was forced to evacuate, the first thing he would carry was his “diabetes bag”.

Equipment shortages

Glucose test strips have been in short supply, limiting Hamza’s ability to monitor his blood sugar levels on a daily basis and forcing him to rely on judging his physical symptoms.

Hamza notes that the cost of a glucose metre ranges between 250 and 300 shekels ($85 and $120), but the real problem lies in the availability of test strips.

Without them, the device becomes useless, forcing some patients to repeatedly buy new devices. Hamza estimates that more than 80 percent of diabetes patients in some areas are unable to test their blood sugar regularly, which he describes as a “medical disaster”, as it turns treatment into daily guesswork.

According to data from the Palestinian Ministry of Health in Gaza, between 70,000 and 80,000 diabetes patients in the Palestinian enclave are at risk due to the severe shortage of insulin and test strips, in addition to the collapse of medical follow-up services and poor nutrition.

Endocrinology and diabetes specialist Dr Adli al-Ghouti notes that about 2,500 children in Gaza are living with Type 1 diabetes, and are in a highly critical health condition.

As a result of insulin shortages, a lack of proper storage conditions, and power outages, a real crisis is unfolding.

Al-Ghouti warns that the deterioration of insulin quality, the expiration of the stock available in Gaza, and improper storage can all reduce effectiveness, creating a false sense of security while blood sugar levels remain uncontrolled, potentially resulting in severe complications such as diabetic ketoacidosis, a life-threatening emergency condition.

“Taking an expired dose of insulin may cause significant harm inside the body, while giving a temporary impression of improvement,” Dr al-Ghouti said.

Diabetes is therefore no longer a condition that can be managed easily in Gaza. Between the shortage of insulin, a lack of testing tools, rising prices, and deteriorating nutrition, even the simplest aspects of treatment turn into a daily struggle for survival.

More than two years ago, Gaza resident Hanin Muhammad accompanied by her 39-year-old sister Sabreen, a kidney transplant recipient, was flown to the Iraqi capital Baghdad for medical treatment. But Muhammad has since been confined to the Private Nursing Home Hospital inside Baghdad’s Medical City complex, thousands of miles away from her home in Gaza, as her travel documents have been confiscated by Iraqi authorities.

“My six children are in Gaza, and I am entering my third year without seeing them,” 40-year-old Muhammad told Al Jazeera.

Her family home in Rafah was destroyed by Israeli forces, forcing her children to be displaced into makeshift tents located between Rafah and Khan Younis.

“I check on them through other people because they lack internet connection. I am begging anyone to intervene so we can get back to Egypt, register, and see our children,” she said. Currently, Palestinians can go in and out of Gaza only using the Rafah crossing, which opens into Egypt.

Muhammad, who travelled to Iraq as a medical companion to her sister, is part of a forgotten cohort of 46 Palestinians evacuated to Iraq, comprising 21 patients and 25 family escorts.

According to health authorities tracking the group, the clinical breakdown of the patients highlights the severity of their conditions, which include five oncology patients, four suffering from blood disorders, one cardiac patient, one kidney disease patient, and 10 patients wounded in the ongoing genocidal war that has killed nearly 73,000 Palestinians and wounded more than 172,000.

The group was flown to Baghdad in March 2024 on a military aircraft in coordination with the Iraqi and Egyptian governments, with a symbolic presence from the Palestinian Embassy in Cairo.

These rare evacuations highlight a much broader medical crisis back home. According to Gaza’s Health Ministry, more than 20,000 patients and wounded people are currently waiting to travel abroad for medical treatment.

Zaher al-Waheidi, head of the ministry’s Information Unit, reported that 1,200 children in Gaza now suffer from spinal cord injuries and paralysis directly resulting from Israeli attacks, while some 4,000 children require urgent treatment abroad.

Despite the overwhelming need, official data provided by al-Waheidi shows that only 154 children have been allowed to leave Gaza since the Rafah crossing, the enclave’s only gateway to the outside world, partially reopened in February amid heavy Israeli restrictions.

The crisis is equally dire for newborns: in 2025, more than 4,000 women had premature deliveries, and at least 4,800 babies were born with low birth weights – double the pre-war figure. Last year alone, 457 infants died in their first week of life.

For the handful who made it out, like the group in Iraq, the promised sanctuary quickly devolved into a cage defined by confiscated documents, restricted movements, and systemic neglect.

Confiscated documents and suspended lives

Upon their arrival from Egypt’s Heliopolis Hospital, the promised short-term recovery windows evaporated. Evacuees state that their primary identification and travel documents were immediately seized.

“When we left Egypt for Iraq, the Iraqi authorities took our identification papers from the Egyptians, and we haven’t seen them since,” Muhammad told Al Jazeera.

“When we asked for them, they told us they were held by Iraqi Intelligence and the Ministry of Foreign Affairs. We demand them back, but no one answers us.”

The Palestinian Embassy in Baghdad issued new passports for those lacking them, but according to Muhammad, these documents remain unstamped by the Iraqi government and are functionally useless. She noted that without the official stamps, they cannot travel anywhere.

This administrative vacuum has completely frozen the lives of the companions. Noor Ibrahim, a pseudonym for a young woman who arrived as an escort for her cancer-stricken aunt, is stranded along with four of her aunt’s children.

“I have been engaged for four years, and my fiancé and family are in Gaza,” Ibrahim told Al Jazeera. “We left on the promise that it would be a temporary six-month treatment trip, but now, two years have passed.”

She expressed deep frustration as she is stuck inside the medical complex, emphasising that she just wants to return to Egypt, from where she can travel to Gaza to complete her marriage and start her life.

The stress of the confinement has also severely exacerbated underlying health conditions. Ibrahim noted that while her aunt received the necessary cancer treatment, she has developed various other undisclosed health complications in Iraq, and her psychological state is exhausted from leaving her husband and family behind in war-ravaged Gaza.

Retaliation and dire conditions

For the Palestinians living inside Baghdad’s Medical City complex, daily life has become a grind of material deprivation and psychological distress. The evacuees are completely cut off from any monetary stipends, leaving them entirely dependent on the hospital for basic shelter and local citizens for additional charity.

Samah Abdul Moati, 65, who battles leukaemia, liver cancer, and an arm injury, is accompanied by her injured 43-year-old son and her daughter-in-law. She painted a grim picture of their daily life.

“The hospital brings food every day, but no one can eat it because it is unfit for consumption,” Abdul Moati told Al Jazeera. “We are surviving on the grace of local well-wishers who don’t fail us. But we don’t care about the treatment any more – we just want to return to our children.”

Abdul Moati’s situation is compounded by unfathomable grief: two of her sons were killed in the war, two others have platinum implants from injuries, her husband is fighting cancer in a Gaza intensive care unit with no one to care for him, and her daughters and orphaned grandchildren are living in tents for displaced people.

“The hardest feeling is that I am trapped between the hospital walls while my heart is outside with my family and my people,” Abdul Moati said. “My husband is in the intensive care unit alone, and my children and grandchildren are in tents under the cold and fear.”

Compounding their alienation, evacuees who have tried to protest or publicise their predicament faced swift administrative blowback. When they demanded their right to travel five months ago and spoke to the media, hospital management retaliated by locking down the ward and banning them from even visiting the hospital garden.

Muhammad revealed that they were only allowed out after journalists wrote about their situation, adding that officials continuously throw them from one department to another without providing any straightforward answers.

Bureaucratic runaround

The spokesperson for the Iraqi Ministry of Health, Saif Albadr, did not answer repeated calls from Al Jazeera.

While the head of public relations at the Health Ministry, Ruba Falah Hassan, told Al Jazeera that the case is “political.”

“Frankly, this is a political issue, not health-related.. I’m not authorised to talk about it,” she stated.

The newly appointed Iraqi government spokesperson, Haidar Al-Aboudi, told Al Jazeera that he “will look into the matter”.

For the Palestinians stranded in the Medical City, they maintain that they lack the financial means to buy commercial airline tickets even if their papers are returned, meaning they desperately need a coordinated effort by a charity or government body to facilitate their travel back to Egypt.

“I am not asking for a luxury or an exception,” Abdul Moati pleaded in her final remarks.

“I am asking for a simple human right: that my family does not remain divided between life and death. Open a safe path, facilitate our family reunification, and let me return to my family before it is too late.”

Loved ones and healthcare workers gathered for the burial of a doctor who died after treating Ebola patients in the Democratic Republic of Congo. Fears among frontline medical teams are growing as the outbreak worsens, with more than 900 suspected cases of the virus.

May 13 (UPI) — Ten suspected hantavirus patients are being flown from the British islands of St. Helena and Ascension in the South Atlantic back to the United Kingdom to complete their self-isolation at a former COVID-19 facility, the country’s main infectious diseases agency said.

The eight passengers and two crew from the hantavirus-hit Hondius cruise ship are part of a program to relocate “some contacts who are already isolating to places where they can safely self-isolate with access to appropriate specialist medical services,” the U.K. Health Security Agency said in a news release on Tuesday.

“England’s National Health Service high consequence infectious disease network is well equipped to respond if they become unwell. Currently none of these contacts are symptomatic and this is precautionary to support communities in U.K. overseas territories,” the agency said.

The patients being flown to Britain all left the MV Hondius when it stopped in St. Helena on April 24, with the ship going on to Cape Verde, where it was refused permission to dock, before finally disembarking on Tenerife on Sunday.

UKHSA did not say where the patients would be taken on arrival in Britain, but Arrowe Park Hospital in northwestern England, where at least 20 other patients from the Hondius are currently quarantined, was the most likely destination. The hospital has a specialist isolation wing and was a designated quarantine facility during the pandemic in 2020.

The agency said plans were underway “where it is safe and possible” to discharge the 20 existing Arrowe Park patients, 18 Britons, a German citizen and a Japanese national, after completing a three-day quarantine.

Each patient assessed as fit to safely serve out a 45-day isolation period at home will receive a tailored support package with daily monitoring from health protection teams across the country until they receive the all-clear, said UKHSA.

“We are grateful to the passengers for their cooperation and patience in what we appreciate has been a very unsettling period for all involved. As this first assessment period concludes, our priority remains to ensure everyone is safe and well supported, wherever they complete their isolation. Our teams will continue to be there for all of the affected individuals every step of the way,” said the agency’s chief scientific officer, Professor Robin May.

On Saturday, the British military conducted an airdrop of medics and four tons of oxygen and other medical supplies on Tristan da Cunha, another island in the St. Helena and Ascension Island British Overseas Territory, to treat a hantavirus patient who left the Hondius when it stopped there in mid-April.

The patient is a resident of Tristan da Cunha, population 220, one of the most remote places on Earth, 1,510 miles southwest of St. Helena and 1,750 miles west of Cape Town, which has no airstrip and very limited medical facilities.