Rafah

Palestinian women tell of harrowing experience at hands of Israeli military at reopened Rafah border crossing in Gaza.

Palestinian women have described a “journey of horror” as they passed through the Rafah border crossing on their way home to Gaza from Egypt, with the few allowed to enter the war-torn territory being separated from their children, handcuffed, blindfolded, and interrogated “under threat” for hours.

For the 12 Palestinian women and children allowed to enter Gaza through the Rafah crossing on Monday, the journey back home was “long and exhausting, marked by waiting, fear and uncertainty”, Al Jazeera’s Ibrahim Al Khalili said, reporting from Khan Younis in southern Gaza.

The small group of returnees was subjected to harsh security procedures by Israeli forces who hold the power at the Rafah crossing to determine “when and if” people will be allowed to return to their homes in the Palestinian territory, Al Khalili said.

“They took everything from us. Food, drinks, everything. Allowing us to keep only one bag,” said one of the returnees, speaking to Al Jazeera about her ordeal at the hands of the Israeli military on Monday.

“The Israeli army called my mother first and took her. Then they called me, and took me,” the woman said.

“They blindfolded me and covered my eyes. They interrogated me in the first tent, asking why I wanted to enter Gaza. I told them I wanted to see my children and return to my country. They tried to pressure me psychologically, wanted to separate me from my children and force me into exile,” she said.

“After questioning me there, they took me to a second tent and asked political questions, which had nothing to do with [the journey]… They told me I could be detained if I didn’t answer. After three hours of interrogation under threat, we finally went on the bus. The UN received us; then we headed to Nasser Hospital. Thank God we were reunited with our loved ones,” she added.

Another member of the group, Huda Abu Abed, 56, told the Reuters news agency that passing through the Rafah border “was a journey of horror, humiliation and oppression”.

Accounts of being blindfolded, handcuffed and interrogated for hours by Israeli forces were given to reporters by three women, Reuters said.

Some 50 Palestinians had been expected to enter the enclave on Monday, but by nightfall, only 12 – three women and nine children – had been allowed through the reopened crossing by Israeli authorities, Reuters said, citing Palestinian and Egyptian sources.

Worse still, of the 50 people waiting to leave Gaza on Monday, mostly for critical medical treatment, only five patients with seven relatives escorting them managed to clear the Israeli inspections and cross into Egypt.

On Tuesday, just 16 more Palestinian patients were allowed to cross into Egypt via Rafah, Al Jazeera’s Hind Khoudary said, reporting from Khan Younis.

The numbers being allowed to cross at Rafah are far below the 50 Palestinians who Israeli officials said would be allowed to travel in each direction via the crossing every day, Khoudary said.

“There is no explanation as to why crossings are being delayed at Rafah,” Khoudary said. “The process is taking an extremely long time.”

“There are about 20,000 people waiting [in Gaza] for urgent medical attention abroad,” she added.

Khan Younis, Gaza – The headlines read that Israel has finally reopened the Rafah crossing between Gaza and Egypt, allowing injured Palestinians desperate for medical aid to leave.

However, the reality is that on the first day of the opening, on Monday, Israel only allowed five patients to exit Gaza via the crossing, forcing hundreds, if not thousands, of others to wait.

Mohammed Abu Mostafa is one of the lucky five. The 17-year-old travelled on Monday with his mother, Randa, to southern Gaza’s Khan Younis, and then on to Rafah, which has been closed by Israel for two years as it waged its genocidal war on Gaza, killing more than 70,000 Palestinians.

Randa told Al Jazeera that she had received a phone call on Monday morning informing her that Mohammed had been included in the first list of wounded patients scheduled to travel, and that they were instructed to head immediately to the Red Crescent Hospital in Khan Younis.

The reopening of Rafah, Gaza’s only land crossing that does not go through Israel, has been much touted as evidence of the progress of the second phase of the United States-backed Gaza “ceasefire” deal.

But events on Monday revealed a different reality, marked by strict security restrictions, complex procedures, and limited numbers being allowed to cross, falling far short of expectations and the scale of Gaza’s accumulated humanitarian needs.

Each of the five patients being allowed to leave was accompanied by two people as per Israeli orders, bringing the total number of travellers to 15, according to information provided to Gaza’s health authorities.

Mohammad Abu Salmiya, the director of Gaza’s al-Shifa Medical Complex, told Al Jazeera that this was the only group that departed, despite prior plans with the World Health Organization (WHO) – the body overseeing coordination between Egypt and Israel – for the departure of 50 patients daily.

Egyptian official sources have told Al Jazeera that 50 Palestinians were also permitted to return to Gaza via the Rafah crossing, though no information is yet available on whether they have actually reached the Palestinian side.

Ismail al-Thawabta, the director of Gaza’s Government Media Office, highlighted just how low these numbers are compared with the approximately 22,000 people needing to leave Gaza for treatment abroad. Meanwhile, about 80,000 Palestinians who left Gaza during the war want to return, he said.

Eye injury

Mohammed was injured in an Israeli air attack a year and a half ago, near where his family had been displaced in al-Mawasi, Khan Younis, Randa said. He sustained a direct injury to his eye, severely affecting his optic nerve and ability to see.

“My son has been suffering immensely since his injury. Day after day, his condition kept worsening, and there is no treatment available for him in Gaza,” Randa said, while waiting in the hospital courtyard alongside other patients and their relatives.

Despite her joy at finally being able to accompany her son on his journey, Randa feels a sense of anguish at having to leave four of her six children behind, as she was only permitted to take one child as a second companion.

“What matters to me now is that my son regains his sight and can see again with his own eyes. That is my only concern at the moment,” Randa said.

“I also hope to return to Gaza soon after my son recovers, that the blockade will be lifted, and that all patients will be able to travel, just like my son.”

Israeli restrictions

In the Red Crescent Hospital courtyard, dozens of patients on travel waiting lists expressed frustration over the first-day restrictions at Rafah.

Several patients, including those with amputations, gathered at the hospital, hoping to be permitted to travel to Egypt for treatment.

Despite patients and their families arriving early in the morning with high hopes, Israeli authorities refused to permit more than five patients to leave, leading to widespread dissatisfaction with the complex mechanisms accompanying the crossing’s partial reopening.

The multi-stage security procedure of Palestinians moving through the Rafah crossing begins with the preparation of daily lists of candidates for travel, which are then referred to the Israeli side for pre-travel security screening.

No one is allowed to pass through the crossing or enter it without explicit Israeli approval. The European Union Border Assistance Mission deployed to Rafah is limited to monitoring the process and verifying identities.

Arrivals in Gaza, after initial identity verification at the crossing under European supervision, are subject to additional inspection procedures at checkpoints located in areas under Israeli military control.

Raed al-Nims, the Gaza Red Crescent’s head of media, told Al Jazeera that the organisation was still waiting for updates regarding the transfer of more patients for treatment through the crossing.

He added that a group of patients was successfully transferred to Israel on Monday through the Kerem Abu Salem crossing, in coordination with the WHO.

Desperate need

Ibrahim Abu Thuraya was also one of the five patients allowed to leave Gaza on Monday.

Ibrahim was injured in the early months of the war, sustaining wounds that led to the amputation of his left hand and an injury to his left eye, where shrapnel is still embedded.

“Day after day, my eye condition is deteriorating, and I feel severe pain, especially since the shrapnel is lodged behind it and there are no medical capabilities in Gaza to deal with it,” he said from Khan Younis, before he travelled to Rafah. “Doctors told me that I need to travel abroad.”

Ibrahim was informed on Monday morning by the WHO and Gaza’s Ministry of Health that he had been approved for travel. He will be accompanied by his wife, Samar, and their son.

“I have suffered greatly for two full years just to be able to leave for treatment, and there are thousands of wounded like me,” he said. “I hope the crossing will be opened permanently.”

The Rafah border crossing between Gaza and Egypt has finally reopened after months of closure as a result of Israel’s devastating war on the Gaza Strip.

Hopes were running high that the freedom of movement would ease the dire humanitarian crisis created by this war.

But Israel has set strict conditions on who can leave the Strip and who can enter.

Now, only a small number of people are allowed to move in both directions – mainly for medical evacuations.

But much-needed humanitarian aid and construction materials are still barred from entering the Strip, which is in ruins.

Will this reopening ease the suffering of Palestinians after two years of war?

Presenter: Maleen Saeed

Guests:

Hussein Haridy – Former Egyptian assistant foreign minister

Mosab Nasser – CEO of FAJR Global, an organisation that provides medical care, surgical missions and emergency evacuations

Akiva Eldar – Political analyst and contributor to Haaretz newspaper

Name of Israeli military facility at Gaza crossing with Egypt linked to Zionist anthem and pro-settler NGO, signalling a shift, analysts say. from security control to West Bank-style land grab and dehumanisation of Palestinians.

The Rafah border crossing between Gaza and Egypt has reopened partially for a few Palestinians after an 18-month closure in tandem with an added restriction to control the movement of returnees. The Israeli army has set up a checkpoint called Regavim in an area under its control outside the crossing for those entering Gaza from Egypt.

As the first trickle of humanity passed through the gates on Monday, official Israeli military documents gave it a name that indicates the facility is no longer being treated as a border crossing but as an operation for population control.

In an official statement published on its website on Sunday, the Israeli army announced the completion of what it called the “Regavim Inspection Nekez”.

While the Israeli military frames this technical language as routine, analysts told Al Jazeera that the choice of the words “Regavim” and “Nekez” indicates Israel’s long-term intentions.

Al Jazeera spoke to Israeli affairs experts who argued that these terms reveal a dual strategy: invoking Zionist nostalgia to claim the land while using engineering terms to dehumanise the Palestinian people.

Historical code: ‘Clod after clod’

For analyst Mohannad Mustafa, the name Regavim is not random; it is a deliberate ideological trigger intended to resonate with the Israeli government’s far-right base.

“In Hebrew, Regavim means ‘clods of earth’ or patches of arable land,” Mustafa explained. “But it is not just a word. It is a trigger for the Zionist collective memory of land redemption.”

The term is inextricably linked to the Zionist children’s song and poem Dunam Po Ve Dunam Sham (A Dunam Here, a Dunam There) by Joshua Friedman, which was an anthem for the early settlement movement. The lyrics celebrate the acquisition of land: “Dunam here and dunam there/Clod after clod (Regev ahar regev)/Thus we shall redeem the land of the people.”

“By officially naming the Rafah corridor Regavim, the army is sending a subliminal message,” Mustafa said. “They are framing their presence in Gaza not as a temporary security mission but as a form of ‘redeeming the land’ identical to the ideology of the early pioneers.”

Political code: The ‘West Bank model’

Beyond the historical nostalgia, the name has a direct line to the present-day architects of Israel’s annexation policies: the Regavim Movement.

This far-right NGO, cofounded in 2006 by Finance Minister Bezalel Smotrich, has been the primary force behind the expansion of Israeli control in the occupied West Bank. A 2023 investigation by the Israeli newspaper Haaretz detailed how the organisation essentially became the “intelligence officer” for the state, using drones and field data to map and demolish Palestinian structures in Area C, the 61 percent of the occupied West Bank under full Israeli control.

Mustafa argued that applying this name to the Rafah crossing signals the transfer of the “civil administration” model from the West Bank to Gaza.

“It suggests that Gaza is no longer a separate entity but a territory to be managed with the same tools used to prevent Palestinian statehood in Judea and Samaria,” Mustafa said, using the Israeli terms for the West Bank.

Operational code: A ‘political brand’ and a ‘drain’

Analyst Ihab Jabareen takes the name Regavim a step further. He argued it has evolved beyond its linguistic meaning into a modern “political brand” for the settlement right and is being used to normalise a long-term Israeli presence.

However, Jabareen said the use of the term Nekez in the Israeli military statement portends even more danger.

“While Regavim operates as a political brand, Nekez reveals the cold, engineering mindset of the military,” Jabareen told Al Jazeera. “A Nekez is a drainage point. It is a hydraulic term used for managing sewage, floodwaters or irrigation – not for processing human beings.”

Jabareen argued that describing a human border crossing as a “drain” reflects three chilling assumptions now formalised in military doctrine:

1. Dehumanisation: “The Palestinian is no longer a citizen. They are a ‘fluid mass’ or a ‘flow’ that must be regulated to prevent overflow,” Jabareen said.
2. The end of negotiations: “You do not negotiate with a drain. Rafah is no longer a political border subject to sovereignty. It is an engineering problem to be managed.
3. Infrastructure, not a border: “Security is now being managed like a sewage system – purely technical, devoid of rights.”

“This is colder and more dangerous than standard settlement rhetoric,” Jabareen warned. “It converts the political issue of Gaza into a permanent technical function.”

A formula for ‘quiet control’

Both analysts agreed that the official adoption of these two terms points to a reality that is neither a full withdrawal nor declared annexation.

“It is a formula for ‘quiet control’,” Jabareen explained. “Israel doesn’t need to declare immediate settlement to control the territory. By treating the land as ‘Regavim’ (soil to be held) and the people as a ‘Nekez’ (a flow to be filtered), they are establishing a long-term reality where Gaza is an administered space, never an independent entity.”

Mustafa concurred: “The name ‘Regavim’ tells the settlers: ‘We have returned to the land.’ And the official designation ‘Nekez’ tells the security establishment: ‘We have the valve to turn the human flow on or off at will.’”

The long-awaited re-opening of Gaza’s Rafah crossing has been deemed too late for many seeking treatments, in life-or-death conditions. Al Jazeera’s Hind Khoudary spoke to a mother who had lost her sick child while waiting for the crossing to open.

The pilot comes before Gaza residents begin to pass through the crossing on Monday, Israeli authorities say.

Israel says it has partially reopened the critical Rafah border crossing between Gaza and Egypt in a limited capacity.

Israel announced on Sunday that the crossing had reopened in a trial. Meanwhile, COGAT, the Israeli military agency that controls aid to Gaza, said in a statement that the crossing was actively being prepared for fuller operation, adding that residents of Gaza would begin to pass through it on Monday.

“In accordance with the ceasefire agreement and a directive of the political echelon, the Rafah Crossing was opened today for the limited passage of residents only,” COGAT said.

The Israeli army said it has completed a complex that will serve as a screening facility for Palestinians passing in and out of Gaza through the Rafah crossing, which will be open for the movement of some people on Monday.

Rafah has been largely shut since it was seized by Israel in May 2024, amid the country’s two-year genocidal war on Gaza.

Al Jazeera’s Hani Mahmoud, reporting from Khan Younis in southern Gaza, said the crossing’s reopening was an “uncomfortable dynamic”.

“Palestinians want to leave, but at the same time, they’re worried they won’t be able to come back,” he said. “People said the purpose for them departing would strictly be for medical evacuation or continuing their education, and they want to come back later on.”

Ismail al-Thawabta, the director of Gaza’s Government Media Office, told Al Jazeera that about 80,000 Palestinians who left Gaza during Israel’s war are seeking to return.

An estimated 22,000 wounded and sick people are also “in dire need” to leave Gaza for treatment abroad, he added.

Israeli attacks continue

An Israeli drone attack on Sunday killed one person in the northwest of Rafah city in southern Gaza, according to a source at the Nasser Medical Complex.

Palestinian media outlets confirmed the death of Khaled Hammad Ahmed Dahleez, 63, in the Al-Shakoush area.

Meanwhile, in central Gaza, an Israeli drone attack killed a Palestinian in the Wadi Gaza area.

The attacks came after at least 31 people were killed on Saturday in multiple Israeli air raids on northern and southern Gaza.

Israeli forces have killed at least 511 Palestinians, and wounded 1,405, since the start of the US-backed “ceasefire” on October 10.

Israel to ban MSF

The Israeli government dealt another blow to the dire humanitarian situation in Gaza, announcing on Sunday that it will terminate the humanitarian operations of Doctors Without Borders, known by its French acronym MSF, in the besieged Palestinian territory after it failed to provide a list of its Palestinian staff.

The decision followed “MSF’s failure to submit lists of local employees, a requirement applicable to all humanitarian organisations operating in the region”, Israel’s Ministry of Diaspora Affairs and Combating Antisemitism said.

In December, Israel announced it would prevent 37 aid organisations, including MSF, from working in Gaza from March 1 for failing to submit detailed information about their Palestinian employees, drawing widespread condemnation from NGOs and the United Nations.

Israel’s decision to terminate MSF’s operations in Gaza “is an extension of Israel’s systematic weaponisation and instrumentalisation of aid”, James Smith, an emergency doctor based in London, told Al Jazeera.

“Israel has systematically targeted the Palestinian healthcare system, killing more than 1,700 Palestinian healthcare workers”, thereby “creating a profound dependency on international organisations”, Smith said.

Feb. 1 (UPI) — The Rafah border crossing between Egypt and Gaza reopened on Sunday morning to limited traffic for the first time in more than two years.

Israeli officials announced that after a trial operation of the crossing it will officially reopen on Monday, first for people leaving Gaza for medical attention and then others will be permitted to leave and enter, a process that will include intense scrutiny of Palestinians who use the crossing, Al-Jazeera reported.

“The Rafah crossing has reopened for movement of people only,” the Israeli Coordinator for Government Activities in the Territories said in a post on X. “The movement of residents in both directions, entry and exit to and from Gaza, is expected to begin tomorrow.”

Israel seized the Rafah crossing in May 2024 after officials alleged that Hamas had been using it to move terrorist operatives and materials in the area.

The seizure also made it more difficult to move supplies and aid into Gaza during Isarel’s war against Hamas after the group’s Oct. 7, 2023, terror attacks in Israel.

Reopening the crossing was part of the cease-fire agreement between Israel and Hamas in October, but Israel had held off on reopening it until it all hostages taken by the terrorist group on Oct. 7 were returned — a process that was not completed until last week.

Israel has said the people leaving or entering Gaza would have to undergo intense screening about what they were doing and why, with 150 people permitted to leave and 50 permitted to enter, an Israeli security official told CNN.

Among those returning, Israeli officials said that Palestinians who left Gaza during the war will also be allowed to return home after they have undergone additional screening.

Although Israel had said that only people would be permitted to use the crossing, NBC News reported that trucks with humanitarian aid were photographed entering Gaza from Egypt’s side of the crossing.

Hospitals and ambulances on the Egyptian side of the crossing have been preparing to receive sick and injured Palestinians, who will be the first people given clearance to leave.

Gaza City – With what remains of her wounded forearms, Nebal al-Hessi scrolls on her phone to follow news updates on the reopening of the Rafah land crossing from her family’s tent in an-Nazla, Jabalia in the northern Gaza Strip.

Nebal’s hands were amputated in an Israeli artillery attack on the home where she had taken shelter with her husband and her daughter in the Bureij refugee camp in central Gaza, on October 7, 2024.

More than a year later, the 25-year-old mother is one of thousands of wounded people placing their hopes on the reopening of the Rafah crossing between Gaza and Egypt as they seek access to adequate medical treatment outside the besieged Palestinian territory.

“It’s been a year and five months since I got injured … Every day, I think about tomorrow, that I might travel, but I don’t know,” Nebal tells Al Jazeera in a quiet voice.

Recalling the attack, Nebal says she was sitting on her bed holding her baby daughter Rita, trying to communicate with her family in northern Gaza, when the shell hit suddenly.

“I was trying to catch an internet signal to call my family … my daughter was in my lap… suddenly the shell hit. Then there was dust; I don’t remember anything else,” Nebal says.

“It was the shell fragments that amputated my hands,” she recounts.

‘Life is completely paralysed’

Nebal was taken to the hospital with severe injuries, including complete amputation of both upper limbs up to the elbows, internal bleeding, and a leg injury. She underwent two abdominal surgeries.

She spent about 40 days in the hospital before beginning a new stage of suffering in displacement tents, without the most basic long-term care.

Today, Nebal, an English translation graduate and mother to two-year-old Rita, relies almost entirely on her family for the simplest daily tasks.

“I can’t eat or drink on my own … even getting dressed, my mother, sister, and sister-in-law mainly help me,” she says sorrowfully.

“Even going to the bathroom requires help. I need things in front of me because I cannot bring them myself.”

Nebal talks about the pain of motherhood left suspended, as her daughter grows up before her eyes without her being able to hold her or care for her.

“My little daughter wants me to change her, feed her, give her milk, hold her in my arms like other mothers… she asks me, and I can’t,” Nebal says with sorrow.

“My life is completely paralysed.”

Doctors tell Nebal that she urgently needs to travel to continue treatment and have prosthetic limbs fitted, emphasising that she needs advanced prosthetics to regain a degree of independence, not just cosmetic appearance.

“Doctors tell me that I need a state or an institution to adopt my case so I can gradually return to living my normal life,” she adds.

With Palestinian authorities announcing arrangements to open the Rafah crossing today for batches of wounded people and medical patients, Nebal, like many others, lives in a state of anticipation mixed with fear.

According to Gaza’s Ministry of Health, thousands of wounded still require specialised treatment unavailable inside the Strip, while the scheduling of names depends on medical lists and complex approvals, amid the absence of a clear timetable or publicly announced priority criteria.

Nebal says she received repeated calls over the past months from medical organisations informing her that she would be among the first on the travel lists.

“They contacted me more than once, told me to prepare… they gave me hope,” she adds. “But this time, no one has contacted me yet.”

Today, Nebal fears her case might be overlooked again, or that the crossing’s opening could be merely a formality, disregarding the urgent needs of patients like her.

“I die a little every day because of my current situation … not figuratively. I’ve been like this for a year and four months, and my daughter is growing up in front of me while I am helpless,” she says.

Uncertain future

Nada Arhouma, a 16-year-old girl whose life has been completely altered by a single injury, is also hoping the crossing opens as soon as possible.

Nada, who was displaced with her family from Jabalia refugee camp in northern Gaza amid Israel’s two-year genocidal war on Gaza, was hit in the face by shrapnel while inside a displacement tent in Sheikh Radwan, Gaza City.

The incident caused the complete loss of one eye, in addition to fractures in her facial bones, orbital damage, and severe tissue tearing.

Her father, Abdul Rahman Arhouma, 49, says that her health deteriorated over time despite treatment attempts in Gaza.

“She entered the ICU at al-Shifa Hospital, then was transferred to Nasser Hospital. She stayed there for about two and a half months. They tried multiple times to graft her eye, but each operation failed, and the disfigurement worsened,” he says.

According to her father, Nada underwent three surgical attempts using tissue from her hand and other facial areas, but all failed, further complicating her medical and psychological condition.

“My daughter bleeds from her eye every day, and she has pus and discharge,” he says. “I am standing helpless, unable to do anything.”

Today, Nada needs constant assistance to walk and suffers from persistent dizziness and balance weakness. Her vision in the healthy eye is also affected.

“Even going to the bathroom, my sisters help me. I can’t walk alone,” Nada tells Al Jazeera in a soft voice.

Nada has an official medical referral and urgently needs to travel for reconstructive surgery and the implantation of a prosthetic eye. But her ability to get the treatments remains uncertain pending the reopening of Rafah – as is the case for other patients and wounded individuals.

“Since I’ve been in the hospital, I hear every week: next week the crossing will open. Honestly, I feel they are lying. I’m not optimistic,” Nada says.

Her father told Al Jazeera that the continuing wait for the Rafah crossing to reopen was “disappointing”.

“Unfortunately, we didn’t understand anything. All the reports came from Israeli sources, and it seemed Rafah looked like a gate for prisoners, not for travel,” he says.

“Our situation is difficult, and it’s clear we face a long wait to secure my daughter’s right to treatment.”

Pilot reopening

Sunday was the first pilot reopening day at Rafah, amid ambiguity and a lack of clarity about the mechanism, particularly regarding the number of patients and wounded who would be allowed to travel.

According to Gaza’s Ministry of Health, thousands of patients and wounded people require urgent medical transfers outside the Strip, amid the collapse of the healthcare system and lack of resources.

The World Health Organization has repeatedly confirmed that Gaza’s health system is “on the brink of collapse”, and that delays in travelling for critical cases threaten their lives.

Meanwhile, Israel has said it will only allow those whose names it has approved in advance to cross, without any clear announcement on daily numbers or approved criteria, leaving families of patients in constant anticipation and frustration.

For Nada’s family, this “experimental opening” means little so far.

“We can’t plan, neither to stay nor to leave,” her father says. “The decision is not in our hands. One lives in a whirlpool, unable to decide what happens. Even the Ministry of Health has not disclosed anything.”

‘Devastating’ struggle to access treatment

Raed Hamad, 52 and a father of four, is also desperate to leave Gaza in order to seek treatments and medication that are not available in the war-ravaged territory.

Hamad was undergoing kidney cancer treatment a year before the war started. He underwent kidney removal after tumour detection to prevent its spread. But the outbreak of the war in October 2023 halted his treatment protocol, significantly affecting his health.

Hamad lives in the remains of his destroyed home in Khan Younis, amid the devastation left by the war, under deteriorating humanitarian conditions.

He describes his current struggle to access treatment during the war, alongside other cancer patients he meets in the hospital’s oncology department, as “devastating.”

“The war has made it almost impossible to obtain medicines and medical supplies. Cancer treatments and known treatment protocols are unavailable,” he says.

“Food, its nature, and the harsh crises we’ve endured during the war—all of this has greatly affected my health.”

Raed’s weight dropped from 92kg (203lb) to 65kg (143lb) due to complications from the disease, lack of treatment, and malnutrition.

“I continue my treatment whenever I can at my own expense,” he says. “Every time I go to the hospital, I cannot find my treatment and see that capabilities in Gaza are extremely limited. My immunity is low, and every day I face new hardships.

“I need to complete my protocol, undergo nuclear scans, and obtain some essential medications to continue my treatment.”

As the Rafah crossing reopens, there are concerns over how restricted exits and particularly re-entries will be for Palestinians. Dr Mohammed Tahir, a trauma surgeon who volunteered in Gaza, says people fear that opting for medical treatment abroad may mean they will never return.

Israel says it will reopen the Rafah crossing on Sunday after nearly two years — but only for restricted, tightly controlled movement of people. Humanitarian aid remains barred. Al Jazeera’s Hani Mahmoud reports from Rafah as Israel retains full security control.

While diplomatic circles welcome the recovery of the last Israeli captive’s remains in Gaza and the imminent partial reopening of the enclave’s Rafah border crossing with Egypt, a quieter, darker reality is taking shape on the ground.

According to comments by retired Israeli General Amir Avivi, who still advises the military, Israel has cleared land in Rafah, an area in the southern Gaza Strip that it had already flattened in more than two years of its genocidal war, to construct an enormous facility to entrench its military control and presence in Gaza for the long term.

Speaking to the Reuters news agency on Tuesday, Avivi described the project as a “big, organised camp” capable of holding hundreds of thousands of people, stating it would be equipped with “ID checks, including facial recognition”, to track every Palestinian entering or leaving.

Corroborating Avivi’s claims, exclusive analysis by Al Jazeera’s Digital Investigations Team confirms that ground preparations for this project are already well under way.

Satellite imagery captured from December 2 through Monday reveals extensive clearing operations in western Rafah. The analysis identifies an area of about 1.3sq km (half a square mile) that has undergone systematic levelling.

According to the investigation, the operations went beyond mere debris removal and involved the flattening of land previously devastated by Israeli air strikes.

The cleared zone is located adjacent to two Israeli military posts, suggesting the new camp will be under direct and immediate military supervision. The satellite evidence aligns with reports that the facility is to act as a controlled “holding pen” rather than a humanitarian shelter.

The trap of return

To analysts in Gaza, no humanitarian intent is behind this projected high-tech infrastructure, which they say is in fact a trap for Palestinians.

“What they are building is, in reality, a human-sorting mechanism reminiscent of Nazi-era selection points,” Wissam Afifa, a Gaza-based political analyst, told Al Jazeera. “It is a tool for racial filtering and a continuation of the genocide by other means.”

The reopening of the Rafah crossing, tentatively scheduled for Thursday, according to The Jerusalem Post, comes with strict Israeli conditions. Prime Minister Benjamin Netanyahu has insisted on full “security control”.

For Palestinians hoping to return to Gaza, this means submitting to what Afifa describes as “human sorting stations”.

“This mechanism is designed to deter return,” Afifa said. “Palestinians will face interrogation, humiliation and the risk of arrest at these Israeli-run checkpoints just to go home.”

By leveraging facial recognition technology confirmed by Avivi, Israel is creating a high-risk ordeal for returnees, he said. Afifa argued it will force many Palestinians to choose exile over the risk of the “sorting station”, serving Israel’s longstanding goal of depopulating the Strip.

Permanent occupation within the ‘yellow line’

The Rafah camp is just one piece of a larger puzzle. Israel in effect occupies all of Gaza with a physical military presence in 58 percent of the Gaza Strip. Its forces directly occupy an area within the “yellow line”, a self-proclaimed Israeli military buffer zone established by an October ceasefire.

“We are witnessing the re-engineering of Gaza’s geography and demography,” Afifa said. “About 70 percent of the Strip is now under direct Israeli military management.”

This assessment of a permanent foothold is reinforced by Netanyahu’s own remarks to the Knesset on Monday. By declaring that “the next phase is demilitarisation”, or disarming Hamas, rather than reconstruction, Netanyahu signalled that the military occupation has no end date.

“The talk of ‘reconstruction’ starting in Rafah under Israeli security specifications suggests they are building a permanent security infrastructure, not a sovereign Palestinian state,” Afifa added.

A ‘show’ of peace

For the more than two million Palestinians in Gaza, the hope that the return of the last Israeli captive would bring relief has turned into frustration.

“There is a deep sense of betrayal,” Afifa said. “The world celebrated the release of one Israeli body as a triumph while two million Palestinians remain hostages in their own land.”

Afifa warned that the international silence regarding these “sorting stations” risks normalising them. If the Rafah model succeeds, it would transform Gaza from a besieged territory into a high-tech prison where the simple act of travel becomes a tool of subjugation, he said.

“Israel is behaving as if it is staying forever,” Afifa concluded. “And the world is watching the show of peace while the prison walls are being reinforced.”

Deir el-Balah and Khan Younis, Gaza – For the past two years, Khitam Hameed has clung to the hope of a single sliver of news that could fundamentally change the fate of her entire family.

The reopening of the Rafah crossing, shut and controlled by Israel as part of its genocidal war on Gaza in spite of a ceasefire agreement, would allow her family to travel and reunite with her husband outside Gaza.

But for this family, the reopening is not just about freedom of movement. It represents both a chance for reunion after a long separation, and an opportunity to secure treatment for their son, whose life, schooling, and normal childhood have all been destroyed by the two-year Israel-Palestine war.

With the United States pushing a deeply intransigent Israel to progress to phase two of the ceasefire that began on October 10, the reopening of the Rafah crossing was directly tied by the far-right government to the recovery of the remains of the final Israeli captive, and only partially for pedestrian use under strict military supervision.

On Monday, the retrieval of the last Israeli captive’s body appeared to open that locked door, with thousands in urgent need of treatment or family reunification in a state of anxious anticipation.

From her family’s displacement site in the Nuseirat refugee camp near Deir el-Balah in central Gaza, Khitam, 50, a mother of six, sits trying to organise her thoughts as news circulates about Rafah.

Next to her is her 14-year-old son, Yousef, unable to walk, suffering from a rare genetic disorder called Ehlers-Danlos Syndrome (EDS), a painful condition primarily affecting his bone development, with potential cardiac complications.

“Yousef has been undergoing treatment for this syndrome since he was very young … he has had around 16 surgeries,” Khitam tells Al Jazeera.

“We got used to hospitals, but before the war, there was some monitoring and a little hope.”

Since long before October 2023, the Rafah crossing between Gaza and Egypt has been a lifeline for Palestinians, not only as a natural exit and entry point, but also as a symbol of connection with the outside world.

Before the war, the crossing was heavily used by patients seeking medical treatment, families visiting relatives abroad, and the movement of goods and supplies that helped ease Gaza’s economic pressure under Israeli blockade.

Its closure, beginning in May 2024 after Israeli forces took control, marked a dramatic turning point in the humanitarian crisis.

The shutdown affected not just the movement of people, but also significantly reduced the flow of medical aid and essential supplies, impacting thousands of patients waiting for treatment outside Gaza, including children and the wounded, amid a severe shortage of health services and medical equipment.

‘Opening the crossing shouldn’t be a miracle’

Before the war, Khitam and her family monitored Yousef’s condition regularly, and he could walk and move.

But the war halted everything. Hospitals were routinely bombed by Israel, and most ceased functioning. Medics were killed by the hundreds, medications ran out, and medical checkups became nearly impossible.

“Since the war, Yousef’s condition has deteriorated. His legs are weaker, walking is harder, he uses crutches,” Khitam pauses before continuing: “He falls often… and my heart is in my throat every time.”

The mother no longer knows the full extent of her son’s health. “I don’t know if he has heart complications, or if his spine has worsened … we are living with him with no answers.”

The war also separated the family. Weeks before the conflict erupted, Khitam’s 52-year-old husband, Hatim, had left Gaza for Egypt, as an initial step to secure a chance for the family to migrate and access advanced medical care for Yousef.

“Since then, I’ve been alone. Six children, one with a special medical condition, war, displacement, hunger,” Khitam says, her voice exhausted.

“Being displaced alone is so difficult. You don’t know where to go, how to protect your children, how to provide food or safety. The constant anxiety and fear have affected everyone, but Yousef suffers the most.”

“No school, no play, no outings, no treatment … even psychologically, he is exhausted. A child his age should be living his life, not caught between war and illness.”

But, she adds, “just the idea of travelling eases us a bit psychologically. It feels like a door might open” for treatment outside of the besieged enclave.

She still fears how the crossing will operate, even as hope keeps her going.

“Even if the crossing opens, not everyone can leave, and not every case will be approved,” she adds. “Opening the crossing shouldn’t be a miracle… it’s a right.”

Yousef’s story intersects with those of hundreds of families of sick children in Gaza, for whom Rafah is not just a crossing, but a lifeline.

‘The family started a new battle against time’

Local estimates indicate that more than 22,000 patients and injured people, including about 5,200 children, are unable to travel for treatment due to the Israeli closure, with thousands more waiting for approved medical transfers that cannot be executed.

Among them is Hur Qeshta, a newborn girl only 15 days old, born with a large, unusual tumour in her neck, affecting breathing and swallowing.

She requires urgent surgery outside Gaza, according to doctors at Nasser Hospital in Khan Younis, in southern Gaza.

Her mother, Doaa Qeshta, 32 and a mother of five, tells Al Jazeera, “From the first moment she was born, the family started a new battle against time to ensure she could urgently travel for treatment.”

Hur was delivered via Caesarean section and now lies in the Nasser Hospital neonatal ICU, on oxygen and fed via a tube from her abdomen.

“She can’t breastfeed, everything is through a tube, and the mass is growing rapidly … all within 15 days,” says her mother.

Doctors confirmed that surgery inside Gaza is currently impossible due to a lack of facilities.

Doaa links her daughter’s condition to the circumstances during her pregnancy, including displacement in a tent in al-Mawasi, exposure to nearby shelling, smoke, gunpowder, hunger, and lack of nutrition.

“I was pregnant during famine … no food, no vitamins, no safety,” she recalls. “Shelling was nearby, 300 metres (980 feet) away… the tent shook; we thought we were dead.”

“Opening the crossing means saving my daughter’s life,” she says. “I’ve registered the whole family as companions … the most important thing is Hur goes, gets treatment, and survives.”

Of the reopening of the Rafah crossing, Doaa says, “We hear news and live on hope, but we are really in a limbo… we don’t know what’s happening or when. We just pray this is true.”

‘Our lives and futures hang on a hope’

The effects of Rafah’s closure go beyond medical access, affecting an entire generation of youth whose education has been halted at a closed gate.

Among those affected is Rana Bana, a 20-year-old from the Daraj neighbourhood in Gaza City.

She graduated from high school in 2023 with a 98 percent average in the science track, with a focus on pharmacy. Within a single year, she received multiple opportunities abroad, but none materialised due to Rafah’s closure.

“In 2024, I was accepted for a scholarship in Egypt, ready to leave, but the crossing closed. A year later, I got a scholarship to Turkiye, did the online interviews, was accepted, and since then I’ve been stuck,” Rana tells Al Jazeera.

Her Turkish scholarship includes 220 students from Gaza, all from different disciplines, most with high academic grades.

Over the past two years, Rana tried not to stagnate, taking Turkish language courses and exploring alternatives like local universities. But she would hold back each time she heard news of Rafah possibly reopening.

“Every time there’s news the crossing might open, I tell myself, ‘Let me wait a bit’… but it turns out to be just talk, and my hopes are dashed,” she adds. “A lot of our time and life has been wasted waiting … our lives and futures hang on a hope.”

Rana is displaced with her family of eight. They returned briefly to northern Gaza during the first ceasefire, found their home intact, but fled again after fighting resumed, and are now settled in Deir el-Balah.

“My biggest fear is leaving and not being able to come back,” she says. “Before, they [her family] were 100 percent supportive. Now there’s fear because the travel process is unclear, and they don’t know how many will be allowed or registered to travel.”

Many Palestinians fear leaving Rafah would be a one-way ticket as part of an openly touted Israeli plan to permanently expel the population from Gaza.

“We students and youth are the most affected group during the war,” Rana says. “Our years have gone by silently, our studies destroyed by war, and no one talks about us. All we want is education — not travel for tourism or anything else.”