siege

Hebron, occupied West Bank – Nour al-Natsha knew there was a chance his home wouldn’t be in the best condition upon his return after 10 days of displacement.

Israeli forces had taken over Hebron’s al-Jalada neighbourhood on October 24, a day after Palestinian gunmen killed two Israeli soldiers nearby. Al-Natsha’s family were given 20 minutes to leave, taking only their money, gold and important documents, and leaving behind most of their clothes, everyday belongings and family photographs.

After hearing that Israeli forces had withdrawn, al-Natsha tentatively returned to check on the house on Monday.

He found the doors wide open, and the house turned upside down. Belongings were missing, as well as his young daughter’s pet bird.

“When we entered the house, it was a mixture of emotions,” the 35-year-old orthopaedic surgeon said. “You couldn’t tell whether you were happy to be back home or heartbroken by what had happened to it.”

The Israeli military operation in Hebron appears to be over – but al-Natsha and his family, and thousands of others in the city, are left to pick up the pieces.

Anxious return

Al-Natsha explained that families and neighbours had gathered on Sunday evening in the nearby Wadi al-Karm area, close to their homes, waiting until around midnight after reports emerged that the military operation had ended. But seeing no signs of a withdrawal, they returned to their temporary accommodation, despite holding on to the hope of going home soon.

Then, in the early hours of the morning, it was confirmed that the military had withdrawn. Al-Natsha decided to head towards the neighbourhood at around 6am. There, he found several neighbours making their way home and waited for relatives to arrive before entering the area and inspecting their houses.

Al-Natsha was initially accompanied by his father and two brothers as they inspected the property, looking for suspicious objects or potential hazards after finding the doors open.

Once they were satisfied that the house was safe, family members began cleaning and putting things back in order, removing belongings they feared might have been damaged or contaminated, in an effort to make the house habitable again and resume their daily lives.

But the family’s return was not without anxiety, particularly for al-Natsha’s four-year-old daughter, Ilya. Her biggest concern was the fate of her pet bird, “Natosh”, which she had left inside the house when the family was forced to leave.

Al-Natsha has no idea where the bird is, whether it is dead, or whether the Israeli soldiers released it. Ilya, meanwhile, keeps asking about her pet.

‘Our paradise on earth’

The return of families to al-Jalada came after 10 days of military restrictions and evacuations affecting several neighbourhoods in Hebron.

During the operation, hundreds of families were forced to leave their homes, while shops and institutions in the areas were closed.

According to previously released figures from the Hebron Governorate’s Support and Relief Committee, 537 families, comprising approximately 3,300 people, were displaced.

With residents now returning, the extent of the damage to homes and belongings, and the lasting effects of the days spent away, remain part of the experience of families trying to rebuild their lives.

For 68-year-old Khaled Shawer, who also lives in the neighbourhood, the damage to homes and the debris and destruction left behind by the military operation could be dealt with. What mattered most was that residents had returned and could begin to regain a sense of stability.

“Everything can be replaced: the destruction, the damage, the dirt, everything,” Shawer said. “But the most important thing is that we have returned to our homes, our paradise on earth, the place where we find our psychological and physical stability.”

Hebron’s economic losses surpass $3.8m as Israeli forces demolish West Bank homes and close hundreds of businesses.

Israeli forces are maintaining their siege on Hebron for the 10th consecutive day, threatening to expand their offensive and forcing more Palestinian families from their homes.

The lockdown in the occupied West Bank city was enforced after an attack on October 23 near Hebron in which two Israeli soldiers were killed.

More than 3,300 Palestinians have since been displaced or affected, with homes destroyed and businesses shut, according to the local municipality.

Mayor Yousef al-Jabari told Al Jazeera on Saturday that daily economic losses were estimated to exceed 12 million shekels ($3.8m), with more than $1.9m worth of damage to infrastructure, along with losses in the health and environmental sectors estimated at about $160,000.

He said Israeli forces have demolished 15 homes and other structures and forced 327 businesses to close. About 80,000 students have been unable to attend school for 10 days, he added.

The mayor said Hebron accounts for about 40 percent of the Palestinian economy and the siege amounts to “collective punishment”.

Palestinian families in and around the city fear the army could soon extend its attacks.

Raids and settler attacks

Israeli arrests of Palestinians in Hebron and other cities in the occupied West Bank continued on Sunday.

Israeli forces arrested 10 Palestinian teachers in Masafer Yatta, south of Hebron and seized their vehicle, reported the Palestinian news agency Wafa.

Video shared by Palestinian media and verified by Al Jazeera showed the Israeli military raiding a school run by the United Nations in the Shufat refugee camp in occupied East Jerusalem.

The United Nations humanitarian office, OCHA, said Israeli settlers carried out 397 attacks on Palestinians across the occupied West Bank in October, the highest monthly figure since monitoring began in 2006, Wafa said.

Between October 20 and 26, settler attacks targeted 49 Palestinian communities, mostly while Palestinians harvested olives on their land.

Nine children were among 57 Palestinians injured by settlers and Israeli forces: 34 by military gunfire and physical assaults and 23 in settler attacks.

Since the start of 2015, Israeli authorities have issued 9,518 demolition or stop-work notices against Palestinian property in the occupied West Bank, reported the Colonization and Wall Resistance Commission. The Palestinian government commission added that 344 of those notices were given in the first nine months of this year.

Taiz, Yemen – It was approaching 10:30am in the dialysis centre of the Republican Hospital in Taiz when a machine began filtering excess fluids, toxins and salts from the blood of Omar Mukhtar Hammoud.

The 16-year-old suffers from kidney failure and is one of 270 patients who regularly receive dialysis at the centre in the government-held city in southwest Yemen. But with essential medical supplies and fuel running critically low under the renewed Houthi siege, doctors fear they may soon be unable to provide the treatment that keeps their patients alive.

Dr Essam Mahyoub Dahan, the centre’s director, warned that a complete shutdown could happen within days.

“Because of the siege and the shortage of diesel and medical solutions, we have recently been forced to reduce dialysis sessions from four hours to just two and a half,” Dahan told Al Jazeera. “We know this is not adequate, but we have no choice if we are to keep the centre operating for as long as possible before it shuts down completely.”

Dahan said the centre’s remaining stocks of specialised dialysis solutions were also close to running out.

The supplies, which are expensive, are normally provided by the Yemeni Ministry of Health every three months. But the latest delivery which was due earlier this month  failed to arrive because of the Houthi siege on Taiz city. It began in the first week of October after Houthi advances in the Taiz countryside.

The city was previously under complete Houthi siege between 2015 and 2016, in the early years of Yemen’s ongoing war.

Across Taiz governorate, where battles are raging between the Saudi-backed Yemeni government forces and Iranian-allied Houthi fighters, the number of patients at risk is far greater.

In an October 12 statement, the governorate’s health office warned that the continued siege and obstruction of essential supplies could endanger the lives of 1,110 patients with kidney failure. They depend on dialysis services in the governorate’s hospitals, which collectively provide about 210 dialysis sessions a day.

International humanitarian and health organisations have issued similar warnings about the impact of the siege on the already fragile healthcare system in Taiz.

On Thursday, Amnesty International called on the Houthis to immediately reopen vital roads into and around the city, warning that the closure of the main road between Taiz and the southern port city of Aden threatened hundreds of thousands of civilians with losing access to food, water and healthcare.

Fuel: A lifeline for hospitals

Taiz’s hospitals depend heavily on diesel-powered generators because much of the city’s electricity infrastructure was destroyed during the war that began 11 years ago and has not been restored.

The renewed Houthi siege has severely disrupted the entry of fuel, including the diesel needed to run hospital generators and lifesaving medical equipment.

Dr Shaheed al-Ameri, deputy director-general for technical affairs at the Republican Hospital, said the shortages have had a devastating impact on medical services.

“A very large part of this suffering is because of the shortage of diesel,” he told Al Jazeera. “We have no reserve diesel supplies. Our stocks ran out early in the siege and we are now buying it on the black market almost every day, at prices that have reached five times what they were before the siege.”

Al-Ameri warned that the longer the siege continues, the more prices will rise and the further medical services will deteriorate.

The hospital has already suspended operations in some departments, including essential units, he said.

“If this situation continues much longer, we fear we will reach a complete and comprehensive collapse of healthcare services,” he said.

The shortages are not confined to the Republican Hospital. On October 22, the World Health Organization (WHO) warned that critical shortages of fuel, oxygen, medicines and medical supplies were threatening lifesaving healthcare throughout  Taiz governorate, with some hospital services already disrupted.

According to the WHO, 42 health facilities in Taiz city had reported severe shortages of essential supplies. Hospitals and ambulances require at least 156,000 litres of fuel a month to continue functioning.

The organisation also warned that diesel shortages threaten to disrupt oxygen production, water pumping, vaccine refrigeration and sanitation services, increasing the risks of disease outbreaks, particularly among displaced families and other vulnerable groups.

The United Nations has separately warned that the restrictions on supplies are bringing Taiz’s health system close to collapse and urged the Houthis to allow humanitarian assistance and essential goods to enter without obstruction.

Oxygen shortages deepen crisis

In its October 12 statement, Taiz’s health office warned that continued restrictions on fuel deliveries could lead to the shutdown of medical oxygen production plants, further endangering patients.

Taysir al-Samei, the health office’s media officer, said that would dramatically worsen the crisis.

“Many medical departments depend on oxygen, particularly operating theatres, inpatient wards, intensive care units and incubators for premature babies,” al-Samei said.

“Most hospitals have already suspended services in some units because of the shortage of diesel and the lack of necessary medical solutions, as well as shortages of medical staff who are struggling to get to work because of the lack of transport,” he added.

He warned that if conditions continued to deteriorate at the same pace, some hospitals could stop providing services in the coming days.

At the Republican Hospital, al-Ameri said that shortages were also affecting diagnostics and treatment. The availability of laboratory reagents had fallen to just 10 to 15 percent of previous levels, he said, while approximately half of the medicines normally available were now out of stock.

Prices for the remaining medicines had doubled, he said, placing them further out of reach for patients already struggling with Yemen’s worsening economic crisis.

The continued fighting and shelling around Taiz have increased the number of wounded people requiring emergency care – placing additional pressure on facilities already struggling with shortages of surgical supplies, anaesthetics and intravenous fluids.

Abdul Badi Abdulwuhab, 53, is another dialysis patient in the Republican Hospital, struggling to cope with the shorter dialysis sessions.

His voice was filled with desperation.

“Because of these measures, I suffer from weakness and I cannot bear the pain,” Abdul Badi told Al Jazeera. “Two and a half hours is not enough to remove all the fluids and toxins from my body.”

Dr Dahan said that the patient’s condition had deteriorated since his sessions were shortened.

“These measures are not effective for many patients,” Dahan said. “The only solution is to end the siege and return things to the way they were.”