trapped

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?”