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In Gaza, hospital procedures without anaesthetics prompted screams, prayers

That was one of the worst moments nurse Abu Emad Hassanein could recall

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In Gaza, hospital procedures without anaesthetics prompted screams, prayers

The little girl was weeping in pain and screaming “Mummy, Mummy” while the nurse stitched up her head wound without using any anaesthetic, because none was available at the time at Al Shifa Hospital in Gaza City.

That was one of the worst moments nurse Abu Emad Hassanein could recall as he described the struggle to deal with an unprecedented influx of wounded people and a dearth of pain relief medication since the war in Gaza started a month ago. “Sometimes we give some of them sterile gauze (to bite on) to reduce the pain,” said Hassanein.

“We know that the pain they feel is more than someone would imagine, beyond what someone their age would stand,” he said, referring to children like the girl with the head wound.

Arriving at Al Shifa to have the dressing changed and disinfectant applied to a wound on his back caused by an air strike, Nemer Abu Thair, a middle-aged man, said that he was given no pain relief when the wound was originally stitched up. “I kept reciting the Koran until they finished,” he said.

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The war started on Oct. 7 when Hamas gunmen burst through the Gaza Strip’s border fence with southern Israel. Israel says Hamas killed 1,400 people and abducted 240, in the worst day of carnage in Israel’s history.

Israel responded with an air, sea and ground assault on the densely populated, Hamas-controlled enclave, which health officials in Gaza say has killed more than 10,800 Palestinians.

Mohammad Abu Selmeyah, the director of Al Shifa Hospital, said that when very large numbers of injured people have been brought in at the same time, there has been no choice but to deal with them on the floor, without adequate pain relief.

He gave as an example the immediate aftermath of an explosion at the Al Ahli Arab Hospital on Oct. 17, when he said some 250 injured people arrived at Al Shifa, which has only 12 operating theatres.

“If we had waited to operate on them one by one, we would have lost many of the wounded,” said Abu Selmeyah.

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“We were forced to operate on the ground and without anaesthesia, or using simple anaesthesia or weak pain killers to save lives,” he said.

Procedures that have been performed by staff at Al Shifa under such circumstances have included amputating limbs and fingers, stitching up serious wounds, and treating serious burns, said Abu Selmeyah, without elaborating.

PAIN OR DEATH

“It is painful for the medical team. It is not simple. It is either the patient suffers pain or loses his life,” he said.

Israel said the blast at the Al Ahli Arab Hospital was caused by a failed rocket launch by the Palestinian Islamic Jihad militant group. Palestinian Islamic Jihad and Hamas blamed an Israeli air strike.

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Israel’s ally the United States said its own intelligence assessment supported Israel’s explanation.

At Nasser Hospital in Khan Younis, in the south of the Gaza Strip, director Dr Mohammad Zaqout said there had been a period early on in the war when anaesthetic supplies ran out completely, until aid trucks were allowed in.

“Some procedures were carried out without anaesthesia, including Caesarian sections on women, and we were also forced to operate on some burns that way too,” said Zaqout. He said that staff did their best to alleviate patients’ pain with other, weaker medications, but this was inadequate.

“This is not the ideal solution for a patient inside an operating theatre, who we want to operate on with full anaesthesia,” he said. For the first 12 days of the war, no aid was allowed into Gaza. On Oct. 21, a first convoy of aid trucks came in through the Rafah Crossing on the strip’s border with Egypt.

Since then, several convoys have entered, but the United Nations and international aid groups say the aid provided is nowhere near the scale needed to mitigate a humanitarian catastrophe.

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Zaqout added that while the shortage of anaesthesia had been eased at his own hospital thanks to aid deliveries, there were still severe shortages at Al Shifa and at the Indonesian Hospital, both of which are in the heavily bombarded north of the strip. 

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Estonia summons Russian embassy chief over GPS jamming

Estonia summons Russian embassy chief over GPS jamming

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Estonia summons Russian embassy chief over GPS jamming

Estonia’s foreign ministry has summoned the head of the Russian embassy in Tallinn to protest the jamming of GPS signals, the Baltic country said on Wednesday.

Estonia accuses neighbouring Russia of violating international regulations by disturbing GPS navigation in airspace above the Baltic states, echoing concerns from airlines that say they have contended with such interference for months.

The Estonian foreign ministry on Wednesday summoned Russia’s charge d’affaires to convey its message. Moscow and Tallinn last year expelled each other’s ambassadors as relations deteriorated in the wake of Moscow’s full-scale invasion of Ukraine in 2022.

“Jamming the GPS signal is an element of Russia’s hybrid activities, disrupting everyday life and threatening the security of allies,” Estonian Foreign Minister Margus Tsahkna said in a statement.

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Russia’s foreign ministry did not immediately respond to a request for comment.

GPS, short for Global Positioning System, is a network of satellites and receiving devices used for positioning, navigation and timing on Earth in everything from ships and planes to cars.

The jamming of GPS signals can be disruptive to commercial airliners but they can usually navigate by other means.

Finnish carrier Finnair last month said it would pause all flights to Tartu in Estonia to allow the local airport to upgrade its navigation system, which has so far relied only on GPS.

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Australia boosts funds to Taiwan-ally Tuvalu amid Pacific contest for influence with China

Australia boosts funds to Taiwan-ally Tuvalu amid Pacific contest for influence with China

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Australia boosts funds to Taiwan-ally Tuvalu amid Pacific contest for influence with China

Australia will quadruple its financial assistance to Tuvalu, a Pacific Island nation at risk from rising seas, to cement a landmark climate migration and security deal as China also courts small island states.

On a visit to Tuvalu, foreign minister Penny Wong said on Wednesday evening Australia has committed A$110 million ($72.27 million) in its national budget to Tuvalu.

The sum includes A$50 million ($32.85 million) to build the first undersea cable connecting the island’s residents to global telecommunications services, and A$19 million for a land reclamation project to fortify Tuvalu’s coastline from rising seas.

Another A$15 million will be spent on a national security coordination centre, as well as A$10 million in direct budget support.

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The funding is a significant boost on the A$17 million ($11.17 million) Australia provided to Tuvalu in 2023-24.

China’s ambitions for a greater security presence in the Pacific became an election issue in Tuvalu in January, as two leadership contenders said Tuvalu should consider switching ties from Taiwan to Beijing for more funds, and revise a new security pact with Australia.

Neighbour Nauru cut ties with Taiwan a fortnight before Tuvalu’s vote, after China built a port and promised more aid.

Tuvalu’s new prime minister Feleti Teo pledged to stick with Taiwan, and to ratify the Falepili Union signed with Australia in November. The treaty allows Tuvalu citizens to migrate to Australia for work or study, while recognising Tuvalu continues to exist despite the rising sea levels.

“Australia has provided a security guarantee to support Tuvalu in a humanitarian disaster, a pandemic or the event of attack,” Wong said in a speech on Wednesday evening.

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“It is also the first time in history that two nations have agreed in a legally binding instrument that statehood endures in the face of sea level rise,” she added.

The treaty allows Australia to vet Tuvalu’s deals with third countries in a broad range of security areas from ports to telecommunications.

On Thursday, Wong and Teo are expected to say that the security cooperation does not limit Tuvalu’s ability to enter into diplomatic agreements with other nations, according to an advance copy of a joint statement viewed by Reuters.

“We recognise that the people of Tuvalu deserve the choice to live, study and work elsewhere, as climate change impacts intensify at home,” the text of the statement reads.

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Probe launched after Boeing cargo plane lands in Istanbul without front landing gear

Probe launched after Boeing cargo plane lands in Istanbul without front landing gear

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Probe launched after Boeing cargo plane lands in Istanbul without front landing gear

A FedEx Airlines Boeing cargo plane landed at Istanbul Airport on Wednesday without its front landing gear, a Turkish Transport Ministry official said, adding there were no casualties and authorities had launched an investigation.

The aircraft, flying from Paris Charles de Gaulle Airport, informed the control tower in Istanbul that its landing gear had failed to open and touched down with guidance from the tower, managing to remain on the runway, a ministry statement said.

Airport rescue and fire fighting teams were scrambled before landing, but no one was injured. The ministry gave no reason for the failure.

The aircraft involved is a nearly 10-year-old Boeing 767 freighter, one of the most common cargo planes and based on the 767 passenger model dating back to the 1980s.

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An official from Turkey’s transport ministry said its teams were conducting examinations at the scene as part of the ongoing investigation, but did not provide further details.

Boeing referred queries to FedEX, which said in a statement it was coordinating with investigation authorities and would “provide additional information as it is available”.

Video footage obtained by Reuters showed sparks flying and some smoke as the front of the plane scraped along the runway before coming to a halt and being doused with firefighting foam. No fire appeared to have broken out.

The video showed the pilots holding the plane’s nose above the runway for several seconds after the main wheels had touched the ground, apparently executing the emergency drill for landing with a retracted nose gear that pilots train for, according to the SKYbrary aviation database.

In June last year, a small 22-year-old Boeing 717 flown by Delta Airlines made a similar smooth landing without a nose gear in Charlotte, North Carolina, in an incident later blamed on a fractured component.

The runway was temporarily closed to air traffic, but other runways at Istanbul airport were still operating normally, the airport operator IGA said.

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Manufacturers are not typically involved in the operation or maintenance of jets once they enter service, but Boeing has been under intense media and regulatory scrutiny following a series of incidents on its smaller 737.

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