[Salon] Israel’s medevac scandal



Cutting edge Middle East news analysis from ArabDigest.org

Israel’s medevac scandal

Summary: many thousands of Palestinians in Gaza more than half of them children are in urgent need of medical care abroad; citing security concerns the Israel government and the IDF have slowed approvals to a trickle.

On 30 January Dr Rik Peeperkorn was interviewed on BBC Radio 4’s PM programme. Dr Peeperkorn is the World Health Organisation’s Representative for the Occupied Palestinian Territories in Gaza and the West Bank. He told the presenter Evan Davis that twelve to fourteen thousand patients in Gaza were in urgent need of medical evacuation. Roughly half of that number were related to injuries caused by IDF ground and aerial fire. Injuries included amputations, spinal damage and severe burns requiring multiple operations. Many of those WHO is seeking to medevac are children.

Dr Peeperkorn said that since the closing of the Rafah crossing on 6 May 2024, of the many thousands in urgent need of medical attention there had been only 458 evacuations with roughly half of those being children. Of those who were allowed out 40% were suffering from cancer and congenital abnormalities, one third with traumatic war injuries and the remainder with blood diseases and other illnesses.

He described the procedures of attempting to secure Israeli permission as “very slow and overly complex.” The process put in place by the Israeli authorities is “critically impacting patients who cannot afford to wait.” He said approval rates need to be drastically increased for patients and companions (i.e. a spouse, parent or sibling accompanying as a carer.) “There can never,” he said “be denials for child patients.”

He noted that in the month from late November to late December 2024 WHO had submitted 1200 medevac requests. Of that number only 29 had been approved for treatment abroad. In a particularly cruel twist 99 children were approved but with their accompanying companion denied permission making it impossible for the children to travel.

At that point in the interview one might reasonably have expected some sort of forceful interjection from the presenter. After all these are patients, among whom are children, in desperate need of acute medical treatment which they cannot receive in the largely destroyed health care system in Gaza.

Rather than drawing attention to the inhumanity inherit in what Israel is doing Evan Davis chose to focus on the issue of security clearance:

I’ve actually understood, I was wondering what argument Israel would be using in denying security clearance to a child WHO want to evacuate but the issue is around the companion is it? That has been the sticking point and what has been Israel’s argument for denying security clearance?

To which Dr Peeperkorn replied that for both patients and companions “the reasons are not disclosed to us”.

Given the BBC’s mantra of balanced coverage it surely was incumbent on PM to put the question asked of Dr Peeperkorn directly to the Israelis. That is: why, given the urgent need and the huge numbers involved, is Israel not quickly granting medevac permissions particularly to children and their carers? Instead Evan Davis skipped along to the next interview about a Van Gogh painting bought for $50 at a garage sale.


Over 96% of children in Gaza aged 6 to 23 months and women are not having their minimum nutrient requirements met [photo credit: @hadjalahbib]

The denial of medevac requests is part of a larger campaign that has included restrictions on medical volunteers wanting to enter Gaza. Last summer the Israelis banned medical aid workers of Palestinian origin from being allowed into the Strip. Medical supplies were restricted to personal medications and no medical equipment was allowed in.

The most recent statistics available show that in addition to the nearly 48000 killed (with the expectation that at least another 10000 are buried under the rubble) there are more than 110,000 wounded. The Israeli destruction of hospitals has been so profound that there are just 18 partially functioning throughout the enclave with only one of those still operating in North Gaza.

The massive destruction visited on the Strip has created a breeding ground for disease. 91% of Gazans are facing acute food insecurity. Over 96% of children aged 6 to 23 months and women are not having their minimum nutrient requirements met. 290,000 children under five and 150,000 pregnant and breastfeeding women require feeding and micronutrient supplements. 60,000 children require treatment for acute malnutrition. Huge swathes of residential housing have been destroyed leaving families living in vast tent cities in the midst of winter flooding. There is an acute shortage of potable water. The education system has been wrecked.

The numbers are numbing and obscure the reality which - with Donald Trump back in the White House - has deteriorated further even as the shaky six week ceasefire still holds. One of Trump’s first executive orders was to reinstate his ban on humanitarian aid to Palestine much of which has been funnelled through USAID and which under President Biden had been restored. UNRWA the organisation best placed to deal with the health catastrophe has been banned by Israel and as we noted in our 28 January newsletter that move is backed by Washington. Trump also pulled the US out of WHO.

In the midst of Trump’s frenzied attack how do we put those numbing numbers into context? Perhaps the only way, the best way, is to think not of numbers but of the people behind them. Back in October of last year Arab Digest recorded a podcast with Hasan Ramadan a teacher from North Gaza living in a tent with his family in a refugee camp in the south. With Israeli drones circling overhead he told us:

My main hope right now is to survive along with my family. This is the first priority and hope for me. The other thing is to have suitable conditions for me and for my family, especially for my kids. A good life with good food, water and housing.

Will you have to leave Gaza to get safety for your family?

Gaza now is completely destroyed. You can say it's 90% destroyed. For my family, they can't enter into the living conditions in such an area because we don't have a home. Our home was destroyed. We are without education (schools). I think life here is unbelievable and terrible. I'm thinking really hard to leave Gaza, to go to another country so that I can live there along with my family and for my kids to have proper education, proper housing, proper food, proper drinking water.

Members can leave comments about this newsletter on the Arab Digest website


follow us on TwitterLinkedIn and Facebook

Copyright © 2025 Arab Digest, All rights reserved.
You are receiving this email as you are subscribed to the Arab Digest.
Our mailing address is:
Arab Digest
3rd Floor
207 Regent Street
London, W1B 3HH
United Kingdom



 To unsubscribe from this list email editor@arabdigest.org


This archive was generated by a fusion of Pipermail (Mailman edition) and MHonArc.