Article
Comment
Gaza
Middle East
5 min read

The human cost of the Israel-Gaza war

A veteran volunteer surgeon laments a well lived life.

Tim Goodacre is a reconstructive plastic surgeon, and volunteer at a hospital in Gaza.

A young doctor wearing scrubs smiles.
AbdulRahman at work.
Tim Goodacre.

The Israel-Gaza war rages on. Every few days a new tragedy hits our dulled senses. The West Bank and now Lebanon are getting dragged into the conflict. Palestinians and hostages continue to die, and hunger and disease threaten Gaza's displaced people as autumn and winter approach. 

Yet what is often lost is the human face of this conflict. This is the story of one such life. 

AbdulRahman was an intelligent, gentle and diligent young third year medical student in his early twenties, with judgement well beyond his peers. Towards the end of 2023, as the war spread more viciously towards southern Gaza, he was one a group of around 10 students who volunteered to join the team of health care workers at the European Gaza Hospital (EGH). I was volunteering there as a reconstructive plastic surgeon and and met him in the hospital.

Both medical schools in Gaza before the war began were in the north alongside their parent universities. They had been destroyed during the onslaught in the early months of fighting. In the southern town of Khan Younis, the EGH was the sole surviving operational facility to which the wounded could be transferred. It was overwhelmed by the vast numbers of families also taking refuge in what was deemed a safer space than most of the surrounding war zone.  

Many of the senior medical staff and surgeons had retreated to scattered parts of the strip, displaced frequently by the ever-moving conflict and driven by the need to support their families and stay together. ‘Live together-die together’ is an understandable feature in the horror show of war. Students, frequently left with no money or resources, started to volunteer to serve in hospitals in exchange for a little food and a sense of worth in the work they could offer. Any functioning hospital, if briefly ‘deconflicted’ so they could provide relatively safe care, found itself staffed by a disparate crew of local staff, displaced students, and an indeterminate number of more senior surgeons from both Gaza and humanitarian agencies. 

His desire to learn all that could be learnt, and to try to become the best surgeon possible, was palpable.

It was into this chaotic mix that young AbdulRahman walked having fled his family home in the east of Khan Younis in November 2023. A bright young man, with great aspirations to qualify as a surgeon and serve his community, he had spent the first six weeks of the war at home, unable to attend his medical school in Gaza City to the north, but working hard at his studies regardless, using every online and library resource available to him.  

At some point in late November, the battle zone moved south, and his family home was shelled along with many dwellings in the vicinity. Caught in crossfire, he sheltered in his neighbouring relative’s house after his parents and other close family had escaped to Rafah. 

Abdulrahman told me the dramatic story of his escape into the house in which he survived for a week alongside his relative’s family when I spoke to him in late January 2024. This young man not only survived an ordeal of indescribable fear and potential slaughter, but he was then arrested and interrogated in brutal fashion by IDF forces.  

On his release after a harrowing week, he made his way barefoot to the nearest hospital, which happened to be the EGH. In that place of safety, he was given food and water and after recuperation, volunteered to work alongside a reconstructive plastic and burns surgeon who had recently returned to Gaza after training in the UK. 

Although his family were still all alive in Rafah in displaced makeshift shelters, he opted to stay and throw his weight into whatever he could do to support the hospital whilst continuing to learn his profession as a doctor. Travelling occasionally at great personal risk to see and support his family, he devoted all his waking hours to surgical work in EGH operating theatres and wards. His excellent command of English made him immensely valuable to any visiting surgeons who managed to access Gaza during the war months. He was always cheerful, always willing to respond to requests for his time, however stressful the surrounding clamour from desperate patients and relatives might become.  

When his working day was done, in the middle of the night he would arrange for his fellow students to have informal teaching seminars from whoever he could cajole to deliver them, and would absorb knowledge and ideas about best practice like a sponge. His desire to learn all that could be learnt, and to try to become the best surgeon possible, was palpable.  

I had every intention of supporting this fine young man in achieving his professional aspirations by whatever means I could once a ceasefire arose and he could be brought safely to Europe to continue his training. 

In the last week of August, AbdulRahman was sheltering in a relative’s house in Khan Younis. In the small hours of the morning an Israeli attack was launched on the neighbourhood and the house took a direct hit. AbdulRahman was killed instantly. 

He knew, as does every Gazan in these troubled times, that nowhere was safe, and all lives in that tragic zone are at risk. His is a story of a life tragically cut short, of the randomness and destructiveness of war. His death strikes right at the heart of my hopes for the remnant of the fine young population of such a desperately sad nation state. He, and those like him, could have been at the heart of the re-building of Gaza, able to live in what now feels a far-off peace. I cannot translate this into anger, as AbdulRahman himself had a passionate concern for peace and reconciliation, and never once spoke to me in many conversations of support for Hamas, or of hatred for those who had destroyed his country.  

What can be done however, is to honour his life and commitment with similar tenacity in supporting the pursuit of peace, justice for his people, learning and education for the remnant of the nation, and reconstruction of a Palestine that can proudly and honourably reflect the finest values it possesses. AbdulRahman was a great Palestinian, and his all too short life was one which I want to celebrate as one of the finest I have seen in many students of the next generation of doctors. May he rest in peace, and may a lasting peace come quickly to Gaza, to all of Palestine and the whole of the Middle East.

Article
Comment
Freedom of Belief
Middle East
Politics
6 min read

Bring on the noise: what Trump can do to help the persecuted in Iran and China

Dealing with the dictators in Iran and China needs noisy advocates.

Steve is news director of Article 18, a human rights organisation documenting Christian persecution in Iran.

A fisheye view of a large debating chamber in the round.
The Human Rights Council meets in Geneva.

Pope Francis hosted a delegation from the Islamic Republic of Iran late last year for an event purportedly related to “interfaith dialogue”. 

It wasn’t the first meeting of its kind, and on the face of it at least, there isn’t a lot wrong with the idea. While Iran’s relationship with most Western nations could be described as “strained” at best, the Holy See has taken a different approach, maintaining diplomatic relations with Iran for the past 70 years, including the 45 years since the establishment of the Islamic Republic.  

And it has borne some fruit, helping to secure the release of a few prisoners of conscience, such as Rev Mehdi Dibaj, a Christian convert who once faced the death sentence for his “apostasy”. 

But it has also opened up the Church to accusations of kowtowing to dictators and enabling regimes such as the ayatollahs’ to present themselves in a more favourable light through the high-profile photo opportunities presented by events such as the recent “dialogue” in Rome. 

And it is an opportunity you can be sure the Islamic Republic was not going to pass up, with its state media unsurprisingly happy to misquote the Pope by claiming he had “stressed how Christian minorities in Iran are allowed to freely meet together and worship in churches across the country, without restriction”. 

In actual fact, what the Pope really said was that “freedom of religion [is not] limited to the expression of worship; it also entails complete freedom in the matter of one’s own beliefs and religious practice”. 

So, slightly different. But, no matter, you can be sure that the vast majority of the over 90,000 viewers of Press TV’s account of the event won’t have been bothered to check the accuracy of the claim, and therefore may reasonably have gone away believing that Christians truly are entirely free to worship in Iran. 

Another organisation representing Christians, The World Evangelical Alliance (WEA), faced similar criticism last year when it accepted the invitation to take part in a Human Rights Council event organised by the Islamic Republic of Iran, under the deliberately misleading title, “The Role of Religions in Promoting Human Rights”. 

The WEA was accused of “legitimising” Iran and even “seeming to support its propaganda as a purported defender of human rights”. 

Iran will send another delegation to the Human Rights Council next week for its Universal Periodic Review (UPR), an occasion that has the potential, at least, to be quite significant, being the only UN mechanism with which the regime truly engages.  

Unlike the mandates of fact-finding mission and Special Rapporteur on human rights in Iran, which Iran and its allies regularly decry as “politicised” and “selective”, the UPR is lauded even by Iran as the true and proper place for constructive criticism, as every single country undergoes the review - not only pariahs. 

Several side events will be put on in conjunction with Iran’s UPR, on various themes including the situation of Iran’s Christian minority. But while the WEA last year hosted a similar event on the margins of the Human Rights Council, on this occasion it has declined the opportunity, preferring the path of “quiet diplomacy” and “dialogue” over public criticism. 

Which, again, at least on the face of it, seems reasonable enough. As has been seen with the Vatican, such an approach can undoubtedly bear fruit. But it is not guaranteed.  

On the other side of the debate, you have the human rights organisations who publicly call out Iran for each violation, highlighting individual cases with the hope of embarrassing Iran into change. For as much as Iran is a pariah, it still attaches some importance to its reputation on the world stage.  

And again, such an approach has at times proved successful, as was seen in September with the early release from prison of two Iranian Christians who had been serving 10-year sentences due to their participation in house-churches, and whose cases had been included in a joint submission ahead of Iran's UPR. 

But even this approach is not without its pitfalls. While there may be relief from accusations of kowtowing to dictators, there is also the distinct possibility that the pariah state in question may just stick its fingers in its ears and do what it wants anyway, such as in October when the Islamic Republic executed a German-Iranian political prisoner, Jamshid Sharmahd, despite years of vocal advocacy. 

Advocacy certainly isn’t an exact science, at least when the experiment in question involves an unpredictable regime like the one in Tehran. Both quiet diplomacy and noisy advocacy can clearly work, but in neither case can it be guaranteed when the individual tasked with selecting their response to the advocacy is the Supreme Leader of Iran. 

Surely the only way to ensure real change would be to make it too costly for the dictators to deal with their persecuted minorities in such a brutal fashion.  

Western nations have a similar quandary to religious or human rights organisations. To what degree, if any, should Western governments prioritise human rights concerns over economic or political gains?  

It has been suggested many times that Western nations are more concerned with oil or gas supplies, or other economic incentives, than truly seeking justice for victims of rights abuses. 

When, for example, Keir Starmer speaks of wanting to have a “respectful” relationship with China, while engaging “honestly and frankly” on human rights concerns, what does that actually mean in practice?  

The reality is that a behind-closed-doors discussion about a human rights infringement is unlikely to hold much sway if the violator does not share the belief that any violation has been committed, or even believes the victim to have been deserving of the treatment they received. 

Whether it’s China’s targeting of the Uyghurs, or Iran’s crackdown on the Baha’is or Christian converts, one can be fairly certain that neither the Chinese nor Iranian regime feels the slightest remorse about its chosen approach. 

Perhaps little could demonstrate this more than the mistreatment that continued to be handed out to Rev Mehdi Dibaj after the advocacy win of his release from prison. Just five months later, he was murdered anyway, one of three church leaders killed extrajudicially in the months after his release had been secured, including Rev Dibaj’s friend and chief advocate, Haik Hovsepian.  

So is it really realistic to expect that just because we say we are concerned about the Uyghurs, the Baha’is, or the Christians, there will be any change in approach? 

Surely the only way to ensure real change would be to make it too costly for the dictators to deal with their persecuted minorities in such a brutal fashion.  

As ever, actions really do speak louder than words. And this is why many Iranians are hopeful that with the return of the much-maligned Donald Trump, the “maximum pressure” policy towards the Islamic Republic will also return and, through it, real change may actually be achieved. 

There are many reasons, of course, to find fault with the incoming president, but when it comes to dealing with the dictators, at least, it could be argued that Trump has shown himself to have more common sense than most. The hope, as with the other approaches, is that it actually makes a tangible difference. 

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