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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
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War & peace
4 min read

How to shape peace today

On International Day of Peace, Christine Schliesser counts today’s conflicts, deliberately imagines peace, and recalls an old song.

Christine Schliesser lectures in Theology and Ethics at Zurich University, and is a scientific collaborator with the Center for Faith & Society at Fribourg University.

a dirt barricade blocks a cross roads, behind which stands a roadside cross
A crossroads in Ukraine.
Jonny Gios on Unsplash.

One in four. This is the number of people living in conflict-affected areas on this planet. A record 100 million people have been forcibly displaced worldwide. Psychologists tell us that we can only process numbers in the two-digit realm in a meaningful way. Any number larger than that eclipses our capacities to attach a face, a story, an existence to that number. 100,000,000 is simply too large to picture. So imagine the entire UK population on the run, plus the population of Australia, plus that of Hongkong. In 2022, 16,988 civilians were killed in armed conflicts, which is a 53 per cent increase compared to the year before. And as you read these lines, there are 32 ongoing violent conflicts in the world, including drug wars, terrorist insurgencies, ethnic conflict, and civil wars.  

Just as we are overwhelmed with trying to grasp the extent of violence, conflict and war, we are equally at loss with imagining peace. When in 1981 the United Nations General Assembly established the International Day of Peace (IDP), it was recognizing exactly this by emphasizing that “it is in the minds of men that the defences of peace must be constructed”. Constructing, envisioning, imagining. The tough world of realpolitik, however, seems to leave no place for such kind of romantic games of mind. Helmut Schmidt, former chancellor of Germany, made no attempt to hide his scorn for the imaginary, “Let him who has visions consult a doctor”. This shows a remarkable misconception of reality, however. French philosopher Henri Bergson points to the power of imagination, for to invent “gives being to what did not exist; it might never have happened”. Perceiving and transforming reality thus become mutually supportive forces. And the numbers above make it clear that peace is not the default option of reality, but needs to be envisioned. “Inventing peace”, as film director Wim Wenders calls this conscious effort.  

Restoring momentum to the SDGs is a crucial sign of life for global cooperation – and for peace. 

So peace begins in our minds, but it cannot remain there. Just as love yearns to be embodied, peace seeks concrete shape. And just as the shape of love is acts of kindness, the shape of peace is acts of justice. In the Jewish and Christian tradition, the term shalom is used to convey this kind of inclusive vision of peace and justice. This year’s International Day of Peace (IDP) coincides with the UN General Assembly. When conceived 78 years ago, a vital part of the United Nations’ raison d'être was the common vision for peace. The experiences of the horrors of two world wars totalling more than 76 million people dead – another one of these unfathomable numbers –united the nations of this world in their quest for peace. Yet the shape of peace is justice. So three years after the conception of the UN, the Universal Declaration of Human Rights was born, celebrating its 75th birthday this year.  

As the world leaders currently convene for the UN General Assembly, however, the nations assembled there will be anything but united. The demand and supply of international collaboration seem grossly disproportionate as multiple challenges, including geopolitical, ecological and economic crises, eat away on multilateral ties. This year’s IDP also coincides with the Sustainable Development Goals (SDG) summit, marking the mid-point milestone of the goals.  

Endorsed in 2015, the 17 SDGs unfold the vision of a better world, including the eradication of poverty, advancing education and gender equality and environmental stewardship. If justice is the currency of peace, it seems only appropriate that this year’s IDP’s theme is ‘Actions for Peace: Our Ambition for the #GlobalGoals’. “Peace is needed today more than ever”, says UN Secretary-General António Guterres. This, in turn, means that the vision spelt out by the SDGs is needed today more than ever. It is a misunderstanding to conceive of the SDGs as an add-on for better times. Rather, restoring momentum to the SDGs is, as Stewart Patrick and Minh-Thu Pham from the Carnegie Foundation point out, a crucial sign of life for global cooperation – and for peace, one may add.  

To dispel the ever-prevalent “myth of redemptive violence” as the still predominant paradigm, we need exactly this kind of active imagination. 

One would think that the scale of the challenges spelt out by the 17 SDGs requires the joint collaboration of all actors. Yet one factor that is strikingly absent in this equation is religion. This is all the more remarkable given the fact that 85 per cent of this planet’s population profess adherence to a faith tradition, according to the World Population Review 2022. This makes faith communities the largest transnational civil society actors. Now religion – every religion – is inherently ambivalent. But this means that each religion can not only be used to incite hatred and violence, but also contains potent resources for peace and reconciliation.  

Many of the SDGs including peace, justice, equality and care of creation to name but a few align with core concerns of, for example, the Christian faith tradition. Just imagine the potential for transformational change towards peace and justice if faith-based actors worked together, among each other and with secular actors! To dispel the ever-prevalent “myth of redemptive violence” (Walter Wink) as the still predominant paradigm, we need exactly this kind of active imagination. Or as the poet of an ancient song once put it:

“Kindness and truth shall meet; justice and peace shall kiss”. 

 

For more information on the role of religion in the SDGs, read the Open Access book series “Religion Matters. On the Significance of Religion for Global Issues” (Routledge), edited by Christine Schliesser et al.