The human cost of the Israel-Gaza war

A veteran volunteer surgeon laments a well lived life.

Tim Goodacre

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

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.

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Comment

Freedom of Belief

25 August 2023

3 min read

Always under pressure

Now condemned, the latest incidents of church burning in Pakistan are indicative of a continuing deeper pressure Christian communities face.

Belle Tindall

Belle is the staff writer at Seen & Unseen and co-host of its Re-enchanting podcast.

A crowd of people inspect fire damaged debris outside a burnt-out church.

The aftermath of a mob attack that burnt-out a church in Jaranwala, Pakistan.

Tearfund.

The pressure is once again rising for the four million Christians living in Pakistan.

Earlier this month a crowd of thousands angrily descended upon the city of Jaranwala in North-Eastern Punjab, an area with a notably high population of Christian residents. The mob set fire to (at least) four churches, burned Bibles in the streets, vandalised a cemetery, and looted numerous homes believed to be owned by Christian families. Social media and news outlets are brimming with videos of these attacks taking place in broad daylight; people can be heard cheering and chanting as churches are set alight, while police officers seemingly stand by and watch the chaos unfold.

These attacks were triggered by allegations that two Christians in Jaranwala had set fire to a Qur’an, thus breaking Pakistan’s strict blasphemy laws and insulting Islam. There is little evidence to suggest that this crime was committed by Christians, only that burnt and vandalised pages of the Qur’an were found scattered near this Christian community. Although the allegations therefore remain heavily disputed, the consequences that the Christian community have suffered have been severe.

Despite this being one of the most destructive incidents in the country’s history, there are thankfully no reports of injuries or fatalities, as it is reported that the Christian residents were forewarned and therefore able to evacuate their homes in time. Nevertheless, the damage done to the community in Jaranwala is profound. Both Christians and Muslims alike have widely and vehemently condemned the violence directed at the Christian community in Pakistan, with Muslim leaders refusing to allow such violence to be carried out in the name of Islam.

The depths of distress

The Right Reverend Azad Marshall, Bishop of a neighbouring city, has responded, stating that the Christian community throughout Pakistan are ‘traumatised’, ‘deeply pained’ and ‘distressed’. Bishop Azas has therefore called for ‘justice and action’ and an assurance that ‘our (Christian) lives are valuable in our own homeland’. Bishop Azad’s words imply that, perhaps unsurprisingly, the pain and devastation caused to the Christian community is multifaceted.

The first layer of distress is the most obvious: the practical implications of these attacks continue to face this community and are a source of ongoing distress. Whole families are sleeping on the streets, their homes no longer safe, surrounded by the rubble of their beloved churches and the ash of their burnt Bibles. In response to the mass destruction, over one hundred men who are thought to have been involved in carrying out and/or inciting the riots have been arrested and detained. What’s more, the Pakistani government have handed out $6,800 as compensation to each Christian household affected, this is reported to be over one hundred Christian families in total.

And yet, the words pouring out from Christians in Pakistan, so often echoing the words of Bishop Azad, speak of another level of pain and distress. This pain is pertaining to the lack of safety and value they experience in their own home as a result of their Christian identity. Such damage is not so easily compensated.

Continual and extreme persecution

Pakistan is a majority Muslim country, with the four million Christians making up just 1.9 per cent of the population. According to the charity Open Doors, which monitors such incidents and who have placed Pakistan in eighth place on their World Watch List, the persecution that Christians face as a minority people group in the country is both continual and extreme. As well as the one-off incidents, such as the deadly attack of a church in 2017, which killed at least nine individuals, Christians in the country are subject to ‘a silent epidemic of kidnappings, forced marriages and forced conversion of Christian girls and women’.

The Prime Minister has attempted to quell the deepest fears being vocalised by Pakistani Christians by vowing that his government will work to ensure their safety as a minority group. However, what is being highlighted in Pakistan is how a Christian identity can place on in the epicentre of political tension. We’re reminded once again that religious persecution can, and does, ensure that people feel unsafe and undervalued, unwelcome in their home countries. What is it like to live under the pressure of political extremists stirring up hatred toward you as a result of your beliefs? What must it feel like to feel such a tension in the country you call home? This is a daily reality for not only the 2 million Christians living in Pakistan, but the 360 million Christians who are living in persecution worldwide.