Medical Aid Worker Describes the Bloody Aftermath of Israel's Hostage Rescue

This episode explores the severe humanitarian crisis in Gaza following an Israeli military operation to rescue hostages held by Hamas, focusing on the perspective of a medical aid worker.

1. The healthcare system in Gaza is critically overwhelmed, with hospitals like Al Aqsa facing far beyond their capacity in casualties.
2. Civilians, including a significant number of children, bear the brunt of the conflict, facing death, severe injuries, and displacement.
3. The blockade and restricted access to medical supplies have drastically hindered the ability to provide adequate medical care.
4. Karen Huster highlights the resilience and despair of Gaza's population, enduring continuous hardship and loss.
5. The international community's response is deemed insufficient in the face of the escalating humanitarian crisis.

1: Introduction

Host Murtaza Hussain introduces the episode and sets the context for the discussion on the recent escalation in Gaza. Murtaza Hussain: "The last few days have seen a tremendous escalation in violence in the Gaza Strip."

2: Ground Reality

Karen Huster describes the dire situation on the ground, the impact of the attacks on civilians, and the conditions at Al Aqsa Hospital. Karen Huster: "It felt like a 747 had crashed, and all the victims were brought to Al Aqsa hospital."

3: Healthcare Challenges

Discussion on the challenges faced by the healthcare system in Gaza, including shortages of medical supplies and the effects of the blockade. Karen Huster: "We've had no medical equipment, no medicines that have been able to enter."

4: Human Impact

Karen and Murtaza discuss the psychological and physical toll on Gaza's citizens, particularly children. Karen Huster: "It's really difficult to see three-year-olds with enormous wounds."

5: Call to Action

Karen appeals to the international community to reconsider their perception of Palestinians and to act towards alleviating their suffering. Karen Huster: "What if those were your kids?"

• Advocate for humanitarian aid and medical supplies to be allowed into conflict zones.
• Support organizations working on the ground, like Doctors Without Borders.
• Educate others about the human impact of conflicts to foster empathy and action.
• Engage in political advocacy to influence foreign policy towards conflict resolution.
• Donate to funds dedicated to providing medical care and rehabilitation in conflict zones.

An Israeli military operation in Gaza this week aimed at rescuing four hostages from Hamas killed over 270 Palestinians and wounded hundreds more. The Nuseirat refugee camp, where the attacks occurred, became a scene of horror as the injured sought care from Gaza's few remaining hospitals. Karin Huster, a Doctors Without Borders medical coordinator, witnessed the aftermath. She joins host Murtaza Hussain on Intercepted to discuss what she saw following the Israel Defense Forces attack alleged to involve grave war crimes, and the ongoing impact of the war on Gaza's civilian population.

People

Karen Huster, Murtaza Hussain

Companies

None

Books

None

Guest Name(s):

Karen Huster

Content Warnings:

Graphic descriptions of violence and injury

Speaker A
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Murtaza Hussain
This is intercepted.

Welcome to Intercepted. Imirtaza Hossain the last few days have seen a tremendous escalation in violence in the Gaza Strip, with hundreds of Palestinians reportedly killed and wounded in the course of an israeli military operation aimed at rescuing four hostages being held by Hamas. Authorities in the strip announced that 274 people were killed in israeli strikes on the Nusayret refugee camp, along with over 400 wounded. Among the dead in those attacks included 64 children. According to local health authorities, very few hospitals continue to operate in the Gaza Strip amid a brutal israeli military campaign that has now stretched into its 8th month.

The staggering increase in civilian dead and wounded in the attacks this week has stretched the remaining healthcare infrastructure in the territory to the brink, and there's little prospect of an end to the carnage. Insights joining me now to discuss the situation, as well as what she herself has witnessed in recent days is Karen Huster, a medical coordinator with Doctors Without Borders, currently working at al Aqsa Hospital in Gaza. Due to the conditions in Gaza, the connection and audio quality are not optimal, but we're very grateful to have her joining us today. Karen, welcome to intercepted. Thank you for having me.

So, Karen, just before we were about to begin recording, you had to suddenly leave and transport from a different location to another for security concerns. Can you tell us a bit about what's going on on the ground in Gaza where you are presently? So we are in the town of Deir al Bala, which is in the center of Gaza, and it has been receiving some pretty intense attacks from the israeli forces for the past, I would say ten days at the same time as the town of Rafa, which is south of, also has been under attack. So there are activities every day. And so sometimes we have to adjust times that we leave the office to go home.

Karen Huster
It's just the way of life in Gaza. Karen, you been working in the strip on a medical mission for Doctors without Borders. Can you tell us a bit about the context of the mission that brought you there? How long you've been there and what the overarching support role is for the medical system in Gaza. Yeah.

So I am in charge of medical activities for Doctors without Borders. We've been in Gaza for many, many, many years. And we were doing quite high level reconstructive plastic surgery for victims of war before October 7. And then when October 7 happened, we, of course, had to pivot activities and focus 100% on supporting the health system to respond to the needs for wounded patients. The collapse of the healthcare system, so strengthening the primary healthcare system, looking at malnutrition, supporting vaccination, pretty much.

We are one of the actors trying to make sure that the health system doesn't completely collapse. So we have activities in Rafa, and we were there at first because, as you all know, the internally displaced people had moved to the south. Everybody had moved from the north to the south at the borders of the israeli forces. And so this was obviously the most critical place for us to be. So we started primary healthcare activities.

We did maternities, maternity support, antenatal care, postnatal care, deliveries. We're doing trauma care, so support to hospitals, but as well doing surgeries and plastic surgery, orthopedic surgeries. And then as the war started to come closer to Rafa and then into Rafa, we moved our activities so that we put them where people now are, which is in Darla. We already in Dehral Bala were at Alexa hospital, where we had some surgery activities related to victims of war wounds. And we had a support to the emergency department of the Alexa hospital.

And what we did when the people were displaced back north towards their album, we started again this primary healthcare programming because people didn't have access to care. So that's where we're at. Something else we did in Rafa before we left was we had a trauma stabilization point, which was right behind the front lines when Israel was attacking, we were fearing that Israel was going to Rafa. This was on the news for many weeks. So we had prepared a trauma stabilization point which would stabilize patients that were received from the frontlines and then referred to field hospitals or other hospitals within Gaza.

So we did that for two weeks. And then when it became too dangerous, we closed that. And now we're exclusively in Dehral Bala, but also looking at the north to see if there are some activities we can start there. Karen, the past week has seen a huge uptick in israeli military operations, particularly one operation aimed at rescuing a number of hostages held by Hamas. Can you describe the aftermath of this attack, which took place in or around Rabala, and reportedly resulted in tremendous civilian casualties, including at the hospital that you were working at.

Yeah. So it wasn't one attack. As a matter of fact, it started with an attack in Dehal Bala itself, not far away from our office. And that attack was the first event that happened that day. It was a huge explosion, and it generated a lot of victims, wounded and dead.

And all those casualties were brought to al Aqsa hospital maybe half an hour after this initial attack in Nuserat, which is a little bit north of Dehghalbala, Nuserat was attacked by the israeli forces. Very intense attack, as we now are learning, and that also resulted in a tremendous amount of caseload of patients and many, many fatalities that were initially brought to Alauda Hospital, which is right next to Nuserat. But it's a very small hospital with not a lot of capacity. And so everybody was brought to Al Aqsa Hospital. Al Aqsa Hospital is the only hospital, ministry of Health hospital that's still standing in the middle area.

And as a matter of fact, in the south period, there are no more hospitals in Rafa, aside from two InGOs field hospitals. And so all victims are brought to Al Aqsa Hospital pretty much de facto. You know, there is no incident command center, so. And the communications, as you know, are very poor. So everybody is brought to Alexa Hospital, regardless of Alexa Hospital's capacity to start with.

On June 8, that infamous day was already extremely poor. The past week had seen two huge mass casualty events with that, an overpopulation of patients and internally displaced patients, people in the hospital. So the hospital normally has a bed capacity of 250. Before June 8, had 600 patients in that hospital, plus several hundred internally displaced people who believe that it is safer to be on the ground sleeping in hospital than being in a plastic tent. I think they're right somewhere.

That's sort of the situation to set you up. These events happen. The hospital is completely overloaded. It felt like a 747 had crashed, and all the victims, the wounded and the fatalities were brought to Al Aqsa hospital completely unable to manage. Obviously, such a caseload.

When we arrived, pretty much the entire floor of the emergency department, which is relatively big, was full of patients on the ground, no mattresses for them, critical patients, patients who were expectant. So on their way to dying, kids, moms, young women, adult, you know, elderly people, everything. I mean, it was the attacked in the middle of the day. People were going to the markets. There was no warning to those attacks.

So obviously the impact was massive. The scene was really difficult. It's very difficult for us to see three year olds, to see young adolescents being there with enormous wounds that will affect them for the rest of their lives if they survive. It's really difficult to see scenes like that very intense situation. It was super hot inside.

It smells like the smell of warm blood that just impregnates you because so many people are bleeding. And so we just spent our time, we went there, two nurses and one physician, and then we had our wound care clinic staff that we also moved to the emergency department. And basically you work in the chaos. There is no room for fancy anything. You have survival blankets.

You cut people's clothes so that you can reach the wounds. You pack wounds, you stop the bleeding. You try as best as you can to stabilize patients so that they can wait for when there is a time for them to go to the operating room or for them being transferred to another facility, if that is an option. Karen, as you mentioned, there are very few medical facilities still operating in Gaza in general, but also in the region you're operating in. Also, Gaza is also subject to effective blockade with the resultant decrease in access to medical materials and so forth.

Murtaza Hussain
How is this strangling of the healthcare system impacting the ability to deal with these very catastrophic and large numbers of wounded and dead coming into hospitals? Well, yeah, I mean, the math just doesn't work right. You have less and less structures and more and more patients, more and more victims. So I'm not a math expert, but when you reduce the bed capacity, but you increase the wounded, you increase your attacks, your strikes on the civilians, you won't have enough space for people to have a bed. You won't have enough healthcare workers to attend to all these victims.

Karen Huster
You won't have enough operating rooms to operate on. You don't even have enough fuel to go and get the patients with your ambulances, and you won't have enough supplies or medical equipment to take care of everyone. That's absolutely a nightmare for us. It's been since May 7 that the Rafa crossing between Rafa and Egypt has been closed. There have been very, very few things, very, very few trucks that have been able to come across.

Certainly for Doctors without Borders, we've had no medical equipment, no medicines that have been able to enter. So it's a situation that if the status quo remains, it would worsen everything and it will definitely worsen the outcome for the poor patients who have been able to survive these massacres. Karen, you're obviously attending to a population which is undergoing incredible trauma and it's been about eight months now, this military offensive that's gone on, and all the human and social impacts of it on the people of Gaza, what have you observed in terms of how people are coping or not coping with these attacks? It seems almost unthinkable. But you're seeing it firsthand, the impact on this population.

Murtaza Hussain
How is this affecting gazan society? How is it transforming people in ways people may not be expecting? It's shocking to me every time when I look at some, I don't speak Arabic. So really my way of speaking is through my eyes and looking at people. And every time when somebody comes with me in the emergency department with their child who is very severely wounded, or they are pulling me to show me their grandmother, you know, begging me to do something about it, and they just raise their hand, you know, in helplessness.

Karen Huster
Part of them is just empty. There is no. They're just in automatic survival mode. They have no choice, right? They.

If they live, they live. But they really ask all the time, you know, what. What kind. What kind of life is that? Some.

Some of my colleagues have told me that, you know, I'd rather be dead than, than going through this day in and day out with no hope that this is going to be finished. But really, for me still, for example, the healthcare workers, I find that they are incredibly resilient. I think if this were to happen in the United States, we would absolutely not have the capacity and the resilience, the wherewithal to withstand such a repeated assault on our population. We're just not used to that. Gazans are used to this.

It's been happening for decades and decades. And I think it helps them cope, in a way with this. Right? But their eyes are tired, they're empty.

It's difficult. They show me their kid and what is it that we can do? But yet they are not angry. They've never been angry towards me or towards my other colleagues. It's just helplessness.

And I think they know that they were not counted before, that they were not thought of, you know, as Palestinians, but they do know now that the world is watching. It's not doing enough, but the world is watching, and they are very thankful about this. And they. It brings them hope. Many, many people have told me that.

Murtaza Hussain
Kieran, during the time you've been in Gaza, are there particular cases emblematic of the human impact of the war that have stuck in your mind, either patients at the hospital or scenes you witness in the territory? Are there particular stories or individuals that you think people should know about. Yeah. I mean, the most recent one happened on June 8 when we responded to this new Sehrat incident. When we entered the emergency department, you know, it was complete chaos.

Karen Huster
We all figured out how to dance in this chaos. And I started to know my area and all, you know, the. I don't know, maybe 8100 patients that were lying there. Two struck me pretty hard, even though I'm usually pretty good at blocking it, especially in the heat of the moment. But one was this little kid.

She was three to four years old. I don't know. And she was lying in the fetal position on the ground. Nothing. No mattress, no, no nothing.

She was alone usually, you know, in Palestine, everybody, if you can, you always have somebody that accompanies you. And if you're young like this, it will always be your parents. But she was alone, and behind her was elderly woman, completely confused. And people were, you know, bleeding everywhere. This was.

This is. This is an intolerable scene for us, let alone for a little kid. And my. My eyes were just focused on this kid who was in this fetal position, cold, completely wet from her blood. She.

She had a head, big head wound. And so I asked left and right. I said, is this your kid? You know, I mean, with gestures and. No, my first reaction was, I'm just gonna carry her.

I can't. I can't leave her on the ground like this. This baby. I have children. And so I asked the person next door that, can you at least check in on her?

And I would do my rounds and then come back and see this kid. Eventually, we took all her clothes off and wrapped her in a survival blanket, still completely on the floor, and gave her some pain medicine. She fell asleep, and eventually her uncle came. So I couldn't even imagine what was going on in her little brain. The woman who was right behind her was actually the aunt of one of our pharmacists, whose house in Nuserat was the victim of all the shooting that happened and the missiles.

And our pharmacist lost two family members, one who was three years old and another adult cousin. And this aunt was severely wounded, completely confused. I mean, it was clear that maybe she had dementia on top of it, but she was absolutely confused. She would be falling on the ground. And normally, if you wear the United States, I mean, somebody like this is given, first of all, all the medicines to calm them down, but is given also all the right care immediately and the attention from, you know, one nurse, because that patient is so confused.

But there she was, just left to her own devices. And it really pained me to see that this is what was the result of these strikes, these repeated strikes that have been happening on Gaza. It's these stories that just hurt you. There was back in January. I was in Gaza in January, February.

And on our way, our driver said, you know, Karin, they killed a fisherman this morning. So the navy is out there, and they bomb if fishermen are beyond a particular distance from the beach. And so he was just killed. You know, he was fishing, just fishing. And then the last one, that's not really a story about anybody.

It's maybe the story about everybody. But when I was there in January, we were there while they were destroying Han Yunis. It was intense every night of the five weeks that I was there. And every time I heard the plane go round, I would know when the bomb would drop, because you get used to, you know, the patterns and the time that you wait and you would see during the days when that happened, you'd see the smoke. But every night I would hear the bomb, and then, and I would think, that's it.

That's one family that's gone. That haunts me all the time. It's every time this big explosion for me is the soul of one palestinian family going to heaven, you know, being blown to smithereens and going to heaven. It's not one person's story, but it's, for me, the people of Gaza story. And that hasn't left me a little bit less now.

But definitely in January, February, that's every time I heard this noise, it was, poof, one family gone. Poof, one family gone. Karen, thank you so much for sharing that.

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Murtaza Hussain
A number of Doctors without Borders family members have been killed or wounded in the war since it began. Can you talk a bit about the risks that medical workers and their families have faced since the start of the conflict? Well, our staff are. And I will talk about my palestinian colleagues. Not the international medical staff, but palestinian colleagues.

Karen Huster
Not only are healthcare workers, but they're also Palestinians. So they live with the same dangers than the other Gazans. They also live in areas that are unsafe. Nowhere in Gaza is it safe. So they can also be the victims of strikes.

And then at the same time, they have to care for others. They have to care for their palestinian compatriots. They have to care for the wounded in the hospital. So they have this double, this double duty and this double weight on them, which is really, really difficult. Some of them have left to Egypt, but many are choosing to stay.

And for many, it is, in any case, a super painful choice to make. Sometimes they do it because they have very young children and they want to save them just as. Exactly what we would do if we had the opportunity to leave. But some stay. One of my colleagues, Doctor Sohaib, he's staying here, and he sent his wife and his young daughter to Egypt.

He had to pay about $10,000 for the two of them. And he's chosen to stay with us and to work to help the palestinian people. You've worked with Doctors without Borders missions before in other countries, including wartime situations, such as in Iraq, during the war against ISIS. What can you say is different about the situation in Gaza? I think, first of all, we have a population that's prisoner, right?

We have a population that's stuck in an enclave with no choice to get out. It's a population that's been abused through decades of israeli either occupation or israeli oversight and control. And now it's been the victim of relentless attacks by a military that's one of the most sophisticated military in the world with no moral compass whatsoever. And so it's a military that has no hesitation to kill, to have huge collateral damage, to strike one, you know, particular target that they might have. And so that, I think, is very unique to have a country that calls itself a democracy, but that behaves in a way that has completely lost any sense of humanity.

It's unique to me. I've never seen something like that. Karen, given that the israeli military is carrying out these attacks on one hand, with grave disregard for civilian casualties at best. At the same time, it's controlling the access to this population, which is cut off for most international press. It's access to aid, medical aid and food aid is very restricted.

Murtaza Hussain
How are these two dual pressures making this humanitarian situation worse? And I could ask how, if you had access to a free flow of medical supplies, how would that change the situation? And how is the current situation exacerbating the amount of death and chaos taking place in Gaza at the moment? I think there is no question that if we were able to scale up, which is something that we've been asking for eight months, I mean, besides asking for a ceasefire and a permanent ceasefire, but also if we were able to open the Rafah crossing, Karam Shalom, or any other crossing, to let the aid go in, to let food go in, to let humanitarians go in humanitarian aid, so that we could scale up to. To the needs, it would most certainly help patients to have better outcomes.

Karen Huster
It would help them survive things that people may not have survived. It would have, you know, it would be able to save limbs that maybe today are amputated. We can't send anybody. There is a list right now of patients that the UN has, and it's a list of 25,000 patients that should be referred outside of Gaza for further tertiary care. That's not just victims of trauma, it's also oncology patients.

Right. So cancer, you know, a variety of conditions could be congenital diseases, you know, kids with malformations that could be completely resolved with surgery if we had access to surgery here. And so all. All these folks, 25,000 of them, are waiting, hopelessly waiting, because there is not one border that is open for them to cross to get that so desperately needed care. Karen, tens of thousands of people have reported and killed since the start of the war.

Murtaza Hussain
And the true figure may not be known given the number of people buried in rubble, in airstrikes and so forth since it began last October. Of course, many, many of those are believed to be innocent civilians, including men and women. But particularly in Gaza, given the young age of the population generally, it seems that a disproportionate number are also children. Can you talk a bit about the impact specifically on children that you've seen as a medical worker in Gaza of the war and of these IDF attacks? Right now, when I look at kids, I look at kids who have nothing to do.

Karen Huster
There is no school, obviously, there is not even a system, because humanitarian aid is so scarce. We can't scale up. You don't have the usual actors in the Gaza Strip that are able to provide some activities or some education to all the children of Gaza, or at least even to some. It's very, very restricted. So you have kids who are just doing absolutely nothing.

Who are you losing right now? Eight months of schoolwork. This is huge. I mean, there are students who were going to be doctors, who are going to be lawyers. It's a huge.

It's an economy, it's a society that's going to be wounded and maimed for the long term. These things will have repercussions for decades. The future is just bleak for them. On top of it, I think you are going to see, and this is just an observation, but when I see the number of children with amputations, we are going to have to deal with the biggest cohort of amputated children in the world and we don't even have access to prosthetics. We don't even have access to good follow up for these children as they grow, to change the prosthetic, to do some limb adaptation, all the things that come with having an amputation, that's fancy, magical thinking.

We hardly can save lives. So forget about doing what we need to do for kids with amputations. It's really sad when you think about that. Kiran, you're there on the ground right now and dealing with the full force of the implications of this military campaign and the impact on the civilian population in the United States. There's still debates and a discussion of pushing for a ceasefire in Gaza.

Murtaza Hussain
Is there a message you'd like to send from Gaza at the moment to the rest of the world about what should happen or what needs to happen there going forward for the sake of the humanitarian situation? You know, people have to, people in the United States, people around the world, have to stop thinking of Palestinians as this. I don't know what people think about Palestinians, but they have to believe. They have to think of Palestinians as being just like them. They are people who love to go to the beach during the weekend, to hang with their families, to do a barbecue, to go and smoke shisha together, women to get together and talk.

Karen Huster
They like to do sports just like us. There is no difference. They should have access to that same freedom. You know, McElmore, I think, had a line in his song that said, you know, what if. What if you were in Gaza?

What if those were your kids? And that's what we need to do. What if you were in Gaza? What if those were your kids. If the west was pretending that you didn't exist, you want the world to stand up and the students finally did.

Murtaza Hussain
Let's get it. We need to think about, what if this was us? What if this were us in Gaza? These were my kids. That was my son who was amputated, my daughter who died.

Karen Huster
Maybe then, when we internalize things a little bit more, would we really pick up the phone, call our Congress people, call our representatives, and put relentless pressure on them and on our government and on governments around the world to not just keep talking, but to actually do something. I am heartened by the number of people here. There's a small cohort of people in Gaza that are taking the risk to come here and to tell the people of Gaza that we are thinking about them, that they are worth being saved, that they are worth fighting for. And I know there is the same happening in many places around the world. I've seen the young people really stand up for Palestinians.

But I want to see the older people like me, you know, the forties, the fifties, the sixties. I want them to stop being silent. People are being silent, and they seem to be ashamed of voicing their disagreement of these inhuman strikes, repeated inhuman strikes on the people of Gaza. Like, what is wrong with people that you don't feel comfortable to criticize a government that has been completely ignoring the international humanitarian laws for eight months now? Since when is this wrong to tell somebody that what they're doing is unacceptable and that they need to stop?

And for the United States, it has the power to stop them? So what is it doing? What is it waiting for? Kieran Hoster, thank you for joining us on Intercepted. You're very welcome.

Thank you for giving me the time to come to your show. That was Karen Huster, a medical coordinator with Doctors Without Borders, currently working at Al Aqsa Hospital in Gaza.

Murtaza Hussain
And that does it for this episode of Intercepted. Intercepted is a production of the Intercept. Laura Flynn produced this episode. Rick Kwan mixed our show legal review by David Brelo, Sean Musgrave, and Elizabeth Sanchez. This episode was transcribed by Leonardo Fireman and our theme music, as always, was composed by DJ Spooky.

And special thanks to Ali Gharib. Thank you so much to our support, supporters and listeners. If you haven't already, please subscribe to Intercepted and our other podcasts deconstructed. Also do leave us a rating and review whenever you find our podcasts. It helps other listeners to find us as well.

If you want to give us additional feedback, you can email us@podcastsheintercept.com. thank you so much for joining us. I'm Mertaz Hossein.

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