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tv   The Stream  Al Jazeera  May 25, 2021 7:30am-8:00am +03

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actually, it's a point where it's, it's an attainable and he's got to relocate. affordable housing is a backbone of the economy, creating safe communities, jobs, an opportunity with rising costs many and now facing stop choices with no solutions insight. galico al jazeera miami, florida. ah, took a quick check of the headlines here on the eu has agreed to sanction bella ruth including binding its national airline, the mentoring the blocks in space. it's in response to actions by bella luce, which saw a passenger plane divert to men's opposition. activist on board, detained, united nations mission. and molly has called for the immediate release of politicians, detained by the military, after a cabinet reshuffle. prime minister has reported a resign doctor being taken to an army based north west of the capital amaco,
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along with the president and the defense to mister nicholas on cosmo. now from santa gold capital deco we're hearing that the prime minister has resigned from this position, even if that's the case in the government. that was just and i was hours ago, i was supposed to appease the situation in molly, well that the government will, there'll be a new government that will be announced very clearly, very volatile situation involving this is all happening in the, in this call in this tussle. of power between the military june and the civilians that were part of this transitional government or the 1000000 people themselves. the us secretary of state antony, blink and nase due to arrive in the middle east on tuesday. yes, president joe biden has spoken by phone to his egyptian counterpart to discuss strengthening the israel garza cease fire and reconstruction efforts. the white house said it wants to find ways to revive the peace process following criticism of
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its support. israel. that of the u. n. s. told a meeting of global health ministers in the world. is that war against kobe? 19? 2010. it was addressing health ministers small over the world, as they take part in a virtual world health assembly. the day then we'll discuss missteps in the response of the pandemic and how to ensure greater access to health care areas. military says at least 16 people, including 2 children have been killed in the area known for cocaine production. the mass killings happened in a rural town and peruse amazon region where the leftist group, the shining path operates it. she says it found pamphlets in the town calling for a boycott to be june 6 presidential election. 70000 people have been killed in fighting with a group, mostly in the eighty's and ninety's. so those are the headlines. the news continues here now to 0 after the stream stage and i was watching from talk to al jazeera, we can, the army were attacking ring,
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and now they're attacking everyone in me. and do you regret words like that? we listen. absolutely. nigeria with a woman present, it would be great. we meet with global news makers and talk about the stories that matter on, sir. ah, i anthony. okay, welcome to the stream. this is a show. the often says to you, our audience, what story should be would be covering and you sent the stories and we drive back to the beach, them on the show. that's exactly what happened. we've talked to a trach. he is a doctor and he's a journalist and he sent an idea that inspired this entire episodes, have a look at the targeting of health care facilities and health care workers in times of war. all considered possible walk, right. so why is it the israel keeps getting away with this?
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i myself, am a doctor. those worked on the frontline and was as before and i know the importance of having a safe place to treat the very patient to feel the violence they find themselves. and this is why i pitched this topic to sonya, one of the ha, stream producers and to discuss the impact that these episodes abundance of had on health care workers. and why is it the israel keeps getting away with it and how we can hold them to account for the kinds of committed? so the question we are looking at today is what is left of golf is fragile health care system. you can jump into the conversation by being in the comment section, your thoughts, your experiences, your questions, put them in the comment section. i do my best to feed them in today's program. next meet our guests. hello to mahmoud. hello to dr. kasan and hello to we am good to see. all of you may retire international audience who you are and what you do. thank you so much for having me. my name is marcela bee, and i work for you. okay, sure. to call me because for me as a senior program manager in the guys office,
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get to have it san. if people been following your work online, they would have seen you doing surgeries in garza in the past few days or so. it is really good to have you on the stream. we introduce yourself to international audience. thank you. my name is cassandra, i'm a plastic and reconstructive surgeon, an associate professor in conflict medicine. nice to have you and we welcome back to the stream. a lot of audience who you are and what you do. thank you. my name is ray, i'm from luca. i'm an assistant professor at the institute of community and public health. it is at the university that i've done. i'm just looking at a tweet that you put out. and just in the last few hours am is a barber injured? when i mr. how hit a car outside his shop, a garage of missiles fired at the crowd that gathered and amputated his right leg and mangled his left leg. today we were able to save his left leg so that he can
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walk again and work again and not be will chair bound. how is that when you know that you have changed, improved someone's life? so the work that we do within reconstructive surgery, particularly in times of war, revolves around an attempt to reduce if not reverse disability that has been caused by the weapons of war. and so in case of this patient, it is critical that he is able to 3 months, 6 months down the line where a prosthetic leg where the right leg used to be at least be able to use the left leg to stand. if he's ever a going to be able to provide for himself or for his family as a barber, which is the only job he knows what to do. and
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that's what we do with adults with children. it's even more difficult because at the end of the day, what you're trying to do is reduce this ability in an ever growing body. and therefore, that's why children with war related injuries require a lifetime of surgeries because their bodies try to out grow, discard a wounds of the war. and so require repeat surgeries until they reach adult life mahmoud. i was looking at a video that you recorded as you were trying to take essential medical supplies from one place to another place, doing a conflict, basically during during a war situation. i'm going to play that and then asking what it is like when you're in golf when the conflict is happening. but let's have a look at that, that incredibly dangerous journey fest. this is marcela,
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and i am documenting my journey today. going to the warehouse that we haven't been lots of guys for some drugs and disposable. some loved agents for the material that are emergency related and needed. right now, i assume it's my duty to show you some was a dummy he was actually one of those things. where did mother unfortunate are in between 7 and 4 years old. is what we are doing with nice. now, we are sorting out and things him out of the house city to be transferred to the
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ministry office. i mean, when you're watching that back, will you feel for it the time as you will recording that video showing this is my work. this is what i need to do. even during a complet, i was terrified to be honest with you, and so many of my colleagues and family members who so the video, they could actually tell me that we could hear your, your, your breath. and how scared you where i was literally the only one in the streets going towards the warehouse to release those emergency related, reposition, the, you know, drugs and disposable. otherwise, if those sweater released due to the fact that guns doesn't have so much stock, the minister of health doesn't have a strategic stock of items and that's why we come into this picture. we position supplies and release them during times of emergencies. those being natural
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disasters or man made like the ones the journey wasn't easy and i was really scared, but it was my duty and i felt obliged to do this journey. and the video idea just came to my mind just to show the people that are, that we were living and during those live and these of us all, some guys and i would like just to go back if you will, may allow me. so the point of doctor of liberty construction as a result of this war, we have been told by the ministry offend from initial assessment so far. that's probably more maybe 10 percent of the people who were injured during this war would need blend reconstruction. would mean that, you know, limps salvage and limby construction surgeries are things that take 6 months to 3 or 4 years of continuous surgery is continuous rehabilitation and so
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much money that you need to port. and just to say one, him and that lim could see one life. we i'm, there's a lot of activity and conversation on youtube. i want to share some of these thoughts with you. got mommy says, how long does palestine have left regarding medical aid, oxygen, oxygen sterilized equipment? so basically, what is the health care system like right now today? well, the health care some as config as the various constrains and especially i think one thing you have to keep in mind. but all of this is happening in the middle of a pandemic. and before this hospital is also undergoing, like one of the spikes and kind of mac response for the hospitals were already under resource already facing shortages. they've been facing shortage as an essential drugs and equipment and human resources throughout the last 14 years, especially with the theme that's happened that's been imposed. welcome that's
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imposed on them. so this is something that's to keep in mind that we're already dealing with health system that has been severely constrained and largely by manmade conditions. and i think this is an important point about was brought up. a lot of this is not, it's not because of a natural disaster, like mood said most as like a lot of essential drugs or under stock. there's a reliance on the health care system. sometimes for referrals and other things. lots of permits are denied. there's been a lot of development overall and also applies to the health system. so it's already, it was already in a very bad situation before the latest operation of the war. mommy's got go ahead. i just want to give you a glimpse of the statistics because numbers are also powerful just before this, these 11 days of assault on the central drug store,
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the minister of shared with all organizations that monthly report. what you should know is that for the 1st time i joined, madden 2016. and i have been reading those monthly reports frequently. what for the 1st time ever, the essential drugs list that the ministry keeps to save, you know, lives in gaza each 50 percent of short digits. this is, this is horrific in this means that 50 percent of the drugs more lives. what does that mean on the mom is if you trying to, like if you go into your, your local hospital, you, in gaza, you're going to your clinic. what does that actually mean? 50 percent of drugs not available. so you, you turning people away. basically what that means is that half of the drugs that are needed for your treatment aren't available. that's why organizations such as me because it understands and others squeeze. and we have yearly budgets to try and help them ministry salvage. some of these drugs and medical dispose of and i just
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want to give you an example to date. you know, just before i joined this show, i received an appeal from the ministry of health to procure filters for him or they, unless his patients for kids specifically under the age of 13, that need their kidneys watched. without those 1225 children and guys have their lives endangered. it simply means that a single drug or a single disposable that is not available in gaza, could cause a fatality morbidity or a long term disability. that's the unfortunate situation that we actually did that . but as i've seen, you talk to reporters while you actually are operating in theater. but these shortage is a supplies. what does it mean to you when you're operating to your cliques or your writing? so it, it, it to fold. it means that you are using equipment that is well beyond its shelf
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life. re sterilizing surgical equipment that actually a should have been thrown away and replaced a long time ago. and you are making do with at equipment that is not meant for use for that specific case. but you improvise and you provide the best possible service i want to, to, to be basically what we need to keep going back to is this idea that actually, whether it's the siege or this war or the previous wars which is really military leaders of, you'd refer to the fast as moving the law is a man made disaster and it is a process that is very akin to a titration experiment where you titrate life and death. and the aim of the siege is to maintain that people in gaza at a reduced level of life,
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slightly above death. and the crippled and disabled health system is one of believers that is used in this titration to ensure that a diminished quality of life in gaza. to ensure the persistence of a humanitarian crisis, which allows the debate to be shifted away from any political roots of the problem, to how many pieces of of medication we brought in, and how many hours of electricity do we have? how much drugs and medical teams that you bring in and what is the caloric intake of a family in gaza rather than the political roots of the crisis? which is what the debate is it should be about should be about the return
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of the palestinian refugees about the history of the creation of gaza, the biggest refugee camp. but what the intentional humanitarian crisis does is it shifts the whole debate and creates a debate that revolves around drugs and goals and syringes and doctors, as if you are living as, as we said in a natural disaster, rather than a man made continuous titration of death. i don't think you will not allow me some go ahead, go ahead. i just we, i'm you go 1st law much you goes 2nd guy happen. knows he's going to, i'm just kind of, it's about point and i think this is part of the problem and this, and this is also when we're focusing that conversation strict down humanitarianism
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. we're actually moving away from the root causes and we're in public health. this is what we are supposed to be focusing on, and we need political solutions for these things. and it's not only that we are distracted by this conversation, but the thing of, you know, this is before such a sol and you know, and less than 14 years people. and there was a really popular post by, by the young artist. and that's where she felt that she's now 21 years old. and she's gone through this for the 1st time. and i think we need to be asking ourselves that not how much equipment we actually need to allow em. but we need to be asking ourselves why is that that we're still talking about this. why is about the situation is continuing with no accountability for those who are responsible and that's primarily israel up. mom is guard what i would like to say that while i totally agree with dr. our son and we, we as humanitarians and organizations in the field, we are actually faced by those struggles daily of the people and guys,
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we like people come looking at our doors and asking us for humanitarian assistance . that's why it's important to provide aid, but at the same time to tackle developmental issues. but i encourage organizations to have strong advocacy, strong campaigns and be able to address, you know, those causes. and we all know what the cause of this is socio economic status. if you are affecting guys with more than 50 years of occupation and 14 years of located, you're affecting the economy. and that is that the effect that is affecting the heads of understands negativity. why it is important that we keep focusing on humanitarian plus development and work while also trying to address with causes? i hear all if you guess this is got to be a conversation about politics as well. if it's going to be
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a conversation about medicine, because delta you, you pulled out, we em, you brought that up to. these are some tough thoughts happening on youtube. i'm gonna ask you to react them very quickly. so we can get in as much as possible. michelle says how much i can afford to give people bomb shelters, but they can afford to give them plastic surgery, dr. response. so i am older than high mass, and i remember israelis were killing palestinians in plaza before 88 and before 82. and you know, before i was born and before the p, a low was born and 65, gaza was under attack by continues, is rady raids. there was a big massacre in newness when ariel sharon, as a young commander and these really army, led a raid into her newness in 56 and killed over
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a 1000 people line them up against the wall and shot them. so this idea that a kind of music, a view of garza's history as starts and ends with us. the other issue is plastic surgery is reconstructive surgery. you know, if you cannot use your hand, you cannot use your hand, you cannot use your hand. it means that your, your income generating ability diminishes greatly. it means that your life is heading in a trajectory. that's my barber needs plastic surgery so he can stand up not so that he can pace this and a little large, but no. so he can feed him self and needs his children so he can try to undo even by what ever measure that we can give him,
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the damage that the weapons of war has inflicted on his body and his life. so this idea that these people are having some kind of luxury surgery is false and insidious. can i? can i add also some things that the viewers must know dr. our son is actually visiting guys right now. he's not phasing guys. he is right now. the best plastic surgeon that guys has guys that doesn't have a place or a plastic surgeons. the only one who was said is really qualified, retired a few months ago. this is not legitimate. people are suffering due to the patient and due to the located. the local has prevented people from going outside and gaining their degrees. and you know, knowing those nice specialities in order to be able to help the people guys that does not have so much plastic surgeon and this goes on for all other sub
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specialties. we are suffering hugely from the lack of medical professionals. and by the way, we don't have shelters from bumps and garza, i'm going to move on to i'm going to move on because we're almost at the end of this program. i want to get in a few more thoughts. no, no need to apologize. i. i would have you on for hours on me, and if i was able to you. com says i want to know how we can restore the facilities in hospitals, which goes hand in hand with some of our community that we reached out to 2 of them about recovery on the gaza strip. have a little when i he's got the he's fight haskin forcing god. i feel like, oh my god, it's fun and it over there will be no more distraction. there will be no more to kelly or injury or on being i feel relieved, but i know i have a lot of trouble in the next day as a starting the process of feeling and recovery. this includes medical supplies and
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other humanitarian aid. finally, coming in to gaza and it's, we are beginning to plan for also rehabilitating the health infrastructure and 17 primary health care centers need to be rebuilt or repaired. the central lab is starting to function again. so there is a chance the health system will at least partially recover. mama, once again, we find ourselves as an international community, asking people in gaza. what do you need to recover? what do you need? we need loads and loads of efforts, and those are including when, if you force advocacy efforts and all that. but i just hate the word resilience as a senior. i have been living in garza and i have been described as there is any and individual definition of resilience mean bouncing back to the previous state that
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we would and but after those 11 days of a sort you're talking about live in facilities that were severely damaged. including one that is totally wiped out, and more and more destruction that is happening. bouncing back to the previous status go is inadequate because you are talking about 80 percent of the population dependent of 18. 61 percent of the us are unemployed drugs and dispose of as are continuous shortages. what are we bouncing back to? what are we covering back to? we really need to address what causes as dr. our son. and we said in order for us to be able to rebuild back better, not bouncing back to the previous state. so don't notice they are like there is don't are fatigue and guards that it has been on the market for 14 years. some of the donors say we have been supporting you for 14 years without any you know, saying tangible on the ground. that's because we are under a blockade. you need to put in funds in guys the strip to enhance the
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infrastructure to address other issues with him for guarded with start out. he's what drugs with disposable. and after that, people can think of developmental work and actually enhancing the system to standards that are there with international ones. i just want to share this with you. a gas, israel garza see, slide doesn't mean the idea should be excused for striking health facilities. that piece was written by doctor watch. he was the doctor who suggested that we do this program in the 1st place. we em, we've talked about this disaster for kansas health care system which has been struggling anyway. what about accountability? will that to yeah, i mean is judging by past occasions there's probably going to be very little if any accountability and i think this is what's really important to us. and it's really important to actually push that. and what spin different this time around is that
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there has been more mobilization there husband, or there has been more calls for accountability. we do have tools at our disposal, but they're not being used as consistently as the exception to that rule. and there are legal analysts, if these attacks and health facilities could qualify as war crime. and what we do need to keep in mind and we're talking about and i think there is a false parallel that's actually sometimes made between panels of capabilities. and israel precluded, is there is one of the lead military powers in the globe. and also one of the lead producers of military technology. so they have the precision technology that they actually market as being bottle tested. if they wanted to avoid these damage and they could have to reason this continues over and over again, is precisely because of that lack of accountability. we em hassan mahmoud. thank you so much of being on our program today for helping us understand got a health care system and where it stands right now you cheapest. i appreciate your
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