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tv   The Bottom Line  Al Jazeera  February 27, 2024 10:30pm-11:01pm AST

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while the industry long kai, the government is rushing to control the spread of measles, a boost of vaccine rollout is getting priority to babies. now fernandez reports from columbus attempting to keep cuban and that community see this government clinic in a densely populated area of colombo has started administering additional measles vaccines. 5 years ago she lock, i succeeded in eliminating me those but an outbreak last me mainly affecting babies . prompted health authorities to introduce in addition to those, for instance, 6 to 9 months old. but highly contagious abalone disease spreads easily, especially when an infected person costs or sneezes the increase in infections to more than $700.00 in 10 months. has many parents worried. my mouse is due for the vaccine because he's 2 years old and there's also a search. and this printer for me, is,
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is that's why i brought to long trying to use the measles vaccine for 2 years ago and claimed 99 percent coverage a depend demick resulted in a decrease in vaccinations. recent estimate said 10000. so you're not going to have and had not been vaccinated. doctors, a warning of di consequences. if that doesn't change because you to them limitation and maybe people don't understand the dangers. now, parents may think once the child's gotten measles, everything will be okay. the complications like those in the brain can occur after 5 years. it will not. the children's agency unit, which is supporting health authorities, with additional immunizations says for longer have almost eliminated reserves, but unvaccinated people are at risk. it's a global voice now. so any family who drivers doing a job or to see that the transmission, nothing exists is happening. it's very likely that they make heavy back to infection and again that this infection and if there is nothing but
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a group of people in she didn't go who would not sleep moving yet, then the always remain in the upper to inches source for the, for the spreading thing fiction, these 5 years of under investment, a crippling economic crisis, and the rest of the form, a health minister for fraud. the government says public health care remains the priority. having eradicate the visas ones authorities here determined to do so again, counting on a strong community health care system. but a previous drop in cases and fee is about vaccines. i'm making that difficult. fernandez a 0. colombo that's and use are now analogies. here. i'll be back with another full bulletin in 30 minutes time. stay tuned for the bottom line. next analysis here, the the call choose solutions that gives us know for future that we have to find
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creative solutions. not just turn our backs on the. don't think that has a number, think about it as a person and yourself and that person shoes. so as you can see for this is my us, my life, or at least in my life, those dentures. we want, we want the education, we want to go great. because the women in my country, they're not sweet. to us. we are not. and neither ology, we are human beings, and this has to be trees and the coins. we are working in the footsteps, our ancestors, whatever has been done before, can be done as long as a human being is doing it. you just have to keep pushing because no one else can see. the vision is keywords. you a hi, i'm steve clements and i have a question. hospital by hospital. israel has been
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a nile eating causes entire medical system. but what happens when it's all gone? let's get to the bottom line. it's probably more accurate to call it a health care apocalypse and a health care crisis. a few months ago, it was shocking to hear that palestinian doctors had to perform operations without anesthesia because israel was walking supplies or the watches, so many thousands of people were being killed and injured every week. and patients were flooding floors in the hallways, across gauze as hospital thousands of people such sheltering your hospitals because they're supposed to be safe, even in what time. right. well think again, why the hospital after another has been surrounded by is really tanks bombed, rated destroyed. nowadays, the entire health care system in the gaza strip is on the verge of collapse. and more than 600 doctors and health care workers had been killed by israel in the last 5 months. and malnutrition and disease are spreading due to the choke, hold on just about anything getting in. and the word shows no signs of stopping
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soon with hundreds more palestinians killed and wounded daily. so what's gonna happen when causes health care system totally collapses? today we're talking with dr. fire off my global health director for the department of emergency medicine, an advocate christ medical center in chicago, and also in chicago. dr. moore, i am getting a human tyler just on college, just who co founded the palestinian american medical association. thank you both for joining us. this is a complicated, a sobering topic. doctor ok mad you just as i understand it, spent 3 weeks in nasir hospital in con eunice. and i'd like is best you can, you've written about this in the chicago tribune, but i'd like you to give a feel for what is happening there. that is often not seen on tv, not discussed in shows like this, but what is the real life situation of god since right now in hosp settles in in under attack? yeah, thank you for having us,
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steve. this is an important topics i do want to mention, especially with what's going on and also hospital now that people need to be aware that no said hospital was the last remaining trauma hospital in the gaza strip. um, it was a hospital that prior to the war was, could accommodate around 350 patients. and after the war it had well over a 100 patients. and with that in mind, they're over 10000 people that were sheltering in and around the hospital. so when you walk through the emergency department and you are moving through the different parts of the hospital, you see people everywhere, you see children and their families that are sheltering in the hospital in every corner and in the hallways. and so it really is an overwhelming scene on top of that can units for the last 6 weeks culminating, and the reading of, of enough of hospital was the center of his raving military operations. and so there was an incredible amount of destruction in debt that was taking place in san eunice that was already overwhelming the hospital system prior to it being surrounded prior to it being rated prior to over 70 members of its staff being
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abducted. and many of them being injured in the process, i will share this with you. i mean, we would see so many different injuries, shrapnel injuries, people who are stuck beneath the rubble after their home had been bombed or who are victims of drone attacks. but this really kind of solidifies what we're talking about when we feel like the health care system is under attack. there is a search and his name is dr. charlotte. he's the last remaining surgeon that not that hospital. he still, they are now despite the hospital being rendered inoperable. you have to realize that the military does ran. the military is cut off the electricity to the hospital . there is no water in the hospital. it's functionally just a building. it's no longer a hospital. but doctor kind of shared with us that over the last week while the hospital was surrounded and people were being told that they need to leave. and despite being told that they should leave being shot in the process as they were trying to leave the hospital perimeter. he said in the 4th floor where the operating operating room and theater is. one of his nurses was shot in the chest
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and he had to perform the surgery on that nurse. you know, a health care provider can easily become a patient or the victim of this war. but that really kind of solidified it, i think. so people can truly understand what's taking place here. i think people in guys made the false assumption that hospitals would be the sanctuary place that they would could be protected and be safe there in time and time again. they've been proven wrong and these places have come up to, well, let me ask you a question. you know, what's, what's been floated in a lot of the media in press is that the infrastructure, the civil infrastructure in gaza is essentially has been infiltrated, controlled tunnels. built beneath by hamas that homos is inter go in integrated into those healthcare facilities when you were there and you were operating in those 3 weeks is as, as a doctor performing did you have any sense at. busy all that how moss was weaving in and out of that final last hospital in gaza. is there accuracy to those claims?
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it's a in fact i noticed the opposite. i saw tons of women and children. i saw pregnant women. i saw kids playing rings around the rosy in the pediatric division of a nurse at hospital. nothing that i saw suggested anything like that. in fact, we saw horrible stories of families losing loved ones in their homes being destroyed and then looking for tens in an already crowded area and thinking about having to go further south that alpha. and i know uh dr. moore, you too. i know very well has been so does that as well. and i'm sure that he can tell you the same thing that there is a decent amount of people in because of who are looking for help or rely on help. and you know, this, this sort of narrative, i think it's, uh, i think it's not something that spells out you don't really necessarily see it accurately on the ground. that's a case in, at the you are the founder. you help from the palestinian american medical association. tell us about the medical association and supplies and how you're trying to, it's essentially envelope this crisis with aiden support for the people. you know,
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1st of all, thank you for having us both set that and myself were happy to be here. and um, do you know what the posting and american medical association was founded in 2013? and wouldn't be an operating in regards to that in the west bank for the last 10 years. with mainly focusing on rebuilding the health care system in the west bank and the guys including, you know, providing medical supplies. and we just actually built an intervention to rebuild the unit to serve the whole population or does that, does she have a hospital that just became functional in july of last year? they took a little bit of difficulty and challenges even before the october 7th started. and that's important to you know, to ship the light on when we talk about the health care system and drugs and for 17 years of blockage that has been under extreme conditions. and people have been suffering of lack of resources by all means. you know, you talk about, you know, the bottom line of, you know, what's happening because, you know, 1st of all, we know that the majority of hosp because have been destroyed out of maybe 35
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hospitals that serve goods value over 31 have been destroyed, suited clinics and in terms of outpatient clinics and outpatient services that being destroyed, you're talking about hundreds of thousands of chronic condition patients who are unable to get medical care. we're talking about, you know, the thousands of women who, who are pregnant and able to get the kid until the end and so forth. and i mean, you know, that, of course, and this tasks are there, you know, having said that, we have also, you know, as mission scheduled to go to in march and would have been getting time to bring more and more people of critically needed supplies. and critically needed specialties. we have over 1500 volunteer healthcare professionals in the united states. far as the hoops are signed up with the policy and american medical association and ready to go. hopefully we can bring them as fast as we can and. and as much as we can do to, to bring healing and hope to the posting and people. the other thing that i think
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is important to mention, i think, uh, you know, dr. mike knows this very well. we're both a part of organizations trying to bring people in. we've been trying to get people in since the end since the started. and it wasn't until january, we were able to start getting these delegations, and i mean, we wanted people to be able to get in, get on the ground, see what's taking place and come back and be able to share what's happening. because as i'm sure you're aware of steve, i mean nobody's getting into the gaza strip, but i was gonna, i was gonna ask you, i mean, i just simply wanted to ask you how you got in. how did you get in? how did you get in? how did you get out what, what does that process like? and just one other question, you know, it's so impressive to hear about the number of people who wanted to go and support . but what are the ethics of that as well? i mean, this is a war zone. so many people over 600 healthcare workers, doctors, nurses, and others have been killed. i mean, i'm just interested in that dynamic, which obviously has to be stressful for you and, and for them. yeah, i mean,
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you know, the w h o i think uh when you talk about how the security situation is so unstable, the w h o is forming these emergency medical teens and they're looking at n g o is like med global and pama to provide the volunteers because you can't just send somebody to, to a guys or you cause you're not going to be able to sit, to ensure their safety or their security. you just mentioned how many people have been killed from the health care world. but everything, i mean journalist, we're talking about un agency workers. i mean all of these people are at risk. nobody is safe and gaza and everybody acknowledges this. so the w h o decided that they would take on volunteers and they would help coordinate the entry for people to get into the gaza strip and get out of it as a strip. and i'll tell you what, you know, be getting in through the w h o, it was great. it's a, it's, it's nice to have a big you, an agency being able to help you get through that border. but it is absolutely a difficult situation on the ground. i remember being at northside hospital and feeling like the f 35 was going to land on top of the hospital. every bomb that was striking in the parts of can units the hospital building would shake. we had the
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emergency department window break while it was there from the shrapnel that was flying through. so you know, no one is spirit and no area is safe. but i think and i, i think you know, uh dr. moore, you can definitely talk about this. but the reason you get so many volunteers is because people have been watching these events unfold for the last 4 and a half months. they have felt like they want to do something. they felt like the entire world has let the people have guys a down and it was time for us to work with our hands and get him there. and i think, you know, i think dr. mike can definitely speak to how people are feeling here to the diet, in terms of the palestinian diaspora. why let me ask you a question? i don't ask this lightly. it's a, it's one of those questions that i, i, uh, i hesitate to ask honestly, but you know, is real, this really miller, teresa is it is at war with, from us. do you feel that is real? is at work with just how much is israel at war with something larger. it is the number to speak the tools, you know when you talk about the hosp,
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because the number of hospitals that are being destroyed. and like i said, 30 or 31 in hospice of 35 primary candle, outpatient facility, 125 healthcare facilities. targeted and damage. 124 ambulance is 340 medical personnel is between. you know, those who are killed, those who have been detained by his radio thursdays. and it's hard to believe that this is only targeted, you know, against a specific uh, a group of people and palestine. i mean, in addition, we all know the number of children that have been killed and the number of women that have been also okay. then we also know the suffering of all those patients with the chronic conditions. so it's very hard to believe that this was, you know, award against a specific group of people in palestine and you know, the suffering the, extends beyond a specific group. and we know it's touching the life of liberty, palestinian, both in the west bank and gaza. from our standpoint, it has people in the medical field. what we try to do is try to focus on the
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humanitarian aspect of this and provide the object they needed medical supplies that human being, deserves with these conditions and beyond who is stopping a getting in. what is the geo political reality that that is stopping the aid from getting in from your perspective, both having been on the ground, but also someone organizing externally significant support resources and, and, and human personnel to get in doctor keeps on it. yeah. you know, in the united states here, from the beginning of the crisis, we started the medical supply campaign. we have a warehouse here in chicago, and we weren't able to collect, you know, 2 containers worth of equipment. maybe the worth of hundreds of thousands of dollars of medical supplies, mostly dispose of and medical supplies. and we also had another warehouse in kansas . we weren't able to ship. one can seen are so far as what we have here. and again,
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it's all because of the extreme complexity of the logistics of lot who is that receiving and where are the supplies going to go? and it does not like you said it is what it does, not peasy. that's again talking about what we can bring from the united states to the people who needed the most and goods that to the hospitals. now, speaking also in egypt, we wouldn't be able through, you know, collaboration with other organizations to bring some, you know, basic food supplies or tends to host the people who are displays. right? and again, the flow is very limited and the procedure is very complex through bringing stuff through the border. so i think the part of intake, which is that i thought border, you know, 1st of all the 1st of all it is control you know, by, in gibson government. and 2nd of all, it is controlled by that. how much or how, what is the capacity of the border that can bring in? and that, of course, you have to go through with the procedure of inspecting and making sure you know
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what is being brought right? is, you know, mean, so it is a very complex process and the same thing applies actually to bringing you medical teams. it's a pretty complex process, requires a lot of work and preparation. when we did a show recently, we had a show recently with folks who were very knowledge about and right and under a situation providing support and that that roster area the population as well as from 300000 people to one and a half 1000000 now. so that the scale of need in volume, but dr. off, but i would like to get your sense of what you think from your experience is impeding the delivery of the supplies that so many say they're trying to give find this is that like who's getting in the way? yeah, i mean look before october 7th, we know 500 trucks of 8 or is getting into the guys a strip every single day after october 7th, we know that number went down to 0 and now we're at a plateau, a between 80 and a 100 trucks entering every single day, why are we not at 500? where's the bottom mac? and if you ask the people that are all are involved in this process,
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they're all blaming each other. and my conclusion is that everybody is to blame the chips and government to the israeli government, the united states government, there needs to be the will to bring in more aid. and if you talk to the heads of these n g o's underground, they're saying we need around a 1000 trucks a day. keep in mind, since october 7th, not a no fuel has entered into the gaza strip. and i can tell you that why that's a public health disaster, we need the fuel, the power, the generators to keep the light finding the hospital. so what's happening at the junction border and buffer is no short of people, not having the motivation to increase the abs entering into the gaza strip. why? that's the case. i don't have an answer because we're dealing with the worst humanitarian crisis since world war 2. and i'll tell you something as well just because there are trucks getting in, there are still severe restrictions. i'll give you one example. when i was there and most of hospital there was a young man who's john had been shattered after he was hit by a drone, his draw had been shattered. it's very simple to fix this. actually, you just need
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a metal plate. you put it in the job, he'll, he'll, he'll do bit, he'll do fine. he had to sit there with his shadow job, unable to drink any water, any food, because no metal medical parts are allowed to enter through this border. now is that reality doesn't change. you can bring in a 1000 trucks, but if you're still restricting the items on those trucks, we're still going to be dealing with a very desperate situation that talked about what would you tell doctors who wants to volunteer or nurses, or other health care professionals who want to go to god. so what council would you give them? i mean i think it's important to talk to our colleagues on the ground there and figure out what they need. that's hard because telecommunications, it's so often blacked out while i was there, there was a telecommunications back out of 8 days. so physicians going to communicate with each other, hospitals couldn't communicate with each other. so it was a major issue. but it's important to figure out how we can support the local health care workers who have been working nonstop since the beginning of this war, who are not being paid while working. 24 hour shift. what do they need?
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they're incredible conditions. i'm telling you, steve, these are some of the best doctors i've ever been around. i mean, they are just so amazing. they don't, they're doing a lot with a little. how can we help them? what can we do? and then when you come back, if you're able to make it out of guys, okay. once you come back, your job doesn't stop. that's when it becomes even more important. you need to start advocating for their relief for their protection, for humanitarian aid entry. and most importantly, we need a ceasefire now, i mean, it doesn't matter how much age you're bringing in. if they're still ex $35.00, spying over the skies of the gaza strip. we're still going to be in trouble. we're not going to be able to stop the bleeding. why? when you see hospitals, when you see doctors without borders targeted, it's just what does it say. you need a game. it sees that the risk of, of going or being and because that is huge and it says that no one is safe. and what does that this bruton war is not paid in any life, no matter who you are. and no matter what you do, even if you are a doctor,
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even if you are charged, even if you are american, no matter who you are and what you are doing and guys that you are a potential target and the risk is there. everything said that, you know, we have a, an extensive process for the physicians who volunteer in terms of, you know, making sure they understand the risks involved. we also have these aster training courses that they have to take before they go. we have to make sure they get the vaccines that they need and they understand the complexity of the situation there. and we have to check on them on a daily basis. you know, having said that, i have to tell you from my private experience, visit being and because in 2022 and from what i hear from the people who go there, you know, the people in the hospital, the doctors, even the, you know, the, the people who are stationed at the hospital, they wouldn't do the best they can do to protect the doctors and to protect the physician. so we'll go there, they would put their life because they understand and appreciate that what, what is being done for somebody to volunteer. and to decide to go to guys
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a doing this condition, it always speaks of there's some flexibility that is appreciated by the people of guys a, an ever human, the darian organization in the world. and we won't continue to do this for as much as we can. well, let me just ask you about the eco, the point, sorry, i just wanted to say like, the, when you go there and you're speaking to these physicians and you're letting them know you came from the states. it's also a signal that despite whatever the policies may be, that there are people who aren't standing in solidarity, you will understand and they want you to support you in whatever way you can. so the one thing that i want to bring up a point that you brought up is in regards to the military is claiming they are at war with somebody or whatever it's taking place. and i think doctor might have made a strong point that the numbers speak for themselves. i mean, when you talk about 70 percent of the civilian infrastructure is destroyed, more than half of the hospitals are totally non functional. they've been damaged. the universities have been destroyed. the only medical school campus has been destroyed. you can say you're at war with anybody that you want to say. but when you look at the fact that the ground doing a good job at what your objective is,
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it's not working out very well. and there's an incredible amount of human suffering and loss that's taking place. and so, you know, i think that, you know, making that point about, just look at the data of the numbers, the facts on the ground. it speaks volumes. and it's really concerning right now gentlemen. i ask you both, we're either at a cross roads where there is no end in sight. and what we see the horde of keeps going on for for a very long time. or maybe there's a deal, a short term deal or mid term deal. there's a ceasefire, there's some ability to get to a different equilibrium. i don't know at the time of our talking right now, which of these past will be on the question i have for both of you is, are you prepared in your own contribution? and we're thinking about this, how, how far will you go, how long do you see this going and your commitment to what's evolving there entity reply to provide relief and support. uh, to the people of god at dr. hoffman. i mean, we're going to stop at nothing to try to provide the support for the people of guy
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. so because they didn't, they deserve our support in the situation that they've been placed. and it's horrendous. i mean, right now we're going to be advocating, day and night for a cease fire immediately, as well as humanitarian aid entering as well as hostages being released. we want people to stop suffering, we want the bleeding to stop. we want to be able to start rebuilding this a very devastated and desert and destroyed small strip of land called the gaza strip. and so, you know, this idea of there may be this operation that's going to take place in dropbox and you mentioned how many people are crammed into the office right now. more than a 1000000 and a half. this idea that of this work and continues of 2025. it's unacceptable, and we're not going to stand for and we're going to work 24 hours around the clock to make sure that the children and as a, especially the north of guys are who are sorting through animal feed to eat right now, that we can get them some proper meals, some proper care, some of the attrition. we want to make sure that the pregnant women or being kicked out of hospitals for hours after having a c section can actually have a proper space on prenatal and postnatal care. so this is of paramount importance
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and we're not going to accept this continuing any longer. dr. keith and i last word . yeah. you know, i think it again the bottom line of all of this and what's, what's gonna stop or where are we gonna stop? i don't think we're gonna stop as an organization is uplifting. an organization would have been committed to supporting in the health care and poster. and we're not going to stop for any reason. and what we need really isn't immediate unconditioned in a humanitarian ceasefire. and to allow unconditional medical supplies and human opinion, a doing starting to heads up. and we also need to immediately start doing efforts to rebuild the health care system because that, and save the southern and go innocent women and children. and that, that's, that's the bottom line of, of, of what we're doing and what we will continue to do. dr. fire off model, recent volunteer at nasa hospital and con eunice and dr. and why i keep that co founder of the panelists. they need an american medical association. thank you so much for sharing your perspectives with us. thank you. thank you for having us. so
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what's the bottom line in the gaza strip? it seems that the is really, are working along 2 tracks. the fast track is the bombing and drone attacks, which have killed and maimed, a 100000 palestinians in the past 5 months with no end in sight. but there's another track, the slower track to make gaza unlivable. so that means destroying schools. home is mosque. bakeries, power and water supplies, roads just about everything. and it means blocking food in medicine to the entire population of 2300000 people. if it's real, gets its way, disease and starvation will do what armies can't on a massive scale. for now, as long as the work goes on, it feels like we're all stuck here watching a horror movie with a big difference that most people have shelter, medicine, food and water within reach. while the people have gaza, just go. and that's the bottom line. the hey roland is going to the polls. so alexis,
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parliament is as well as 80 members of the assembly of exports, a body and power to appoint a future supreme leader of our own. with a question of succession moving original stand off in place. and one of the heaviest inflation rates in the world where the outcome of the election have an impact on the countries future. iran elections on out to 0 african narrative from african perspectives, the competitive vehicle this timber service, and to show documentaries by applicant filmmakers from rwanda and democratic republic of congo. andrew seattle easy on the drive on and reinventing costs on a new series of africa, direct on how to sierra i care about helping us engages with the rest of the world . we're really interested in taking you in to
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a place you might not visit otherwise. i feel that you were there, the, or the
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scenes of panic in chaos in northern gaza after these really military fires at thomas to me is connecting food at a distribution center. the clovis is out g 0 live from doha. i'm putting back people also coming up from us down phase comments made by us president joe biden, that a c y d, and is imminent. say they're still waiting for a proposal on his 1st state visit to find the mayor of contact as cost as the
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potential see sign guys up with the french president and also in the use presidential.

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