Friday, 29 December 2023

Thousands move again as fresh exodus causes havoc in central Gaza, amid Israeli advances.

 Extract from ABC News


ABC News Homepage

Tens of thousands of already displaced Palestinian families took flight again on Thursday in a new mass exodus in central Gaza, where Israeli forces mounting a major advance pounded areas already teeming with those driven out of the north.

Further south, Israeli forces struck the area around a hospital in the heart of Khan Younis, the Gaza Strip's main southern city, where residents feared a new ground push into territory crowded with families already made homeless by 12 weeks of war.

Israel has escalated its ground war in Gaza sharply since just before Christmas, despite public pleas from its closest ally, the United States, to scale the campaign down in the closing weeks of the year.

The main focus of fighting is now in central areas south of the wetlands that bisect the Gaza Strip, where Israeli forces have ordered civilians out as their tanks advance.

Tens of thousands of people fleeing the huge Nusseirat, Bureij and Maghazi districts of central Gaza were heading south or west on Thursday into the already overwhelmed city of Deir al-Balah along the Mediterranean coast, crowding into hastily built camps of makeshift tents.

A wide shot of a woman sitting on a footpath in Gaza, sounded by a group of children, near damaged buildings and people walking.
Tens of thousands of families fled districts of central Gaza as Israeli forces mounted a major advance.(AP: Hatem Ali)

"Over 150,000 people — young children, women carrying babies, people with disabilities & the elderly — have nowhere to go," the main United Nations organisation operating in Gaza, UNRWA, said in a social media post, decrying what it called "forced displacement" under Israeli evacuation orders.

The eastern part of Bureij saw heavy fighting on Thursday morning, with Israeli tanks pushing in from the north and east, residents and militants said.

"That moment has come. I wished it would never happen, but it seems displacement is a must," said Omar, 60, who said he had been forced to move with at least 35 family members.

"We are now in a tent in Deir al-Balah because of this brutal Israeli war," he told the Reuters news agency by phone, declining to give a second name for fear of reprisals.

"Israel is killing doctors, social media influencers, journalists, and civilians," he said.

Israel says it is doing what it can to protect civilians and blames Hamas for operating among them, which Hamas denies.

Israel says it will not halt its ground campaign in Gaza until it annihilates the Hamas movement which controls the enclave.

The war erupted when Hamas militants crossed the border and killed 1,200 people and captured 240 hostages on a rampage through Israeli towns on October 7.

The Israeli assault has laid much of Gaza to waste. According to Gaza's Hamas-run health ministry, more than 21,100 people — nearly 1 per cent of Gaza's 2.3 million population — have been confirmed killed, with thousands more dead feared lost in the ruins.

Virtually all residents have been driven from their homes at least once, and many have been forced to flee several times. Only a handful of hospitals are still functioning.

Israel claims to have killed 8,000 Hamas fighters so far.

Reuters

Why are Israel and Hamas fighting?


Pregnant mothers in Gaza reportedly facing cesareans without anaesthetic, emergency hysterectomies and death.

Extract from ABC News

Posted 
Palestinian woman Iman holds her newborn twins Uday and Hamza Abu Odah at Nasser hospital.
The United Nations Children's Fund estimates about 180 babies are being born in Gaza each day. ()

The sound of women and newborn babies screaming in pain is constant inside Gaza's hospitals.

WARNING: This story contains distressing content.

Amid the raging war, women are reportedly giving birth on rubble-filled floors, undergoing emergency caesareans with no anaesthetic or pain relief, and even dying after childbirth due to a lack of medical supplies.

Despite few functioning hospitals still in operation in Gaza, it's estimated 180 babies are being born into the war zone every day.

The United Nations Children's Fund (UNICEF) has warned women, children and newborns are disproportionately bearing the brunt of the war.

'Pregnant women living amid rubble'

A man seen putting up an IV in the operating room in Gaza.
Yafa Abu Akar says a woman she knew had to have an emergency caesarean without anaesthetic. (Supplied: Oxfam)

In early November, the UN agency reported there were some 50,000 pregnant women in Gaza, and 15 per cent of them were likely to experience birth- or pregnancy-related complications.

Yafa Abu Akar lives in Khan Younis in Gaza, sheltering with thousands of others in abandoned buildings.

She told the ABC she personally knew women who had bled to death giving birth in Nasser hospital, the only hospital in the area, which is barely functioning due to constant bombardment by Israeli forces.

She told the ABC doctors performed an emergency caesarean on one 25-year-old woman she knew because of complications.

Due to heavy bleeding, the woman had to have her womb removed after birth — a situation that could have been avoided if proper health care was available, she said. 

A photo of a woman wearing a beige and grey hijab and green dress.
Yafa Abu Akar lives in Khan Younis in the southern Gaza Strip. 

"She's young, it was her first child, and she won't be able to have kids again. Some other women didn't survive at all from bleeding out," Yafa said.

"Pregnant women are living amid the rubble and women are facing dire circumstances in every aspect of their life here."

In October, the World Health Organization (WHO) warned patients were being operated on without aesthetic due to low medical supplies.

Since then, the situation has gotten worse, with the WHO decrying the "decimation" of Gaza's health system while commending health professionals there for continuing to work under extreme circumstances.

Yafa said a woman she knew in Khan Younis, who was nine months pregnant, had endured a "horrible situation".

She said doctors "were forced to cut open her stomach to get the baby out" with no pain relief.

During that time the woman lost her husband, mother and father to the war.

"Her child, a girl, lived, thankfully, but after what? [The woman] lost her whole family in the war," Yafa said.

UNICEF expressed concerns that women who were unable to make it to hospitals in Gaza would have to give birth in unsafe conditions.

They predicted maternal deaths would increase given the lack of access to adequate care.

According to Yafa, those concerns are being been borne out.

In other parts of Gaza, she said she had heard of pregnant women who didn’t make it to hospitals in time being forced to give birth inside whatever remained of their homes.

Some had died and left children behind, she said. 

Giving birth in hospital safely 'impossible'

A woman peers into an incubator where her premature baby is seen.
Premature babies are adding to the infant death toll in Gaza, doctors said.(Reuters: Amr Abdallah Dalsh)

Oxfam partner Juzoor is one of a handful of organisations operating in northern Gaza.

It supports 500 pregnant women among up to 35,000 others crammed into 13 shelters that are without clean water or proper sanitation.

In some situations, up to 600 people are sharing one toilet.

Giving birth in a hospital safely had become "impossible", Juzoor's executive director Umaiyeh Khammash said.

He said in each of the 13 shelters Juzoor runs, at least one newborn had died due to preventable causes over the past month.

Mr Khammash said this number was "very high" and was being reflected in a significant increase to the infant mortality rate in Gaza.

A woman wearing a black hijab is seen with her baby sitting on a hospital bed.
People in Gaza don't have enough eat, and pregnant women are unable to receive enough nutrition. (Supplied: Oxfam)

According to Juzoor's network of doctors, premature births have also increased by between 25 per cent and 30 per cent, as stressed and traumatised pregnant women faced a myriad of challenges, such as walking long distances in search of safety, running away from bombs and being crowded into unsafe shelters.

Meanwhile, the entire 2.3 million population of the Gaza Strip is facing crisis levels of hunger and the risk of famine is increasing each day, according to the UN's Integrated Food Security Phase Classification (IPC).

At least one in four households — or 577,000 people — in Gaza are already facing catastrophic hunger, suffering from an extreme lack of food, starvation and exhaustion of coping capacities, the IPC found.

The United Nations Population Fund (UNFPA) estimated 45,000 pregnant and 68,000 breastfeeding women in Gaza did not have enough food to eat, putting them at a higher risk of developing pre-eclampsia, haemorrhages, or even dying.

UNFPA said malnourished women also faced the prospect of having babies with a low birth weight.

'It's extremely challenging to be pregnant in Gaza'

Médecins Sans Frontières (MSF) deputy director Natalie Thurtle just got back to Australia from Jerusalem, where she was responsible for coordinating MSF's medical emergency response in Gaza over the last two years.

Two MSF workers are assisting a patient in a hospital room. A woman wearing a hijab sits on the bed, looking upset.
Everyday issues that could otherwise be managed with proper healthcare are being missed due to the lack of continuity in care available.(Supplied: MSF)

"It's extremely challenging to be pregnant in Gaza right now," Dr Thurtle said.

She said women were being discharged from hospitals as soon as they could walk after birth because there was nowhere for them to receive postnatal care.

"Those babies are being born … but are they being born safely? Almost certainly not," Dr Thurtle said.

Doctors say everyday issues that could otherwise be managed with proper healthcare are being missed due to the lack of continuity in care.

A photo of a woman wearing a white shirt, with the MSF logo on it.
Dr Thurtle says managed birth isn't possible in Gaza.(Supplied: MSF)

They range from women who have gestational diabetes to newborns needing to gain more weight.

"For people who need to have a managed birth and need to have medical help around their birth, that's not consistently and sustainably available," Dr Thurtle said.

She said "urgent care is essentially not happening" for women in labour, given the number of people needing treatment from war injuries.

"All of those services are falling over. Every day the space that [MSF] can work in is getting smaller. Every day the security is getting worse," Dr Thurtle said

MSF staff have been working in Gaza's hospitals and clinics throughout the conflict, but they say hospitals and ambulances are under siege.

The organisation said patients and medical staff were being injured and killed, and access to the wounded and sick was impeded by insecurity, lack of fuel, and mobile phone connectivity.

MSF said hundreds of healthcare workers have already been killed, including three of its own staff, while nearly 60 ambulances had been hit and damaged.

"We cannot work in this level of conflict with not enough aid making it in, with healthcare, and infrastructure being directly targeted," Dr Thurtle said.

"We desperately need this to stop. Until it stops we just almost cannot work … it's almost impossible."

In particular, Dr Thurtle said the severity of children's injuries in Gaza was "extremely confronting" and still haunted her.

"Hearing about the children who are dead on arrival, children who've got rotting limb injuries from very delayed presentation to care, from being bombed.

"These children without any surviving family, which is very common now who need anaesthetic and then when they wake up from surgery [screaming].

"Pick a story, because there's a lot of tragedy."

Women take the pill to stop menstruating

In addition to the daily struggles of finding drinkable water, food, and proper shelter, practising feminine hygiene, including the use and disposal of sanitary napkins, is a daily struggle for women.

Yafa said many women were taking birth control to stop menstruating because of the lack of access to sanitary napkins.

"Most women use whatever material is available to them during their periods," she said.

"They have no other choice. Their health is weak because of the lack of food, water, and nutrition.

"The pill has affected many women's mental health, their wellbeing in general."

Dr Thurtle said it was "really quite grim for all of the females who menstruate in Gaza".

"If you think about changing, [and] having menstruation where you have no access to sanitary products, where you only have one toilet between 20 people, you're living in an environment where you can't keep yourself clean, you can't shower," she said.

"That may not be the most dramatic manifestations of the war but it's still extremely dehumanising."

A female nurse wearing a hijab is seen administering an IV on a patient in Gaza.
Doctors worry women in Gaza are at risk of many health issues.(Supplied: Oxfam)

Dr Thurtle and Yafa said women were bearing the brunt of the war.

Yafa said they were often forced to fend for their families, with men injured, sick or killed during the war.

"[Women] have to find wood for [cooking] food, and shelter for their children, searching in between blown-up homes, and wherever they can," Yafa said.

"They're forced to look between the rubble just for things just to survive."

You can’t reverse the ageing process, but these five things can help you live longer.

 Extract from The New Daily

Regular exercise protects against chronic illness, lowers your stress and improves your mental health.

Regular exercise protects against chronic illness, lowers your stress and improves your mental health.

At this time of year many of us resolve to prioritise our health. So it is no surprise there’s a roaring trade of products purporting to guarantee you live longer, be healthier and look more youthful.

An estimated 25 per cent of longevity is determined by our genes, but the rest is determined by what we do, day to day.

There are no quick fixes or short cuts to living longer and healthier lives, but the science is clear on the key principles.

Here are five things you can do to extend your lifespan and improve your health.

1. Eat a predominantly plant-based diet

What you eat has a huge impact on your health.

The evidence overwhelmingly shows eating a diet high in plant-based foods is associated with health and longevity.

If you eat more plant-based foods and less meat, processed foods, sugar and salt, you reduce your risk of a range of illnesses that shorten our lives, including heart disease and cancer.

Delicious Mediterranean serving platter.

The Mediterranean diet is one of the healthiest and most studied eating patterns.

Plant-based foods are rich in nutrients, phytochemicals, antioxidants and fibre. They’re also anti-inflammatory.

All of this protects against damage to our cells as we age, which helps prevent disease.

No particular diet is right for everyone, but one of the most studied and healthiest is the Mediterranean diet.

It’s based on the eating patterns of people who live in countries around the Mediterranean Sea and emphasises vegetables, fruits, wholegrains, legumes, nuts and seeds, fish and seafood, and olive oil.

2. Aim for a healthy weight

Another important way you can be healthier is to try and achieve a healthy weight, as obesity increases the risk of a number of health problems that shorten our lives.

Obesity puts strain on all of our body systems and has myriad physiological effects, including causing inflammation and hormonal disturbances.

These increase your chances of a number of diseases, including heart disease, stroke, high blood pressure, diabetes and a number of cancers.

In addition to affecting us physically, obesity is also associated with poorer psychological health. It’s linked to depression, low self-esteem and stress.

One of the biggest challenges we face in the developed world is that we live in an environment that promotes obesity.

The ubiquitous marketing and the easy availability of high-calorie foods our bodies are hard-wired to crave mean it’s easy to consume too many calories.

3. Exercise regularly

We all know that exercise is good for us – the most common resolution we make this time of year is to do more exercise and to get fitter.

Regular exercise protects against chronic illness, lowers your stress and improves your mental health.

Although one of the ways exercising helps you is by supporting you to control your weight and lowering your body fat levels, the effects are broader and include improving your glucose (blood sugar) use, lowering your blood pressure, reducing inflammation, and improving blood flow and heart function.

Woman with grey hair does yoga outside

Do the types of exercise you enjoy.

It’s easy to get caught up in all of the hype about different exercise strategies, but the evidence suggests that any way you can include physical activity in your day has health benefits.

You don’t have to run marathons or go to the gym for hours every day.

Build movement into your day in any way that you can and do things that you enjoy.

4. Don’t smoke

If you want to be healthier and live longer, don’t smoke or vape.

Smoking cigarettes affects almost every organ in the body and is associated with both a shorter and lower quality of life.

There is no safe level of smoking – every cigarette increases your chances of developing a range of cancers, heart disease and diabetes.

Even if you have been smoking for years, by giving up smoking at any age you can experience health benefits almost immediately, and you can reverse many of the harmful effects of smoking.

If you’re thinking of switching to vapes as a healthy long-term option, think again.

The long-term health effects of vaping are not fully understood and they come with their own health risks.

5. Prioritise social connection

Older men play chess outdoors.

Don’t forget about friendship and socialising.

When we talk about living healthier and longer, we tend to focus on what we do to our physical bodies.

But one of the most important discoveries over the past decade has been the recognition of the importance of spiritual and psychological health.

People who are lonely and socially isolated have a much higher risk of dying early and are more likely to suffer from heart disease, stroke, dementia as well as anxiety and depression.

Although we don’t fully understand the mechanisms, it’s likely due to both behavioural and biological factors.

People who are more socially connected are more likely to engage in healthy behaviours, and there also seems to be a more direct physiological effect of loneliness on the body.

So if you want to be healthier and live longer, build and maintain your connections to others.The Conversation

Hassan Vally, Associate Professor, Epidemiology, Deakin University

This article is republished from The Conversation under a Creative Commons licence. Read the original article.

James Hansen - Good News for Young People About Climate Change and a Thank You

 

Fig. 1. Fossil fuel emissions divided into portions appearing in the annual increase of airborne CO2 and the remainder, which is taken up by the ocean and land (1 ppm CO2 ~ 2.12 GtC).
 
Good News for Young People About Climate Change and a Thank You

28 December 2023
James Hansen, Makiko Sato, Pushker Kharecha
Abstract. Our climate research and analysis places comparable emphasis on paleoclimate information, global climate modeling, and modern observations of ongoing global change. Despite our findings[1] that climate sensitivity is greater than the canonical estimate of 3°C equilibrium warming for doubled CO2 and that global warming is accelerating, let us end the year with some real-world good news.
Betsy Taylor, President of the Board[2] of Climate Science, Awareness and Solutions (CSAS.inc), asked if we had any good news to counter pessimism from our findings that climate sensitivity is 4.8°C ± 1.2°C, much higher than the 3°C best estimate of the Intergovernmental Panel on Climate Change (IPCC), and that global warming is accelerating due to reduction of human-made aerosols.[1]

We proffer new evidence of nature’s ability to help clean up human pollution of the climate system, specifically nature’s ability to rapidly absorb a large part of the CO2 that humanity injects into the air by burning fossil fuels. There has long been a “carbon cycle” mystery, a “missing carbon sink.” Fossil fuel emissions are known quite accurately, shown by the upper curve in Fig. 1a, increasing by about a factor of four from ~2.5 GtC (gigatons of carbon) in 1960 to ~10 GtC in the last few years. However, the amount of carbon (C) appearing in the air is not much more than half (blue area in Fig. 1) of the fossil fuel emissions, and that fraction has even decreased over the past few decades.

The “problem” was that the most expert estimates for the ocean and terrestrial “sinks” for increased atmospheric CO2 did not add up to the magnitude of the disappearing CO2 (yellow area in Fig. 1), especially after estimates were included for the additional carbon source from deforestation. Resolution of this problem, in part, is provided by the new paper of Wang et al. (2023).[3] They use data-driven analysis of the carbon, oxygen and phosphorus cycles in the ocean, accounting for all known export pathways for carbon, and obtain greater advective-diffusive downward transport of biological carbon than that found in more conventional global climate modeling. The upshot is that the deep ocean may provide a little more help in taking up excessive atmospheric CO2 than most models have been indicating. This does not alter conclusions in our paper Global Warming in the Pipeline,[1] which uses empirical carbon cycle data. Fig. 1 above is Fig. 26 in Pipeline.
Fig. 2. Carbon intensity (carbon emissions per unit energy use) of several nations and the world. Mtoe = megatons of oil equivalent. Data sources (Hefner at al.[4] and Energy Institute[5]).
The world has made progress in reducing the carbon intensity of its energy, i.e., carbon emissions per unit energy use (Fig. 2). Over the past half century, the carbon intensity has declined from a bit less than 0.8 to a bit less than 0.7. We compare the carbon intensity of various nations (Fig. 2) as that helps reveal how effective different energy policies are. Fig. 2 is Fig. 32 in the energy policy section of the Pipeline paper.

The progress in reducing carbon intensity is welcome, but small compared to the task at hand. Global carbon emissions are the product of carbon intensity and energy use, and global energy use is still rising, as much of the world is in the process of raising their living standards. Fig. 3 is a new figure made by Makiko Sato, which compares fossil fuel emissions to emissions in 1997, the year of the Kyoto Protocol. Global emissions have increased about 50 percent since 1997 and show no signs of the very steep decrease that would be needed to keep global warming below 2°C. Although nations with emerging economies and nations that are just beginning to develop economically have the largest growth rates, their contribution to climate change is smaller than that of the mature economies, especially on a per capita basis, as shown by several graphs in Pipeline.
Fig. 3. Global, national and regional fossil fuel CO2 emissions relative to emissions in 1997.
We are especially grateful for the unusual level of support that we received in 2023, which made it possible for us to finish the Pipeline paper, a 2+ year project. Specifically, we were able to hire Isabelle Sangha, whose contributions were essential to complete the Cenozoic section of the paper (in an upcoming communication we will explain why the Cenozoic analysis is important for understanding climate change and implications for policy; Isabelle is now in a Ph.D. program at Cambridge University) and Joe Kelly, who is helping us investigate cloud feedbacks in climate models and in the real world.

Clouds are a great challenge, because of their role as both a climate feedback and a climate forcing. Our inference of high climate sensitivity implies that clouds provide a large, amplifying, climate feedback. However, cloud changes also provide the mechanism by which aerosol changes cause a large climate forcing. This complicates the task of quantifying both the cloud feedback and the aerosol climate forcing.

Our expectation for 2024 is that continued unusual global warming will provide empirical evidence of the strong acceleration of global warming. Our goal is to complete work that helps provide understanding of ongoing climate change and actions that are needed to avoid unacceptable consequences for young people and future generations.  

We are grateful for the wonderful support that we received in 2023 as delineated in section 2.6 of our recent communication (“A Miracle Will Occur” Is Not Sensible Climate Policy).[6] We hope for continued support in 2024, which will be a challenging year because Makiko Sato will be retiring in late 2024 and we need to continue her remarkable work in obtaining, updating, and helping us understand the huge number of data sets that are needed to analyze climate change. We apologize for failure to send out thank you letters to supporters as we have been without a local program coordinator for some time. Eunbi Jeong continues to work with us part-time from Korea, via CSAS.inc, but work at a distance places limitations on some activities.

Contributions to our work are equally useful to CSAS at Columbia University or CSAS.inc; both are 501(C3) non-profits. CSAS at Columbia supports people with University appointments while CSAS.inc supports all other costs without overhead. Instructions for donations are at:
CSAS-Columbia University: https://csas.earth.columbia.edu/giving
CSAS.inc: https://www.climatescienceawarenesssolutions.org/donate
[1] Hansen J, Sato M, Simons L et al. Global warming in the pipeline. Oxford Open Clim Chan 2023;3(1):kgad008, doi.org/10.1093/oxfclm/kgad008
[2] Board of Directors for Climate Science, Awareness and Solutions.inc
[3] Wang WL, Fu W, Le Moigne FAC et al. Biological carbon pump estimate based on multidecadal hydrographic data. Nature 2023;624:579-85
[4] Hefner M, Marland G, Boden T et al. Global, Regional, and National Fossil-Fuel CO2 Emissions, Research Institute for Environment, Energy, and Economics, Appalachian State University, Boone, NC, USA. https://energy.appstate.edu/cdiac-appstate/data-products (20 August 2023, date last accessed)
[5] Energy Institute. 2023 Statistical Review of World Energy (20 August 2023, date last accessed)
[6] Hansen J, Kharecha P, Sato M. “A Miracle Will Occur” Is Not Sensible Climate Policy. 07 December 2023.