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A medic looks on during a demonstration near the separation fence with Israel in southern Gaza, May 18, 2018. © 2018 Reuters

According to the Gaza Ministry of Health, an Israeli sniper fatally shot 21-year-old paramedic Razan al-Najjar inside Gaza near the separation fence on June 1, 2018. According to a medical volunteer with al-Najjar when she was shot, al-Najjar was clearly identifiable as a medical volunteer and aiding injured demonstrators. The Israeli army has said “no shots were deliberately or directly aimed towards her.”

On May 14, 2018, an Israeli sniper shot Dr. Tarek Loubani in the leg near the separation fence. He is one of 25 medical workers and first-responders injured by live fire in demonstrations in Gaza between March 30 and June 2, according to Gaza’s Health Ministry. Loubani wrote that, when shot, he too was clearly identifiable as a doctor, and that most paramedics were wearing bright, fluorescent jackets. He said there were no protests, fire, or smoke in his immediate vicinity, and he and his colleagues were standing still and talking. According to Loubani, one hour later, the paramedic who had rushed to his aid, Musa Abuhassanin, was shot in the chest and killed by Israeli fire while assisting in another rescue.

These shootings take place during an overall health crisis in Gaza, worsened by its decade-long closure by Israel.

The closure, exacerbated by Egypt’s usually sealed border to the south, as well as disputes between the Palestinian Authority and Hamas, has left medical facilities struggling to operate due to severe lack of electricity and shortages of medicines. Hospitals rely on generators to get them through power cuts, but they are prone to malfunction. Israel blocks many critically ill residents from accessing care outside Gaza, leaving them few options but to seek care at overstretched hospitals and clinics in Gaza.

Shooting at medical workers adds further strain to a system already struggling to cope.

Before he was shot, Loubani attended a Human Rights Watch event in Toronto and discussed the humanitarian impact of the decade-long closure. When discussing the bleak situation in Gaza, Loubani was asked if he had hope. He said, “Working in a hospital without electricity, sutures, or supplies, all you can have is hope. Hope that this will, one day, get better.”

Lifting Israel’s closure of Gaza and the accompanying indiscriminate restrictions on the movement of people and goods would mark a major step in that direction. Accountability for serious abuses would be another; the Commission of Inquiry set up by the United Nations Human Rights Council to examine the killings in Gaza should investigate the attacks on medical workers.

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