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Little light, no beds, not enough anesthesia: A view from Gaza's hospitals_我的网站

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A | DEIR AL-BALAH, Gaza Strip -- The only thing worse than the screams of a patient undergoing surgery without enough anesthesia are the terror-stricken faces of those awaiting their turn, a 51-year-old orthopedic surgeon says.When the Israeli bombing intensifies and the wounded swamp the Gaza City hospitals where Dr. Nidal Abed works, he treats patients wherever he can — on the floor, in the corridors, in rooms crammed with 10 patients instead of two. Without enough medical supplies, Abed makes do with whatever he can find – clothes for bandages, vinegar for antiseptic, sewing needles for surgical ones. Hospitals in the Gaza Strip are nearing collapse under the Israeli blockade that cut power and deliveries of food and other necessities to the territory. They lack clean water. They are running out of basic items for easing pain and preventing infections. Fuel for their generators is dwindling.Israel began its bombing campaign after Hamas militants surged across the border on Oct. 7 and killed over 1,400 people, mostly civilians, and abducted more than 200 others. Israel's offensive has devastated neighborhoods, shuttered five hospitals, killed thousands and wounded more people than its remaining health facilities can handle.“We have a shortage of everything, and we are dealing with very complex surgeries,” Abed, who works with Doctors Without Borders, told The Associated Press from Al Quds Hospital. The medical center is still treating hundreds of patients in defiance of an evacuation order the Israeli military gave Friday. Some 10,000 Palestinians displaced by the bombing have also taken refuge in the hospital compound.“These people are all terrified, and so am I," the surgeon said. “But there is no way we'll evacuate.” The first food, water and medicine trickled into Gaza from Egypt on Saturday after being stalled on the border for days. Four trucks in the 20-truck aid convoy were carrying drugs and medical supplies, the World Health Organization said. Aid workers and doctors warned it was not nearly enough to address Gaza’s spiraling humanitarian crisis. “It's a nightmare. If more aid doesn’t come in, I fear we’ll get to the point where going to a hospital will do more harm than good,” Mehdat Abbas, an official in the Hamas-run Health Ministry, said. Across the territory’s hospitals, ingenuity is being put to the test. Abed used household vinegar from the corner store as disinfectant until the stores ran out, he said. Too many doctors had the same idea. Now, he cleans wounds with a mixture of saline and the polluted water that trickles from taps because Israel cut off the water. A shortage of surgical supplies forced some staff to use sewing needles to stitch wounds, which Abed said can damage tissue. A shortage of bandages forced medics to wrap clothes around large burns, which he said can cause infections. A shortage of orthopedic implants forced Abed to use screws that don't fit his patients' bones. There are not enough antibiotics, so he gives single pills rather than multiple courses to patients suffering terrible bacterial infections. “We are doing what we can to stabilize the patients, to control the situation,” he said. “People are dying because of this." When Israel cut fuel to the territory's sole power plant two weeks ago, Gaza's rumbling generators kicked in to keep life-support equipment running in hospitals. Authorities are desperately scrounging up diesel to keep them going. United Nations agencies are distributing their remaining stocks. Motorists are emptying their gas tanks. In some hospitals, the lights have already switched off. At Nasser Hospital in the southern city of Khan Younis this week, nurses and surgical assistants held their iPhones over the operating table, guiding the surgeons with the flashlights as they snipped. At Shifa Hospital, Gaza’s biggest, where Abed also worked this week, the intensive care unit runs on generators but most other wards are without power. Air conditioning is a bygone luxury. Abed catches beads of sweat dripping from his patients’ foreheads as he operates.People wounded in the airstrikes are overwhelming the facilities. Hospitals don't have enough beds for them. “Even a normal hospital with equipment would not be able to deal with what we’re facing,” Abed said. “It would collapse.” Shifa Hospital — with a maximum capacity of 700 people — is treating 5,000 people, general director Mohammed Abu Selmia says. Lines of patients, some in critical condition, snake out of operating rooms. The wounded lie on floors or on gurneys sometimes stained with the blood of previous patients. Doctors operate in crowded corridors filled with moans. The scenes — infants arriving alone to intensive care because no one else in their family survived, patients awake and grimacing in pain during surgeries — have traumatized Abed into numbness. But what still pains him is having to choose which patients to prioritize.“You have to decide," he said. “Because you know that many will not make it."___DeBre reported from Jerusalem.。　　人民日报客户端　　王珂　　前7月的消费市场成绩单，近日出炉。数据显示，今年以来，我国消费市场保持向新向优发展态势，规模稳步扩大、质量不断提升。1—7月，社会消费商品和服务零售总额同比增长2.6%，其中服务零售额增长5.0%，持续快于商品零售额增速。数据之外，中国消费透出的满满“福祉含量”，更值得关注。　　这份“福祉含量”，体现在服务消费扩容、添彩美好生活上。从假日出行人流如织，到社区健身场馆人气高涨；从博物馆、美术馆参观者络绎不绝，到普惠托育、居家养老服务走进百姓家，服务消费亮点纷呈，映照出人们的需求正从物质满足向精神愉悦延伸。1—7月，旅游咨询租赁服务类、文体休闲服务类零售额增速均超过10%，7月电影票房同比增长超20%。越来越多家庭为休闲、健康、文化、教育买单。　　这份“福祉含量”，体现在商品提质升级、提升生活质感上。一台节能冰箱降低家庭电费，一台智能家电解放家务时间，一辆新能源车让出行更经济环保——在消费品以旧换新政策推动下，更多绿色智能产品走进千家万户。7月，限额以上单位通讯器材、文化办公用品零售额分别增长20.4%、7.4%，新能源乘用车零售渗透率达65.1%，再创历史新高。这类升级型消费并非无关紧要的额外开销，而是直接优化居家、出行等日常场景的民生支出。

B | 高品质商品以更实惠的价格走进寻常百姓家，化为人们可感可及的生活福祉。　　这份“福祉含量”，还体现在城乡结构优化、优质供给覆盖更广上。随着县域商业体系建设推进，县域居民打破地域限制，同步享受到丰富优质的供给。

C | 1—7月，乡村消费品零售额同比增长2.4%，增速高于城镇1.3个百分点。从电商平台上农产品上行与工业品下行双向畅通，到乡镇商贸中心、特色大集焕发新活力，下沉市场的增长，不只是数字增加，更是城乡消费体验差距的持续收窄，是发展成果更多更公平惠及全体人民的生动写照。　　放在更长的时间维度看，中国消费“福祉含量”的稳步提升，是不可逆转的长期趋势。消费内涵不断拓展，从“有没有”到“好不好”，从“能用就行”到“绿色智能”，这一变迁既映射中国发展的民生底色，也与将惠民生和促消费紧密结合的政策取向高度契合。促消费政策跳出单纯扩规模的思路，坚持以人民为中心，将扩内需、促消费同改善生活品质紧密结合。从以旧换新让真金白银优惠直达群众、推动绿色智能产品扮靓百姓生活，到建设一刻钟便民生活圈、发展普惠托育和养老服务，再到完善社保医保、推进公共服务均等化、缓解后顾之忧……政策实践反复印证：惠民生是促消费的前提和基础，促消费是惠民生的重要途径。二者良性循环，让增长更有温度、更可持续。　　消费的终极意义，不是统计报表上的数字，而是人民实实在在的美好生活。当前，消费市场韧性强、潜力大、活力足的基本面没有改变。随着促消费系列政策持续落地见效，商品和服务供给不断优化，消费的“福祉含量”必将进一步提升，承载起更多人对美好生活的向往，为经济高质量发展注入更深厚、更持久的动力。