ISRAEL + HAMAS

Injured youth from Gaza find care in the US, face uncertain future

May 13, 2024, 7:00 AM | Updated: May 15, 2024, 11:07 am

Thirteen-year-old Ayham Musalm, center, is receiving treatment for a fractured leg and glass shrapn...

Thirteen-year-old Ayham Musalm, center, is receiving treatment for a fractured leg and glass shrapnel lodged in his knee. He was injured when debris from a strike on a neighbors’ house came straight into his home. (PCRF via CNN Newsource)

(PCRF via CNN Newsource)

(CNN) — Ahed Bseso lay on the kitchen table in her home in northern Gaza, watching as her uncle amputated her injured right leg with a knife. Standing by, her mother cried, “Ahed is dead!”

But 18-year-old Bseso was very much alive, and she has survived to tell her story, from a hospital in Greenville, South Carolina.

Bseso said that on December 19 last year, she went to the top floor of her house in Gaza to get a cellphone signal when an Israeli tank outside fired at her building. It destroyed part of her home’s wall, which came crashing down on her leg, along with heavy debris. With her neighborhood under siege and no possibility of medical attention, her uncle, who used to work as an orthopedic surgeon, used kitchen supplies to amputate her leg below the knee and dress it with unsterilized gauze.

The days that followed were horrifically painful.

“For four days, I couldn’t leave the house because the Israelis wouldn’t let me,” she told CNN through a translator, at the Shriners Children’s hospital. “There was no medication I could take to inhibit the pain or to help me with my condition. So, I just sat in agony for four days.”

The video of her amputation went viral and caught the attention of the Palestine Children’s Relief Fund (PCRF), a US organization that provides free health care to thousands of injured and ill Palestinian children in the Middle East. The organization worked for weeks to evacuate her from northern Gaza and bring her to the United States for medical care, according to Tareq Hailat, international pediatric healthcare coordinator at PCRF.

She is one of three Palestinians who received PCRF’s help to come to the US for leg injury treatment.

At least 1,000 children in Gaza have had one or both legs amputated, UNICEF reported in December. Though he couldn’t give an exact figure, UNICEF spokesperson Joe English told CNN that the number has since grown.

Nearly 26,000 children — or just over 2% of Gaza’s child population — were killed or injured in the Gaza Strip in the first six months of the Israel-Hamas war, according to international nongovernmental organization Save the Children. From October 7, 2023 — the date of the Hamas attack on Israel — to early April, more than 13,800 children were killed and at least 12,009 were injured, the organization said.

Avoiding amputations

Two-year-old Jood Damo’s house was struck by a tank shell on December 26 last year, killing his mother and fracturing his right leg.

His father, Ahmed Damo, who accompanied him to the US, told CNN that the toddler witnessed his mother dying. “To this day, he still has episodes where he asks about his mom,” he said. “Sometimes, he wakes up in the middle of the night, just crying and screaming, and asking about his mother.”

Now, doctors at another hospital in Chicago are assessing whether his injured leg will respond to treatment and grow at the same rate as his left leg. If not, it could significantly delay his path to recovery and treatment plan, PCRF said.

Ayham Musalm, 13, said his left leg was fractured and had glass shrapnel lodged in his knee when debris from a strike on a neighbors’ house came straight into his home on December 10. He went months, however, without anyone identifying what was wrong. “I wasn’t able to see any physician for a long time,” he told CNN. “Then one physician just sewed my wound, and said it wasn’t serious and sent me home.”

In the care of Shriners Children’s hospital in Greenville, Musalm has had access to imaging and MRI processes, which helped American experts find the shards of glass inside his knee. That led to surgery and further treatment, and he avoided amputation. He is now in physical therapy.

It took PCRF weeks and sometimes months to get children out of Gaza. Besides the time needed to secure their US visas, evacuating the children — or even moving them from one part of the strip to the other — required Israeli approval, which can be a complicated process, according to Hailat, who works on the evacuations.

This delay in treatment for such injuries can result in grave repercussions, said Dr. Amber Alayyan from Médecins Sans Frontières (Doctors Without Borders), an international aid NGO. “The longer they wait without care, the worse it’s going to be,” she said.

Alayyan, who has traveled in and out of Gaza several times, said the enclave could have handled the care for such injuries before its healthcare system was devastated by the war.

“We see people who, despite their burns, walk into the clinic without a jaw because the healthcare system has completely collapsed and there are no spaces to take care of these people in the hospitals,” she said. “There were 3,500 beds in the hospitals in Gaza before the war. But there are so many displaced people living, squatting, seeking shelter in hospitals, that there’s not even space for the patients.”

“As a result, the wounds that these patients are suffering from are beginning to literally rot,” she added. “They smell now.”

In these overwhelming conditions, doctors are struggling to identify infections and types of injuries, and the focus is entirely on saving lives.

“You wouldn’t necessarily need to carry out these life-saving amputations because you would have had a system that functioned. You would have had reconstructive surgery. Possibly, you would have had immediate lifesaving surgery possible, and they would have been able to save these limbs,” she said. “And now we are doing everything we can just to save lives in the moment.”

PCRF’s Hailat said he doesn’t know if Bseso’s injury required an amputation either. But with Gaza under siege, and no immediate medical attention, hospital care, and sterilized equipment available, amputation was the only choice. When she arrived in the United States, the bone in her other leg was also deeply infected. Doctors feared that she may have needed both legs amputated, but with adequate care and treatment, she has avoided that outcome.

An anxious wait to return home

Evacuating to the United States is not the obvious answer for all injured children, Hailat said. The country has accepted 20 children from Gaza for treatment, but Hailat said he has rerouted 17 of them to other nations.

Some injuries are so severe that Hailat said he has to choose medical care as quickly as possible — which means staying in the region — over expertise and the advanced level of care in the United States.

He also said he wants to ensure that the children who are evacuated to the US need treatment that’s specifically available in the country. “We’re trying to limit how many people we bring to the United States. We would much rather bring people to local areas and local countries around Gaza,” he said. “However, if specific treatment of that particular child is needed to be done in the United States, then we will go out of our way to ensure that happens.

Culture is also important for care and recovery, Hailat said. “Culturally, you don’t want to separate them so far away from their homeland that it’s difficult for them to adapt,” he said. “And I want them to be close to Gaza. This is a very sensitive time, and I don’t want them to feel as though we are separating them from their country.”

Back home, Bseso said her mother fell sick as malnourishment has plagued northern Gaza. She worriedly waits for more news and updates from home, and she knows that her family would be trying to make their way to the top of their residential building, to find a cell signal to contact her — the same ritual that put her in the Israeli line of attack.

Her hope is to reunite with them in a safe place. “We really need our family to be with us together,” she said.

Musalm, too, wants his treatment to finish so he can return to Gaza and see his family.

But there is no knowing when that may be. After their treatments, which Hailat said will most likely take a year, PCRF will ensure it is safe in Gaza before returning the children there. “We will not do that if it puts them in danger,” he said. “So we will have to wait to ensure that Gaza is able to be a safe location for them to return.”

The-CNN-Wire
™ & © 2024 Cable News Network, Inc., a Warner Bros. Discovery Company. All rights reserved.

We want to hear from you.

Have a story idea or tip? Send it to the KSL NewsRadio team here.

Israel + Hamas

President Joe Biden speaks with CNN’s Erin Burnett during an exclusive interview Wednesday, May 8...

Jack Forrest, Andrew Millman and Avery Lotz, CNN

Biden faces bipartisan backlash over Israel ultimatum

Biden is facing backlash from lawmakers over his Israel ultimatum that would result in a shut-off of some US weapons.

12 days ago

President Joe Biden arrives at Chicago O'Hare International Airport to attend a political fundraise...

ZEKE MILLER and AAMER MADHANI, Associated Press

Biden says US won’t supply weapons for Israel to attack Rafah

Biden said the U.S. was still committed to Israel's defense, but that if Israel goes into Rafah, "we're not going to supply the weapons and artillery shells used."

16 days ago

Smoke rises following an Israeli airstrike east of Rafah, Gaza Strip, Monday, May 6, 2024. (AP Phot...

ZEKE MILLER and AAMER MADHANI Associated Press

US pauses bomb shipment to Israel over Rafah invasion concern

The Biden administration paused a bomb shipmant to Israel over concerns that the country might launch full-scale assault on the city of Rafah.

16 days ago

The protests grew after an encampment on the campus of Columbia University in New York City led to ...

Alex Leeds Matthews, Krystina Shveda, Amy O'Kruk and Renée Rigdon, CNN

Map: Where university protesters have been arrested

As pro-Palestinian protests have erupted on college campuses nationwide, protesters continue to be arrested.

19 days ago

Israeli Prime Minister Benjamin Netanyahu addresses the Conference of Presidents of Major American ...

Michael Schwartz, Tim Lister and Lauren Said-Moorhouse, CNN

Israel closes Al Jazeera news network in the country

Israel has ordered the closure of Al Jazeera in the country, a move the Qatar-based news network called a “criminal act.”

19 days ago

demonstrators at a pro-gaza protest at the u of u, another gaza rally will be held at the school to...

Sam Herrera

U of U group rallies to support Palestinians, USU students plan peaceful demonstration

A rally in support of Gaza starts at 6 at the University of Utah. Last night, 19 people were arrested after demonstrators set up an encampment.

24 days ago

Sponsored Articles

a doctor putting her hand on the chest of her patient...

Intermountain Health

Intermountain nurse-midwives launch new gynecology access clinic

An access clinic launched by Intermountain nurse-midwives provides women with comprehensive gynecology care.

Young couple hugging while a realtor in a suit hands them keys in a new home...

Utah Association of Realtors

Buying a home this spring? Avoid these 5 costly pitfalls

By avoiding these pitfalls when buying a home this spring, you can ensure your investment will be long-lasting and secure.

a person dressed up as a nordic viking in a dragon boat resembling the bear lake monster...

Bear Lake Convention and Visitors Bureau

The Legend of the Bear Lake Monster

The Bear Lake monster has captivated people in the region for centuries, with tales that range from the believable to the bizarre.

...

Live Nation Concerts

All the artists coming to Utah First Credit Union Amphitheatre (formerly USANA Amp) this summer

Summer concerts are more than just entertainment; they’re a celebration of life, love, and connection.

Mother and cute toddler child in a little fancy wooden cottage, reading a book, drinking tea and en...

Visit Bear Lake

How to find the best winter lodging in Bear Lake, Utah

Winter lodging in Bear Lake can be more limited than in the summer, but with some careful planning you can easily book your next winter trip.

Happy family in winter clothing at the ski resort, winter time, watching at mountains in front of t...

Visit Bear Lake

Ski more for less: Affordable ski resorts near Bear Lake, Utah

Plan your perfect ski getaway in Bear Lake this winter, with pristine slopes, affordable tickets, and breathtaking scenery.

Injured youth from Gaza find care in the US, face uncertain future