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Now, a study by the British Medical
Now
a
study
by
the
British
Medical
Journal says that the pattern of harm in
Journal
says
that
the
pattern
of
harm
in
Gaza exceed those in previous modern
Gaza
exceed
those
in
previous
modern
conflicts. Healthcare workers describe
conflicts
Healthcare
workers
describe
unusually severe traumatic injuries
unusually
severe
traumatic
injuries
among civilians, including blast
among
civilians
including
blast
injuries and severe burns. So, I'm very
injuries
and
severe
burns
So
I'm
very
pleased we can speak to Dr. Victoria
pleased
we
can
speak
to
Dr
Victoria
Rose. She's been to Gaza three times
Rose
She's
been
to
Gaza
three
times
since those Hamas attacks on the 7th of
since
those
Hamas
attacks
on
the
7th
of
October. Dr. Rose, I really appreciate
October
Dr
Rose
I
really
appreciate
you making the time to speak to us
you
making
the
time
to
speak
to
us
today. Uh, this report from you and your
today
Uh
this
report
from
you
and
your
colleagues makes for a stark reading.
colleagues
makes
for
a
stark
reading
And I wonder if we can just start by you
And
I
wonder
if
we
can
just
start
by
you
telling us what your colleagues in
telling
us
what
your
colleagues
in
Gaza at the moment are telling telling
Gaza
at
the
moment
are
telling
telling
you about the situation they're facing
you
about
the
situation
they're
facing
there.
there
>> Well, a lot of them are telling me that
>>
Well
a
lot
of
them
are
telling
me
that
the situation is continuing to
the
situation
is
continuing
to
deteriorate.
deteriorate
They're having huge issues with medical
They're
having
huge
issues
with
medical
supplies as well as food. Now we've seen
supplies
as
well
as
food
Now
we've
seen
a spike in the number of viral diarrheal
a
spike
in
the
number
of
viral
diarrheal
diseases and obviously with the
diseases
and
obviously
with
the
malnutrition that's still ongoing it's
malnutrition
that's
still
ongoing
it's
making it very difficult for my
making
it
very
difficult
for
my
colleagues to treat patients.
colleagues
to
treat
patients
>> Are they getting um supplies of of
>>
Are
they
getting
um
supplies
of
of
medical equipment at this point? I know
medical
equipment
at
this
point
I
know
that the Israelis have said that they
that
the
Israelis
have
said
that
they
have increased the aid but it's still
have
increased
the
aid
but
it's
still
not near what it was before the war.
not
near
what
it
was
before
the
war
What is the situation for for medical
What
is
the
situation
for
for
medical
aid getting in right now? No, they're
aid
getting
in
right
now
No
they're
still very short of medical aid.
still
very
short
of
medical
aid
According to colleagues at the Nasser
According
to
colleagues
at
the
Nasser
Medical Complex, they're still
Medical
Complex
they're
still
struggling for basic supplies.
struggling
for
basic
supplies
>> Now, in in the introduction to you,
>>
Now
in
in
the
introduction
to
you
doctor, we we said that you guys have
doctor
we
we
said
that
you
guys
have
found that the injuries you're seeing in
found
that
the
injuries
you're
seeing
in
this war are different to anything
this
war
are
different
to
anything
that's been seen in modern day conflict.
that's
been
seen
in
modern
day
conflict
Just expand on that for us and why you
Just
expand
on
that
for
us
and
why
you
think that that is the case.
think
that
that
is
the
case
One of the most significant things
One
of
the
most
significant
things
that's come out of this surgery of this
that's
come
out
of
this
surgery
of
this
survey is the fact that civilians have
survey
is
the
fact
that
civilians
have
sustained the sort of injuries that we'd
sustained
the
sort
of
injuries
that
we'd
normally only see in soldiers. So
normally
only
see
in
soldiers
So
there's been comparisons to injury
there's
been
comparisons
to
injury
reports from uh the Afghan war. Um, and
reports
from
uh
the
Afghan
war
Um
and
compared with that, we are seeing very
compared
with
that
we
are
seeing
very
similar patterns of injuries in the
similar
patterns
of
injuries
in
the
civilians of Gaza. So these are multiple
civilians
of
Gaza
So
these
are
multiple
injuries, mainly burns of a very
injuries
mainly
burns
of
a
very
significant depth, combined with
significant
depth
combined
with
multiple trauma injuries to mainly
multiple
trauma
injuries
to
mainly
limbs, but also a a severe number of
limbs
but
also
a
a
severe
number
of
gunshot wounds to the head have been picked
gunshot
wounds
to
the
head
have
been
picked
up.
up
>> We had that report, Dr. D, a few months
>>
We
had
that
report
Dr
D
a
few
months
ago now, um, of a doctor, one of your
ago
now
um
of
a
doctor
one
of
your
colleagues reporting seeing a pattern of
colleagues
reporting
seeing
a
pattern
of
injuries. Some days they'd see uh people
injuries
Some
days
they'd
see
uh
people
civilians coming in with injuries to the
civilians
coming
in
with
injuries
to
the
legs, sometimes be injuries to the arms,
legs
sometimes
be
injuries
to
the
arms
sometime injuries to the to the abdomen.
sometime
injuries
to
the
to
the
abdomen
And it the doctor at that time said that
And
it
the
doctor
at
that
time
said
that
that was because it seems as if these
that
was
because
it
seems
as
if
these
people were being targeted specifically
people
were
being
targeted
specifically
in those body parts as some kind of
in
those
body
parts
as
some
kind
of
attempt to maim them in that particular
attempt
to
maim
them
in
that
particular
area on that particular day. Is that
area
on
that
particular
day
Is
that
something that you saw as well that
something
that
you
saw
as
well
that
there seems to be something very odd
there
seems
to
be
something
very
odd
about the injuries that you're seeing?
about
the
injuries
that
you're
seeing
Well, those injuries were seen by my
Well
those
injuries
were
seen
by
my
colleague Nick Maynard and they were
colleague
Nick
Maynard
and
they
were
after the Gaza Humanitarian Foundation
after
the
Gaza
Humanitarian
Foundation
shootings. I was in Gaza last June.
shootings
I
was
in
Gaza
last
June
So, I was present for the very first of
So
I
was
present
for
the
very
first
of
those shootings and certainly we saw a
those
shootings
and
certainly
we
saw
a
huge number of gunshot wounds to the
huge
number
of
gunshot
wounds
to
the
limbs which we hadn't seen in the weeks
limbs
which
we
hadn't
seen
in
the
weeks
prior to that. But what this study is
prior
to
that
But
what
this
study
is
really showing is that the injuries that
really
showing
is
that
the
injuries
that
we're seeing in civilians is compatible
we're
seeing
in
civilians
is
compatible
with the use of munitions designed for
with
the
use
of
munitions
designed
for
maximum tissue destruction.
maximum
tissue
destruction
>> Right. You described deep burns as well.
>>
Right
You
described
deep
burns
as
well
Your when you're in Gaza, how how did
Your
when
you're
in
Gaza
how
how
did
patients present to you? Can you give us
patients
present
to
you
Can
you
give
us
a sense? I know you've done this with
a
sense
I
know
you've
done
this
with
colleagues before, but I think it's
colleagues
before
but
I
think
it's
worth hearing as well. one of your days
worth
hearing
as
well
one
of
your
days
working in the trauma unit at at the
working
in
the
trauma
unit
at
at
the
facilities that you worked at?
facilities
that
you
worked
at
>> Well, as a plastic and reconstructive
>>
Well
as
a
plastic
and
reconstructive
surgeon, I tend to get patients referred
surgeon
I
tend
to
get
patients
referred
or sent down from the emergency
or
sent
down
from
the
emergency
department. So, most of the people that
department
So
most
of
the
people
that
I was treating had severe multiple body
I
was
treating
had
severe
multiple
body
part injuries. We mainly saw bomb and
part
injuries
We
mainly
saw
bomb
and
blast injuries. So the types of things
blast
injuries
So
the
types
of
things
that we would see were burns from the
that
we
would
see
were
burns
from
the
heat of the explosion, but also burns
heat
of
the
explosion
but
also
burns
caused by anything in the explosion that
caused
by
anything
in
the
explosion
that
caught fire. And what we've noticed
caught
fire
And
what
we've
noticed
specifically from this study is the
specifically
from
this
study
is
the
depth of the burns were very
depth
of
the
burns
were
very
significant. So we all reported third
significant
So
we
all
reported
third
and fourth degree burns. We also saw a
and
fourth
degree
burns
We
also
saw
a
lot of injuries from the blast itself.
lot
of
injuries
from
the
blast
itself
So when a bomb goes off, there's an
So
when
a
bomb
goes
off
there's
an
initial initial pressure wave that can
initial
initial
pressure
wave
that
can
cause traumatic brain injury that can
cause
traumatic
brain
injury
that
can
perforate lungs, eard drums, but it also
perforate
lungs
eard
drums
but
it
also
displaces someone. So it can pick them
displaces
someone
So
it
can
pick
them
up and throw them against something. And
up
and
throw
them
against
something
And
we saw a lot of blunt trauma and a lot
we
saw
a
lot
of
blunt
trauma
and
a
lot
of deaths from that. And then the most
of
deaths
from
that
And
then
the
most
most of the injuries that I saw were due
most
of
the
injuries
that
I
saw
were
due
to shrapnel. So whatever is around you
to
shrapnel
So
whatever
is
around
you
when a bomb goes off is whipped up and
when
a
bomb
goes
off
is
whipped
up
and
ejected at very high velocity and that
ejected
at
very
high
velocity
and
that
then hits you. Interestingly from this
then
hits
you
Interestingly
from
this
study what we saw mainly were injuries
study
what
we
saw
mainly
were
injuries
to the limbs particularly the lower
to
the
limbs
particularly
the
lower
limbs and what we know is that shrapnel
limbs
and
what
we
know
is
that
shrapnel
that hits the head, chest and abdomen
that
hits
the
head
chest
and
abdomen
often leaves you with an injury that is
often
leaves
you
with
an
injury
that
is
not compatible with life. So these
not
compatible
with
life
So
these
patients die instantly, and the patients
patients
die
instantly
and
the
patients
that were being brought into NASA were
that
were
being
brought
into
NASA
were
the ones that would survive their limb
the
ones
that
would
survive
their
limb
injuries and these would be mainly
injuries
and
these
would
be
mainly
traumatic amputations of various parts
traumatic
amputations
of
various
parts
of their limbs.
of
their
limbs
>> Dr. Rose, I know you've got a busy
>>
Dr
Rose
I
know
you've
got
a
busy
schedule ahead, so I won't keep you for
schedule
ahead
so
I
won't
keep
you
for
too long, but I just want to ask you
too
long
but
I
just
want
to
ask
you
something slightly outside of of of your
something
slightly
outside
of
of
of
your
of your work, if you wouldn't mind, just
of
your
work
if
you
wouldn't
mind
just
on the news that we've heard today that
on
the
news
that
we've
heard
today
that
um Sir Tony Blair may well go to Gaza to
um
Sir
Tony
Blair
may
well
go
to
Gaza
to
run some kind of interim government
run
some
kind
of
interim
government
there. I mean, what do you make of that?
there
I
mean
what
do
you
make
of
that
What the health care professionals make
What
the
health
care
professionals
make
of that idea that this might be the the
of
that
idea
that
this
might
be
the
the
process if the if the fighting stops?
process
if
the
if
the
fighting
stops
>> I think anything that we can do for a
>>
I
think
anything
that
we
can
do
for
a
ceasefire right now is is essential. We
ceasefire
right
now
is
is
essential
We
cannot keep going like this. We cannot
cannot
keep
going
like
this
We
cannot
allow civilians to be maimed and killed
allow
civilians
to
be
maimed
and
killed
in this way at this volume.
in
this
way
at
this
volume
Um doctor, 10 children have arrived here
Um
doctor
10
children
have
arrived
here
in the UK from Gaza uh in the last few
in
the
UK
from
Gaza
uh
in
the
last
few
months. Uh I wonder if you have any
months
Uh
I
wonder
if
you
have
any
connection with any of those children,
connection
with
any
of
those
children
if you're able to tell us their
if
you're
able
to
tell
us
their
condition um and uh whether or not more
condition
um
and
uh
whether
or
not
more
children are likely to come here for
children
are
likely
to
come
here
for
treatment.
treatment
>> I know the government has initially
>>
I
know
the
government
has
initially
agreed to accept 50 children and they
agreed
to
accept
50
children
and
they
have been triaged
have
been
triaged
by various members of the medical
by
various
members
of
the
medical
profession. some of whom have worked in
profession
some
of
whom
have
worked
in
Gaza. So they are specifically being
Gaza
So
they
are
specifically
being
sent to units that specialize in those
sent
to
units
that
specialize
in
those
injuries. Some of the children that have
injuries
Some
of
the
children
that
have
come over have got congenital injuries
come
over
have
got
congenital
injuries
or congenital deformities. So things
or
congenital
deformities
So
things
like cleft lips and pallets, those sort
like
cleft
lips
and
pallets
those
sort
of things that there is no capability
of
things
that
there
is
no
capability
for the Gazan health care to provide
for
the
Gazan
health
care
to
provide
treatment for at the moment. The bulk of
treatment
for
at
the
moment
The
bulk
of
them, however, are trauma victims and
them
however
are
trauma
victims
and
they will be distributed across the
they
will
be
distributed
across
the
country to our major trauma centers.
country
to
our
major
trauma
centers
Right. And
Right
And
>> doctor, I'm going to let you go, but you
>>
doctor
I'm
going
to
let
you
go
but
you
can answer this with one word. Are you
can
answer
this
with
one
word
Are
you
going to go back to Gaza to continue the
going
to
go
back
to
Gaza
to
continue
the
work if you need to?
work
if
you
need
to
>> If they let me in.
>>
If
they
let
me
in
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