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4.2 Khuza’aentrance and the inner yard. The patient was notinjured in this attack, since she had just enteredthe clinic, but many of the wounded who had takenshelter in the clinic lost their lives, including thebrother of the doctor, who was helping him as avolunteer. Some people said that the missile camefrom a drone. The clinic was clearly identified assuch, with a big sign outside.The patient was then taken by her cousins, the AbuRijala family (the uncle of Dr. Kamal Qdeih-Ed.), totheir home, where many members of the extendedfamily had gathered. There she remained, bleeding andwith no medical assistance, for two and a half days 16 .Evacuation was impossible due to the heavy barrageon the area. The family took refuge in the basement.On Thursday, 24 Jul 2014 at about 10:30, the housein which the patient was sheltering was hit by adrone strike and collapsed 17 . About 50 membersof the family, mainly women and children, wereburied under the rubble. Some of the young peoplemanaged to open a way out from the basementand opened a hole to the street. The area was fullof tanks and soldiers. They thought they would beattacked once again but the tanks let the peoplecome out of the neighbourhood. As they reachedthe end of the street, they saw a large crowd comingtowards them from the adjacent neighbourhoodof Abu Reda. The two groups merged and theycontinued trying to reach Abasan Al Kabir. Thepatient described the fields on both sides of theroad as full of holes, with big mountains of dirt andsoil behind which many tanks were hidden. She saidthey took a narrow path between the fields andsome chicken farms to avoid the tanks, becausethey were terrified of a new attack. The patientwalked for 3 kilometres, helped by relatives, untilthey reached a point where ambulances, privatecars, minibuses and even tok-toks (3-wheel motors)were waiting for them at a place behind a military4. Southern Gaza / Khan Younis16See note 1 above. Here too what is remembered by the patient as two and ahalf days was probably only one day17According to other testimonies the house was struck but not completelydestroyed. Rather the gateway was blown up, causing damage and rubble.This could easily be perceived as destruction when experienced from insidethe basement.200
4.2 Khuza’acheckpoint. According to the patient, they knewabout this meeting point because some of thepeople in the group had been in touch with theirfamilies in Abasan by phone and had heard thatambulances were waiting.The patient narrates with great emotion that,on their way through the tanks towards theambulances, a small boy, aged 9 or 10, approachedthem crying, while holding his intestines with hishands, pleading ‘take me with you, take me withyou’, but she was so weak and terrified herself, thatthey ran for their lives leaving the child behind. Thisscene now tortures her, and makes her feel guilty.Quote: ‘He was like my son, the same age. He couldhave been my own son, and I left him there to die’.Others killed/injured in same event: Multiple deathsand injuries throughout the incident, details asnarrated above and in Part C. ‘Khuza’a - focusand site visit’.Evacuation and care inside Gaza: Once she reachedthe ambulance, the patient was evacuated toNasser Hospital in Khan Younis, where her husbandmet her. The husband of the patient (the witness)provides the following details with confirmationfrom the patient:At Nasser Hospital the patient underwent surgeryand a CT scan was done. The doctor said thatthere was internal bleeding, mainly from theliver, and that they had responded with gauze forcompression to stop the haemorrhage. He also saidthat, if coordination to refer her out of Gaza was notarranged within three days, she should have surgeryagain to remove the gauze. Coordination could notbe facilitated in the space of time given, so surgerywas performed again on 27 Jul 2014 to remove thecompression material. The doctor said that furthersurgery would be needed due to shrapnel andextensive internal damage.Evacuation out of Gaza: Referral to St Joseph Hospitalwas facilitated by the Palestinian Ministry of Healthand the permits to enter East Jerusalem throughIsrael were provided through the intervention of thepatient’s former employer, the Palestinian Authority.At the hospital the patient was treated for post201
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Gaza, 2014Findings of an independen
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TABLE OF CONTENTS611131516181820222
Page 6:
There״ was a call for help in a ho
Page 9 and 10:
Meetings and site visits were held
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RecommendationsThe FFM• Calls upo
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Part AIntroduction and Methodology1
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1.2 Composition of the fact-finding
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Louis Reynolds, South Africa (LR)Re
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Meetings and site visits were held
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of their injuries or were either mi
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The FFM teams acquired an overview
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4. Writing and editing of this repo
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Part BFindings and Key Concerns1.Ty
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It is difficult to estimate the exa
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Buses destroyed in the attack on Mu
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Location of incident leading to pat
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2.2 ’No safe place’According to
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intense attacks during the air phas
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In two cases the team was told of w
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advising him that he had ‘five mi
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Injured paramedic Akram Al Awoor, A
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These cases are a clear example of
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Damage to Shuhada' Al Aqsa Hospital
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Casualties arrive at Shifa Hospital
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Bomb fragment shown to first FFM te
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evacuation took 15-30 minutes; in 1
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her wound after arrival at Maqassad
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According to several patient interv
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According to the ambulance drivers,
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the level of violence and threat in
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outside on the grounds; other IDPs
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Body of small child killed playing
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Dr. Kamal Qdeih, of Khuza’a in Kh
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6.3.1 Mental health impact of the a
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6.4.2 Rehabilitation resources in G
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PART CKhuza’a - Focusand site vis
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during the events. She also met Iya
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Ramadan Qdeih and his father, Muham
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were so close to the civilian popul
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Damage to inner yard of clinic, whe
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Samia Abu Daka at place from which
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On 24 July 2014 at about 09:00, mos
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Bullet hole A in front door of Muha
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middle: House's side and front entr
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PART DConclusions andRecommendation
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all crossings and borders, there we
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will persist to others as permanent
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INDEX OF INTERVIEWS BY SORTCODEInte
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1.1 Erez areaWBBJ1 (MED4)Patient: S
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1.2 Beit Hanounof ambulances ahead
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1.2 Beit HanounHome address: Beit H
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1.3 Beit LahiyaEJJ19Image by PHR-Is
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1.3 Beit LahiyaEJM8Image by PHR-Isr
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1.3 Beit LahiyaThere was no fightin
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1.4 Jabalia Refugee Campmaimed, and
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1.4 Jabalia Refugee Camprehabilitat
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1.4 Jabalia Refugee CampCircumstanc
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1.5 Jabaliarespiratory compromise d
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1.5 JabaliaEJM9Image by PHR-Israel,
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1.5 JabaliaOthers killed/injured in
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1.5 JabaliaInjuries: Broken knee ca
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1.5 JabaliaCrossing they underwent
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2.Gaza City133
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2.1 Al TuffahNo warning was given t
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2.1 Al Tuffahevery time he woke up
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2.1 Al TuffahAge: 38Witness: TR [Na
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2.2 Al Shati Refugee CampLocation o
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2.2 Al Shati Refugee CampOccupation
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2.3 Shuja’iyashe underwent left f
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2.3 Shuja’iyaProgramme and an int
Page 149 and 150: 2.3 Shuja’iyaA near-by house was
Page 151 and 152: 2.3 Shuja’iyaCircumstances of inj
Page 153 and 154: 2.5 Al NaserWBN3Image by PHR-Israel
Page 155 and 156: 2.6 Gaza Beach & PortInjuries: Brai
Page 157 and 158: 2.7 Othertaken by private car to Sh
Page 159 and 160: 2.7 Other43,000 (about $11,000). Is
Page 161 and 162: 2.7 Otherfourth floor of a 9-story
Page 163 and 164: 3.Central Gaza / Middle Area163
Page 165 and 166: 3.2 Bureij Refugee CampImage by Ali
Page 167 and 168: 3.2 Bureij Refugee Campdespite the
Page 169 and 170: 3.2 Bureij Refugee CampEJM4Patient:
Page 171 and 172: 3.3 Deir Al Balahthe same tank miss
Page 173 and 174: 3.3 Deir Al Balahdamaged but habita
Page 175 and 176: 3.3 Deir Al Balahare deep black. A
Page 177 and 178: 3.3 Deir Al BalahJ6 (MED5)Patient:
Page 179 and 180: 3.3 Deir Al Balahand arrived in Amm
Page 181 and 182: 3.3 Deir Al Balahpatient who was se
Page 183 and 184: 4.1 Khan YounisEJJ5Patient: YA [Min
Page 185 and 186: 4.1 Khan Younisresponsive to verbal
Page 187 and 188: 4.1 Khan YounisCircumstances of inj
Page 189 and 190: 4.1 Khan Younissurgical procedures,
Page 191 and 192: 4.1 Khan Younispatient and her fami
Page 193 and 194: 4.1 Khan YounisEvacuation and care
Page 195 and 196: 4.1 Khan Younisremained in the Euro
Page 197 and 198: 4.2 Khuza’aComments on displaceme
Page 199: 4.1 Khan Younishusband went to Khan
Page 203 and 204: 5.Southern Gaza / Rafah203
Page 205 and 206: 5.1 Rafahpatient’s home was struc
Page 207 and 208: 5.1 Rafahinterview heavy breathing,
Page 209 and 210: 5.1 RafahCircumstances of injury: T
Page 211 and 212: 5.1 RafahLocation of incident: Site
Page 213 and 214: 5.1 Rafahevacuated, and the family
Page 215 and 216: 5.1 RafahEvacuation out of Gaza: Th
Page 217 and 218: 5.1 RafahWBN7Image by PHR-Israel, A
Page 219 and 220: 5.1 Rafahsince the convoy to Erez C
Page 221 and 222: interview questionnaireTestimony of
Page 223 and 224: APPENDIX 2Forensic Pathology223
Page 225 and 226: Appendix 2Forensic pathologyThree f
Page 227 and 228: Photos no. Date Gender/age Notes1 D
Page 229 and 230: Photos no. Date Gender/age Notes10
Page 237: Photos no. Date Gender/age Notes68
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