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TABLE OF CONTENTS611131516181820222424242627292930313237384343485151525454555762Executive SummaryPART A | INTRODUCTION AND METHODOLOGY1. Introduction1.1 An independent fact-finding mission1.2 Composition of the fact-finding mission2. Methodology2.1 Visits to the Gaza Strip, 19 August 2014-12 November 20142.2 Interviews with injured hospitalised patients,29 July 2014-11 September 20142.3 Forensic pathology2.4 Khuza’a - focus and site visit2.5 Interviews with Israeli doctors3. Limitations4. Writing and editing of this reportPART B | FINDINGS AND KEY CONCERNS1. Types and patterns of injuries1.1 Injuries resulting in death1.2 Injuries in hospitalised patients2. Context and causes of injuries2.1 Multiple casualty events and their causes2.2 ‘No safe place’2.3 Lack of / Failure of warnings3. Attacks on medical personnel and medical facilities3.1 Attacks on emergency teams3.2 Attacks on medical facilities4. Other causes of death and injury4.1 Attacks on cemeteries4.2 Allegations regarding irregular weapons5. Experiences of evacuation, medical management and referral5.1 Evacuation in Gaza: unsafe routes5.2 Medical management of the injured in Gaza:severe overload on hospitals5.3 Evacuation and referral out of Gaza5.4 Evacuation of Israeli soldiers during the war4
63636667727997991001031046. Longer-term impact of the war6.1 Destruction of homes and long-term displacement6.2 Hazardous sites6.3 Psychosocial and mental health impact of the armed conflict,with focus on minors6.4 Rehabilitation in GazaPART C | KHUZA’A - FOCUS AND SITE VISITPART D | CONCLUSIONS AND RECOMMENDATIONS1. Accountability2. Health and its social determinantsAPPENDIX I | PATIENT INTERVIEWSIndex of interviews according to sortcode1051061071111181241351361421471541551561591651661671731851862002071. Northern GazaErez AreaBeit HanounBeit LahiyaJabalia Refugee CampJabalia2. Gaza CityAl TuffahAl Shati Refugee CampShuja’iyaZaitounAl NaserGaza Beach and PortOther3. Middle Area (central Gaza)Nusseirat Refugee CampBureij Refugee CampDeir Al Balah4. Khan Younis (southern Gaza)Khan YounisKhuza’a5. Rafah (southern Gaza)224228Interview questionnaireAPPENDIX II| FORENSIC PATHOLOGY
Page 2 and 3: Gaza, 2014Findings of an independen
Page 6: There״ was a call for help in a ho
Page 9 and 10: Meetings and site visits were held
Page 11 and 12: RecommendationsThe FFM• Calls upo
Page 14: Part AIntroduction and Methodology1
Page 17 and 18: 1.2 Composition of the fact-finding
Page 19 and 20: Louis Reynolds, South Africa (LR)Re
Page 21 and 22: Meetings and site visits were held
Page 23 and 24: of their injuries or were either mi
Page 25 and 26: The FFM teams acquired an overview
Page 27 and 28: 4. Writing and editing of this repo
Page 30 and 31: Part BFindings and Key Concerns1.Ty
Page 32 and 33: It is difficult to estimate the exa
Page 34 and 35: Buses destroyed in the attack on Mu
Page 36 and 37: Location of incident leading to pat
Page 38 and 39: 2.2 ’No safe place’According to
Page 40 and 41: intense attacks during the air phas
Page 42 and 43: In two cases the team was told of w
Page 44 and 45: advising him that he had ‘five mi
Page 46 and 47: Injured paramedic Akram Al Awoor, A
Page 48 and 49: These cases are a clear example of
Page 50 and 51: Damage to Shuhada' Al Aqsa Hospital
Page 52 and 53: Casualties arrive at Shifa Hospital
Page 54 and 55:
Bomb fragment shown to first FFM te
Page 56 and 57:
evacuation took 15-30 minutes; in 1
Page 58 and 59:
her wound after arrival at Maqassad
Page 60 and 61:
According to several patient interv
Page 62 and 63:
According to the ambulance drivers,
Page 64 and 65:
the level of violence and threat in
Page 66 and 67:
outside on the grounds; other IDPs
Page 68 and 69:
Body of small child killed playing
Page 70 and 71:
Dr. Kamal Qdeih, of Khuza’a in Kh
Page 72 and 73:
6.3.1 Mental health impact of the a
Page 74 and 75:
6.4.2 Rehabilitation resources in G
Page 76:
PART CKhuza’a - Focusand site vis
Page 80 and 81:
during the events. She also met Iya
Page 82 and 83:
Ramadan Qdeih and his father, Muham
Page 84 and 85:
were so close to the civilian popul
Page 86 and 87:
Damage to inner yard of clinic, whe
Page 88 and 89:
Samia Abu Daka at place from which
Page 90 and 91:
On 24 July 2014 at about 09:00, mos
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Bullet hole A in front door of Muha
Page 94 and 95:
middle: House's side and front entr
Page 96:
PART DConclusions andRecommendation
Page 99 and 100:
all crossings and borders, there we
Page 101 and 102:
will persist to others as permanent
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INDEX OF INTERVIEWS BY SORTCODEInte
Page 105 and 106:
1.1 Erez areaWBBJ1 (MED4)Patient: S
Page 107 and 108:
1.2 Beit Hanounof ambulances ahead
Page 109 and 110:
1.2 Beit HanounHome address: Beit H
Page 111 and 112:
1.3 Beit LahiyaEJJ19Image by PHR-Is
Page 113 and 114:
1.3 Beit LahiyaEJM8Image by PHR-Isr
Page 115 and 116:
1.3 Beit LahiyaThere was no fightin
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1.4 Jabalia Refugee Campmaimed, and
Page 119 and 120:
1.4 Jabalia Refugee Camprehabilitat
Page 121 and 122:
1.4 Jabalia Refugee CampCircumstanc
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1.5 Jabaliarespiratory compromise d
Page 125 and 126:
1.5 JabaliaEJM9Image by PHR-Israel,
Page 127 and 128:
1.5 JabaliaOthers killed/injured in
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1.5 JabaliaInjuries: Broken knee ca
Page 131 and 132:
1.5 JabaliaCrossing they underwent
Page 133 and 134:
2.Gaza City133
Page 135 and 136:
2.1 Al TuffahNo warning was given t
Page 137 and 138:
2.1 Al Tuffahevery time he woke up
Page 139 and 140:
2.1 Al TuffahAge: 38Witness: TR [Na
Page 141 and 142:
2.2 Al Shati Refugee CampLocation o
Page 143 and 144:
2.2 Al Shati Refugee CampOccupation
Page 145 and 146:
2.3 Shuja’iyashe underwent left f
Page 147 and 148:
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
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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,
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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
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4.1 Khan Younishusband went to Khan
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4.2 Khuza’acheckpoint. According
Page 203 and 204:
5.Southern Gaza / Rafah203
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5.1 Rafahpatient’s home was struc
Page 207 and 208:
5.1 Rafahinterview heavy breathing,
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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
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Photos no. Date Gender/age Notes1 D
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Photos no. Date Gender/age Notes10
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Page 233 and 234:
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