At least 200 truckloads each day are needed and despite the “outstanding” efforts of national and international partners, UN humanitarians are stuck having to bring all supplies through a single choke point on Gaza’s southern frontier with Egypt, built as a pedestrian crossing, said Jamie McGoldrick.

The veteran UN aid official spoke exclusively to UN News on Saturday, in his first interview since becoming the interim Resident Coordinator in the Palestinian Occupied Territory late last month.

The Irish national served in the same role, where he is also UN Deputy Special Coordinator for the Middle East Peace Process, between 2018 and 2020.

Prior to that, he was the UN’s Humanitarian and Resident Coordinator in Yemen at the height of the brutal civil conflict there which began in 2015. He has also worked with the International Red Cross.

Mr. McGoldrick recently returned from Gaza, and spoke to Ezzat El-Ferri from Jerusalem, where the UN Special Coordinator’s office (UNSCO) is headquartered, with other offices in the West Bank city of Ramallah and the Gaza Strip. 

The interview had been edited for length and clarity:

UN News: You just came back from Gaza, and you’ve been in this role before. You’ve described the situation there as dire in previous years. What was your initial reaction when you first entered Gaza during this war? 

Jamie McGoldrick: Well, clearly, the situation has changed dramatically since I was last there.  The thing that strikes you most is the numbers. As soon as you arrive through Rafah, what hits you straight away is the immensity of the people who are displaced: every street, every pavement. 

They also have these makeshift tents built onto the side of buildings encroaching on the roads. It’s very hard to move around. The place is really, really packed.

The second thing I think is the fact that this crowded nature causes the lack of services that people have. Because this has happened so quickly, that number of people coming to the south (of Gaza). They reckon 1.7 or 1.8 million people in Rafah, which used to have a population of around 250,000.

People have taken up space in hospitals, taken up space in UNRWA schools…and you go to these places, and you see the conditions people live in, the squalor, the crowded nature, the makeshift nature of it. 

No one had the time to plan anything. People ran from where they came from: the middle area, the north area, and they came with very little. They’ve had to try and set up a place for themselves in a very difficult, chaotic environment. And the fact that it’s the winter there as well. So, all of that makes it very, very difficult. 

It has overwhelmed us because we have a very limited role there for this type of work, and we’ve had to try and scale up, trying to address the needs. And even when I was there eight days ago – I came back just two days ago – the difference in that time was the fact that the crowds still keep coming…The desperation is getting deeper, the human suffering is more intensified.

But more importantly we would need to do more to scale up, to get more people, get more access, bring in more material. But it is a mammoth task.

UN News: I’m sure you also met colleagues that were there when you were in this role previously. What experiences have they shared with you? 

Jamie McGoldrick: The first one is that of human dimension: people tell you what they’ve left behind. Some tell you they’ve left their houses which have been destroyed, and others tell you of the family members that died. You know, the life they’ve once had is gone and probably gone for such a long time.

There’s a degree of shock and a degree of despair. And I think there’s a sort of hopelessness there as well, because they don’t see any answers to what it is that they face ahead. It’s amazing also that there is resilience and the steadfastness of some of these colleagues who have been in that situation, who have come to the south fleeing as a displaced person, but still standing up to do work.

It’s quite incredible that the people in Gaza have that spirit…and they still keep going on. The fact that there’s been 146 UN colleagues killed. Others have lost parts of the families, yet they still deliver.

It’s not as though you were running away to safety, because where you are right now is unsafe. Where you are right now is getting more and more cramped and crowded. And it’s not as though you’ve arrived somewhere as a displaced person and that’s it. There’s more to come…

UN News: Like you just said, UN humanitarians have been raising their voice about the challenges of being able to get aid into Gaza at scale. On the ground, what does that mean for the population? How much of their needs are being met right now? 

Jamie McGoldrick: Before this started, what you had was around 500 trucks per day coming in as commercial transport. And the UN served those who were unfortunate, not able to buy those things commercially. We, the humanitarians, need to have about 200 trucks in a day. And that all covered the population – the humanitarian and the commercial [goods]. 

What you have now is that the commercial [sector] has stopped. So, the people who were being served by the commercial sector are now squeezing what’s in the humanitarian sector and everybody’s in need. What we’ve got is a situation where the key issues for us are better shelter, more food supplies, better water, sanitation, sewage and the health needs.

Protection concerns all round

At the same time, there’s a lot of protection concerns: gender-based violence, child protection issues as there are a lot of unaccompanied children.

And then also, we need to ourselves, as humanitarians, the ability to do that work. That means protection for us as well. Which means having good communication systems, having the ability to move around. And deconfliction in terms of our humanitarian movements [so they] are actually safeguarded.

And unfortunately, that hasn’t been the case. There’s been a number of incidents. We are trying to bring in more trucks. Yesterday, we had 200 trucks, the most we’ve ever had to crossing into Rafah. There’s nothing coming in from the north. It’s all coming in from the south. We’re trying to save the population, but we know there’s probably all of the population of 2.2 million need some assistance of some kind.

And we are right now facing an uphill struggle to just address the needs of those who we reach. We need to reach far farther, far deeper and far for other places like the north. But there’s ongoing conflict and military operations prevent us from either moving in some of the central zones. So, we’re kind of stuck where we are, and it’s very hard to move convoys, the convoys going north to serve those 250,000 – 300,000 estimated population there.

Two children sit in the rubble of what is left of their house in Rafah city, in the southern Gaza Strip.

We don’t have the ability to do that quickly. There’s only one road. It’s the coast road, because the major road in the middle is actually under military operations at the moment. So, we’re squeezing all of our efforts to the north while we’re trying to struggle to save the south. We have to scale up and the commercial supplies have to start again. 

We also have to get more support from donors who have been very willing to let us buy more trucks, rent more trucks, to bring aid in. But it is the struggle that we face. And those four key sectors I just mentioned to you are where the lifesaving will take place.

UN News: We’ve heard several UN officials saying that we need commercial shipments to start coming back into Gaza. But if the economy is in shambles and there’s military activity going on, how can people go on about commerce and go on about their lives, a normal economy? 

Jamie McGoldrick: What we would like to do eventually is that, if the commercial sector starts up again, we can actually start supplying the shops that are closed because there’s nothing in them. All the stocks have gone. We have to replenish those stocks.

And once we have that up to a certain scale, we can then start to use cash cards, cash voucher systems. 

‘Long, long struggle’ just to keep aid flowing

But we’re a long way off that right now. We’ve got a long, long struggle of just keeping the supply of humanitarian assistance, especially food and medical supplies in there. 

Because if we don’t do that, these things, these items are going to be very rife for the black market, and we’ll start to see this exploitation taking place. We’ve already seen that happening. 

UN News: Some Israeli officials have said that the only thing hindering the entry of aid into Gaza is the limitations of the UN. How would you respond to them? 

It’s a difficult environment because we’ve been able to do limited aid distributions and the Rafah Governorate, where half of the population is now estimated to be, and the rest of the Gaza Strip, it’s been largely stopped due to the intensity of the hostilities and the restrictions on our movements: we’ve had only five out of 24 planned convoys for food and medicine have been allowed to go to the north, for example. 

Reliance ‘on one crossing point’

We are trying to increase our operations. Our operations have been sort of hampered by the insistence of the government of Israel to use a pedestrian crossing in Rafah to bring truckloads of supplies. And while it’s working well, we can’t rely on all of Gaza – 2.2 million people – on one crossing point. We have to open up elsewhere. 

Aid convoys enter the Gaza Strip through the Rafah border crossing. (file)

The humanitarian operations are kept on a very light availability of fuel. This is a lifeline for the operations of the hospitals to keep the oxygenation, to keep the various parts of the actual hospitals working, the desalination plants to keep drinking water going there.

The ongoing humanitarian operation, I’ve got to say, is absolutely outstanding. The work that’s been done by our national colleagues there, supported by the internationals.

So, we are really struggling. I don’t think it’s because we are against getting more in, or [that] we are not taking up our challenges.

We are at this 100 per cent-plus, but there are restrictions in there…It has to be so that that we can actually bring in what we need and more and more places where there are populations – and not serving 2.2 million through one door – and that’s something that has to change. 

UN News: With the situation in Gaza right now, sometimes the West Bank can fall off the radar. Do you have any updates on the situation there?

Jamie McGoldrick: I think we all see the situation in the West Bank. There have been flashpoints in the West Bank since early last year and then since 7 October, the tragic issue, I think that’s accelerated. And we’ve seen over 300 Palestinians have been killed and some 80 children have been killed.

We’ve seen from OCHA and the report’s it’s done that there’s an increase obviously in settler violence against Palestinians. And I think that’s something that we see as a constant trend. There were around 200,000 work permits in Israel but that’s now been suspended…I think that many of them probably lost their jobs now.

No revenue transfer from Israel

And there’s all the civil servants that were there and they’re now getting reduced wages because the actual Palestinian Authority is struggling, because the transfer of revenues from Israel hasn’t happened for some time.

The humanitarian community, many parts of it, are inside, part of the West Bank…We’re trying to address the crises that comes up. It’s very, very hard to keep those two things going at the same time, the concentration on Gaza but then not trying to forget the size of the ongoing problem, that’s happening in the West Bank. 

UN News: 57 years now of occupation, the issue is over 75 years old. People are really starting to lose hope in the peace process. So, what can be done to restore that hope and revitalize the office of the Special Coordinator [for the Middle East Peace Process], to reach a settlement? 

The Special Coordinator’s office is still full on trying to address all of these crises which are interlinked, which is the humanitarian linked with the governance challenges, so that’s something that will have to happen.

More pressure needed to free hostages

But I think at the same time, we have to push harder and strengthen the negotiations on the immediate, unconditional release of hostages by Hamas. That has to happen. 

We have to scale up assistance going into Gaza, taking into account Israel’s own internal security concerns, and we have to increase the humanitarian crossings to allow aid into Gaza, such as Kerem Shalom in addition to Rafah. But we also have to look at northern crossing points. 

Jamie McGoldrick – Interim Resident and Humanitarian Coordinator in the occupied Palestinian Territory meeting Palestinian Red Crescent Representatives in Rafah, Southern Gaza

We have to restore these basic services, medical, humanitarian, which have been impacted by this conflict and then start to build new ones to resume the lifesaving operations. 

And we have to allow more injured patients and those people to get treatment outside Gaza, because Gaza is devoid of the full range of services required for people who have been caught up in this crisis. We have to allow more and more services into those areas.

‘At some time, we have to get back to the peace process’

I think the peace process can’t be understood or considered at this time. We’re almost 100 days of war – how is it going to end and if and when it does, how can the parties, the different parts of the Palestinian parties come together, and how can then the Palestinians and the Israelis sit round the negotiating table, given the depths of what’s happened in that time?

So, I think that there’s a lot of healing to go through and there’s a lot of circumspection to go through, a lot of understanding what all this means. But at some time, we have to get back to that peace process, some way of pulling out an understanding of how people are going to live together. 

UN News: That was exactly going to be my last question to you. How is it possible that after all of this, parties can actually sit back down at the table? How can we explain this to the layperson who doesn’t know?

Jamie McGoldrick: I think peace is more normal than war. I think that’s the fundamental and I think that all people want to live in peace and have a life. They want to have a future. The want their dreams, they want to be able to know what’s coming next. They want to be able to socialize and have families, and you can’t have that in the situation where you’ve got this conflict and you’ve got this insecurity, and I think that has to disappear.

Understanding, appreciation, accommodation

And then you can start the mending process, the healing process. You have to then think for yourself, how do you link to your neighbour? How do you link to the people that you are going to have to live side by side with? And it’s an understanding and appreciation, an accommodation. 

And we see it in many, many conflicts around the world. And unfortunately, this one is one of the most longstanding and the most deep rooted.

“About 160 children are killed every day; that’s one every 10 minutes,” said UN World Health Organization (WHO) spokesperson Christian Lindmeier, echoing concerns from the UN Children’s Fund about the serious additional threat of a mass disease outbreak in the enclave.

“If youngsters continue to have restricted access to water and sanitation in Gaza, we will see a tragic yet entirely avoidable surge in the number of children dying,” UNICEF spokesperson James Elder told journalists in Geneva, who noted that more than 5,350 Palestinian children had reportedly been killed, according to the enclave’s health authorities. 

“The death toll among children is sickening,” Mr. Elder said. “Grief is becoming embedded in Gaza. So this then is a stark warning: without sufficient fuel, without sufficient water, conditions for children will plummet.”

The UNICEF spokesperson added that at least 30 Israeli children are still being held hostage “somewhere in this hellscape”, before appealing for their immediate release, to spare them “their fear (and) the torment” their families have endured.

Hospital evacuation planned

Speaking to journalists in Geneva, WHO’s Mr. Lindmeier explained that “every 10 minutes, two children are injured”, while youngsters and their families caught up in the conflict have been dying “in terrifying circumstances”.

According to the UN health agency, around 180 babies are born every day in the war-shattered enclave. More than 20 of them need specialized care, just like the infants from Al-Shifa hospital in Gaza City, where 31 premature and low-birthweight babies in intensive care were evacuated over the weekend. The original number of infants was 33 but two died “because of the lack of care available to them,” Mr. Lindmeier said.

Highlighting the dire situation all over Gaza where “less than half” of the enclave’s hospitals and clinics now function “in any capacity”, the WHO official said that plans were continuing to evacuate the remaining 200 patients and 50 health workers from Al-Shifa hospital, as a desperate, last resort.

Facing ‘certain death’

“When these people – the doctors, the nurses, the patients – are asking to be evacuated, that’s really the last resort,” he said, adding that it meant “that the situation on the ground has grown so dire that the only other alternative is facing what they think certain death”. 

The WHO spokesperson explained that such evacuations were extremely complicated and dangerous, requiring coordination with Israeli Defense Forces and with Hamas “to get to a safer place inside Gaza”.

The evacuation teams will “need time, they need preparation, they need specialized equipment, they need safe passage”, Mr. Lindmeier said.

Almost no water, fuel, food

According to the UN health agency, Gaza is now home to thousands of injured and critically ill people. There has been a sharp increase in diseases such as diarrhoea, and respiratory infections, along with “almost no water, fuel, food, electricity, or medical supplies”.

Some 72,000 cases of upper respiratory infections have been reported in displacement shelters with close to 49,000 cases of diarrhoea and over half of these among children under age five. This compares with a pre-war monthly average of 2,000 cases in 2021, 2022

Arrival of medical staff and equipment

Speaking later in New York, UN Deputy Spokesperson Farhan Haq said around 40 trucks carrying medical equipment, alongside 180 doctors and nurses, entered Gaza on Monday for the establishment of a second Jordanian field hospital in the southern city of Khan Younis. The facility will have 150 beds.

He also reported that the Indonesian Hospital in Beit Lahiya, northern Gaza, came under attack on Monday.  Twelve people were reportedly killed, including patients and their companions, and many others were injured. 

This marked the fifth time the hospital has been hit since the start of hostilities last month.

“Hospitals and medical personnel are specifically protected under international humanitarian law and all parties to the conflict must ensure their protection. Hospitals must not be used to shield military objectives from attack,” he said.

The UN agency that assists Palestine refugees, UNRWA, further reported that nearly 93,000 displaced people are sheltering in 156 of its facilities across all five governorates in the Gaza Strip, including in the north.

UN at the ready

Meanwhile, international media have been reporting on the possibility of a deal between Israel and Hamas that would involve a hostage exchange and a cessation of fighting for four or five days.

Asked about UN humanitarian response in the event of a possible ceasefire, Mr. Haq said it was “a little bit premature” to talk about the issue.

“But certainly, what we are doing is trying to make sure that we are ready, so if there is any pause in fighting, which is what we’ve been asking for, we would be able to deliver humanitarian aid more effectively,” he said.

WHO staff member killed

The World Health Organization (WHO) mourned the death of a staff member who was killed in Gaza on Tuesday.

Dima Abdullatif Mohammed Alhaj, 29, worked as a patient administrator at the Limb Reconstruction Centre, a critical part of the WHO Trauma and Emergency Team, and had been with the UN agency since December 2019.

Ms. Alhaj had evacuated from Gaza City to her parents’ house in the south, which was bombed on Tuesday.

She was killed alongside her husband, six-month old son, and two of her brothers. Reportedly, over 50 family and community members sheltering in the same house also died.

“She was a wonderful person with a radiant smile, cheerful, positive, respectful. She was a true team player. Her work was crucial, and she had been requested to take on even more responsibilities to support the Gaza sub-office and team,” said Dr. Rik Peeperkorn, WHO representative in the occupied Palestinian territory.

He expressed deepest condolences to her mother and father, a long-serving medical specialist in Gaza, as well as to her family and many friends.

WHO noted that the humanitarian community and the UN have suffered losses since the start of the conflict.  Two doctors from the medical charity MSF were also killed on Tuesday while UNRWA has lost 108 colleagues to date.

“The death of Dima and her family is another example of the senseless loss in this conflict,” said WHO.  “We plead again with all those who hold in their hands the power to end this conflict to do so.”