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Doctors in Gaza say patients’ protruding ribs, bony limbs offer evidence of malnutrition

Smoke rises following an Israeli strike, in Gaza City, August 23, 2025. (REUTERS)
Smoke rises following an Israeli strike, in Gaza City, August 23, 2025. (REUTERS)
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Updated 23 August 2025

Doctors in Gaza say patients’ protruding ribs, bony limbs offer evidence of malnutrition

Smoke rises following an Israeli strike, in Gaza City, August 23, 2025. (REUTERS)
  • There are no protein sources, only plant-based protein from legumes. Meat and chicken are not available. Dairy products are not available, and fruits are also unavailable

GAZA CITY: Not long after Texas surgeon Mohammed Adeel Khaleel arrived at a Gaza City hospital in early August, a 17-year-old was brought in with gunshot wounds to both legs and one hand, sustained when he went to collect food at an aid site.
In the emergency room, Khaleel said he noted the ribs protruding from the teen’s emaciated torso, an indication of severe malnutrition.
When doctors at Al-Ahli Hospital stabilized the patient, he raised his heavily bandaged hand and pointed to his empty mouth, Khaleel said.
“The level of hunger is really what’s heartbreaking. You know, we saw malnutrition before, back in November, already starting to happen. But now the level is just, it’s beyond imagination,” Khaleel, a spinal surgeon on his third volunteer stint in Gaza, said in an interview.
On Friday, the Integrated Food Security Phase Classification, or IPC, the leading authority on global hunger crises, said for the first time that parts of Gaza are in famine and warned that it is spreading.
For months, UN agencies, aid groups, and experts had warned that Israel’s blockade and ongoing offensive were pushing the territory to the brink.
In the 24 hours following the famine announcement, eight people in Gaza died of malnutrition-related causes, bringing the overall toll of such deaths during the war to 281, according to Gaza’s Health Ministry, which is part of the government and staffed by medical professionals.
A US medical nonprofit working in Gaza says one in six children under 5 is affected by acute malnutrition.
Israel rejected the famine announcement, calling it an “outright lie” and pointing to its recent efforts to allow in more food after it eased a complete 2½ month blockade in May.
It has accused Hamas of siphoning off aid — allegations disputed by the United Nations, which says Israeli restrictions and a breakdown of law and order make it extremely difficult to deliver food to the most vulnerable.
Khaleel, who spoke to The Associated Press ahead of the announcement, said the evidence of deprivation was already clear.
“Just the degree of weight loss, post-operative complications, and starvation that we’re seeing. That would not surprise me at all if it were called famine,” said Khaleel, who traveled to Gaza as an independent volunteer via the World Health Organization.
At Gaza City’s Shifa Hospital earlier in the week, nutrition director Dr. Mohammad Kuheil led an AP journalist to the bedside of a thin-limbed girl.
Aya Sbeteh, 15, was wounded in an airstrike. But her recovery has been set back by weakness from lack of food, which her family says has reduced her weight by more than a third.
“All we have are grains like lentils, sometimes,” said her father, Yousef Sbeteh, 44.
“Even flour is unaffordable.”
Another patient, Karam Akoumeh, lay with sunken cheeks, his thin skin stretched like plastic wrap across his rib cage.
His intestines were seriously damaged when he was shot while going out to collect flour, his family said, compromising his digestive system.
Now he is one of 20 people at Shifa brought in for abdominal wounds and increasingly malnourished because of a shortage of intravenous nutritional supplements, the doctor said.
Akoumeh’s father, Atef, said that the lack of supplements compounded the hunger, which reduced Karam’s weight from 62 kg to just 35 kg.
“I checked throughout all Gaza’s hospitals for it (the supplements), but I have not found any,” he said.
Israeli officials have pointed out that some of those said to have died from malnutrition had preexisting conditions.
But doctors and other experts say that is to be expected, as famine first preys on the most vulnerable, including babies and small children.
Outside the hospital, the shortage of nutrients is equally dire, doctors and civilians say.
“There are no protein sources, only plant-based protein from legumes. Meat and chicken are not available. Dairy products are not available, and fruits are also unavailable,” said Kuheil, the doctor in charge of nutrition at Shifa.
In Gaza City on Friday, Palestinians displaced from elsewhere recounted a desperate search for food.
“We’re starving. We eat once a day. Will we be hungrier than we are now? There’s nothing left,” said Dalia Shamali, whose family has been repeatedly displaced from their home in nearby Shijaiyah.
She said they spent most of their money over the last two years moving from one part of Gaza to another as the Israeli military issued evacuation orders.
With Israel allowing more food in recently, the price of flour and other food items has been dropping, but the family still can’t afford them, Shamali said.
In its announcement on Friday, the IPC said famine in Gaza City is likely to spread across the territory without a ceasefire and a flood of humanitarian aid.
Some of the IPC’s conclusions were echoed in a report by a group that organizes medical missions to Gaza, which described a “catastrophic rise in severe malnutrition” among children and pregnant women.
One in every six children in Gaza under 5 is now affected by acute malnutrition, said the report by US nonprofit MedGlobal, based on observations by its staff in four of Gaza’s five governorates.
The group warned that all young children in Gaza are at risk of starving without intervention.
Khaleel, the Texas doctor, said he would leave it to others with more expertise to measure exactly what constitutes famine.
But he knows what he saw in three weeks of treating patients in Gaza, most of the time at the hospital in Gaza City.
Again and again, medical workers cut open patients’ clothing to treat injuries, revealing a loss of muscle and fat caused by hunger that left skin stretched tight over protruding bones.
“These patients, a number of them that we’re seeing, are just exposed ribs, severely skinny extremities,” he said.
“And you know that they’re just not getting calories in.”


9 dead as Yemen repels deadly Al-Qaeda attack

9 dead as Yemen repels deadly Al-Qaeda attack
Updated 12 min 20 sec ago

9 dead as Yemen repels deadly Al-Qaeda attack

9 dead as Yemen repels deadly Al-Qaeda attack
  • Our forces managed to foil a large-scale terrorist attack launched this morning by members of the Al-Qaeda, says Nasr Atef Al-Machouchi, commander of the targeted brigade

DUBAI: Forces loyal to Yemen’s internationally recognized government said on Tuesday they had repelled an attack by Al-Qaeda in the country’s south that left nine people dead on both sides.
“Our forces managed to foil a large-scale terrorist attack launched this morning by members of the Al-Qaeda terrorist organization against the headquarters of the government complex... in Abyan province,” Nasr Atef Al-Machouchi, commander of the targeted brigade, said in a press release.
He said the attackers detonated two car bombs, before infiltrating the compound where they were confronted.
“Five suicide bombers wearing explosive belts” were killed along with four soldiers, he added.
A medical source in Abyan confirmed the deaths of the four soldiers to AFP and reported 15 people wounded.
Yemen’s internationally recognized government established itself in the southern city of Aden after Iran-backed Houthi rebels drove them out of the capital Sanaa in 2014.
Washington once regarded the group, known as Al-Qaeda in the Arabian Peninsula (AQAP), as the militant network’s most dangerous branch.
Born in 2009 from the merger of Al-Qaeda’s Yemeni and Saudi factions, AQAP grew and developed in the chaos of Yemen’s war, which for over a decade has pitted the Iran-backed Houthi rebels against a Saudi-led coalition backing the government.
But attacks by the jihadist group, both against government forces and rebels, have decreased in recent years.


Why more women in the Middle East are embracing a holistic approach to breast cancer recovery

Why more women in the Middle East are embracing a holistic approach to breast cancer recovery
Updated 14 sec ago

Why more women in the Middle East are embracing a holistic approach to breast cancer recovery

Why more women in the Middle East are embracing a holistic approach to breast cancer recovery
  • Breast cancer remains the world’s most common cancer among women, yet conversations are shifting from survival alone to emotional and physical healing
  • Across the region, improved screening and integrated care have boosted survival rates and made treatment journeys more coordinated and compassionate

DUBAI: For women diagnosed with breast cancer, survival is only a part of the story.

What follows — the emotional, physical and psychological process of recovery — often demands a different kind of strength.

Around the world, and increasingly across the region, conversations about healing are expanding beyond treatment alone to include body image, emotional safety and the right to feel whole again.

For Jen Blandos, founder and CEO of Female Fusion, that journey with breast cancer began twice.

Conversations about healing are expanding beyond treatment alone to include body image, emotional safety and the right to feel whole again. (Supplied)

Blandos was first diagnosed with breast cancer 13 years ago, and again in 2025. The recurrence, she says, came as both a shock and reminder of her resilience.

“After more than a decade, I never expected it to return, especially when I didn’t even feel a lump,” she told Arab News. “It was discovered during a routine scan, which made it even more surreal.”

The news, she admitted, was difficult to process. “I was frightened, not just of the cancer itself but of chemotherapy: things like losing my hair, being sick for months, and watching my body change again,” she said.

“It was an emotional rollercoaster, but I reminded myself that I’d faced it before, and I could do it again.”

What struck her most, though, was how much cancer care had evolved since her first diagnosis.

Thirteen years earlier, she found herself moving between hospitals and specialists, carrying her medical notes from one appointment to another.

“Today, in the UAE, you can walk into one hospital and have everything — diagnosis, surgery, chemotherapy or radiotherapy, and long-term care — all under one roof,” she said. “That’s a huge relief as a patient that you don’t need to be worried about remembering everything.”

Breast cancer remains the most commonly diagnosed cancer among women worldwide, with an estimated 2.3 million new cases and 670,000 deaths in 2022, as reported by the World Health Organization and the International Agency for Research on Cancer.

While survival rates have improved globally, disparities persist across developing regions where early screening and treatment access remain limited.

In the Middle East and North Africa, breast cancer accounted for roughly one in four new cancer cases among women and nearly 20 percent of cancer-related deaths in 2022, according to findings published in PubMed.

A 2023 study published in PubMed Central found that breast cancer is also the most common malignancy among women in all GCC nations: the UAE, Ƶ, Kuwait, Bahrain, Qatar and Oman.

The study reported that five-year survival rates vary across the region. It reaches around 89 percent in the UAE and Qatar, compared to 72 to 75 percent in Ƶ and Bahrain, reflecting differences in awareness, early detection, and access to multidisciplinary care.

While survival rates have improved globally, disparities persist across developing regions where early screening and treatment access remain limited. (Supplied)

As more women survive breast cancer, doctors say the next challenge lies in what comes after: how women see themselves, and how the health care system supports that journey.

“Breast reconstruction has a documented impact on the quality of life of a breast cancer patient,” said Dr. Stefano Pompei, reconstructive breast surgeon at Dubai’s Fakeeh University Hospital.

“Physical, emotional and sexual well-being are all elements of feminine life preserved also by the breast’s appearance,” he told Arab News.

Pompei explained that customized breast reconstruction should not be seen as an optional cosmetic step, but as a core part of recovery.

“These procedures reduce the negative physical and emotional experiences after a mastectomy, while improving body image and quality of life,” he said.

According to him, planning for reconstruction ideally begins the moment a patient’s cancer treatment is mapped out.

“It’s fundamental to choose a multidisciplinary breast unit with a qualified reconstructive plastic surgeon who collaborates with the breast surgeon,” he said.

“The reconstructive procedure should be planned simultaneously with the tumor excision in almost 100 percent of cases.”

Pompei added that options today are far more advanced and personalized than a decade ago.

Depending on the patient’s needs, reconstruction may involve reshaping remaining breast tissue, using an implant, or transferring tissue from another part of the body through microsurgery.

Despite the medical progress, awareness about reconstruction remains limited, particularly in the Arab region.

Many women are unaware that reconstruction can often be performed at the same time as their mastectomy, eliminating the need for additional surgeries later.

Others fear it will interfere with treatment or recovery, which doctors say is a misconception.

For women diagnosed with breast cancer, survival is only a part of the story. (Supplied)

While surgeons or general practitioners are often the first to deliver a breast-cancer diagnosis, oncologists step in at one of the most delicate moments in a patient’s journey — when treatment decisions must be made.

“By the time we (oncologists) meet the patients, they already know what they’re facing. My role is to chart a plan and make sure I don’t overwhelm them with too much information all at once,” said Dr. Shaheenah Dawood, consultant medical oncologist at Mediclinic City Hospital in Dubai.

She emphasized that empathy and understanding are central to those conversations.

“It’s important to be honest, but also to understand how that individual is processing the information and whether they need someone close to them present,” she told Arab News.

“Each person is different, and it’s not only about individualizing therapy but also individualizing communication.”

Dawood noted that recent years have brought “an explosion of data” in breast-cancer management, with new approaches allowing doctors to personalize therapy in both early-stage and metastatic disease.

Novel clinical trials are helping physicians detect molecular changes long before they appear on scans, allowing for faster and more targeted intervention, said Dawood.

She added that new therapies such as immunotherapy for triple-negative disease and CDK4/6 inhibitors for hormone-receptor-positive breast cancer have “significantly improved overall survival.”

Despite these advances, she said barriers to early detection persist, with fear, lack of awareness, and even logistical challenges in accessing mammograms, still preventing many women from getting screened.

“Campaigns shouldn’t focus only on October. Breast cancer can occur at any time of year, and screening should be part of every woman’s regular health care routine,” said Dawood.

Beyond the scans, surgeries and statistics lies another phase of recovery, namely the silent work of rebuilding identity and peace.

Breast cancer remains the most commonly diagnosed cancer among women worldwide. (Supplied)

For Yasmina Nagnoug, a clinical hypnotherapist, transformational coach and breast-cancer survivor, the healing journey begins where medicine ends — in the space between body, mind and soul.

“When I first received the news of breast cancer, I was scared but, strangely, not shocked,” she said. “Although I was young, active and had no genetic predisposition, my body had become the mirror of years of suppressed stress and inner conflict.”

Her experience inspired her to create the S.H.E. method — Soothe, Heal, Empower — a 12-week program that helps women process emotional trauma after illness.

“Healing isn’t about becoming someone new,” she said. “It’s about remembering who you truly are beneath the pain.”

Seven years after her diagnosis, she sees wholeness not as a return to who she was before cancer, but as a deeper alignment with herself.

“True wholeness means living from the inside out — connected to God, guided by love rather than fear,” she said. “I no longer chase perfection; I honor balance, authenticity and presence.”

Agreeing with the idea of conscious, whole-person healing is Nancy Zabaneh, who carries this belief into her work as a well-being educator and trauma-informed facilitator in Dubai.

“Healing goes beyond managing symptoms and embraces reconnection at several levels for inner strength and wholeness,” she said.

“Emotionally, it’s about allowing yourself to feel everything — fear, sadness, joy — and learning from those feelings instead of judging them.”

She believes that mindfulness and breathwork can help women bridge the distance between body and mind.

“After cancer treatment, many women describe feeling disconnected from their bodies,” she said.

“Mindfulness and gentle movement can help them release long-held tension and remind their bodies that they are safe again.”

Zabaneh, who recently spoke at Majlis Al-Amal, a well-being community by the Al-Jalila Foundation, said that compassion and connection are vital to recovery.

“We already value community deeply in this region. We simply need to extend that spirit to emotional well-being,” she said. “Healing isn’t about erasing what happened but about listening to the body with kindness rather than fear.”

That sense of connection is something Blandos, of Female Fusion, understands deeply. For her, healing meant finding strength in surrender and self-compassion. “I didn’t want to feel like I was ‘sick,’” she said.

“But I quickly realized that my body needed rest, and my business could continue without me being there.”

As more women survive breast cancer, doctors say the next challenge lies in what comes after: how women see themselves, and how the health care system supports that journey. (Supplied)

She credits her team for stepping up during her recovery and for showing her the value of allowing others to help. “Letting people support you isn’t weakness; it’s strength,” she said.

On the hardest days gratitude became her anchor.

“I focused on thankfulness: ‘Thank you for finding my cancer early. Thank you for my health insurance. Thank you for my doctors. Thank you for the chemotherapy making sure it doesn’t come back,’” she said.

“If I could help even one woman (feel less afraid) it would be worthwhile.”

Experts say the conversation about breast cancer in the Arab world is shifting from survival to wholeness, with growing openness around the emotional and physical impact of recovery.

As more survivors speak openly and medical care becomes increasingly integrated, the message from women like Blandos, Nagnoug and Zabaneh is clear: recovery is not just about surviving cancer, it is about reclaiming life with courage, balance and grace.

 


Algeria says working to bring back 7 teen migrants from Spain

Algeria says working to bring back 7 teen migrants from Spain
Updated 57 min 44 sec ago

Algeria says working to bring back 7 teen migrants from Spain

Algeria says working to bring back 7 teen migrants from Spain
  • Departures from Algeria alone accounted for over 90 percent of the 11,791 crossings the EU border agency Frontex detected on western Mediterranean routes by September

ALGIERS: Algeria said Monday it was working to repatriate seven teenagers whose Mediterranean crossing to Spain went viral on TikTok and sparked controversy over irregular migration from the North African country.

During an official visit to Algiers by Spanish Interior Minister Fernando Grande-Marlaska, his Algerian counterpart Said Sayoud said “efforts are underway to return the seven minors currently in Spain.”

“All documents and information requested by the Spanish authorities have been provided,” Sayoud added. “God willing, Algeria’s request will be met in the near future.”

Grande-Marlaska said that request was pending a judicial approval in Spain.

Clips of the teenagers crossing to Spain from a town near Algiers, first seen in early September, show the boys cutting across the sea in a small boat, with one video drawing over three million views.

Another shows one of the boys, the youngest of whom was said to be just 14, patting the motor as a self-appointed captain shouted: “Spain!“

Many in Algeria have blamed their parents for allowing the trip, while others saw the incident as underlining the lack of opportunities for young people in the country.

Grande-Marlaska said the parents of the teenagers had requested their repatriation and “the procedure is ongoing in our country.”

“The Public Prosecutor’s Office is coordinating ... and will analyze all the documentation sent by the Algerian authorities,” he added.

The teens are reportedly at a juvenile center in the custody of Spanish immigration services.

Europe’s border agency Frontex said last month irregular crossings on western Mediterranean routes had risen by 22 percent since the start of 2025 compared to last year.

Departures from Algeria alone accounted for over 90 percent of the 11,791 crossings the EU agency detected on those routes by September. In a statement, the Algerian Interior Ministry said irregular migration was a “common challenge” between Spain and Algeria.

It said authorities had prevented some 100,000 attempts to set sail illegally for Europe from Algeria since 2024, adding that more than 82,000 migrants were returned to their countries.

This can include other migrants transiting through Algeria, usually from sub-Saharan African countries.


Syria hopes for full lifting of US sanctions in coming months

Syria hopes for full lifting of US sanctions in coming months
Updated 21 October 2025

Syria hopes for full lifting of US sanctions in coming months

Syria hopes for full lifting of US sanctions in coming months
  • “We have to do some push and some lobbying to continue with this path that started in the right direction,” Syria’s economy minister said

LONDON: Syria hopes US sanctions will be fully lifted in the coming months and has started the process of restructuring billions of dollars of debt amassed during Bashar Assad’s rule, Economy Minister Mohammad Nidal Al-Shaar said.
President Donald Trump ordered the lifting of most US sanctions on Syria in May after meeting President Ahmed Al-Sharaa, but the Caesar Syria Civilian Protection Act of 2019 that authorizes them remains US law.
“We have to do some push and some lobbying to continue with this path that started in the right direction, and we’re hoping by the end of the year the bill (to scrap the act) will reach the president (Trump), and hopefully he’ll sign it,” Al-Shaar told Reuters during a conference in London.
“And once that happens, then we are sanctions-free,” he said on the sidelines of the Future Resilience Forum.
HOPES FOR A REDUCTION OF US TARIFFS
The act’s removal will enable foreign investment, restore access to international banking and help revive key industries.
Al-Shaar hopes Washington will reduce its 41 percent tariffs on trade with Syria and that US firms will invest in the country as the economy opens up.
Gulf countries have pledged support and Chinese firms have committed hundreds of millions of dollars, Al-Shaar said, for “big” new cement, plastic and sugar factories.
The government is on course to introduce a new currency early next year, he said.
Sources said in August that new banknotes would be issued in December, removing two zeros — and Assad’s face — from the currency, to try to restore public confidence.
Syria’s pound has lost over 99 percent of its value since the civil war began in 2011 but has been broadly stable in recent months.
“We’re consulting with many entities, international organizations, experts, and eventually it will come very soon,” Al-Shaar said of the currency.
RECONSTRUCTION COSTS
A World Bank report on Tuesday estimated the cost of Syria’s reconstruction at $216 billion, saying the figure was a “conservative best estimate.”
Al-Shaar said the amount could be over 1 trillion dollars if the rebuild brought infrastructure up to date but would be spread over a long time, with the rebuilding of houses alone likely to take 6-7 years.
Asked about plans to overhaul Syria’s debt burden, Al-Shaar said the process had started already.
“The sovereign debt that we have, which is not very big actually, will be restructured,” he said, adding that Syria would be asking for grace periods and other relief.
Assad left Syria in disarray when he was ousted last December and fighting continued in the oil-producing north until a ceasefire was struck this month.
“I’m hopeful that the next maybe few weeks, or maybe a month or two, we will reach some kind of an agreement with those who are controlling that part of Syria,” Al-Shaar said.
“Once that happens, I think we will have greater ability, financial, natural resources, to really start meaningful (investment) projects,” he said, predicting a “quantum leap in our GDP.”


UN warns severe danger from unexploded ordinance in Gaza will persist for years to come

UN warns severe danger from unexploded ordinance in Gaza will persist for years to come
Updated 21 October 2025

UN warns severe danger from unexploded ordinance in Gaza will persist for years to come

UN warns severe danger from unexploded ordinance in Gaza will persist for years to come
  • UN Mine Action Service documents many cases of civilians injured by explosions as they return to war-ravaged areas amid ceasefire, including 5 children last week
  • The agency has recorded 328 incidents in Gaza since October 2023 in which people were hurt or killed by explosive devices, though the true number is likely much higher

NEW YORK CITY: The UN Mine Action Service has warned of the severe threat posed by unexploded ordnance in Gaza, as displaced communities and aid workers begin to return to areas ravaged by two years of relentless Israeli bombardment.
Luke David Irving, the chief of UNMAS in the Occupied Palestinian Territories, highlighted the ongoing dangers posed by these explosive remnants of war.
“As communities and humanitarian personnel now move through affected areas, the explosive risk is incredibly high,” said Irving, speaking in Jerusalem.
“We know from decades of experience that when many other conflicts end, explosive ordnance continue to maim and kill. Gaza is no exception.”
His team has documented many cases of injuries when people encountered unexploded ordnance, he added, including five children who were hurt last week, two of them seriously.
“It is one of hundreds of stories of people, often children, killed and suffering life-changing injuries at the hands of these dangerous items.”
Since October 2023, UNMAS has recorded 328 incidents in Gaza in which people were injured or killed by unexploded ordnance. However, the actual number is likely much higher.
“We expect that this figure is significantly underreported,” Irving said. “More, and many more, people have been injured or killed by ordnance littering Gaza over the past two years.”
UNMAS teams have so far identified 560 items of explosive ordnance in accessible parts of Gaza but warned the full extent of the contamination will remain unknown until more comprehensive surveys can be conducted.
“We expect to find many more items in the coming weeks as we can access more areas under the ceasefire,” Irving added.
The threat posted by unexploded devices is expected to persist for months and years to come, posing risks to residents as they return to their neighborhoods to salvage whatever belongings they can, and children play in affected zones.
Humanitarian workers also face significant danger as they venture into previously inaccessible locations, and Irving stressed the important need to remove explosive devices.
“Humanitarian mine action is indispensable to pave the way for aid delivery and any recovery and reconstruction,” he said.
UNMAS has already reached an estimated 460,000 people in Gaza in its efforts to help communities remain safe, through in-person risk-education campaigns in shelters, health centers and within areas affected by the conflict. Its workers have distributed more than 400,000 flyers, stickers and other awareness materials since March 2025. But much more remains to be done.
“We need to reach the entire population of Gaza with these messages to mitigate the risk,” Irving said.
UNMAS also carries out technical assessments of critical infrastructure, including roads, health centers, water facilities, bakeries and agricultural areas, to help ensure the safety of humanitarian operations. These assessments have also assisted with early recovery efforts, including the clearance of an estimated 50 to 60 million tonnes of debris potentially harboring explosive devices.
Since the ceasefire began on Oct. 10, UNMAS has received nearly 100 requests for explosives-clearance support, about 10 a day on average, as a result of which efforts are being made to bring more technical personnel into Gaza to scale up operations.
However, longer-term recovery will depend on securing approval for the widespread deployment of critical disposal equipment, Irving said.
“We ask that this equipment gets brought in for the wider sector, and this will enable the longer-term recovery of Gaza,” he added.
Irving thanked donors for their ongoing support for his agency, and emphasized the urgent need for the expansion of humanitarian explosives-clearance action as Gaza moves towards recovery.