Çatışma halinde sağlık hizmetlerine saldırı: İşgal altındaki Filistin toprakları ve Gazze'de 7 Ekim sonrası tıbbi tesislere ve personele yönelik saldırıların uluslararası hukuk merceğinden eleştirel bir incelemesi

Abstract

Aim: This study aims to analyze the medical outcomes of attacks on healthcare systems in the Occupied Palestinian Territories, including Gaza, between October 7th, 2023, and December 30th, 2023, within the framework of violations of international humanitarian law.
 
 Methods: This study is a cross-sectional epidemiological research. The universe of the research consists of attacks on the Occupied Palestinian Territories (OPT) between 7 October 2023 and 30 December 2023, which were obtained from the Surveillance System for Attacks on Health Care (SSA) database provided by the World Health Organization (WHO). A frequency analysis of the attacks on healthcare services in the occupied Palestinian region was conducted, focusing on the distribution of attacks by year, type of attack, type of impact, and medical outcomes.
 
 Results: The study reveals that, between October 7th, 2023, and December 30th, 2023, in the Occupied Palestinian Territories, 570 attacks on healthcare services led to 1,419 individuals being medically affected. Healthcare personnel (456), patients (387), and facilities (295) were the most impacted by these incidents. Analysis of these incidents indicates a higher frequency and impact in early October, with healthcare personnel being the most targeted group. Various types of attacks were identified, with obstruction to healthcare delivery being the most common. The findings highlight the significant adverse effects of these attacks on healthcare infrastructure and personnel in the region.
 
 Conclusions: This study reveals significant challenges in safeguarding healthcare in conflict zones, particularly in the Occupied Palestinian Territories. It underscores the necessity of a comprehensive approach to address international law violations, focusing on understanding, implementing, and enforcing legal and ethical frameworks. The systematic targeting of healthcare since October 7th, 2023, highlights the urgency for a global commitment to protect healthcare services and personnel. Collaborative efforts aligned with international humanitarian law and medical ethics are crucial for ensuring the resilience, security, and sustainability of healthcare systems in conflict-affected areas.