Gaza’s Nasser hospital forensics team faces significant challenges in investigating the bodies of Palestinians returned by Israeli authorities. The team operates with limited resources, including a lack of cold storage and DNA testing facilities, while grappling with questions surrounding potential mistreatment and identification of the deceased.
Gaza Doctors Struggle — Key Developments
Over the past eleven days, 195 bodies have been transferred to Gaza by Israeli authorities as part of an exchange for 13 Israeli hostages under a ceasefire deal. Additionally, the bodies of two hostages from Nepal and Thailand were returned by Hamas. Photographs released by Gaza’s medical authorities reveal that some of the bodies were badly decomposed, and some were naked or in underwear, bearing multiple signs of injury. Some had their wrists tied behind their backs, and doctors reported that some bodies arrived blindfolded or with cloth roped around their necks.
Dr. Ahmed Dheir, head of the forensics unit at Nasser hospital, emphasized the severe limitations imposed by the lack of cold storage space. The bodies arrive thoroughly frozen, taking several days to thaw, which hinders basic identification methods like dental history and prevents thorough post-mortem examinations. “The situation is extremely challenging,” he stated. “If we wait for the bodies to thaw, rapid decomposition begins almost immediately, putting us in an impossible position [because] we lose the ability to examine the remains properly. So the most viable method is to take samples and document the state of the bodies as they are.”
Challenges Faced by Gaza Doctors
Dr. Alaa al-Astal, a member of the forensic team at Nasser hospital, reported observing “signs of torture” on some of the bodies, including bruises and marks from binding on the wrists and ankles. He described cases where restraints were so tight that blood circulation to the hands was cut off, leading to tissue damage and clear signs of pressure. He also noted deep grooves around the eyes, suggesting the use of significant force when blindfolds were applied. Additionally, cloths tied around the necks of some bodies required further investigation to determine the cause of death.
Sameh Yassin Hamad, a member of the Hamas-run government committee responsible for receiving the bodies, stated that there were signs of bruising and blood infiltration, indicating severe beatings before death. He also reported stab wounds on the chest or face of some of the deceased. Images from the unit showed deep indentations or tightly-fastened cable-ties on the wrists, arms, and ankles. One photograph appeared to show bruising and abrasion, confirming that ties had been used while the person was still alive. Other bodies showed only deep indentation marks, necessitating post-mortem examinations to determine whether the ties were applied before or after death.
International Scrutiny and the Gaza Doctors’ Struggle
The BBC shared the photographs with forensic experts outside the region, including one specializing in torture, to gain insights into the medical processes involved in such investigations. All experts agreed that the markings raised questions about what had happened but that concrete conclusions about abuse or torture were difficult to reach without post-mortem examinations. Israel’s military stated that it operates strictly in accordance with international law when asked about the evidence gathered.
Michael Pollanen, a forensic pathologist and professor, described the situation in Gaza as an “international forensic emergency,” highlighting the urgent need for resources and expertise to properly investigate the circumstances surrounding the deaths. The limitations faced by Gaza doctors underscore the need for international support to ensure thorough and impartial investigations are conducted.
The Impact on Families and the Future for Gaza Doctors
The inability to conduct thorough investigations due to limited resources adds to the distress of families seeking answers about the fate of their loved ones. The lack of DNA testing facilities and adequate cold storage further complicates the identification process, prolonging the agony for those awaiting closure. The psychological toll on the medical professionals in Gaza, who are working under immense pressure and with limited means, is also a significant concern.
Addressing the challenges faced by Gaza doctors requires a concerted effort from international organizations, human rights groups, and governments. Providing the necessary resources, including cold storage facilities, DNA testing equipment, and specialized training for forensic teams, is crucial for ensuring that investigations are conducted to the highest standards. Furthermore, ensuring access to independent forensic experts and upholding international legal standards are essential for promoting accountability and justice.
The struggles faced by doctors in Gaza highlight the urgent need for increased support and resources to address the humanitarian and forensic challenges in the region. The ability to conduct thorough investigations is not only essential for providing answers to grieving families but also for upholding international law and ensuring accountability for any potential human rights violations.
Note: Information based on credible sources and industry analysis.


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