LONDON: Palestinian refugees in Gaza are experiencing an unprecedented health crisis as a result of Israel’s war on the region, according to the annual UN Relief and Work Agency’s health report released on Tuesday. Palestinian refugees’ health and well-being have suffered a “crushing blow,” the report said, with higher rates of injury, trauma, and mental health disorders. The destruction of infrastructure and transportation has affected healthcare delivery, while congested living conditions and limited access to clean water have increased the risk of infectious disease. Hepatitis and types of diarrhea are becoming more common. Malnutrition has also hit the region, with one out of every three children under the age of 2 in the northern Gaza Strip experiencing acute malnutrition. Healthcare access declined in the fourth quarter of 2023 as 14 out of 22 health centers were forced to close, and power outages crippled telehealth systems. UNRWA established 155 emergency shelters in response, deployed 108 mobile medical units, coordinated the shipment of critical medicines, and implemented disease outbreak surveillance. Dr. Akihiro Seita, UNRWA’s director of health, said: “The health crisis among Palestine refugees can only be mitigated with immediate and sustained healthcare interventions and support. “UNRWA remains committed to addressing these urgent needs and improving the health and well-being of Palestine refugees. “Our staff (have) remained at the frontline in Gaza. As of May 2024, UNRWA has lost over 191 staff members, including 11 healthcare professionals. Our hearts go out to the affected families. “This report underscores our gratitude for the dedication of our healthcare staff, who continue to deliver quality services despite their loss and being displaced several times.” Increased restrictions of movement and rising violence have also created new challenges in the West Bank. UNRWA has adapted by finding temporary solutions to ensure patient access and uninterrupted delivery of medical supplies. More than 2 million patients rely on UNRWA’s health services in Jordan, Lebanon, the West Bank (including East Jerusalem), Gaza, and Syria. Despite operational challenges, including defunding, UNRWA managed to provide nearly 7 million primary healthcare consultations in 2023, maintaining high levels of immunization, particularly in Gaza, which has played a critical role in preventing outbreaks of vaccine-preventable diseases.