A Struggle for Dialysis: The Escalating Tragedy of Gaza’s Kidney Patients

Kidney disease is a relentless burden that demands unwavering care especially for those facing renal failure, where dialysis is not just a treatment, but a fragile lifeline. For patients in Gaza, this struggle is a waking nightmare; their pain is doubled by a suffocating blockade, a desperate lack of medicine, and the darkness of frequent power cuts, all while the very hospitals meant to heal them lie broken by repeated aggression.

Amidst the groans of patients and the alarms of dilapidated machinery, dialysis departments in Gaza’s hospitals have turned into 'stations of no return.' These units are struggling with severe overcrowding, critical medical shortages, and an inability to accommodate the influx of patients. While standard treatment requires three sessions per week, each lasting over two hours, these life-saving sessions have been significantly reduced for a large number of patients.

The destruction of all hospitals in northern Gaza by the occupation forces—including the Indonesian, Kamal Adwan, and Al-Awda hospitals—has precipitated a severe crisis for renal failure patients. Al-Shifa Hospital is currently the sole facility providing dialysis services in the north. All patients in the region are now converging on the complex, which operates only 34 dialysis machines, many of which are dilapidated and in urgent need of regular maintenance.

  Gaza’s Kidney Patients: Between Pain and a Slow Death

Since the onset of the genocidal war, over 150 renal failure patients have lost their lives due to the inability of hospitals to provide regular dialysis sessions and treatment. This crisis is fueled by an acute shortage of essential medicines and dialysis solutions, alongside frequent power outages and severe fuel shortages. Currently, dozens more patients face a grave risk to their lives as they struggle to secure their necessary weekly treatment.

Inside Al-Shifa Medical Complex, the dialysis department admits dozens of cases daily under precarious humanitarian conditions. Many patients are reportedly losing consciousness at the doors of treatment units after waiting for grueling hours, with no immediate solutions to bridge the service deficit. This collapse is a direct result of the ongoing Israeli blockade and the systematic destruction of the healthcare sector by occupation forces

For seven years, Abu Salim has endured the grueling journey of kidney failure, but now, his body is finally reaching a breaking point. As hospitals buckle under the weight of too many patients and too few machines, his life-saving sessions have been cruelly cut short. Left without full treatment, his system is failing; his blood is being poisoned by salt accumulation, and he is slipping into darkness, collapsing again and again as his strength utterly fades.

Speaking to Al-Mujtama, he says: "Under normal circumstances before the war, I used to receive three dialysis sessions per week, which allowed me to maintain a normal daily routine while strictly adhering to my medication. Now, however, sessions have been reduced to just two per week. This reduction, combined with the acute shortage of medicine, has led to a severe decline in my health.

He noted that he now wishes for death every moment to escape the persistent agony and exhaustion caused by the collapse of healthcare services and the acute lack of nutritious food in Gaza. As the population is forced to rely on canned goods—which pose health risks even to healthy individuals—Abu Salim emphasized that for kidney patients with weakened immunity, the repeated consumption of these processed foods is life-threatening and potentially fatal.

Dilapidated Equipment and Missing Medicines

Abu Muhammad’s condition is even more critical than the previous case. He is transported to the hospital via ambulance, having lost the ability to stand or walk due to a severe clinical decline. This deterioration is a direct consequence of the unavailability of essential medications and the forced reduction in both the duration and frequency of his dialysis sessions. Living in dire circumstances, Abu Muhammad faces a constant risk of mortality as regular medical care remains inaccessible.

Speaking to Al-Mujtama, he says: "The healthcare system in Gaza has completely collapsed. The cries of patients, who are dying every moment due to depleted services and medicine shortages, remain unanswered. The global conscience is silent and absent, particularly regarding renal failure patients whose lives are entirely dependent on dialysis sessions. If treatment is provided, they survive; if it is halted, they perish.

He pointed out that the dialysis wards at Al-Shifa Hospital are entirely inadequately equipped for patient comfort. Both the medical beds and the machines are dilapidated, causing patients to endure severe pain and discomfort during their long sessions. Despite these conditions, these worn-out beds remain the only means of saving their lives from the toxins invading their bodies.

  Total Collapse of the Healthcare System

In this context, Dr. Mahmoud Al-Asmar, a physician in the dialysis department, stated: "The healthcare system in Gaza is suffering from a severe collapse due to the deliberate destruction of hospitals and medical facilities by the Israeli occupation. Furthermore, the ban on numerous types of medications for chronic diseases has exacerbated patient suffering, leading to many preventable deaths as a result of punitive measures imposed on unarmed civilians.

Speaking to Al-Mujtama, he noted that dialysis machines are frequently operated beyond their capacity with very limited resources. This strain is a result of the rising number of patients and a critical shortage of filters, tubing, and sterilization materials required for each session. The wear and tear on the equipment, coupled with the inability to replace it due to the Israeli blockade, further compounds the patients' suffering and poses a fatal threat to many.

He explained that patient numbers are steadily rising, while the availability of medical equipment and personnel remains stagnant or is in decline. As a result, hospitals have been forced to curtail the duration or frequency of weekly sessions for many patients, leading to a dangerous accumulation of toxins in their bodies during long wait times. Furthermore, the combined physical and psychological strain is significantly exacerbating their deteriorating health conditions.

 The suffering of kidney patients in Gaza underscores the extreme fragility of the healthcare system under dire humanitarian conditions. It highlights the pressing need for urgent and sustainable support to ensure the availability of essential treatments, medications, and equipment. Addressing the plight of these patients is not merely a humanitarian responsibility but a fundamental right to access safe and dignified healthcare.

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