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The Ongoing Environmental Destruction and Degradation of Gaza: The Resulting Public Health Crisis
Ahlam Abuawad1, Mark Griffiths1, Graham H Edwards1
1Ahlam Abuawad is with the Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH. Mark Griffiths and Mohamed El-Shewy are with the School of Geography, Politics and Sociology, Newcastle University, Newcastle, UK. Graham H. Edwards is with the Earth and Environmental Geosciences, Trinity University, San Antonio, TX. Adan Eftekhari is with Harvard University, Cambridge, MA. Mohammed Al-Ebweini is with the Coastal Municipalities Water Utility, Gaza Strip in Palestine. Husam Al-Najar is with Islamic University of Gaza, Gaza Strip in Palestine. Abeer Butmeh and Rasha Abu Dayyeh are with the Palestinian Environmental NGOs Network in Palestine. Amira Aker is with the School of Public Health, Boston University, Boston, MA.
Abstract:
This essay examines the resulting environmental health conditions in Gaza since October 2023. Evidence is drawn from international agency reports and peer-reviewed literature to document destruction and public health impacts over 18 months. Key themes include water, sanitation, contamination, noise and air pollution, food insecurity, susceptible populations, health system collapse, and trauma. Palestinians are beset with a public health crisis resulting from targeted environmental destruction. Water shortages and sewage contamination increase dehydration, famine, and disease. Air pollution from explosives and waste burning exposes residents to toxins. Waste management has collapsed, heightening disease outbreaks, including polio. Agricultural land is devastated, and food security is threatened with the aid blockade. Power grid destruction has crippled essential services. The health care system's collapse further exacerbates risks, especially for susceptible populations. In addition to mental and physical trauma, cultural and identity loss are immeasurable. The crisis in Gaza has severe and lasting consequences for health, the environment, and regional stability. An end to the bombardment, along with urgent humanitarian aid, release of all hostages, infrastructure rebuilding, and environmental remediation, are essential to mitigate long-term impacts. (Am J Public Health. 2025;115(7):1053-1061. https://doi.org/10.2105/AJPH.2025.308140).
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