ActionAid Ireland urges global solidarity amid Gaza’s hospital crisis and famine risk

ActionAid Ireland has called on people in Ireland to join a peaceful Global Day of Action today (Tuesday June 25th) in support of a ceasefire in Gaza as a doctor in one of its partner hospitals told of dire conditions faced by staff and patients and Gaza remains at high risk of famine.

Acting director of Al-Awda Hospital in northern Gaza, Dr Mohammad Salha, said the situation has been so bad that pregnant women have had caesareans without pain relief, while women are losing their unborn babies due to acute malnutrition.

Dr Salha said the biggest challenge the hospital faces is a lack of fuel and medical supplies due to entry restrictions imposed by the Israeli authorities, making it impossible to run the generators used to power the building and vital equipment.

Dr Salha said:

“At times over the last nine months, shortages of fuel and medicines have meant we have been forced to carry out surgeries with only the light from a headtorch to guide us, and to perform caesareans on pregnant women without painkillers or antibiotics.”

Staff and patients are also strongly affected by the dire shortage of food and water that causes a lack of nutrition with many cases of pregnant women losing their unborn babies and wounds becoming infected to the point that limbs must be amputated.

Dr. Salha explained:

“Since more than two months, we are without vegetables and fruits and fresh food. We now have a few kinds of food only: flour, some cans. And it’s [affecting] the nutrition of children and women. 

As reported in the Integrated Food Security Phase Classification (IPC) report on food insecurity in Gaza published today, 96% of the population in the Gaza Strip faces high levels of food insecurity through September 2024. Most families are suffering extreme food shortages, hunger, and exhaustion.

In response to the IPC report, ActionAid Ireland CEO, Karol Balfe, said:

“It is inconceivable that Gaza remains at high risk of famine despite repeated warnings about the enormous scale of the food crisis over the last few months and clear demands outlining the action immediately required to address the catastrophic humanitarian situation.”
 
“The food situation has been deteriorating since Israeli military attacks on Rafah intensified in early May, and the current trajectory is both negative and highly unstable. Our colleagues and partners paint a dire picture of the situation across Gaza right now, with entire families forced to survive on a single can of tinned food, and pregnant women suffering miscarriages because they are so malnourished.”

Meanwhile ActionAid International is calling on people all over the world to take part in peaceful demonstrations, vigils, and activities today (Tuesday June 25th) to raise awareness of the horrors in Gaza, and to demand a ceasefire and action to end the war which has cost almost 38,000 lives, more than two-thirds of women and children.

ActionAid Ireland CEO, Karol Balfe, said:

“The brutal violence against Palestinians in Gaza and the West Bank continues unabated, now escalated with a ground invasion in Rafah. This is a man-made humanitarian crisis, created by Israel, with no precedent in terms of the scale of horror, death and destruction inflicted upon a civilian population. And it’s beyond time for the world to unite in solidarity to put an end to it.”

She said ActionAid’s ask of governments, international organisations, and civil society groups is clear, to:

  • Demand an immediate ceasefire and release of all hostages: Pressure all parties involved to halt the violence and start negotiations for a lasting peace. 
  • Provide humanitarian aid at scale: Ensure the safe and unhindered delivery of humanitarian assistance to those in need in Gaza and 
  • Call for an arms embargo against Israel: Advocate for an arms embargo and stop providing weapons to Israel.

Ms Balfe added:

“Inhumane living conditions are further contributing to the spread of illness and disease in Gaza. Most people are crammed into hugely overcrowded tents and shelters where, without water, staying clean is impossible. In many places rubbish is piling up in the streets and sewage is flowing between tents due to the lack of fuel to power wastewater and refuse facilities, leading to an increase in rats and insects.

She said:

“Current hot temperatures are making the situation even worse, and greatly increasing the risk of dehydration. Outbreaks of skin diseases and Hepatitis A are on the rise while, according to the WHO, cases of diarrhoea have increased 25-fold as a result of the poor water quality and sanitation.

Ms Balfe concluded:

“If things continue as they are, more than a fifth of the population is expected to fall into the highest category of food insecurity any time between now and September. This means that starvation and death will increase. The inhumane living conditions and severe health risks described earlier are exacerbating this crisis. The report is clear that the risk of famine can be reduced, but only if a ceasefire and sustained humanitarian access to the whole of Gaza is secured. Gaza needs more aid – including food, water, fuel and spare parts for critical water facilities – now. The world must wake up to the gravity and urgency of this crisis and demand a permanent and immediate ceasefire now – the alternative is unthinkable.” 

Discover more about ActionAid Ireland here.

Protesters holding End Fossil Fuels banner at a climate demonstration, advocating for renewable energy solutions.

Protestors at COP 28 in Dubai. Photo: Konrad Skotnicki.

Climate protest with diverse crowd holding signs about environmental action in a city square.

Belfast Climate Change March, 2019. Photo: Trócaire.

The Profit Driving the Crisis

Despite their overwhelming contribution to global emissions, fossil fuel companies continue to attract significant financial backing—driven by their enduring profitability. This is starkly illustrated by the case of ExxonMobil, the top fossil fuel investment held by asset managers based in Ireland. In 2023, ExxonMobil reported €33.63 billion ($36 billion) in profit. That is almost twice the GDP of Botswana (€18.1 billion) and nearly three times Namibia’s GDP (€11.5 billion).

Ireland plays a hugely disproportionate role in facilitating investments into fossil fuel companies like ExxonMobil. In 2023, the investments made into fossil fuel companies by investment managers based in Ireland generated an estimated 72.5 million tons of CO2e. This is more than the CO2e emissions for the entire country of Ireland—and more than ten times that generated by Sierra Leone.

The Global Human Impact

The climate crisis is here, now, and it is causing disproportionate harm in the Global South. In Bangladesh, rising sea levels and increasingly severe cyclones are displacing coastal communities, with projections indicating that 17% of the entire country could be underwater by 2050. The legally binding Paris Agreement on climate change explicitly acknowledges the importance of tackling private finance. Its three overarching goals are: keeping below 1.5C of warming; increasing adaptation and making finance flows consistent with low emissions and resilience.

This gives a clear mandate for action:  both tax reform and corporate regulation are needed to tackle financial flows, and both nationally in Ireland and at EU level, ‘polluter pays’ taxes are lacking and regulation of the financial sector remains weak and fragmented. While EU regulation exists, it is designed more to nudge investors toward more sustainable investment practices by increasing transparency and reporting levels than to enforce strict standards. And it is moving in the wrong direction: the recently passed EU Corporate Sustainability Due Diligence Directive excluded investments; and now the EU Commission’s Omnibus legislative proposal threatens to undo the limited gains made on climate plans, as well as blocking future attempts for stronger action at national level.

The Risk of Inaction

Fossil fuel investment is too profitable to remain weakly regulated. If Ireland continues with its current strategy of encouraging FDI at all costs, and relying on weak EU regulation, we are headed for catastrophe. The Inter-governmental Panel on Climate Change has repeatedly warned that every fraction of a degree beyond 1.5°C brings irreversible consequences: collapsed ice sheets, vanishing coral reefs, and extreme weather events that will make vast regions of the planet uninhabitable. And yet, companies are developing oil and gas fields that could push global warming beyond 2°C.

Our research found that 91% of the investments made into fossil fuel companies by investment managers based in Ireland were to companies that have plans for fossil fuel expansion like these. Ireland cannot afford inaction on this issue.

About This Research

The figures in this report regarding investment from Ireland are based on new research commissioned by ActionAid Ireland and Trócaire. In the paper, we uncover the scale of fossil fuel investment through Ireland, who the investors are, and in which fossil fuel companies they are investing.  We analyse the current regulatory framework and explain why it is inadequate—and moving in the wrong direction. And we make specific recommendations for change, which are summarised below.

Summary of Recommendations

Regulate the private financial sector
Ireland must end its outsized role as an enabler of destructive fossil fuel investment. Ireland should introduce a strong gender-responsive national human rights and environmental due diligence framework which includes the regulation of investors with respect to human rights and the environment and climate. The transposition of the EU Corporate Sustainability Due Diligence Directive could achieve this if downstream activities are included and the Omnibus proposal is rejected. Ireland should prohibit investments in fossil fuel expansion and require investors to implement climate transition plans consistent with a 1.5°C climate limit.

Endorse the Fossil Fuel Non-Proliferation Treaty
Ireland should endorse developing a Fossil Fuel Non-Proliferation Treaty to curb fossil fuel expansion and commit to a fair and funded phase out of fossil fuels.

Support tax justice
Ireland should support bold and fair new global tax rules through the UN Framework Convention on Tax, should adopt all OECD BEPS measures, and should conduct an updated and comprehensive spillover analysis of its tax policy. Ireland should take coordinated action globally, at the EU level and domestically to introduce a range of new taxes to mobilise finance needed for climate justice, based on ‘polluter pays’ and social equity principles such as wealth taxes for the highest earners, climate damages tax on investors, fossil fuel production taxes and levies on aviation and shipping.

Finance a just transition
Ireland must also meet its fair share climate finance obligations under Article 9.1 of the Paris Agreement, and pay our ecological debt to the Global South. Ireland should support conditionality-free debt cancellation for countries on the front lines of the climate crisis, commit to a new UN Framework Convention on Sovereign Debt, moving debt negotiations from the IMF to the UN, and to a debt workout mechanism that is fully representative and fair.

Further reading