ActionAid Ireland reports huge increase in injured patients being treated at its partner hospital in Gaza  in one of the bloodiest weeks since the start of the war

ActionAid Ireland said today that staff at its partner hospital in northern Gaza, Al-Awda, are desperately trying to cope with an influx of injured patients from Gaza City in one of the bloodiest weeks since the start of the war.  

ActionAid Ireland CEO, Karol Balfe, said doctors at the hospital are working around the clock to treat the new arrivals despite a critical lack of vital medical supplies, equipment and fuel, which has forced them to postpone scheduled surgeries and rely on small generators to keep the facility running.  She also expressed concern at the worsening hunger crisis in Gaza with a new warning from a group of UN experts of threatened famine in the area.

Ms Balfe said:

“The last few days have seen deadly attacks across Gaza, including in areas where people had been told to flee to. ActionAid is horrified by reports of four attacks on or around schools, where thousands of displaced people were sheltering. Schools have protected status and attacks on them could amount to a grave violation of international humanitarian law.”

She said as attacks on Gaza City intensify, staff fear the number of casualties coming to Al-Awda hospital – which is one of just 13 in Gaza that is currently partially functional – could further increase. On Wednesday the Israeli military issued evacuation orders for the whole of Gaza City, despite there being nowhere safe for people to flee to.  

Ms Balfe said: 

“Hospitals in Gaza are facing overwhelming demand. They are scrambling to treat people wounded in Israeli attacks – many of whom have catastrophic and life-changing injuries – as well as the ever-growing numbers of patients who are dangerously sick after months of living in inhumane, overcrowded and unsanitary conditions without enough to eat.”

Dr Mohammed Salha, acting director of Al-Awda Hospital, told ActionAid staff  in a voice note update:

“Since this morning, Al-Awda Hospital has received 12 injured people and one person who has been killed. They were brought from Gaza City following the Israeli army’s incursion. We received 10 injured people who had been evacuated from Al-Mamadani [now known as Al-Ahli] Hospital to the hospitals operating in the Northern Gaza Strip.”

“There are not sufficient quantities of fuel to operate the generators. We need medicines and medical supplies to perform surgeries. Many surgical operations have been postponed. Scheduled operations have been postponed because we are unable to operate the large generator.” 

He said:

“The World Health Organization sent a small quantity of fuel a month ago which was sufficient [to keep the hospital running for one week only]. Now it has been more than a month that we haven’t received fuel to operate the hospital…There is only a small amount [left], which is sufficient to operate the hospital on small generators for a day. We hope that our partners from the World Health Organization and the United Nations organisations will [be able to] quickly supply the hospital with the fuel necessary for operation and provide the hospital with medical supplies and medicines so that we can keep providing our services to injured people.”
 
“We do not know how long the [Israeli forces] will remain in Gaza City and the number of casualties we will receive at Al-Awda Hospital.” 
In relation to the hunger crisis in Gaza Ms Balfe said the amount of aid entering the territory and reaching those in need continues to be wholly inadequate. According to a stark warning issued by a group of UN experts, famine is spreading across Gaza.

In total 34 Palestinians have died from malnutrition according to Gaza’s health authorities, most of them children.

Ms Balfe added:

“Our partners in Gaza paint a harrowing picture of the current situation, with pregnant women losing their babies because they are so malnourished and desperate mothers struggling to find anything to feed their starving children.”
 
“This is a stain on humanity’s conscience and an entirely preventable, human-made crisis. The world cannot sit back and watch any more children die from lack of food: more life-saving aid must be allowed into Gaza immediately. We call on all states to use every diplomatic lever available to them to bring about a permanent ceasefire, now.” 

More information 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