Last functioning hospital in Northern Gaza overwhelmed with patients and bodies recovered from the streets as ceasefire continues, says ActionAid Ireland

As the ceasefire in Gaza continues and thousands of people return to what is left of their homes, patients have once again started arriving at Al-Awda Hospital – last functioning hospital in northern Gaza – for treatment.  
 
For more than three months, people in the north of Gaza have been trapped under intense siege, unable to move in the streets and access the hospital for fear of being struck by the Israeli military. Now, with people finally able to move around safely, the hospital has received an influx of injured patients, as well as a growing number of bodies recovered from destroyed houses and streets in the area. Across Gaza, an estimated 10,000 people are missing and presumed dead under the rubble, according to the Palestinian Civil Defence service.

Mohammed Salha, acting director of Al-Awda Hospital, a partner of ActionAid Ireland, said:

“Today was between joy and sadness. Everyone is happy that the truce and the ceasefire has come into effect and everyone has started to move. Many citizens from Gaza City came to the northern Gaza Strip.  
 
“The sad aspect is related to the large number of injuries that arrived at the hospital this morning. More than 100 injuries arrived and more than 25 martyrs were pulled out of their homes and from the streets. And there are hundreds of martyrs still…These martyrs are only from the hospital’s vicinity. Some of their families brought their remains.” 

Al-Awda Hospital, which is the only hospital still functioning in the north of Gaza after the Kamal Adwan and Indonesian hospitals were put out of action, needs vital medical supplies, equipment and fuel so it can continue to provide its life-saving services, which include maternity care. 

Dr Salha continued: “Things are going in a good direction. We are now renovating the hospital and bringing in some crews so that we can provide services, as we are now…We hope that we will be ready and prepared to provide health services to the citizens in the northern Gaza Strip.” 

Across Gaza, as the full scale of the devastation wreaked by 15 months of war becomes apparent, ActionAid’s colleagues and partners say there is an urgent need for more aid to address the dire humanitarian need – from nutritious food, clean water and medicines, to tents and shelter items for people whose homes have been reduced to rubble.  

Karol Balfe, ActionAid Ireland CEO, said:

“Gaza has lost everything, and it needs everything. Food, water, medicines, fuel, shelter items, reconstruction materials and other essentials must be allowed into Gaza immediately, and all land border crossings, including the Rafah crossing, must be reopened.”

Ms Balfe said that, in recent days, ActionAid partner organisations have been continuing their emergency response, including by distributing vital dignity kits. These include essentials such as period products and soap – and winterisation kits – which include blankets and warm clothes – to the women and girls they support. They are also preparing to ramp up their psychosocial services in the coming days and weeks to help people cope with the mental and emotional toll.

She added: “Although the October 7th, 2023 attack by Hamas on Israel was reprehensible, Israel’s retaliation has been brutal and inhumane and the ceasefire does not mark the end of this crisis. Instead, it marks the start of a new chapter in which every single Palestinian in Gaza faces the daunting task of coming to terms with the loss and devastation that 15 months of brutality has wreaked on their lives. It must be the first step towards a permanent and lasting ceasefire in Gaza.” 

Huge challenges lie ahead. As people begin to pick through the ruins, there is a high risk of danger from unexploded ordnance. The UN estimates there could be as much as 7,500 tonnes of unexploded munitions scattered across the strip. All restrictions on items entering Gaza must be lifted so that essential tools, equipment and reconstruction materials can be brought in, as people begin the enormous task of rebuilding.  

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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