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(NEW YORK) — The plight of Palestinians trapped in war-torn Gaza has captivated the world since the Oct. 7 Hamas-led attack on Israel, but people who fled the region for medical treatment face a different kind of challenge.

At the Al Sawana hostel in Israel-occupied East Jerusalem, Gazan cancer patients in remission are trapped in a state of limbo. Their medical permits limit their movements to the confines of their hotel or hospital.

In March, a new layer of stress was added when the Israeli government ordered a group of 22 Palestinians who’ve completed treatment for life-threatening illnesses to be sent back to Gaza.

Reem Abu Obaida is one such patient, having left Gaza shortly before the war began to get chemotherapy for Stage 2 breast cancer. Since then, she hasn’t seen the children she left in Khan Younis, a city in southern Gaza that’s been devastated by Israeli bombardment.

“There is no safe area to go back to in Gaza. Our houses are gone, my kids are living in tents. I’m very afraid,” she told ABC News, speaking in Arabic. “I’m a sick person and my immunity is weak, I can’t live in those places.”

Under intense pressure, Israel approved a mediation process for patients that deals with each family on a case-by-case basis. It means there’s less chance of patients being sent directly back to Gaza, but their circumstances remain unclear. This process is overseen by COGAT (Coordinator of Government Activities in the Territories), the Israeli Defense Ministry agency that helps to coordinate activities between Israel and Gaza.

Obaida, who says she still requires follow-up hormonal treatment, is among hundreds of Palestinians who traveled to East Jerusalem for specialized care that’s unavailable in Gaza. In the wake of Oct. 7 and the Israeli response, few terminally ill or critically injured Gazans have been treated in the city.

However, Wesam Halabi’s family is among a handful of people who got out of Gaza after Oct. 7 and have been staying at an East Jerusalem hospital, St. John’s. They’re from Beit Lahia, a city in northern Gaza.

On Nov. 23, they were taking shelter in Halabi’s brother’s house after the destruction of their own home.

“Bullets and bombs hit the house, the bullets and bombs came in,” Halabi said, speaking in Arabic. “Around 100 soldiers came in. They held the guns to the heads of my young children and my husband. They told us to raise our hands, and they find us alive and not dead.”

Halabi had lost consciousness and awoke to find her face was bleeding heavily, with soldiers all around her and her family, she said. Their fate apparently changed when an Israel Defense Forces (IDF) medic arrived and demanded that the soldiers lower their weapons.

“At that moment, she took them out right before they were about to kill us,” Halabi said. “She saved us at the last moment.”

Medical reports detailed the extent of the injuries the family sustained in explosions that day: shrapnel pierced through Halabi’s eye, her husband had multiple puncture wounds and fractures in his spine, while their teenage daughter had abrasions from debris.

In a highly unusual move for the IDF, the medic loaded the family into an armored vehicle and took them out of Gaza for treatment at two East Jerusalem hospitals. While Halabi and her children went to St. John’s, her unconscious husband was taken to the nearby Makassed Hospital.

For a month after being spirited to separate hospitals, the family had no idea they were being treated in such close proximity.

“We thought he was killed. He was feeling the same. He was crying thinking we had died,” Halabi said of her husband. “After a month, a nurse came from the hospital where my husband is a patient. The nurse came with a patient. He brought up our story in front of him. He said we have a patient who says, ‘I don’t know about my family. Are they dead? Are they not? Did they bring them? We don’t know?’”

Despite realizing her husband was alive and a 6-minute drive away, they still couldn’t visit him due to the strict movement restrictions applied to Palestinians on medical permits.

Guy Shalev is the director of physicians for Human Rights Israel, the NGO fighting the government’s push to deport Gazan patients once their treatment is complete. He has been tracking the case of Halabi and her family.

“They are basically illegal if they leave the hospital and they risk being arrested,” Shalev said of their situation. “And this whole system is part of a larger kind of bureaucratic mechanism of the permit regime that really controls every movement of Palestinians.”

ABC News reached out to the Israeli government, the IDF and Defense Ministry unit COGAT about the efforts to deport Palestinian patients, but they said they do not comment about ongoing court cases.

In the Knesset, the Israeli house of representatives, Simcha Rothman of the right-wing Zionism Party serves as the chair of the constitution, law and justice committee. He explained why he’s been advocating for patient deportations, despite the risks that they’ll die due to Gaza’s lack of sanitation or a functional health system.

“It’s not that sending people to Gaza is a death sentence, but in war you must take care of your own people,” he said, before addressing the medic’s decision to help Halabi’s family. “To help them is a good thing. To bring them to East Jerusalem is a very bad idea because they will be the hotbed … for the next attack on Jews in Israel.”

Human Rights Israel’s Guy Shalev suggested that viewing vulnerable patients as potential terrorists leads to every Palestinian being labeled the same way.

In East Jerusalem, Halabi had a message for the medic who saved them.

“She was like an angel coming from the sky. I genuinely thank her for saving my children’s lives and for saving us,” she said. “She did such good for us. I support charitable work, I encourage everyone who is good. I love all those who do good things, and not violence, killing and war.”

During ABC News’ reporting on Halabi and her family, word came that they were being allowed to visit her husband after four months of separation. Despite the trauma of the recent past and unknowns ahead of them, the family found a moment of joy in their surprise reunion.

On July 30, at least 85 sick and severely injured Palestinians from Gaza, including 35 children, were evacuated to Abu Dhabi for specialized care, WHO Director General Tedros Adhanom Ghebreyesus said on X. It was the largest medical evacuation since October 2023, he noted.

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(LONDON) — Divers in Italy have recovered the last missing body, believe to be that of Hannah Lynch, from the superyacht that sunk off the Sicilian coast, ABC News has learned.

Five bodies had been recovered by early Thursday morning but the body of the final missing passenger — believed to be Hannah Lynch, the 18-year-old daughter of the yacht’s owner, British tech tycoon Mike Lynch – was located inside the yacht but was not able to be brought to shore.

Mike Lynch’s body is believed to have been among those already recovered from the yacht, though the identities of the dead have not been officially confirmed.

Rescue teams had been facing a “very hard” operation to find those still missing after the superyacht sunk on Monday, a spokesperson for the onsite fire brigade teams told ABC News.

Luca Cari said on Wednesday that the rescue operation for the people missing from the U.K.-flagged Bayesian was ongoing. The vessel was lost early on Monday in stormy weather around half a mile from the fishing village of Porticello, close to the city of Palermo.

Divers had been operating inside the yacht for two days, Cari added. “But the job is very hard because there are large obstacles and [we] have to work in very narrow spaces.”

“It’s a long process and we can only operate in short spells,” said Cari. Divers have to be rotated constantly, with each only able to stay underwater for around 12 minutes, he said.

Two Americans — Christopher and Neda Morvillo — were among the missing, ABC News confirmed on Tuesday.

Christopher Morvillo is a partner at law firm Clifford Chance and represented Lynch in his recent fraud case brought by Hewlett Packard. He is a former assistant United States attorney for the Southern District of New York.

Morgan Stanley International Chairman Jonathan Bloomer and his wife Anne Elizabeth Judith Bloomer are also among the six missing passengers.

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(NEW YORK) — If someone asked Sara Bsaiso what her dream was one year ago, it would have been to finish her senior year of high school, complete her final exams and attend college or university.

However, those dreams were dashed when Sara became one of the more than 12,000 children and teenagers in the Gaza Strip who have been injured since the Israel-Hamas war began.

Sara suffered severe third-degree burns to much of her body and went months with limited medical care before she was able to be medically evacuated to the United States, she told ABC News. Two of her brothers were killed in the same strike that injured her, she said.

Now, sitting in a house in New Jersey, having undergone more than a dozen surgeries and with several more on the horizon, her dream now is to recover and for “stability.”

“When I was 17 years old, I had one dream and, now that I am 18 years old, my dreams have changed,” she told ABC News in Arabic. “My life goals have changed and the way [I] look at dreams in general has changed. The one thing I want right now is stability.”

‘I realized I am on fire’

On the day of the Hamas terror attacks in southern Israel on Oct. 7, Sara, then 17, was in her final year of high school. Sara said she had school in the morning and, as she was waiting to be picked up, she heard a noise that she thought was thunder.

“My dad said, ‘No, that is rockets hitting Tel Aviv’ and we all just started looking at each other,” Sara said. “I went to WhatsApp to ask my friends if they heard the same sounds. Everyone was confused and one of my teachers … was already at school and we told her the sounds are getting louder. [She said], ‘You should go home.’ That was the last time I talked to her, this teacher.”

Sara said her father felt the situation was too dangerous to remain in their home in Rimal — a neighborhood in Gaza City, located in the north — and told the family they should leave. Sara packed a bag that included her school uniform and some clothes and traveled with her eight siblings to her grandmother’s house nearby, also in Rimal.

They stayed there about one week before the Israel Defense Forces (IDF) sent flyers ordering civilians to evacuate, Sara said. They fled to Rafah, in southern Gaza, where they stayed for six days before heading back to their grandmother’s house.

On the day of her injury, Dec. 7, Sara said she had just gotten a haircut and her 15-year-old brother, Ahmed, was outside making bread.

“I was just swishing [my hair] left and right,” she said. “We were all in the living room and I was just asking everyone what they thought of my new haircut. ‘What do you think of my hair? Do you see a difference?'”

She said Ahmed came into the house and asked her if she could bring inside her younger brother, Mohammed, who was scared of “fighting noises” outside.

Sara went outside to where her 8-year-old brother was and began to comfort him.

“I am at the door hugging him, telling him, ‘You are strong, don’t be scared,'” she recalled. “All of a sudden, as I tried to turn around, there is something so hot behind me. I took a minute to look at my arms, my legs and asked myself, ‘Where am I?’ Until I realized I am actually on fire.”

The family said a missile strike had hit the courtyard of Sara’s grandmother’s house — and Sara had been caught in the blast.

“It took me a minute to understand. By then, the slippers on my feet were melting so I couldn’t really run,” she said. “I just kept trying to run. …. When I reached the door, I couldn’t move anymore. So, I was about to fall down because my legs were melting.”

Sara said she felt her father grab her as she collapsed to the ground. She could feel water being poured on her and she could hear her brother, Mohammed, screaming. At the time, Sara said she took the screaming as a sign that he was still alive. What she didn’t know was that he had been severely burned as well.

Ahmed was killed instantly, and Mohammed died about a week later, according to the family.

Meanwhile, Sara suffered third-degree burns to about 60% of her body.

As of July 23, at least one quarter — or 22,500 — of those injured in Gaza are estimated to have “life-changing injuries” that will require rehabilitation services for potentially years, the WHO said during a briefing on Thursday. Major extremity injury is the most common injury, followed by amputation, burn, spinal cord injury and traumatic brain injury, the WHO said.

Third-degree burns affect the outer layer of skin, the middle layer of skin and fat below the skin. A third-degree burn can also damage sweat glands, hair follicles and nerve endings, and needs to be treated by a health care provider.

In Gaza, where the health care system has nearly collapsed, proper care is much more difficult to obtain.

“The first two days, there was no medicine in my system,” Sara said. “I couldn’t feel pain anywhere. I just wanted to sleep. I was shivering from the cold. Then I started feeling worse and worse and developed a [104 F] fever. I could not speak and I was shaking in place.”

Sara’s family was able to locate medicine, but she said it was expired. When Sara noticed that one of her legs was turning green — discoloration is a prominent sign of gangrene — doctors who visited told her family her wounds had become infected.

Sara said her family was able to get an ambulance amid the fighting to take her to one of Jordan’s field hospitals operating in Gaza, where she stayed for a few days before returning to her grandmother’s house. Doctors were able to give her medicine, but Sara said the hospital was overwhelmed with people injured because of the war as well as people sheltering at the hospital.

“I know the Jordanian hospital is better than being nowhere, but it was absolute torture,” Sara said. “There would be times where there is no time for them to perform surgery on me. There were many times the dressing would unravel or not be strong enough and puss would come through.”

Sara was unable to walk because her burn wounds kept opening up, so she would be carried on a stretcher or transferred by ambulance, her family said. Although Sara was bandaged, she said the dressings were painful because there was no medicine or ointment her family could use to properly wrap the wounds. Her family said she didn’t undergo surgery at a hospital in Gaza but, when her dressings were changed, medical staff would put her under anesthesia when they could.

Israel has said its goal is to eliminate Hamas, and claims Hamas uses schools, hospitals and civilian buildings “to conduct and promote terrorist activity.” Israeli officials also claim that the IDF tries to minimize civilian casualties. Hamas has denied that it is conducting its operations out of civilian buildings and has condemned any of Israel’s attacks that have killed civilians.

The IDF did not respond to ABC News’ request for comment on the alleged attack that led to Sara’s injuries or on the war itself.

The months-long journey to evacuate Sara

Pictures and videos of Sara’s story began to circulate on social media, and eventually made their way to Steve Sosebee, founder of HEAL Palestine. The non-profit organization was set up in January to address the humanitarian needs on the ground in Gaza.

“A friend of mine in Dubai saw her story on social media and forwarded to me and asked if we could help, considering that she was stuck in the north and that she was not able to go south and get treatment, get access to medical care at all,” he told ABC News.

Sosebee said the team in Gaza reached out to Sara’s family to coordinate her evacuation from Gaza City down to southern Gaza and then to cross into Egypt. The family decided that her sister, Seham Besaiso, would accompany her.

Sara and Seham left their grandmother’s house on Jan. 21 and made their way down to the Rafah border, Sara said.

When they arrived at the border that night, the guards did not see their names on the list of people eligible to cross over, according to Sara.

“We tried to find a hospital I could stay at until we could leave,” Sara said. “We stayed at a hospital, I don’t remember the name, but it was a circus. People losing their lives on the floor, people sleeping on the floor, people choking. It was not a place to be with an open wound.”

“Seham and I were crying unsure of what to do. The ambulance driver was very kind and was able to get us a spot in a medical tent in the south,” she added.

The next morning, after waiting at the border for several hours, Sara said the crossing guards found their names on a list and they were able to cross over into Egypt, where they remained for 17 days.

Sosebee said HEAL Palestine secured visas for the sisters and coordinated with Northwell Health Burn Care Center in Staten Island to take on Sara’s case. He helped Northwell send a medical team to Egypt to see if Sara could be moved out of a hospital and be put on a commercial flight to the U.S.

The team “determined that it was not possible for her to fly commercial, given the extent of her injuries in the current state that she was in,” Sosebee said.

The Northwell team concluded Sara needed to be put on a charter medical evacuation flight, Sosebee said. HEAL Palestine teamed up with a partner organization to help cover the cost of the charter, and launched a social media fundraising campaign.

The group was able to raise more than $180,000 to cover the cost of the charter flight as well as additional funds to cover the cost of her medical bills in Egypt and some of the medical bills she would incur in the U.S. Northwell also agreed to cover much of her costs, Sosebee said.

Sara is one of 21 children with medical needs HEAL Palestine has helped evacuate, according to Sosebee, and one of 5,000 people have been evacuated for treatment outside Gaza since October 2023, according to the World Health Organization (WHO).

“When all of us came together and worked together on this, we were able to get a plane put together, to get the money raised for it, and to get [Sara] and her sister …. on that flight and on their way to the U.S.,” Sosebee said. “The finances and the money [are] secondary to the health and the obligation that we have to step up and do all we can to get her the medical care that she needs, and it’s minimal in comparison to what Northwell provided in the treatment that they gave her.”

Receiving care leads to dancing down a hallway

The journey took 24 hours, and Sara and Seham arrived in the U.S. on Feb. 6.

Seham said visitors are not typically allowed to stay overnight in the burn center due to infection control procedures, but they let her stay on Sara’s first night.

“On the first day Sara was in Egypt, she wasn’t sleeping … so it was on my mind when I first arrived here to America that Sara isn’t going to sleep,” Seham told ABC News. “[But] while I was talking to her, I looked at her and saw she had fallen asleep.”

At the burn center, Sara underwent several skin grafting procedures, which is when healthy skin from one part of the body is transplanted to another part of the body.

When severe open wounds go without skin grafts for long periods of time, the wounds can take longer to heal and are more susceptible to infection. Seham said this is what happened to Sara’s fingers, which required some of them to be partially or fully amputated.

Seham said she originally told Sara the amputations needed to occur because her fingers had melted, afraid to tell her the real reason.

“I didn’t tell her because it was really [upsetting] her so, when it happened, I was afraid to tell her that ‘This had happened to your fingers,’ so I told her it was because they had melted,” she said. “But they had …. necrosis. So, they couldn’t be left in her body, so they were amputated.”

At the burn center, Sara underwent rehabilitation, physical therapy, occupational therapy, speech therapy, nutritional therapy, pain management care and palliative care, Sosebee said.

Sara was in the hospital until late May, a little over three months, when she was discharged. On the day she left, a video was recorded and shared to social media of her dancing down the hallway. She said that her physical therapist often encouraged her to dance while she was undergoing treatment.

“This was the last day, and she would tell me, ‘Don’t be shy. We are gonna dance no matter what,'” Sara said. ‘I looked at her like, ‘What do you mean? I am gonna dance in front of all these people?’ She’s like, ‘No, don’t be shy. We’ve danced on the street before.'”

“Basically, we left the burn unit with us all dancing,” she continued. “I was excited, scared and anxious. All the emotions were running through me that day. I had been waiting for this moment since I entered [the hospital].”

Waiting in ‘limbo’ and hoping for the war to end

HEAL Palestine set up Sara, Seham and their mother — who was able to join them in the U.S. after the organization helped secure a visa — with a home in New Jersey.

Sara, now 18, is currently undergoing occupational therapy, which she will need for at least another three months to help her recover. She practices exercises that help her regain her strength and improve the use of her fingers.

Although Sara has undergone at least 20 surgeries so far, she said she will still need several more, including skin grafting procedures. Last month, she was able to take bandages off her fingers for the first time.

Sometimes she looks at old photos or videos “and compare to see if my hair got longer or my skin is better and compare myself from then to now,” she said. “When I look at [them], I feel better.”

Sara said when she can, she talks to her family in Gaza, including her father and two brothers, who remain in northern Gaza and are unable to join the family in the U.S.

“The connection is not secure so it’s hard to reach them and it cuts off a lot, [but] when my dad opens the camera and sees me, he says, ‘Wow,'” Sara said. “He can see the changes and the differences. He would ask me to show my fingers. He wants to see how much progress I have made.”

“As for my brothers, I would tell them I bought something new that we can play with and we will play with them together,” she added. “I just hope this all ends so they can come and be here with me.”

As Sara continues her recovery, Seham and their mother attend all her doctors’ appointments together and help encourage Sara as she practices her occupational therapy exercises.

Prior to the war, Seham, 20, was in her third year of college, studying dentistry. The university has resumed with online classes, but she said it is difficult to start classes again because the third year is “pre-clinic,” which requires practicing dental training, including on dummy heads and plastic teeth.

She said she has paused her studies for now, focusing on helping Sara recover.

“My life from before [the war] will not return. That’s for sure. Because everything is gone. Nothing remains,” Seham said. “We have memories, but even that they took. Thank God, we are still alive. And still, as long as we are here, there is hope inside us that we can return, someday, under better circumstances. Under circumstances that are not like what they are now.”

Both Sara and Seham said they hope the war — which is closing in on the one-year mark — will end and are hoping for “stability” in Gaza so they can return home one day.

“As long as we are in this limbo, I can’t think about what I will study and when I will finish school,” Sara said. “The one thing that we need is for the war to stop. … The most important thing is that this war ends and that voices are heard.”

“Don’t get tired of watching and listening … There are people’s lives destroyed, dreams being buried,” she continued. “People who had hopes and trying to live just like you do, but all of a sudden they found themselves under the ground. God willing, the war ends and people can go back to their lives. That is the most important thing.”

Since Oct. 7, at least 41,000 people in Gaza have been killed and at least 95,000 have been injured, according to the Hamas-run Gaza Ministry of Health. In Israel, at least 1,500 people have been killed including more than 800 civilians and 700 IDF soldiers.

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