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The World Needs to Adopt a Real Humanitarian Goal: Removing Hamas From Gaza (PART ONE)
Palestinian women react at the site of an Israeli strike on a house, amid the Israel-Hamas conflict, in Nuseirat in the central Gaza Strip December 1, 2024. Photo: REUTERS/Ramadan Abed
As a doctor who spent a lifetime of work in epidemiology and environmental medicine, I have extensive experience thinking about how external factors drive public health outcomes — preventable disease and premature death.
I have studied the negative public health impacts of asbestos, pesticides, unsafe driving, cigarettes, and more — and made recommendations aimed at reducing these dangers.
Much of this work occurred in the West Bank and Gaza Strip. That experience has much to say about the catastrophe we have witnessed in Israel and Gaza, and which we risk reoccurring, if we do not address the intergenerational indoctrination and incitement in the Palestinian world.
As an environmental epidemiologist with significant work studying genocide and incitement, I see indoctrination in genocidal ideology as a form of hazardous exposure with toxic effects on all age groups — but with specifically dangerous impacts on the young. Exposure to such indoctrination and incitement can be likened to frequent or prolonged exposures to toxins such as lead, asbestos, and tobacco smoke. The impacts are both immediate and long-lasting. We should act accordingly.
October 7th
It’s critical that we see the Hamas massacres on October 7th and the resulting war in Gaza not just as a geostrategic milestone, but also as an incident in environmental medicine with impacts on both Israeli and Palestinian lives.
The barbaric attacks on Israel were systematic. For one day, Hamas waged total war — raping, murdering, and kidnapping — and setting out to make Israel’s Gaza envelope communities uninhabitable, which many still are, more than a year later.
Israel has responded by defending itself and seeking to defeat Hamas militarily. Because Hamas has placed itself within and often underneath the civilian population, this has required a brutal and grinding kind of warfare, combined with internal displacement of Gaza’s population, especially in its north.
For Gaza, this has been an epidemiological catastrophe. Whatever Gaza once was, it no longer is.
While some in the public health and humanitarian community blame Israel for this destruction, that would be a mistake.
The predicate for all of the public health losses was the ideology that made Israel’s military action inevitable.
Poisoned Minds, Not Poisoned Wells
In a disease model, we must look for the risks and causes of the disease, not merely the symptoms, if we are to heal the patient. The same is true in epidemiology: We must identify the content and effect of toxic exposure in a community. The legendary epidemiologic discovery came in 1854, when John Snow deduced that a cholera epidemic in London could be linked to a single water pump on Broad Street.
In this case, we are not looking for a contaminated well. We are looking for contaminated minds — the contaminant is the ideology of Hamas.
Hamas and its enablers have indoctrinated all Gazans in this ideology, from cradle to grave. Many of the thousands who came across the border to murder, rape, and loot on October 7 were not only uniformed and trained Hamas terrorists, but ordinary Gazans who joined in on the genocidal massacre.
They were motivated to commit murder and rape by what they were taught at home, at school, at mosques, in the streets, and on social media. If they had no formal training to kill, they didn’t need any.
It is rare that a society becomes so sick to the core that mass murder becomes a socially acceptable norm. Hamas terrorists bragged to their parents. They were greeted as conquering heroes and were eligible for large cash awards and free apartments. This is a culture in which genocidal massacre is celebrated.
Critics of Israel’s offensive into Gaza say it will only create more supporters for Hamas. That is absurd. Gaza already is dominated by intergenerational indoctrination of an extreme version of jihadist Islam.
It is critical that we recall Gregory Stanton’s seminal “Ten Stages of Genocide,” which speaks to this issue specifically. Genocide follows a distinct pattern, from classification of the enemy to symbolization of the enemy, to discrimination, dehumanization, organization, polarization, preparation, persecution, extermination, and finally, denial.
Just as Palestinian society has been shaped by genocidal motifs of demonization, delegitimization, and glorification of terror, it is also not destined to serve the cause of genocide. This was not inevitable. There are many traditional and religious societies in the Arab world similar to Palestinian Arabs which do not engage in any of the kind of genocidal or pre-genocidal steps of Hamas.
More than Hamas
If the problem is man-made, then the solution will be man-made. First, let us dispense with the fiction that destroying Hamas’ hardware, its fortifications above ground, and its tunnels underground is sufficient.
If Israel exits Gaza only having killed Hamas operatives and destroying Hamas infrastructure, it will have achieved very little of lasting value. It must take on the hard work of removing genocide indoctrination and incitement.
Like any epidemiological matter of any consequence, this will take many years.
Many public health epidemics and mass exposures in the past such as typhoid, cholera, exposure to asbestos, and lead took many years to prevent or control, and required a generational commitment of the entire medical and policymaker community.
De-Nazification as a model
There is, however, a model for this process, and it comes from America and its allies as they sought to de-Nazify Germany and pacify Japan after World War II. These efforts were comprehensive and driven by military dominance.
In Germany, the process included the Nuremberg trials, which did much to expose the world — and Germany — to the horrors of the Nazi genocide program. But it wasn’t enough.
The process was not perfect. Many former Nazis avoided punishment; some innocent Germans were unfairly accused. The Allied forces confiscated all media — including school textbooks — that would contribute to Nazism or militarism. Art extolling Nazism was similarly banned and shunted aside. This was not a libertarian exercise.
But it succeeded. Germany had, at that point, emerged from roughly a century of bellicose militarism and deep antisemitism. It had started two world wars and carried out an industrial-scale program of genocide. Few believed it could ever be anything but a source of human misery in the heart of Europe.
The Germany of today — peaceful, global, and prosperous — would have seemed to be a mirage. In fact, General Dwight Eisenhower, Allied commander in Europe, predicted the de-Nazification of Germany would take 50 years.
In Japan, too, the efforts were monumental. Japan had been a militant and bellicose society, with deep racial animus towards its neighbors and the West, for several centuries. Not only were its military and military industries disbanded, but outward signs of patriotism were banned in public life, including schools.
Massive other changes, including the introduction of a parliamentary democracy, the political rights of women, and basic free speech rights, were enshrined in its new constitution. Again, as in Germany, textbooks were censored and control over schools was strictly regulated.
Elihu D. Richter is a retired head of the Unit of Occupational and Environmental Medicine at the Hebrew University School of Public Health and is the founder of the Jerusalem Center for Genocide Prevention.
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Trump Says Iran Must Give Up Dream of Nuclear Weapon or Face Harsh Response
Atomic symbol and USA and Iranian flags are seen in this illustration taken, September 8, 2022. Photo: REUTERS/Dado Ruvic/Illustration/File Photo
President Donald Trump said on Monday he believes Iran is intentionally delaying a nuclear deal with the United States and that it must abandon any drive for a nuclear weapon or face a possible military strike on Tehran’s atomic facilities.
“I think they’re tapping us along,” Trump told reporters after US special envoy Steve Witkoff met in Oman on Saturday with a senior Iranian official.
Both Iran and the United States said on Saturday that they held “positive” and “constructive” talks in Oman. A second round is scheduled for Saturday, and a source briefed on the planning said the meeting was likely to be held in Rome.
The source, speaking to Reuters on the condition of anonymity, said the discussions are aimed at exploring what is possible, including a broad framework of what a potential deal would look like.
“Iran has to get rid of the concept of a nuclear weapon. They cannot have a nuclear weapon,” Trump said.
Asked if US options for a response include a military strike on Tehran’s nuclear facilities, Trump said: “Of course it does.”
Trump said the Iranians need to move fast to avoid a harsh response because “they’re fairly close” to developing a nuclear weapon.
The US and Iran held indirect talks during former President Joe Biden’s term but they made little, if any progress. The last known direct negotiations between the two governments were under then-President Barack Obama, who spearheaded the 2015 international nuclear deal that Trump later abandoned.
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No Breakthrough in Gaza Talks, Egyptian and Palestinian Sources Say
Families and supporters of Israeli hostages kidnapped during the deadly Oct. 7, 2023 attack by Hamas gather to demand a deal that will bring back all the hostages held in Gaza, outside a meeting between hostage representatives and Israeli Prime Minister Benjamin Netanyahu, in Jerusalem, Jan. 14, 2025. Photo: REUTERS/Ammar Awad
The latest round of talks in Cairo to restore the defunct Gaza ceasefire and free Israeli hostages ended with no apparent breakthrough, Palestinian and Egyptian sources said on Monday.
The sources said Hamas had stuck to its position that any agreement must lead to an end to the war in Gaza.
Israel, which restarted its military campaign in Gaza last month after a ceasefire agreed in January unraveled, has said it will not end the war until Hamas is stamped out. The terrorist group has ruled out any proposal that it lay down its arms.
But despite that fundamental disagreement, the sources said a Hamas delegation led by the group’s Gaza Chief Khalil Al-Hayya had shown some flexibility over how many hostages it could free in return for Palestinian prisoners held by Israel should a truce be extended.
An Egyptian source told Reuters the latest proposal to extend the truce would see Hamas free an increased number of hostages. Israeli minister Zeev Elkin, a member of Prime Minister Benjamin Netanyahu’s security cabinet, told Army Radio on Monday that Israel was seeking the release of around 10 hostages, raised from previous Hamas consent to free five.
Hamas has asked for more time to respond to the latest proposal, the Egyptian source said.
“Hamas has no problem, but it wants guarantees Israel agrees to begin the talks on the second phase of the ceasefire agreement” leading to an end to the war, the Egyptian source said.
AIRSTRIKES
Hamas terrorists freed 33 Israeli hostages in return for hundreds of Palestinian detainees during the six-week first phase of the ceasefire which began in January. But the second phase, which was meant to begin at the start of March and lead to the end of the war, was never launched.
Meanwhile, 59 Israeli hostages remain in the hands of the terrorists. Israel believes up to 24 of them are alive.
Palestinians say the wave of Israeli attacks since the collapse of the ceasefire has been among the deadliest and most intense of the war, hitting an exhausted population surviving in the enclave’s ruins.
In Jabalia, a community on Gaza’s northern edge, rescue workers in orange vests were trying to smash through concrete with a sledgehammer to recover bodies buried underneath a building that collapsed in an Israeli strike.
Feet and a hand of one person could be seen under a concrete slab. Men carried a body wrapped in a blanket. Workers at the scene said as many as 25 people had been killed.
The Israeli military said it had struck there against terrorists planning an ambush.
In Khan Younis in the south, a camp of makeshift tents had been shredded into piles of debris by an airstrike. Families had returned to poke through the rubbish in search of belongings.
“We used to live in houses. They were destroyed. Now, our tents have been destroyed too. We don’t know where to stay,” said Ismail al-Raqab, who returned to the area after his family fled the raid before dawn.
EGYPT’S SISI MEETS QATARI EMIR
The leaders of the two Arab countries that have led the ceasefire mediation efforts, Egypt’s President Abdel Fattah al-Sisi and Qatar’s Emir Sheikh Tamim bin Hamad Al-Thani, met in Doha on Sunday. The Egyptian source said Sisi had called for additional international guarantees for a truce agreement, beyond those provided by Egypt and Qatar themselves.
US President Donald Trump, who has backed Israel’s decision to resume its campaign and called for the Palestinian population of Gaza to leave the territory, said last week that progress was being made in returning the hostages.
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Iranian Foreign Minister to Visit Moscow Ahead of Second Iran-US Meeting
FILE PHOTO: Iran’s Foreign Minister Abbas Araqchi speaks as he meets with his Iraqi counterpart Fuad Hussein, in Baghdad, Iraq October 13, 2024. Photo: REUTERS/Ahmed Saad/File Photo
Iranian Foreign Minister Abbas Araqchi will visit Russia this week ahead of a planned second round of talks between Tehran and Washington aimed at resolving Iran’s decades-long nuclear stand-off with the West.
Araqchi and US President Donald Trump’s Middle East envoy Steve Witkoff held talks in Oman on Saturday, during which Omani envoy Badr al-Busaidi shuttled between the two delegations sitting in different rooms at his palace in Muscat.
Both sides described the talks in Oman as “positive,” although a senior Iranian official told Reuters the meeting “was only aimed at setting the terms of possible future negotiations.”
Italian news agency ANSA reported that Italy had agreed to host the talks’ second round, and Iraq’s state news agency said Araqchi told his Iraqi counterpart that talks would be held “soon” in the Italian capital under Omani mediation.
Tehran has approached the talks warily, doubting the likelihood of an agreement and suspicious of Trump, who has threatened to bomb Iran if there is no deal.
Washington aims to halt Tehran’s sensitive uranium enrichment work – regarded by the United States, Israel and European powers as a path to nuclear weapons. Iran says its nuclear program is solely for civilian energy production.
Iranian Foreign Ministry spokesman Esmaeil Baghaei said Araqchi will “discuss the latest developments related to the Muscat talks” with Russian officials.
Moscow, a party to Iran’s 2015 nuclear pact, has supported Tehran’s right to have a civilian nuclear program.
Iran’s Supreme Leader Ayatollah Ali Khamenei, who has the final say on vital state matters, distrusts the United States, and Trump in particular.
But Khamenei has been forced to engage with Washington in search of a nuclear deal due to fears that public anger at home over economic hardship could erupt into mass protests and endanger the existence of the clerical establishment, four Iranian officials told Reuters in March.
Tehran’s concerns were exacerbated by Trump’s speedy revival of his “maximum pressure” campaign when he returned to the White House in January.
During his first term, Trump ditched Tehran’s 2015 nuclear pact with six world powers in 2018 and reimposed crippling sanctions on the Islamic regime.
Since 2019, Iran has far surpassed the 2015 deal’s limits on uranium enrichment, producing stocks at a high level of fissile purity, well above what Western powers say is justifiable for a civilian energy program and close to that required for nuclear warheads.
The International Atomic Energy Agency (IAEA) has raised the alarm regarding Iran’s growing stock of 60% enriched uranium, and reported no real progress on resolving long-running issues, including the unexplained presence of uranium traces at undeclared sites.
IAEA head Rafael Grossi will visit Tehran on Wednesday, Iranian media reported, in an attempt to narrow gaps between Tehran and the agency over unresolved issues.
“Continued engagement and cooperation with the agency is essential at a time when diplomatic solutions are urgently needed,” Grossi said on X on Monday.
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