Abuawad Ahlam, Griffiths Mark, Edwards Graham H, Eftekhari Adan, Al-Ebweini Mohammed, Al-Najar Husam, Butmeh Abeer, Abu Dayyeh Rasha, El-Shewy Mohamed, Aker Amira
Ahlam Abuawad is with the Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH. Mark Griffiths and Mohamed El-Shewy are with the School of Geography, Politics and Sociology, Newcastle University, Newcastle, UK. Graham H. Edwards is with the Earth and Environmental Geosciences, Trinity University, San Antonio, TX. Adan Eftekhari is with Harvard University, Cambridge, MA. Mohammed Al-Ebweini is with the Coastal Municipalities Water Utility, Gaza Strip in Palestine. Husam Al-Najar is with Islamic University of Gaza, Gaza Strip in Palestine. Abeer Butmeh and Rasha Abu Dayyeh are with the Palestinian Environmental NGOs Network in Palestine. Amira Aker is with the School of Public Health, Boston University, Boston, MA.
Am J Public Health. 2025 Jul;115(7):1053-1061. doi: 10.2105/AJPH.2025.308140.
This essay examines the resulting environmental health conditions in Gaza since October 2023. Evidence is drawn from international agency reports and peer-reviewed literature to document destruction and public health impacts over 18 months. Key themes include water, sanitation, contamination, noise and air pollution, food insecurity, susceptible populations, health system collapse, and trauma. Palestinians are beset with a public health crisis resulting from targeted environmental destruction. Water shortages and sewage contamination increase dehydration, famine, and disease. Air pollution from explosives and waste burning exposes residents to toxins. Waste management has collapsed, heightening disease outbreaks, including polio. Agricultural land is devastated, and food security is threatened with the aid blockade. Power grid destruction has crippled essential services. The health care system's collapse further exacerbates risks, especially for susceptible populations. In addition to mental and physical trauma, cultural and identity loss are immeasurable. The crisis in Gaza has severe and lasting consequences for health, the environment, and regional stability. An end to the bombardment, along with urgent humanitarian aid, release of all hostages, infrastructure rebuilding, and environmental remediation, are essential to mitigate long-term impacts. (. 2025;115(7):1053-1061. https://doi.org/10.2105/AJPH.2025.308140).
本文考察了自2023年10月以来加沙地带由此产生的环境卫生状况。证据来源于国际机构报告和同行评审文献，以记录18个月期间的破坏情况和对公众健康的影响。关键主题包括水、卫生设施、污染、噪音和空气污染、粮食不安全、易感人群、卫生系统崩溃以及创伤。巴勒斯坦人正面临因有针对性的环境破坏而引发的公共卫生危机。水资源短缺和污水污染加剧了脱水、饥荒和疾病。爆炸物和废物燃烧造成的空气污染使居民暴露于毒素之中。废物管理已经崩溃，加剧了包括脊髓灰质炎在内的疾病爆发。农田遭到破坏，粮食安全因援助封锁而受到威胁。电网遭到破坏，使基本服务陷入瘫痪。医疗保健系统的崩溃进一步加剧了风险，尤其是对易感人群而言。除了精神和身体创伤之外，文化和身份认同的丧失也是无法估量的。加沙地带的危机对健康、环境和地区稳定产生了严重而持久的影响。停止轰炸，以及提供紧急人道主义援助、释放所有人质、重建基础设施和进行环境整治，对于减轻长期影响至关重要。（. 2025;115(7):1053 - 1061. https://doi.org/10.2105/AJPH.2025.308140）
