Medical Aid During Conflict

Zubir Ahmed Excerpts

Monday 2nd December 2024 Commons Chamber

[Dr Zubir Ahmed (Glasgow South West) (Lab)]

Civilians always pay the highest price in conflict. Medical aid during conflict is critical to saving lives and, more importantly, is protected under international law. Yet, in recent conflicts, much of that lifesaving aid has been denied. Not only does that shame all of us on a basic human level, but as a surgeon where healthcare and aid have been at the forefront of my professional life and, notably, where I have been directly involved in providing aid, I feel that as a particular pain.

I secured this debate to highlight the fact that civilians and medical aid workers are impacted by armed conflict. Everyone caught up in conflict has an inalienable right to aid, and it is not the gift of any country or anybody else. I note that under international human rights law, the rights of the wounded and the sick must be respected in all circumstances, and attempts on their lives and violence against their person are strictly prohibited. Wilfully killing them or causing great suffering or serious injury to their bodies or their health constitutes war crimes, as grave breaches of the Geneva conventions.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Gentleman, who I spoke to beforehand, for bringing forward such an important issue. Does he not agree that even during the worst of the world wars, and there have been some terrible wars over the past few years and there still is, the red cross symbolising medical aid was always a signal of ceasefire, and that that must still be the case today? Does he agree that we must further encourage all our allies and friends across the world to ensure that medical aid is never prevented from reaching those who need it most?

[Dr Ahmed]

I thank the hon. Member for putting that so eloquently, and I wholeheartedly agree with every word and sentiment.

It is not just those typically physically injured by conflict that medical aid supports; it is those who need insulin for diabetes, dialysis machines to keep their kidney function working, and antibiotics to treat life-threatening bacterial infections. People who need basic medical support are caught up in the struggle. The figures support this: in Lebanon, 74% of people over 50 have two or more chronic conditions, so are at increased risk during times of conflict.

The same rate of aid is clearly not getting through in current world conflicts. Those suffering in Gaza are not receiving the same aid. Since April 2023, the escalation of armed violence in Sudan has resulted in famine and displacement. To our credit, in November 2024, this UK Labour Government increased aid to Sudan by £113 million, including medical aid. That has provided medical staff, out-patient consultations, emergency room admissions and access to feeding programmes for children and adults. Of course, there is lots more to do.

Since Putin invaded Ukraine in 2022, the UK has given £5 billion in non-military contributions and a total of £457 million in humanitarian support, including medical aid. That is in addition to what people are doing locally on the ground in every city in this country, including my own city of Glasgow, where my friend and surgical colleague Mr Vladyslav Shumeyko, a consultant surgeon at the Queen Elizabeth university hospital, has personally sent tons of medical aid to Ukraine. I pay tribute to his tireless, selfless work and that of other charity workers, whose contributions have saved thousands of lives.

[Paul Waugh (Rochdale) (Lab/Co-op)]

I thank my hon. Friend for securing this fantastic debate. The whole House will benefit from his medical expertise and political commitment to this issue.

I had the great honour last week of hosting a meeting in Parliament to hear the heartbreaking testimony of Professor Nizam Mamode, a good friend and former colleague of my hon. Friend—he is a great transplant surgeon. Professor Mamode explained how during his work in Gaza this year for Medical Aid for Palestinians he treated child victims of drone strikes and snipers’ bullets. He said he had worked in war zones around the war, but nothing had been as horrific as what he had seen in the repeated, regular attacks on children in Gaza by the Israel Defence Forces. Does my hon. Friend agree that if the Israeli Government are allowed to get away with what they are doing in Gaza under international law, other regimes around the world will see it as a green light for thinking that civilians and medical staff are a legitimate target in war zones?

[Dr Ahmed]

I am grateful for my hon. Friend’s intervention. That highlights this country’s adherence to the international rules-based order. We must always comply with international law, even—and perhaps particularly—when that may seem difficult.

I acknowledge the important work of organisations such as Islamic Relief, which operates in my Glasgow South West constituency, throughout the UK and across the world. Since October 2023, Islamic Relief has provided over £30 million in aid and delivered over 51 million hot meals in Gaza alone—and that does not include its work in South Sudan. Despite that, medical aid is severely restricted in Gaza. The United Nations Relief and Works Agency and other agencies have been unable to deliver essential medical equipment—including medical swabs to stem bleeding and lifesaving medications such as penicillin—and essential vaccine campaign roll-outs have been delayed. That has all been compounded by this weekend’s events.

[Iqbal Mohamed (Dewsbury and Batley) (Ind)]

I thank the hon. Member for giving way and pay tribute to him for securing this important debate. As well as providing valuable aid to various areas of conflict and need, does he agree that the UK and organisations such as the UN should do more to enable its delivery and to take action against the looters and oppressors who stop it getting to the people who need it?

[Dr Ahmed]

I wholeheartedly agree with the hon. Member’s sentiments. Aid should not be impeded by anyone, be they state actors or individual criminals.

At the moment, further aid in Gaza has been suspended following an Israeli airstrike that killed five humanitarian workers employed by US-based organisation World Central Kitchen. The UN has said that it is necessary to stop the delivery of aid into Gaza because of the threat posed by armed gangs. UNRWA’s final decision comes after the latest airstrike. According to the Famine Review Committee, there is a strong likelihood of famine in Gaza. My conversations with colleagues on the ground in the region have confirmed how scarce food is, with very limited meat, cheese, snacks, fruit and vegetables. I understand that people are now surviving on rationed rice. What conversations has the Minister had with international partners to ensure that famine does not break out in Gaza?

As an international actor, it is imperative that the UK ensures that international law is upheld and medical aid reaches people caught up in conflict everywhere. International law dictates that people who are providing medical tasks must always be respected and, more importantly, protected. Medical professionals in the region are risking their lives to treat the injured and ill. My hon. Friend the Member for Rochdale (Paul Waugh) mentioned my colleague Professor Nizam Mamode, who recently returned from a month performing surgical operations in Gaza. He told me when he was there, and on his return, of the lives that he tried to save in increasingly difficult circumstances. He described it to me as hell on earth. What discussions has the Minister had with regional actors, including the Israeli Government, about ensuring the safety of those delivering medical aid in Gaza?

Ambassador Barbara Woodward, the UK permanent representative to the UN, recently said to the UN Security Council:

“There is no justification for denying civilians access to essential supplies. The Government of Israel must do more to protect civilians, civilian infrastructure, and allow aid to be delivered safely and at scale.”

I am sure that those words are wholeheartedly endorsed by all Members of this House. I am proud that this Labour Government restored funding to UNRWA, providing £21 million to support its work, and have given £5.5 million to UK-Med to support its lifesaving work in Gaza. That funding and aid is necessary, but I wonder whether it goes far enough. Our concern now is how we ensure that the correct amount of aid reaches the people of Gaza. What discussions has the Minister had with the Israeli Government to allow aid convoys to enter safely into the region?

Children in Gaza are dying and suffering needlessly. According to the UN Human Rights Office, nearly 70% of people killed in Gaza are women and children. That report has found unprecedented levels of international legal violations, including of the right to medical aid. This includes children now having complex medical needs without access to the requisite specialists in any other nearby country. What discussions could be had with regional actors and the UN about potentially bringing such children to the United Kingdom for treatment, as some of our international partners have already started to do?

I will conclude by reiterating the salient point that anyone caught up in conflict has the right to aid—it is not a gift or an act of benevolence by anyone else. We must now ensure that our record on this issue is one that future generations in this House can look back at, not with regret or contrition, but with pride.