On a typical day at Nasser Hospital in southern Gaza, Victoria Rose, a British surgeon, would get up earlier than daybreak.
“As a result of the bombing would begin at 4,” she stated, now again in London, having simply wrapped up her third humanitarian mission to Gaza since Israel’s conflict started in October 2023.
Over virtually 4 weeks in Might, she normally operated on 12 or 13 sufferers per 14-hour shift, until there was a mass casualty incident in a single day, that means even longer shifts and extra sufferers.
By comparability, in London hospitals, she treats a most of three sufferers per day.
“It’s working nonstop in Gaza,” she stated.
Recalling a few of her many sufferers, she handled 11-year-old Adam al-Najjar, the only real surviving baby of Dr Alaa al-Najjar, whose 9 different youngsters and husband, Hamdi, additionally a health care provider, have been killed in an assault in Khan Younis final month.

She vividly remembers two brothers with decrease limb accidents, Yakoob and Mohammed, who have been the only real survivors of their household, and an eight-year-old woman named Aziza who was orphaned.
“She had a burn on her face and her shoulder, and any person discovered her strolling the streets and introduced her in,” stated Rose, who specialises in plastic and reconstructive surgical procedure.
Rose and a workforce of medics additionally labored tirelessly to avoid wasting the leg of a seven-year-old woman who, after an explosion, “was lacking her knee … it was like wanting behind her leg with out the bone in”.
Having cleaned the world, eliminated useless pores and skin and muscle, and dressed the wound, the woman returned three extra instances for additional therapy, however in the end, her limb was amputated.
Al Jazeera spoke with Dr Rose in regards to the rising depth of Israeli bombardment, the affect of malnutrition which has been exacerbated by a three-month help blockade, deaths and gunshot wounds she noticed amongst those that desperately tried to get rations through a brand new mechanism backed by america and Israel, and her sense of frustration that because the demise toll rises and the size of accidents is properly documented, disbelief in Palestinian struggling prevails.
Al Jazeera: How did you are feeling coming into Gaza this time round?
Victoria Rose: Undoubtedly as soon as we received in, the bombing was far worse than it’s ever been, and it was far, far louder, nearer, extra fixed than it’s ever been. The drones – it was as in the event that they have been on me. They have been consistently there and actually loud to the purpose that it was tough to have a dialog for those who have been outdoors.
Al Jazeera: What do the kinds of accidents you noticed reveal in regards to the present depth of the bombing?
Rose: This time, the accidents appeared to be from the guts of an explosion. Individuals had been blown up, and bits of them had been blown off.
Final summer time, it was way more shrapnel wounds – a bomb had gone off within the neighborhood, and one thing had been whipped up after which it ejected at them in a missile-type vogue and hit them and accomplished some harm to their our bodies. Far more survivable, reconstructable-type accidents, whereas these seemed to be way more direct hits on individuals.
Al Jazeera: You’ve volunteered thrice throughout the genocide, together with in March and August final 12 months. The demise toll, now at about 55,000, continues to rise at haste. Was this probably the most difficult journey?
Rose: That is, and not using a shadow of a doubt, the worst. The amount of sufferers is extra and the children are extra. The variety of children has gone up exponentially. They’ve doubled because the March (2024) journey – the variety of youngsters that I’ve seen.
In the course of the first journey (in March 2024), I assumed I used to be seeing a great deal of youngsters, however this journey surpassed that.
Al Jazeera: How would you describe Nasser Hospital?
Rose: It’s a really comparable state of affairs, very comparable vibe to being in a hospital anyplace, nevertheless it’s simply so packed.
It’s all people; it’s like the entire inhabitants is in there.
(Medical doctors are normally) very selective with the those that we hospitalise. They’re usually older, or received most cancers, or problems from diabetes or coronary heart assaults – that’s usually who will get hospital beds within the UK. However there, it could possibly be all people in your highway. It’s simply regular individuals which were blown up. Wholesome individuals which are in any other case actually match and properly, and now have been blown up.
It’s fairly weird to hospitalise any person that was match yesterday and, properly, now’s lacking an arm or a part of an arm.
Al Jazeera: You have been in Gaza when individuals desperately making an attempt to safe meals help by means of the Gaza Humanitarian Basis (GHF), a brand new mechanism backed by Israel and the US, have been attacked. Many have been killed. You probably did some media interviews on the time. What did you witness and expertise?
Rose: The majority of the victims had gunshot wounds. They have been shot within the abdomen, shot within the leg, shot within the arm.
After the GHF taking pictures, when (the victims) all got here in, instantly the following journalist (I spoke to) was saying to me that “Israel has denied that they’ve shot anybody and , they’re saying that it’s the Palestinians taking pictures one another”. After which they form of stated, “No person’s been killed”, and I used to be standing within the emergency division with 30 physique baggage, pondering, you may’t lie like this. You simply can’t.
Al Jazeera: Many in Gaza are susceptible to hunger, and 1000’s of youngsters are affected by acute malnutrition, in accordance with the United Nations. How does this have an effect on sufferers and hospital employees?
Rose: All people’s misplaced weight. They may let you know, “I’m now 5 or 10 kg decrease in weight.”
My medical college students I used to be there with in August, the ladies are simply so skinny now. They’re all of their 20s, and all of them seemed actually as in the event that they’d misplaced vital quantities of weight.
However the youngsters are actually small. They’re actually skinny.
Sixty youngsters have died at Nasser Hospital of malnutrition.
It’s primarily the youngsters which are lactose illiberal or have another illness as properly, as a result of not one of the solely formulation milk that’s getting in is appropriate for youngsters with lactose intolerance. Then you may have youngsters that produce other ailments on high of that, which cease them from having the ability to take regular milk. That was fairly surprising.
![Victoria Rose [Courtesy of Victoria Rose]](https://www.aljazeera.com/wp-content/uploads/2025/06/WhatsApp-Image-2025-06-09-at-11.02.39-1749458576.jpg?w=770&resize=770%2C578&quality=80)
The trauma sufferers, which is who I used to be seeing, have been additionally actually small. No fats on them in any respect, fairly a little bit of muscle losing. And so they didn’t actually heal very properly. It appeared to take lots longer this time than it did in August for wounds to heal.
There have been plenty of infections, an enormous variety of infections; with malnutrition, you get a dampening of the immune system. It’s one of many areas that’s affected probably the most. You may’t mount a superb immune response.
On high of that, all the injuries have been soiled anyway as a result of everybody’s residing in a tent and there’s no sanitation, no clear water. You’re beginning in a very tough place, and then you definitely’ve run out of antibiotics. We solely had three kinds of antibiotics that we may use, and none of them would have been the first-line selection if we’d have been within the UK.
Al Jazeera: How would you describe the morale among the many medical doctors you labored with?
Rose: Actually unhealthy now. So lots of them stated to me, “I’d reasonably die than stick with it.”
So lots of them desire a ceasefire, and I believe can be ready to do no matter it takes to get a ceasefire now.
They’re at their lowest. They’ve all moved 15 instances. They’ve all misplaced vital family members – these guys have misplaced children. Their homes are fully destroyed. It’s actually, actually tough instances for them.
Al Jazeera: What are your fears for Gaza?
Rose: It’s a man-made humanitarian disaster, so it could possibly be man-stopped, and that’s what must occur.
This could possibly be turned off instantly if individuals put sufficient strain on the fitting governments, the fitting leaders.
I believe, if we don’t flip it off quickly, there received’t be a Gaza and there definitely received’t be Palestinians in Gaza.
It’s very tough to have any conversations with Palestinians in regards to the future as a result of they’ll’t actually see it.
Word: This interview was frivolously edited for readability and brevity.