BBC Middle East correspondent
BbcHealth in the Gaza Strip in itself is a victim of an 18 -month war between Israel and Hamas. With doctors who are struggling to cope, the BBC followed a GP by replacing the Médecins Sans Frontères (MSF) wedges.
At 07:30, a light figure in a pink headscarf, Dr. Wissam Sukkar, chooses a way through the devastated streets of Gaza.
“I went for about 50 minutes to get to our clinic,” she explains when she was greeted by a local BBC journalist who helped us register our day. With almost no fuel in gas, few taxis work.
“With our limited resources, we are still trying to be here in Northern Gas during these difficult times,” adds Dr. Sukkar.
The UN World Health Organization (WHO) says that only 21 of the 36 Gaza hospitals are currently partially functional. Medical consumables are critically low due to the current blockade of Israel's gas.
The Lord points out what remained of her former workplace, the MSF Burns Clinic, which fell under the first weeks of the war, during the street battles between Israeli soldiers and Hamas fighters.
Now her team has turned an office west of the city of Gaza into a clinic – and by 09:30, as D -R Sukkar puts her white slave, there are already about 150 people waiting outside in a tent for reception.
“Most of our patients are displaced people,” says Dr. Sukkar. “They live in shelters, even live on tents on the streets.”
As the cessation of the fire collapsed a month ago, thousands of Gazani left their homes again and fled to this neighborhood, looking for safety.
With a little food and clean water there is an increase in malnutrition and diseases – from stomach bugs to scabies. Adults and young people are most affected, and the first patients of the day are babies with viral infections.
“We get many children who suffer from upper respiratory tract infections and diarrhea. There are many children in the shelters in the same place and the virus can spread very quickly,” the doctor explains.
One child has his face, full of mosquito bites, and D -R Sukkar administers some calming cream. As the leaked cooking gas is exhausted, families have undertaken to use open fires for food heating and this also has increased serious burns.
Within an hour, D -R Sukkar and three other doctors have seen dozens of patients. But there are many who are struggling to help.
“We have more and more challenges with the huge number of patients with increasing medical supplies,” says D -R Sukkar.
“We also get complex cases and do not know where to treat these patients because the health system in the gas has collapsed.”
There is an influx in severely wounded patients arriving at the clinic from last Sunday when Israeli military aircraft attacked Arabian Hospital Al-Ali in GazaS
Israel accused Hamas of using a hospital building as a “Command and Control Center”; Something that the armed group denied.
Al -Ali – which was the main medical site for the treatment of trauma in North Gaza – can no longer accept patients. The WHO says the emergency room, laboratory, X -ray machines and pharmacy were destroyed.
“I started my treatment at Al-Shifa HospitalThen I was transferred to Al-Ali and they bombed him, “says Said Barkat, an older man with a thigh bone fracture who arrives at the MSF clinic of crutches.
He did an operation after being wounded by Israeli artillery fire at the shelter, where he stayed at the end of last year. He has pins in his leg and is swollen.
“I came here for every treatment and for tracking,” says Mr Barkat, while nurses change their dressing and give new painkillers.
At noon, when D -R Sukkar checks the small pharmacy at the clinic, she looks worried. Many of the shelves are naked.
Israel closed all the crossings to Gaza in early March, stating that he puts pressure on Hamas to release the other hostages he holds. No help has been introduced since.
“We don't have insulin for diabetes, we have no cure for epilepsy. We have no basic medicines such as Feveri medicines,” says Dr. Sukkar.
“This is the season for skin infections and we have no creams or ointments for bacterial infections, there are no medicines to treat scabies and lice.”
Doctors norta norta supplies that remain.
“We are doing everything possible so that it is enough for next week,” sums up D -R Sukkar, “but we expect our stocks will expire in more or less two weeks.”
Soon Sukkar returns to his consultative room. The tide of patients continues with many more sick children. They have cough, fever and stomach disorders.
At 15:30 it's time to close the clinic for the day. The four doctors here estimate that they have seen nearly 390 patients.
After a long, tiring day, there is a long, tiring walk at home for Dr. Succar.
As she leaves the clinic, she calls her family. Her thoughts turn to the care of their own children, who have been displaced nine times in the last year and a half.
“Like any Gazan, I have a daily struggle to provide clean water, food for my children,” says Dr. Sukkar. “We don't have electricity, so it's really hard to even charge my mobile battery.”
“It's really hard to have some hope,” she continues. “I feel like I live in a nightmare that doesn't end. When will this war end?”
So far there is no answer and no rest.