Israel: Palestinian Healthcare Workers Tortured

A paramedic, Walid Khalili, 36, said that when soldiers removed his blindfold at the Sde Teiman facility, he saw he was in a large building “like a warehouse,” with chains hanging from the ceiling. Dozens of detainees in diapers were suspended from the ceiling, with the chains attached to their square metal handcuffs. He said that personnel at the facility then suspended him from a chain, so his feet were not touching the ground, dressed him in a garment and a headband that were attached to wires, and shocked him with electricity. 

Two doctors held at Sde Teiman said that other detainees came to them to seek care for wounds inflicted by Israeli authorities. When detainees “lifted their shirts, I saw signs of abuse and physical beatings,” one doctor said. The other said, “I saw [men] who had cigarette burns on their arms, it was very clear. One had a dog bite on his stomach.” 

As punishment for moving or speaking, detainees would be forced to stand, sometimes for hours, with their cuffed hands held above their head or fixed to a fence, detainees said. Detainees could hear the screams of other detainees being beaten nearby. One said that after he asked a question, an Israeli officer forced his fingers through a chain-link fence, he “told me to shut up and not say a word,” and pressed downward on the detainee’s fingers for several minutes, causing severe pain until the detainee could no longer feel his fingers. 

Three healthcare workers reported soldiers using military dogs to intimidate detainees. “They would threaten to shoot us and start loading their weapons,” one doctor said. “This felt like horror. They brought in military dogs. I screamed, that was the worst moment in my life, because I was still cuffed and blindfolded, not seeing where the dogs are coming from.” Another doctor said dogs were brought in late at night to wake and terrify detainees. 

Threats and Acts of Sexual Abuse

Three healthcare workers said that Israeli authorities threatened them with sexual assault. Khader Abu Nada, 30, a nurse at Beit Hanoun hospital in northern Gaza, said that when he denied any Hamas affiliation during his first interrogation at a military base in Gaza, the commander threatened to rape him with an “electric stick.” When Abu Nada continued to deny any Hamas affiliation, soldiers beat him until he was bleeding from his nose, hands, and mouth. 

Abu Nada said the commander then asked him where his mother was and threatened to bring her from the checkpoint where he was arrested and strip her in front of everyone. “When I heard this, I was psychologically broken. I felt humiliated,” he said. He said he was threatened with rape again prior to his release.

A detained paramedic who was transferred to al-Naqab prison after 20 days in Sde Teiman, said that a man who was visibly “bleeding from his bottom” was brought in and placed next to him. The man told the paramedic that before he was placed in detention, “three soldiers took turns raping him with an M16 [assault rifle]. No one else knew, but he told me as a paramedic. He was terrified.” In addition, a doctor said while he was detained in a military base, a detainee, “in his late 30s, crying hard … told me he was sexually assaulted during the strip search.”

Cruel, Inhuman, and Degrading Conditions

All the healthcare workers described horrific conditions in detention. Abed, the surgeon, said the food was “horrible” and inadequate, and that he lost 22 kilograms during a month and a half in detention. The bathrooms were “not even fit for animals.” The mattresses and blankets were thin, and the cold nights were “unbearable.” In the cells, water for toilets and for drinking was only available for one hour a day, with a “disgusting” stench emanating from the non-flushable toilets. “They gave us a bag for the garbage.  We used to fill it with water and drink from it later. It smelled horrible but we had no choice,” Abed said.

For detainees’ meals at Sde Teiman, soldiers “emptied tuna cans into a garbage bag and gave it to me,” said Dr. Khalid Hamoudeh, whom soldiers ordered to distribute food to detainees. “One time I saw a soldier spit in the bag. Many [detainees] were starving and telling me they were hungry.” A nurse detained at Anatot said, “We got two meals [a day]. It was terrible food. I would just drink water, there were no fruits, not even apples. They gave us food just to survive the day.”

Khalili, the paramedic, said that at one point when he was detained in Sde Teiman, an Israeli news crew arrived, and a detainee who understood Hebrew told him that a prison official told the journalists, falsely, that the detainees were members of a unit of Hamas’s armed wing responsible for the October 7 attacks. The next day, the paramedic said, soldiers brought food and set it in front of the detainees, ordered them not to eat it, took photographs, then took the food away.

Prolonged Cuffing and Blindfolding

The healthcare workers said that they were cuffed almost constantly throughout their detention. They said Israeli authorities often ignored detainees who complained about the tightness of their cuffs or tightened their cuffs as punishment for complaining. In a public letter, an Israeli doctor working in the military field hospital at Sde Teiman wrote that in a single week, “two prisoners had their legs amputated due to handcuff injuries, which unfortunately is a routine event.” 

Abu Nada, the nurse, said he was arrested at the Kuwaiti Roundabout in Gaza on November 22 while evacuating from the north with his family. Soldiers ordered him to strip, cuffed and blindfolded him, then took him for questioning. He said his first interrogation ended with an Israeli military commander punching him in the face and kicking him all over his body, then ordering another soldier to tighten his cuffs and drag him to an open field, where he waited on his knees for an hour.

“My wrists hurt so much, they felt paralyzed and numb. I cried so much, I couldn’t take the pain,” Abu Nada said. When he asked a soldier to loosen his cuffs, he said the soldier repeatedly kicked his head instead. “I told him, ‘Kill me I can’t take it anymore, kill me already.’” Israeli soldiers ignored or beat him in response to his multiple requests to loosen his handcuffs.

Abu Nada said his wrists later turned black, and he feared his mistreatment may have caused permanent damage: “I still feel pain in my hands. My hands are weak, and I have no strength to hold or carry anything. Also, there’s still pain from my shoulders all the way to my fingertips. I have severe neck pain from the pressure on my head when they kept pushing our heads down.”

As Physicians for Human Rights Israel has reported, prolonged physical restraint causes intense pain and can result in permanent nerve damage that interferes with using the hands and in extreme cases can lead to death. 

The healthcare workers also all reported prolonged, near-constant blindfolding. According to Physicians for Human Rights Israel, “blindfolding can, even with short-term use, induce visual hallucinations in healthy individuals. Over extended periods, prolonged use of blindfolds can contribute to the onset of anxiety disorders, depression, substance abuse, and PTSD (post-traumatic stress disorder) in the medium to long term.”

Medical Neglect

The healthcare workers described medical neglect despite the detainees’ numerous requests and clear, urgent need for treatment for preexisting health conditions, or for injuries sustained during the hostilities in Gaza or from abuses in custody. 

A nurse at Awda hospital in northern Gaza, who asked not to be named, said that on November 21 he was injured when an Israeli airstrike hit his hospital. He had emergency surgery at Awda hospital to stabilize broken fingers and a torn tendon in his right hand, which was then placed in a cast, and an open wound on his left hand was wrapped in gauze. 

The next day, the nurse left the hospital in an ambulance along with 15 other people, including patients, their companions, and hospital staff, in an evacuation arranged by the Red Cross and Médecins Sans Frontieres (MSF or Doctors Without Borders). “The hospital shared our car license plate number, IDs, and names [with the Israeli military], and everything was approved,” he said.

Shortly after their departure, Israeli soldiers at the Kuwaiti Roundabout stopped the ambulance and ordered all passengers to exit. The nurse and another doctor were taken aside and ordered to strip. “My right hand had a cast and titanium [implants]; I couldn’t use it. I couldn’t even pee alone. The doctor detained with me helped me take off my clothes, even my shoes,” the nurse said.

Cuffed and blindfolded, the nurse was taken to Anatot military base. He said that on intake, soldiers introduced a man as a doctor who examined his wounds but did nothing else. He said despite repeated requests, the dressing was only changed for the first time on the third or fourth day of his detention and rarely after that. “They only changed the gauze on the injuries – no scans, no proper medication, nothing. My injury, the skin was open, [but I was given] nothing to treat possible bacteria,” he said. The nurse also said that after a week of detention he was released and needed surgery to treat hemorrhoids due to constant sitting and being kicked in detention. 

Dr. Hamoudeh said that during his detention at Sde Teiman in late December, he saw another detainee with apparent “trauma from beatings, and I was terrified he would die.” He alerted authorities who said they were paramedics – he never saw an Israeli doctor at the facility – and “they took pictures [of the injuries] and sent it to someone. The soldier then told them enough, and not to do any more medical care.” He said when he told soldiers about people in need of medical care, they would reply to him saying they did not care if they died. 

Dr. Hamoudeh said that one day in December, soldiers brought in five detained doctors, including Dr. Adnan al-Bursh, head of orthopedics at al-Shifa hospital in Gaza, who was declared dead by Israeli Prison authorities in Ofer prison in April. “Dr. Adnan was in pain from the beatings. He was also punished. He had visible blunt trauma, and he had trouble breathing,” Dr. Hamoudeh said. “What happened to him, happened to many. There’s clear medical neglect.”

Dr. Osama Tushtash, 28, fell ill with a severe fever after a week in detention at what he believed was al-Naqab prison, but Israeli authorities refused to let him see a doctor or even to give him a painkiller. “They just told me to drink water,” he said.

Khalili, the paramedic, said he suffered broken ribs and a lung injury as a result of beatings, but received no medical treatment at Sde Teiman. He said he saw a detainee die from what he believes was cardiac arrest. When a soldier brought in a doctor, who confirmed the detainee was dead, the detainees shouted “Allahu akbar,” prompting a violent raid by an Israeli special unit tasked with prison raids.

Autopsies of Palestinians who died in Israeli detention facilities indicated medical neglect and signs of physical abuse, including bruising and broken bones, Haaretz reported in March. A report released by Physicians for Human Rights Israel documented treatment without consent, surgery performed without an anesthesiologist, and political interference in medical decisions in detention facilities. 

In a letter to senior Israeli officials, an Israeli doctor at Sde Teiman field hospital described practices that endangered detainees’ health, including the lack of trained medical staff, and transferring patients back to the detention facility after only an hour of observation following “major [surgical] operations,” Haaretz reported. 

Article 91 of the Fourth Geneva Convention requires facilities detaining civilians to “have an adequate infirmary, under the direction of a qualified doctor,” where those detained may receive “the attention they require, as well as an appropriate diet.” Under international human rights law, medical care for detainees should be at least equivalent to that available to the general population. Current conditions of detention violate the Israeli Incarceration of Unlawful Combatants Law, which provides for detainees’ right to medical treatment, hygienic conditions, healthy and dignified sleeping arrangements, and daily outside exercise. 

Use of Prisoner Functionaries 

Two healthcare workers detained in different facilities said Israeli military commanders tasked them to act as prisoner functionaries or Shawish (an Arabic slang term for “servant” or “subordinate”). The men said that shawish, who act as intermediaries between the guards and detainees, are the only detainees not constantly blindfolded, though their hands remain cuffed. The men prepared and distributed food, assisted detainees with eating or using the toilet, cleaned rooms, transferred detainees to interrogation, and provided basic medical care.

Whistleblowers who spoke to CNN alleged that Israeli authorities appointed detainees as shawish only after they were cleared of suspected links to Hamas, and thus had no reason to detain them. In a statement to CNN, the Israeli military denied holding detainees unnecessarily.

Dr. Hamoudeh said that soldiers at Sde Teiman told him to act as a shawish because he spoke English, warning, “If you do anything, you’ll be punished worse than the rest.” He was interrogated only once, for about 10 minutes, on the tenth day of his detention, and was released without charge after 22 days. 

Abu Nada, the nurse, said authorities at the Anatot military base told him to work as a shawish. On the fifth day of his detention, a soldier speaking in Arabic told him that if he wanted a lawyer, he had to provide the lawyer’s phone number, which he could not. He said the soldier told him, “We didn’t find anything on you. But we will continue investigating.” He was released without charge after about eight days, on December 1. 

With his blindfold removed, Dr. Hamoudeh saw 10 to 20 detainees with medical conditions at Sde Teiman, some of whom needed immediate medical care. “They [the soldiers] threw this responsibility at me, but [left me] without proper medical equipment and facilities,” Hamoudeh said. “I was terrified some would die. […] The shawish before me told me [before being released] that three detainees died during his time.” 

Abu Nada accompanied cuffed, blindfolded detainees from the “warehouse” to the interrogation room. “All the way to interrogation, soldiers would be kicking and assaulting [the detainees],” he said. “I used to cry when transferring them, because I’m the one bringing them to this torture. Soldiers told me to turn my face not to look as they continued to kick and beat the detainees.”