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Dozens of American doctors and nurses who volunteered in the Gaza Strip since October 7 have written to the White House to describe horrific conditions in the besieged enclave, where disease is rife and barely functioning hospitals lack even basic supplies.
The 45 physicians, surgeons and nurses told President Joe Biden, Vice President Kamala Harris and first lady Jill Biden that they estimate more than 92,000 people have been killed in Gaza since October 7, about 4.2 per cent of the population.
The letter, sent on Thursday, and its supporting documents show “probative evidence that the human toll in Gaza is far higher than is understood in the United States”.
According to Gaza health officials, the death toll is more than 39,100, while the number of people injured is now at 90,403.
Hamas-led militants killed about 1,200 people when they attacked southern Israel on October 7.
The medical workers described terrible living conditions compounded by a lack of clean water and plumbing.
“We urge you to realise that epidemics are raging in Gaza,” the healthcare professionals wrote.
“Israel’s continued, repeated displacement of the malnourished and sick population of Gaza, half of whom are children, to areas with no running water or even toilets available is absolutely shocking.”
While working in Gaza, the healthcare workers said they saw widespread malnutrition affecting patients and colleagues alike.
“Every one of us lost weight rapidly in Gaza despite having privileged access to food and having taken our own supplementary nutrient-dense food with us,” they wrote.
Aid agencies and the UN have warned that Gaza is on the brink of famine and have repeatedly called on Israel to allow more aid in.
But Israeli Prime Minister Benjamin Netanyahu told the US Congress on Wednesday that any claims Israel is choking off food supplies were “complete and utter nonsense”, pointing to how his country enabled more than 40,000 aid lorries to enter Gaza.
In another grim claim, the letter's authors said Israel is deliberately killing children.
“Specifically, every one of us on a daily basis treated pre-teen children who were shot in the head and chest,” they wrote.
“We cannot believe that anyone would continue arming the country that is deliberately killing these children after seeing what we have seen.”
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Timeline
2012-2015
The company offers payments/bribes to win key contracts in the Middle East
May 2017
The UK SFO officially opens investigation into Petrofac’s use of agents, corruption, and potential bribery to secure contracts
September 2021
Petrofac pleads guilty to seven counts of failing to prevent bribery under the UK Bribery Act
October 2021
Court fines Petrofac £77 million for bribery. Former executive receives a two-year suspended sentence
December 2024
Petrofac enters into comprehensive restructuring to strengthen the financial position of the group
May 2025
The High Court of England and Wales approves the company’s restructuring plan
July 2025
The Court of Appeal issues a judgment challenging parts of the restructuring plan
August 2025
Petrofac issues a business update to execute the restructuring and confirms it will appeal the Court of Appeal decision
October 2025
Petrofac loses a major TenneT offshore wind contract worth €13 billion. Holding company files for administration in the UK. Petrofac delisted from the London Stock Exchange
November 2025
180 Petrofac employees laid off in the UAE
'Worse than a prison sentence'
Marie Byrne, a counsellor who volunteers at the UAE government's mental health crisis helpline, said the ordeal the crew had been through would take time to overcome.
“It was worse than a prison sentence, where at least someone can deal with a set amount of time incarcerated," she said.
“They were living in perpetual mystery as to how their futures would pan out, and what that would be.
“Because of coronavirus, the world is very different now to the one they left, that will also have an impact.
“It will not fully register until they are on dry land. Some have not seen their young children grow up while others will have to rebuild relationships.
“It will be a challenge mentally, and to find other work to support their families as they have been out of circulation for so long. Hopefully they will get the care they need when they get home.”
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Graduated from the American University of Sharjah
She is the eldest of three brothers and two sisters
Has helped solve 15 cases of electric shocks
Enjoys travelling, reading and horse riding