Paediatric medical evacuations from Gaza have been obstructed and are increasingly difficult

Towards the end of 2024, evacuating patients from Gaza for essential – and often lifesaving – medical and surgical care had become a near-impossible task. Since Moscatelli et al. shared their insights on this in April 2024 in relation to paediatric patients specifically, the transfer of children and adults for treatment that is no longer available in Gaza has only become harder. The process is mired by extreme violence, additional Israeli military and political impediments, bureaucratic inefficiencies, international political barriers, and ethical dilemmas that directly impact the survival of some of the most vulnerable people – namely critically ill and injured children.