The Emergency

Medical evacuations from Gaza, Europe lags behind: too few patients accepted

Europe has hospital facilities to receive far more patients than at present, but according to aid workers there is a lack of a shared political decision

by Silvia Martelli

 EPA/HAITHAM IMAD

4' min read

Translated by AI
Versione italiana

4' min read

Translated by AI
Versione italiana

More than two months after the ceasefire came into force, the number of medical evacuations from the Gaza Strip to Europe has not only not increased, but has continued to slow down. This is the fact that most worries the humanitarian organisations working on the ground and that emerges clearly from the figures released by Médecins Sans Frontières and the World Health Organisation (WHO): access to life-saving treatment remains one of the unresolved nodes of the humanitarian emergency.

According to MSF, 148 people in need of specialist treatment were evacuated from Gaza in October, which fell to 71 in November, while for December it is estimated that the total number of evacuations will not exceed 30. A downward trend that clashes with the expectations linked to the ceasefire and which, according to humanitarian organisations, has already had dramatic consequences: hundreds of patients have died while waiting to be transferred abroad or for treatment that the Gaza health system has long been unable to guarantee.

Loading...

The overall numbers help to frame the scale of the problem. From October 2023 to date, the WHO has evacuated over 7,600 patients from the Gaza Strip to third countries. About two thirds are children. Most of the transfers were to countries in the Middle East and Gulf region, which absorbed the bulk of the health emergency. Europe, as a whole, played a marginal role. According to the latest available data, EU countries are currently hosting 397 patients evacuated from Gaza through the WHO mechanism, an extremely small quota when compared to the needs estimated by the UN agency, which speaks of tens of thousands of people in need of treatment unavailable in the Strip.

Widening the view to the so-called WHO European Region, which also includes non-EU countries, over a thousand people were evacuated from Gaza. Even in this case, however, the figure remains small and concentrated in a few states, with a strong unevenness in the distribution of efforts. Within the Union, the weight of the evacuations fell on a small number of countries.

The Italian case is an emblematic example of the potential, but also the limitations, of the European approach. More than 18 months after the start of the conflict, Italy continues to organise regular medical evacuations - both through the WHO and through Italian bilateral missions - mainly for minors with serious injuries, amputations, oncological diseases or chronic conditions that can no longer be treated in Gaza. According to updated data from the Ministry of Foreign Affairs, more than 230 Palestinian children have been transferred to Italy together with their families, for a total of more than 840 people received through humanitarian and medical missions. The latest operation, on 8 December, brought to Italy 17 children with complex pathologies and 63 accompanying persons, distributed in a network of hospitals involving more than 20 facilities in different regions.

Spain also activated a structured mechanism, with an emergency declaration approved by the Council of Ministers to guarantee reception, health care, psychological support and legal assistance to evacuated patients, mostly minors.

Ireland has formally committed to receiving up to 30 paediatric patients: so far 20 have arrived, along with 83 family members, through a series of evacuations organised between December 2024 and October 2025, with the direct involvement of the Irish National Health Service.

Despite these examples, the overall picture remains one of a fragmented and insufficient response. The EU Civil Protection Mechanism has been activated several times at the request of the WHO to facilitate evacuations and coordinate the provision of hospital beds, but the results have been described as 'disappointing' by several humanitarian organisations. Missions continue to be few, complex and slow, hampered by logistical constraints, security clearances, coordination difficulties and, above all, by the limited willingness of states to take on larger commitments.

Another critical element concerns the patient selection criteria. According to MSF and other NGOs, the majority of European countries exclusively request paediatric patients, leaving adults de facto excluded, including parents, the elderly, healthcare workers and people with serious chronic diseases or war wounds. A choice that is justified with clinical priority and political considerations, but ends up creating a hierarchy of access to care, in which thousands of adults remain stuck on waiting lists with no alternatives.

The WHO estimates that over 15,000 people in Gaza would need to be evacuated urgently to receive specialist treatment. Without a significant increase in transfers, the risk is that the ceasefire will not produce any concrete benefits on the health front. "Without large-scale medical evacuations, Gaza's health system cannot recover and thousands of patients will continue to die from preventable causes," warns MSF, which calls the current European response a tiny fraction of what would be technically and logistically possible.

Europe has sufficient hospital facilities, specialised personnel and financial resources to accommodate far more patients than at present. What is lacking, aid workers and health officials point out, is a shared political decision to change scale, turning extraordinary and symbolic interventions into a real structural programme of medical evacuations.

*This article is part of the European collaborative journalism project "Pulse" and was contributed by El Confidencial (Spain) and The Journal (Ireland)

Copyright reserved ©
Loading...

Brand connect

Loading...

Newsletter

Notizie e approfondimenti sugli avvenimenti politici, economici e finanziari.

Iscriviti