eLetters

172 e-Letters

  • Addressing 'root causes'

    The article "Violence in Palestine demands immediate resolution of its settler colonial root causes" presents a highly partial view of history. In the midst of appalling suffering and loss of life in Gaza and Israel, some simple truths need to be reiterated.
    Jewish people were indigenous to the region for millennia before the founding of the state of Israel in 1948. In the preceding century, in the face of increasing persecution elsewhere in the world many more Jews concluded that they needed their own national home and made their way to Ottoman-controlled Palestine. This reached a crescendo with the European Holocaust. The fleeing Jews had just as much right to live in Ottoman-controlled and then British mandate controlled Palestine as anyone else. After the establishment of the State of Israel, many hundreds of thousands of Jews were forced to leave the Arab and Iranian world and sought refuge in Israel.[1] The article’s glib description of this complex and traumatic history as ‘settler colonialism’ is incorrect. The nebulous call in the title for ‘the resolution’ of such historical ‘root causes’ is hard to interpret and leaves open the possibility of meaning anything from mass psychological therapy to the end of Israel as a state.
    It is informative to note several other ‘root causes’ that are mischaracterised. Contrary to the article's suggestion, and as a further matter of historical record, Israel was invaded by its neighbours in 1948 after...

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  • Response of the Editor-in-Chief regarding the publication of this editorial

    BMJ Global Health has served as a platform for highlighting the global forces that underpin inequities in health and wellbeing everywhere in the world. The journal has published similar articles in relation to wars and conflicts, and in doing so have consistently privileged the voices, needs, experiences, and perspectives those who are marginalised in those wars and conflicts. As with many other manuscripts submitted for consideration as editorials, this article, although unsolicited, was published with only internal peer review. As we have consistently done with papers published in the journal, we welcome rebuttals, contestations, and alternative interpretations. Some of these are being included as online 'rapid response' comments. In time, others will be published in the journal and on our blog.

    Those of us who do global health have a responsibility to respect the dignity of people and communities who are marginalised as knowers, and to represent their interpretations of their own reality. The article is in fulfillment of that responsibility. To be socially/politically marginalised is to be interpretively (or hermeneutically) marginalised; or to have interpretations from one's standpoint under-represented in the collective pool of legitimised knowledge. For every complex reality, there may be multiple and even competing interpretations. Our responsibility as a field must include allowing space in our heads and on knowledge platforms for that multip...

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  • Informing Without Prejudice: Responsible Reporting on the Israeli-Palestinian Conflict

    The overarching problem with this editorial is not only what is written, but also what is not.

    The evidence cited presents a one-sided, revisionist version of events. The article has no reference to Hamas, terrorist attacks, hostages or executions. Nor does it reference the use of human shields, storage of weapons around health facilities, diversion of humanitarian aid for militant use or the prevention of population movement to safer areas. It doesn’t acknowledge the geopolitical landscape, especially the role of neighbouring Arab countries and Iran. The language used is inflammatory; demonising Israel while granting all other actors a 100-year-history of immunity.

    The article criticises Israel for warning Palestinian civilians to move away from areas that will come under bombardment. This is the opposite of indiscriminate violence, as accused by the authors, and in accordance with interpretations of international humanitarian law (IHL) [1]. There’s no reference to allegations of Hamas demanding civilians remain in northern Gaza, their alleged attacks on the safe routes out, nor their extensive network of tunnels used for miliary activities and not permitted for civilian shelter [2]. While these conflicting narratives may be unpalatable to the authors it doesn’t excuse their decision to ignore them.

    The closing argument reduces this complex historical conflict to right versus wrong, with Israel the only villain. Israel does hold blame, but this is al...

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  • “The heart of justice is truth telling”

    As of November 10, 2023, more than half of Gaza’s hospitals and nearly three-quarters of Gaza’s primary care clinics are not functioning (as reported by Al Jazeera, CNN, and others). At least 11,000 people have been killed in Gaza as a result of Israel’s ongoing indiscriminate assault and complete blockade. Among those killed, at least 4,500 have been children. Over 27,000 people have been injured, including more than 8,600 children, while another 1,500 children remain missing (see also: https://doi.org/10.1016/S0140-6736(23)02407-8). Many, many more will suffer life-altering physical and mental effects following this conflict. The WHO’s Director General, The United Nations’s Secretary General, the entire country of Bolivia, over 1,000 USAID staff, over 3,000 global health professionals, and millions upon millions of citizens around the world are denouncing this violence as unjustifiable, inhumane, and abhorrent.

    The WHO and several UN agencies, among many others, have called attention to the catastrophic health consequences the closure of health facilities, murder of health care providers, and incessant bombardment of all civilian infrastructure is having and will continue to have on Gaza’s population of more than 2 million people, nearly half of whom are younger than 18. Without essentials such as fuel, food, potable water, electricity, and medicines, infectious diseases will spread and malnutrition will worsen; al...

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  • Unilateral opinion sharing paves the way to further escalation

    We read with increasing surprise and disgust the editorial by Smith J et al regarding the war in Israel.1 It represents an extremely one-sided opinion, without taking into account the facts that happened, nor past history. We are medical doctors, in our case oncologists, sworn not to harm, fighting for human lives, and dedicating ourselves to accompany our patients - in some cases for months and even longer - striving for cure, and if not possible to relieve pain and maintain quality of life. In this, we do not distinguish between gender, age, culture, religion, skin colour, sexual preference, geography and we definitely should not be dealing with politics. Therefore, we were extremely shocked that a medical journal like BMJ publishes such an inappropriate letter.
    On 7 October 2023, the terrorist group Hamas carried out a surprise attack on Israel, brutally murdering 1,400 people and kidnapping more than 200, beheading babies, murdering children and elderly, without distinction as to age, gender or nationality. This was acknowledged formally by the UK Prime Minister, as well as by other world leaders, based on cruel but validated evidence. Only a small part of the gruesome information was released, out of respect for the victims and the relatives, and only after this was deemed unavoidable in order to react to unbalanced and even fake information. Many Israeli citizens from the ruthless Hamas attack are still missing and many bodies or body parts cannot be identified...

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  • Dr

    Dear team at BMJ Global Health

    Re: Violence in Palestine demands immediate resolution of its settler colonial root causes.

    I came across the above article today in the BMJ which I have really appreciated as it brings to light the ongoing burden on human life and health from colonialism in current times.
    My thoughts are with all striving healthcare colleagues on the ground and with those that have lost their lives in Palestine and Israel trying to serve those most at need. I am very saddened by the ongoing loss of lives to the extent of healthcare workers not being spared by the occupying IDF regime. It is truly a dark time for humanity but this article being published gives added hope in human resilience and unity when standing for human suffering and adversity regardless of faith, culture or race.

    Thank you once again to all those who have spoken out about the atrocities in Palestine and demanding immediate resolution of its settler colonial root causes.

    Kind regards

  • Israel/Palestine: BMJ should encourage dialogue, not fuel hatred

    Re your editorial, Smith et al.Violence in Palestine

    My late father had a life subscription to the BMJ, so I read your journal every week for over 40 years. In all these years I have never read an article so one-sided as Smith et al's.
    I am an Israeli who does not approve of her government's bombing of Gaza. Even though the Israeli army has notified people in Gaza of its plans to bomb their cities beforehand, many innocent people have been killed, which is appalling. The survivors, like the authors of the paper, will now hate us even more.
    But this must be put in context. Just as the 1948 Nakba, which involved the displacement of thousands of Palestinians, was preceded by attacks on the new state of Israel (whose foundation was approved by the United Nations) by the armies of Lebanon, Syria, Iraq and Egypt, so the bombing of Gaza was preceded by an attack by Hamas terrorists, who did not warn their potential victims, but deliberately burned families alive, maimed and killed children in front of their parents and parents in front of their children and took hundreds of hostages. I myself was present on Kibbutz Sa’ad on the Gaza border on 7th October when all this happened, although thank God I did not witness these barbarities. But I did spend the day under repeated Hamas rocket attacks, and one rocket landed on a house less than 50 yards from me. We too were not warned beforehand of these attacks.
    The paper was also biased in that it repo...

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  • Editor fails basic peer review

    Hello Editors

    I am concerned about an article that doesn't happen to have the peer review process one associates with the BMJ journals. The article 'Violence in Palestine demands an immediate resolution of its settler-colonial root causes' by James Smith et. al.,
    http://dx.doi.org/10.1136/bmjgh-2023-014269, is cited as having had internal rather than external peer review.
    Given the significant potential for hidden and overt bias in this type of emotion-seeking article, particularly as stated in the competing interests of the authors, how is the BMJ group able to ensure that the internal peer review provided a balanced and unbiased review? Why was the accepted practice of obtaining external peer review by experts in the field not undertaken?

  • Please amend or remove due to unbiased and unsubstantiated claims with inaccuracies.

    i have already written the editors of BMJ, they claimed correction was made about the fact that it was written that there was a a missile attack by Israel on Al-Ahli hospital. why do the authors not say it was a misfired missile by a terrorist group inside of Gaza? why are the authors not seeking to describe what happened on October 7th in Israel when Hamas terrorists murdered children, women, raped, beheaded , burned alive countless people in an atrocious attack inside of Israel. is it because they are dead so medical care wont help them anymore? Why don't the authors mention or speak out against those acts? why are the authors not asking for care for the 240 Israeli hostages, for the red-crescent to be allowed to check on them? there are women, children, elderly and civilians among them as well. why are the authors not describing the fact that many hospitals and educational facilities are used as hiding grounds for terrorists and their weapons? why are they not reprimanding them for not allowing civilians from Gaza to move to safer areas due to them being used and human shields? for the sake of a science there is a need not to ignore all data and information and only show one side of things. urge you to remove this paper from your platform or demand amendments to it that showcase both sides in an leveled manner as it seems very biased and unscientific . 

  • Violence in Gaza demands objective editorial in BMJ GH

    I feel I must write to object very strongly to this totally biased and inaccurate article that you have the audacity to publish in a journal which presents itself as a serious and scientific online journal. In reality, for £1,500 it is open to individuals who hold an academic position to present a political diatribe that reflects their personal view point.

    Even the title is inaccurate; the suggestion that Israel is a colonial power is one that is a popular image but not true. Over half the population live there because their families were displaced from hostile North African and Arab countries.

    I note that the article was accepted for publication on 18th October 2023 yet contains reference to events on 19th October. This suggests that the article was actually altered after acceptance for publication which strikes me as a rather dubious practice.

    Not surprisingly the article fails to condemn the indescribably brutal attacks by Hamas on 7th October. By so doing it allows the authors to make the misleading statement that ‘it is impossible to divorce the violence of recent days from the long history of Israeli occupation of Palestine’. This statement is both provocative and misleading. The current war in Gaza is a direct consequence of the events of 7th October. It is unlikely that there would have been any bombings in Gaza, other than misdirected Hamas missiles, had the Hamas attack not taken place. The retaliation from Israel would have been anticipate...

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