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SSgt Richard Kensinger
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Innocents always lose.
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SGT Unit Supply Specialist
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PO1 William "Chip" Nagel
..."UNRWA's Touma underscores the importance of regular and sustained humanitarian aid, including hygiene supplies, vaccines and chlorine tablets. "All those things are absolutely critical in disease prevention," she says.

WHO is hoping to resuscitate one or two of the local laboratories in Gaza that did pathogen screening before the war, though that will take effort and time.

In addition, they hope "to even bring a mobile laboratory from outside," says Brennan. "And we're also looking at options for bringing specimens outside the country, particularly to Egypt, for testing. That's proven a little bit more challenging than we'd expected."

While the logistics of those approaches are negotiated, Brennan says he's relieved that some of the really terrible diseases — like measles or cholera — haven't surfaced yet in Gaza. That's due in part due to pre-war vaccinations.

"If we get an influenza outbreak into those massively overcrowded shelters," says Brennan, "if we've got shigella dysentery, that could rip through a community very quickly and really impact the most vulnerable. To be honest, I'm grateful that we've got to this point. We've got increased rates but we haven't had a deadly outbreak yet."

Whether that good fortune lasts may depend on disease surveillance to identify the first handful of cases of something sinister — ideally, while it can still be contained."
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