Chati Camp for Refugees, Gaza – Inside a suffocating tent in Shatti, one of the crowded displacement camps in Gaza, the 30 -year -old Ranim Abu Abish is interested in her sisters, Aseel, 51, and AFAF, 33.
They sit near Ranim, sometimes laugh, and in others they grow when children’s screams who play abroad are very loud.
ASEEL and AFAF suffer from digestive disorders and mental disorder that weakens their discourse, understanding and behavior – the circumstances that were only deepened under the strain of war and displacement.
Ranim explains that they struggle to express themselves, and their environment is often overwhelmed. Although it does not know the medical term for its condition, the symptoms sometimes reflect the Tornet syndrome.
“People laugh, it destroys them”
The narrow tents are seven family members: Ranim, her two sisters, their elderly parents, and another sister with her husband.
Ranim’s mother is weak, and her father is still recovering from an injury in the Israeli war, which is unavoidable to Gaza, leaving Ranim to bear their care alone.
The family used to live in the Gabalia Camp 2 building, until Israel destroyed its home eight months ago. Since then, they have moved from the homes of relatives to temporary shelters, then to the crowded United Nations School.
They are now in this tent, which prohibits heat by midday and allows bitter cold leaks through its thin walls at night.
Privacy and dignity are almost impossible in the crowded tent. “When they need change, we try to make others come out,” says Ranim. “But this is not always possible.”
However, this is only part of the ordeal of Aseel and AFAF, who are exposed to intimidation daily due to their circumstances.
“People do not understand what my sisters are going through.” “They judge the appearances, assuming that they are fine. But they are not. They need care, patience and dignity.”
Life in the camp overwhelms Asil. “She finds it difficult to deal with noise or sudden changes,” Ranim explains. “When this happens, you feel sorrow – shouting, crying, sometimes giving up.”
At the same time, AFAF is struggling with involuntary movements and impulsive behaviors. “A small argument or a loud voice can lead to,” adds Ranim.
“She does not know how to control it,” she says, which makes it sad that AFAF aims to mockery, especially by children.
Using collective bathrooms brings frequent humiliation. “Every visit is a bathroom, a scene. People laugh, and they are making harsh statements and destroy them,” says Ranim.

Israel took their protectors
The largest blow to the family came six months ago, when Israel took the brother of Muhammad, the 22 -year -old.
Muhammad went to Kamal Adwan Hospital for surgery after a hand injury. While there, Israel raided the hospital on October 25 and seized Muhammad. Since then, you do not know anything about his whereabouts.
Muhammad was the most skilled brothers in the external world. “He got their medicines, hospital managers, and dealt with relief agencies,” explains Ranim. “Without him, we are completely alone.”
Since his arrest, sisters face the aggravation of food shortages and a lack of medical care. “They were their protector,” says Ranim, her voice is broken. “Now we have no one.”
Between March and May, the intense shelling again explained 436,000 Palestinians, many for the second, third or fourth time since the beginning of the war. For families such as Raneem’s – already in tents or shelters – every new wave of violence means starting again, often without food or medicine.
For Aseel and AFAF, even basic nutrition is directed towards threats. Patients of digestive disorders cannot eat gluten, which harms their small intestine.
In Gaza, hunger where there is little to eat, unlike wheat bread, which contains gluten, there is a little chance because Raneem can find vegetables or meat for the sisters, especially with Muhammad Al -Muhzam.
Without gluten -free flour, Aseel and AFAF risk severe nourishment, and they have obtained a small amount of 80 tons of gluten -free flour, which was delivered by relief agencies so far to Gaza.
Many of it was banned by closed borders, damaged methods, and broken distribution systems. “The little that reaches us is very expensive or very late,” says Ranim.
Begging for sympathy, over and over again
Before the war, Aseel and AFAF had routine medical care at Kamal Adwan Hospital.
Their conditions require special meals, medicines, and regular treatment, which are almost impossible to face.
Psychologist Dr. Sarah Al -Wahidi says that the war has worsened sharply from the marginalization of persons with disabilities in Gaza.
“We have seen persons with disabilities separated from (their families in) the displacement areas – some of which are missing for long periods, and unfortunately I have found the deceased at a later time,” she explained.
The 2025 report estimates that at least 15 percent of the residents of the displaced Gaza live with disability, and they must move in temporary shelters, whether in camps, schools or hospitals, which lack job slopes, adaptive toilets and basic access.
Ranim’s battles also social shame stigma, and despite their efforts – talking to neighbors, who seek to obtain support from the elderly – still ignorance.
“People excite them, they make fun of them. All we ask is an understanding,” she says.
Some elders sometimes invite the sisters to tents to visit, and short moments of rest in a daily reality as they have no fixed medical or social support.
“We have been repeatedly displaced, from Gabalia to the west, then Gaza City,” Ranim recounts. “Every place is new, we have to start again, explain their condition, and beg for patience.
“These are not just victims of war,” begged.
“They are weak people forget the world.”
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