The introduction to the book of Exodus, which we begin reading this Shabbat, has never resonated so deeply or so powerfully for me as it does this very moment.

We’re all familiar with the events that spark the Exodus narrative: a new Pharoah arises over Mitzrayim who does not know or remember Joseph. Alarmed that the Israelite minority is growing, he oppresses them with forced labor – but the more he oppresses them, the more the Israelites increase in number.

Pharoah then attempts to stem the Israelite birth rate directly by ordering the Hebrew midwives Shifra and Puah to kill every newborn boy. When they defy his order, Pharoah orders that every newborn boy be cast into the Nile. Commentators differ on why Pharoah made this very specific decree. Some say that in his paranoia, he believed the boys would eventually grow up to be soldiers and take up arms against his people. Other say his soothsayers predicted the birth of Moses. Still others say Pharoah believed that the Israelite women would intermarry and assimilate into the majority culture.

Whatever the reason, it is striking to note that Exodus’ liberation narrative begins with Pharoah’s efforts to head off the Israelite birth rate. As I’ve noted before, there are powerful parallels between this narrative and the state of Israel’s regard of the Palestinian people as a “demographic threat” to their Jewish majority. But in the midst of Israel’s genocidal assault on the people of Gaza, I’m finding that these verses now resonate with a brutal – and almost unbearable – urgency.

On November 3, less than a month into Israel’s military bombardment of Gaza, UNICEF, the World Health Organization and other NGOs reported that “Women, children and newborns in Gaza are disproportionately bearing the burden of the escalation of hostilities in the occupied Palestinian territory, both as casualties and in reduced access to health services.” More recently, the UN estimated that “around 50,000 pregnant women are currently living in Gaza, with more than 180 births taking place every day amid the ‘decimation’ of its healthcare system.”

The most devastating details on the impact of this onslaught on Gazan mothers can be read in the South African government’s application to the International Court of Justice, formally accusing Israel of committing genocide in Gaza. I strongly recommend reading this document in its entirety. Though South Africa’s claim was cynically dismissed by the White House as “meritless, counterproductive and completely without any basis in fact whatsoever,” its 84 page report is painstakingly researched, citing 574 independent sources. Though it is often near-unbearable to read, I believe it is an immensely important document and deserves the widest possible readership.

Here is a sample of the report’s findings on impact of Israel’s genocidal violence on pregnant women and newborn babies. Please be warned: the following quote it includes very graphic descriptions of traumatic violence inflicted on women and children.

Pregnant women and children –– including newborn babies –– are also particularly impacted by displacement, lack of access to food and water, shelter, clothes, hygiene and sanitation, and lack of access to health services. These effects are severe and significant. An estimated 5,500 of approximately 52,000 pregnant Palestinian women in Gaza giving birth each month are doing so in unsafe conditions, often with no clean water, much less medical assistance, “in shelters, in their homes, in the streets amid rubble, or in overwhelmed healthcare facilities, where sanitation is worsening, and the risk of infection and medical complications is on the rise”. Where they are able to get to a functioning hospital, pregnant women are having to undergo caesarean sections without anaesthetic.

Given the lack of access to critical medical supplies, including blood, doctors are being compelled to perform ordinarily unnecessary hysterectomies on young women in an attempt to save their lives, leaving them unable to have more children. Indeed, the Minister of Health for the State of Palestine, Dr May al-Kaileh, confirms that the only option facing Palestinian women in Gaza who ‘bleed out’ after giving birth is to undergo a hysterectomy in order for their lives to be saved. The lack of available drugs, such as the anti-D injection –– given to Rhesus negative women on the birth of a Rhesus positive baby –– also seriously impacts the possibility of future healthy pregnancies for affected women.

Premature births have reportedly increased by between 25-30 per cent, as stressed and traumatised pregnant women face a myriad of challenges, including being compelled to walk long distances in search of safety, attempting to escape from bombs and being crowded into shelters in often squalid conditions. Particularly in northern Gaza, cases of placenta abruption –– a serious condition that occurs to pregnant women during childbirth which is potentially life-threatening to both mother and baby –– have more than doubled.

An ever-increasing number of Palestinian babies in Gaza are reportedly dying from entirely preventable causes, brought about by Israel’s actions: newborns up to three months old are dying of diarrhea, hypothermia, and other preventable causes. Without essential equipment and medical support, premature and underweight babies have little to no chance of survival. Palestinian newborn babies have died due to the lack of fuel to supply hospital generators; others have been found decomposing in their hospital cots, medical staff taking care of them having been forced by Israel to evacuate.

On 3 November 2023, the World Health Organisation warned that “[m]aternal deaths are expected to increase given the lack of access to adequate care”, with deadly consequences on reproductive health, including a rise in stress-induced miscarriages, stillbirths and premature births. The impact will necessarily be long lasting and severe for Palestinians in Gaza as a group. By 22 November 2023 the United Nations Special Rapporteur on violence against women and girls, its causes and consequences, has expressly warned that:

“[T]he reproductive violence inflicted by Israel on Palestinian women, newborn babies, infants, and children could be qualified as… acts of genocide under Article 2 of the Convention on the Prevention of Genocide … including “imposing measures intended to prevent births within a group”. She stressed that “States must prevent and punish such acts in accordance with their responsibilities under the Genocide Convention.”

(Sections 96-100)

If there could be any doubt as to the question of intentionality behind these barbaric measures, the section immediately following these findings includes exhaustive quotes by Israeli politicians and military leaders that make their genocidal intentions all too clear. Most chillingly, it offers this quote from 95-year old Israeli army reservist Ezra Yachin — a veteran of the Deir Yassin massacre during the 1948 Nakba — who was called up for reserve duty to “boost morale” amongst Israeli troops ahead of the ground invasion: Be triumphant and finish them off and don’t leave anyone behind. Erase the memory of them. Erase them, their families, mothers and children. These animals can no longer live. . . Every Jew with a weapon should go out and kill them. (Section 102)

In this week’s Torah portion, the cry of the oppressed Israelites rises up to God, who hears and hearkens to their pain. This year, there can be no more critical question posed by our Torah portion: will God hearken to the collective cry of the people of Gaza?

The answer, as ever, is up to us all.