King Charles III focuses Christmas message on healthcare workers in year marked by royal illnesses

LONDON (AP) — King Charles III used his annual Christmas message Wednesday to hail the selflessness of those who have cared for him and the Princess of Wales this year, after both were diagnosed with cancer.

The 76-year-old monarch said he and his family are “continually” impressed by those who dedicate their lives to helping others.

“From a personal point of view, I offer special, heartfelt thanks to the selfless doctors and nurses who this year have supported me and other members of my family through the uncertainties and anxieties of illness and have helped provide the strength, care and comfort we have needed,” he said in a prerecorded speech.

The broadcast came several hours after the monarch waved to a large crowd of onlookers who traditionally gather to see the royal family attend Christmas Day services at a church on Sandringham, the estate on the windswept North Sea coast that has served as a family retreat for generations.

The king walked with Queen Camilla as his eldest son, Prince William, Kate and their three children followed. The king’s daughter-in-law, who has slowly returned to public duties after completing chemotherapy, hugged a cancer patient after the service.

Two of Charles’ siblings, Anne, the Princess Royal, and Prince Edward, the Duke of Edinburgh, were also in the procession.

Notably absent at St. Mary Magdalene Church was Prince Andrew. The king’s 64-year-old brother has retreated further into the shadows amid news that a Chinese businessman had been barred from the U.K. because of concerns he cultivated links with Andrew on behalf of the Chinese Communist Party.

Andrew, once second in line to the British throne, has become a constant source of tabloid fodder because of his money woes and links to questionable characters, including the late American financier and convicted pedophile Jeffrey Epstein.

Even after stepping back from public duties, Andrew has continued to appear at family events and his absence from Sandringham suggests a further retreat from the public eye. The king has been under pressure to distance Andrew from the royal family to avoid further embarrassment to the monarchy.

While Andrew said he never discussed anything sensitive with the suspected Chinese spy and had ceased contact with the man as soon as concerns were raised, the scandal raises further questions about his judgment and distracts from the work of the royal family, said Ed Owens, author of “After Elizabeth: Can the Monarchy Save Itself?’’

“The reason why this is a problem for the king is simply that the king is trying to rebrand the monarchy at the moment, centering its focus around him, but also around William, Catherine, what they are trying to do,” Owens said.

“It’s been a very difficult year for the monarchy, not least because of the two cancer diagnoses. And all the positive headlines that the king has been trying to generate of late, unfortunately, are overshadowed by the behavior, the reckless behavior, of his younger brother, who once again finds himself in the headlines.”

The king’s Christmas speech is the third since he ascended the throne after Queen Elizabeth II died in September 2022, but the first since he was diagnosed with an undisclosed form of cancer in February.

The monarch's holiday message is watched by millions of people in the U.K. and across the Commonwealth, with many households timing Christmas lunch around it.

The king’s treatment, which is believed to be ongoing, forced him to step away from public appearances for two months. He has slowly returned to public life in recent months and was in good spirits on a tour of Australia and the South Pacific in October.

A few weeks after Charles began treatment, the Princess of Wales announced her own cancer diagnosis, which sidelined her for much of the year.

In a voiceover for her annual Christmas carol service at Westminster Abbey, which was recorded this month but broadcast on Tuesday evening, Kate also reflected on the love and support that she received.

“The Christmas story encourages us to consider the experiences and feelings of others,” she said. “It also reflects our own vulnerabilities and reminds us of the importance of giving and receiving empathy, as well as just how much we need each other in spite of our differences.”

Charles spoke at the Fitzrovia Chapel in central London, which was part of the now-demolished Middlesex Hospital where his first wife, Diana, opened London’s first dedicated ward for those with AIDS.

The king had tasked the team organizing the broadcast with finding a site away from the royal estate, and one with health connections, a strong community presence and a place of solace and reflection for those with or without faith.

It’s a rare occasion when the monarch’s Christmas message is not recorded at a royal residence, notably Buckingham Palace or Windsor Castle. The last time his late mother recorded her message outside the royal estate was in 2006.

Charles also paid his respect to World War II troops who perished on the beaches of northern France as well as the few remaining veterans, many of them centenarians, who attended the 80th anniversary of the D-Day landings in Normandy in June.

He said it was an “enormous privilege” to meet “the remarkable veterans of that very special generation who gave of themselves so courageously on behalf of us all” but that the specter of war was haunting the world this Christmas.

“During previous commemorations, we were able to console ourselves with the thought that these tragic events seldom happen in the modern era,” he said. “But on this Christmas Day, we cannot help but think of those for whom the devastating effects of conflict in the Middle East, in Central Europe, in Africa and elsewhere pose a daily threat to so many people’s lives and livelihoods.”

On the domestic front, the king expressed his “deep sense of pride” for communities that came together after riots broke out in many towns and cities in the summer following a stabbing rampage at a dance class that left three girls dead and several wounded.

Brian Melley contributed to this report.

Kate, Princess of Wales shakes hands with a little girl as she greet members of the public after attending the Christmas day service at St Mary Magdalene Church in Sandringham in Norfolk, England, Wednesday, Dec. 25, 2024. (AP Photo/Jon Super)

Kate, Princess of Wales with her eldest son Prince George leave after attending the Christmas day service at St Mary Magdalene Church in Sandringham in Norfolk, England, Wednesday, Dec. 25, 2024. (AP Photo/Jon Super)

Prince Edward, second left, and Princess Anne arrive for the the Christmas day service at St Mary Magdalene Church in Sandringham in Norfolk, England, Wednesday, Dec. 25, 2024. (AP Photo/Jon Super)

Britain's King Charles IIIt, second left, with Queen Camilla, Kate Princess of Wales, Prince Louis, Princess Charlotte, Prince William, Prince George and at right Mike Tindall arrive for the Christmas day service at St Mary Magdalene Church in Sandringham in Norfolk, England, Wednesday, Dec. 25, 2024. (AP Photo/Jon Super)

Britain's King Charles III, right, with Queen Camilla, centre, and Kate Princess of Wales, left, Prince Louis, and Prince William walk as they go to the Christmas day service at St Mary Magdalene Church in Sandringham in Norfolk, England, Wednesday, Dec. 25, 2024. (AP Photo/Jon Super)

Kate, Princess of Wales, left, with Prince Louis, Princess Charlotte, Prince William and Prince George arrive for the Christmas day service at St Mary Magdalene Church in Sandringham in Norfolk, England, Wednesday, Dec. 25, 2024, at right, is Mike Tyndall husband of Zara Phillips. (AP Photo/Jon Super)

Britain's King Charles III waves to the crowd as he and Queen Camilla, Prince William, Prince George attend the Christmas day service at St Mary Magdalene Church in Sandringham in Norfolk, England, Wednesday, Dec. 25, 2024. (AP Photo/Jon Super)

Britain's King Charles III speaks during the recording of his Christmas message at the Fitzrovia Chapel in central London, England, Wednesday, Dec. 11, 2024. (Aaron Chown/PA via AP, Pool)

Britain's King Charles III speaks during the recording of his Christmas message at the Fitzrovia Chapel in central London, England, Wednesday, Dec. 11, 2024. (Aaron Chown/PA via AP, Pool)

BETHLEHEM, West Bank (AP) — Mohamad Al-Assi ran beneath the concrete wall as the sun rose over Bethlehem. His Nikes pounded the gravel, his breath fogging the air as graffiti and paint splatter blurred past with each stride.

The road along the barrier separating Israel from the occupied West Bank makes up a stretch of a marathon route that Al-Assi and thousands of others ran on Friday. The event is open to people in other parts of the world running in solidarity with the Palestinians and another, shorter race was happening in Gaza.

The race, known as the Palestine Marathon, was held for the first time in three years and was among the first big international events in the West Bank since the start of the Israel-Hamas war. Festivals, conferences and holiday festivities that once drew thousands have been scaled back or canceled because of the war in Gaza and heightened Israeli restrictions.

It marked a turning point for Al-Assi, 27, who was released from Israeli detention six months ago. Video from that day shows him gaunt-faced and hollow-eyed, his once muscular legs weakened after more than two and a half years of prison.

He began training in December, gradually upping his mileage every month since. He ran 62 miles (100 kilometers) that first month, and in April reached 135 miles (217 kilometers), according to his account on the tracking app Strava.

He jogs in the morning after his mother wakes him up in their home in Dheisheh, a Palestinian refugee camp made up of graffiti-covered cinderblock homes in tangled alleyways.

“The main difficulties we face are the cars on the roads and the presence of Israeli security forces along the route where I train,” Al-Assi said.

He had to suspend his training several times because of military operations in the camp.

“I would return home feeling hopeless because I couldn't do what I had intended to do,” Al-Assi said.

In the West Bank, runners cannot complete a 26.2-mile (42.2-kilometer) course without hitting a checkpoint or military gate, which is why Friday's marathon route looped around the same circuit twice.

They ran up through the narrow streets of two Palestinian refugee camps and down to a farming town next to Bethlehem where fields are divided by the concrete wall, barbed wire and cameras. The course hooked back to finish at Bethlehem’s Manger Square.

Organizers say the race highlights restrictions facing Palestinians in the occupied West Bank, where checkpoints can disrupt even routine commutes and where open land for hiking, biking and running is increasingly taken by Israeli settlements and outposts.

“Marathon runners anywhere may ‘hit a wall’ under the physical and emotional strain of completing the 42-kilometer race course," they said on the marathon's website.

But in the West Bank, they added, "runners literally hit the Wall.”

At a time when the West Bank’s economy is struggling and in the shadow of Gaza's fragile ceasefire and stalled rebuilding efforts, the atmosphere in Bethlehem was celebratory. Crowds gathered near the Church of the Nativity to cheer runners at the race's early morning start and finish. Bagpipes blared and drummers pounded out traditional rhythms through streets along the route.

On a beachside road in Nuseirat in central Gaza — which is roughly the length of a marathon — 15 disabled people, including amputees, ran a 2K, and a couple thousand of people ran a 5K. Thirteen years after the U.N. agency for Palestinian refugees, known as UNRWA, canceled a 2013 marathon because Hamas forbade women from participating, the women were back.

Haya Alnaji, a 22-year-old woman who ran in the 5K, said the number of people taking part reflected that Palestinians in Gaza were determined to live and persevere despite the devastation wrought by more than two years of war.

“All of Gaza loves sports,” she said.

Al-Assi was arrested in April 2023, and imprisoned under administrative detention, which allows Israel to hold detainees for months without charge. Between 3,000 and 4,000 Palestinians are being held under that system, according to Israeli rights groups and the Palestinian Prisoners Society.

In October 2023, Al-Assi was sentenced for transferring money to suspicious entities, a charge he denies. Israel closely monitors money transfers — particularly to Gaza — for fear that funds could end up in the hands of militants. Palestinians, however, say donations and charitable contributions are often swept up in the dragnet. Israel’s military, Shin Bet and Prison Service did not answer questions about Al-Assi's charges.

In Israeli prisons — where detainees routinely complain of inadequate diets — Al-Assi said nearly everyone goes hungry. The weight he lost eroded the endurance built through 10 years of training.

“I have more muscle mass than fat, so when I lost weight, the loss came from my muscles rather than fat,” he said. “This had a major impact on my physical fitness.”

He also had to regain the mental fortitude to run a marathon.

“I was emotionally shattered after spending such a long period in prison,” he said.

On Friday, he collapsed to his knees, bowing and thanking God after finishing second overall, as supporters and journalists encircled him. He dedicated his run to Palestinians still in Israeli detention.

“After 32 months in prison, Mohamad Al-Assi is first in his class!” he shouted through tears, raising his hands and looking up to the sky.

__ Imad Isseid contributed from Bethlehem, West Bank and Abdel Kareem Hana from Nuseirat, Gaza Strip.

A Palestinian amputee runner takes part in the 2-kilometer Palestine Marathon along the coastal road near Nuseirat in the central Gaza Strip, Friday, May 8, 2026. (AP Photo/Abdel Kareem Hana)

Palestinian runners take part in the 5-kilometer Palestine Marathon along the coastal road near Nuseirat in the central Gaza Strip, Friday, May 8, 2026. (AP Photo/Abdel Kareem Hana)

Runners participate in the Palestine Marathon in the West Bank city of Bethlehem, Friday, May 8, 2026. (AP Photo/Mahmoud Illean)

Runners pass by Israel's separation wall as they compete in the Palestine Marathon in the West Bank city of Bethlehem, Friday, May 8, 2026. (AP Photo/Mahmoud Illean)

Palestinian Mohamad Al-Assi, who was released from Israeli detention six months ago, runs past Israel's separation wall as he trains ahead of the Palestine Marathon in the West Bank city of Bethlehem, Thursday, May 7, 2026. (AP Photo/Sam Metz)