Derna, Libya
In October 2010, O'Keefe joined the "Road to Hope", a humanitarian aid convoy to Gaza. Organizers were seeking to transport the convoy from the port of Derna, Libya to el-Arish, Egypt on board the private-charter roll-on/roll-off ferry "M.V. Strofades IV", which left port unexpectedly without any of the aid after the ship's owners and captain got into an argument with the aid workers, although seven Libyan port officials and ten of the Road to Hope team were on board.