Thirsty and starving, Gazans face ‘inhumane’ evacuation; UNICEF

The development followed reports that the Israeli military has stepped up its ground offensive in Gaza City, ordering residents to leave the area.

Speaking from the south of the enclave, UNICEF’s Tess Ingram described the forced mass displacement of families as a “deadly threat for the most vulnerable”.

It is inhumane to expect nearly half a million children battered and traumatized by over 700 days of unrelenting conflict to flee one hellscape to end up in another,” she insisted.

150,000 go south in a month

According to the UN’s humanitarian affairs coordination office, OCHA, over the past few days, partners monitoring the movement of people in Gaza counted almost 70,000 displacements heading south, and about 150,000 over the past month. The only available route, Al Rashid Road, was “very busy” when Ms. Ingram was there on Monday, she said.

The UNICEF spokesperson described meeting a mother who had walked for more than six hours from Gaza City to the South with her five children, “all dirty, thirsty and starving”, two of them with no shoes.

They are being pushed along with tens of thousands of others to “a so-called humanitarian zone” encompassing Al-Mawasi and surrounding areas, she said.

Sea of despair

Ms. Ingram described their destination as “a sea of makeshift tents, human despair” and services which are “insufficient” to support the hundreds of thousands already living there.

Child malnutrition in Gaza is “spiralling”, Ms. Ingram continued, pointing out that according to UNICEF estimates, some 26,000 children in the enclave currently require treatment for acute malnutrition – more than 10,000 in Gaza City alone.

Famine was confirmed late last month in Gaza City by UN-backed food insecurity experts.

Feeding centres closed

UNICEF’s Ms. Ingram said that owing to evacuation orders and military escalation more nutrition centres in Gaza City have been forced to shut this week, “cutting off children from a third of the remaining treatment sites that can save their lives”.

While humanitarians remain on site and continue responding to the crisis, “it is becoming harder with every bombardment and every denial”, she stressed.

According to OCHA, last Sunday out of 17 missions that humanitarian teams coordinated with the Israeli authorities, only four were facilitated, while seven missions were denied and others were impeded on the ground or had to be cancelled.

Ms. Ingram spoke of the dilemma desperate Gazans face: “stay in danger or flee to a place that they also know is dangerous.” She recalled that Al-Mawasi came under attack some two weeks ago, when eight children were killed while lining up for water; the youngest victim was three years old.

More to follow…

Gazans face a future of pain and prosthetics

At the Al-Shifa Hospital in Gaza City, a small child, Maryam Abu Alba, is crying in pain. “The neighbour’s house was bombed, and their home was hit,” says her grandmother.

“One of her legs had to be amputated, and metal plates had to be inserted into the other one, which was fractured. She is in severe pain.”

Nowhere to run

At the same hospital, young Mohammad Hassan looks down at his heavily bandaged left leg, and the stump where his foot used to be. “I was going to buy falafel,” he says. “On the way home, I looked up and saw a rocket heading towards me. I tried to run, but it was too fast. I found myself pinned to the wall, and my foot had been blown off. Then someone picked me up and took me to this hospital.”

Gaza now has the highest number of child amputees per capita of anywhere in the world.

Palestinian child Mohammad Hassan sitting on a hospital bed in Gaza after his left leg was amputated by a strike.

Shot in search of food

In May, GHF took over aid delivery in Gaza, bypassing established routes and dramatically scaling back the number of distribution points to a handful of fortified hubs, a policy that has been criticised by the UN and NGO partners.

We were told the Gaza Humanitarian Foundation had opened its doors to distribute aid. When I arrived…I was hit by an explosive bullet

On Monday, the UN human rights office described attempts to access these sites as “a deadly pursuit”. Thousands of Palestinians have been killed or injured since May while seeking food. 

When GHF began operations, Ibrahim Abdel Nabi was one of the many Palestinians who headed to the hubs in the hope of finding desperately needed provisions for their families.

In his tent at a displacement site in the coastal Al-Mawasi area of Khan Younis, Mr. Nabi, surrounded by his wife and children, explains how the journey ended in disaster and life-changing injuries.

“We were told that the Gaza Humanitarian Foundation had opened its doors to distribute aid. When I arrived at the Al-Alam area, west of Rafah, I was hit by an explosive bullet in my leg. I was bleeding for about an hour and a half, and no one came to help me. They were all trying to find food for their children.”

Eventually, a group of people came to his rescue and took him to the nearby Red Cross hospital.

“I stayed there for about a month and a half, undergoing about 12 operations. I became malnourished and lost a lot of blood. Infection spread, and more of my leg had to be amputated.”

Ibrahim Abdel Nabi, a Palestinian displaced in Gaza, sitting on a chair while his wife helps him wear the handmade prosthetic limb.

‘I made my prosthetic leg’

As Mr. Nabi was trying to recover, he was aware that his family were still in need of food. Despite the pain, he decided to make a simple prosthesis from materials he could find to allow him to get back on his feet and make fresh attempts to find food and water.

“The prosthesis injures my leg,” he said. “It causes inflammation and increases the pain. We don’t have medical care or supplies, but I will use it no matter how much it hurts.”

As he speaks, Mr. Nabi’s wife begins to cry. “God willing, we will live through this experience,” she says.

Mr. Nabi gets up on crutches and heads to a nearby tent, where his wife helps him to put on the crude prosthesis.

“Don’t strain yourself,” she repeats, over and over. “Take your time. Walk slowly.”

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On brink of famine, Gazans forced to scour dirt for food

Without fuel, many basic facilities cannot function, from water treatment plants to medical infrastructure.

Meanwhile, Gazans now on the brink of famine have been reduced to taking desperate measures in their search for food, scouring the roads taken by aid convoys, UN aid worker Olga Cherevko told UN News.

“While we were driving, I saw an elderly man on the side of the road completely alone, kneeling down, and he was picking up handfuls of lentils that had spilled on the ground from one of the previous convoys that had been passing,” she said.

“He was picking them up with his hands and just putting them into his t-shirt as this is obviously the only option he has right now to find food because this is how desperate the situation has become.”

Desperate actions

The latest reports from Gaza indicate that mothers who are unable to breastfeed because they are not eating enough now feed their babies ground chickpeas, bread and rice, which are not suitable for infants.

In a social media post, the UN Children’s Fund (UNICEF) stressed that “this is a condition that we can prevent,” calling for increased humanitarian access. 

Separately, the UN World Health Organization (WHOemphasised that “the health needs in Gaza are immense. A continuous flow of medical supplies is critical.”

Meanwhile, health workers on Wednesday reported that at least 50 Gazans were killed and 400 others injured while waiting for food near Zikim crossing in the north.

Ms. Cherevko, who works with the UN aid coordination office, OCHA, explained that her mission to Kerem Shalom on Thursday morning had been delayed at a “holding point” for two hours before being allowed to proceed to the crossing point separating Gaza from Israel.

‘Tactical pauses’ are not enough

Although the fuel supplies are welcome, they are far from enough, she insisted.

“We need hundreds of thousands of litres of fuel to be entering every day so that we can power even the most basic of our facilities to power, water, sanitation, healthcare, emergency telecommunications and other critical facilities effectively,” she said.

The announcement of daytime military pauses by Israel last weekend appears to have slightly reduced the amount of time aid convoys now wait for permission to proceed, the OCHA worker noted.

There has also been a “slight reduction” in security incidents involving Gazans taking food from UN trucks, she said.

In its latest update on the emergency, OCHA said that four days since the start of tactical pauses declared by Israel, “we are still seeing casualties among those seeking aid and more deaths due to hunger and malnutrition…Unilateral tactical pauses alone do not allow for the continuous flow of supplies required to meet immense needs levels in Gaza.”  

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Gazans dying in search of food, ‘starkest illustration’ of their desperation

The fact that people are now dying every day trying to get food, I think is the starkest illustration of how desperate the situation is,” said Carl Skau, Deputy Executive Director at the UN agency, briefing journalists on his fourth visit to the war-torn enclave.

Earlier this year, food security experts reported that starvation is spreading in Gaza. The entire population, some two million people, is acutely food insecure and half a million are on the brink.

“If anything, it’s much worse now,” said Mr. Skau, who was in Gaza City, Deir Al-Balah and Khan Younis last week. 

Children going hungry

Malnutrition is also surging.  Some 90,000 children are in urgent need of treatment, according to UN child rights agency UNICEF

Today, one in three people goes hungry for days. Mr. Skau said he met many families who told him there are days when their children do not eat at all.

“But the days when they are eating it’s often a hot soup they get from us with just a few lentils or a few pieces of pasta, so certainly not enough,” he said, adding that some mothers discourage their children from playing to conserve energy.

The top official also addressed the widespread displacement in Gaza. In the past he met families who had been forced to flee two or three times, but now “I meet families who have moved two or three times in the past 10 days,” and some who have been uprooted upwards of 20 times. 

Trickle of aid

Meanwhile, outside of the recent 80-day aid blockade, humanitarian response “has never been more constrained.” The amount of assistance humanitarians are able to bring into Gaza is “just a fraction of what’s needed,” at a time when a kilo of wheat flour costs $25.

He added that the operating environment “is just impossible.” Active military operations are occurring in roughly 85 per cent of Gaza’s territory and teams “get stuck waiting for clearances and at checkpoints, often spending between 15 to 20 hours straight in their armoured vehicles trying to escort our convoys.”

Other obstacles include lack of fuel, spare parts for vehicles, and basic communications equipment.  

Engagement with Israel

Mr. Skau said WFP have been actively engaging with the Israeli authorities over the past few weeks and “there were commitments” around issues such as volumes of aid, faster humanitarian movements, and not having the Israel Defense Forces (IDF) present when convoys are moving.

“Now, obviously, the proof is in the pudding,” he said. “We need now to see delivery and implementation on those commitments, and so far, we have not seen enough progress.”

He noted that WFP were allowed to deliver aid through the north on Friday for the first time in several days, which was “a key issue.”

“It’s not only about getting enough volumes, but it’s also to be able to get in through the north because in the north we are able to deliver in a more orderly way,” he said.

He told journalists that “there have been issues with armed elements interfering” in the region, which is unacceptable, but stressed the importance of being able to deliver there “because we think that is the way to also help bring down the levels of desperation and prices.”

Ceasefire now

Mr. Skau stated that the minor progress regarding commitments “is not going to be enough to turn the tide of hunger,” underlining the urgent need for a ceasefire in Gaza.

During the ceasefire earlier this year, WFP facilitated the entry of more than 8,000 trucks into the enclave, opened 25 bakeries and hundreds of soup kitchens, and delivered food packages to more than 1.5 million people.

The agency was also able to stock its warehouses, meaning operations could continue for roughly half of the 80-day blockade.

“We are ready to do that again,” said Mr. Skau.  “We have enough food on the borders to deliver to the entire population for some two months. But obviously we need that ceasefire, and we need conditions within that ceasefire.”

Here, he stressed the need for a humanitarian protocol with a provision that allows for multiple routes and entry points into and inside Gaza – as well as a secure environment for delivery.

Later, Mr. Skau was asked about the talks with Israel.

“I sense the recognition that conditions need to improve,” he said.  “It was also recognised that the UN has a key role to play,” he added. 

“It was very clear in my engagement that they want the UN to continue to be the main track in delivery. 

“And certainly should there be a ceasefire, the indications were that they would want us to be ready to scale up and do what we did last time when we on Day One were ready to bring 600 trucks into Gaza.” 

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More Gazans killed trying to get food, healthcare near to ‘full disaster’

 “We are walking the fine grey line between operational capacity and full disaster, every day,” said Dr Thanos Gargavanis, WHO trauma surgeon and emergency officer, speaking from the enclave.

The veteran UN medic’s comments came amid new reports on Tuesday morning that more Palestinians had been killed trying to access food, this time near an aid distribution site in Khan Younis in southern Gaza.

The mass casualty event left “hundreds of casualties, completely overwhelming Nasser Medical Complex” in Khan Younis, said WHO’s Representative in the occupied Palestinian territory, Dr Rik Peeperkorn.

No-go zone

Across Gaza today, health services are “barely available” and difficult to access, Dr Peeperkorn said, since more than 80 per cent of Gaza’s territory is under evacuation orders.

“The shrinking humanitarian space makes every health activity way more difficult than the previous day,” Dr Gargavanis added.

Nasser Medical Complex is the largest referral hospital in Gaza and the only remaining main hospital in Khan Younis. It is situated within the evacuation zone announced by the Israeli military on 12 June.

The nearby Al-Amal Hospital – operated by the Palestinian Red Crescent Society (PRCS) – continues to provide services to patients already there, but it is unable to admit anyone else because of ongoing military operations.

“It is what we call a completely minimal functional hospital,” Dr Peeperkorn said.

Deadly impact of fuel shortages

Only 17 of Gaza’s 36 hospitals are currently partially functional, medical supplies are critically low and no fuel has entered the Strip for more than 100 days.

The latest mass casualty event is just the latest involving Gazans trying to access aid amid ongoing severe restrictions placed on the amount of aid allowed into the Strip by Israel.

On Monday, more than 200 patients arrived at the Red Cross Field Hospital in Al Mawasi – the highest number received by the facility in a single mass casualty incident. Of that number, 28 patients were reportedly declared dead, WHO’s Dr Peeperkorn said.

Just one day earlier, on 15 June, the same hospital received at least 170 patients, who reportedly had been trying to access a food distribution site.

“The recent food distribution initiatives by non-UN actors every time result in mass casualty incidents,” WHO’s Dr Gargavanis insisted.

Private aid plan fallout

Since late May, the UN and humanitarian partners have been sidelined in Gaza as a new aid distribution model backed by Israel and the United States began operations under the framework of the Gaza Humanitarian Foundation (GHF), which uses private military contractors. 

The WHO trauma surgeon highlighted a “constant correlation” between the locations of food distribution spots and the mass casualty incidents in Rafah, in Khan Younis and along the Netzarim corridor.

Asked about the type of injuries sustained by those seeking aid, and who is responsible, Dr Garavanis stressed that WHO is not a forensic agency.

“We’re not in a position to clearly identify from the nature of the injury” who has caused it, he said. “What we can say, though, is that we’re talking of gunshot wound injuries, and we’re talking of very few incidents of shrapnel injuries.”

The UN has repeatedly warned that the new aid distribution system does not meet humanitarian principles of humanity, impartiality, independence and neutrality. The global body has also called for aid restrictions to be lifted.

Dr Peeperkorn insisted that the WHO must be facilitated to move supplies into Gaza in a cost-effective manner “via all possible routes” to prevent further shutdowns of medical services. He said that 33 WHO trucks with supplies are waiting at Al Arish in Egypt to be granted passage into the enclave, with another 15 standing by in the occupied West Bank.

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UN aid teams plead for access amid reports Gazans shot collecting food

Unverified footage from Rafah where the privately-run but Israeli military-supported Gaza Humanitarian Foundation is based showed scenes of panic with crowds of people rushing in different directions, while others carried away boxes of supplies.

The UN human rights office, OHCHR, said that it had received information that at least 47 people had been hurt on Tuesday trying to collect aid.

Those numbers could increase as information on the incident is still being gathered, said Ajith Sunghay, Head of OHCHR in the Occupied Palestinian Territory, speaking to journalists in Geneva on Wednesday.

From January to March 2024, our office has documented 26 incidents where the Israel Defense Forces fired shots while people were collecting humanitarian aid, causing casualties at Al Kuwaiti roundabout and Al Naburasi roundabout,” Mr. Sunghay told UN News.

Renewed appeal for aid access

Meanwhile, UN aid teams have continued to appeal to Israel for access to Gaza to deliver and distribute thousands of tonnes of food, medicine and other basic items waiting just outside Gaza.

Jens Laerke from the UN agency OCHA insisted that the its staff have “everything needed to get aid to civilians safely: the people, the networks and the trust” of Gazans.

Right now, nearly 180,000 pallets of food and other life-saving aid stand ready to enter Gaza, the hungriest place on earth,” he told UN News.

“The supplies have already been paid for by the world’s donors. It is cleared for customs, approved and ready to move. We can get the aid in – immediately, at scale and for as long as necessary.”

50,000 kids killed or injured

In a related development, UNICEF announced that the war in Gaza has killed or injured more than 50,000 children in less than 600 days.

UNICEF spokesperson Tess Ingram said that since the ceasefire ended on 18 March, approximately 1,300 children have been killed and 3,700 injured alone.

That number is enough children to fill more than 1,600 classrooms, Ms. Ingram told UN News: “Every one of these children is in life. A child with a family, with hopes for the future,” she said. “And yet we continue to count their deaths and live stream their suffering to the world. This must end immediately. 

She added: “The children of Gaza desperately need protection from these ongoing bombardments, as well as food, water, medicine and other basic supplies that they need to survive. The blockade must end. Aid must flow freely and at scale, and more than anything else, we need a ceasefire we need collective action to stop these atrocities and to protect children.”

The UNICEF official’s comments follow an attack on a home last weekend that reportedly killed nine out of 10 siblings of one family, the Al-Najars; all the victims were 12 years old or younger.

Gazans’ suffering goes on amid intensifying Israeli strikes

In occupied East Jerusalem, meanwhile, Israeli protesters illegally entered a compound of the UN agency for Palestine refugees, UNRWA.

The development comes after the Israeli military coordination unit COGAT said on Saturday that 388 trucks had entered Gaza since last Monday – the first aid to arrive in well over two months of blockade that have caused hunger levels to spike.

Humanitarians have repeatedly warned that at least 500 to 600 trucks need to cross into Gaza every day to provide people with their daily needs – as they did before war erupted on 7 October 2023 after Hamas-led terror attacks on Israel.

Token assistance

“We are on the back of 11 weeks of nothing entering the Gaza Strip, no food, no medicines for 11 weeks, nothing apart from bombs,” said James Elder, a spokesperson for the UN Children’s Fund (UNICEF).

“And so today, a week after life-saving aid was finally allowed into Gaza again, the scale of that aid is painfully inadequate,” he told UN News. “It looks like a token that appears more like cynical optics than any real attempt to tackle the soaring hunger crisis among children and civilians in Gaza.”

Today, Gazans remain at “critical risk of famine”, UN-backed food security experts warned earlier this month. In their latest update, they estimated that one in five people in Gaza – 500,000 – faces starvation.

Another school hit

Reports on Monday indicated meanwhile that Israel’s intensifying military operation in northern Gaza against alleged terrorists and their infrastructure had killed at least 50 people in air strikes.

One attack hit a school in Gaza City sheltering hundreds of people uprooted by more than 19 months of violence. Footage reportedly taken after the incident showed the silhouette of a child stumbling through a classroom set ablaze at Fahmi al-Jarjawi school.

Another air strike hit a home elsewhere in Gaza City killing four people, according to the health authorities.

UN-run shelters are now “overwhelmed with displaced people desperately seeking safety”, the UN agency for Palestinian refugees (UNRWA) said in an update on Monday. It also underscored that the lack of food has added to people’s suffering.

“Many families are sheltering in abandoned, unfinished, or damaged buildings,” the agency explained. “Sanitation conditions are dire; in some cases, hundreds of people are having to share a single toilet. Others, including children and pregnant women, are sleeping in the open.

Farming smashed

Across Gaza, less than five per cent of the Strip’s cropland remains available for cultivation, according to UN Food and Agriculture Organization (FAO) and the United Nations Satellite Centre (UNOSAT).

Using high-definition imagery, the agencies’ findings emphasize just how much food production capacity has shrunk in Gaza because of the war, exacerbating  the risk of famine.

As of April 2025, more than 80 per cent of the Gaza Strip’s total cropland area has been damaged (12,537 hectares out of 15,053) and 77.8 percent is not accessible to farmers, leaving just 688 hectares (4.6 percent) available for cultivation.

The situation is particularly critical in Rafah and in the northern governorates, where nearly all cropland is not accessible.

Settler protest

Following the protest at the UNRWA compound in occupied East Jerusalem on Monday, a spokesperson for the UN agency noted that one member of the Israeli Knesset had joined the settlers inside the gates. Monday is a national holiday in Israel, marking the moment following the Six-Day War in 1967 when the country’s troops occupied East Jerusalem and the West Bank.

The UNRWA facility – located in the Sheikh Jarrah neighbourhood of occupied East Jerusalem – has been targeted in past arson attacks that set light to the perimeter fence.

At the end of January, UNRWA withdrew its staff from the compound in protest at the entry into force of an Israeli law banning the agency’s operations in occupied East Jerusalem.

The location retains its status as a UN facility that is protected under international law. 

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Gazans ‘in terror’ after another night of deadly strikes and siege

Updating journalists in Geneva, Dr. Margaret Harris described another night of terror in the war-torn enclave.

She said that some of those injured in the attacks had sought help from the Indonesian hospital in northern Gaza, even though it was now “just a shell” after 19 months of war.  

“We’ve done our best to bring it back together and they are doing their best to treat everyone, but [medical teams] lack everything needed,” she insisted.

Rejecting accusations that relief supplies have been handed over to Hamas, the WHO spokesperson said that “in the health sector, we’ve not seen that. All we see is a desperate need at all times.”

Echoing that message, the UN aid coordination office, OCHA, explained that a stringent system of checks and reports to donors meant that all relief supplies were closely tracked in real time, making diversion highly unlikely.  

Even if it were happening, “it’s not at a scale that justifies closing down an entire life-saving aid operation,” OCHA spokesperson Jens Laerke said.

If you had been in a coma for the last three years and you woke up and saw this for the first time, anyone with common sense would say this is insane.

The development comes more than 10 weeks since the Israeli authorities stopped all food, fuel, medicines and more from reaching Gaza.  

To date, their proposal for an alternative aid distribution platform bypassing existing UN agencies – widely criticized by the humanitarian community – has not been implemented.  

The result has been rising malnutrition – unknown in Gaza before the war – and looming famine, while thousands of truckloads of essential supplies have had to be stored in Jordan and Egypt, according to UNRWA, the UN agency for Palestine refugees and the largest aid operation in Gaza.

In its latest update, OCHA said that the UN and its partners have 9,000 truckloads of vital supplies ready to move into Gaza. More than half contain food assistance which could provide months of food for the enclave’s 2.1 million people.

An inventory of the relief supplies “waiting just outside the borders to get in” illustrates their humanitarian purpose, Mr. Laerke said.

Pasta and stationary: Weapons of war?

“It includes educational supplies, children’s bags, shoes, size three to four years old and up to 10 years old; stationery and toys, rice, wheat flour and beans, eggs, pasta, various sweets, tents, water tanks, cold storage boxes, breastfeeding kits, breastmilk substitutes, energy biscuits, shampoo and hand soap, floor cleaner. I ask you, how much war can you wage with this?

Mr. Laerke said that UN officials have held 14 meetings with the Israeli authorities about their proposed aid scheme, which if implemented would restrict aid “to only part of Gaza” and exclude the most vulnerable.

It makes starvation a bargaining chip,” he maintained.

More than 53,000 people have been killed in Gaza since war erupted on 7 October 2023 in response to Hamas-led terror attacks on Israel, according to the health authorities.  

WHO said only 255 patients needing specialist care outside the Strip have been evacuated since 18 March leaving more than 10,000 patients – including approximately 4,500 children – who also need urgent medical attention outside Gaza.

In response to this week’s attack on the European General Hospital in Khan Younis, WHO’s Dr. Harris noted that it had been used as a meeting point for an evacuation. “That first bombing, as you probably know, destroyed two of the buses that we’d assembled to take children,” she added.

On Tuesday, the Security Council heard the UN’s top aid official Tom Fletcher call for immediate international pressure to stop Gaza’s “21st century atrocity” – a message amplified by OCHA’s Mr. Laerke:

The situation as it has developed now is so grotesquely abnormal that some popular pressure on leaders around the world needs to happen,” he said.

“We know it is happening, I’m not saying that people are silent, because they are not. But it doesn’t appear that their leaders are listening to them.”

Plague of rats and insects provide latest challenge for war-shattered Gazans

One displaced woman told UN News’s correspondent in Gaza: “In all camps, we suffer from biting insects, especially fleas,” adding that “our children suffer from severe pain due to itching and stinging.

“We tried to treat it in simple ways, but the right medicines are not available at the medical centre.”

While biting insects found in Gaza are not immediately life-threatening, the presence of rodents, including rats, can increase the risk of the spread of infectious diseases which the health system in Gaza may be unable to treat.

Inadequate sanitation

The lack of adequate sanitation, including limited access to clean toilets, general overcrowding as people try to find places to live amongst the rubble of Gaza – and the challenges of removing rubbish from the streets – have amplified the threat posed by rats.

Teams from UNRWA, the UN agency which supports the people of Gaza, have initiated intensive clean-up operations as well as environmental and health awareness campaigns. The number of dermatology consultations in health facilities has also increased.

UNRWA workers are actively moving through tents for displaced people in Khan Younis in the southern part of the Gaza Strip spraying pesticides to counter the spread of insects, fleas and rodents.

Uncollected trash in Gaza is encouraging rats.

UNRWA teams have worked in approximately 50 displacement sites in the Mawasi area of ​​Khan Younis.

They have focused on locations where there is overcrowding, improper waste disposal, the presence of livestock and the lack of hygiene materials.

“Because of the intense heat and sleeping on the sand, we were exposed to biting insects, rodents, and mosquitoes,” said one resident as he watched an UNRWA environmental health officer spraying insecticides around temporary shelters.

A doctor from UNRWA’s Environmental Health team explains to mothers how to treat insect bites.

Educational Sessions

In a nearby tent, a group of women gathered around awareness-raising instructors from the agency’s Environmental Health Office for an educational session on how to guard against insects and rodents.

The meetings target women, girls and adolescents to familiarize them with how to face this health challenge.

Meanwhile, Gaza continues to struggle since the 7 October 2023 attacks by Hamas on Israel precipitated the shattering conflict.

No humanitarian aid or supplies have entered the Gaza Strip since 2 March 2025, due to Israel’s total blockade.

UNRWA says vital humanitarian supplies, including food, fuel, medical aid and vaccines for children, are almost exhausted.

The agency warned that pesticide stocks are expected to run out within days in southern Gaza, while they have already run out in the central areas and north of the Strip.

Gazans face hunger crisis as aid blockade nears two months

Both the UN agency that assists Palestine refugees, UNRWA, and the World Food Programme (WFP) report that food stocks are now exhausted, even as supplies of lifesaving assistance pile up at border crossings waiting to be brought in.

Humanitarians continue to warn that hunger is spreading and deepening in the enclave, amid the blockage, access constraints, ongoing Israeli military operations and a rise in looting.

Scarcity, sharing and shame

UNRWA shared the testimony of a woman called Um Muhammad who is staying at a shelter in Gaza City and prepares food for 11 family members daily. Although she still has some flour, most families nearby have already run out.

“When I knead and bake, I feel very ashamed of myself, so I distribute some bread to the children who come asking for a piece of bread,” she said.

“We eat one meal a day, dividing bread among each person daily. We eat canned goods, lentils, and rice. When this stock runs out, I don’t know what we will do because what is available in the market is scarce.”

Longest blockade

Gaza has a population of more than two million people who mostly depend on aid, but no humanitarian or commercial supplies have entered since 2 March when Israel imposed a full blockade on the territory.  

This is by far the longest ban on aid moving into the Strip since the start of the war in October 2023, following the deadly Hamas-led terror attacks on Israel.

The situation has led to shortages – not just of food, but other items including medicine, shelter supplies and safe water.  WFP recently noted a 1,400 per cent increase in food prices when compared to the ceasefire period, which lasted from 19 January to 18 March of this year.

Malnutrition and looting

On Friday, the UN agency delivered its last remaining stocks to hot meals kitchens, which have been a lifeline in recent weeks. The kitchens are expected to fully run out of food within days, and another 16 closed over the weekend.  Furthermore, all 25 WFP-supported bakeries are now shuttered.

There has been an increase in reports of looting incidents, the UN humanitarian affairs office OCHA said on Monday. Over the weekend, armed individuals reportedly ransacked a truck in Deir Al-Balah and a warehouse in Gaza City.

Meanwhile, the latest famine review analysis by the Integrated Food Security Phase Classification (IPC) got underway this week.

Humanitarian partners warn that the nutrition situation across Gaza is worsening. Since January, about 10,000 cases of acute malnutrition among children have been identified, including 1,600 cases of severe acute malnutrition

Although treatment supplies remain available in the south, accessing them continues to be extremely challenging due to operational and security restrictions.

Healthcare also affected

OCHA stressed that the depletion of critical stocks in Gaza goes far beyond food. For example, trauma-related medical supplies are running out at a time when the number of people injured in mass casualty incidents continues to increase. 

Gaza also lacks surgical supplies, including gowns, drapes and gloves.  The World Health Organization (WHO) informed that their warehouse has run out of therapeutic milk, intravenous antibiotics and painkillers, as well as spare parts for ambulances and oxygen stations. 

Partners working in health add that an increasing number of critical staff are being denied access to Gaza, with a rise in the denial of entry for emergency medical teams, particularly highly specialized professionals – including orthopedic and plastic surgeons – and a recent restriction of movement across the enclave.  

Aid awaiting entry

As the aid ban continues, humanitarians are doing everything possible to reach people with whatever supplies remain available.

They also have stocks of food and other lifesaving items ready and waiting to enter the Gaza Strip as soon as border crossings re-open.

This includes nearly 3,000 UNRWA trucks of aid, while WFP has more than 116,000 metric tonnes of food assistance – enough to feed one million people for up to four months. 

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