Gaza: Hospitals rationing critical supplies, ambulances stalling

What little fuel remains is powering essential operations, but it is running out fast, and there are virtually no additional accessible stocks left, UN Spokesperson Stéphane Dujarric said, citing reports from the UN relief coordination office, OCHA.  

“Hospitals are rationing. Ambulances are stalling. Water systems are on the brink. And the deaths this is likely to cause could soon rise sharply unless the Israeli authorities allow new fuel to get in,” said Mr. Dujarric.

“We need fuel urgently and we need it in large quantities to power the most essential parts, notably water desalination, hospitals and telecommunications,” he added, noting fuel has not entered the enclave in the last few months.

Khan Younis displacement

Meanwhile Israeli forces continue to attack civilian infrastructure in Gaza and issue new displacement orders.

On Tuesday, such orders were issued for parts of Khan Younis, specifically ordering those staying in tents to move, Mr. Dujarric reported.

The map published alongside the order indicates that some areas included had not been subject to displacement orders since before the March ceasefire, he said.

“The issuance of a displacement order does not relieve any party from the imperative to spare civilians, including those who are unable or unwilling to move.”  

Safeguard hospitals

Mr. Dujarric also reiterated the UN World Health Organization’s (WHO) call to protect the Nasser Medical Complex in Khan Younis, warning that the hospital is overwhelmed with trauma injuries at double its capacity.  

In a video message sent from the hospital on Monday, Rik Peeperkorn, WHO representative in the Occupied Palestinian Territory, said the facility is running critically low on trauma supplies, essential medicines, equipment and fuel, and that staff are exhausted.

Humanitarian movements

Meanwhile, OCHA reported that humanitarian movements inside Gaza remain heavily restricted: only four out of 12 attempts on Monday to coordinate movements with the Israeli security authorities were fully facilitated, and just one delivered supplies.

Four more attempts were rejected by Israeli authorities, halting efforts to evacuate patients, retrieve disabled trucks or clear debris.  

Although the remaining four were initially approved, ground-level impediments ultimately undermined the ability to carry out the missions.

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Gaza: As last fuel supplies run out, aid teams warn of catastrophe

Speaking from Gaza City in the north of occupied territory, Olga Cherevko from the UN aid coordination office, OCHA, said that water pumps had stopped at one site for displaced people there on Wednesday “because there’s no fuel”.

“We are really – unless the situation changes – hours away from a catastrophic decline and a shutdown of more facilities if no fuel enters or more fuel isn’t retrieved immediately,” she told UN News.

In its latest update on the emergency, OCHA said that without the immediate entry of fuel or access to reserves, 80 per cent of Gaza’s critical care units essential for births and medical emergencies will shut down.

More killed seeking aid

The development comes as Gaza’s authorities reported that 15 people had been killed near an aid distribution hub in the centre of the Strip on Thursday.

On Tuesday, unverified videos of another incident circulating on social media showed dead bodies lying in the street near a relief facility in the southern city of Khan Younis, reportedly following artillery fire.

Finding food is a daily challenge for increasingly desperate Gazans who are “simply waiting for food and hoping to find something in order not to watch their children starve in front of their eyes”, Ms. Cherevko explained.

She added: “I spoke with a woman a couple of days ago where she told me that she went with a friend of hers who is nine months pregnant in hopes of finding some food.

Of course, they didn’t manage because they were too afraid to enter areas where there could be incidents like the ones that have been reported over the past few days.”

Search for shelter

Back in Gaza City, OCHA’s Ms. Cherenko said that conditions in shelters in Gaza are now “absolutely horrific” and increasingly crowded – “there are people coming from the north constantly,” the veteran aid worker added, while others are also moving back northwards, likely to be closer to the entry points for aid convoys.

The amount of aid entering Gaza today remains extremely limited and far below the 600 trucks a day that used to reach the enclave before the war began in October 2023. In its latest update, OCHA reported that “starvation and a growing likelihood of famine” are ever-present in the enclave. An estimated 55,000 pregnant women now face miscarriage, stillbirth and undernourished newborns as a result of the food shortages.

Smoke from explosions rises from the Shujaia neighborhood of Gaza City.

Starvation diet

“With the very limited volume of aid that is entering, everyone continues to face starvation and people are constantly risking their lives to try to find something,” Ms. Cherevko continued.

You eat or [you’re] left with the choice of starving to death.”

After more than 20 months of war, sparked by Hamas-led terror attacks in Israel, 82 per cent of Gaza’s territory is either an Israeli militarized zone or affected by evacuation orders.

Three months since hostilities re-escalated on 18 March, more than 680,000 people have been newly displaced. “With no safe place to go, many people have sought refuge in every available space, including overcrowded displacement sites, makeshift shelters, damaged buildings, streets and open areas,” OCHA said.

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Rising hunger in Gaza highlights urgent need for ‘unfettered’ aid supplies

Only around 6,000 tonnes of wheat flour have entered the war-torn enclave since Israel began to allow limited supplies back in last month.  

However, 10,000 tonnes are urgently needed in the face of rising malnutrition, according to the UN aid coordination office OCHA.

The only way to address the situation on the ground is by re-opening additional crossings,” said OCHA’s Olga Cherevko, speaking to UN News from Khan Younis.

Beyond food aid

She also stressed the need to allow “unlimited and unfettered supply of aid to enter,” which includes items that go beyond food such as shelter materials, fuel, cooking gas, “and other necessary elements to sustain life in Gaza.”

Ms. Cherevko urged the Israeli authorities to make the task of delivering aid easier by “providing a safe and enabling environment,” reducing waiting times for humanitarian missions and ensuring access to people in need. 

People in Gaza are suffering from harsh living conditions. Since March, Israeli restrictions on border crossings have tightened, making it even more difficult for Gaza’s population – more than two million people – to access food. 

Senior UN officials, including Secretary-General António Guterres and Humanitarian Affairs chief Tom Fletcher, have described the aid that has entered as merely  “a trickle” or a  “a drop in the ocean”.

Difficult decisions

Although markets are crowded with people, they lack two essential elements: liquidity and goods.

Most residents thus face three bitter choices: either seek food aid from the newly established US and Israel-backed distribution mechanism, which has already claimed dozens of lives in recent days; watch their children starve; or pay dearly for what’s left of the goods and looted humanitarian aid in markets.

“Prices are unnatural, much higher than in Europe,” civil servant Akram Yousef recently told our UN News correspondent in Gaza.

“The situation is very difficult, and we have been like this for two years. In addition to displacement, homelessness, bombing, destruction, and devastation, traders are raising prices, and citizens are unable to bear this burden. What can we do?”

More than 20 months of conflict have made living conditions in the Gaza Strip unbearable, and the cost of living is now among the highest in the world. 

Ahmed Al-Bahri, who was displaced from Beit Lahia with his family, said a loaf of bread now sells for seven shekels, or roughly $2.

There is no flour, no milk, no diapers for children, or anything to eat,” he said. “We live in a state of constant hunger. Where can I get seven shekels to buy a loaf of bread for my child? What is this child’s sin?”

A flour seller in Gaza.

Exorbitant fees 

The cessation of Palestinian banks’ operations since the start of the war in October 2023 has exacerbated the suffering. 

People are forced to use phone apps to withdraw money from their bank accounts and to access their pensions through local merchants who charge exorbitant commissions.

Mr. Youssef, the civil servant, said the commission for withdrawing his salary was 20 per cent, but over time it has increased to nearly 50 per cent.

‘We have become envious of the dead’

Several residents told UN News that the price of one kilogramme of flour is now 100 shekels, equivalent to roughly $29.

“If a salary is 2,000 shekels, it becomes 1,000 shekels after commission,” another man, Ashraf Al-Deiri, explained.

“The daily expenses of an average or small family are no less than 500 shekels (roughly $143). So, we are experiencing great suffering and need someone to have mercy on us and stand by us.”

A young man called Raed Tafesh expressed shock over the high prices, especially since most of his peers are unemployed and lack any source of income. 

We don’t earn a single shekel. We are not employed, and we don’t have jobs. We are dying slowly. We have become envious of the dead,” he said.

The tragic conditions are reflected in the eyes of mothers and fathers who see their children starving, such as Nimir Ghazal.  She said her salary is not even enough to buy fruits, vegetables or any healthy food for her children.

“Sometimes I cry when my hungry children ask for a piece of bread. A kilo of flour costs 100 shekels, and lentils cost 50. One kilo is not enough for my family, but I buy it and share it among them,” she said.

UN efforts continue

On Monday, UN teams were able to collect some supplies, mainly flour, from the Kerem Shalom border crossing.  The aid was bound for Gaza City when hungry and desperate people snatched it directly from the trucks.

There have also been previous instances of looting and attacks on truck drivers which the UN categorically rejects. 

OCHA has emphasized that Israel, as the occupying power, bears responsibility for maintaining public order and safety in Gaza. This should include allowing more essential supplies to enter through multiple crossings and roads to meet humanitarian needs and help curb looting. 

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DR Congo aid operation reaches Beni with food supplies for thousands

The UN World Food Programme (WFP) said that trucks packed with cereals, beans and cooking oil reached the city of Beni in North Kivu province from neighbouring Uganda, amid clashes between Rwanda-backed M23 rebel fighters and Congolese forces.

Aid for 140,000

WFP said that it intends to use the thousands of tonnes of relief supplies transported to warehouses in Beni to help around 140,000 people living in Lubero territory, south of the city of Butembo.

Violence escalated on 2 May across Lubero territory, uprooting some 30,000 people, according to the UN aid coordination office, OCHA.

The development comes amid ongoing peace talks in Qatar between the DRC Government and the M23 rebels. At previous talks in April, both sides pledged to work towards peace.

Amid rampant insecurity caused by proliferating armed groups, the Rwandan-backed M23 rebels have been at war for years with the Congolese army and allied forces in the mineral-rich region. In 2021, negotiations between the group and Kinshasa collapsed.

January offensive

Hostilities ramped up in January this year when M23 fighters captured Goma, the capital of North Kivu Province. A month later they seized Bukavu, the capital of South Kivu and threatened to take Kinshasa, on the other side of the huge country.

Since then, ongoing fighting has caused mass displacement, killed more than 7,000 people and fuelled fears of regional conflict.

A total of 21 million people need humanitarian assistance in DRC today. UN aid teams and partners remain on the ground to help and have condemned the looting of aid warehouses by armed groups which have destroyed food and medicine.

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