Hunger Crisis in Gaza: What to Know

Ten-year-old Palestinian boy, Yazan al-Kafarneh, displaced from Beit Hanun and suffering from a pre-existing condition, lies on a hospital bed at Al-Awda clinic in Rafah; he died on March 4 severe malnourishment and insufficient healthcare- AFP
Ten-year-old Palestinian boy, Yazan al-Kafarneh, displaced from Beit Hanun and suffering from a pre-existing condition, lies on a hospital bed at Al-Awda clinic in Rafah; he died on March 4 severe malnourishment and insufficient healthcare- AFP
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Hunger Crisis in Gaza: What to Know

Ten-year-old Palestinian boy, Yazan al-Kafarneh, displaced from Beit Hanun and suffering from a pre-existing condition, lies on a hospital bed at Al-Awda clinic in Rafah; he died on March 4 severe malnourishment and insufficient healthcare- AFP
Ten-year-old Palestinian boy, Yazan al-Kafarneh, displaced from Beit Hanun and suffering from a pre-existing condition, lies on a hospital bed at Al-Awda clinic in Rafah; he died on March 4 severe malnourishment and insufficient healthcare- AFP

Children have begun starving to death in Gaza, where the United Nations has warned a famine is "almost inevitable."

Here's what to know about the hunger crisis engulfing the war-torn Palestinian territory.

At least 15 children have died from starvation and dehydration in a single hospital, according to the health ministry in the Hamas-run territory.

Media including AFP have captured haunting images of emaciated infants with sunken eyes and gaunt faces.

Over the weekend, World Health Organization workers were able to visit hospitals in northern Gaza for the first time since October, WHO chief Tedros Adhanom Ghebreyesus said Monday on X.

He said the workers found "severe levels of malnutrition, children dying of starvation, serious shortages of fuel, food and medical supplies, hospital buildings destroyed."

Across Gaza, 90 percent of children aged 6–23 months and pregnant and breastfeeding women face severe food poverty, according to a report released two weeks ago by the Global Nutrition Cluster, a network of nutrition NGOs led by UNICEF.

At least 90 percent of children under five are affected by one or more infectious diseases, it added.

Aid organizations working on the ground blame Israel, which is waging a war against Hamas in the wake of the October 7 attacks, for preventing enough food trucks from entering Gaza.

"As the occupying power in Gaza, Israel has the responsibility to ensure that the occupied population receives food and medical supplies," the International Rescue Committee told AFP in a statement.

"Intentionally using starvation of civilians as a method of warfare by depriving them of objects indispensable to their survival, including wilfully impeding relief supplies as provided for under the Geneva Conventions, is a war crime."

At the start of the conflict, high-ranking Israeli officials such as defense minister Yoav Gallant, openly called for a "complete siege" to deprive Palestinians of food, fuel and water. But officials have since walked back that rhetoric.

"Our war is against Hamas, not against the people of Gaza," military spokesman Rear Admiral Daniel Hagari said recently, adding Israel was "facilitating aid."

The UN food agency said Tuesday its aid convoy was turned away by Israeli forces at a checkpoint in northern Gaza.

Last week, Israeli forces opened fire on Palestinians scrambling for food aid in a chaotic melee that killed more than 100 people.

US military planes have begun dropping tens of thousands of meals, though aid agencies say this is an inefficient way to curb the crisis.

Dabney Evans, director of the Center for Humanitarian Emergencies at Emory University, told AFP that images from Gaza indicated the most severe forms of malnutrition, including "wasting" which refers to extremely low weight for a person's height, as a result of severe decreases in caloric intake in a short period of time.

"Their bodies are beginning to break down and are in shock," said Evans, explaining that bringing someone back to good health requires careful supervised medical care, not just giving them food, which can be dangerous.

Imad Dardonah, a pediatrician at the Kamal Adwan Hospital, the only pediatrics hospital in northern Gaza, told AFP that staff had supplies to only treat around half of cases adequately.

"We have nothing to give them, the most we can do for them is either give them saline solution or sugar solution."

If malnutrition is prolonged it will lead to long-term consequences such as growth stunting, a reduced ability to learn, and a weakened immune system.

Anu Narayan, an advisor for UNICEF on child nutrition, told AFP there would likely be a "lifelong impact" at least on some individuals.

"We know for a fact that it can impact children's cognitive development and over the long term has an impact on their earnings and ability to function fully."

UC Berkeley researchers recently learned that people born during the Great Chinese Famine more than 60 years ago -- and their offspring -- had far higher rates of tuberculosis, "indicating a previously unrecognized, intergenerational effect of prenatal and early life exposure to famine."

Since 2004, "famine" has had a formal technical definition: it occurs when at least 20 percent of the population face extreme food shortages, acute malnutrition rates exceed 30 percent, and two out of 1,000 people die from starvation on a daily basis.

While the word is highly charged and has the power to spur world action, it has only been officially declared twice in the past decade: in Somalia in 2011, and South Sudan in 2017.

But Narayan told AFP it made little sense to fixate on the fact the Gaza crisis had not yet met the highest possible classification.

"We have seen that all the factors that put people, but particularly young children at such high risk, are there."



Why and How Did al-Kadhimi Return to Baghdad?

Mustafa al-Kadhimi (AP)
Mustafa al-Kadhimi (AP)
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Why and How Did al-Kadhimi Return to Baghdad?

Mustafa al-Kadhimi (AP)
Mustafa al-Kadhimi (AP)

Mustafa al-Kadhimi, the former Prime Minister of Iraq, arrived in Baghdad last Tuesday aboard a private jet. He was greeted by a security detail typically assigned by the government to former heads of state, a scene that would have been unimaginable for an Iraqi politician who faced widespread persecution for two years.

A political faction had wanted al-Kadhimi to leave Baghdad after a drone strike targeted his home in November 2021. He formally left the capital in late 2022 after a broad alliance, including political parties, judicial and governmental institutions, and activists, united to force him out of the public arena and effectively push him into exile.

The first image of al-Kadhimi, shaking hands with a security officer near his home in the Green Zone, offers a powerful snapshot of the changes unfolding in Iraq today. It also hints at the future of the country amidst a Middle East in the midst of unprecedented turmoil.

There are growing speculations surrounding the circumstances of al-Kadhimi’s return, with close associates suggesting it followed a “special invitation” to assist the Coordination Framework alliance in tackling an emerging crisis ahead of a potential second term for Donald Trump.

Critics of both the Framework and al-Kadhimi view this as further evidence of his knack for “saving the deep state.”

Did al-Kadhimi return to aid those who stripped him of the opportunity to remain secure in the public sphere, or is he seeking to help himself and his political agenda at a “golden moment”?

A newly appointed advisor to al-Kadhimi said: “The region is undergoing dangerous transformations that will affect Iraq, and all politicians must contribute to mitigating these risks.”

Meanwhile, politicians within the Coordination Framework commented: “Something will happen within the next two months... something for which the current Framework structure has no antidote.”

This answer offers little clarity about what transpired since the fall of 2022 and how the Coordination Framework and its media apparatus relentlessly targeted al-Kadhimi’s government. Now, he returns, with the political system pinning its hopes on him at a critical juncture.

“Recharging Phones”

Before al-Kadhimi’s return, signs emerged suggesting Baghdad had lost its ability to connect with key US decision-making circles, and to some extent, with its immediate regional surroundings.

Since the Democrats left their posts at the US State Department, the government of Prime Minister Mohamed Shia al-Sudani has struggled to find a single Republican willing to answer the phone.

Reports indicate that a team assigned to revive communications with the Trump administration failed to establish a reliable channel, aside from ceremonial meetings with individuals uninterested in Iraq’s concerns.

The “loss of connection,” a term used by three senior figures in the government and one of the ruling parties, was underscored on November 13, when Sudani attended the Munich Security Conference without securing any meeting with an American official present at the event.

This communication breakdown coincided with a series of “unfriendly” US messages, frequently relayed by Republican Congressman Joe Wilson and US Special Presidential Envoy for Hostage Affairs Adam Boehler.

Iraqi politicians suggest that the “deep state” sees al-Kadhimi as “the man capable of recharging the dead phones,” and potentially rescuing both al-Sudani and the Coordination Framework.

“No one knows if he’s willing to provide this service for free, or if he’ll offer it at any cost,” said a politician who opposed al-Kadhimi during his tenure as prime minister.

The Nightmare of Sanctions

The prospect of a second term for Trump brings a team that holds little affection for leaders in the Coordination Framework, ministers in the government, and officials in the judiciary.

Among them is the new National Security Advisor, Michael Waltz, who has consistently seized opportunities to attack Baghdad, accusing it of “surrendering itself to Tehran.”

In Baghdad, there is a strong belief that the Republican team will not hesitate to act on Iraq once it finishes with Gaza and the war in Ukraine. The least that comes to the minds of Iraqi politicians, many of whom are disliked by Waltz, is that they will one day find their names on a sanctions list.

“Why not try al-Kadhimi’s formula, which gave Washington the confidence of a balance between it and the Iranians?” say many in Shiite parties, anxious about what lies ahead. Their list of speculations starts with sanctions on influential Shiites and ends with the potential for Trump to block the dollar.

Does al-Kadhimi possess these exceptional abilities that would make him a "steel dome," as some politicians in Baghdad envision him, now dreaming of discovering a way to protect them from a possible American storm?

“A Known Figure”

How did the Iraqi government end up in a political deadlock? Prominent politicians in the Coordination Framework offer explanations, often converging on the Syrian file. Iraq struggled to understand the new regional political philosophy and faced difficulties in shifting away from the rules of “Al-Aqsa Flood” to the post-Assad era.

“Since Trump doesn't think much about Iraq,” says David Schenker, the former US Assistant Secretary of State for Near Eastern Affairs, Washington will not engage in healthy relations with Iraq unless it aligns sufficiently with the changes in its surrounding environment.

Even among circles close to the religious establishment in Najaf, views are emerging that reflect an understanding of Iraq’s lost political position—one that sees the regime as a vital part of the Arab movement on regional issues.

Interestingly, this is all happening without any response from Tehran.

“Not because it has abandoned the Iraqi file, or is unable to influence it,” says a source familiar with the discussions surrounding al-Kadhimi’s return.

The source adds that “Tehran needs to revive Baghdad, which is reaching a dead end in foreign policy and losing vitality in its dealings with the region and the West,” though it remains unclear whether al-Kadhimi’s return is linked to this climate.

Despite a generally positive view of al-Kadhimi's tenure, many criticize al-Sudani for his delayed efforts to adapt to the region’s tumultuous changes. It was difficult to remain in the same place while a seismic shift occurred in Syria and a storm raged in Lebanon.

What role does al-Kadhimi play? Most likely, he seized the “golden opportunity.”

He sees himself as the person capable of quickly adapting to a changing Middle East, with a solid communication channel to the Arab world and experience in balancing regional dynamics.

Iraqi politicians argue that Trump’s era and the new Middle East will impose a new political equation in Baghdad, one that demands a person who can be a “reliable partner” in Arab decision-making circles to be recognized by the Americans.

For this reason, al-Kadhimi has secured his return ticket to the competitive arena—this time, not with slogans of “resistance,” but with a focus on integration into the new order.

Liberal Shiites

Al-Kadhimi’s return was preceded by former Prime Minister Ayad Allawi’s announcement of a new alliance, and by the activities of Adnan al-Zurfi, a former candidate for the premiership whose nomination was opposed by armed factions.

Together, these elements form a growing context for the search for liberal Shiites offering a fresh alternative.

Those who favor this scenario and promote it as “the only solution” argue that Syria, under Ahmed al-Sharaa, Lebanon under Joseph Aoun and Nawaf Salam, are missing Iraq—a country led by liberal Shiites who know how to balance relations between Washington and Tehran without tipping the scale.

Al-Kadhimi found his way back to Baghdad after the alliance that had relentlessly targeted him crumbled.

The Coordination Framework is no longer the same as it was in 2022. Nouri al-Maliki, leader of the State of Law coalition, is searching for ways to rein in al-Sudani, while the armed factions are working hard to carve out new positions that free them from the burden of “uniting the arenas.”

Meanwhile, Qais al-Khazali, leader of Asa'ib Ahl al-Haq, is experimenting with silence—a stance he typically avoids, especially in an election year.

Al-Kadhimi senses that all of these figures now welcome his presence in Baghdad.

They seek from him a “good reputation” for Iraq—one that does not require drastic changes to align with the new dynamics in Syria and Lebanon. The question remains: will he offer this service for free?