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."



Amid Ceasefire Push, Palestinians Released from Israeli Jails Bear Mental, Physical Scars

A combination image shows Palestinian Moazaz Obaiyat in an undated handout image as he trains in a gym, prior to his arrest, near Bethlehem and Obaiyat in a screengrab from video, as he walks after being released from an Israeli jail, near Hebron in the Israeli-occupied West Bank, July 8, 2024. Saddam Obaiyat/Handout and REUTERS TV/File photo
A combination image shows Palestinian Moazaz Obaiyat in an undated handout image as he trains in a gym, prior to his arrest, near Bethlehem and Obaiyat in a screengrab from video, as he walks after being released from an Israeli jail, near Hebron in the Israeli-occupied West Bank, July 8, 2024. Saddam Obaiyat/Handout and REUTERS TV/File photo
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Amid Ceasefire Push, Palestinians Released from Israeli Jails Bear Mental, Physical Scars

A combination image shows Palestinian Moazaz Obaiyat in an undated handout image as he trains in a gym, prior to his arrest, near Bethlehem and Obaiyat in a screengrab from video, as he walks after being released from an Israeli jail, near Hebron in the Israeli-occupied West Bank, July 8, 2024. Saddam Obaiyat/Handout and REUTERS TV/File photo
A combination image shows Palestinian Moazaz Obaiyat in an undated handout image as he trains in a gym, prior to his arrest, near Bethlehem and Obaiyat in a screengrab from video, as he walks after being released from an Israeli jail, near Hebron in the Israeli-occupied West Bank, July 8, 2024. Saddam Obaiyat/Handout and REUTERS TV/File photo

Once muscular and strong, Palestinian bodybuilder Moazaz Obaiyat’s nine-month spell in Israeli custody left him unable to walk unaided upon his release in July. Then, in an October pre-dawn raid on his home, soldiers detained him again.

Before being re-arrested, the 37-year-old father of five was diagnosed with severe PTSD by Bethlehem Psychiatric Hospital, related to his time at Israel's remote Ktz'iot prison, according to medical notes seen by Reuters from the hospital, a public clinic in the occupied West Bank.

The notes said Obaiyat was subjected to "physical and psychological violence and torture" in prison and described symptoms including severe anxiety, withdrawal from his family and avoidance of discussion of traumatic events and current affairs. Alleged abuses and psychological harm to Palestinian detainees in Israeli prisons and camps are in renewed focus amid stepped-up efforts in December by international mediators to secure a ceasefire that could see the release of thousands of inmates detained during the Gaza war and before, in return for Israeli hostages held by the Palestinian group Hamas in Gaza.

In the event of the release of detainees in any future deal, many “will require long-term medical care to recover from the physical and psychological abuse they have endured,” said Qadoura Fares, head of the Palestinian Commission for Detainees and Ex-Detainees Affairs, a government body in the West Bank. Fares said he was aware of Obaiyat’s case.

For this story, Reuters spoke to four Palestinian men detained by Israel since the war’s outbreak after the Hamas attacks of Oct. 7, 2023. All were held for months, accused of affiliating with an illegal organization, and released without being formally charged or convicted of any crime.

All described lasting psychological scars they attributed to abuses including beatings, sleep and food deprivation and prolonged restraint in stress positions during their time inside. Reuters could not independently verify the conditions in which they were held.

Their accounts are consistent with multiple investigations by human rights groups that reported grave abuses of Palestinians in Israeli detention. An investigation published by the United Nations human rights office in August described substantiated reports of widespread "torture, sexual assault and rape, amid atrocious inhumane conditions" in prisons since the war began. The UN office has also said Hamas' Oct. 7 attacks could amount to war crimes and crimes against humanity.

The White House has called the reports of torture, rape and abuse in Israel's prisons “deeply concerning.”

In response to Reuters questions, the Israeli military said it was investigating several cases of alleged abuse of Gazan detainees by military personnel but “categorically” rejected allegations of systematic abuse within its detention facilities. The military declined to comment on individual cases. The Israel Prison Service (IPS), which falls under hard-right national security minister Itamar Ben-Gvir, and the country's internal security service said they were not in a position to comment on individual cases.

“Terrorists in Israeli prisons are granted supervised living conditions and accommodations appropriate for criminals,” Ben Gvir’s office said in response to Reuters questions, adding that the facilities operate in accordance with the law. "The 'summer camp' is over," Ben Gvir's office said.

Tal Steiner, executive director of the Israeli rights group Public Committee Against Torture in Israel (PCATI), said the symptoms the men recounted were common and can echo through victims’ lifetimes, often shattering their families.

"Torture in Israeli prisons has exploded since October 7. It will have and already has had a devastating effect on Palestinian society," said Steiner.

Speaking from his hospital bed in July, a severely emaciated Obaiyat called the treatment of himself and fellow prisoners "disgusting," showing scars on his wasted legs and describing isolation, hunger, handcuffs and abuse with metal rods, without giving details.

Photos of Obaiyat taken before his incarceration show a powerfully-built man.

On Dec. 19, Israel’s High Court ordered the state to answer a petition brought by rights groups about the lack of adequate food for Palestinian prisoners. Israel has also reported mistreatment of some of the 251 of its citizens taken captive to Gaza after the Hamas attacks. A report by the Israeli Health Ministry, published on Saturday said hostages were subjected to torture, including sexual and psychological abuse. Hamas has repeatedly denied abuse of the hostages.

WITHOUT CHARGE

Obaiyat is currently being held in a small detention center in Etzion, south of Bethlehem, according to the Palestinian Prisoners’ Club, an advocacy group.

He is being held for six months under "administrative detention", a form of incarceration without charge or trial, and the official reason for his arrest is unknown, the group said. Israel’s military, internal security service and prison service did not respond to questions about his specific case.

PCATI said at least 56 Palestinians had died in custody during the war, compared to just one or two annually in the years preceding the conflict. Israel’s military said it launches criminal investigations of all deaths of Palestinians in its custody.

Palestinian prisoner numbers have at least doubled in Israel and the West Bank to more than 10,000 during the war, PCATI estimates, based on court documents and data obtained through freedom of information requests.

Through the course of the war, around 6,000 Gazans have been incarcerated, the Israeli military said in response to a query from Reuters.

Unlike Palestinians from the West Bank who are held under military law, Palestinians from Gaza are held in Israel under its Unlawful Combatants Law.

The law has been used to hold people incommunicado, deny them their rights as prisoners of war or as prisoners under military occupation, and incarcerate them for extended periods without charge or trial, according to Professor Neve Gordon, an Israeli scholar who specialises in human rights and international law at London's Queen Mary University.

The Palestinian Prisoners’ Club likened the detentions to forced disappearance. Israel's prison service declined to comment on prisoner numbers and deaths.

SDE TEIMAN CAMP

Fadi Ayman Mohammad Radi, 21, a former engineering student from Khan Younis, Gaza, was one of a couple dozen Palestinians released at the Kerem Shalom crossing into Gaza on Aug. 20.

Radi described struggling to stretch out his limbs after being cuffed and chained for four months at Israel's Sde Teiman military detention camp, officially a temporary prisoner sorting facility.

"They didn't interrogate us, they destroyed us," said Radi.

Located in the Negev desert, Sde Teiman has been the site of grave abuses including rape, according to allegations by whistleblowers among the camp’s guards.

Israel is currently investigating what the UN called "a particularly gruesome case" of alleged sexual abuse at Sde Teiman in which five soldiers are accused of anally penetrating a detainee with a rod that punctured his internal organs.

Radi said he was beaten repeatedly and arbitrarily, permanently restrained and blindfolded, hung up in stress positions and forced to sit on the floor almost constantly without moving.

At one point, he said he was deprived of sleep for five consecutive days in a space he said Israeli soldiers called the ‘disco room,' subjected to loud music. He did not describe sexual violence.

Radi said he found it difficult to sleep and that even talking about his ordeal made him relive it.

"Every time I say the words, I visualise the torture,” said Radi, who was arrested by Israeli soldiers in Gaza on March 4.

Reuters could not independently verify his story. The Israeli military said it was unable to comment, saying it could not find Radi's files because Reuters was unable to provide his ID number.

Despite a government decision to phase out Sde Teiman, the camp is still operational, PCATI said.

OFER AND KTZ’IOT

Widespread abuses have also been reported at more established facilities, such as the Ktz’iot prison, also in the Negev, and Ofer military camp, south of Ramallah in the West Bank.

After collating evidence and testimony from 55 former Palestinian prisoners, Israeli rights group B'Tselem earlier this year released a report accusing Israel of deliberately turning the prison system into a 'network of torture camps'.

Using emergency legislation introduced after the Oct. 7 attack on Israel by Hamas, Ben Gvir, the hardline minister, ordered conditions be downgraded for 'security prisoners', a category almost entirely comprising Palestinians.

Human rights scholar Gordon likened what he said was the use of torture in Israel's prisons to terrorism.

"Terrorism usually is an act that's limited in the number of people directly impacted, but the psychosocial effect is dramatic. It’s the same with torture," said Gordon, who co-edited a book on abuses in the Israeli prison system.