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."



Egypt... An ‘Alternative Sudan’ for those Fleeing War

A café in Giza popular with displaced Sudanese (Asharq Al-Awsat)
A café in Giza popular with displaced Sudanese (Asharq Al-Awsat)
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Egypt... An ‘Alternative Sudan’ for those Fleeing War

A café in Giza popular with displaced Sudanese (Asharq Al-Awsat)
A café in Giza popular with displaced Sudanese (Asharq Al-Awsat)

With the influx of hundreds of thousands of displaced Sudanese into Egypt over the past months due to the ongoing war in their country, Egypt has turned into an “alternative Sudan” that embraces more than 5.5 million regular and irregular refugees.

“We live in an integrated Sudanese society in Egypt,” Musaab Hamdan, 33, told Asharq Al-Awsat.

Hamdan, a cleaning worker at a private company in the Mohandiseen neighborhood, said that the country was a haven for thousands of displaced people fleeing the war.

The Egyptian government estimates the number of Sudanese at about 5 million out of 9 million refugees on its territory, while President Abdel Fattah al-Sisi describes them as “guests of Egypt.”

The large inflow of Sudanese since the outbreak of the war in their country in 2023 has put pressure on the International Commission for Refugees in Cairo and Alexandria, where about 3,000 refugee applications are received daily. This has increased the number of Sudanese registered with the Commission to 300,000 persons, which represents 52 percent of the total number of refugees registered in Egypt with UNHCR until April.

The Sudanese features and traditional attire are distinctive on the streets of Cairo and Giza, where Sudanese vendors and citizens are now seen practicing business activities that were limited to Egyptians for decades, including driving taxis and small buses in popular neighborhoods. Hamdan said that this reflects the rapid integration of newcomers into everyday life in Egypt.

Mohamed Abdel Majeed, a taxi driver in Giza, speaks the Egyptian dialect so fluently that many locals do not realize he is from Sudan.

He told Asharq Al-Awsat that he has adapted to driving on Cairo’s streets and now knows the names and locations of stations by heart.

Alternative haven

Social networking sites are monitoring this heavy Sudanese presence in Egypt, as some videos have focused on the idea of an “alternative Sudan in the country.”

Among them was a comment made by a Sudanese influencer who joked about the heavy presence of his countrymen in the Faisal neighborhood in Giza, saying: “If you are Sudanese living abroad and want to see your family and your country. All you have to do is go to Giza, Egypt.”

Tens of thousands of Sudanese fleeing the war in Sudan consider Egypt the “best haven.” Fatima Hassan feared that her daughters would be “raped by armed militias in Sudan,” and decided to enter Egypt irregularly, she told Asharq Al-Awsat.

Extreme heat and thirst exhausted Fatima and her three daughters during a long trip, before she succeeded in reaching Giza to join her sister who had preceded her there several months ago.

Last month, the authorities announced that they have prevented the illegal entry of buses carrying displaced Sudanese. However, Abdullah Qouni - who has lived in the Maadi neighborhood in Cairo for 15 years and helps many newly displaced to find housing or a job opportunity - told Asharq Al-Awsat that around 11 buses from Aswan enter Egypt daily. He added that each irregular migrant pays about $500 to smugglers in exchange for the trip.

Education

One of the most important features of “Alternative Sudan” is the sight of dark-skinned students on their way to dedicated schools. Their number has increased steadily in recent months, forcing the Egyptian authorities to close some of them in order to “legalize the situation.”

Sami Al-Baqir, spokesman for the Sudanese Teachers Syndicate, estimates the number of Sudanese schools in Egypt at about 300 basic and intermediate schools.

The Sudanese embassy in Cairo, which moved its headquarters years ago from Garden City to the Dokki neighborhood, thanked the Egyptian government for its cooperation in making the Sudanese primary certificate exams a success in June, through six educational centers affiliated with the embassy. ​​

On the academic level, Ayman Ashour, the Egyptian Minister of Higher Education, estimated the number of Sudanese students who enrolled in Egyptian universities last year at more than 10,000.

Egyptian sensitivities

With the Sudanese “jilbab” dominating Egyptian streets and neighborhoods, and videos of large Sudanese gatherings in Cairo being circulated on social media, in addition to reports about the expulsion of Egyptian tenants to house displaced Sudanese, concerns have mounted over their presence in the country.

Moreover, news have emerged about some Sudanese families performing circumcision on their daughters in Egypt, prompting activists to call on Egyptian authorities to enforce the law that criminalizes female circumcision.

Egyptian media professionals joined in criticizing the Sudanese presence. Qaswa Al-Khalali expressed “concern” about the presence of refugee clusters in popular areas, considering this matter “extremely dangerous.” Meanwhile, journalist Azza Mostafa warned of “some refugees taking control of entire areas in Cairo,” pointing to bad consequences on Egypt.

Egyptian parliamentarians responded to calls to legalize the status of refugees, including Siham Mostafa, a member of the Foreign Relations Committee in the House of Representatives. In television statements, she said: “Egypt hosts millions of foreigners and provides them with services at the same prices provided to citizens without any increase, despite the current economic crisis.”

Reducing burdens

Due to the economic crisis, Egypt has called on the international community to support it in “bearing the burdens of refugees.”

Former Egyptian Foreign Minister Sameh Shoukry said, after his meeting with the Director-General of the International Organization for Migration, Amy Pope, that the support Egypt receives from the international community was not commensurate with the burdens it bears, especially as the Egyptian economy suffers from the consequences of global crises.

The Egyptian government recently launched a process to count the numbers of refugees residing on its territory, with the aim of calculating the cost of hosting them and determining the financial burdens.

In a statement issued in April, the United Nations High Commissioner for Refugees in Egypt requested $175.1 million to meet the most urgent needs of Sudanese refugees who have fled to Egypt since mid-April 2023.