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."



Targeting of Deif: Symbolic Blow to Al-Qassam Brigades Deepens Leadership Crisis

Palestinians stand near covered bodies after an Israeli air strike in the Al-Mawasi area of Khan Yunis, southern Gaza Strip, 13 July 2024. EPA/MOHAMMED SABER
Palestinians stand near covered bodies after an Israeli air strike in the Al-Mawasi area of Khan Yunis, southern Gaza Strip, 13 July 2024. EPA/MOHAMMED SABER
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Targeting of Deif: Symbolic Blow to Al-Qassam Brigades Deepens Leadership Crisis

Palestinians stand near covered bodies after an Israeli air strike in the Al-Mawasi area of Khan Yunis, southern Gaza Strip, 13 July 2024. EPA/MOHAMMED SABER
Palestinians stand near covered bodies after an Israeli air strike in the Al-Mawasi area of Khan Yunis, southern Gaza Strip, 13 July 2024. EPA/MOHAMMED SABER

Israel killed dozens of Palestinians on Saturday in an attempt to assassinate Mohammed Deif, leader of Hamas’ military wing, the Al-Qassam Brigades, alongside his deputy, the head of the Khan Younis brigade, Rafa Salama.

This is at least the seventh attempt in 30 years to eliminate Deif.

Israel awaits confirmation of Deif’s death, which, if confirmed, would be a significant propaganda victory during the current Gaza conflict. Hamas denies Israel’s claims, calling the incident another civilian massacre.

The potential success of this operation raises questions about its impact on the Al-Qassam Brigades, whose leaders have been targeted since Israel’s recent conflict escalation following the Oct.7 attacks.

Understanding Deif’s role is crucial—he is the second leader of the Al-Qassam Brigades, assuming his position after the assassination by the Israeli army of its former commander, Salah Shahada, on July 23, 2002.

However, he is widely regarded as the architect of the group’s significant military strength.

Sources informed Asharq Al-Awsat that shortly after assuming leadership of Al-Qassam Brigades, specifically in 2003, Deif swiftly obtained authorization from Hamas’ political leadership to establish a large military force, effectively an army, and immediately began implementation.

Despite numerous assassination attempts and the loss of many of his aides and family members, Deif has never ceased in his efforts, persisting in building this “large army” which has over the years become the foremost Palestinian force and to some extent, a deterrent against Israel.

Since the Oct. 7 attacks, Israel’s repeated attempts to assassinate Deif have intensified, following six previous failed efforts.

Deif’s ability to evade capture elevated him beyond his role in Hamas’ Al-Qassam Brigades to a symbol of Palestinian resilience.

Israel claims Deif was the driving force behind Hamas’ military strength and the mastermind behind their tunnel network.

His potential absence could impact morale within Al-Qassam Brigades.

Nevertheless, Al-Qassam Brigades have a history of displaying flexibility in their military structure.

For example, when Israel assassinated Ahmed Jabari, known as Hamas’ “Chief of Staff,” in 2012, Marwan Issa was immediately appointed as his successor. In the aftermath of the Oct.7 attacks, Israel killed Issa.

Al-Qassam Brigades have a comprehensive military structure encompassing military justice, manufacturing, oversight, support and combat weapons, operations, intelligence, internal front, human resources, and institutes and colleges.

If Israel succeeds in assassinating Deif and Salama, it would have eliminated nearly all members of the military council.

The exceptions include Mohammed Shabana, leader of the Rafah Brigade, Azzedine al-Haddad, commander of the Gaza Brigade, and the uncertain fate of Raed Saad, previously claimed to be assassinated by Israel without confirmation, along with Mohammed al-Sinwar, brother of Gaza’s Hamas leader Yahya al-Sinwar.

The Sinwar brothers are known to be close associates of Deif and are believed to be alive.

Despite the ongoing assassinations that have targeted 14 brigade commanders and other leaders across Gaza, Hamas sources suggest that if Deif is killed and the Sinwar brothers survive, Mohammed al-Sinwar is likely to take over leadership of the Al-Qassam Brigades.

According to Hamas sources, the brigades’ future leadership will be decided by the political bureau, adapting to the operational situation.

Operations will continue under a structure established since the fourth month of the ongoing conflict, with each brigade following a hierarchical command from the brigade commander down to unit leaders, factions, and other military groups.

Despite losing many political and military leaders over the years, including its founders, Hamas remains strong in Gaza.