How Did Russia-Ukraine War Trigger a Food Crisis?

Arab countries could face a food shortage crisis if they do not address the existing challenges. (Asharq Al-Awsat)
Arab countries could face a food shortage crisis if they do not address the existing challenges. (Asharq Al-Awsat)
TT

How Did Russia-Ukraine War Trigger a Food Crisis?

Arab countries could face a food shortage crisis if they do not address the existing challenges. (Asharq Al-Awsat)
Arab countries could face a food shortage crisis if they do not address the existing challenges. (Asharq Al-Awsat)

Russian hostilities in Ukraine are preventing grain from leaving the “breadbasket of the world" and making food more expensive across the globe, threatening to worsen shortages, hunger and political instability in developing countries.

Together, Russia and Ukraine export nearly a third of the world’s wheat and barley, more than 70% of its sunflower oil, and are big suppliers of corn. Russia is the top global fertilizer producer, The Associated Press said.

World food prices were already climbing, and the war made things worse, preventing some 20 million tons of Ukrainian grain from getting to the Middle East, North Africa and parts of Asia.

Weeks of negotiations on safe corridors to get grain out of Ukraine's Black Sea ports have made little progress, with urgency rising as the summer harvest season arrives.

“This needs to happen in the next couple of months (or) it’s going to be horrific,’’ said Anna Nagurney, who studies crisis management at the University of Massachusetts Amherst and is on the board of the Kyiv School of Economics.

She says 400 million people worldwide rely on Ukrainian food supplies. The UN Food and Agriculture Organization projects that up to 181 million people in 41 countries could face food crisis or worse levels of hunger this year.

Here’s a look at the global food crisis:
WHAT'S THE SITUATION?
Typically, 90% of wheat and other grain from Ukraine's fields are shipped to world markets by sea but have been held up by Russian blockades of the Black Sea coast.

Some grain is being rerouted through Europe by rail, road and river, but the amount is a drop in the bucket compared with sea routes. The shipments also are backed up because Ukraine’s rail gauges don't match those of its neighbors to the west.

Ukraine’s deputy agriculture minister, Markian Dmytrasevych, asked European Union lawmakers for help exporting more grain, including expanding the use of a Romanian port on the Black Sea, building more cargo terminals on the Danube River and cutting red tape for freight crossing at the Polish border.

But that means food is even farther from those that need it.

“Now you have to go all the way around Europe to come back into the Mediterranean. It really has added an incredible amount of cost to Ukrainian grain,’’ said Joseph Glauber, senior research fellow at the International Food Policy Research Institute in Washington.

Ukraine has only been able to export 1.5 million to 2 million tons of grain a month since the war, down from more than 6 million tons, said Glauber, a former chief economist at the US Department of Agriculture.

Russian grain isn't getting out, either. Moscow argues that Western sanctions on its banking and shipping industries make it impossible for Russia to export food and fertilizer and are scaring off foreign shipping companies from carrying it.

Russian officials insist sanctions be lifted to get grain to global markets.

European Commission President Ursula von der Leyen and other Western leaders say, however, that sanctions don't touch food.

WHAT ARE THE SIDES SAYING?
Ukraine has accused Russia of shelling agricultural infrastructure, burning fields, stealing grain and trying to sell it to Syria after Lebanon and Egypt refused to buy it. Satellite images taken in late May by Maxar Technologies show Russian-flagged ships in a port in Crimea being loaded with grain and then days later docked in Syria with their hatches open.

Ukrainian President Volodymyr Zelensky says Russia has provoked a global food crisis. The West agrees, with officials like European Council President Charles Michel and US Secretary of State Antony Blinken saying Russia is weaponizing food.

Russia says exports can resume once Ukraine removes mines in the Black Sea and arriving ships can be checked for weapons.

Russian Foreign Minister Sergey Lavrov promised that Moscow would not “abuse” its naval advantage and would “take all necessary steps to ensure that the ships can leave there freely.”

Ukrainian and Western officials doubt the pledge. Turkish Foreign Minister Mevlut Cavusoglu said this week that it may be possible to create secure corridors without the need to clear sea mines because the location of the explosive devices are known.

But other questions would still remain, such as whether insurers would provide coverage for ships.

Dmytrasevych told the EU agriculture ministers this week that the only solution is defeating Russia and unblocking ports: “No other temporary measures, such as humanitarian corridors, will address the issue.”

HOW DID WE GET HERE?
Food prices were rising before the invasion, stemming from factors including bad weather and poor harvests cutting supplies, while global demand rebounded strongly from the COVID-19 pandemic.

Glauber cited poor wheat harvests last year in the United States and Canada and a drought that hurt soybean yields in Brazil. Also exacerbated by climate change, the Horn of Africa is facing one of its worst droughts in four decades, while a record-shattering heat wave in India in March reduced wheat yields.

That, along with soaring costs for fuel and fertilizer, has prevented other big grain-producing countries from filling in the gaps.

WHO’S HARDEST HIT?
Ukraine and Russia mainly export staples to developing countries that are most vulnerable to cost hikes and shortages.

Countries like Somalia, Libya, Lebanon, Egypt and Sudan are heavily reliant on wheat, corn and sunflower oil from the two warring nations.

“The burden is being shouldered by the very poor," Glauber said. “That’s a humanitarian crisis, no question.’’

Beside the threat of hunger, spiraling food prices risk political instability in such countries. They were one of the causes of the Arab Spring, and there are worries of a repeat.

The governments of developing countries must either let food prices rise or subsidize costs, Glauber said. A moderately prosperous country like Egypt, the world's top wheat importer, can afford to absorb higher food costs, he said.

“For poor countries like Yemen or countries in the Horn of Africa — they’re really going to need humanitarian aid," he said.

Starvation and famine are stalking that part of Africa. Prices for staples like wheat and cooking oil in some cases are more than doubling, while millions of livestock that families use for milk and meat have died. In Sudan and Yemen, the Russia-Ukraine conflict came on top of years of domestic crises.

UNICEF warned about an “explosion of child deaths” if the world focuses only on the war in Ukraine and doesn’t act. UN agencies estimated that more than 200,000 people in Somalia face “catastrophic hunger and starvation,” roughly 18 million Sudanese could experience acute hunger by September and 19 million Yemenis face food insecurity this year.

Wheat prices have risen in some of those countries by as much as 750%.

“Generally, everything has become expensive. Be it water, be it food, it’s almost becoming quite impossible,” Justus Liku, a food security adviser with the aid group CARE, said after visiting Somalia recently.

Liku said a vendor selling cooked food had “no vegetables or animal products. No milk, no meat. The shopkeeper was telling us she’s just there for the sake of being there."

In Lebanon, bakeries that used to have many types of flat bread now only sell basic white pita bread to conserve flour.

WHAT'S BEING DONE?
For weeks, UN Secretary-General Antonio Guterres has been trying to secure an agreement to unblock Russian exports of grain and fertilizer and allow Ukraine to ship commodities from the key port of Odesa. But progress has been slow.

A vast amount of grain is stuck in Ukrainian silos or on farms in the meantime.
And there's more coming — Ukraine’s harvest of winter wheat is getting underway soon, putting more stress on storage facilities even as some fields are likely to go unharvested and because of the fighting.

Serhiy Hrebtsov can’t sell the mountain of grain at his farm in the Donbas region because transport links have been cut off. Scarce buyers mean prices are so low that farming is unsustainable.

“There are some options to sell, but it is like just throwing it away,” he said.

US President Joe Biden says he’s working with European partners on a plan to build temporary silos on Ukraine's borders, including with Poland, a solution that would also address the different rail gauges between Ukraine and Europe.

The idea is that grain can be transferred into the silos, and then “into cars in Europe and get it out to the ocean and get it across the world. But it’s taking time," he said in a speech Tuesday.

Dmytrasevych said Ukraine’s grain storage capacity has been reduced by 15 million to 60 million tons after Russian troops destroyed silos or occupied sites in the south and east.

WHAT’S COSTING MORE?
World production of wheat, rice and other grains is expected to reach 2.78 billion tons in 2022, down 16 million tons from the previous year — the first decline in four years, the UN Food and Agriculture Organization said.

Wheat prices are up 45% in the first three months of the year compared with the previous year, according to the FAO's wheat price index. Vegetable oil has jumped 41%, while sugar, meat, milk and fish prices also have risen by double digits.

The increases are fueling faster inflation worldwide, making groceries more expensive and raising costs for restaurant owners, who have been forced to increase prices.

Some countries are reacting by trying to protect domestic supplies. India has restricted sugar and wheat exports, while Malaysia halted exports of live chickens, alarming Singapore, which gets a third of its poultry from its neighbor.

The International Food Policy Research Institute says if food shortages grow more acute as the war drags on, that could lead to more export restrictions that further push up prices.

Another threat is scarce and costly fertilizer, meaning fields could be less productive as farmers skimp, said Steve Mathews of Gro Intelligence, an agriculture data and analytics company.

There are especially big shortfalls of two of the main chemicals in fertilizer, of which Russia is a big supplier.

“If we continue to have the shortage of potassium and phosphate that we have right now, we will see falling yields," Mathews said. “No question about it in the coming years."



Strait of Hormuz Blockade Step by Step: What Do We Know?

A view of Iranian-flagged cargo ship M/V Touska as the US Navy Arleigh Burke-class Aegis guided missile destroyer USS Spruance conducts its interception in a location given as the north Arabian Sea, in this screen capture from a video released April 19, 2026. (CENTCOM/Handout via Reuters)
A view of Iranian-flagged cargo ship M/V Touska as the US Navy Arleigh Burke-class Aegis guided missile destroyer USS Spruance conducts its interception in a location given as the north Arabian Sea, in this screen capture from a video released April 19, 2026. (CENTCOM/Handout via Reuters)
TT

Strait of Hormuz Blockade Step by Step: What Do We Know?

A view of Iranian-flagged cargo ship M/V Touska as the US Navy Arleigh Burke-class Aegis guided missile destroyer USS Spruance conducts its interception in a location given as the north Arabian Sea, in this screen capture from a video released April 19, 2026. (CENTCOM/Handout via Reuters)
A view of Iranian-flagged cargo ship M/V Touska as the US Navy Arleigh Burke-class Aegis guided missile destroyer USS Spruance conducts its interception in a location given as the north Arabian Sea, in this screen capture from a video released April 19, 2026. (CENTCOM/Handout via Reuters)

Shipping traffic through the Strait of Hormuz remained mostly at a standstill on Monday, with just three vessels crossing the vital waterway, according to Kpler, a maritime data firm.

On Sunday, a US Navy destroyer attacked and seized an Iranian-flagged cargo ship that US President Donald Trump said had tried to evade the US blockade on ships traveling to and from Iranian ports.

In a separate incident, the United Kingdom Maritime Trade Operations center, which is administered by Britain’s Royal Navy, said that two vessels had been hit while trying to cross the Strait of Hormuz, according to a notice published on Saturday.

In one instance, gun ships operated by Iran’s Revolutionary Guards Corps fired at a tanker without radio warning, the British organization said. In the second incident, a container ship was hit by “an unknown projectile” that damaged some of the containers.

On Tuesday, the US military said it had seized an Iran-linked tanker in international waters, in what appears to be the latest move to enforce a blockade as the ceasefire deadline looms.

The US military said it had boarded the tanker Tifani “without incident.”

The ship, capable of carrying 2 million barrels of crude, last reported its position on Tuesday morning near Sri Lanka in the Indian Ocean, according to MarineTraffic tracking data. It was close to fully loaded and had signaled Singapore as its destination.

A two-week ceasefire between the US and Iran is set to expire early Wednesday.

Latest developments

The US Navy has turned back 27 ships trying to enter or exit Iranian ports since an American blockade outside the contested Strait of Hormuz began about a week ago, the military’s Central Command said on Monday.

On Sunday, a Navy destroyer disabled and seized the Touska, an Iranian cargo ship, in the Gulf of Oman after it tried to evade the blockade. It was the first time a vessel was reported to have tried to evade the US-imposed blockade on any ship entering or exiting Iranian ports since it took effect last week.

The guided-missile destroyer Spruance, one of more than a dozen Navy warships enforcing the US blockade, ordered the vessel’s crew to evacuate its engine room.

The Spruance then fired several rounds from its Mk-45 gun into the ship’s propulsion system as it steamed toward the port of Bandar Abbas in Iran, Central Command said in a statement that included a video of the firing.

American officials will determine what to do with the disabled vessel once the search is completed, a US military official said on Monday, speaking on the condition of anonymity to discuss operational matters, according to the New York Times. One option would be to tow the stricken ship to Oman, independent specialists said. An alternative would be to let the Touska steam to an Iranian port, if it can.

A spokesman for Iran’s military reiterated a threat on Monday to “take the necessary action against the US military” in response to the ship’s seizure, Iran’s state broadcaster reported.

How is the US imposing the blockade?

According to CENTCOM, more than 10,000 US personnel, including sailors, marines, and airmen, are participating in the operation, supported by over a dozen warships and dozens of aircraft. The effort spans key waterways surrounding Iran, including the Arabian Gulf and the Gulf of Oman.

The US blockade on Iranian ports does not have a defined geographic boundary, and the United States can interdict vessels almost anywhere in international waters until they arrive at their final port.

Analysts say modern technology allows blockade enforcement at great distances.

Can ships evade the blockade?

Maritime intelligence experts say that more ships in and around the Strait of Hormuz seem to be adopting “spoofing” tactics to avoid detection.

Under international maritime law, most large commercial vessels travel with a transponder that automatically transmits the ship’s name, location, route and other identifying information. That includes a nine-digit number with a country code, which serves as a digital fingerprint for a ship.

The tactics were used by Russian “shadow fleet” vessels evading sanctions related to the invasion of Ukraine in 2022.

When a ship is engaged in spoofing, its captain can type in a false origin or destination or can pretend to be piloting another ship altogether. Vessels can also temporarily turn off their transponders, seeming to disappear in one place and reappear in another.

The strait is “a contested information environment,” said Erik Bethel, a partner at Mare Liberum, a maritime technology venture capital fund.

Still, whatever ruses they employ, vessels going to and from Iran may get only so far. It is difficult to pass between the open ocean and a waterway as narrow as the Strait of Hormuz without being detected.

“My expectation is that the US Navy can sit out in the Gulf of Oman,” said Ami Daniel, the chief executive of Windward, a maritime intelligence data provider. “I don’t think there’s a way to breach the blockade.”

What are the US and Iranian strategies?

The US blockade sets up a significant test in the Iran war: Which side can endure more economic pain?

Instead of directing missiles and bombs, Trump is trying to choke off Iran’s oil exports, which make up just about all of the government’s revenue.

Some experts questioned whether the US blockade would work.

“Iran is already hurting, and they have shown that they are willing to take more than a couple of hits,” said Ahmet Kasim Han, a professor of international relations at TED University in Ankara, Türkiye.

Iran’s strategy appears to be using its leverage over global energy markets, where Tehran has discovered new powers that can cause pain in the US economy through spikes in the price of gasoline and other staples.

Why is the strait so important?

The Strait of Hormuz is a strategic waterway connecting the Gulf to the Gulf of Oman and the Indian Ocean. It is the only sea route for moving oil, natural gas and other cargo out of the Gulf. Iran’s coastline runs along the entire route.

At the strait’s narrowest and most vulnerable point — between Iran to the north and the Musandam Peninsula of Oman to the south — the navigable channel is about two miles wide each for inbound and outbound traffic, according to the International Energy Agency.

The legal status of the strait is complex. It lies within the territorial waters of Iran and Oman, but under international law it is treated as an international waterway where ships are generally guaranteed passage.

Iran has signed but not ratified that framework and has disputed the extent of those rights.

Before the war, about 20% of global oil and liquid natural gas passed through the strait. Most of the fossil fuels are bound for Asia, especially China, India, Japan and South Korea.

Other large vessels also use the strait, including car carriers and container ships.

Crucial industrial goods traveling through Hormuz include helium from Qatar, fertilizer from Oman and Saudi Arabia, and plastic feedstocks from Saudi Arabia and Emirati petrochemical plants.

How does Iran control the strait?

Iran’s military can threaten shipping traffic throughout the Strait of Hormuz, even though much of its navy has been destroyed by US and Israeli strikes.

The United States and Israel launched their war against Iran on the argument that if Iran one day got a nuclear weapon, it would have the ultimate deterrent against future attacks.

It turns out that Iran already has a deterrent: geography.

“The Iranians have thought a lot about how to utilize the geography to their benefit,” said Caitlin Talmadge, a professor at the Massachusetts Institute of Technology who studies Gulf security.

*The New York Times


US-Iran Talks Test Power Balances in Tehran as National Security Council Comes to the Forefront

Qalibaf (L) at a meeting of the regime's Expediency Discernment Council, with Supreme National Security Council secretary Mohammad Bagher Zolghadr. (Qalibaf’s official site)
Qalibaf (L) at a meeting of the regime's Expediency Discernment Council, with Supreme National Security Council secretary Mohammad Bagher Zolghadr. (Qalibaf’s official site)
TT

US-Iran Talks Test Power Balances in Tehran as National Security Council Comes to the Forefront

Qalibaf (L) at a meeting of the regime's Expediency Discernment Council, with Supreme National Security Council secretary Mohammad Bagher Zolghadr. (Qalibaf’s official site)
Qalibaf (L) at a meeting of the regime's Expediency Discernment Council, with Supreme National Security Council secretary Mohammad Bagher Zolghadr. (Qalibaf’s official site)

After US-Israeli bombardment eliminated Iran’s supreme leader and much of its top echelons, the country’s leadership didn’t fall apart — but negotiations to end the war offer a new test.

For decades, the supreme leader successfully managed several powerful factions, bringing to heel those who challenged his authority while listening to rival opinions. It’s now unclear who wields that kind of authority over the collection of civilian figures and powerful generals from the Revolutionary Guard who appear to be in charge.

They have found unity — for now — by taking a tough line. But disagreements over how much to concede in negotiations with the United States could reveal fault lines, as Pakistani mediators try to host a new round of talks this week, according to The Associated Press.

Who is in charge?

In the past, Supreme Leader Ali Khamenei was able to impose his will on the country's disparate power centers. After Israeli strikes killed him on the first day of the war, his son Mojtaba Khamenei succeeded him.

But doubts continue to swirl over the younger Khamenei’s role after reports he was wounded in the strikes. Still in hiding, he has not appeared in public since becoming supreme leader and how he gives orders to top leaders is a mystery.

At the center of power now is a politburo-like body known as the Supreme National Security Council, which includes Iran’s top civilian and military officials. Mohammad Bagher Qalibaf, the parliament speaker and a veteran insider with strong contacts on all sides, has emerged as its face and the chief negotiator with the US.

The late Khamenei began giving more authority to the council before his death, but the war has consolidated its power.

The council contains a range of political opinions and often acute rivalries. A political rival of Qalibaf and uncompromising opponent of the US, Saeed Jalili, represents the supreme leader on the council, while the body’s nominal head is reformist President Masoud Pezeshkian.

Hard-liner members include the Guard’s new chief commander, Ahmad Vahidi, and the council’s new secretary, Mohammad Bagher Zolghadr, also a commander in the Guard.

But Israel’s strategy of eliminating top leaders points to a misreading of how the Iranian regime works, experts say.

Iran’s leadership survived “precisely because there are multiple power centers with overlapping authorities,” said Ali Vaez, Iran director at the International Crisis Group. “Factionalism is just built into the DNA of this system.”

But since the war, the Guard’s growing clout on the council has also stoked speculation that a fundamental change could be coming.

Negotiations with the US will stress test the power structure

The council now faces potentially divisive questions over how far to go to reach a deal with the US, which is demanding Iran make major concessions aimed at ensuring it is never able to develop a nuclear weapon. Iran has long insisted its program is peaceful while saying it has the right to uranium enrichment.

In an interview with Iranian state TV on Sunday, Qalibaf said Iran wants a comprehensive accord that brings “a lasting peace” where the US no longer attacks the country.

“This dangerous loop needs to be cut,” he said. The US has twice launched strikes on Iran during high-level negotiations: once in the 12-day war in June, then again in the current conflict.

Council members have projected confidence that Iran holds the upper hand now, particularly because its grip on the Strait of Hormuz — a crucial passage for the world’s oil — enables it to drive up fuel prices, thus threatening the global economy and exerting political pressure on US President Donald Trump back home.

Senior officials have insisted they can hold out for assurances that Iran won’t be attacked again — even risking the war reigniting — because they believe Iran can endure the pain longer than the United States and its allies.

But ultimately, the leadership’s priority remains its own survival. The war and the US blockade, which is threatening Iran’s oil trade, are tightening the screws on the country’s cratering economy.

Economic hardship has fueled waves of unrest over the past two decades, including protests in January that openly called for the regime’s overthrow. A deal with the West lifting sanctions could help it keep its grip at home.

Signs of disagreement

Events over the weekend surrounding the Strait of Hormuz gave an indication of serious differences over how much to concede in negotiations. Engagement with Washington has long divided Iran’s top ranks, despite a shared deep mistrust of the US.

On Friday, Foreign Minister Abbas Araghchi announced in a posting on X that Iran was opening the strait to commercial traffic as part of the ceasefire agreement with the US. Hours later, Trump proclaimed that the US would continue its blockade to keep pressure on Iran to reach a deal over its nuclear program.

On Saturday morning, Iran’s military announced that it was reclosing the strait in retaliation for the blockade.

Some Iranian media criticized Araghchi, suggesting his post created the impression Iran was showing weakness and revealing the differing positions behind the scenes. A report by the Tasnim news agency, seen as close to the Guard, said the position on the strait should have come from the National Security Council itself.

Araghchi’s office pushed back, saying the Foreign Ministry “does not take any action without coordinating with higher-level institutions.”

In his interview Sunday, Qalibaf tried to paper over any divisions, emphasizing that everyone in the leadership was on the same page on Iran’s strategy in US talks.

A possible bridge builder

The 64-year-old Qalibaf is best positioned to bridge divides among Iran’s factions.

Qalibaf is a former general in the Guard and national police chief and kept close to the Guard throughout his long political career. As Tehran’s mayor from 2005 to 2017, Qalibaf gained a reputation as a pragmatist able to get things done, like overhauling an ailing public transport system, even as he faced major corruption and human rights abuse allegations.

Ali Rabie, a well-known reformist and an assistant to the president, wrote last week in a newspaper editorial that Qalibaf was “the representative of the country and the regime.”

At the same time, Qalibaf is close to the Khamenei family both hailing from the area of the eastern city of Mashhad, said Mohsen Sazegara, one of the founders of the Revolutionary Guard in the 1980s who is now an opposition figure living in the US.

During his father’s rule, Mojtaba Khamenei backed Qalibaf’s several unsuccessful attempts to run for president.

Qalibaf is also close to the senior Guard figures who stepped in to replace those killed by Israel and who are widely seen as holding the key to any future agreement with the US. His cross-factional backing could enable him to ensure support at home for a deal against blowback from ideologues who will resist compromise.


Rats, Fleas Plague Gaza’s Displaced as Temperatures Rise

Garbage litters the ground next to makeshift shelters housing displaced Palestinians in Gaza City on April 20, 2026. (AFP)
Garbage litters the ground next to makeshift shelters housing displaced Palestinians in Gaza City on April 20, 2026. (AFP)
TT

Rats, Fleas Plague Gaza’s Displaced as Temperatures Rise

Garbage litters the ground next to makeshift shelters housing displaced Palestinians in Gaza City on April 20, 2026. (AFP)
Garbage litters the ground next to makeshift shelters housing displaced Palestinians in Gaza City on April 20, 2026. (AFP)

As springtime temperatures rise in Gaza, a surge in rats, fleas and other pests has compounded the misery of hundreds of thousands of displaced people still living in tents after more than two years of war.

With meager shelter and almost no sanitation, Palestinians told AFP the vermin are invading their makeshift homes, biting children and contaminating food, in what aid agencies warned was a growing public health threat.

"My children have been bitten. One of my sons was even bitten on the nose," said Muhammad al-Raqab, a displaced Palestinian man living in a tent near the southern city of Khan Younis.

"I am unable to sleep through the night because I must constantly watch over the children," the 32-year-old construction worker, originally from Bani Shueila, told AFP.

With shelters erected directly on soft sand by the Mediterranean Sea, rodents can easily burrow under tent walls and wreck havoc inside, where people have established makeshift pantries and kitchens.

"The rodents have eaten through my tent," Raqab said.

Nearly all of Gaza's population was displaced by Israeli evacuation orders and airstrikes during the war with Hamas that began after the group's attack on Israel in October 2023.

According to the UN, 1.7 million of Gaza's 2.2 million inhabitants still live in displacement camps, unable to return home or to areas that remain under Israeli military control despite a ceasefire that began in October 2025.

In these camps, "living conditions are characterized by vermin and parasite infestations", the UN's Office for the Coordination of Humanitarian Action (OCHA) said after field visits in March.

Hani al-Flait, head of pediatrics at Al-Aqsa Hospital in central Gaza, told AFP his team encounters skin infections such as scabies daily.

- 'Flooded with sewage' -

"The severity of these skin infections has been exacerbated by the fact that these children and their families are living in harsh conditions that lack basic public sanitation, as well as a complete absence of safe water," he told AFP.

Sabreen Abu Taybeh, whose son has been suffering from a rash, blamed the conditions in the camp.

"We are living in tents and schools flooded with sewage," she told AFP, showing the rash covering her son's upper body.

"I have taken him to doctors and hospitals, but they are not helping with anything. As you see, the rash remains."

"The summer season has brought us rodents and fleas," Ghalia Abu Selmi told AFP after discovering mice had gnawed through clothes she had prepared for her daughter's upcoming wedding.

"Fleas have caused skin allergies not only for children but for adults as well," she said, sorting through garments riddled with holes inside the tent she now calls home in Khan Younis.

The 53-year-old said her family has been displaced 20 times since October 2023 and has yet to return to their home in the town of Abasan al-Kabira near the Israeli border.

Despite the ceasefire, Israel continues to control all access points into Gaza, with tight inspections and frequent rejections of aid deliveries, according to NGOs and the UN.

This has caused shortages in everything from medicine and fuel, to clothing and food.

Airstrikes and firefights between Israel's military and what it says are Hamas fighters still occur near-daily.

According to the territory's health ministry, which operates under Hamas authority, at least 777 people have been killed by Israel's military since the start of the ceasefire.

The military says five of its soldiers have also been killed in Gaza over the same period.