What to Know about How Much the Aid from a US Pier Project Will Help Gaza 

Members of the US Army, US Navy and the Israeli military put in place the Trident Pier, a temporary pier to deliver humanitarian aid, on the Gaza coast, amid the ongoing conflict between Israel and the Palestinian group Hamas, May 16, 2024. (US Central Command/Handout via Reuters)
Members of the US Army, US Navy and the Israeli military put in place the Trident Pier, a temporary pier to deliver humanitarian aid, on the Gaza coast, amid the ongoing conflict between Israel and the Palestinian group Hamas, May 16, 2024. (US Central Command/Handout via Reuters)
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What to Know about How Much the Aid from a US Pier Project Will Help Gaza 

Members of the US Army, US Navy and the Israeli military put in place the Trident Pier, a temporary pier to deliver humanitarian aid, on the Gaza coast, amid the ongoing conflict between Israel and the Palestinian group Hamas, May 16, 2024. (US Central Command/Handout via Reuters)
Members of the US Army, US Navy and the Israeli military put in place the Trident Pier, a temporary pier to deliver humanitarian aid, on the Gaza coast, amid the ongoing conflict between Israel and the Palestinian group Hamas, May 16, 2024. (US Central Command/Handout via Reuters)

A US-built pier is in place to bring humanitarian aid to Gaza by sea, but no one will know if the new route will work until a steady stream of deliveries begins reaching starving Palestinians.

The trucks that will roll off the pier project installed Thursday will face intensified fighting, Hamas threats to target any foreign forces and uncertainty about whether the Israeli military will ensure that aid convoys have access and safety from attack by Israeli forces.

Even if the sea route performs as hoped, US, UN and aid officials caution, it will bring in a fraction of the aid that's needed to the embattled enclave.

Here's a look at what's ahead for aid arriving by sea:

WILL THE SEA ROUTE END THE CRISIS IN GAZA? No, not even if everything with the sea route works perfectly, American and international officials say.

US military officials hope to start with about 90 truckloads of aid a day through the sea route, growing quickly to about 150 trucks a day.

Samantha Power, head of the US Agency for International Development, and other aid officials have consistently said Gaza needs deliveries of more than 500 truckloads a day — the prewar average — to help a population struggling without adequate food or clean water during seven months of war between Israel and Hamas.

Israel has hindered deliveries of food, fuel and other supplies through land crossings since Hamas’ deadly attack on Israel launched the conflict in October. The restrictions on border crossings and fighting have brought on a growing humanitarian catastrophe for civilians.

International experts say all 2.3 million of Gaza's people are experiencing acute levels of food insecurity, 1.1 million of them at “catastrophic” levels. Power and UN World Food Program Director Cindy McCain say north Gaza is in famine.

At that stage, saving the lives of children and others most affected requires steady treatment in clinical settings, making a cease-fire critical, USAID officials say.

At full operation, international officials have said, aid from the sea route is expected to reach a half-million people. That's just over one-fifth of the population.

WHAT ARE THE CHALLENGES FOR THE SEA ROUTE NOW? The US plan is for the UN to take charge of the aid once it's brought in. The UN World Food Program will then turn it over to aid groups for delivery.

UN officials have expressed concern about preserving their neutrality despite the involvement in the sea route by the Israeli military — one of the combatants in the conflict — and say they are negotiating that.

There are still questions on how aid groups will safely operate in Gaza to distribute food to those who need it most, said Sonali Korde, assistant to the administrator for USAID's Bureau for Humanitarian Assistance, which is helping with logistics.

US and international organizations including the US government's USAID and the Oxfam, Save the Children and International Rescue Committee nonprofits say Israeli officials haven't meaningfully improved protections of aid workers since the military's April 1 attack that killed seven aid workers with the World Central Kitchen organization.

Talks with the Israeli military “need to get to a place where humanitarian aid workers feel safe and secure and able to operate safely. And I don’t think we’re there yet," Korde told reporters Thursday.

Meanwhile, fighting is surging in Gaza. It isn’t threatening the new shoreline aid distribution area, Pentagon officials say, but they have made it clear that security conditions could prompt a shutdown of the maritime route, even just temporarily.

A ship is seen off the coast of Gaza near a US-built floating pier that will be used to facilitate aid deliveries, as seen from the central Gaza Strip, Thursday, May 16, 2024. (AP)

The US and Israel have developed a security plan for humanitarian groups coming to a “marshaling yard” next to the pier to pick up the aid, said US Vice Admiral Brad Cooper, deputy commander of the US military’s Central Command. USAID Response Director Dan Dieckhaus said aid groups would follow their own security procedures in distributing the supplies.

Meanwhile, Israeli forces have moved into the border crossing in the southern city of Rafah as part of their offensive, preventing aid from moving through, including fuel.

UN deputy spokesman Farhan Haq said that without fuel, delivery of all aid in Gaza can't happen.

WHAT'S NEEDED? US President Joe Biden's administration, the UN and aid groups have pressed Israel to allow more aid through land crossings, saying that's the only way to ease the suffering of Gaza's civilians. They've also urged Israel's military to actively coordinate with aid groups to stop Israeli attacks on humanitarian workers.

“Getting aid to people in need into and across Gaza cannot and should not depend on a floating dock far from where needs are most acute,” UN deputy spokesman Farhan Haq told reporters Thursday.

“To stave off the horrors of famine, we must use the fastest and most obvious route to reach the people of Gaza — and for that, we need access by land now,” Haq said.

US officials agree that the pier is only a partial solution at best, and say they are pressing Israel for more.

WHAT DOES ISRAEL SAY? Israel says it places no limits on the entry of humanitarian aid and blames the UN for delays in distributing goods entering Gaza. The UN says ongoing fighting, Israeli fire and chaotic security conditions have hindered delivery.

Under pressure from the US, Israel has in recent weeks opened a pair of crossings to deliver aid into hard-hit northern Gaza. It said a series of Hamas attacks on the main crossing, Kerem Shalom, have disrupted the flow of goods.



Hospital in Jordan Offers Injured Gazans Hope for Recovery 

Palestinian student Eyad Kalab, 17, who was injured in his leg from a bullet on March 5, 2024 and left Gaza with his mother leaving five sisters and his father behind, undergoes physiotherapy with the help of physiotherapist Zaid Alqasi, 34, at the Reconstructive Surgery Hospital of the Doctors Without Borders (MSF) in Amman, Jordan, January 7, 2025. (Reuters)
Palestinian student Eyad Kalab, 17, who was injured in his leg from a bullet on March 5, 2024 and left Gaza with his mother leaving five sisters and his father behind, undergoes physiotherapy with the help of physiotherapist Zaid Alqasi, 34, at the Reconstructive Surgery Hospital of the Doctors Without Borders (MSF) in Amman, Jordan, January 7, 2025. (Reuters)
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Hospital in Jordan Offers Injured Gazans Hope for Recovery 

Palestinian student Eyad Kalab, 17, who was injured in his leg from a bullet on March 5, 2024 and left Gaza with his mother leaving five sisters and his father behind, undergoes physiotherapy with the help of physiotherapist Zaid Alqasi, 34, at the Reconstructive Surgery Hospital of the Doctors Without Borders (MSF) in Amman, Jordan, January 7, 2025. (Reuters)
Palestinian student Eyad Kalab, 17, who was injured in his leg from a bullet on March 5, 2024 and left Gaza with his mother leaving five sisters and his father behind, undergoes physiotherapy with the help of physiotherapist Zaid Alqasi, 34, at the Reconstructive Surgery Hospital of the Doctors Without Borders (MSF) in Amman, Jordan, January 7, 2025. (Reuters)

Karam Nawjaa, 17, was so badly injured when an Israeli strike hit his home in Gaza nearly a year ago that his own cousin, pulling him from the rubble, did not recognize him.

After rushing Karam to hospital he returned to continue searching for his cousin all night in the rubble.

In that strike on Feb. 14, 2024, Karam lost his mother, a sister and two brothers. As well as receiving serious burns to his face and body, he lost the ability to use his arms and hands.

Now, the burns are largely healed and he is slowly regaining the use of his limbs after months of treatment at a hospital run by Doctors Without Borders (MSF) in the Jordanian capital Amman which operates a program of reconstructive surgery.

"I only remember that on that day, February 14, there was a knock on our door... I opened it, my brother came in, and after that... (I remember) nothing," he said.

"Before the war I was studying, and thank God, I was an outstanding student," Karam said, adding that his dream had been to become a dentist. Now he does not think about the future.

"What happened, happened... you feel that all your ambitions have been shattered, that what happened to you has destroyed you."

Karam is one of many patients from Gaza being treated at Amman's Specialized Hospital for Reconstructive Surgery, Al-Mowasah Hospital. He shares a room there with his younger sister and their father.

"All these patients are war victims... with complex injuries, complex burns... They need very long rehabilitation services, both surgical but also physical and mental," said Moeen Mahmood Shaief, head of the MSF mission in Jordan.

"The stories around those patients are heartbreaking, a lot of them have lost their families" and require huge support to be reintegrated into normal life, he added.

Israel's 15-month offensive in Gaza has killed almost 47,000 Palestinians, according to Hamas-run Health Ministry figures, and left the coastal enclave a wasteland of rubble that will take years to rebuild. Most of the population was displaced.

The campaign was launched after Hamas fighters attacked southern Israel on Oct. 7, 2023, killing some 1,200 people and seizing more than 250 hostages, according to Israeli tallies.

Displaced Palestinians have been returning to their mostly destroyed homes this week after a ceasefire came into effect on Jan. 19.