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How a ceasefire and unrestricted aid access could yet prevent a famine in north Gaza

Analysis How a ceasefire and unrestricted aid access could yet prevent a famine in north Gaza
Displaced Palestinian children gather to receive food at a government school in Rafah in the southern Gaza Strip on February 19, 2024. (AFP)
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Updated 02 April 2024

How a ceasefire and unrestricted aid access could yet prevent a famine in north Gaza

How a ceasefire and unrestricted aid access could yet prevent a famine in north Gaza
  • Some 300,000 people trapped in the enclave’s north face extreme food insecurity amid ongoing aid restrictions
  • Even if sufficient aid is permitted to enter Gaza, starving children will require specialist treatment, warn experts

LONDON: Desperate appeals from UN agencies urging Israel to allow aid into Gaza to alleviate hunger and avert an imminent famine in the north of the embattled Palestinian enclave appear to have fallen on deaf ears.

Despite a UN Security Council resolution demanding an immediate ceasefire and accusations of genocide by Francesca Albanese, the special rapporteur on the human rights situation in the West Bank and Gaza, Israel has continued to bombard the area and limit the flow of aid.

A long queue of relief trucks remains stranded on the Egyptian side of the Rafah border crossing, even though “88 percent of the population faces emergency or worse food insecurity,” according to the Integrated Food Security Phase Classification scale.




Displaced Palestinians gather to collect food donated by a charity before an iftar meal on the first day of the Muslim holy month of Ramadan in Rafah, on the southern Gaza Strip on March 11, 2024. (AFP)

On March 26, 12 people are reported to have drowned and six others crushed to death in a stampede when desperate Palestinians tried to collect food packages dropped from the air off the coast of northern Gaza. 

The incident has prompted authorities in Gaza to call for an end to airdrops — an aid delivery method introduced by the US in early March as a workaround, but which critics have called “useless” and “flashy propaganda.” 

In an earlier incident, an aid package air-dropped into Gaza is reported to have crashed into a crowd of people waiting below, killing five and wounding several others, when its parachute failed to open.

The US and other aid agencies are now looking to establish a maritime aid corridor. However, with the necessary port infrastructure still under construction, this will take many months. 




Humanitarian aid being dropped on the Gaza Strip, west of Gaza City, on March 25, 2024. (AFP)

Unless a ceasefire takes effect immediately and aid organizations are granted full access, the IPC projects that famine will arrive in northern Gaza by April or May at the latest, impacting the roughly 300,000 people thought to remain in the area.

“The dire situation of people who are starving in the north of Gaza is entirely preventable, and aid agencies are ready to deliver food and other essential goods to those people,” Ruth James, Oxfam’s regional humanitarian coordinator, told Arab News.

“We just need an open border.”

In order to meet the minimum needs of Gaza’s stricken population, UN officials say between 500 and 600 trucks loaded with humanitarian aid and commercial goods must be permitted to enter the Gaza Strip every day. Since the conflict began, barely a fraction of that has arrived.




Trucks carrying humanitarian aid enter the Gaza Strip via the Rafah crossing with Egypt on November 24, 2023. (AFP)

Volker Turk, the UN high commissioner for human rights, recently told the BBC that Israel bore significant blame for having created what amounts to a man-made famine, and that there was a “plausible” case that Israel was using starvation as a weapon of war.

Speaking to Katie Jensen, host of the Arab News current affairs program “Frankly Speaking,” James Elder, a spokesperson for the UN children’s fund, UNICEF, this week said his agency would be able to respond quickly once restrictions are lifted.

“If there was a ceasefire and multiple entry points were opened up and restrictions were lessened in terms of getting aid in, there is no doubt we could turn around much of this humanitarian catastrophe, particularly the nutritional situation for the most vulnerable,” he said.




A Palestinian woman who fled Khan Yunis prepares food for her family at a camp set in the southern Gaza Strip Rafah region on February 15, 2024. (AFP)

Despite reports from aid agencies and news outlets claiming that Israel is deliberately withholding deliveries of humanitarian relief, Israeli officials insist they are allowing unlimited supplies to flow into the enclave via Gate 96 — a new entry point into the north.

“As much as we know, by our analysis, there is no starvation in Gaza. There is a sufficient amount of food entering Gaza every day,” Colonel Moshe Tetro, head of Israel’s Coordination and Liaison Administration for Gaza, said in a statement on March 22, according to Reuters.

The following day, UN Secretary-General Antonio Guterres visited the Rafah border crossing in Egypt’s northern Sinai, where truckloads of international relief for Gaza waited as Israel continued to obstruct their mission.

Describing the situation as a “moral outrage,” the UN chief said: “Here, from this crossing, we see the heartbreak and heartlessness of it all. A long line of blocked relief trucks on one side of the gates, the long shadow of starvation on the other.”

INNUMBERS

16.5% Children under the age of five in north Gaza deemed to be acutely malnourished. (IPC)

27 Gazans in the north who have already died of starvation. (CARE)

500 Trucks per day required to meet minimum needs of Gazans. (UN)

Aid organizations believe the only way to save lives in Gaza is to immediately halt the violence and open all border crossings, including Rafah and Kerem Shalom, to facilitate the unrestricted delivery of aid.

“Israel needs to open all entry points to us and our humanitarian partners so that we could get a consistent flow of food supplies across border entries and also crossing points within Gaza in order to reach the north, where famine is imminent,” Shaza Moghraby, spokesperson for the UN World Food Programme, told Arab News.

“As far as the WFP is concerned, we need at least 300 trucks every single day, throughout the Gaza Strip, to meet basic food needs, especially in the north. WFP has only managed to bring 11 convoys to the north since the start of the year. 

“Daily deliveries are needed to avert famine. For many families, it is already (too) late. Right now, we are seeing people dying — children dying — from hunger-related causes or a combination of malnutrition and disease. 

“Those tens of people can easily become hundreds and thousands if we do not act right now and have the access that we need.”




A general view shows the damage in the area surrounding Gaza’s Al-Shifa hospital after the Israeli military withdrew from the complex housing the hospital on April 1, 2024. (AFP)

At least 27 Palestinians in northern Gaza, 23 of them children, have already died from acute malnutrition and dehydration, according to a March 14 report by CARE, an international NGO fighting world hunger.

According to the IPC, around 16.5 percent of children under five years of age in the north of Gaza were severely malnourished as of February. That figure is now likely far higher.

UNICEF’s Elder said that although aid agencies “have contingency plans always” and are prepared for worst-case scenarios, it is unlikely that “anyone planned for the scenarios that we see now for the fastest decline into catastrophic food (shortages) since the nutrition body (IPC) announced its findings a week or so ago.”




Aid organizations believe the only way to save lives in Gaza is to immediately halt the violence and open all border crossings. (AFP)

However, even if an unrestricted flow of aid is permitted to enter the embattled enclave, the starving population, especially children, will require special medical and dietary attention in order to recover, said Nourhan Attallah, a nutritionist and pharmacist based in southern Gaza.

“The impact of famine on children extends beyond just vitamin deficiencies and weight loss; it affects all the body’s systems, including the brain,” Attallah told Arab News. 

Starvation takes a toll on “the kidneys and liver due to insufficient protein consumption. Heart problems then develop as a result of kidney function defects, stomach and digestive system problems, dehydration, and diarrhea. Without timely treatment, these complications ultimately lead to death.”

She added: “The brain can also shrink in size as a result of malnutrition. Reduced reward response, emotional changes and inflexibility may also develop.” However, with medical help, death from malnutrition can be prevented.

“We can certainly save children, infants and even adults from the specter of malnutrition if we implement rapid and correct therapeutic intervention,” said Attallah. “The recovery rate in cases of malnutrition is high, reaching 90 percent, provided immediate intervention is provided and the appropriate conditions for treatment are ensured.”




Palestinian children suffering from malnutrition receive treatment at a healthcare center in Rafah in the southern Gaza Strip on March 5, 2024. (AFP)

Elaborating on the intervention needed, she said: “Severely malnourished children need to be fed and rehydrated with great care. They cannot be given a normal diet immediately. They’ll usually need special care in hospitals.

“Once they’re well enough, they can gradually eat normally. They need pre-prepared meals with a high density of nutrients and calories, and they must eat every two hours, and take supplements and vitamins as well.”

Humanitarian organizations are well-aware of these special needs in the case of catastrophic hunger and starvation.

Moghraby, of the WFP, said that while humanitarian organizations “need to flood the Gaza Strip with basic food supplies, we need our people — WFP and other UN agencies — to go in there, to monitor and administer the distributions with guarantees for the safety of people and staff.”

This is “to make sure those children who have been starving — whose bodies have been denied food for such a long time — get the special nutritional products they need, because it can be very dangerous to consume just any diet.




Palestinian children react as they gather to collect aid food in Beit Lahia, in the northern Gaza Strip, on February 26, 2024. (AFP)

“We’ve seen this in Yemen and other places. This is what we’re appealing for. It’s not just any food — we need to be very, very careful about the kinds of food delivered to the areas that have been experiencing starvation.”

Oxfam’s James echoed Moghraby’s warning. “Specialized services can be scaled up to provide therapeutic food and in-patient care for extremely malnourished people,” she said.

However, “in order to scale up these services, a ceasefire and increase in access across the border are required.”

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Strike hits south Beirut after Israeli evacuation call

Strike hits south Beirut after Israeli evacuation call
Updated 16 November 2024

Strike hits south Beirut after Israeli evacuation call

Strike hits south Beirut after Israeli evacuation call

BEIRUT: A strike hit the southern suburbs of the Lebanese capital Beirut on Saturday, AFPTV footage showed, shortly after the Israeli army issued a new call to evacuate the area.
Since Tuesday, Israel has carried out several strikes on the city’s southern suburbs, a stronghold of Hezbollah.
AFPTV video showed three plumes of smoke rising over the buildings in the area on Saturday morning.
Shortly before the attack, Israeli military spokesman Avichay Adraee posted on X a call for residents of the Haret Hreik suburb to evacuate.
“You are close to facilities and interests belonging to Hezbollah, against which the Israeli military will be acting with force in the near future,” the post said in Arabic, identifying specific buildings and telling residents to move at least 500 meters away.
Lebanon’s state-run National News Agency (NNA) said “the enemy” carried out three air raids, including one near Haret Hreik.
“The first strike near Haret Hreik destroyed buildings and caused damage in the area,” it said.
Repeated Israeli air strikes on south Beirut have led to a mass exodus of civilians from the area, although some return during the day to check on their homes and businesses.
In southern Lebanon, Israel carried out several strikes on Friday night and early Saturday, according to NNA.
Overnight, Hezbollah also claimed two rocket attacks targeting the headquarters of an infantry battalion in northern Israel.
Since September 23, Israel has ramped up its air campaign in Lebanon, later sending in ground troops following almost a year of limited, cross-border exchanges begun by Hezbollah over the Gaza war.
Lebanese authorities say that more than 3,440 people have been killed since October last year, when Hezbollah and Israel began trading fire.
The conflict has cost Lebanon more than $5 billion in economic losses, with actual structural damage amounting to billions more, the World Bank said on Thursday.


Hamas ready for ceasefire ‘immediately’ but Israel yet to offer ‘serious’ proposal

Hamas ready for ceasefire ‘immediately’ but Israel yet to offer ‘serious’ proposal
Updated 16 November 2024

Hamas ready for ceasefire ‘immediately’ but Israel yet to offer ‘serious’ proposal

Hamas ready for ceasefire ‘immediately’ but Israel yet to offer ‘serious’ proposal
  • Hamas official Basem Naim says Oct. 7 attack ‘an act of self defense’
  • ‘I have the right to live a free and dignified life,’ he tells Sky News

LONDON: A Hamas official has claimed that Israel has not put forward any “serious proposals” for a ceasefire since the assassination of its leader Ismail Haniyeh, despite the group being ready for one “immediately.”

Dr. Basem Naim told the Sky News show “The World With Yalda Hakim” that the last “well-defined, brokered deal” was put on the table between the two warring sides on July 2.

“It was discussed in all details and I think we were near to a ceasefire ... which can end this war, offer a permanent ceasefire and total withdrawal and prisoner exchange,” he said. “Unfortunately (Israeli Prime Minister Benjamin) Netanyahu preferred to go the other way.”

Naim urged the incoming Trump administration to do whatever necessary to help end the war.

He said Hamas does not regret its attack against Israel on Oct. 7, 2023, which left 1,200 people dead and prompted Israel’s invasion of Gaza that has killed in excess of 43,000 people and left hundreds of thousands injured.

Naim said Israel is guilty of “big massacres” in the Palestinian enclave, and when asked if Hamas bore responsibility as a result of the Oct. 7 attack, he called it “an act of self defense,” adding: “It’s exactly as if you’re accusing the victims for the crimes of the aggressor.”

He continued: “I’m a member of Hamas, but at the same time I’m an innocent Palestinian civilian because I have the right to live a free and dignified life and I have the right to defend myself, to defend my family.”

When asked if he regrets the Oct. 7 attack, Naim replied: “Do you believe that a prisoner who is knocking (on) the door or who is trying to get out of the prison, he has to regret his will to be? This is part of our dignity ... to defend ourselves, to defend our children.”


Italy protests to Israel over unexploded shell hitting Italian base in Lebanon

Italy protests to Israel over unexploded shell hitting Italian base in Lebanon
Updated 15 November 2024

Italy protests to Israel over unexploded shell hitting Italian base in Lebanon

Italy protests to Israel over unexploded shell hitting Italian base in Lebanon
  • Tajani said the safety of the soldiers in UNIFIL had to be ensured and stressed “the unacceptability” of the attacks
  • The Italian statement said Saar had “guaranteed an immediate investigation” into the shell incident

ROME: Italy on Friday said an unexploded artillery shell hit the base of the Italian contingent in the UN peacekeeping mission in Lebanon and Israel promised to investigate.
Italian Foreign Minister Antonio Tajani spoke with Israeli counterpart Gideon Saar and protested Israeli attacks against its personnel and infrastructure in the United Nations Interim Force in Lebanon, an Italian statement said.
Tajani said the safety of the soldiers in UNIFIL had to be ensured and stressed “the unacceptability” of the attacks.
The Italian statement said Saar had “guaranteed an immediate investigation” into the shell incident.
Established by a UN Security Council resolution in 2006, the 10,000-strong UN mission is stationed in southern Lebanon to monitor hostilities along the “blue line” separating Lebanon from Israel.
Since Israel launched a ground campaign in Lebanon against Hezbollah fighters at the end of September, UNIFIL has accused the Israel Defense Forces of deliberately attacking its bases, including by shooting at peacekeepers and destroying watch towers.


Lebanon rescuer picks up ‘pieces’ of father after Israel strike

Lebanon rescuer picks up ‘pieces’ of father after Israel strike
Updated 15 November 2024

Lebanon rescuer picks up ‘pieces’ of father after Israel strike

Lebanon rescuer picks up ‘pieces’ of father after Israel strike
  • Karkaba then rushed back to the bombed civil defense center to search for her fellow first responders under the rubble
  • Israel struck the center, the main civil defense facility in the eastern Baalbek area, while nearly 20 rescuers were still inside

DOURIS, Lebanon: Suzanne Karkaba and her father Ali were both civil defense rescuers whose job was to save the injured and recover the dead in Lebanon’s war.
When an Israeli strike killed him on Thursday and it was his turn to be rescued, there wasn’t much left. She had to identify him by his fingers.
Karkaba then rushed back to the bombed civil defense center to search for her fellow first responders under the rubble.
Israel struck the center, the main civil defense facility in the eastern Baalbek area, while nearly 20 rescuers were still inside, said Samir Chakia, a local official with the agency.
At least 14 civil defense workers were killed, he said.
“My dad was sleeping here with them. He helped people and recovered bodies to return them to their families... But now it’s my turn to pick up the pieces of my dad,” Karkaba told AFP with tears in her eyes.
Unlike many first-responder facilities previously targeted during the war, this facility in Douris, on the edge of Baalbek city, was state-run and had no political affiliation.
Israel’s military did not immediately respond to a request for comment.
Friday morning, dozens of rescuers and residents were still rummaging through the wreckage of the center. Two excavators pulled broken slabs of concrete, twisted metal bars and red tiles.
Wearing her civil defense uniform at the scene, Karkaba said she had been working around-the-clock since Israel ramped up its air raids on Lebanon’s east in late September.
“I don’t know who to grieve anymore, the (center’s) chief, my father, or my friends of 10 years,” Karkaba said, her braided hair flowing in the wind.
“I don’t have the heart to leave the center, to leave the smell of my father... I’ve lost a part of my soul.”
Beginning on September 23, Israel escalated its air raids mainly on Hezbollah strongholds in east and south Lebanon, as well as south Beirut after nearly a year of cross-border exchanges of fire.
A week later Israel sent in ground troops to southern Lebanon.
More than 150 rescuers, most of them affiliated with Hezbollah and its allies, have been killed in more than a year of clashes, according to health ministry figures from late October.
Friday morning, rescuers in Douris were still pulling body parts from the rubble, strewn with dozens of paper documents, while Lebanese army troops stood guard near the site.
Civil defense worker Mahmoud Issa was among those searching for friends in the rubble.
“Does it get worse than this kind of strike against rescue teams and medics? We are among the first to... save people. But now, we are targets,” he said.
On Thursday, Lebanon’s health ministry said more than 40 people had been killed in Israeli strikes on the country’s south and east.
The ministry reported two deadly Israeli raids on emergency facilities in less than two hours that day: the one near Baalbek, and another on the south that killed four Hezbollah-affiliated paramedics.
The ministry urged the international community to “put an end to these dangerous violations.”
More than 3,400 people have been killed in Lebanon since the clashes began last year, according to the ministry, the majority of them since late September.


Iran backs Lebanon in ceasefire talks, seeks end to ‘problems’

Iran backs Lebanon in ceasefire talks, seeks end to ‘problems’
Updated 15 November 2024

Iran backs Lebanon in ceasefire talks, seeks end to ‘problems’

Iran backs Lebanon in ceasefire talks, seeks end to ‘problems’
  • World powers say Lebanon ceasefire must be based on UN Security Council Resolution 1701
  • Israel demands the freedom to act should Hezbollah violate any agreement, which Lebanon has rejected

BEIRUT: Iran backs any decision taken by Lebanon in talks to secure a ceasefire with Israel, a senior Iranian official said on Friday, signalling Tehran wants to see an end to a conflict that has dealt heavy blows to its Lebanese ally Hezbollah.
Israel launched airstrikes in the Hezbollah-controlled southern suburbs of Beirut, flattening buildings for a fourth consecutive day. Israel has stepped up its bombardment of the area this week, an escalation that has coincided with signs of movement in US-led diplomacy toward a ceasefire.
Two senior Lebanese political sources told Reuters that the US ambassador to Lebanon had presented a draft ceasefire proposal to Lebanon’s parliament speaker Nabih Berri the previous day. Berri is endorsed by Hezbollah to negotiate and met the senior Iranian official Ali Larijani on Friday.
Asked at a news conference whether he had come to Beirut to undermine the US truce plan, Larijani said: “We are not looking to sabotage anything. We are after a solution to the problems.”
“We support in all circumstances the Lebanese government. Those who are disrupting are Netanyahu and his people,” Larijani added, referring to Israeli Prime Minister Benjamin Netanyahu.
Hezbollah was founded by Iran’s Revolutionary Guards in 1982, and has been armed and financed by Tehran.
A senior diplomat, speaking on condition of anonymity, assessed that more time was needed to get a ceasefire done but was hopeful it could be achieved.
The outgoing US administration appears keen to secure a ceasefire in Lebanon, even as efforts to end Israel’s related war in the Gaza Strip appear totally adrift.
World powers say a Lebanon ceasefire must be based on UN Security Council Resolution 1701 which ended a previous 2006 war between Hezbollah and Israel. Its terms require Hezbollah to move weapons and fighters north of the Litani river, which runs some 20 km (30 miles) north of the border.
Israel demands the freedom to act should Hezbollah violate any agreement, which Lebanon has rejected.
In a meeting with Larijani, Lebanon’s caretaker Prime Minister Najib Mikati urged support for Lebanon’s position on implementing 1701 and called this a priority, along with halting the “Israeli aggression,” a statement from his office said.
Larijani stressed “that Iran supports any decision taken by the government, especially resolution 1701,” the statement said.
Israel launched its ground and air offensive against Hezbollah in late September after almost a year of cross-border hostilities in parallel with the Gaza war. It says it aims to secure the return home of tens of thousands of Israelis, forced to evacuate from northern Israel under Hezbollah fire.
Israel’s campaign has forced more than 1 million Lebanese to flee their homes, igniting a humanitarian crisis.

FLATTENED BUILDINGS
It has dealt Hezbollah serious blows, killing its leader Sayyed Hassan Nasrallah and other commanders. Hezbollah has kept up rocket attacks into Israel and its fighters have been battling Israeli troops in the south.
On Friday, Israeli airstrikes flattened five more buildings in Beirut’s southern suburbs known as Dahiyeh. One of them was located near one of Beirut’s busiest traffic junctions, Tayouneh, in an area where Dahiyeh meets other parts of Beirut.
The sound of an incoming missile could be heard in footage showing the airstrike near Tayouneh. The targeted building turned into a cloud of rubble and debris which billowed into the adjacent Horsh Beirut, the city’s main park.
The Israeli military said its fighter jets attacked munitions warehouses, a headquarters and other Hezbollah infrastructure. Ahead of the latest airstrikes, the Israeli military issued a warning on social media identifying buildings.
The European Union strongly condemned the killing of 12 paramedics in an Israeli strike near Baalbek in the Bekaa Valley on Thursday, EU foreign policy chief Josep Borrell said.
“Attacks on health care workers and facilities are a grave violation of international humanitarian law,” he wrote on X.
On Thursday, Eli Cohen, Israel’s energy minister and a member of its security cabinet, told Reuters prospects for a ceasefire were the most promising since the conflict began.
The Washington Post reported that Netanyahu was rushing to advance a Lebanon ceasefire with the aim of delivering an early foreign policy win to his ally US President-elect Donald Trump.
According to Lebanon’s health ministry, Israeli attacks have killed at least 3,386 people through Wednesday since Oct. 7, 2023, the vast majority of them since late September. It does not distinguish between civilian casualties and fighters.
Hezbollah attacks have killed about 100 civilians and soldiers in northern Israel, the Israeli-occupied Golan Heights and southern Lebanon over the last year, according to Israel.