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"The risk of famine in Gaza is increasing with the deliberate withholding of humanitarian aid," said the head of the World Health Organization.
As Israeli leaders were split over a plan to allow a "minimal" amount of aid into Gaza on Monday, Palestinian and global civil society groups issued a call for an international humanitarian mission that would go much further in fighting the looming famine across the enclave.
With the World Food Program and the United Nations Relief and Works Agency for Palestine Refugees in the Near East having "exhausted their reserves," more than 750 international groups joined "Unified Call to Confront Famine" and ensure the blockade stopping more than 3,000 food aid trucks and 116,000 metric tons of food are allowed into the enclave.
"We are witnessing, in real time, the deliberate starvation of a civilian population as a method of warfare," said Human Rights Watch (HRW), which also joined the call, in a statement. "Over 2 million Palestinians in Gaza are living in famine."
The group echoed an address by Tedros Adhanom Ghebreyesus, director-general of the World Health Organization (WHO), at the World Health Assembly on Monday in Geneva.
"The risk of famine in Gaza is increasing with the deliberate withholding of humanitarian aid," said Tedros. "The WHO has said around a quarter of the 2.1 million population in Gaza are facing 'a catastrophic situation of hunger, acute malnutrition, starvation, illness, and death' due to the Israeli blockade."
With aid that is "ready and waiting to enter Gaza" entirely blockaded by Israel since March 2, just before the Israel Defense Forces (IDF) broke a temporary cease-fire, civil society groups said states should join a "Diplomatic Humanitarian Convoy to Gaza through the Rafah Crossing."
In the convoy, official diplomatic missions would accompany thousands of aid trucks into Gaza, coordinating with the United Nations and the government of Egypt.
"Inaction will lead to mass death by starvation, enable further grave illegalities, and undermine the international legal system."
Supporting groups noted that governments that are "complicit in the ongoing atrocities," such as the U.S., the top international IDF funder, and called on "individual diplomats, parliamentarians, and ministers from those countries to join the convoy in their personal capacities." They also called on international media outlets to join—"to bear witness, to document the famine, and to expose the blockade starving Gaza."
"This is a human imperative," said HRW. "A Diplomatic Humanitarian Convoy would mark a historic step to break the siege, end the starvation, and affirm the world's rejection of hunger as a weapon of war."
The call came a day after Israeli Prime Minister Benjamin Netanyahu said the government's "greatest friends in the world" had made clear that they "cannot accept images of hunger, mass hunger."
Images of Palestinians in Gaza suffering from a lack of food, medicine, water, and other aid have been widely available since long before the current blockade, but Netanyahu's comments suggested that allies like the U.S. government have applied pressure to allow aid into the enclave.
On his trip to the Middle East last week, U.S. President Donald Trump said the U.S. would have the looming famine in Gaza "taken care of."
The Integrated Food Security Phase Classification (IPC), a United Nations-backed food insecurity initiative, said last week that at least 244,000 people in Gaza are facing Phase 5-level hunger, defined as "extreme deprivation of food."
"Starvation, death, destitution, and extremely critical levels of acute malnutrition are or will likely be evident," said the IPC.
The entire enclave is in Phase 4, which is characterized by "large food consumption gaps... very high acute malnutrition and excess mortality."
Aid and medical workers are struggling to treat thousands of children who have been diagnosed with acute malnutrition.
"We currently are lacking nutrition rehabilitation supplies and equipment, including pharmaceuticals," said Richard Peeperkorn, WHO representative in the occupied Palestinian territories. "Because of the blockades, supplies are dwindling rapidly."
Nutritionist Rana Soboh toldThe Associated Press Monday that she treated a mother who had fainted while breastfeeding her newborn after having gone days without eating.
The next day Soboh met a mother of a malnourished 1-year-old boy who weighed just 11 pounds, having lived his entire life during Israel's bombardment of Gaza and the near-total blockade that began in October 2023 in retaliation for a Hamas-led attack.
"He hadn't grown any teeth," the AP reported. "He was too weak to cry. The mother was also malnourished, 'a skeleton, covered in skin.' When the mother asked for food, Soboh started crying uncontrollably."
A U.N. official said Monday that under Netanyahu's plan to provide "minimal" aid, 20 aid trucks carrying food was expected to enter Gaza; before Israel began its assault on Gaza, about 500 trucks entered the enclave per day.
Israeli National Security Minister Itamar Ben-Gvir has objected to the tiny amount of food that may soon enter Gaza, saying it will "fuel Hamas and give it oxygen."
Netanyahu said the plan would be a "bridge" to a new aid system in which a private foundation and U.S. security contractors would distribute humanitarian assistance. The U.N. has rejected the proposal, saying it is "at odds with the DNA of any principled humanitarian organization."
HRW said the call for all humanitarian aid to enter Gaza in diplomatic convoy was grounded in "international law, shared morality, the Genocide Convention, the International Court of Justice's provisional measures, [and] the U.N. Charter."
"Inaction," said the group, "will lead to mass death by starvation, enable further grave illegalities, and undermine the international legal system."
"Attacks on hospitals must stop," said the head of the World Health Organization. "The aid blockade must end to allow immediate entry of food, medicines, and equipment."
U.S.-backed Israeli forces bombed two hospitals in the Gaza Strip on Tuesday, killing and wounding at least dozens of Palestinians including patients, forcibly displaced people, medical staff, rescue workers, and a well-known journalist.
Early Tuesday, Israel bombed the Nasser Medical Complex in Khan Younis, killing at least two people including photojournalist Hasan Eslaih, who was receiving treatment after surviving a previous Israeli attempt to assassinate him last month.
Gaza officials said Eslaih, who was the director of the Alam24 News Agency, is at least the 215th media worker killed by Israel since October 2023. Eslaih lost a finger and was badly injured in an April 7 Israeli strike on a tent outside the same hospital in which numerous people were burned alive. More than a dozen patients were reportedly injured in Tuesday's attack.
"The burn unit was struck, 18 hospital beds in the surgical department, eight beds in the intensive care unit, and 10 inpatient beds were destroyed," World Health Organization Director-General Tedros Adhanom Ghebreyesus said after the attack. "This is huge blow to the already overwhelmed health system."
"We repeat our call: Attacks on hospitals must stop," Tedros added. "The aid blockade must end to allow immediate entry of food, medicines, and equipment to support patients and the rehabilitation of hospitals. The best medicine is peace."
Investigative reporter Jeremy Scahill said following the attack that "the U.S. is facilitating these war crimes and most Western journalists remain totally silent."
Later on Tuesday, Israel bombed a courtyard and surrounding areas of the European Hospital, also in Khan Younis, killing at least 28 people and injuring scores more. The Israel Defense Forces (IDF) acknowledged the attack, claiming it targeted "Hamas operatives who were inside a command and control complex built within an infrastructure under the hospital."
British surgeon Tom Potokar was inside European Hospital when it was bombed. He said that "this is where kids with cancer are waiting to be evacuated and supposed to be 'deconflicted."
According to the Gaza Government Media Office, 38 hospitals, 81 health centers, and 164 medical facilities have been destroyed, damaged, or rendered inoperable since Israel launched its assault on the coastal enclave after the Hamas-led October 7, 2023 attack.
The United Nations Office for the Coordination of Humanitarian Affairs condemned the strikes,
saying on social media that "these attacks are unacceptable and must end. Healthcare is not a target."
Attacks on medical facilities are war crimes under the 1949 Geneva Conventions.
The Gaza Health Ministry decried "the repeated targeting of hospitals and the pursuit and killing of wounded patients inside treatment rooms," adding that such attacks confirm "Israel's deliberate intent to inflict greater damage to the healthcare system."
In the United States, the advocacy group Council on American-Islamic Relations (CAIR) said in a statement that fugitive Israeli Prime Minister Benjamin Netanyahu "bombs hospitals, slaughters Palestinian civilians, destroys homes, and seeks to starve and ethnically cleanse the population of Gaza, all in a brutal campaign to continue Israel's genocide and stay in office indefinitely."
CAIR added that U.S. President Donald Trump "must act to stop these crimes against humanity, which our nation has unfortunately enabled for decades, and finally allow the Palestinian people to live in peace and freedom."
IDF strikes have obliterated Gaza's medical infrastructure along with the rest of the densely populated strip. Last year, an independent United Nations commission found that "Israel has perpetrated a concerted policy to destroy Gaza's healthcare system as part of a broader assault on Gaza, committing war crimes and the crime against humanity of extermination with relentless and deliberate attacks on medical personnel and facilities."
The commission's report detailed hundreds of IDF attacks on Gaza healthcare facilities and the killing or wounding of around 1,700 medical workers, calling such killings "widespread and systematic."
Israel's 585-day onslaught and siege—which officials say has left more than 186,000 Palestinians dead, wounded, or missing and millions more forcibly displaced, starved, or sickened—is the subject of an ongoing genocide case brought before the International Court of Justice in The Hague by South Africa.
Netanyahu and former Israeli Defense Minister Yoav Gallant are wanted by the International Criminal Court, also in The Hague, for alleged war crimes and crimes against humanity in Gaza, including extermination and starvation as a weapon of war.
"Once again we repeat: Patients, health workers, and hospitals must be protected. The aid blockade must be lifted. Cease-fire," the WHO chief said.
Israeli forces bombed the last fully functioning hospital in northern Gaza early Sunday morning, killing at least three people, including a 12-year-old boy.
The missile attack on al-Ahli Hospital in Gaza City is the latest in what has been described as Israel's "campaign of genocide" to systematically attack Gaza's healthcare infrastructure, which has damaged 33 out of Gaza's 36 hospitals.
The Episcopal Diocese of Jerusalem, which manages al-Ahli hospital, said in a statement Sunday that it condemned the attack "in the strongest possible terms."
"The Diocese of Jerusalem is appalled at the bombing of the hospital now for the fifth time since the beginning of the war in 2023—and this time on the morning of Palm Sunday and the beginning of Holy Week," the diocese said. "We call upon all governments and people of goodwill to intervene to stop all kinds of attacks on medical and humanitarian institutions. We pray and call for the end of this horrific war and the suffering of so many."
According to the diocese, patients and health workers were only given 20 minutes to evacuate before two missiles struck, destroying the hospital's genetic laboratory and damaging the pharmacy, emergency department, and the neighboring St. Philip’s church.
"We are in complete shock," Dr. Yousef Al-Haddad, a physiotherapy specialist at the hospital, told Medical Aid for Palestinians (MAP). "As I speak to you, I'm surrounded by piles of rubble and destruction. The laboratory was the only one in Gaza that provided a range of tests unavailable in any other hospital—and now it's been entirely lost. Emergency and reception services were shared between the al-Ahli Hospital and al-Shifa Hospital, with our hospital taking the lead as it was the only hospital equipped with a CT scanner. Now, following last night's attack, these services have entirely ceased. This will undoubtedly increase the pressure on al-Shifa Hospital, which is already operating with a smaller capacity."
In the rushed evacuation, critically ill patients had to be moved into the streets in the cold. While no one died in blast itself, the hurried evacuation resulted in three deaths, including that of a 12-year-old boy who was being treated for a head injury.
"He was on oxygen, as were the two other patients, and the family basically walked with them to a nearby hospital, a very small facility with no capacity for the number of patients heading their way," Razan al-Nahhas, an emergency doctor who had previously worked at the hospital, toldAl Jazeera. "And they [the patients] arrived dead."
A Red Crescent doctor toldMiddle East Eye that finding space for the evacuated patients could be difficult.
"All the hospitals are overcrowded and are unprepared for providing full medical services, this will surely reflect on the health of the wounded, the patients and it could result in the loss of their lives, the loss of their body parts, or could cause long-term disability," he said.
"Faith leaders in our nation and worldwide must speak out against the war of extermination being waged by Israel using the support of the U.S. government and with American taxpayer dollars."
World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus wrote on social media that 50 patients had been moved to other hospitals, while 40 were too ill or injured to relocate.
"Hospitals are protected under international humanitarian law," Gheybreyesus continued. "Attacks on healthcare must stop. Once again we repeat: Patients, health workers, and hospitals must be protected. The aid blockade must be lifted. Cease-fire."
MAP called on the international community "to take immediate action to protect Gaza's hospitals and medical personnel."
"There must be an immediate and permanent cease-fire, an end to all arms transfers to Israel, and full accountability for repeated violations of international law, including the deliberate targeting of hospitals," the group wrote. "Israel must be held to its legal obligation to repair the destruction it has caused to Gaza's health infrastructure and allow unimpeded humanitarian access in line with the orders of the International Court of Justice."
Al-Ahli Hospital first grabbed international attention early in the war, when a bombing in October 2023 killed hundreds of people. At the time, Israel denied that it had launched the attack. However, since then, it has attacked the hospital four times including on Sunday.
Religious groups also condemned the timing of the attack on Palm Sunday, a sacred celebration for Christians in Palestine and around the world.
The Higher Presidential Committee for Church Affairs in Palestine said, "The attack, carried out on Palm Sunday, one of the holiest days in the Christian calendar, constitutes a grave violation of religious sanctity and fundamental principles of international humanitarian law."
"The far-right Israeli government has shown time and again it is willing to violate religious norms, whether targeting Palestinian Christians or Muslims, in its genocidal campaign against the Palestinian people," the Council on American-Islamic Relations said in a statement. "Faith leaders in our nation and worldwide must speak out against the war of extermination being waged by Israel using the support of the U.S. government and with American taxpayer dollars. We call on the Trump administration to similarly condemn this attack."
Israel, for its part, said that the hospital was targeted because it was a "command and control" center for the militant group Hamas, according to Middle East Eye. However, it did not provide any evidence.
The hospital bombing was only one of several attacks carried out by Israel in Gaza on Sunday, which together killed at least 21 people, The Associated Press reported.
It also followed Israel's claim on Saturday that it had succeeded in isolating Rafah in the south from the rest of the Gaza Strip, according to Al Jazeera. Israel had promised to cordon off the city earlier in the week.
As of Sunday, the Gaza's Health Ministry said that Israel's assault on Gaza since October 7, 2023 had killed at least 50,944 Palestinians and injured 116,156. More than 1,500 of those deaths have occurred since Israel ended a tentative cease-fire on March 18.