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Hunger and desperation

JERUSALEM (AP) – With virtually no food allowed into the northernmost part of Gaza for the past month, tens of thousands of Palestinians under Israeli siege are rationing their last lentils and flour to survive.

As bombardment pounds around them, some said they risk their lives by venturing out in search of cans of food in the rubble of destroyed homes.

Thousands have staggered out of the area, hungry and thin, into Gaza City, where they find the situation little better. One hospital reports seeing thousands of children suffering from malnutrition. A nutritionist said she treated a pregnant woman wasting away at just 40 kilogrammes.

Medical workers warn that hunger is spiraling to dire proportions under a monthlong siege on north Gaza by the Israeli military, which has been waging a fierce campaign since the beginning of October, saying it’s rooting out militants.

The military has severed the area with checkpoints, ordering residents to leave. Many Palestinians fear Israel aims to depopulate the north long term.

On Friday, experts from a panel that monitors food security said famine is imminent in the north or may already be happening. The growing desperation comes as the deadline approaches next week for a 30-day ultimatum the Biden administration gave Israel: raise the level of humanitarian assistance allowed into Gaza or risk possible restrictions on United States (US) military funding.

People scramble to receive sacks of flour at a United Nations Relief and Works Agency (UNRWA) aid distribution centre in Deir el-Balah in the central Gaza Strip. PHOTO: AFP
Palestinians walk amid the devastation in Beit Lahia. PHOTO: AFP

The US said Israel must allow a minimum of 350 trucks a day carrying food and other supplies. Israel has fallen far short. In October, 57 trucks a day entered Gaza on average, according to figures from Israel’s military agency overseeing aid entry, known as COGAT. In the first week of November, the average was 81 a day.

The UN puts the number even lower – 37 trucks daily since the beginning of October. It said Israeli military operations and general lawlessness often prevent it from collecting supplies, leaving hundreds of truckloads stranded at the border.

US State Department spokesman Matthew Miller said Israel had made some progress by announcing the opening of a new crossing into central Gaza and approving new delivery routes. But he said Israel must do more. “It’s not just sufficient to open new roads if more humanitarian assistance isn’t going through those roads,” he said.

A DESPERATE DAILY STRUGGLE

Israeli forces have been hammering the towns of Beit Lahiya, Beit Hanoun and Jabaliya refugee camp. Witnesses report intense fighting between troops and militants.

A trickle of food has reached Gaza City, but as of Thursday, nothing entered the towns farther north for 30 days, even as an estimated 70,000 people remain there, said spokesperson for the UN agency for Palestinian refugees, UNRWA, Louise Wateridge speaking from Gaza City.

The government acknowledged in late October that it hadn’t allowed aid into Jabaliya because of military “operational constraints” in response to a petition by Israeli human rights groups. On Saturday, COGAT said it allowed 11 trucks of food and supplies into Beit Hanoun and Jabaliya. But spokeswoman for the WFP Alia Zaki said Israeli troops at a checkpoint forced the convoy to unload the food before it could reach shelters in Beit Hanoun. It was not clear what then happened to the supplies.

Palestinians in the north described to The Associated Press (AP) a desperate daily struggle to find food, water and safety, as strikes level buildings, sometimes killing whole families.

SURRENDER OR STARVE

The offensive has raised fears among Palestinians that Israel seeks to empty northern Gaza and hold it long term under a surrender-or-starve plan proposed by former generals. The Israeli military has denied receiving such orders, but the government hasn’t denied the plan outright. Witnesses report Israeli troops going building-to-building, forcing people to leave toward Gaza City.

On Thursday, the Israeli military ordered new evacuations from several Gaza City neighbourhoods, raising the possibility of a ground assault there. The UN said some 14,000 displaced Palestinians were sheltering there.

Food and supplies are stretched for the several hundred thousand people in Gaza City, too. Much of the city has been flattened by months of Israeli bombardment and shelling.

Nutrition specialist at Gaza City’s Patient Friend Benevolent Hospital Dr Rana Soboh said she sees some 350 cases of moderate to severe acute malnutrition daily, most from the north but also Gaza City.

“The bone of their chest is showing, the eyes are protruding,” she said, and many have trouble concentrating. “You repeat something a number of times, so they can understand what we are saying.”

She cited a 32-year-old woman shedding weight in her third month of pregnancy – when they put her on the scale, she weighed only 40 kilogrammes.

“We are suffering, facing the ghost of famine that is hovering over Gaza,” Soboh said.

A PROBLEM LONG IN THE MAKING

Even before the siege in the north, the Patient Friend hospital saw a flood of children suffering from malnutrition – more than 4,780 in September compared with 1,100 in July, said Dr Ahmad Eskiek, who oversees hospital operations.

Soboh said staff get calls from Beit Lahiya and Jabaliya pleading for help, “What can we do? We have nothing.”

She had worked at Kamal Adwan Hospital in the north but fled with her family to Gaza City. Now they stay with 22 people in her uncle’s two-bedroom apartment. On Thursday, she had had a morsel of bread for breakfast and later a meal of yellow lentils.

As winter rains near, new arrivals set up tents wherever they can. Some 1,500 people are in a UN school already heavily damaged in strikes that “could collapse at any moment”, UNRWA spokesperson Wateridge said.

With toilets destroyed, people try to set aside a corner of a classroom to use, leaving waste “streaming down the walls of the school,” she said. Others in Gaza City move into the rubble of buildings, draping tarps between layers of collapsed concrete, she said.

“It’s like the carcass of a city,” she said. – Samy Magdy & Julia Frankel

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