Report From Gaza Aid Agencies Shows 'Catastrophe on an Entirely New Level'

Israeli attacks on relief workers and designated "humanitarian zones" in Gaza, as well its tight control over borders and repeated evacuation orders, have devastated the ability to deliver much-needed aid to residents of the beleaguered strip, 20 non-governmental organizations warned in a report released Tuesday.

Israel has now issued "evacuation orders" that cover 86% of the Gaza Strip's land area, according to the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA). This means that Gaza's 2.1 million people are now expected to squeeze into only 14% of Gaza's 141 square miles.

"We are doing everything we can to save children's lives in Gaza, but our job becomes more and more challenging by the day," said Jeremy Stoner, the Middle East regional director of Save the Children, one of the organizations behind the report. "Forcibly displacing civilians into areas that cannot accommodate them is causing a humanitarian catastrophe on an entirely new level."

"What is the international community doing about this humanitarian crisis?"

Between July 22 and 27 alone, Israeli "evacuation orders" forced around 200,000 people from central and eastern Khan Younis, and 12,600 from camps in Deir al Balah.

"There is no space left," Stoner continued, "and barely enough life-saving supplies to keep children alive. Without access to critical assistance, lives will continue to be lost."

Palestinians in Gaza face severe shortages of basic necessities, with half a million subjected to "catastrophic levels" of food insecurity, the report authors said. The amount of water available to Gaza's residents has shrunk by 94% since before Israel's onslaught began in October, and on July 26, Israel bombed the "Tal Sultan Water Reservoir," the leading source of drinking water in Rafah.

"We are talking about at least 34 children who have starved to death," Oxfam policy lead Bushra Khalidi said in the report. "If this estimate doesn't move the world, consider that most U.N. and other reports state that Gaza is on the verge of famine. What is the international community doing about this humanitarian crisis?"

Ola, a 42-year-old from northern Gaza who has been displaced more than fives times since the war began, told aid workers that "things are starting to take a toll and our bodies feel weak and flimsy."

"We can't really walk anymore but have to walk long distances to get water or buy anything," Ola said. "So at the moment, we stopped leaving the place we're in (...) and yesterday we picked and cooked mulberry leaves to block the children's hunger."

"It pains me as an aid worker that I can't do much for others."

At the same time, strict rules and violence at the border—both from direct Israeli attacks and the breakdown of law and order in their wake—make it increasingly difficult to get aid into Gaza, with deliveries dropping by 56% since April, according to U.N. figures. Save the Children reported that it had to wait almost a month at the Kerem Shalom border crossing to get four trucks filled with much-needed medical supplies to the other side. At the same time, Gaza's health facilities, which report authors say have "already collapsed," continue to attempt and treat people with a dwindling supply of U.N. medicines.

Another obstacle to delivering medicine is that Israel's Coordinator of Government Activities in the Territories will only permit flatbed trucks to enter Gaza, yet temperature-controlled medications can only be transported in closed trucks. Because of this rule, 17 pallets of Save the Children's temperature-controlled medication are currently stranded in Al-Areesh, Egypt.

Oxfam said it had deliveries of water tanks, desalination units, tap stands, generators, and latrines stalled on the other side of the border, while the Norwegian Refugee Council (NRC) had 864 tents it has so far been unable to bring through.

"This is the first time I find myself unable to offer help to others. It pains me as an aid worker that I can't do much for others. In all past escalations, I would still go out and serve those who needed help," Salma Altaweel, an NRC support manager in Gaza City, said in the report.

When aid workers in Gaza attempt to deliver supplies, they put themselves at risk. On July 13, a drone strike killed two members of a War Child partner organization, while an Israeli airstrike killed four of a War Child and Action Aid partner worker's children and critically injured his wife when it struck his shelter in Nuseirat. Israel fired on a clearly marked U.N. convoy on July 21, and two well-labeled UNICEF convoys were fired upon just two days later. Since October, around 278 aid workers have been killed in Gaza.

Stoner of Save the Children said: "Aid workers are not spared from the violence. One of our staff members was killed alongside his wife and four children by an Israeli airstrike back in December, since then aid workers have continued to be targeted. Humanitarian staff should never be a target and humanitarian operations, including convoys and warehouses, must be protected. We've said it again and again: an immediate and definitive cease-fire is the only way to save lives in Gaza."

The report authors issued a reminder that Israel, as an occupying power in Gaza, is obligated under the Geneva Convention to safeguard the humanitarian needs of Gaza's people by allowing aid to enter and be administered safely.

"Our continued presence should not be mistaken for an indication of unimpeded access," the aid groups wrote. "We operate at great risk, despite significant impediments to our access. The risks our colleagues are exposed to each moment are unacceptable and contrary to their protections under international law. In Gaza, we are not witnessing a 'shrinking' humanitarian space; there is barely any space left to operate at all."

They concluded, "We, the undersigned NGOs, continue to call for an immediate and lasting cease-fire and maintain it is the only way to provide humanitarian assistance and protect and save lives in Gaza."