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One advocate urged action "to prevent further loss of innocent life, the deepening of an extraordinary humanitarian crisis, and the continued erosion of U.S. credibility as an upholder of international humanitarian law."
As the deadline set by the Biden administration last month for Israel to step up aid deliveries to Gaza passed on Tuesday, human rights groups demanded that the U.S. stick to its commitment to holding the Israeli government accountable for what one advocate called "a campaign of ethnic cleansing."
But the White House's refusal over the last 13 months to follow U.S. and international law provoked doubt that it would do so.
U.S. Secretary of State Antony Blinken and Defense Secretary Lloyd Austin wrote a letter to Israeli Prime Minister Benjamin Netanyahu's government on October 13, giving Israel 30 days to allow at least 350 humanitarian aid trucks per day into Gaza, open a fifth crossing into the enclave, and ensure access to northern Gaza for aid groups, among other specific steps outlined in the letter.
Noncompliance would violate National Security Memorandum 20, which President Joe Biden issued in February to demand credible assurances from Israel that it was acting according to international law, and Section 620I of the Foreign Assistance Act, which prohibits the U.S. from providing military aid to countries that are blocking U.S. humanitarian aid.
Advocates have said for months that Israel and the U.S. have been violating both statutes, as mounting evidence has shown U.S. weapons have been used in Israeli attacks on civilians and United Nations experts have warned Gaza has descended into famine.
Louise Wateridge, a senior emergency officer for the U.N. Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), said Tuesday that the Biden administration's warning 30 days ago did not improve conditions in Gaza, with aid entering the enclave "at its lowest level in months."
"Thousands and thousands of people have been killed senselessly. They have been killed because there is lack of aid, because the bombs have continued, and because we have not been able to even reach them under the rubble," Wateridge said at a press briefing in Geneva. "The average for October was 37 trucks a day into the entire Gaza Strip... That is for 2.2 million people... Children are dying. People are dying every day."
With the number of daily deliveries since October 13 far below the level stipulated by the Biden administration, Wateridge emphasized that "anything that happens now is already too late."
As the deadline passed, Israel appeared eager to put new humanitarian aid efforts on display, with the Coordinator of Government Activities in the Territories (COGAT) posting on social media an image of a convoy delivering what it said were "hundreds of food and water packages to the Jabaliya and Beit Hanoun areas in 6n Gaza."
The military also arranged a photo call on Monday where journalists "were invited to film around eight aid trucks passing into Gaza," reported Jon Donnison at the BBC. "They were laden with sacks of flour, rice, and toilet paper, among other things."
"So, aid is getting into Gaza," wrote Donnison. "But nowhere near enough."
Before Israel began its bombardment of Gaza in October 2023, about 500 aid trucks entered the enclave each day.
A spokesperson for COGAT told the BBC Tuesday that "most aspects [of Blinken's demands] have been met and those which have not are being discussed."
The publisher of a Substack newsletter titled Gaza Updatessaid in response, "In other words, expect nothing today."
U.N. officials said this week that aid workers have been unable to deliver relief even after the Israel Defense Forces gave approval for deliveries in northern Gaza, which has been cut of from virtually all aid for more than a month. Israeli troops on the ground have restricted aid despite the IDF's approval.
In southern Gaza, hundreds of trucks containing aid have been sitting on the enclave's side of the border with Egypt because U.N. workers cannot reach them due to "lawlessness, theft, and Israeli military restrictions," according to The Associated Press.
As the deadline passed Tuesday, a coalition of human rights groups including Oxfam, Refugees International, and Save the Children released a scorecard assessing Israel's progress in complying with the conditions set by Blinken and Austin on October 13.
They found "outright failure" by Israel to meet 15 out of 19 measures of compliance, and said the IDF has only partially complied with the remaining four.
Israel has failed to allow 350 aid trucks into Gaza over the last month, said the groups, and has not ended the isolation of northern Gaza or allowed the International Committee of the Red Cross (ICRC) access to Palestinians detained by Israel, among other requirements set last month.
"The U.S. government once again laid out basic measures for how the government of Israel must follow international law and allow for aid delivery in Gaza," said Oxfam America president and CEO Abby Maxman. "Since then, we have seen Israeli forces accelerate their efforts to bombard, depopulate, deprive, and erase the Palestinian population of the North Gaza governorate. We are witnessing a campaign of ethnic cleansing."
"Oxfam and partner organizations are unable to provide any support to the remaining civilians in the North Gaza governorate, where people are dying every day," added Maxman. "jAccess to the rest of Gaza is also severely restricted, with civilians facing starvation and relentless violence. The U.S. must finally make this overdue call to suspend deadly arms sales to Israel or be complicit in the horrific atrocities unfolding before our eyes."
Michelle Nunn, president and CEO of CARE, said that with the letter sent to Netanyahu's government last month, the U.S. "created a critical opportunity to respond to the facts on the ground, and to insist upon accountability to our own laws."
"It is imperative to act now to prevent further loss of innocent life, the deepening of an extraordinary humanitarian crisis, and the continued erosion of U.S. credibility as an upholder of international humanitarian law," said Nunn.
The analysis, added Refugees International president Jeremy Konyndyk, "demonstrates that the Israeli government is violating its obligations under U.S. and international law to facilitate humanitarian relief for suffering Palestinians in Gaza."
"With experts again projecting imminent famine in north Gaza, there is no time to lose," he added. "The United States must impose immediate restrictions on security cooperation with Israel as required under Section 620I of the Foreign Assistance Act."
U.S. Secretary of State Antony Blinken and Defense Secretary Lloyd Austin wrote a letter to Israeli Prime Minister Benjamin Netanyahu's government on October 13, giving Israel 30 days to allow at least 350 humanitarian aid trucks per day into Gaza, open a fifth crossing into the enclave, and ensure access to northern Gaza for aid groups, among other specific steps outlined in the letter.
Noncompliance would violate National Security Memorandum 20, which President Joe Biden issued in February to demand credible assurances from Israel that it was acting according to international law, and Section 620I of the Foreign Assistance Act, which prohibits the U.S. from providing military aid to countries that are blocking U.S. humanitarian aid.
Advocates have said for months that Israel and the U.S. have been violating both statutes, as mounting evidence has shown U.S. weapons have been used in Israeli attacks on civilians and United Nations experts have warned Gaza has descended into famine.
Louise Wateridge, a senior emergency officer for the U.N. Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), said Tuesday that the Biden administration's warning 30 days ago did not improve conditions in Gaza, with aid entering the enclave "at its lowest level in months."
"Thousands and thousands of people have been killed senselessly. They have been killed because there is lack of aid, because the bombs have continued, and because we have not been able to even reach them under the rubble," Wateridge said at a press briefing in Geneva. "The average for October was 37 trucks a day into the entire Gaza Strip... That is for 2.2 million people... Children are dying. People are dying every day."
With the number of daily deliveries since October 13 far below the level stipulated by the Biden administration, Wateridge emphasized that "anything that happens now is already too late."
As the deadline passed, Israel appeared eager to put new humanitarian aid efforts on display, with the Coordinator of Government Activities in the Territories (COGAT) posting on social media an image of a convoy delivering what it said were "hundreds of food and water packages to the Jabaliya and Beit Hanoun areas in 6n Gaza."
The military also arranged a photo call on Monday where journalists "were invited to film around eight aid trucks passing into Gaza," reported Jon Donnison at the BBC. "They were laden with sacks of flour, rice, and toilet paper, among other things."
"So, aid is getting into Gaza," wrote Donnison. "But nowhere near enough."
Before Israel began its bombardment of Gaza in October 2023, about 500 aid trucks entered the enclave each day.
A spokesperson for COGAT told the BBC Tuesday that "most aspects [of Blinken's demands] have been met and those which have not are being discussed."
The publisher of a Substack newsletter titled Gaza Updatessaid in response, "In other words, expect nothing today."
U.N. officials said this week that aid workers have been unable to deliver relief even after the Israel Defense Forces gave approval for deliveries in northern Gaza, which has been cut of from virtually all aid for more than a month. Israeli troops on the ground have restricted aid despite the IDF's approval.
In southern Gaza, hundreds of trucks containing aid have been sitting on the enclave's side of the border with Egypt because U.N. workers cannot reach them due to "lawlessness, theft, and Israeli military restrictions," according to The Associated Press.
As the deadline passed Tuesday, a coalition of human rights groups including Oxfam, Refugees International, and Save the Children released a scorecard assessing Israel's progress in complying with the conditions set by Blinken and Austin on October 13.
They found "outright failure" by Israel to meet 15 out of 19 measures of compliance, and said the IDF has only partially complied with the remaining four.
Israel has failed to allow 350 aid trucks into Gaza over the last month, said the groups, and has not ended the isolation of northern Gaza or allowed the International Committee of the Red Cross (ICRC) access to Palestinians detained by Israel, among other requirements set last month.
"The U.S. government once again laid out basic measures for how the government of Israel must follow international law and allow for aid delivery in Gaza," said Oxfam America president and CEO Abby Maxman. "Since then, we have seen Israeli forces accelerate their efforts to bombard, depopulate, deprive, and erase the Palestinian population of the North Gaza governorate. We are witnessing a campaign of ethnic cleansing."
"Oxfam and partner organizations are unable to provide any support to the remaining civilians in the North Gaza governorate, where people are dying every day," added Maxman. "jAccess to the rest of Gaza is also severely restricted, with civilians facing starvation and relentless violence. The U.S. must finally make this overdue call to suspend deadly arms sales to Israel or be complicit in the horrific atrocities unfolding before our eyes."
Michelle Nunn, president and CEO of CARE, said that with the letter sent to Netanyahu's government last month, the U.S. "created a critical opportunity to respond to the facts on the ground, and to insist upon accountability to our own laws."
"It is imperative to act now to prevent further loss of innocent life, the deepening of an extraordinary humanitarian crisis, and the continued erosion of U.S. credibility as an upholder of international humanitarian law," said Nunn.
The analysis, added Refugees International president Jeremy Konyndyk, "demonstrates that the Israeli government is violating its obligations under U.S. and international law to facilitate humanitarian relief for suffering Palestinians in Gaza."
"With experts again projecting imminent famine in north Gaza, there is no time to lose," he added. "The United States must impose immediate restrictions on security cooperation with Israel as required under Section 620I of the Foreign Assistance Act."
Israel is currently attempting to send several patients back to the besieged enclave from East Jerusalem, where they have been receiving cancer treatment.
The head of the World Health Organization on Saturday demanded that Israel speed up approvals for medical evacuations from Gaza as the number of people who urgently need life-saving healthcare reached roughly 9,000—and as Israeli officials threatened to send several Palestinian patients back to the besieged enclave from the East Jerusalem hospital where they've received cancer treatment.
Tedros Adhanom Ghebreyesus, director-general of WHO, warned that with only 10 of Gaza's 36 hospitals "minimally functional" following repeated attacks on the enclave's healthcare system, "thousands of patients continue to be deprived of healthcare."
At the beginning of March, WHO assessed that about 8,000 patients needed to be immediately evacuated from Gaza to receive treatment for cancer, kidney failure, and other chronic diseases as well as injuries from Israel's relentless bombing of civilian infrastructure.
That number has grown by about 1,000 in recent weeks, Tedros said.
More than 3,400 sick and injured people have been taken abroad via the southern border town of Rafah since Israel began its bombardment on October in retaliation for a Hamas-led attack.
"But many more need to be evacuated," said Tedros. "We urge Israel to speed up approvals for evacuations, so that critical patients can be treated. Every moment matters."
As Tedros called on Israel to swiftly approve medical evacuations, human rights advocates condemned Israeli authorities who aim to deport patients with cancer back to Gaza from an East Jerusalem hospital where they've been receiving advanced treatment since before the October 7 attack on southern Israel.
"Returning residents to Gaza during a military conflict and a humanitarian crisis is against international law and poses a deliberate risk to innocent lives," Physicians for Human Rights (PHR) said in a statement. "All the more so when it concerns patients who may face a death sentence due to unsanitary conditions and hunger, along with the unlikely availability of medical care."
At least 22 patients from Gaza, including several children, have been receiving treatment at Augusta Victoria Hospital, having received authorization from Israel prior to the Israel Defense Forces' (IDF) current escalation.
"I arrived here in Jerusalem with my son Hamza on September 27 last year," Qamar Abu Zoar toldThe Guardian on Saturday. "Hamza, who is four and a half years old, has a brain tumor and needs treatment that he couldn't receive in Gaza. While we were here, the war broke out. And since then, we have been stranded in this hospital, while my other two younger children are in the north of Gaza with my husband."
The Coordination of Government Activities in the Territories (COGAT), which oversees civilian affairs in the occupied Palestinian territories, has urged hospital officials to provide a list of patients who could be sent back to Gaza, where patients in the remaining hospitals are suffering from infections due to the use of improvised and unsterilized medical equipment, as well as from worsening malnutrition.
Israel's near-total blockade of humanitarian aid into Gaza has affected food and medicines, and CNN reported earlier this month that anesthetics, anesthesia machines, oxygen tanks, and ventilators are frequently rejected by Israeli inspectors who examine aid trucks.
Last week, the Israeli High Court of Justice halted an effort by COGAT to send 10 patients from Augusta Victoria Hospital back to Gaza, where in many cases their homes and hometowns have been decimated by Israeli bombing and shelling.
COGAT claimed the patients had finished their treatment and said it would work with aid agencies if they had a need for more medical care, coordinating "their stay with the hospitals to safeguard their health."
But as Tedros warned Saturday, the vast majority of hospitals in Gaza are no longer operating.
Israel's High Court has until April 21 to issue a final ruling on whether officials can deport patients to Gaza.
"The hospitals and the medical staff must strongly oppose the release of the patients from their custody," said PHR, "unless a guarantee is given that they will not be returned to Gaza where their lives are in danger."