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"In Gaza, we are not witnessing a 'shrinking' humanitarian space; there is barely any space left to operate at all," the report authors said.
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."
The head of one humanitarian group called the Israeli military's directives "a serious violation of international law."
Israel's army on Monday ordered roughly 100,000 people living in eastern Rafah to evacuate ahead of an imminent military assault on the area, terrifying families who have been forcibly displaced to the southern Gaza city in recent months and intensifying warnings of a bloodbath.
The Israel Defense Forces (IDF) dropped leaflets over Rafah ordering some of its 1.4 million residents to move to a strip along Gaza's coast, a signal that a long-feared ground assault on the overcrowded city is set to begin in the face of vocal opposition from the international community and humanitarian organizations.
The U.S., Israel's top arms supplier, has said it would oppose a Rafah assault without a credible plan to evacuate civilians from the city. Humanitarian groups and analysts have said such a plan is impossible because there is no genuinely safe place for Gazans to go. Israeli forces have repeatedly attacked so-called "safe zones" and designated routes Palestinians have used to flee in compliance with past IDF orders.
"Israel's military offensive in Rafah could lead to the deadliest phase of this conflict, inflicting horrific suffering on approximately 1.4 million displaced civilians in the area," said Jan Egeland, secretary-general of the Norwegian Refugee Council. "The relocation orders issued by Israel today to thousands of Gazans, directing them to move to Al-Mawasi, are beyond alarming. The area is already overstretched and devoid of vital services. It lacks the capacity to house the number of people currently seeking refuge in Rafah, with no assurances of safety, proper accommodation, or return once hostilities end for those forced to relocate."
"The absence of these fundamental guarantees of safety and return, as required by international humanitarian law, qualifies Israel's relocation directives as forcible transfer, amounting to a serious violation of international law," Egeland said. "Any Israeli military operation in Rafah—which has become the largest cluster of displacement camps in the world—will cause potential mass atrocities."
"If large-scale military operations start, not only will children be at risk from the violence, but also from chaos and panic, and at a time where their physical and mental states are already weakened."
Israel
reportedly notified the U.S. of the evacuation orders overnight, and CIA Director William Burns is set to arrive in Israel on Monday to discuss the operation in Rafah, a city along Gaza's border with Egypt that has become a critical point of entry for humanitarian aid. The new evacuation orders, expected to be just the first round of directives, include Rafah's largest medical facility.
The United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), the main relief agency in Gaza, said in response to the IDF's orders that it would not leave Rafah.
"An Israeli offensive in Rafah would mean more civilian suffering and deaths. The consequences would be devastating for 1.4 million people," the organization wrote in a social media post. "UNRWA is not evacuating: The agency will maintain a presence in Rafah as long as possible and will continue providing lifesaving aid to people."
BREAKING: #Israel drops leaflets over #Rafah southern #Gaza, ordering inhabitants of eastern Rafah to immediately move to Al Mawasi (a desolate strip along the Gaza coast), cautioning them from moving to north Gaza or towards its southern and eastern perimeter fence. pic.twitter.com/tBum9ULewF
— Itay Epshtain (@EpshtainItay) May 6, 2024
The far-right Israeli government, led by Prime Minister Benjamin Netanyahu, has been threatening a ground invasion of Rafah for months, characterizing the city as Hamas' last major stronghold. Avichay Adraee, an IDF lieutenant colonel, said Monday that the Israeli military would use "extreme force" in the evacuation areas and warned that "anyone who is close to terrorist organizations puts his life and the life of his family at risk."
According to the United Nations Children's Fund (UNICEF), around 600,000 children are currently sheltering in the city, including many who have been displaced multiple times since Israel's assault began in October following a Hamas-led attack.
"More than 200 days of war have taken an unimaginable toll on the lives of children," Catherine Russell, UNICEF's executive director, said Monday. "Rafah is now a city of children, who have nowhere safe to go in Gaza. If large-scale military operations start, not only will children be at risk from the violence, but also from chaos and panic, and at a time where their physical and mental states are already weakened.”
Omar Shakir, Israel and Palestine director at Human Rights Watch, called the IDF's evacuation push in Rafah "unlawful and catastrophic."
"There's nowhere safe to go in Gaza," Shakir added. "The international community should act to prevent further atrocities."
The IDF began issuing its evacuation orders in Rafah a day after the Netanyahu government voted to shut downAl Jazeera's operations in the country, a brazen attack on press freedom.
"The fact that Israel banned
Al Jazeera hours before beginning its assault on Rafah is not a coincidence," said author and Middle East analyst Assal Rad. "After everything we’ve seen in the last seven months, imagine what they'll do when they think no one is watching."
"Millions of lives and the peace and stability of an entire region are at stake," warned the head of the World Food Program.
International humanitarian organizations warned Wednesday that Sudan's civil war risks triggering severe famine unless the fighting stops.
Fighting between rival factions of Sudan's military government broke out nearly 11 months ago and spread rapidly throughout the northeastern African nation of 46 million people. Around 15,000 people have been killed and nearly 6 million others displaced during the war, while an estimated 1.5 million Sudanese have fled the country as refugees.
Those who remain in Sudan are reeling from recent drought and flooding driven by the climate emergency, a potent two-punch combination that has pushed millions of people to the brink of famine.
"The war in Sudan risks triggering the world's largest hunger crisis," said Cindy McCain, director of the United Nations World Food Program, in a statement. "Twenty years ago, Darfur was the world's largest hunger crisis and the world rallied to respond. But today, the people of Sudan have been forgotten. Millions of lives and the peace and stability of an entire region are at stake."
The crisis is particularly acute in and around the Sudanese capital, Khartoum, and in the vast, arid western region of Darfur, where one of the warring factions, the Rapid Support Forces, and its allies have massacred, pillaged, and terrorized members of the predominantly Massalit community.
In Khartoum, hundreds of thousands of people are struggling to find food due to dwindling supplies for the communal kitchens on which many depend and a communications blackout. People venturing outside their homes in search of food run the risk of being shot or shelled amid the fighting.
Meanwhile, some areas of Darfur haven't received any food aid in nearly a year as fighting has rendered it practically impossible for humanitarian workers to operate. According to a February report by Doctors Without Borders, one child is dying of starvation every two hours, and nearly 40% of infants and toddlers are malnourished.
"We are in grave danger of epic, biblical-style famine in Sudan," warned Jan Egeland, who heads the Norwegian Refugee Council, in a Reuters interview.
Egeland added that continued failure to deliver food aid to Darfur soon could mean "a death sentence for millions in desperate need."
According to the WFP:
Over 25 million people across Sudan, South Sudan, and Chad are trapped in a spiral of deteriorating food security. WFP is unable to get sufficient emergency food assistance to desperate communities in Sudan who are trapped by fighting because of the relentless violence and interference by the warring parties. Right now, 90% of people facing emergency levels of hunger in Sudan are stuck in areas that are largely inaccessible to WFP.
Humanitarian assistance has been further disrupted after authorities revoked permissions for cross-border truck convoys, forcing WFP to halt its operations from Chad into Darfur. Over one million people in West and Central Darfur had received WFP assistance via this lifeline route since August, and WFP was in the process of scaling up to support that number each month as hunger and malnutrition continue to skyrocket in Darfur.
Meanwhile, as hundreds of thousands of refugees flee into South Sudan and Chad, humanitarian efforts there have reached a breaking point.
"I met mothers and children who have fled for their lives not once, but multiple times, and now hunger is closing in on them," said McCain. "The consequences of inaction go far beyond a mother unable to feed her child and will shape the region for years to come. Today I am making an urgent plea for the fighting to stop, and that all humanitarian agencies must be allowed to do their lifesaving work."
WFP said it "urgently needs unimpeded access in Sudan to address the escalating food insecurity, which will have significant long-term impacts on the region, along with an injection of funding to respond to the spread of the humanitarian crisis to neighboring countries."
"Ultimately," the agency added, "a cessation of hostilities and lasting peace is the only way to reverse course and prevent catastrophe."