Why this image of an emaciated Gazan boy sparked controversy
The picture of Muhammad Zakariya Ayyoub al-Matouq appeared prominently on the front page of The New York Times on the weekend with the headline 'Young, old and sick starve to death in Gaza'.
It was then widely republished by major media outlets, including the ABC, BBC, CNN, Sky News, and The Guardian, and the distressing image reverberated through Australia's political echelons too, drawing commentary from Australia's Prime Minister Anthony Albanese.
But questions about the photo and the child's underlying medical condition have shone a light on the difficulty of gathering and telling stories inside the besieged Gaza Strip.
After the photo was published, an independent journalist said he had obtained hospital information that Muhammad had a serious genetic disorder that affected his health, and the use of the photo was misleading in representing the conditions in Gaza.
Separate media organisations also reported Muhammad had cerebral palsy, and some reporting suggested media that relied on his story wilfully omitted information about his underlying health conditions, to perpetuate a narrative around famine.
In an interview with the BBC, the boy's mother, Hedaya al-Muta, spoke of her son's medical history and their lack of access to medical and food aid.
A few days after the photo was published, The New York Times issued a clarification that the child in the photo had been diagnosed with a pre-existing health condition, saying "we have since learned new information from the hospital that treated him and his medical records."
Subsequently, ABC News spoke with the boy's mother, who confirmed her son has various health conditions but said he had rapidly lost weight and deteriorated due to a shortage of food.
The clarification does not change the fact that children in Gaza are malnourished and starving, as ABC reporters and countless others, including multitudes of human rights and aid groups, have documented during recent weeks.
It also reveals how Israel's blockade of food and medicine, as well as its destruction of essential health services, have compounded the situation inside Gaza.
Starvation and malnutrition are becoming more profound in Gaza. Images, like those of Muhammad, have become increasingly common in recent weeks.
Palestinian health authorities in Gaza have reported more than 140 deaths from starvation across Gaza, including more than 80 children.
The World Health Organization (WHO) said it has recorded 74 malnutrition-related deaths in 2025, with 63 occurring in July alone. This included 24 children under the age of five, a child over five, and 37 adults.
"Most of these people were declared dead on arrival at health facilities or died shortly after, their bodies showing clear signs of severe wasting," the WHO said in a statement on Monday.
"The crisis remains entirely preventable. Deliberate blocking and delay of large-scale food, health, and humanitarian aid has cost many lives."
On Tuesday, the United Nations-backed Integrated Food Security Phase Classification (IPC) issued an alert that corroborated almost everything humanitarian agencies had been saying for months.
"The worst-case scenario of famine is currently playing out in the Gaza Strip," it said.
From March until May, after the ceasefire collapsed, Israel blocked all aid from entering Gaza.
This past week, the WHO described the events inside the Palestinian enclave as "man-made starvation," which Israel has rejected.
For nearly two years, reports from the besieged territory have explained how medical care for the most vulnerable has nearly completely ceased.
The ABC has covered these cases in detail over that time.
Freelance journalists engaged by the ABC during the past two years have also conveyed their own struggles around securing access to food.
Israeli Prime Minister Benjamin Netanyahu continues to deny that there is starvation in Gaza.
But even his closest ally, United States President Donald Trump, acknowledges "real starvation" is hitting Gaza.
The freelance photographer behind the viral image, Ahmeed al-Arini, gathered the image for Turkish media outlet Anadolu Agency. It was then distributed to media organisations via the reputable photo wire service, Getty Images.
Ahmeed al-Arini explained to the BBC how he came across the boy and his family.
"He was with his mother in a tent, which is absolutely bare, bar a little oven. It resembles a tomb, really. And I took this photo because I wanted to show the rest of the world extreme hunger that babies and children are suffering from in the Gaza Strip," he said.
"He'd received no baby milk, no formula, no vitamins either."
Anadolu Agency also published an interview with Muhammad's doctor, Suzan Mohammed Marouf, a nutrition specialist at The Patient's Friends Benevolent Society Hospital (PFBS) in Gaza.
Dr Marouf said the child was brought to the hospital a month ago and diagnosed with moderate malnutrition on top of congenital health problems and muscle atrophy.
"The medical issues he had weren't significantly affecting his weight," Dr Marouf told the news organisation.
"But once the siege and the closure of crossings depleted hospitals' medicine stocks and nutritional supplements, Mohammad's condition deteriorated to acute malnutrition," she added.
ABC has also contacted Anadolu Agency, which has said Muhammad's mother has confirmed he has previous health complications, and she has also provided past photos of her son before his deterioration, which she says was from a shortage of food and milk.
Since the war started, Israel has blocked the access of international journalists into Gaza and continues to deny repeated requests to let foreign media in.
It means major news organisations, including the ABC, are reliant on the help of local Palestinian journalists, who themselves are suffering under nearly two years of war.
Recently, they have told ABC of their own struggles for survival and the crippling shortage of food in Gaza.
Repeated calls to allow foreign press into the Strip have been made since October 7. Amid the escalating humanitarian situation, those appeals to the Israeli government have grown louder in the past fortnight.
In a statement, ABC news director Justin Stevens said: "The ABC calls on Israel to again allow international journalists to report independently from Gaza, to allow all journalists to move in and out of Gaza, and to ensure journalists in Gaza are safe."
At least 186 journalists and media workers, mostly Palestinian, who have been gathering evidence of the war inside Gaza have been killed since October 7, according to the Committee for Protecting Journalists.
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ABC News
11 hours ago
- ABC News
Doctors in Gaza are treating children who may never recover from malnutrition
In clinics across Gaza, starving children are getting treatment, but they probably can't be saved. They lie on hospital beds, skeletal, wasted, many barely making a sound. Medical workers say that's what scares them most. CONTENT WARNING: This story contains images of sick children that may be distressing. "They're so exhausted, they're so sick, they're no longer able to cry," said Rachel Cummings, the humanitarian director for Save the Children in Gaza, describing a visit to one of the organisation's clinics last week. "It was nearly silent." Many of those children who can still speak are saying they want to die. "We have many children now in our child protection services saying that they wish to die [because] in heaven, in paradise, there is food, there is water," Ms Cummings said. Malnutrition deaths likely under-reported: doctor Many adults in Gaza are malnourished too, but the impact on children is worse. ( ABC News ) The horrifying truth, according to doctors in Gaza, is that many will soon get their wish. "All of the children who are currently malnourished will die," said Canadian doctor Tarek Loubani, the medical director of the healthcare organisation Glia, who is working in Gaza at the moment. "That is, unless there is an absolutely rapid and consistent reversal of what is happening. "However, let's be very realistic. Anybody who is malnourished right now will die." Children being treated at the Patient Friends Hospital, a specialist malnutrition treatment centre in Gaza. ( ABC News ) The number of malnutrition deaths in Gaza could be vastly under-reported, said Dr Loubani, who spoke at a recent press conference alongside multiple aid workers, including Ms Cummings. They don't include children with pre-existing medical conditions, even if those conditions are also exacerbated by the war, he said. "The figures are very, very conservative," he said. Aid organisations have said malnutrition cases are growing at an alarming rate. ( ABC News ) "The directive that we receive in the emergency [ward] is that we do not report any death that has a substantial — even primary — malnutrition component if there is any other comorbidity. "That is to say, the only deaths that are marked as malnutrition deaths are the ones where there is really well and truly nothing else going on but the malnutrition." He believes the official malnutrition death numbers could be just 10 per cent of the reality. 'It's not enough to save them' The medical term "malnutrition" masks the harshness of the situation. What's occurring in Gaza now — say doctors, aid workers and the people themselves — is starvation. Clinic workers say it's devastating to treat children, knowing they're unlikely to recover. ( ABC News ) In the Patient Friends Hospital, which hosts the main specialised malnutrition treatment centre in Gaza City, doctors can't do much to help. "Although a nutritional plan is attempted, there are no adequate supplies — there's simply nothing available to nourish the children," said Dr Fawaz Al Husseini, a paediatrician specialising in malnutrition. "In normal circumstances, infants might consume butter and milk at home. But here, even hospitalised children with severe malnutrition gain little weight due to the limited food available. "What little aid enters Gaza is grossly insufficient; it doesn't even begin to meet the children's needs." The red part of this tape indicates a child is suffering from acute malnutrition. ( ABC News ) Even for moderately malnourished Gazan children, the prospects are grim. The use of a simple, yet specialised, measuring device called a MUAC (Mid-Upper Arm Circumference) tape determines whether a child is healthy (green), moderately malnourished (orange) or suffering from acute malnutrition (red). The orange and red cases are given a paste from peanut, sugar and milk powder called "Plumpy'Nut" — a Nutella-inspired health supplement designed to treat malnutrition. But it's not enough to save them. Doctors say the most chilling thing about these clinics is the silence. ( ABC News ) "The treatment for moderate, the orange, is inadequate because there are no complementary foods. You can't survive on Plumpy'Nut alone," Ms Cummings said. "Children are just getting sicker and sicker, even though they're in a treatment program for malnutrition. "This is why we see this downward trajectory of child outcomes and that's why my team were so upset … because they know they're sending the children home [and] they will bounce back to the clinic in a worse state." More than two months of no food Israel blocked all food from entering Gaza from March 2 to May 21, saying it was trying to pressure the militant group Hamas to accept its ceasefire terms. It also tried to replace the comprehensive and extensive UN-led aid distribution system with a newly formed American contractor, the Gaza Humanitarian Foundation (GHF), which had never before delivered humanitarian relief. Palestinians seen carrying bags of aid in the northern Gaza Strip this week. ( Reuters: Mahmoud Issa ) Israel argued these changes were to stop Hamas diverting aid, something the UN and international relief agencies denied was occurring and for which a US government analysis found no evidence. The result of Israel's policy was widespread deprivation and desperation, culminating in an urgent declaration by the UN's Integrated Food Security Phase Classification group that most of Gaza had crossed famine thresholds. Hundreds of people were killed — likely by Israeli tank and gunfire — trying to get food from the limited aid points set up by the private contractor, which, by its own numbers, has never distributed enough food to come close to feeding Gaza's population. The few aid trucks that came through have been swarmed by desperate people, as seen in recent satellite vision. It was only when faced with global condemnation and pressure from its closest ally, the United States, that Israel allowed more trucks into Gaza. Over the past week, the UN said Israel also granted an increased number of requests from its agencies to pick up aid already sitting under Israeli military guard inside the strip. Israel also announced "tactical pauses" — basically agreeing not to bomb or attack certain areas with ground troops — so drivers can take goods to stricken populations. Some aid workers say the humanitarian situation has become a "survival of the fittest". ( Reuters: Mahmoud Issa ) It allowed several countries to parachute food into Gaza by plane, a practice condemned by many aid agencies as ineffective, dangerous and expensive. The United Nations said those measures have made little difference to the overall situation, with most of the trucks that did bring aid into the strip this week being looted. 'Cruel phase of war' Mohassen Shaaban says no aid has made it to her and her baby daughter. ( ABC News ) Palestinians seeking aid allege Israeli soldiers continue to shoot at and kill them and vulnerable people continue to miss out. Aid workers say the situation has devolved into a "survival of the fittest" and is failing to deliver food to people like Mohassen Shaaban, who is nursing her one-month-old daughter Rahaf in a tent in a camp in Gaza. "They keep promising aid but we haven't seen anything," she told the ABC. Mohassen Shaaban isn't getting enough food to even breastfeed baby Rahaf. ( ABC News ) Because most of the increased aid over the past week has been looted before making it to the agencies' warehouses, there has been no distribution to people like her. "We adults have nothing to eat — no food at all. So how can I feed her [baby Rahaf]? I can't find anything for her or for us," she said. "The situation is terrible for us — imagine what it's like for the children." Mohassen Shaaban and her baby daughter Rahaf are living in a camp. ( ABC News ) Ms Shaaban said she often boiled mint leaves in water to give to her daughter, in an attempt to stop her crying. "She needs milk. She needs a clean place to live. We all need milk and a clean, safe space," she said. "We need food — not just for the children, but for ourselves too, so we can breastfeed them. There are no nutrients. "This situation is driving me crazy. It's unbearable not being able to find anything to feed her." Damage from malnutrition 'not reversible' Aid organisations have said malnutrition centres are being overwhelmed by patients. ( ABC News ) Even if Gaza's malnourished children survive this cruel phase in the war, they will be forever marked by it. "Child malnutrition causes cognitive impairment, memory loss, and inflammation; impacting the child's developmental potential," said Fawaz Al Husseini, the paediatric malnutrition specialist. "It affects walking, memory, and vision — it impacts the entire body. In some cases, it even affects the kidneys; some children suffer kidney failure due to malnutrition." Doctors say the children they are treating are struggling to gain weight. ( ABC News ) Many adults in Gaza are malnourished too, but the impact on children is worse. The developmental damage is irreversible, said Rob Williams, the CEO of the War Child Alliance. "The process of development stops, the process of building a brain, of creating neurons that will establish cognitive ability, will stop," he said. "If you're a child at a vulnerable age for brain development … if that development stops, that is not reversible. "The trucks coming in now will do nothing to restore the injury that's been done to the brains and the physical development of children who have been acutely malnourished. "It's also true to say that hundreds of thousands of children have permanent damage — permanent physical and cognitive damage — from a deliberate policy of restricting the supply of food in Gaza." Some doctors say all of the chlidren who are currently malnourished, will die. ( ABC News ) The UN and other agencies say only a ceasefire and the unrestricted opening of Gaza's crossings to aid and commercial goods will solve the hunger crisis. "It's not just about how many trucks get to the barrier, it's how effectively they get to the population, and especially the vulnerable ones who can't fight for food as the trucks enter and who can't risk their lives going to the GHF," Mr Williams said. "The question that policymakers seem to be asking themselves is not 'How do you stop mass starvation in Gaza?' — the question they seem to be asking is 'How do we do something that will make it look like we're doing something?' Even if children recover from malnutrition, their development is likely to be permanently affected. ( ABC News ) "We are at the point in Gaza where anything that doesn't include a complete ceasefire, a complete opening of those walls, a complete opening of the perfectly competent aid system that was there before … anything less than is policymakers condemning tens of thousands of people to death."


SBS Australia
a day ago
- SBS Australia
'Constantly dizzy, exhausted': An SBS contributor in Gaza's daily struggle to feed his family
Father of four Rakan Abed El Rahman spends his days in Gaza searching for both food and news to share with the outside world. The 37-year-old journalist is a regular contributor and camera operator who assists with SBS news-gathering in Gaza amid an ongoing ban on international media. His day starts at the local market, where he says even the most basic foods are hard to find. "I've spent hours in the market looking for any kind of food, simple food ... the situation here is really, really difficult, and people cannot find anything to eat. "For days now, I have been looking for milk for my two-years-[old] baby and I haven't found it yet, which really, really breaks my heart that I'm not able to provide it." Abed El Rahman says cash is also hard to come by in Gaza and he only gets half the value of the money he electronically transfers to a merchant in exchange for local currency. Credit: Supplied What food can be found for his infant and other children — a 12-year-old daughter, and two sons aged eight and 11 — comes at a steep price. "One kilo of this tomato is about maybe 15 US dollars." Two out of three famine thresholds have been reached in the strip, according to the Integrated Food Security Phase Classification platform. 'A grave risk of famine' Officials from humanitarian groups like the UN Children's Agency, UNICEF, say the region "faces a grave risk of famine". According to UNICEF, "severe malnutrition is spreading among children faster than aid can reach them" in Gaza, citing data from the Palestinian Ministry of Health. At least 16 children under five have died from hunger-related causes since mid-July, while over 20,000 were treated in hospitals for acute malnutrition. Israeli officials deny that starvation is occurring in Gaza. Israeli officials have instead blamed either the United Nations' inefficiency or Hamas for aid not reaching people in areas it has claimed to control for much of the war, a claim that Hamas has denied. According to internal UN databases, since 19 May 2025 over 1,750 aid trucks have been intercepted "either peacefully by hungry people or forcefully by armed actors, during transit in Gaza". In response, Israel has installed the US-backed Gaza Health Foundation as the primary deliverer of aid in Gaza, which the UN had declined to work with, saying it distributes aid in ways that are inherently dangerous and violate humanitarian neutrality principles, contributing to the hunger crisis across the territory. More than 100 people were killed, and hundreds of others injured, along food convoy routes and near Israeli-militarised distribution hubs in the last two days of July, according to the UN. The GHF says nobody has been killed at its distribution points, and that it's doing a better job of protecting aid deliveries than the UN. The Israeli military has acknowledged that civilians have been harmed by its gunfire near distribution centres, and says its forces have now received better instructions. 'This is my daily meal' On the day of recording the video diary embedded above, Abed El Rahman found flour — something that isn't a regular occurrence, he says. The portions of flour are taken from a bag clearly marked with the World Food Programme logo, which Abed El Rahman believes was stolen from aid deliveries. He buys two kilograms of flour, a kilo and a half of eggplant and two plates of hummus. Whatever he's able to find at the market makes up the one daily meal he and his family eat. Abed El Rahman's family sits down to eat a simple dinner cooked over a wood fire. Credit: Supplied "This is my daily meal, it is just one meal, it costs me around 80 dollars," he says. "This is a heavy burden on me … and it's a privilege for me that I can buy it now, some days I cannot buy it because I don't have the cash to buy this." On those days, he says, the family goes to bed hungry. But he's grateful they still have a roof over their heads. In the first month of the war, an Israeli airstrike destroyed his neighbour's home and partially destroyed the second level of his home where his father had been staying, he says. "The rescue teams pulled out my father from under the rubble … lucky for me, me and my family were not here at home on that night." Sometimes though, hunger makes it hard for him to leave the house. "I am constantly dizzy, exhausted, [and] tired due to the lack of food. I approximately lost 15 kilograms in a short time. There are numerous days that I cannot go to work because of [a] lack of energy in my body." At home, Abed El Rahman prepares the meal with his 11-year-old son, who gathered scrap wood to make the fire on which they will cook as gas is no longer available in the strip. He's grateful that he's able to provide for his family — at least for today.


West Australian
2 days ago
- West Australian
New parliament, same old props for Anthony Albanese in ascendency
Midway through Question Time on Tuesday, Anthony Albanese received a yellow messenger envelope from which he extracted a slip of green plastic. Health Minister Mark Butler had already discreetly handed his own Medicare card to the Prime Minister minutes earlier. When Mr Albanese rose next, sure enough, he brandished the Medicare card that was never far from his hand during the election campaign. He was so wedded to the bit that, on the day he called the election, a staffer had to be dispatched to the Lodge to retrieve the green and gold card that had been forgotten on the early morning drive to visit the Governor-General. The reiteration of the familiar gesture during this first sitting of Parliament spoke to the Government's determination to focus attention on its delivery of election commitments. It wants to keep talking about what it's doing and sees the Opposition as irrelevant. The attitude shows as well in how Mr Albanese is approaching interacting with new Liberal leader Sussan Ley – or, rather, not interacting with her. He ignores her in the chamber and out of it. Even letters sent to his office go unanswered, where previously Peter Dutton's missives would at least be acknowledged. The Coalition meanwhile was determined to focus on the very topics Australians have just comprehensively shown they like Labor's approach to: health and energy. It didn't carry out any sustained test of brand new ministers Sam Rae (whose aged care portfolio has plenty that needs examining) or assistant Treasurer Daniel Mulino, baffling people on both sides of politics. The toughest questions came from the crossbenchers, like Kate Chaney asking why just 5 per cent of the National Reconstruction Fund had been spent, or Helen Haines wondering what was happening for the nearly 90,000 older Australians waiting an extra four months for the home-care packages they urgently need. Ms Ley and her inner circle jettisoned their planned QT strategy on the fly the day Mr Albanese produced the Medicare card to instead hammer the Prime Minister on the cost of seeing a doctor. Despite the boosted bulk-billing incentives promised during the election not kicking in until November, they asked repeated questions about why it wasn't free now to see a doctor. Coalition frontbencher Melissa McIntosh brandished her own Medicare card along with a credit card during Monday's question time, earning her an admonishment from Speaker Milton Dick: 'The member will not use props!' Mr Albanese, too, received a light rap on the knuckles – 'I'm sure the Prime Minister will look after that card carefully and will continue with his answer' – but it didn't prevent his gleeful grandstanding. He delivered a lesson in the old adage of campaigning in poetry and governing in prose – and fine print. How many Australians today were using their credit card to see the GP? 'Too many is the answer, which is why we want 90 per cent by 2030 to just use this little card here, this piece of green and gold plastic,' Mr Albanese said. Energy Minister Chris Bowen could barely contain his enthusiasm at being given multiple opportunities to point out the Coalition's ongoing rift over net zero and climate policy. After the WA Liberals' State council used the weekend between the sitting weeks to call on the party to dump net zero, Mr Bowen linked Andrew Hastie's leadership ambitions with his enthusiastic support for the moves and hit job on local leader Basil Zempilas. 'The West Australian Liberal Party state council voted against net zero, the Leader of the Opposition in WA came out and disassociated himself from that which earned him an attack from the member for Canning,' Mr Bowen told Parliament. 'The member for Canning will undermine any leader of the opposition that he can find. He's taking a practice run in Perth for what he intends to do in Canberra, sometime in the next 12 months as we all know.' Ali France, who won Dickson from Mr Dutton, asked the first and last questions of the fortnight. 'How has the Albanese Labor Government been pursuing its agenda this fortnight? And how does this compare to other approaches in Parliament?' she inquired on Thursday. 'The Opposition have certainly been pursuing their own agenda – or, should I say, agendas, because there's more than one over there: fighting publicly over whether climate change is real and over whether they support net zero,' Mr Albanese said, continuing with a jibe about 'a split screen showing a split party'. The Prime Minister cautioned his caucus colleagues this week against hubris, telling them Labor had to maintain its humility and sense of service and purpose to keep in voters' good books. That hasn't stopped him and his trusty Leader of the House Tony Burke from rubbing their opponents' noses in the new way of doing things. This is compounded by the depth of the Government's frontbench and ranks of rising talent, in contrast to a decimated and divided Coalition. It's like a grand final team running on against an under-14s side, one longtime political observer put it. From slashing staff to slashing questions and committee leadership positions, they're taking advantage of Labor's numbers in both chambers and control of the ways of Parliament to hinder the Opposition's work in ways that will barely register with the public at large. Take the last-minute stunt on Thursday afternoon, where Labor did a switcheroo on the private members' business for Parliament's return at the end of this month, coming good on a threat to allow Nationals renegade Barnaby Joyce all the time in the world to debate his legislation to repeal net zero. Labor also backed the Greens to set up an examination of 'information integrity on climate change and energy', which might have escaped notice had the Greens not belled the cat on it being an inquiry into conservative campaign outfit Advance. The broad sense from Liberals willing to give her a chance is that Ms Ley's first parliamentary test went OK. She didn't make a splash, but she is giving voters a reason to look again at the party. The fights over net zero and soul-searching about the party's membership and women should have happened three years ago, Liberals from both sides of the party's broad church say. It might be leading to some pain now, but better now than on the eve of an election. Same goes for contributions like that of Longman MP Terry Young, who told Parliament the 'ridiculous practice' of quotas caused more problems than they solved. 'Men tend to be more drawn to vocations that involve maths and physical exertion like construction and trades, whereas women in the main tend to be drawn to careers that involve women and care and other people,' he said. The response from most Liberals asked about it was to put their head in their hands. It was a particularly stark contrast after a week of first speeches from Labor's two dozen new MPs, most of them women and many from diverse backgrounds. They told varied and often emotional stories of what had brought them to Parliament. But the one uniting strand throughout the speeches was their genuinely heartfelt thanks to Mr Albanese — far more so than is typical. Again and again the new MPs thanked him for believing in them when no one else did, for campaigning in their seat despite many writing it off, for asking them to run in the first place. 'Advice given to us when preparing our first speech was that it wouldn't be a bad career move to put in a 'thank you' to the Prime Minister,' Rowan Holzberger, who won the Queensland seat of Forde, said. 'Of course, I want to thank him for his performance during the campaign … But I really want to thank him for being like a big brother.' Once the excitement of the new dynamics of Parliament wears off and the Prime Minister falls back into old habits, there is potential for his bulging 123-member caucus to grow restless and unruly. The deep and personal loyalty to a leader on display during these speeches shows Mr Albanese will have as firm a grip on his party room as he does his Medicare card.