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'Worst-case scenario of famine' is happening in Gaza, food crisis experts warn

'Worst-case scenario of famine' is happening in Gaza, food crisis experts warn

Yahoo3 days ago
APTOPIX Mideast Wars Dying of Hunger
TEL AVIV, Israel (AP) — The 'worst-case scenario of famine is currently playing out in the Gaza Strip,' the leading international authority on food crises said in a new alert Tuesday, predicting 'widespread death' without immediate action.
The alert, still short of a formal famine declaration, follows an outcry over images of emaciated children in Gaza and reports of dozens of hunger-related deaths after nearly 22 months of war. International pressure led Israel over the weekend to announce measures, including daily humanitarian pauses in fighting in parts of Gaza and airdrops. The U.N. and Palestinians on the ground say little has changed, and desperate crowds continue to overwhelm delivery trucks before they reach their destinations.
The Integrated Food Security Phase Classification, or IPC, said Gaza has teetered on the brink of famine for two years, but recent developments have 'dramatically worsened' the situation, including 'increasingly stringent blockades' by Israel.
A formal famine declaration, which is rare, requires the kind of data that the lack of access to Gaza, and mobility within, has largely denied. The IPC has only declared famine a few times — in Somalia in 2011, South Sudan in 2017 and 2020, and parts of Sudan's western Darfur region last year.
But independent experts say they don't need a formal declaration to know what they're seeing in Gaza.
'Just as a family physician can often diagnose a patient she's familiar with based on visible symptoms without having to send samples to the lab and wait for results, so too we can interpret Gaza's symptoms. This is famine,' Alex de Waal, author of 'Mass Starvation: The History and Future of Famine' and executive director of the World Peace Foundation, told The Associated Press.
What it takes to declare famine
An area is classified as in famine when all three of the following conditions are confirmed:
At least 20% of households have an extreme lack of food, or are essentially starving. At least 30% of children six months to 5 years old suffer from acute malnutrition or wasting, meaning they're too thin for their height. And at least two people or four children under 5 per 10,000 are dying daily due to starvation or the interaction of malnutrition and disease.
The report is based on available information through July 25 and says the crisis has reached 'an alarming and deadly turning point.' It says data indicate that famine thresholds have been reached for food consumption in most of Gaza — at its lowest level since the war began — and for acute malnutrition in Gaza City. The report says nearly 17 out of every 100 children under the age of 5 in Gaza City are acutely malnourished.
Mounting evidence shows 'widespread starvation.' Essential health and other services have collapsed. One in three people in Gaza is going without food for days at a time, according to the World Food Program. Hospitals report a rapid increase in hunger-related deaths in children under 5. Gaza's population of over 2 million has been squeezed into increasingly tiny areas of the devastated territory.
'This is not a warning. It is a reality unfolding before our eyes,' U.N. secretary-general Antonio Guterres said in a statement on the new report, adding that the 'trickle of aid must become an ocean.'
More deaths to come
The IPC alert calls for immediate and large-scale action and warns: 'Failure to act now will result in widespread death in much of the strip.'
Humanitarian workers agreed.
'If we don't have the conditions to react to this mass starvation, we will see this exponential rise," said Rachael Cummings, humanitarian director for Save the Children International, based in Gaza. "So we will see thousands and potentially tens of thousands of people die in Gaza. That is preventable.' She described children digging through trash piles outside their office, looking for food.
Anything less than a ceasefire and a return to the U.N.-led aid system in place before Israel's blockade in early March 'is policymakers condemning tens of thousands of people in Gaza to death, starvation and disease,' said Rob Williams, CEO for War Child Alliance.
'All of the children who are currently malnourished will die. That is, unless there's an absolutely rapid and consistent reversal of what is happening," said Dr. Tarek Loubani, medical director for Glia, based in Gaza.
'Open every border crossing'
Israel has restricted aid to varying degrees throughout the war. In March, it cut off the entry of all goods, including fuel, food and medicine, to pressure Hamas to free hostages.
Israel eased those restrictions in May but also pushed ahead with a new U.S.-backed aid delivery system that has been wracked by chaos and violence. The traditional, U.N.-led aid providers say deliveries have been hampered by Israeli military restrictions and incidents of looting, while criminals and hungry crowds swarm entering convoys.
While Israel says there's no limit on how many aid trucks can enter Gaza, U.N. agencies and aid groups say even the latest humanitarian measures are not enough to counter the worsening starvation.
'The fastest and most effective way to save lives right now is to open every border crossing,' Tjada D'Oyen McKenna, head of Mercy Corps. the international relief agency, said in a statement Tuesday. Aid groups call the airdrops ineffective and dangerous, saying they deliver less aid than trucks.
Israeli Prime Minister Benjamin Netanyahu has said no one is starving in Gaza and that Israel has supplied enough aid throughout the war, 'otherwise, there would be no Gazans.'
Israel's closest ally now appears to disagree. 'Those children look very hungry,' President Donald Trump said Monday.
___
Anna reported from Lowville, New York. Associated Press writer Fatma Khaled in Cairo contributed.
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How is starvation treated?
How is starvation treated?

NBC News

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  • NBC News

How is starvation treated?

As deaths from starvation in the Gaza Strip continue to rise, experts say there's no easy way out of the crisis due to the medical complexity of treating severe malnutrition. More than 160 people — at least 90 of them children — have died of malnutrition since the war began, according to Gaza's Health Ministry. The world's leading body on hunger, the Integrated Food Security Phase Classification (IPC), says that nearly all of Gaza is suffering a food security crisis or worse, and more than half of the population is in the 'emergency' or 'catastrophe' phase of starvation — which means recovering isn't as simple as giving starving people food. Rather, giving food to people experiencing such an extreme degree of starvation could kill them, experts say. 'If you do what the body wants to do, which is to just drink and eat as much as possible the minute you see food, you can actually create these permanent imbalances that can cause things like heart failure or organ damage, because the body had to adapt to get to that starvation mode,' NBC News medical contributor Dr. Kavita Patel, an internal medicine doctor, said. At the most severe stages of starvation, even giving a person water can push their body into failure, Patel said. What happens to the body when it's starving? Humans can generally go without any food or water for several days because the body finds a way to adapt in order to survive. First by feeding off of so-called glycogen stores — a starchy substance from carbohydrates that's stored in the liver and muscles. The body stores about 1,700 to 2,200 calories' worth of energy as glycogen. 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The more vulnerable parts of the population are likely to suffer the most. 'Children — specifically infants — pregnant women, the elderly and people with certain kinds of chronic illness are the risk groups that we need to pay special attention to,' said Dr. Irwin Redlener, a clinical professor of pediatrics at the Albert Einstein College of Medicine in New York City. How is starvation treated? Patel said a good analogy to giving food to a starving person is a downpour after a drought. The land desperately needs water, but because it's so dry it repels water instead of absorbing it, leading to flash flooding. 'Refeeding' after starvation needs to be managed clinically and by medical professionals. 'When a person has reached a state of starvation, the body undergoes extreme metabolic changes,' she said. 'Giving too much food — or the wrong kind — too quickly can trigger a dangerous shift in fluids and electrolytes known as refeeding syndrome, which can be fatal if not carefully managed.' 'A bag of flour — some of the only food aid that has gotten in recently — won't save anyone because it has none of the essential nutrients,' said Dr. Nour Alamassi, a doctor and the medical team lead for Project HOPE, an international nongovernmental organization focused on global health and humanitarian aid. 'Too many carbs can actually be life-threatening for anyone with Severe Acute Malnourishment (SAM), and even for the average person in Gaza who has not had a regular diet in many months, it is very difficult to digest,' Alamassi, who is caring for children and pregnant women in Gaza, wrote in an email. Ideally, doctors told NBC News, there would be enough medical staff to monitor the refeeding process for each person for a period stretching from weeks to even months. Children would be stabilized with fortified milks, which contain the nutrients that a malnourished child needs, and something called ready-to-use therapeutic foods (RUTF), which are energy-dense, easy to digest and carefully balanced in the nutrients children need to start to recover. Doctors would draw blood to monitor sodium and potassium levels — if these electrolytes are too low or too high, it can be deadly. But the situation on the ground in Gaza is far from ideal. There are not enough doctors, not enough supplies and not the right supplies, experts say. 'The aid blockade has prevented us from accessing the medications and nutrition supplies that are necessary to treat these people,' Alamassi said. 'We recently ran out of High Energy Biscuits (HEB) in our clinics, which really limits our ability to help patients. We hope to get more in the coming days, but each day without these supplies can make a major difference for a patient's outcome.' What are the long-term effects of starvation? Even if refeeding is successful, people who survive starvation can experience physical and psychological effects for the rest of their lives, experts said. The damage, especially for young and very old victims, is permanent. In children, malnutrition can cause delays in both physical and cognitive development. Physically, they're more likely to have weakened immune systems, leading to a harder time recovering from infections. Malnourished children are also more likely to experience stunted growth, which can affect their height, muscle mass and bone density and even delay puberty, experts said. Cognitively, children can suffer from permanent brain damage due to iron and zinc deficiencies, affecting their ability to learn and problem solve. Alamassi said the hunger crisis in Gaza is affecting 'an entire generation of children who will suffer lifelong consequences.'The recovery of adults from very severe malnutrition is not only possible, but likely, Redlener said. 'If it's done right, most adults, unless they're really at a terminal stage of undernutrition, the refeeding will result in restoration of everything — a far different story than the ability for a young child with prolonged malnutrition, where it's often impossible to get a full recovery,' he said. Patel said even people with a history of malnutrition are monitored over years to make sure their bodies are functioning properly. 'As they age and develop, different parts of the body pull on memories of that nutrition depletion,' she said. 'So the question we all have to ask ourselves is, how long are we going to be able to do this without having adequate support on the ground?'

Researchers forecast what Trump's bill will mean for patients: Debt and delayed care
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Boston Globe

time10 hours ago

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Researchers forecast what Trump's bill will mean for patients: Debt and delayed care

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PHOTO ESSAY: Starvation attacks the bodies of these children in Gaza
PHOTO ESSAY: Starvation attacks the bodies of these children in Gaza

Hamilton Spectator

time12 hours ago

  • Hamilton Spectator

PHOTO ESSAY: Starvation attacks the bodies of these children in Gaza

GAZA CITY, Gaza Strip (AP) — In some tents and shelters in northern Gaza, emaciated children are held in their parents' arms. Their tiny arms and legs dangle limp. Their shoulder blades and ribs stick out from skeletal bodies slowly consuming themselves for lack of food. Starvation always stalks the most vulnerable first. Kids with preexisting conditions, like cerebral palsy, waste away quickly because the high-calorie foods they need have run out, along with nutritional supplements. But after months of Israeli blockade and turmoil in the distribution of supplies , children in Gaza with no previous conditions are also starting to die from malnutrition, aid workers and doctors say. Over the past month, 25 children have died of malnutrition-related causes, according to the Gaza Health Ministry, though it's not known how many had other conditions. The ministry, part of the Hamas-run government, is staffed by medical professionals and its figures on war deaths are seen by the U.N. and other experts as the most reliable estimate of casualties. Salem Awad was born in January with no medical problems, the youngest of six children, his mother Hiyam Awad said. But she was too weak from lack of food to breastfeed him. For the first two months of Salem's life, there was a ceasefire in Gaza, and more aid entered, but even then it was hard to find milk for him, his mother said. In March, Israel cut off all food from entering the territory for more than 2 1/2 months. Since then, Salem has been wasting away. Now he weighs 4 kilograms (9 pounds), his mother said. 'He just keeps losing weight. At the hospital, they say if he doesn't get milk, he could die,' she said, speaking in the family's tent in Gaza City. Israel has been allowing a trickle of aid into Gaza since late May. 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Mosab's mother, Shahinaz al-Dibs, said the boy was healthy before the war, but that since he was wounded, his weight has fallen from 40 kilograms to less than 10 (88 to 22 pounds) At his bedside, she moves his spindly arms to exercise them. The networks of tiny blue veins are visible through the nearly transparent skin over his protruding ribs. The boy's eyes dart around, but he doesn't respond. His mother puts some bread soaked in water — the only food she can afford — into a large syringe and squirts it into his mouth in a vain attempt to feed him. Most of it dribbles out from his lips. What he needs is a nutrient formula suitable for tube feeding that the hospital doesn't have, Salha said. At a school-turned-shelter for displaced people in Gaza City, Samah Matar cradles her son Yousef as his little brother Amir lies on a cushion beside her — both of them emaciated. The two boys have cerebral palsy and also need a special diet. 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