WARNING: Distressing content
Anwar Abdul Nabi perches on the edge of a bed at the Kamal Adwan Hospital in northern Gaza. Her eyes are sunken with grief.
The young mother tenderly holds the fingers of her daughter, Mila. Just minutes ago, the three-year-old girl died of starvation.
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“My daughter was taken into to God’s mercy because of the lack of calcium, potassium and oxygen,” Nabi told CNN as she cried into the arms of an elderly relative.
“Suddenly, everything dropped, because she was not eating anything with iron, or eggs. She used to eat eggs every day before the war. Now nothing. She passed away.”
As Israel’s severe restrictions on aid entering the Gaza Strip drain essential supplies, displaced Palestinians said they are struggling to feed their children.
Starving mothers are unable to produce enough milk to breastfeed their babies, doctors say, while parents arrive at overwhelmed health facilities begging for infant formula.
In northern Gaza, people rush to grab aid from infrequent humanitarian drops.
Health workers say they cannot offer life-saving treatment to malnourished Gazans because Israel’s bombardment and siege has crushed the medical system.
Gaza’s Ministry of Health on Tuesday said that, since the beginning of the war, 364 health workers had been killed; 269 medical staff arrested; 155 health facilities “destroyed”; and 155 ambulances “targeted”.
Israel launched its military offensive in Gaza after the militant group Hamas killed at least 1,200 people and kidnapped more than 250 others in southern Israel on October 7.
Since then, Israel’s attacks on Gaza have killed at least 30,717 Palestinians and wounded another 72,156 people, according to the Ministry of Health in the enclave, while its siege has drastically diminished vital supplies and left the enclave’s population of some 2.2 million people exposed to high levels of acute food insecurity or worse.
At least 20 Palestinians have starved to death in Gaza, Ministry of Health spokesperson Dr Ashraf Al-Qudra said.
The youngest baby who died of starvation in the enclave was just one day old, according to Kamal Adwan hospital director Dr Hussam Abu Safiya.
The true number could be even higher, as limited access to northern Gaza has hindered aid agencies’ ability to fully assess the situation there.
UN experts accused Israel of “intentionally starving” Palestinians in Gaza, but Israel insists there is “no limit” on the amount of aid that can enter Gaza.
Israel’s inspection regime on aid trucks has meant only a tiny fraction of the amount of food and other supplies that used to enter Gaza daily before the war is getting in now.
Children, mothers at risk
One-year-old Watin, in northern Gaza, has grown tired and weak from dehydration. Instead of drinking baby formula, she is surviving on one to two dates a day.
“She is only taking one meal,” said her father, Ikhlas Shehadeh, who struggles to scavenge enough food to feed his baby girl.
“She spent a long time without any milk. This child is suffering from the inability to move.
“We do not know what to do.”
The babies of thousands of women “who are due to give birth in the next month in the Gaza Strip are at risk of dying,” the UNICEF State of Palestine Humanitarian Situation report said on Tuesday.
At least 5,500 pregnant women “do not have access to prenatal or postnatal check-ups because of bombings and need to flee for safety,” the report said.
“Anxiety is also leading to premature births,” the report added, citing the United Nations Population Fund (UNPF.)
The report also said more than 90 per cent of children aged 6 months to 23 months, along with pregnant or breastfeeding women, “face severe food poverty with access to two or fewer food groups per day”.
Food shortages are reportedly the worst in northern Gaza, where Israel concentrated its military offensive in the early days of the war.
Screenings at health facilities there have previously found at least one in six children under the age of two are acutely malnourished, WHO representative for the territory, Richard Peeperkorn, said.
He warned those figures are “likely to be greater today”.
Dr Muhammad Salha, acting director of Al-Awda Hospital, in northern Gaza, said medical workers are treating cases of dehydration, gastroenteritis, and hepatitis among women and children.
“There are babies who died in their mothers’ wombs, and surgeries were performed to remove the dead foetuses,” he said.
“Mothers are not eating because of the conditions we are living in, and this affects the infants … There are causes of many children suffering from dehydration and malnutrition, leading to death.”
Israel’s bombardment has forcibly displaced at least 1.7 million Palestinians, according to the UN’s Office for the Coordination of Humanitarian Affairs.
Many of those who fled the fighting are crammed into overwhelmed shelters without basic sanitation, leading to the spread of infections.
Malnourished children, especially those with severe malnutrition, are at greater risk of dying from illnesses such as diarrhoea and pneumonia, according to the World Health Organisation.
Another doctor in northern Gaza, Ahmad Salem, said patients in intensive care and neonatal units were dying from malnutrition and a lack of oxygen, which are difficult to administer amid fuel shortages.
“We suffer from starvation of mothers,” the medical worker in the Kamal Adwan Hospital said.
“We cannot find an alternative to mother’s milk, which leads to the death of those children.”
‘We have become like dogs’
Footage obtained by CNN shows scores of desperate civilians clambering over each other to grab ration packs from aid drops in northern Gaza.
On Tuesday, the United Arab Emirates and Egypt confirmed they sent 42 tons of medical supplies and food via airplanes in the region.
The US military said it had, alongside the Royal Jordanian Air Force, parachuted more than 36,800 meals into northern Gaza that day.
But human rights groups criticised the drops as inefficient and a degrading way of getting aid to Gazans, urging Israeli authorities to lift controls on land crossings into the enclave.
Medical Aid for Palestinians CEO Melanie Ward urged Israel to “immediately open all crossings into Gaza for aid workers to assist those in need”.
“Only safe and unfettered access for aid and aid workers, the lifting of the siege, and an immediate ceasefire can end starvation in Gaza,” she said.
Even when aid does make it into the strip, collecting it can be dangerous.
Israeli forces opened fire on people waiting for aid on Monday in northern Gaza, eyewitnesses told CNN, in an incident that took place shortly before midnight at the Kuwait Roundabout on Rasheed St in Gaza City.
CNN has reached out to the Israel Defence Forces (IDF) for comment.
Last Thursday, at least 118 people were killed while trying to access food aid in Gaza City in one of the worst single tragedies of the war so far.
Palestinian health officials said Israeli troops had used live fire as hungry and desperate Palestinian civilians were gathering around food trucks, with Palestinian ambassador to the United Nations Riyad Mansour referring to the incident as an “outrageous massacre”.
The Israeli military said it first opened fire with warning shots for crowd control, before firing on “looters” who came toward them.
Most of the dead were killed by ramming as aid truck drivers tried to escape the gunfire and chaos, eyewitnesses and the IDF both said.
Faraj Abu Naji, whose sister gave birth to twin girls a week ago, managed to obtain just three cartons of milk for his newborn nieces in an aid drop in northern Gaza.
He said he injured his foot while trying to buy flour along Al-Rashid St.
“We thank God that there is humanitarian aid being dropped from Jordanian and Emirati planes,” he said.
“I try as much as possible to obtain milk from the planes that drop aid so that we can provide milk for my nieces for as long as possible.
“Planes are dropping aid on northern Gaza, and we have become like dogs, running after a bone.”
