Hunger is most acute in northern Gaza, which has been isolated by Israeli forces and has suffered long cutoffs of food supplies. At least 20 people have died from malnutrition and dehydration at the north’s Kamal Adwan and Shifa hospitals, according to the Health Ministry. Most of the dead are children — including ones as old as 15 — as well as a 72-year-old man.

At the Emirati Hospital in Rafah, 16 premature babies have died of malnutrition-related causes over the past five weeks, one of the senior doctors told The Associated Press.

Recent airdrops of aid by the U.S. and other countries provide far lower amounts of aid than truck deliveries, which have become rare and sometimes dangerous. UNRWA says Israeli authorities haven’t allowed it to deliver supplies to the north since Jan. 23. The World Food Organization, which had paused deliveries because of safety concerns, said the military forced its first convoy to the north in two weeks to turn back Tuesday.

At Emirati Hospital, Dr. Ahmed al-Shair, deputy head of the nursery unit, said the recent deaths of premature babies was rooted in malnutrition among mothers. Malnourishment and extreme stress are both factors causing premature, underweight births, and doctors say anecdotally cases have risen during the war, though the U.N. does not have statistics.

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    Diarrheal diseases, rampant in Gaza due to lack of clean water and sanitation, leave many unable to retain any of the calories they ingest, said Anuradha Narayan, a UNICEF child nutrition expert.

    Also, distribution within Gaza has been crippled, U.N. officials say convoys are regularly turned back by Israeli forces, the military often refuses safe passage amid fighting, and aid is snatched off trucks by hungry Palestinians on route to drop-off points.

    With alarm growing, Israel bent to U.S. and international pressure, saying this week it will open crossings for aid directly into northern Gaza and allow sea shipments.

    Most people eat a weed that crops up in empty lots, known as “khubaiza.” Fatima Shaheen, a 70-year-old who lives with her two sons and their children in northern Gaza, said boiled khubaiza is her main meal, and her family has also ground up food meant for rabbits to use as flour.

    He died due to extreme muscle wastage caused primarily by lack of food, according to Dr. Jabr al-Shair, head of the children’s emergency department at Abu Youssef Najjar Hospital.

    Aya al-Fayoume, a 19-year-old mother displaced to Rafah, had brought her 3-month-old daughter, Nisreen, who has lost vast amounts of weight over the winter months, sick with persistent diarrhea and vomiting.


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