(July 3, 2025)

Susan Maarouf, a nutritional expert at the Nutrition unit in the Patient Friend Benevolent Society hospital in Gaza City, supported by the organization MedGlobal, said that in June 2024 the hospital opened a dedicated department for children aged six months to and five years to manage cases of severe malnutrition.

“Back then, Gaza City and the North Gaza governorate were hit by malnutrition [as a result of the tight blockade]. But this year for us the situation began to drastically get worse again in April. Since then, out of approximately 200-250 children we have screened daily for malnutrition. Nearly 15% showed signs associated with severe or moderate malnutrition,” she said.

In the worst cases visible signs include pale skin, falling hair and nails, and alarming weight loss. She expressed the profound helplessness of offering nutritional advice amid severe shortages of food, with fruit, vegetables and eggs only available at exorbitant prices, if at all: “In an ideal world, I would recommend the parents to provide the child with nutritious food, rich with protein. I would advise that they maintain a hygienic environment for their children; I would stress the importance of clean water… In our situation… any recommendation you give … sometimes you feel like you are rubbing salt into these parents’ wounds.”

Dr. Maarouf described the relentless cycle of malnutrition stating that in some cases children were re-hospitalized after being discharged:

“We treated one little girl, aged six, for nutritional edema, she had severe protein deficiency when she came in early May; with the treatment we gave her she showed signs of improvement, including gaining weight, becoming livelier… unfortunately she was recently admitted again because her condition relapsed. Like most families in Gaza, her family is displaced; they live in a tent; they have to rely on the lentil or rice they get from the community kitchen. It’s a cycle. With no aid getting in, you feel like as a hospital you only patch up the wound but eventually it will burst again.”

Doctors have also warned that the lives of newborn babies are at risk amid acute shortages of baby formula milk, especially for children with lactose-intolerance or other allergies.

One doctor said: “There is a milk crisis in Gaza overall. Also, we notice that new mothers, because they themselves are not eating properly or because of the panic, trauma and anxiety, are unable to breastfeed. So, to secure baby formula at all is a struggle. But if your child has allergies, it’s almost impossible to find special formula in any of Gaza’s hospitals for infants the failure to secure special baby formula can be a death sentence.”

At Nasser hospital in Khan Younis in the southern Gaza Strip, Dr. Wafaa Abu Nimer confirmed the dire situation, reporting that by 30 June 2025, 9 children were still being treated for malnutrition-related complications at her facility alone. She described the scenes they have witnessed over the past two months as “really unprecedented” with severe cases of nutritional edema or marasmus, muscle wasting. She also said that some are additionally suffering from injuries due to explosions from which they have not recovered.

Dr. Abu Nimer said that since Israel’s new aid distribution scheme began there has been no signs of improvement in the situation with hundreds of children screened for malnutrition on a daily basis in their pediatric emergency room. Mass displacement orders issued to the Khan Younis governorate in May made Nasser hospital out of reach for thousands of displaced families.

Dr. Abu Nimer described to Amnesty how the impact on children extends beyond the physical. “One girl whose hair fell out almost completely as a result of nutritional edema, kept asking me ‘doctor, will my hair grow again? Am I [still] beautiful?’ Abu Nimer said. “Even if these children recover completely, the scars will always remain with them. Medically we know that malnutrition amongst infants and small children may have long-term cognitive and developmental effects, but I don’t think enough attention is being given to the mental health and psychological impact [of starvation and war] on children and parents.”

She also conveyed the exhaustion felt by medical staff: “We as doctors are also exhausted, we are malnourished ourselves, most of us are also displaced and live in tents, yet we do our best to offer medical care, provide nutrient supplements and as much support as we can. We try to save lives, we try to alleviate the suffering, but there is very little we can do after discharge.”