
The crisis is Gaza is only growing. Here's what to know
JERUSALEM (AP) — The crisis in Gaza has reached one of its darkest periods, as Israel blocks all food and supplies from entering the territory and continues an intensifying bombardment campaign.
Humanitarian officials caution that famine threatens to engulf the strip. Doctors say they are out of medicine to treat routine conditions.
Israeli leaders are threatening an even more intense ground offensive. The military is preparing for a new organization with U.S. backing to take over aid delivery, despite alarms raised from humanitarian groups that the plans won't meet the massive need and could place restrictions on those eligible. It's unclear when operations would begin or who would fund them.
'This is the deadliest and most destructive phase of Israel's war on Gaza, yet the world has turned away,' said Bushra Khalidi, policy lead for Israel and the occupied Palestinian territory at the humanitarian nonprofit Oxfam. 'After 19 months of horror, Gaza has become a place where international law is suspended, and humanity is abandoned.'
Here's what to know about the state of affairs in Gaza.
Casualties soar from increased Israeli bombardment
Israel ended a six-week ceasefire in mid-March and resumed its attacks in Gaza, saying military pressure against Hamas was the best way to push the militant group into freeing more hostages. But ceasefire talks remain deadlocked, and scores of civilians have been killed in Israeli airstrikes.
On Friday, Israeli airstrikes killed 108 — raising the death toll over the past three days to more than 200 Palestinians. Those numbers come from the Palestinian Health Ministry, a body directed by the Hamas government that does not distinguish between civilians and combatants.
The strikes — often at night, as people sleep in their tents — have directly targeted hospitals, schools, medical clinics, mosques, a Thai restaurant-turned shelter. The European Hospital, the only remaining facility providing cancer treatments in Gaza, was put out of service.
Israel says it targets only militants and accuses Hamas of using civilians as human shields.
But the death toll has reached the same level of intensity as the earliest days of the war, when Israel pounded Gaza with airstrikes in the aftermath of the Oct. 7, 2023, Hamas attack, said Emily Tripp, executive director of Airwars, an independent group in London that tracks recent conflicts.
She says preliminary data indicate the number of incidents where at least one person was killed or injured by Israeli fire hovered around 700 in April. It's a figure comparable only to October or December 2023 — one of the heaviest periods of bombardment.
In the last 10 days of March, UNICEF estimates that an average of 100 children were killed or maimed by Israeli airstrikes every day.
Almost 3,000 of the estimated 53,000 dead since Oct. 7, 2023, have been killed since Israel broke the ceasefire on March 18, the ministry said.
Among those killed in recent days:
A volunteer pharmacist with the Palestine Children's Relief Fund, killed with her family in a strike on Gaza City on May 4.
A midwife from Al Awda Health and Community Association, killed with her family in another strike on May 7.
A journalist working for Qatari television network Al Araby TV, along with 11 members of his family.
Motaz Al-Bayyok, age 1. His older brother, Yusuf, 11, screamed as a shroud was parted to expose young Motaz's face.
Israeli officials threaten new ground operation
Israel shows no sign of slowing its operation in Gaza.
Prime Minister Benjamin Netanyahu promised this week to use even more force against Hamas, against the objections of families of hostages begging him to agree to a deal instead.
An Israeli official said the strikes Friday were preparatory actions for a larger operation, intended to send a message to Hamas that it will begin soon if there isn't an agreement to release hostages. The official was not authorized to brief media and spoke on condition of anonymity.
The war began when Hamas-led militants killed 1,200 people in an Oct. 7, 2023, intrusion into southern Israel. Hamas still holds 58 of the roughly 250 hostages it took during its attack, with 23 believed to still be alive, although Israeli authorities have expressed concern for the status of three.
No food has entered Gaza for 75 days, and Palestinians go hungry
Israel has blocked food, water and supplies from reaching Gaza — where the U.N. says the entire population is reliant on aid — for more than two months. Most community kitchens have shut down. The main food providers inside Gaza — the U.N.'s World Food Program and World Central Kitchen — say they are out of food. Vegetables and meat are inaccessible or unaffordable. Palestinians queue for hours for a small scoop of rice.
Food security experts said in a stark warning Monday that Gaza would likely fall into famine if Israel doesn't lift its blockade and stop its military campaign,
Nearly half a million Palestinians face possible starvation — living in 'catastrophic' levels of hunger — and 1 million others can barely get enough food, according to the Integrated Food Security Phase Classification, a leading international authority on the severity of hunger crises.
Israel is preparing south Gaza for a new aid program
Satellite photos obtained by The Associated Press show what appear to be Israeli preparations for a new aid distribution program in Gaza, one that has come under heavy criticism from aid workers.
Satellite photos from May 10 show four bases in southern Gaza — two that are newly built in the last month and two that have been enhanced.
One, at the southwestern corner of Gaza, has been fortified with new walls. A new road connects the base to a sandy expanse of newly bulldozed land.
Another base, in the center of Gaza, appears to have been fortified with new defensive sand berms. Adjacent is a newly bulldozed lot.
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The photos appear to correspond to a new aid distribution program being developed by a new group supported by the U.S.
The Gaza Humanitarian Foundation — made up of American security contractors, former government officials, ex-military officers and humanitarian officials — says it would initially set up four distribution sites, guarded by private security firms. Each would serve 300,000 people, covering only about half of Gaza's population.
The GHF proposal said subcontractors will use armored vehicles to transport supplies from the Gaza border to distribution sites, where they will also provide security. It said the aim is to deter criminal gangs or militants from redirecting aid.
___
Sam Mednick contributed from Tel Aviv.

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Winnipeg Free Press
8 hours ago
- Winnipeg Free Press
Takeaways from AP's report on the business interests of Trump's surgeon general pick
PROVIDENCE, R.I. (AP) — President Donald Trump's pick to be U.S. surgeon general has repeatedly said the nation's medical and food systems are corrupted by special interests and people out to make a profit at the expense of Americans' health. Yet as Dr. Casey Means has criticized scientists, medical schools and regulators for taking money from the food and pharmaceutical industries, she has promoted dozens of products in ways that put money in her own pocket. The Associated Press found Means, who has carved out a niche in the wellness industry, set up deals with an array of businesses. In some cases, she promoted companies in which she was an investor or adviser without consistently disclosing the connection, the AP found. Means, 37, has said she recommends products that she has personally vetted and uses herself. Still, experts said her business entanglements raise concerns about conflicting interests for an aspiring surgeon general, a role responsible for giving Americans the best scientific information on how to improve their health. Here are some takeaways from the AP's reporting. Growing an audience, and selling products Means, 37, earned her medical degree from Stanford University, but she dropped out of her residency program in 2018, and her license to practice is inactive. She said she saw firsthand how 'broken and exploitative the healthcare system is' and turned to alternative approaches to address what she has described as widespread metabolic dysfunction driven largely by poor nutrition and an overabundance of ultra-processed foods. She co-founded Levels, a nutrition, sleep and exercise-tracking app that can also give users insights from blood tests and continuous glucose monitors. The company charges $199 per year for an app subscription and an additional $184 per month for glucose monitors. Though scientists debate whether continuous glucose monitors are beneficial for people without diabetes, U.S. Health Secretary Robert F. Kennedy Jr. has promoted their use as a precursor to making certain weight-loss drugs available to patients. With more than 825,000 followers on Instagram and a newsletter that she has said reached 200,000 subscribers, Means has a direct line to an audience interested in health, nutrition and wellness. Many companies, including Amazon, have affiliate marketing programs in which people with substantial social media followings can sign up to receive a percentage of sales or some other benefit when someone clicks through and buys a product using a special individualized link or code shared by the influencer. Means has used such links to promote various products sold on Amazon. Among them are books, including the one she co-wrote, 'Good Energy'; beauty products; cardamom-flavored dental floss; organic jojoba oil; sunglasses; a sleep mask; a silk pillowcase; fitness and sleep trackers; protein powder and supplements. She also has shared links to products sold by other companies that included 'affiliate' or 'partner' coding. The products include an AI-powered sleep system and the prepared food company Daily Harvest, for which she curated a 'metabolic health collection.' On a 'My Faves' page that was taken down from her website shortly after Trump picked her, Means wrote that some links 'are affiliate links and I make a small percentage if you buy something after clicking them.' It's not clear how much money Means has earned from her affiliate marketing, partnerships and other agreements. Daily Harvest did not return messages seeking comment, and Means said she could not comment on the record during the confirmation process. Disclosing conflicts Influencers who endorse products in exchange for something of value are required by the the Federal Trade Commission to disclose it every time. But most consumers still don't realize that a personality recommending a product might make money if people click through and buy, said University of Minnesota professor Christopher Terry. While Means did disclose some relationships like newsletter sponsors, the AP found she wasn't consistent. For example, a 'Clean Personal & Home Care Product Recommendations' guide she links to from her website contains two dozen affiliate or partner links and no disclosure that she could profit from any sales. Means has said she invested in Function Health, which provides subscription-based lab testing for $500 annually. Of the more than a dozen online posts the AP found in which Means mentioned Function Health, more than half did not disclose she had any affiliation with the company. Though the 'About' page on her website discloses the affiliation, that's not enough, experts said. She is required to disclose any material connection she has to a company any time she promotes it. Representatives for Function Health did not return messages seeking comment. While the disclosure requirements are rarely enforced by the FTC, Means should have been informing her readers of any connections regardless of whether she was violating any laws, said Olivier Sylvain, a Fordham Law School professor, previously a senior advisor to the FTC chair. 'What you want in a surgeon general, presumably, is someone who you trust to talk about tobacco, about social media, about caffeinated alcoholic beverages, things that present problems in public health,' Sylvain said, adding, 'Should there be any doubt about claims you make about products?' Potential conflicts pose new ethical questions Past surgeons general have faced questions about their financial entanglements, prompting them to divest from certain stocks or recuse themselves from matters involving their business relationships for a period of time. Means hasn't yet gone through a Senate confirmation hearing and has not yet announced the ethical commitments she will make for the role. Emily Hund, author of 'The Influencer Industry: The Quest for Authenticity on Social Media,' said as influencer marketing becomes more common, it is raising more ethical questions — like what past influencers who enter government should do to avoid the appearance of a conflict. 'This is like a learning moment in the evolution of our democracy,' Hund said. 'Is this a runaway train that we just have to get on and ride, or is this something that we want to go differently?' ___ Swenson reported from New York.


Winnipeg Free Press
8 hours ago
- Winnipeg Free Press
Trump's surgeon general pick criticizes others' conflicts but profits from wellness product sales
PROVIDENCE, R.I. (AP) — President Donald Trump's pick to be the next U.S. surgeon general has repeatedly said the nation's medical, health and food systems are corrupted by special interests and people out to make a profit at the expense of Americans' health. Yet as Dr. Casey Means has criticized scientists, medical schools and regulators for taking money from the food and pharmaceutical industries, she has promoted dozens of health and wellness products — including specialty basil seed supplements, a blood testing service and a prepared meal delivery service — in ways that put money in her own pocket. A review by The Associated Press found Means, who has carved out a niche in the wellness industry, set up deals with an array of businesses. In her newsletter, on her social media accounts, on her website, in her book and during podcast appearances, the entrepreneur and influencer has at times failed to disclose that she could profit or benefit in other ways from sales of products she recommends. In some cases, she promoted companies in which she was an investor or adviser without consistently disclosing the connection, the AP found. Means, 37, has said she recommends products that she has personally vetted and uses herself. She is far from the only online creator who doesn't always follow federal transparency rules that require influencers to disclose when they have a 'material connection' to a product they promote. Still, legal and ethics experts said those business entanglements raise concerns about conflicting interests for an aspiring surgeon general, a role responsible for giving Americans the best scientific information on how to improve their health. 'I fear that she will be cultivating her next employers and her next sponsors or business partners while in office,' said Jeff Hauser, executive director of the Revolving Door Project, a progressive ethics watchdog monitoring executive branch appointees. The nomination, which comes amid a whirlwind of Trump administration actions to dismantle the government's public integrity guardrails, also has raised questions about whether Levels, a company Means co-founded that sells subscriptions for devices that continuously monitor users' glucose levels, could benefit from this administration's health guidance and policy. Though scientists debate whether continuous glucose monitors are beneficial for people without diabetes, U.S. Health Secretary Robert F. Kennedy Jr. has promoted their use as a precursor to making certain weight-loss drugs available to patients. The aspiring presidential appointee has built her own brand in part by criticizing doctors, scientists and government officials for being 'bought off' or 'corrupt' because of ties to industry. Means' use of affiliate marketing and other methods of making money from her recommendations for supplements, medical tests and other health and dietary products raise questions about the extent to which she is influenced by a different set of special interests: those of the wellness industry. A compelling origin story Means earned her medical degree from Stanford University, but she dropped out of her residency program in Oregon in 2018, and her license to practice is inactive. She has grown her public profile in part with a compelling origin story that seeks to explain why she left her residency and conventional medicine. 'During my training as a surgeon, I saw how broken and exploitative the healthcare system is and left to focus on how to keep people out of the operating room,' she wrote on her website. Means turned to alternative approaches to address what she has described as widespread metabolic dysfunction driven largely by poor nutrition and an overabundance of ultra-processed foods. She co-founded Levels, a nutrition, sleep and exercise-tracking app that can also give users insights from blood tests and continuous glucose monitors. The company charges $199 per year for an app subscription and an additional $184 per month for glucose monitors. Means has argued that the medical system is incentivized not to look at the root causes of illness but instead to maintain profits by keeping patients sick and coming back for more prescription drugs and procedures. 'At the highest level of our medical institutions, there are conflicts of interest and corruption that are actually making the science that we're getting not as accurate and not as clean as we'd want it,' she said on Megyn Kelly's podcast last year. But even as Means decries the influence of money on science and medicine, she has made her own deals with business interests. During the same Megyn Kelly podcast, Means mentioned a frozen prepared food brand, Daily Harvest. She promoted that brand in a book she published last year. What she didn't mention in either instance: Means had a business relationship with Daily Harvest. Growing an audience, and selling products Influencer marketing has expanded beyond the beauty, fashion and travel sectors to 'encompass more and more of our lives,' said Emily Hund, author of 'The Influencer Industry: The Quest for Authenticity on Social Media.' With more than 825,000 followers on Instagram and a newsletter that she has said reached 200,000 subscribers, Means has a direct line into the social media feeds and inboxes of an audience interested in health, nutrition and wellness. Affiliate marketing, brand partnerships and similar business arrangements are growing more popular as social media becomes increasingly lucrative for influencers, especially among younger generations. Companies might provide a payment, free or discounted products or other benefits to the influencer in exchange for a post or a mention. But most consumers still don't realize that a personality recommending a product might make money if people click through and buy, said University of Minnesota professor Christopher Terry. 'A lot of people watch those influencers, and they take what those influencers say as gospel,' said Terry, who teaches media advertising and internet law. Even his own students don't understand that influencers might stand to benefit from sales of the products they endorse, he added. Many companies, including Amazon, have affiliate marketing programs in which people with substantial social media followings can sign up to receive a percentage of sales or some other benefit when someone clicks through and buys a product using a special individualized link or code shared by the influencer. Means has used such links to promote various products sold on Amazon. Among them are books, including the one she co-wrote, 'Good Energy'; a walking pad; soap; body oil; hair products; cardamom-flavored dental floss; organic jojoba oil; a razor set; reusable kitchen products; sunglasses; a sleep mask; a silk pillowcase; fitness and sleep trackers; protein powder and supplements. She also has shared links to products sold by other companies that included 'affiliate' or 'partner' coding, indicating she has a business relationship with the companies. The products include an AI-powered sleep system and Daily Harvest, for which she curated a 'metabolic health collection.' On a 'My Faves' page that was taken down from her website shortly after Trump picked her, Means wrote that some links 'are affiliate links and I make a small percentage if you buy something after clicking them.' It's not clear how much money Means has earned from her affiliate marketing, partnerships and other agreements. Daily Harvest did not return messages seeking comment, and Means said she could not comment on the record during the confirmation process. Disclosing conflicts Means has raised concerns that scientists, regulators and doctors are swayed by the influence of industry, oftentimes pointing to public disclosures of their connections. In January, she told the Kristin Cavallari podcast 'Let's Be Honest' that 'relationships are influential.' 'There's huge money, huge money going to fund scientists from industry,' Means said. 'We know that when industry funds papers, it does skew outcomes.' In November, on a podcast run by a beauty products brand, Primally Pure, she said it was 'insanity' to have people connected to the processed food industry involved in writing food guidelines, adding, 'We need unbiased people writing our guidelines that aren't getting their mortgage paid by a food company.' On the same podcast, she acknowledged supplement companies sponsor her newsletter, adding, 'I do understand how it's messy.' Influencers who endorse or promote products in exchange for payment or something else of value are required by the Federal Trade Commission to make a clear and conspicuous disclosure of any business, family or personal relationship. While Means did provide disclosures about newsletter sponsors, the AP found in other cases Means did not always tell her audience when she had a connection to the companies she promoted. For example, a 'Clean Personal & Home Care Product Recommendations' guide she links to from her website contains two dozen affiliate or partner links and no disclosure that she could profit from any sales. Means has said she invested in Function Health, which provides subscription-based lab testing for $500 annually. Of the more than a dozen online posts the AP found in which Means mentioned Function Health, more than half did not disclose she had any affiliation with the company. Means also listed the supplement company Zen Basil as a company for which she was an 'Investor and/or Advisor.' The AP found posts on Instagram, X and on Facebook where Means promoted its products without disclosing the relationship. Though the 'About' page on her website discloses an affiliation with both companies, that's not enough, experts said. She is required to disclose any material connection she has to a company anytime she promotes it. Representatives for Function Health did not return messages seeking comment through their website and executives' LinkedIn profiles. Zen Basil's founder, Shakira Niazi, did not answer questions about Means' business relationship with the company or her disclosures of it. She said the two had known each other for about four years and called Means' advice 'transformational,' saying her teachings reversed Niazi's prediabetes and other ailments. 'I am proud to sponsor her newsletter through my company,' Niazi said in an email. While the disclosure requirements are rarely enforced by the FTC, Means should have been informing her readers of any connections regardless of whether she was violating any laws, said Olivier Sylvain, a Fordham Law School professor who was previously a senior adviser to the FTC chair. 'What you want in a surgeon general, presumably, is someone who you trust to talk about tobacco, about social media, about caffeinated alcoholic beverages, things that present problems in public health,' Sylvain said, adding, 'Should there be any doubt about claims you make about products?' Potential conflicts pose new ethical questions Means isn't the first surgeon general nominee whose financial entanglements have raised eyebrows. Jerome Adams, who served as surgeon general from 2017 to 2021, filed federal disclosure forms that showed he invested in several health technology, insurance and pharmaceutical companies before taking the job — among them Pfizer, Mylan and UnitedHealth Group. He also invested in the food and drink giant Nestle. He divested those stocks when he was confirmed for the role and pledged that he and his immediate family would not acquire financial interest in certain industries regulated by the Food and Drug Administration. Vivek Murthy, who served as surgeon general twice, under Presidents Barack Obama and Joe Biden, made more than $2 million in COVID-19-related speaking and consulting fees from Carnival, Netflix, Estee Lauder and Airbnb between holding those positions. He pledged to recuse himself from matters involving those parties for a period of time. Means has not yet gone through a Senate confirmation hearing and has not yet announced the ethical commitments she will make for the role. Hund said that as influencer marketing becomes more common, it is raising more ethical questions, such as what past influencers who enter government should do to avoid the appearance of a conflict. Other administration officials, including Homeland Security Secretary Kristi Noem and Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz, have also promoted companies on social media without disclosing their financial ties. 'This is like a learning moment in the evolution of our democracy,' Hund said. 'Is this a runaway train that we just have to get on and ride, or is this something that we want to go differently?' ___ Swenson reported from New York.


CTV News
10 hours ago
- CTV News
Netanyahu says Israel has ‘activated' some Palestinian clans opposed to Hamas
The sun sets as smoke from Israeli bombardment billows over buildings in the northern Gaza Strip, seen from southern Israel, Thursday, June 5, 2025. (AP Photo/Maya Alleruzzo) JERUSALEM — Israeli Prime Minister Benjamin Netanyahu said Thursday that Israel has 'activated' some clans of Palestinians in Gaza that are opposed to Hamas, though it was not immediately clear what role they would play. His comments on social media were the first public acknowledgment of Israel's backing of armed Palestinian groups within Gaza, based around powerful clans or extended families. Such clans often wield some control in corners of Gaza, and some have had clashes or tensions with Hamas in the past. Palestinians and aid workers have accused clans of carrying out criminal attacks and stealing aid from trucks. Several clans have issued public statements rejecting cooperation with the Israelis or denouncing looting. An Israeli official said that one group that Netanyahu was referring to was the so-called Popular Forces, led by Yasser Abu Shabab, a local clan leader in Gaza's southernmost city, Rafah. The official spoke on condition of anonymity because they were not authorized to talk to the media. In recent weeks, the Abu Shabab group announced online that its fighters were helping protect shipments to the new, Israeli-backed food distribution centers run by the Gaza Humanitarian Foundation in the Rafah area. But some Palestinians say the group has also been involved in attacking and looting aid convoys. Netanyahu did not specify what support Israel was giving to the clans, or what specifically their role would be. His announcement came hours after a political opponent criticized him for arming unofficial groups of Palestinians in Gaza. In a video posted to his X account, Netanyahu said the government made the move on the advice of 'security officials,' in order to save lives of Israeli soldiers. Though it was known in southern Gaza throughout the war, the Abu Shabab group emerged publicly the past month, posting pictures of its armed members, with helmets, flak jackets and automatic weapons. It declared itself a 'nationalist force' protecting aid. The Abu Shabab family renounced Yasser over his connections with the Israeli military in a recent statement, saying he and anyone who joined his group 'are no longer linked' to the family. The group's media office said in response to emailed questions from the Associated Press that it operates in Israeli military-controlled areas for a 'purely humanitarian' reason. It described its ties with the Israel military as 'humanitarian communication to facilitate the introduction of aid and ensure that it is not intercepted.' 'We are not proxies for anyone,' it said. 'We have not received any military or logistical support from any foreign party.' It said it has 'secured the surroundings' of GHF centers in Rafah but was not involved in distribution of food. It rejected accusations that the group had looted aid, calling them 'exaggerations' and part of a 'smear campaign.' But it also said, 'our popular forces led by Yasser Abu Shabab only took the minimum amount of food and water necessary to secure their elements in the field,' without elaborating how, and from whom, they took the aid. Abu Shabab and around 100 fighters have been active in eastern parts of Rafah and Khan Younis, areas under Israeli military control, according to Nahed Sheheiber, head of the private transportation union in Gaza that provides trucks and drivers for aid groups. He said they used to attack aid trucks driving on a military-designated route leading from the Kerem Shalom crossing with Israel, the main entry point for aid. 'Our trucks were attacked many times by the Abu Shabab gang and the occupation forces stood idle. They did nothing,' Sheheiber said, referring to the Israeli military, 'The one who has looted aid is now the one who protects aid,' he said sarcastically. An aid worker in Gaza said humanitarian groups tried last year to negotiate with Abu Shabab and other influential families to end their looting of convoys. Though they agreed, they soon reverted to hijacking trucks, the aid worker said, speaking on condition of anonymity because he was not authorized to talk the media. The aid worker said he saw Abu Shabab's men operating in Israeli-controlled areas near the military-held Morag Corridor in southern Gaza in late May. They were wearing new uniforms and carried what appeared to be new weapons, he said. Jonathan Whittall, head of the U.N. humanitarian office OCHA for the occupied Palestinian territory, said Thursday that 'criminal gangs operating under the watch of Israeli forces near Kerem Shalom would systematically attack and loot aid convoys. .... These gangs have by far been the biggest cause of aid loss in Gaza.' The war between Israel and Hamas erupted on Oct. 7, 2023, when Hamas-linked militants stormed into southern Israel, killing some 1,200 people and taking 251 others hostage. Israel responded with an offensive that has decimated Gaza, displaced nearly all of its 2.3 million people and caused a humanitarian crisis that has left the territory on the brink of famine. Gaza's Health Ministry says over 54,000 Palestinians have been killed, more than half of them women and children. The ministry, which is led by medical professionals but reports to the Hamas-run government, does not distinguish between civilians and combatants in its tally. Hamas is still holding 56 hostages. Around a third are believed to be alive, though many fear they are in grave danger the longer the war goes on. ___ Magdy reported from Cairo. Julia Frankel, Samy Magdy And Sam Mednick, The Associated Press