
No Meals, Fainting Nurses, Dwindling Baby Formula: Starvation Haunts Gaza Hospitals
And at least three major hospitals lack the nutritional fluids needed to properly treat malnourished children and adults.
Those scenes were described in interviews starting Friday with seven doctors — four from Gaza, and three volunteers from Australia, Britain and the United States. All of them worked this past week in four of the territory's main hospitals.
After months of warnings, international agencies, experts and doctors say starvation is now sweeping across Gaza amid restrictions on aid imposed by Israel for months. At least 56 Palestinians died this month of starvation in the territory, nearly half of the total such deaths since the war began 22 months ago, according to data released on Saturday by the Gaza Health Ministry.
As starvation rises, medical institutions and staff, already struggling to treat war wounds and illness, are now grappling with rising cases of malnourishment.
Weak and dizzy, medics are passing out in the wards, where colleagues revive them with saline and glucose drips. Persistently short of basic tools such as antibiotics and painkillers, doctors are also running out of the special intravenous drips used to feed depleted patients.
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Washington Post
4 hours ago
- Washington Post
Famine unfolding across Gaza, says global hunger monitor
BEIRUT — Famine is 'playing out' across Gaza, the world's leading hunger monitor said Tuesday, in its strongest warning yet on the rapidly growing starvation crisis, as images of emaciated children shock the world and there is growing international criticism of Israel's war tactics. The enclave, which has long been reliant on aid as a heavy Israeli and Egyptian blockade took its toll, has been teetering on the edge of famine for two years of conflict, the report from the Integrated Food Security Phase Classification said. The situation has 'worsened dramatically' in recent months, with food consumption at its lowest level since the conflict between Israel and Hamas began. 'The worst-case scenario of famine is currently playing out in the Gaza Strip,' the IPC alert read. The IPC, a panel developed by the U.N.'s Food and Agriculture Organization, can formally declare a famine only after the completion of a full analysis, which is underway. 'Mounting evidence shows that widespread starvation, malnutrition, and disease are driving a rise in hunger-related deaths,' it said. 'Latest data indicates that Famine thresholds have been reached for food consumption in most of the Gaza Strip and for acute malnutrition in Gaza City.' In recent days, Israeli Prime Minister Benjamin Netanyahu has repeatedly denied that there is any starvation in Gaza, describing it as a 'bold-faced lie.' But images, data verified by the globe's leading food crisis monitor, countless warnings by the United Nations and aid agencies, and hundreds of interviews with Palestinian civilians and doctors, show otherwise. At least 147 people have died of malnutrition, according to Gaza's Health Ministry, including 88 children. The number is almost twice as high as it was a month earlier. On Sunday, amid growing international pressure and a domestic political window, Israel said it would ease some of the restrictions in place on allowing aid for the Gazan population — more trucks would be able to enter, secure corridors for their movement would be created, and fighting would pause for 10 hours per day in three major population centers to help with distribution. U.N. officials welcomed the shift in Israeli policy, but they warned that if it is only enacted for one week, as Israeli military officials told them it would be, it would not be enough to reverse the tide of starvation-related deaths. Publicly, the military said the tactical pauses and increased aid into Gaza would last 'until further notice.' But three days in, it is not immediately clear how much of an impact the increased flow of aid into Gaza is having. The Coordination of Government Activities in the Territories (COGAT), the branch of the Israeli military that handles civil affairs in the occupied territories, said that on Monday they allowed 200 trucks to be collected and distributed, 20 pallets of aid to be dropped from the sky and the entry of four fuel tankers. Desperation, though, is so high that convoys have been mobbed by hungry Palestinians and it is not clear how much of the aid has made it to organized distribution areas. The U.N. World Food Program said Tuesday that despite Israel's shift in policy, it is still not being allowed to get the necessary volumes of humanitarian aid into Gaza. 'We have not gotten the authorization, the permission to move in the volumes that we've requested,' Ross Smith, a senior regional program adviser at WFP said at a briefing in Geneva. An area is classified as in famine when it meets three conditions, the IPC explained: at least one in three children must be acutely malnourished; one in five people must be suffering extreme food shortages; and two in every 10,000 people must die daily from starvation or malnutrition and disease. Based on the latest data, which is as of July 25, two famine thresholds have been passed, the IPC said. The Israeli government did not immediately comment on the findings. Between May and July, the proportion of households experiencing extreme hunger has doubled, the alert said. In most areas of the Gaza Strip, the level of food consumption has passed the threshold for famine, it added, and in Gaza City, the threshold has been passed for the number of malnourished children. The Famine Review Committee, an independent body that vets IPC findings, endorsed the alert and said that while 'an extreme lack of humanitarian access' hinders data collection in Gaza, that it is 'clear from available evidence that starvation, malnutrition, and mortality are rapidly accelerating.'


Medscape
4 hours ago
- Medscape
Doctors' End-of-Life Choices Break the Norm
A new survey revealed that most doctors would decline aggressive treatments, such as cardiopulmonary resuscitation (CPR), ventilation, or tube feeding for themselves if faced with advanced cancer or Alzheimer's disease, choosing instead symptom relief and, in many cases, assisted dying. 'Globally, people are living longer than they were 50 years ago. However, higher rates of chronic disease and extended illness trajectories have made end-of-life care the need for improved end-of-life care an issue of growing clinical and societal importance,' the authors, led by Sarah Mroz, PhD, a doctoral researcher with the End‑of‑Life Care Research Group at Vrije Universiteit Brussel and Ghent University, based in Brussels and Ghent, Belgium, wrote. Physicians play a critical role in initiating and conducting conversations about end-of-life care with patients, whose deaths are often preceded by decisions regarding end-of-life practices. These decisions may include choosing to forgo life-prolonging therapies or opting for treatments that could hasten death. Such choices have a significant impact on individuals, families, and the healthcare system. 'Since physicians have a significant influence on patients' end-of-life care, it is important to better understand their personal perspectives on such care and its associated ethical implications. However, existing studies on physicians' preferences for end-of-life practices are outdated and/or focus on a narrow range of end-of-life practices. Additionally, knowledge on whether physicians would consider assisted dying for themselves is limited, and no international comparative studies have been conducted,' the authors wrote. To address this gap, the researchers conducted a cross-sectional survey of 1157 physicians, including general practitioners, palliative care specialists, and other clinicians from Belgium, Italy, Canada, the US, and Australia. Physician Choices Physicians were surveyed regarding their end-of-life care preferences in cases of advanced cancer and end-stage Alzheimer's disease. Over 90% preferred symptom-relief medication, and more than 95% declined CPR, mechanical ventilation, or tube feeding. Only 0.5% would choose CPR for cancer and 0.2% for Alzheimer's disease. Around 50%-54% supported euthanasia in both cases. Support for euthanasia varied by country, from 80.8% in Belgium to 37.9% in Italy for cancer and from 67.4% in Belgium to 37.4% in Georgia, US, for Alzheimer's disease. 'Physicians practicing in jurisdictions where both euthanasia and physician-assisted suicide are legal were more likely to consider euthanasia a (very) good option for both cancer (OR [odds ratio], 3.1) and Alzheimer's disease (OR, 1.9),' the researchers noted. The results show how laws and culture shape end-of-life choices. Practice Gap The article highlights a striking disconnect: While most doctors would refuse aggressive interventions for themselves at the end of life, such treatments are still commonly administered to patients. What explains this gap? 'The gap between doctors' preference for comfort-focused care for themselves and the aggressive treatments they often provide to patients highlights a deeper conflict between personal understanding and professional obligation,' said Andrea Bovero, psychologist at the University Hospital Città della Salute e della Scienza and faculty member in the Department of Neurosciences at the University of Turin, both in Turin, Italy, in an interview with Univadis Italy , a Medscape Network platform. Physicians, he explained, understand the limits of medical interventions and their real impact on quality of life due to their training and experience. 'When they become patients themselves or must make decisions for loved ones, they tend to choose less invasive options — prioritizing quality of life over simply extending it,' he added. However, the situation changes when treating patients. Doctors operate within a system that rewards intervention, action, and a 'fight the disease' mindset — often under pressure from families who want every possible option pursued and from the fear of appearing negligent to the patient. 'There's also the fear of legal consequences,' Bovero said. 'This drives a defensive approach to medicine, where taking action feels safer than choosing not to intervene.' According to Bovero, who was not involved in the study, bridging the gap between what doctors would choose for themselves and what they offer their patients requires a broader rethinking of the healthcare system. 'We need new cultural models, medical education that centers on the individual and the ethics of boundaries, and a healthcare system that prioritizes listening and support,' he said. Rethinking the Role of Death Deeper cultural factors influence the choice of end-of-life care. 'In many Western societies, death is still seen as a failure — even in medicine,' Bovero said. This mindset, he explained, contributes to the avoidance of honest conversations about dying and a preference for treatments that delay or deny death. As a result, physicians are often caught between what they know is clinically appropriate and what social or institutional norms they are expected to follow. 'Regulatory frameworks play a major role in defining what is considered possible or acceptable in end-of-life care,' Bovero said. He emphasized that clear, shared laws on practices, such as deep palliative sedation or euthanasia, could give physicians greater freedom to express and follow care decisions focused on patient comfort and relief. 'In countries where the law explicitly supports patients' rights to palliative care, informed consent, and advance directives, physicians are better positioned to align care with patient values,' Bovero noted. For example, Italy's legislation ensures access to palliative care and upholds the right to refuse treatment or plan future care, which promotes dignity and autonomy at the end of life. Individualized Care Good care doesn't always mean curative treatment; it often means focusing on quality of life,' Bovero said. He noted that this mindset becomes evident when healthcare professionals, as patients, opt for palliative care. However, he cautioned that physicians' personal preferences shouldn't be applied as a universal standard, because 'every patient has unique values, priorities, experiences, and goals that must be acknowledged and respected.' Placing the individual at the center of care is fundamental. Bovero emphasized that good clinical practice involves tailoring medical knowledge, evidence, and even a clinician's personal insights into the specific needs of each patient. Good communication between doctors and patients is key to providing thoughtful care to patients. From the beginning, there should be open, honest discussions between healthcare providers, patients, and families. It is not enough to list treatment options; doctors need to understand what truly matters to the patient, including their fears, desires, and values. This kind of communication requires time, empathy, and real listening qualities that are often overlooked in health systems prioritizing efficiency and technical fixes. 'When doctors and patients connect not only on a medical level but also around personal meaning and existential priorities, care becomes truly personalized,' Bovero said. His research, published in the Journal of Health Psychology , highlights the importance of addressing patients' spiritual needs and encouraging providers to reflect on their own spirituality to improve support for people at the end of life.


CBS News
4 hours ago
- CBS News
"Worst-case scenario of famine unfolding" in Gaza Strip, food security experts say
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. The international pressure led Israel over the weekend to announce measures, including daily humanitarian pauses in fighting in parts of Gaza and airdrops. The United Nations and Palestinians on the ground say little has changed, and desperate crowds continue to overwhelm and unload delivery trucks before they can 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. "Mounting evidence shows that widespread starvation, malnutrition, and disease are driving a rise in hunger-related deaths. Latest data indicates that Famine thresholds have been reached for food consumption in most of the Gaza Strip and for acute malnutrition in Gaza City," the IPC said. "Immediate action must be taken to end the hostilities and allow for unimpeded, large-scale, life-saving humanitarian response. This is the only path to stopping further deaths and catastrophic human suffering." A formal famine declaration, which is rare, requires the kind of data that the lack of access to Gaza and mobility within it have 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. 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," the IPC 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. The IPC's latest analysis in May warned that Gaza will likely fall into famine if Israel doesn't lift its blockade and stop its military campaign. Its new alert calls for immediate and large-scale action and warns: "Failure to act now will result in widespread death in much of the strip." 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. In a statement Monday, Doctors Without Borders called the new 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 military on Monday criticized what it calls "false claims of deliberate starvation in Gaza." Israel's closest ally now appears to disagree. "Those children look very hungry," President Donald Trump said Monday of the images from Gaza in recent Ott contributed to this report.