News - Middle East: The UN Children’s Fund (UNICEF) called on Thursday for the international community to do everything possible to prevent catastrophe in Gaza City as Israel ramps up military operations ahead of a planned full takeover. 

Tess Ingram, Communication Manager for UNICEF’s Middle East and North Africa Regional Office, recently spent nine days there, describing it as “a city of fear, flight and funerals.”   

Only 44 out of 92 UNICEF-supported outpatient nutrition treatment centres are still functional, which means thousands of malnourished children lack access to these critical lifelines.

Meanwhile, hospitals “are on their knees”.  Only 11 are still partly functioning and only five have neonatal intensive care units, or NICUs.

“The 40 incubators between them are running at up to 200 per cent capacity, meaning there are as many as 80 babies fighting for life in overcrowded machines, utterly dependent on generators and medical supplies that may run dry at any moment,” she said.

‘Small bodies shredded by shrapnel’

In Gaza City, Ms. Ingram met displaced families on the run once again, children who have been separated from their parents, and mothers whose children either died from starvation or who fear their offspring will be next.

“I’ve spoken to kids in hospital beds, their small bodies shredded by shrapnel,” she said.  “The unthinkable is not looming. It is already here. The escalation is underway.”

Famine is ‘everywhere’ in Gaza City

Famine was “everywhere I looked in Gaza City”, she said. “Just an hour in a nutrition clinic is enough to erase any questions about whether there is a famine,” she added.

At these clinics, waiting rooms are filled with tearful parents, “children fighting the double punch of disease and malnutrition”, mothers unable to breastfeed, and “babies losing their vision, their hair and their strength to walk.”

Like elsewhere in the enclave, whole families are surviving on one bowl of lentils or rice a day from community kitchens.  Parents often go without so that their children can have something to eat.

Malnutrition numbers rising

UNICEF is seeking $716 million this year for its response in Gaza, where needs are immense and childhood malnutrition continues to rise. In February, just over 2,000 youngsters were admitted for treatment.  In July, the number climbed to 13,000 and by mid-August had already reached 7,200.

The agency continues to call on Israel to review its rules of engagement to ensure that children are protected, and for Hamas and other armed groups to release all remaining hostages, Ms. Ingram said.

She underlined the need for Israel to allow sufficient aid to enter, while humanitarians must be able to safely reach families where they are.

Her final plea was for the international community, especially States and stakeholders with influence, to use their leverage to end the war now: “because the cost of inaction will be measured in the lives of children buried in the rubble, wasted by hunger and silenced before they even had a chance to speak.”