Tag: malnutrition

Gaza Humanitarian Food Aid – A Report by Senators Van Hollen & Merkley

A detailed report by U.S. Senators Chris Van Hollen (Maryland) and Jeff Merkley (Oregon) resulting from a fact-finding CODEL mission to Israel, Gaza’s border, the West Bank, Jordan, and Egypt is a review of their observations of destruction and forced displacement.  (Van Hollen, Merkley Report Following  2025 CODEL to Gaza Border, Israel, West Bank, Jordan, and Egypt, released Sept 11, 2025)

The two Senators begin their report observing that “In Israel, we met with families whose loved ones were taken hostage during Hamas’s heinous terrorist attack on Israel on October 7, 2023. We also returned to Kfar Aza, an Israeli kibbutz near the border with Gaza that we had previously visited in the summer of 2023. What we remembered as a vibrant community had become the site of one of the worst massacres on October 7th, with 80 people killed and 19 taken hostage.”

The Senators assert that U.S. complicity and international inaction have enabled a humanitarian crisis as a form of collective punishment against Palestinians. The Senators’ analysis is that collective punishment has replaced Israel’s initial military goal of defeating Hamas, extending suffering to the civilian population through the destruction of homes, hospitals, schools, and essential services: 92% of homes, 92% of schools, 94% of hospitals, and 86% of water/sanitation facilities have been destroyed or rendered unusable.

The report argues that Israel’s strategy combines the systematic devastation of Gaza’s civilian infrastructure—over 90% of homes, schools, hospitals, and water systems destroyed—with the weaponization of food and aid to render Gaza uninhabitable.

The authors observe that over 87% of Gaza’s territory is under military zones or evacuation orders, especially Gaza City where food access is minimal.

The Senators reference warnings of famine and that 132,000 children under five are at risk of food insecurity. NGOs reported instances of “starvation ketoacidosis”, an indication of weight loss.  As a result of patchy distribution of aid, northern Gaza appears to have more children who are malnourished than southern Gaza.

1.9 million people (90% of Gaza’s population) have been displaced, many multiple times.

Much of the Senators’ report is about the tight delivery of limited aid from outside Gaza.  Israel’s rejection of UNRWA’s role in aid delivery left 6,000 trucks of food and medicine warehoused and at risk of expiry.   They criticize Israel’s restrictions on entry points, permitting only Kerem Shalom and Zikim to operate irregularly, while Rafah remains closed.   The Jordan Corridor and Egypt aid crossing routes face high rejection rates (e.g., 68% for Egypt in August 2025), delaying non-food essentials like shelter and medicine, which disproportionately affect displaced families and the elderly ahead of winter.

Meanwhile, new customs and screening rules at Ashdod Port and along the Jordan Corridor drastically slowed aid shipments, reducing throughput to less than 10% of capacity.  Drawing on interviews with the World Food Programme (WFP):  “We were told by WFP officials that following the resumption of aid delivery to Gaza after the blockade was lifted, the Israeli government changed its screening practices and customs policies, resulting in the deliberate and unnecessary slowdown of the flow of food into Gaza.  WFP is only able to screen between 20 to 30 containers a day, whereas before these new requirements were put in place, they were able to screen over a hundred a day. The new screening procedures take about 3 to 5 hours per container, and they must physically check each pallet inside the container before the whole container is cleared.”

The authors expressed concern that new lead aid agency, the Gaza Humanitarian Foundation (GHF), operates only four distribution sites, primarily in southern Gaza Established on May 26, 2025, amid the blockade’s end, the GHF replaced the UN’s extensive network with just four sites (three in southern Gaza, none in the north), leading to deadly chaos. Over 1,300 Palestinians have reportedly been killed near these sites amid chaotic food distributions.  Doctors Without Borders (MSF) called this “orchestrated killing,” with 1,380 casualties (including 174 gunshot wounds to women and children) treated at nearby clinics over seven weeks.

Van Hollen and Merkley write that the current method of aid distribution has devolved into “the rule of the strongest,” where only the most physically able individuals can access assistance.

Israeli authorities have not protected humanitarian convoys from settler attacks, while bureaucratic barriers, including arbitrary “security concerns” and banned “dual-use” lists—further impede deliveries. Items such as water filters, tents, and even peanut butter have been prohibited. The report notes that there are “two sets of laws” for aid delivery at the Kerem Shalom crossing, with GHF trucks having access to a paved, orderly loading platform while UN trucks must use uneven dirt and gravel, making their cargo less secure.  Further, they report, “One of the major problems since the start of the war in Gaza has been that the Israeli government has never published, nor provided to humanitarian organizations, a definitive list of what items are permitted or prohibited. Humanitarian groups we met with on the ground stressed that this lack of transparency has created enormous uncertainty and delays.”

Report Recommendations

The Senators call for:

  •     An immediate ceasefire by both warring factions and hostage release by Hamas.
  •     Unrestricted humanitarian access, including increasing the crossings in Kerem Shalom, Zikim, Kissufim, Gate 96, Rafah. They recommend aid agencies flood Gaza with sufficient humanitarian assistance to restore orderly distributions and lower prices, urgently address shelter needs before winter, and focus on protecting vulnerable populations.
  •     Protection of aid workers and journalists, working inside Gaza. Allow international journalists unfettered access to Gaza to provide independent verification and reporting on conditions; at the same time, push back politically and diplomatically against attempts to dismantle, deregister, or muzzle humanitarian and human rights organizations working in Gaza.

For the full report, see:  www.vanhollen.senate.gov/imo/media/doc/van_hollen_merkley_report_following_2025_codel_to_gaza_border_israel_west_bank_jordan_and_egypt.pdf

Their press presentation can be seen at:  https://www.youtube.com/watch?v=qQBx9SDi2wU

by Steve Hansch, Hunter Notes, Editor, WHES  Board

Hunger Increases Even Further in The Sudan

August 28, 2025:  Aid agencies estimate that malnutrition in Sudan increases in scale, depth and scope.  Much of the reporting comes from the far western region of Darfur, where, between January and May 2025, North Darfur saw a 46% increase in children admitted for SAM treatment at health centers compared to the same period in 2024 — with over 40,000 children treated in just that region.

As a result of 2 1/2 years of civil war, over 14 million Sudanese have been displaced by violence, both internally and across borders.  In the largest camp for displaced persons, Zamzam in North Darfur,  Médecins Sans Frontières (MSF) reported devastating malnutrition rates — as high as 29–30% acute malnutrition, and high mortality (e.g., one child dying every two hours.  Similarly,  Save the Children reported a nearly fourfold increase in severe acute malnutrition cases seen in one South Kordofan clinic from June 2023 to June 2024, with 1,457 children admitted in June 2024 alone.

Though access by international organizations to children in this large, rural country is limited, UNICEF estimates that some 3.2 million children under 5 may have  acute malnutrition in 2025, including about 770,000 experiencing Severe Acute Malnutrition, meaning they are extremely wasted.

The U.N.’s advisory body about famine, the Integrated Food Security Phase Classification (IPC) reported 25.6 million people in the Sudan are food insecure, and of those, 8.5 million are in Emergency (Famine degree Phase 4) and another 755,000 are in Catastrophe/Famine (Famine degree Phase 5).

Humanitarian access is greatly constrained, with persistent fighting preventing deliveries of food or supplies into many areas, notably in Darfur, Khartoum, and regions with large numbers of internally displaced person.

Concern Worldwide is supporting 81 health facilities across Sudan, particularly in West and Central Darfur, treating children under five for acute malnutrition, with a focus on delivering ready-to-use therapeutic food (RUTF).  Despite the destruction of Sudan’s only RUTF factory in 2023, Concern has secured and delivered 10 metric tons of RUTF to vulnerable communities. In 2024, they reached nearly 484,000 people with lifesaving health and nutrition support.

 

All hands on deck: Halting the vicious circle of stunting in Sub-Saharan Africa

Sub-Saharan Africa is the only region in the world with a growing number of children under the age of five who have stunted growth, meaning they are too short for their age. Although the number of children affected by stunting globally has decreased drastically since 1990, Africa is the only region that has seen an increase in the number of children stunted despite a decrease in the prevalence of stunting.

Sustainable Development Depends on Better Nutrition for All Nations

From cold chains and blockchains – major technological revolutions are on the brink of transforming food systems. While cold chain technology can prevent losses as food travels from farm to market, blockchain technology can help digitally and accurately relay vast amounts of data between networks of farmers, traders and vendors. All this can help reduce transaction costs, reduce financial barriers to accessing markets and build trust in the provenance of food, from farm, forest and ocean to fork.