Palestinian residents of Jabalia gather and wait for water trucks in Jabalia City, in northern Gaza . Palestine, 2025. © Nour Alsaqqa/MSF
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Palestine: As mass starvation spreads across Gaza, our colleagues and communities we work with are wasting away

MSF joins more than 100 organizations to sounding the alarm that lifesaving aid must enter Gaza.

As the Israeli government’s siege starves the people of Gaza, aid workers are now joining the same food lines, risking being shot just to feed their families. With supplies now totally depleted, humanitarian organizations are witnessing their own colleagues and partners waste away before their eyes.  

Exactly two months since the Israeli government-controlled scheme, the Gaza Humanitarian Foundation, began operating, more than 100 organizations are sounding the alarm, urging governments to act: open all land crossings; restore the full flow of food, clean water, medical supplies, shelter items and fuel through a principled, UN-led mechanism; end the siege and agree to a ceasefire now.  

“Each morning, the same question echoes across Gaza: will I eat today?” says one agency representative.  

Massacres at food distribution sites in Gaza are occurring almost daily. As of July 13, the UN confirmed 875 Palestinians were killed while seeking food, 201 on aid routes and the rest at distribution points. Thousands more have been injured. 

 Meanwhile, Israeli forces have forcibly displaced nearly two million exhausted Palestinians with the most recent mass displacement order issued on July 20, confining Palestinians to less than 12 per cent of Gaza. 

 The World Food Programme warns that current conditions make operations untenable. The starvation of civilians as a method of warfare is a war crime.  

Every day without a sustained flow of aid means more people dying of preventable illnesses. Children starve while waiting for promises that never arrive.

Just outside Gaza, in warehouses – and even within Gaza itself – tonnes of food, clean water, medical supplies, shelter items and fuel sit untouched, with humanitarian organizations blocked from accessing or delivering them. The Government of Israel’s restrictions, delays and fragmentation under its total siege have created chaos, starvation and death. 

An aid worker providing psychosocial support spoke of the devastating impact on children: “Children tell their parents they want to go to heaven, because at least heaven has food.”  

Doctors report record rates of acute malnutrition, especially among children and older people. Illnesses like acute watery diarrhea are spreading, markets are empty, waste is piling up and adults are collapsing on the streets from hunger and dehydration. Distributions in Gaza average just 28 trucks a day, far from enough for over two million people, many of whom have gone weeks without assistance.  

The UN-led humanitarian system has not failed, it has been prevented from functioning.  

Humanitarian agencies have the capacity and supplies to respond at scale. But, with access denied, we are blocked from reaching people in need, including our own exhausted and starved teams. 

On July 10, the EU and Israel announced steps to scale up aid. But these promises of “progress” ring hollow when there is no real change. Every day without a sustained flow means more people dying of preventable illnesses. Children starve while waiting for promises that never arrive. 

Palestinians are trapped in a cycle of hope and heartbreak, waiting for assistance and ceasefires, only to wake up to worsening conditions. It is not just physical torment, but psychological. Survival is dangled like a mirage. The humanitarian system cannot run on false promises. Humanitarians cannot operate on shifting timelines or wait for political commitments that fail to deliver access.  

Governments must stop waiting for permission to act. We cannot continue to hope that current arrangements will work. It is time to take decisive action: demand an immediate and permanent ceasefire; lift all bureaucratic and administrative restrictions; open all land crossings; ensure access to everyone in all of Gaza; reject military-controlled distribution models; restore a principled, UN-led humanitarian response and continue to fund principled and impartial humanitarian organizations. States must pursue concrete measures to end the siege, such as halting the transfer of weapons and ammunition.  

Piecemeal arrangements and symbolic gestures, like airdrops or flawed aid deals, serve as a smokescreen for inaction. They cannot replace states’ legal and moral obligations to protect Palestinian civilians and ensure meaningful access at scale. States can and must save lives before there are none left to save. 

Signatories:

1. American Friends Service Committee (AFSC)  

2. A.M. Qattan Foundation  

3. A New Policy  

4. ACT Alliance  

5. Action Against Hunger (ACF)  

6. Action for Humanity  

7. ActionAid International  

8. American Baptist Churches Palestine Justice Network  

9. Amnesty International  

10. Asamblea de Cooperación por la Paz  

11. Associazione Cooperazione e Solidarietà (ACS)  

12. Bystanders No More  

13. Campain  

14. CARE  

15. Caritas Germany  

16. Caritas Internationalis  

17. Caritas Jerusalem  

18. Catholic Agency for Overseas Development (CAFOD)  

19. Center for Mind-Body Medicine (CMBM)  

20. CESVI Fondazione  

21. Children Not Numbers  

22. Christian Aid  

23. Churches for Middle East Peace (CMEP)  

24. CIDSE- International Family of Catholic Social Justice Organisations  

25. Cooperazione Internazionale Sud Sud (CISS)  

26. Council for Arab‑British Understanding (CAABU)  

27. DanChurchAid (DCA) 

28. Danish Refugee Council (DRC)  

29. Development and Peace – Caritas Canada  

30. Doctors against Genocide  

31. Episcopal Peace Fellowship  

32. EuroMed Rights  

33. Friends Committee on National Legislation (FCNL)  

34. Forum Ziviler Friedensdienst e.V.  

35. Gender Action for Peace and Security  

36. Glia  

37. Global Legal Action Network (GLAN)  

38. Global Witness  

39. Health Workers 4 Palestine  

40. HelpAge International  

41. Human Concern International  

42. Humanity & Inclusion (HI)  

43. Humanity First UK  

44. Indiana Center for Middle East Peace  

45. Insecurity Insight  

46. International Media Support  

47. International NGO Safety Organisation  

48. Islamic Relief  

49. Jahalin Solidarity  

50. Japan International Volunteer Center (JVC)  

51. Justice for All  

52. Kenya Association of Muslim Medical Professionals (KAMMP)  

53. Kvinna till Kvinna Foundation  

54. MedGlobal  

55. Medico International  

56. Medico International Switzerland (medico international schweiz)  

57. Medical Aid for Palestinians (MAP)  

58. Mennonite Central Committee (MCC)  

59. Medicine for the People – Belgium (MPLP/GVHV) 

60. Médecins Sans Frontières (MSF)  

61. Médecins du Monde France  

62. Médecins du Monde Spain  

63. Médecins du Monde Switzerland  

64. Mercy Corps  

65. Middle East Children’s Alliance (MECA)  

66. Movement for Peace (MPDL)  

67. Muslim Aid  

68. National Justice and Peace Network in England and Wales  

69. Nonviolence International  

70. Norwegian Aid Committee (NORWAC)  

71. Norwegian Church Aid (NCA)  

72. Norwegian People’s Aid (NPA)  

73. Norwegian Refugee Council (NRC)  

74. Oxfam International  

75. Pax Christi England and Wales 

76. Pax Christi International  

77. Pax Christi Merseyside  

78. Pax Christi USA  

79. Pal Law Commission  

80. Palestinian American Medical Association  

81. Palestinian Children’s Relief Fund (PCRF)  

82. Palestinian Medical Relief Society (PMRS)  

83. Peace Direct  

84. Peace Winds  

85. Pediatricians for Palestine  

86. People in Need  

87. Plan International  

88. Première Urgence Internationale (PUI)  

89. Progettomondo  

90. Project HOPE  

91. Quaker Palestine Israel Network  

92. Rebuilding Alliance  

93. Refugees International  

94. Saferworld  

95. Sabeel‑Kairos UK  

96. Save the Children (SCI)  

97. Scottish Catholic International Aid Fund  

98. Solidarités International  

99. Støtteforeningen Det Danske Hus i Palæstina  

100. Swiss Church Aid (HEKS/EPER)  

101. Terre des Hommes Italia  

102. Terre des Hommes Lausanne  

103. Terre des Hommes Nederland  

104. The Borgen Project  

105. The Center for Mind-Body Medicine (CMBM)  

106. The Global Centre for the Responsibility to Protect (GCR2P)  

107. The International Development and Relief Foundation  

108. The Institute for the Understanding of Anti‑Palestinian Racism  

109. Un Ponte Per (UPP)  

110. United Against Inhumanity (UAI)  

111. War Child Alliance  

112. War Child UK  

113. War on Want  

114. Weltfriedensdienst e.V.  

115. Welthungerhilfe (WHH)