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How conflicts across the Middle East and North Africa are brutalizing a generation

Special How conflicts across the Middle East and North Africa are brutalizing a generation
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Conflicts across the Middle East, from Gaza to Lebanon, have cost children dearly. (AFP)
Special How conflicts across the Middle East and North Africa are brutalizing a generation
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Conflicts across the Middle East, from Gaza to Lebanon, have cost children dearly. (AFP)
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Updated 11 August 2025

How conflicts across the Middle East and North Africa are brutalizing a generation

How conflicts across the Middle East and North Africa are brutalizing a generation
  • More than 12 million children in the MENA region have been killed, injured, or displaced by conflict in just two years
  • UNICEF warns that children are suffering unprecedented harm due to prolonged wars and political instability

LONDON: For the past two years, humanitarian aid groups and UN aid agencies have warned repeatedly about the increasingly terrible price being paid by children in the conflicts across the Middle East and North Africa.

It is a refrain which, against the backdrop of the humanitarian catastrophe in Gaza, has all but faded into the general cacophony of horror that in 2025 has become the soundtrack to life for so many in the region.

So when Edouard Beigbeder, MENA region director at UNICEF, the UN children’s fund, announced that more than 12 million children had been maimed, killed, or displaced by conflict in the region over the past two years, this gargantuan figure caused barely a ripple.

“A child’s life is being turned upside down the equivalent of every five seconds due to the conflicts in the region,” Beigbeder said.

“Half of the region’s 220 million children live in conflict-affected countries. We cannot allow this number to rise. Ending hostilities — for the sake of children — is not optional; it is an urgent necessity, a moral obligation, and it is the only path to a better future.”

UNICEF estimates that 45 million children across the region will require humanitarian assistance this year “due to continued life-threatening risks and vulnerabilities” — up from 32 million in 2020, a 41 percent increase in just five years.

The analysis is based on reported figures for children killed, injured, or displaced in Iran, Israel, Lebanon, Palestine, Sudan, Syria, and Yemen since September 2023, combined with demographic data from the UN Population Division.




Ali, 2, survived 14 hours trapped under rubble after an attack in Lebanon in October 2024 that killed his entire family — mother, father, sister and grandmother — and cost him a hand. (UNICEF)

But only those who have seen firsthand the suffering of children can fully understand the true meaning of such statistics. UNICEF staff on the ground in Gaza and elsewhere in the region are among those who have witnessed the true meaning of children’s suffering up close.

One of them is Salim Oweis, a communications specialist with UNICEF’s MENA office. Based in Jordan, his job is to go where, thanks to Israeli restrictions, international journalists cannot go, to tell stories from the scene.

It is a job which, he freely admits, gives him nightmares.

Oweis was in Gaza in August last year during one of the peaks in violence, when UNICEF was trying to reunite children separated from their families. And during the temporary ceasefire in February this year, when UNICEF worked with the World Health Organization to administer polio vaccines to hundreds of thousands of children.




Sila was four years old when her mother, father and sisters were killed in an airstrike on her home in December 2023. Her leg, badly burnt, had to be amputated and she is now learning to walk with a prosthetic. (UNICEF)

When he first joined UNICEF, nine years ago, it was at the height of the civil war in Syria. “I wasn’t in the field yet, but I was receiving all these disturbing stories and images,” said Oweis. “I used to have nightly nightmares about me running away with my nephews, who were babies at the time.”

His job is harrowing, he says, but “how could I be sleeping safely at home, knowing this is happening, without doing anything?”

Oweis even describes as “selfish” the “reward” he gets from telling stories that might otherwise remain untold. “I’ve been there, I’ve spoken to people, I’ve been able to hug a child, or smile with a child, or listen to a mother,” he said.




Wounded Syrian children receive medical care at a makeshift clinic in the town of Maaret Misrin following Syrian government forces airstrikes on March 5, 2020 in the country's northwestern Idlib province. (AFP/File)

“Maybe I can’t directly help her in the moment, but our job is to deliver the story, especially in places like Gaza, where no international media is allowed, and I think that is crucially important, in terms of letting people know what’s happening with children, and for their voices not to go unheard.

“Yes, I have my daily reminders of being exposed to that. But I think the cause is bigger than me, I believe in it — and I want to be on the right side of history.”

The message Oweis wants the world to hear, loud and clear, is that, whether in Gaza or Sudan, children are facing “a total disruption of whatever you think normal daily life for a child should be.

“Everything is disrupted. There is no sense of safety, no sense, even, of belonging, no sense of connection with others, no sense of community, because they are being constantly ripped away from places and communities to which they belong are under constant threat of death or displacement.”




Displaced Sudanese children gather at a camp near the town of Tawila in North Darfur on February 11, 2025, amid the ongoing war between the army and paramilitary forces. (AFP)

Oweis says when he was in Gaza, “I didn’t meet any child, or adult, for that matter, who hadn’t lost someone, and mostly it’s either a father, a mother, a sister or a brother.”

For Oweis, meeting children in Gaza who had lost a father was hard, but looking into the eyes of children who had lost siblings was equally distressing.

“For a child to lose a brother or a sister, who they play marbles with, climb with, even fight with. When all that suddenly goes.

“We like to say that children have a high tolerance, but I think that is a dangerous word to use, because we say it and then we expect them to be resilient, but not every child is equally resilient.”

IN NUMBERS

12 million Children maimed, killed, or displaced by MENA conflicts in the past two years.

1/2 Proportion of the region’s 220m children who live in conflict-affected countries.

45 million Children across the region who will require humanitarian assistance this year.

(Source: UNICEF)

In Gaza, UNICEF has been doing its best to offer as much psycho-social support as possible to a generation of children in danger of being brutalized by war.

“The UN has been very clear that there are no such thing as ‘safe zones’ in Gaza,” said Oweis. “But we create child-friendly spaces where children can go for a couple of hours a day.”

Part of the objective is to maintain a basic level of education in four main subjects — maths, science, English and Arabic — “but school is not only for learning,” added Oweis. “It’s also for bonding, for community, for emotional and social connection.”

Through games, singing, and other activities, children are encouraged to be children, if only for a couple of hours a day, and to express themselves.

Oweis visited one camp for displaced people in Gaza where UNICEF had partners delivering activities, one of which was a session in creative writing.





Palestinian school children queue up at a temporary educational centre under the supervision and funding of UNICEF in Khan Yunis in the southern Gaza Strip, on September 19, 2024, amid the ongoing war between Israel and the Palestinian Hamas movement.

Asked to write about their least favorite color, many of the children, who had seen more bloodshed than any child should ever see, unhesitatingly nominated red, followed by grey, the color of the rubble of devastated buildings.

Each child, Oweis found, is affected differently by the trauma they have experienced. “Some of them are very withdrawn. They don’t speak to you, they don’t respond to you. They don’t even look you in the eye. They seem broken by what they’ve been through.

“Others are more active and engaging. There is no one mold that fits all, but you know that every one of them is affected in some way.”

Affected, and affecting. Oweis will never forget one young boy he met, who had lost a leg. “He was in a wheelchair, and he was the sweetest person, very smiley. We asked him what he wanted for the future, and he said, ‘I want to go back and play football.’

“Me and my colleague and the boy’s father were there and all of us were taken aback, because we knew he was never going to do that in the way he thinks he will.”




Palestinian medics attend to children wounded in an Israeli strike on a camp for displaced people near Khan Yunis, at the Nasser Hospital in the southern Gaza Strip city late on July 8, 2025. (AFP/File)

Oweis fears that the conflicts in Gaza and elsewhere are breeding a generation of lost souls. “I truly hope not,” he said.

“Before all this we had an initiative with a lot of global partners in Syria called No Lost Generation. But unfortunately, each day that war continues, and hostilities impact children — not only in Gaza, but also in Sudan, in Syria, and now in Yemen, which is unfortunately almost forgotten — the risk of losing that generation, those childhoods, grows.

“I don’t want to believe that, because I really believe that we can still do something. But unfortunately, we know that many of the children that we will be able to provide with psychological support will not benefit from it. For them it will be too late, because the trauma is not a one-off, but is a daily thing for months on end.

“So yes, each day we are risking many more children being lost, and we’re talking about not only the impact on their lives, but also on the community, because they’re not going to be productive, they’re going to be needing a lot of support, medical, social and psychological, and that will have impact on the very core of these communities.”

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There is also the fear that the brutality unleashed in Gaza will simply perpetuate the seemingly never-ending violence by breeding a new generation of terrorists.

“The best way for a government to fight terrorist movements is to avoid killing civilians, otherwise the cycle of victimization just breeds more terrorists,” said Jessica Stern, a research professor at Boston University’s Pardee School of Global Studies, whose work focuses on connections between trauma and terror.

In a co-authored article published in Foreign Affairs magazine two months after the Oct. 7, 2023, Hamas-led attack on southern Israel that triggered the war on Gaza, Stern wrote: “Those who study trauma know that ‘hurt people hurt people,’ and the adage holds true for terrorists.”

People who live in a state of existential anxiety, she argued, “are prone to dehumanizing others.”




Children inspect the scene in the aftermath of overnight Israeli bombardment on a camp sheltering displaced people in the Mawasi area of Khan Yunis in the southern Gaza Strip on August 5, 2025. (AFP)

“Hamas, for instance, calls Israelis ‘infidels,’ while the Israeli Defense Minister Yoav Gallant has referred to members of Hamas as ‘human animals,’ and both sides have called the other ‘Nazis.’

“Such dehumanizing language makes it easier to overcome inhibitions against committing atrocities.”

UNICEF’s wake-up call about the suffering of children across the MENA region comes as the agency is experiencing major funding shortfalls.

As of May, its programs in Syria were facing a 78 percent funding gap, while its 2025 appeal on behalf of the people of Palestine fared little better, with a 68 percent shortfall.

Looking ahead, says UNICEF, “the outlook remains bleak.”




A health worker measures the arm of a malnourished child at a treatment centre in the Khokha district of the western Yemeni province of Hodeida on July 26, 2023. 9AFP/File)

As things stand, the agency expects its funding in MENA to decline by up to a quarter by 2026 — a loss of up to $370 million — “jeopardizing life-saving programs across the region, including treatment for severe malnutrition, safe water production in conflict zones, and vaccinations against deadly diseases.”

As the plight of children in the region worsens, said UNICEF’s regional director Beigbeder, “the resources to respond are becoming sparser.

“Conflicts must stop. International advocacy to resolve these crises must intensify. And support for vulnerable children must increase, not decline.”


EU leaders seek more active role in Gaza

EU leaders seek more active role in Gaza
Updated 24 October 2025

EU leaders seek more active role in Gaza

EU leaders seek more active role in Gaza
  • Outrage over the war in Gaza has riven the 27-nation bloc and pushed relations between Israel and the EU to a historic low
  • Israeli PMNetanyahu said earlier this month that “Europe has essentially become irrelevant and displayed enormous weakness”
  • The EU has been the biggest provider of aid to the Palestinians and is Israel’s top trading partner

BRUSSELS: European Union leaders are seeking a more active role in Gaza and the occupied West Bank after being sidelined from the US-brokered ceasefire between Israel and Hamas.
At a summit Thursday in Brussels largely focused on Ukraine and Russia, EU heads of state discussed the shaky ceasefire in Gaza and pledged EU support for stability in the war-torn coastal enclave. The EU has been the biggest provider of aid to the Palestinians and is Israel’s top trading partner.
“It is important that Europe not only watches but plays an active role,” said Luc Frieden, the prime minister of Luxembourg, as he headed into the meeting. “Gaza is not over; peace is not yet permanent,” he said.
Outrage over the war in Gaza has riven the 27-nation bloc and pushed relations between Israel and the EU to a historic low.
European Commission President Ursula von der Leyen announced in September plans to seek sanctions and a partial trade suspension against Israel, aimed to pressure it to reach a peace deal in Gaza.
Momentum driving the measures seemed to falter with the ceasefire deal mediated by US President Donald Trump, with some European leaders calling for them to be scrapped.
But leaders from Ireland to the Netherlands say that with violence continuing to flare up in Gaza and the occupied West Bank, keeping on the table sanctions of Israeli cabinet ministers and settlements and the partial suspension of a trade deal gives the EU leverage on Israel to curtail military action.
In the run-up to the ceasefire, Israeli Prime Minister Benjamin Netanyahu said earlier this month that “Europe has essentially become irrelevant and displayed enormous weakness.”
The ceasefire deal came about with no visible input from the EU, and European leaders have since scrambled to join the diplomacy effort currently reshaping Gaza.
The EU’s top diplomat, Kaja Kallas, has said the EU should play a role in Gaza and not just pay to support stability and eventually reconstruction.
The EU has provided key support for the Palestinian Authority, which administers parts of the occupied West Bank.
At the summit’s conclusion, EU leaders issued a pledge to deliver humanitarian aid to Gaza, potentially via a maritime route from Cyprus. They also suggested that a West Bank police support program could be extended to Gaza to bolster the stabilization force called for in the current 20-point ceasefire plan.
The EU has sought membership in the plan’s “Board of Peace” transitional oversight body, Dubravka Šuica, European Commissioner for the Mediterranean, said this week.
At least two EU countries, Denmark and Germany, are participating in the new US-led stabilization effort overseeing and implementing the Gaza ceasefire. Flags of those two nations have been raised at the Civil-Military Coordination Center in southern Israel.
The European Border Assistance Mission in Rafah, on the Gaza-Egypt border, began in 2005. In January, it deployed 20 security border police experts from Italy, Spain and France.
During the February-March ceasefire, the mission helped 4,176 individuals leave the Gaza Strip, including 1,683 medical patients. Those efforts were paused when fighting resumed. Outside of the EU, individual nations have acted to pressure Israel on their own as protests have rocked cities from Barcelona to Oslo. Many have recognized a Palestinian state. Spain has ratcheted up its opposition to Israel’s actions in Gaza. Spanish Prime Minister Pedro Sánchez called the war a “genocide” when he announced in September plans to formalize an arms embargo and block Israel-bound fuel deliveries from passing through Spanish ports. In August, Slovenia issued an arms embargo in what it said was a first for a EU member country.
Some national broadcasters have sought to exclude Israel from the Eurovision Song Contest. Member broadcasters will vote in November on whether Israel can participate in the musical extravaganza next year, as calls have mounted for the country to be excluded over the Israel-Hamas war in Gaza.


Clearing Gaza’s surface of bombs will take up to 30 years, aid group says

Clearing Gaza’s surface of bombs will take up to 30 years, aid group says
Updated 23 October 2025

Clearing Gaza’s surface of bombs will take up to 30 years, aid group says

Clearing Gaza’s surface of bombs will take up to 30 years, aid group says
  • Humanity & Inclusiongroup says underground bombs will remain for generations
  • Dozens already killed in Gaza by lethal war remnants

GENEVA: Clearing the surface of Gaza of unexploded ordnance will likely take between 20 to 30 years, according to an official with aid group Humanity & Inclusion, describing the enclave as a “horrific, unmapped minefield.”
More than 53 people have been killed and hundreds injured by lethal remnants from the two-year Israel-Hamas war, according to a UN-led database, which is thought by aid groups to be a huge underestimate.
A US-brokered ceasefire this month has raised hopes that the huge task of removing them from among millions of tons of rubble can begin.
“If you’re looking at a full clearance, it’s never happening, it’s subterranean. We will find it for generations to come,” said Nick Orr, an Explosive Ordnance Disposal expert at Humanity & Inclusion, comparing the situation with British cities after World War Two.
“Surface clearance, now that’s something that’s attainable within a generation, I think 20 to 30 years,” he added.
“It’s going to be a very small chipping away at a very big problem.”
Orr, who went to Gaza several times during the conflict, is part of his organization’s seven-person team that will begin identifying war remnants there in essential infrastructure like hospitals and bakeries next week.
For now, however, aid groups like his have not been given blanket Israeli permission to start work on removing and destroying the ordnance nor to import the required equipment, he said.
COGAT, the arm of the Israeli military overseeing Gaza aid, did not immediately respond to a request for comment. It blocks items into Gaza which it considers have “dual use” — both civilian and military.
Orr said it was seeking permission to import supplies to burn away bombs rather than detonate them, to ease concerns about them being repurposed by Hamas.
He voiced support for a temporary force such as one foreseen in the 20-point ceasefire plan.
“If there is going to be any kind of future inside of Gaza, there needs to be an enabling security force that allows humanitarians to work,” Orr said.
 


France issues third arrest warrant against Syria’s ex-leader Bashar Assad

France issues third arrest warrant against Syria’s ex-leader Bashar Assad
Updated 23 October 2025

France issues third arrest warrant against Syria’s ex-leader Bashar Assad

France issues third arrest warrant against Syria’s ex-leader Bashar Assad
  • Newarrest warrant is for the deadly chemical attacks against Assad opponents in 2013
  • USintel says over 1,000 were killed with sarin nerve gas in East Ghouta, a suburb of Damascus

PARIS: French magistrates this summer issued a new arrest warrant against ousted Syrian president Bashar Assad over deadly chemical attacks in 2013, a judicial source said on Thursday.
This means France has now put out three separate arrest warrants against the former dictator exiled in Russia, who ruled Syria from 2000 until he was toppled last year after more than 14 years of devastating civil war.
French investigators have since 2021 been looking into suspected Syrian government chemical attacks on Adra and Douma outside Damascus on August 4-5, 2013, and in Eastern Ghouta on August 21.
Around 450 people were hurt in the first attack, while American intelligence says over 1,000 were killed with sarin nerve gas in East Ghouta, a suburb of Syrian capital Damascus.
Magistrates had in 2023 issued an arrest warrant in the chemical attacks case while Assad was still president, but the country’s highest court in July annulled it over it being ordered while his presidential immunity still applied.

Syrians gather near a vehicle of the United Nations arms experts as they inspect a site suspected of being hit by a deadly chemical weapons attack on August 28, 2013 in the Eastern Ghouta area on the northeastern outskirts of Damascus. (AFP)

This new arrest warrant issued after his fall from power replaces the previous one. It accuses him of complicity in crimes against humanity and complicity in war crimes in the chemical attack case.
Also in the same case, magistrates issued a warrant against Talal Makhlouf, the former commander of the Syrian Republican Guard’s 105th Brigade, the judicial source said.
Assad and his family fled to Russia, according to Russian authorities, after Islamist-led fighters seized power on December 8.
Two other French warrants are already out for Assad’s arrest.
One was issued in January for suspected complicity in war crimes for a bombing in the Syrian city of Daraa in 2017 whose victims included a French-Syrian civilian.
And another was issued in August over the bombardment of a press center in the rebel-held city in 2012 that killed two journalists.
Marie Colvin, 56, an American working for The Sunday Times of Britain, and French photographer Remi Ochlik, 28, were killed on February 22, 2012 by the explosion in the eastern city of Homs, which is being investigated by the French judiciary as a potential crime against humanity as well as a war crime.
Ahead of Syria’s new leader Ahmed Al-Sharaa visiting Russia last week, a Syrian government official told AFP that the new president would ask President Vladimir Putin to hand over Assad.
But after the meeting neither Sharaa nor Putin publicly mentioned extraditing Assad, who Russia says it is protecting on “humanitarian grounds.”
Russian Foreign Minister Sergei Lavrov confirmed early last week that the ousted Syrian leader was still living in Moscow.
The Syrian civil war, which erupted in 2011 with Assad’s brutal repression of anti-government protests, killed over half a million people.
cco/ah/ekf/cw


US envoy calls on Iran to abandon regional ambitions, as UN presses for two-state solution

US envoy calls on Iran to abandon regional ambitions, as UN presses for two-state solution
Updated 23 October 2025

US envoy calls on Iran to abandon regional ambitions, as UN presses for two-state solution

US envoy calls on Iran to abandon regional ambitions, as UN presses for two-state solution
  • ‘The international community must urge the Iranian regime to give up on its false hope of revolution, and forego its ambitions on its neighbors,’ says Ambassador Mike Waltz
  • Senior UN official warns situation in Gaza is ‘extremely fragile,’ return to violence ‘must be avoided at all costs,’ and humanitarian needs are ‘staggering’

NEW YORK CITY: The US permanent representative to the UN, Mike Waltz, on Thursday urged Iran to abandon what he described as the “false hope of revolution,” and its regional ambitions.
It came as the UN vowed to intensify its efforts to achieve a two-state solution and end the Israeli occupation of Palestinian land.
“The international community must urge the Iranian regime to give up on its false hope of revolution, and forego its ambitions on its neighbors,” Waltz told the UN Security Council during an open debate on the Middle East.
He called on Tehran to “engage in direct, good-faith dialogue with the United States for the benefit of the Iranian people and the security of the region.”
Waltz reiterated Washington’s support for the reimposition of UN “snap-back” sanctions on Iran, and framed President Donald Trump’s recent “20-Point Plan for Peace” between Israelis and Palestinians as part of a broader push to end regional conflict and reshape the Middle East.
“With President Trump’s plan, we are closer than ever to realizing the Middle East that generations dreamt of — a region of peace, prosperity, harmony, opportunity, innovation, achievement,” he said.
His remarks came as UN officials described a fragile calm in Gaza following the Oct. 10 ceasefire and hostage-release agreement brokered under Trump’s plan.
The UN’s deputy special coordinator for the Middle East peace process, Ramiz Alakbarov, told the council the UN would continue to advocate for a two-state solution.
“The United Nations will continue to support all efforts to end the occupation and resolve the Israeli-Palestinian conflict, in line with international law and UN resolutions,” he said.
“This means realizing a two-state solution; Israel and Palestine, of which Gaza is an integral part, living side by side in peace and security within secure and recognized borders on the basis of pre-1967 lines, with Jerusalem as the capital of both states.”
Alakbarov praised the US, Qatar, Egypt and Turkiye for their mediation help in what he described as the “remarkable diplomatic effort” that brought an end to the bloodiest phase of the conflict in decades.
But he warned that the situation remains “extremely fragile” and a return to violence “must be avoided at all costs.”
He said aid deliveries to Gaza had increased by 46 percent during the first week of the ceasefire but described the humanitarian needs in the territory as “staggering,” citing the widespread displacement of the population and lack of access to basic services. The UN, he added, has launched a 60-day emergency response plan to accelerate relief efforts and restore essential services.
Waltz said the peace would only hold if Hamas disarms and abides by the terms of the ceasefire agreement.
“The job is not done,” he told the council. “Hamas must immediately return the bodies of the 13 remaining hostages, including the bodies of American citizens Itay Chen and Omer Neutra, as promised under the agreement. … Their families deserve dignity.”
He added that Hamas “must likewise follow through on its commitment to disarm. Simply put: Hamas is finished in Gaza and does not have a future there.” Failure to comply, he warned, would have “severe consequences.”
Waltz condemned what he described as “extremely disturbing and bloody executions” carried out in Gaza by Hamas in recent days.
“This is further evidence that Hamas is unfit to rule the Gaza Strip and cannot be trusted with the safety of the people in Gaza for a moment longer,” he said.
He also criticized the recent opinion from the International Court of Justice on Israel’s obligations in Gaza, calling it “a nakedly political — but fortunately non-binding — ‘advisory opinion,’ unfairly bashing Israel and giving UNRWA (the UN agency that aids Palestinian refugees) a free pass for its deep entanglement with Hamas’ terrorism.”
Alakbarov welcomed the finding of the court, which he said underscored the need for humanitarian access to Gaza. He announced that Egypt, the Palestinian Authority and the UN plan to co-host a Cairo Reconstruction Conference “to advance recovery and reconstruction for Gaza.”
He added: “We are at a momentous but precarious juncture. Political will, financial resources and a genuine commitment to creating a better future for all are needed.”


Palestinian aid workers warn of ‘catastrophic’ Gaza conditions amid Israeli aid blockade

Palestinian aid workers warn of ‘catastrophic’ Gaza conditions amid Israeli aid blockade
Updated 23 October 2025

Palestinian aid workers warn of ‘catastrophic’ Gaza conditions amid Israeli aid blockade

Palestinian aid workers warn of ‘catastrophic’ Gaza conditions amid Israeli aid blockade
  • During first 10 days of ceasefire, fewer than 1,000 trucks of aid were allowed into the territory, a fraction of the 6,600 Israel agreed to under truce deal
  • Aid workers accuse Israeli authorities of arbitrarily rejecting shipments and imposing a new registration process on humanitarian organizations to delay their work

LONDON: Palestinian aid workers have described conditions in Gaza as “catastrophic,” with Israel continuing to block most aid supplies two weeks after a ceasefire deal took effect in the territory.

Only a fraction of the number of trucks Israel agreed to allow into the territory under the agreement have arrived and Palestinian families are struggling to find food to meet their basic nutritional needs, representatives of nongovernmental organizations said on Thursday.

The sobering assessment coincided with a call from dozens of organizations operating in Gaza demanding that Israel allow humanitarian aid to flow freely into the decimated territory. They accused Israeli authorities of arbitrarily rejecting shipments among the $50 million of life-saving aid supplies stuck at border crossings, and imposing a new registration process on NGOs to delay their work.

“We expected Gaza to be flooded with aid the moment the ceasefire began but that’s not what we’re seeing,” said Bushra Khalidi, the Palestinian territory policy lead at Oxfam.

“If aid continues to be arbitrarily rejected, and if families are not able to access clean water or return to their homes, then this is not a ceasefire that protects civilians.”

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During the first 10 days of the truce, fewer than 1,000 trucks of humanitarian aid were allowed into the territory — a fraction of the 6,600 that should have entered under the terms of the agreement.

Between Oct. 10 and 21, 99 requests to deliver aid into Gaza made by international NGOs, and six from UN agencies, were rejected. This meant shipments of tents, tarpaulins, blankets, food, health supplies and children’s clothing could not reach those in the territory who desperately need them.

Speaking from Deir Al-Balah in Gaza, Bahaa Zaqout of the Palestinian nonprofit PARC said the commercial food supplies flowing into markets in Gaza are unaffordable and do not meet the “minimum nutritional values required for children, women and the most vulnerable groups.”

More than 90 percent of homes in Gaza have been destroyed or damaged, according to the UN, and so most people are living in temporary shelters. Zaqout said that the shelters are in poor condition but, with winter approaching, Israel is blocking deliveries of tents and tarpaulins.

“The situation in the Gaza Strip remains catastrophic,” he said. “Even two weeks after the ceasefire began, Israel is banning the most critical items from entering Gaza.”

Jamil Sawalmeh, the country director for ActionAid Palestine, said that despite the ceasefire agreement “the siege continues, and the obstruction of aid also contributes to losing more life in Gaza.”

He called for the international community to put pressure on Israel to allow all humanitarian aid into the territory, along with heavy machinery to help clear the vast amounts of rubble blocking access to some areas.

“How can it be that even with a ceasefire agreement, bringing in a few toothbrushes or cooking pots or coloring books continues to be an uphill battle for international NGOs that have been working in Palestine for decades?” he said.

ActionAid were among 41 organizations that on Thursday called for Israeli authorities to uphold their commitments under the ceasefire deal, and international law, by allowing aid into to enter the territory.

They accused Israel of “arbitrarily rejecting shipments of life-saving assistance into Gaza,” in many cases from international organizations that have worked in the territory for decades.

“The restrictions are depriving Palestinians of lifesaving aid and undermining coordination of the response system in Gaza,” the organizations said. “Humanitarian access is a legal obligation under international law, not a concession of the ceasefire.”

The World Health Organization also warned on Thursday that there had been little improvement in the amount of aid flowing into Gaza since the ceasefire agreement took effect.

The deal, pushed through by US President Donald Trump, aimed to end a conflict that has killed more than 70,000 Palestinians since it began in October 2023 after a deadly attack by Hamas on southern Israel. More than 100 people have been killed in Gaza since the truce was announced.

Israel has been accused by a UN-appointed commission of inquiry of committing acts of genocide during the conflict, and sparking famine conditions by blocking aid.