MSF’s report ‘This is not aid. This is orchestrated killing’ draws on medical data, patient testimonies and first-hand medical witnessing to demonstrate that what has been branded as “aid distribution” is in fact a system of institutionalised starvation and dehumanisation. MSF calls for an immediate cessation of the GHF distribution mechanism and urges states and private donors to refrain from funding what is essentially a death trap.
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Abandon US-Backed ‘Death Trap’ Scheme, Press Israel to End Mass Starvation
Substantial and well-documented evidence indicates a catastrophic public health emergency in Gaza (appendix pp 1–5), marked by severe food insecurity and alarming levels of malnutrition-related deaths.1 Life expectancy at birth reportedly declined by approximately 35 years in 2024.2 This represents a greater collapse in longevity than that recorded during the genocide in Rwanda, where life expectancy at birth declined from age 42·9 years in 1993 to age 12·2 years in 1994.3
This report documents the Israeli assault for what it is: a deliberate, cumulative, and ongoing dismantling of Gaza’s healthcare system – and of the population’s ability to survive. Its meaning: genocide.
Since October 2023, Israel has shifted its policy toward the Palestinians. Its military onslaught on Gaza, underway for more than 21 months, has included mass killing, both directly and through creating unlivable conditions, serious bodily or mental harm to an entire population, decimation of basic infrastructure throughout the Strip, and forcible displacement on a huge scale, with ethnic cleansing added to the list of official war objectives.
There is no safe space in Gaza. 20 months of intense hostilities have destroyed the protection environment for persons with disabilities and older persons. 134,105 people including over 40,500 children have new war-related injuries. 25 per cent are estimated to have new disabilities requiring acute and ongoing rehabilitation. Over 35,000 people are believed to have significant hearing damage due to explosions. Ten children per day lose one or both of their legs.
On Tuesday 15 July, European Union (EU) foreign ministers are meeting in Brussels to decide whether to impose sanctions on Israel. This is a crucial moment for the EU to draw a red line and stop pumping billions of euros into Israel’s economy, fuelling genocide and occupation. SOMO’s analysis of trade and foreign investment into and from Israel reveals how deeply intertwined the European and Israeli economies are. Based on this analysis, SOMO calls for the immediate suspension of the EU-Israel Association Agreement, along with a full arms embargo, extensive economic sanctions and corporate accountability.
Evidence gathered by Amnesty International demonstrates how over a month since the introduction of its militarized aid distribution system, Israel has continued to use starvation of civilians as a weapon of war against Palestinians in the occupied Gaza Strip and to deliberately impose conditions of life calculated to bring about their physical destruction as part of its ongoing genocide.
