Fuel restrictions curtail Gaza aid efforts amid attacks on UN schools and evacuation plans for Al-Shifa Hospital — Global Issues

Fuel deliveries for aid operations in the enclave, home to 2.3 million Palestinians, have been largely prohibited since Hamas’ attack on Israel on 7 October left at least 1,200 dead and 240 taken hostage. This has severely hampered aid efforts and services to provide water and electricity, UN agencies said.

Al-Shifa Hospital

In northern Gaza, WHO led a mission to the besieged Al-Shifa Hospital, where thousands of civilians were seeking shelter alongside medical crews who were scrambling to tend to patients.

The mission was deconflicted with the Israel Defense Forces (IDF) to ensure safe passage along the agreed route, however, this was a “high-risk operation” in an active conflict zone, with heavy fighting ongoing in close proximity to the hospital, according to WHO.

“The team saw a hospital no longer able to function: no water, no food, no electricity, no fuel, medical supplies depleted,” WHO chief Tedros Adhanom Ghebreyesus said in a post on social media. “Given this deplorable situation and the condition of many patients, including babies, health workers requested support to evacuate patients who cannot receive lifesaving care there anymore.”

There are 25 health workers and 291 patients remaining in Al-Shifa, with several patient deaths having occurred over the previous two to three days due to the shutting down of medical services, the UN agency said. Patients include 32 babies in extremely critical condition, two people in intensive care without ventilation and 22 dialysis patients whose access to life-saving treatment has been severely compromised. The vast majority of patients are victims of war trauma, WHO said.

WHO and partners are swiftly developing plans for the immediate evacuation of the remaining patients, staff and their families. Over the next 24 to 72 hours, pending guarantees of safe passage by parties to the conflict, additional missions are being arranged to urgently transport patients to hospitals in southern Gaza, according to WHO.

“We continue to call for protection of health and of civilians,” the WHO chief said. “The current situation is unbearable and unjustifiable.”

‘Tough decisions’

Following weeks of delays, Israeli authorities just approved only half of the daily minimum fuel requirements for humanitarian operations in Gaza, Philippe Lazzarini, who heads the UN agency for Palestine refugees (UNRWA), said in a statement.

“Humanitarian organizations should not be forced to make tough decisions between competing lifesaving activities,” he said.

More than 11,000 Gazans have been killed and thousands others wounded since the conflict began, according to the latest situation report by the UN humanitarian agency (OCHA). The lack of fuel has led to communications shutdowns, shuttered water stations, hospital closures and reduced aid deliveries across Gaza.

Authorized deliveries fall short of needs

The situation has worsened since Israel closed all borders for aid deliveries into Gaza on 7 October and, through a deal with Egypt, allowed limited shipments two weeks later through the Rafah crossing.

On Wednesday, Israel allowed about 23,000 litres, or half a tanker truck, of fuel to be delivered to UNRWA for humanitarian purposes.

Israel authorized 120,000 litres to be delivered on Saturday, which will only cover half of daily critical needs. UNRWA was informed that the same amount would be delivered every two days.

Current approved fuel deliveries into Gaza are not enough, UNRWA’s chief said.

© Bisan Ouda for UNFPA

Families shelter inside Al Shifa hospital. (file)

‘Major health hazard’

“This is far from enough to cover the needs for desalination plants, sewage pumps, hospitals, water pumps in shelters, aid trucks, ambulances, bakeries and communications networks to work without interruption,” Mr. Lazzarini said. “Fuel should not be restricted for these activities.”

Without the full amount of fuel, he said, people will have only two thirds of their daily needs of clean drinking water.

Without adequate fuel supplies, large parts of Gaza will continue to be flooded with sewage further increasing risks of diseases, and 70 per cent of solid waste will not be removed, posing “a major health hazard”, Mr. Lazzarini said.

OCHA reported that “with no fuel, public sewage pumping stations, 60 water wells in the south, a desalination plant in the middle area, the two main sewage pumps in the south, and the Rafah wastewater treatment plant have all ceased operations in the past few days.”

75 per cent of Gaza’s hospitals not functioning

According to the World Health Organization (WHO), as of Friday, almost 75 per cent of the hospitals in Gaza – 25 out of 36 – were not functional due to lack of fuel, damage, attacks and insecurity. Eleven hospitals across the Strip are currently partially operational and admitting patients with extremely limited services.

Fuel shortages make it impossible to deliver lifesaving aid at a time when needs are soaring, UN agencies said.

An eight-year-old boy from Rafah City sits amid the rubble of his family's destroyed home.

© UNICEF/Eyad El Baba

An eight-year-old boy from Rafah City sits amid the rubble of his family’s destroyed home.

Aid ‘cannot be conditional’

“We are forced to handle a reduced number of aid trucks crossing daily into Rafah,” he said. “The last few days have seen a drastic reduction in these services including water availability and sewage clearance with serious consequences on people in need.”

Calling for “adequate, regular, and unconditional delivery of fuel to maintain all our critical lifesaving activities in the Gaza Strip”, he said “humanitarian aid cannot be conditional and must not be used for political or military agendas and gains”.

Attacks on schools

On Saturday morning, media reports indicated fresh attacks on schools.

Adele Khodr, the UN Children’s Fund (UNICEF) regional director for the Middle East and North Africa, said in a social post that the scenes of carnage and death following attacks on Al-Fakhoura and Tal Al Zaatar schools in Gaza that killed many children and women are horrific and appalling.

“These horrible attacks should cease immediately,” she wrote. “Children, schools and shelters are not a target. Immediate ceasefire needed now!”

Echoing that call, Mr. Lazzarini reacted to reports of attacks on UNRWA schools that were sheltering thousands of displaced people.

“These attacks cannot become commonplace, they must stop,” he said in a social media post on X. “A humanitarian ceasefire cannot wait any longer.”

On Friday, the UN General Assembly held a meeting on the situation in Gaza, with many delegates and heads of UN agencies calling for a humanitarian ceasefire. Last week, the Security Council found unity after a month-long deadlock, calling for urgent, extended humanitarian pauses.



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‘Endless needs’ reflect spiralling situation as hospitals shut down, WHO warns — Global Issues

“What we do know is that the health system is on its knees,” said Dr. Richard Peeperkorn, World Health Organization Representative in the Occupied Palestinian Territory, in the wake of Hamas militants’ terror attack on Israel on 7 October that left 1,200 dead and the heavy bombardment of the enclave by the Israeli military in response.

‘Endless need’

Speaking from Jerusalem to journalists in Geneva via Zoom, he explained that 47 out of 72 primary healthcare centres were no longer functioning and others were only partially functioning. Close to 75 per cent of hospitals (35 to 36) were no longer operational. “So there’s clearly not enough support for this endless need,” he said.

The development comes after the UN agency for Palestine refugees, UNRWA, reported a communications blackout in Gaza on Thursday as telecoms firms ran out of fuel to run their generators. The shutdown threatened to disrupt the coordination of humanitarian aid convoys on Friday, the UN agency said.

Rescue teams halted

Dr.Peeperkorn said that before the conflict erupted, Gazans had access to some 3,500 hospital beds. Today, only an estimated 1,400 are available, although the actual requirement is likely closer to 5,000. He added that in Gaza City, meanwhile, “active ground operations” “along with the lack of fuel, had halted the movement of rescue teams and ambulances in many areas”.

In its latest update on Thursday evening, the UN aid coordination office OCHA reported the previous24 hours had seen “heavy airstrikes, shelling and fighting”.

The bulletin detailed an airstrike on 15 November at about 6pm “during the evening prayer time (in) the vicinity of the Ihya’ As Sunna Mosque in As Sabra neighbourhood” of Gaza City “reportedly killing 50 people and injuring others”.

The OCHA bulletin also updated information about Israeli troops and tanks that have been continuing their raid on the vast Al-Shifa hospital compound, reportedly taking control of several sections.

Citing the hospital’s director, the UN agency said that the southern section of the compound had been damaged “including the radiology department, and the forces took several corpses from within the hospital”.

Some 807,000 Palestinians remain in the north of the enclave, which represents about two-thirds of the population there before the latest escalation, according to OCHA. The other third of the population, about 400,000, have been likely displaced to the south.

“Hundreds of thousands” of those left in the north now shelter in public facilities, including schools, hospitals and with host families.

Soaring needs

As health needs soar, Dr.Peeperkorn said that a lack of fuel, water, food and medical supplies has made it harder for the hospitals and health facilities still “partially operational” to help them.

WHO is extremely concerned about the spread of diseases as the rainy season and winter arrive. Overcrowding in shelters and the overall lack of water and sanitation across Gaza could increase the risk of transmission,” he said.

Citing data from the Gazan Ministry of Health, UNRWA and WHO, he added that there had been 71,224 recorded cases of acute respiratory infections, 44,202 cases of diarrhoea (22,554 in children under five), 808 cases of chickenpox, and more than 14,195 skin rashes, 10,952 cases of scabies and lice.

Weaponizing water

In a related development, a UN-appointed independent rights expert on Friday urged Israel to stop using water as a weapon of war.

Clean water and fuel needs to be allowed into Gaza to activate the water supply network and desalination plants in the besieged enclave “before it is too late”, said Pedro Arrojo-Agudo, UN Special Rapporteur on the human rights to safe drinking water and sanitation.

“Every hour that passes with Israel preventing the provision of safe drinking water in the Gaza strip, in brazen breach of international law, puts Gazans at risk of dying of thirst and diseases related to the lack of safe drinking water,” he said.

Special Rapporteurs and other independent experts are appointed by the Human Rights Council and are neither UN staff nor paid for their work. They are independent of any government or organisation.

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Intense fighting spreads to cities, as civilians seek shelter — Global Issues

In the fighting so far, about 70 civilians – and combatants who are out of action – have reportedly been killed and over 90 wounded, according to the UN human rights office (OHCHR).

The fighting has also fuelled a fresh wave of displacement, driving over 200,000 people from their homes since 27 October.

In all, over two million people have been displaced across Myanmar.

Transport, communication disrupted

According to the UN Office for Coordination of Humanitarian Affairs (OCHA), key transport routes in areas with active fighting have been blocked by both the military and the ethnic armed organizations.

There are also reports that at least one critical bridge was destroyed, and an airport has closed, restricting people’s movements to safer locations as well as access for humanitarians.

Telecommunication networks are being increasingly disrupted.

Reprisals forbidden

Spokesperson Jeremy Laurence, said OHCHR is closely monitoring developments in Myanmar, amid reports that several hundred soldiers have laid down their weapons.

“It is essential that all those captured are treated humanely,” he said on Friday, stressing that reprisals are absolutely forbidden under international law.

Individual soldiers are not collectively responsible for crimes and human rights violations that have been committed by the military,” he added.

The OHCHR spokesperson said past behaviour indicated that when the military junta’s forces suffered setbacks in the field, they use even greater force, through indiscriminate and disproportionate air strikes and artillery barrages.

“Over the past two years, we have documented the severe impact of such tactics on the civilian population,” he said.

UN chief deeply concerned

UN Secretary-General António Guterres also voiced deep concern over the worsening situation in Myanmar.

“He calls on all parties to adhere to international humanitarian law and do their utmost to protect civilians,” UN Spokesperson, Stéphane Dujarric, said in a statement earlier this week.

Civilians should be protected in accordance with international humanitarian law, and those responsible for violations must be held accountable, Mr. Dujarric said.

“The Secretary-General appeals for unhindered access for the delivery of urgent humanitarian assistance and essential services through all channels. The safety and security for UN agencies and their partners is crucial,” he added.

Earthquake

Meanwhile, Myanmar’s Shan state, one of the provinces affected by the fighting, was struck by a 5.7 magnitude earthquake Friday morning shortly after 8 AM local time.

According to media reports, no casualties or major damage have been recorded. Earthquake modelling estimates suggest that about 20,000 people were exposed to significant tremors during the quake.

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Humanitarian crisis in Gaza could get far worse, warns UN relief chief — Global Issues

More than 1.5 million Gazans are displaced, 18 hospitals have shut down, and hundreds of thousands are living in fear and under continuing Israeli bombardment.

“Casualties continue to mount, with the dead reportedly exceeding 11,000 people – the majority of them children and women,” said Emergency Relief Coordinator and Humanitarian Affairs chief, Martin Griffiths.

“The actual total, however, is likely much higher as figures have not been updated for five days due to a collapse of communication networks in Gaza,” he added.

Mr. Griffiths, who is also the UN Emergency Relief Coordinator, further stated that across Gaza, but particularly in the north, food and water supplies are running perilously low, and the lack of fuel means communications and essential services like water desalination are progressively failing.

Free the hostages

Across the border, civilians in Israel endure deep pain of their own as they mourn the brutal, inhumane killing of 1,200 people, he added, stressing that the nearly 240 hostages – from babies to octogenarians – must be released immediately and without condition.

Mr. Griffiths reiterated the UN’s 10-point plan setting out the necessary requirements for an effective humanitarian response.

He called on UN Member States to help achieve these objectives.

Basic needs

“We are not asking for the moon. We are asking for the basic measures required to meet the essential needs of the civilian population and stem the course of this crisis,” he stressed.

In conclusion, Mr. Griffiths warned that for as dire as the situation is in Gaza, “it could get far worse.”

“If we do not take action now, this is a conflict that could spread its tendrils further into other parts of the Occupied Palestinian Territory and beyond, and drag the region into a conflagration with even more catastrophic consequences,” he said.

Our work ‘mission impossible’: UNRWA official

Natalie Boucly, Acting Deputy Commissioner-General for the UN agency assisting Palestine refugees, UNRWA, said that no part of the Gaza Strip has been spared from the bombardment.

“Hospitals, mosques, churches, bakeries, and over 60 UNRWA buildings and schools have been hit across Gaza,” she said.

Most of the agency’s impacted facilities were in the middle areas and in the south, Ms. Boucly added, noting that this was where people were told to go for safety.

“They came to UNRWA buildings to be protected by the UN flag,” she said.

The UNRWA official stressed that the work of the agency has become “mission impossible”.

“We cannot fully protect people in UN premises, under the UN flag. We cannot reach people in need, including thousands still trapped in the north. We cannot provide sufficient assistance to those we can reach,” she said.

UNRWA’s fuel stocks are almost depleted, with massive implications for the civilian population, including its 13,000 staff.

Concluding her briefing, Ms. Boucly said that there is a collective responsibility on the part of the international community to ensure that the war ends now.

“We must remain steadfast in our determination, and I must quote from a famous text: ‘to save succeeding generations from the scourge of war, and reaffirm faith in fundamental human rights, in the dignity and worth of the human person’,” she said, recalling the preambular text from the UN Charter.

© WHO

Families continue to find shelter in the Khan Younis camp in Gaza.

Crisis creating ‘deeper fractures’: UN rights chief

UN Photo/Jean Marc Ferré

Volker Türk, UN High Commissioner for Human Rights. (file)

Volker Türk, UN High Commissioner for Human Rights (OHCHR), voiced deep concern over the growing risk of spillover into the wider Middle East region, if the fighting continues.

He also emphasized that the crisis posed another global shock to the multilateral system “driving more polarization and creating deeper fractures, with terrible impact on the solutions that humanity so urgently needs.”

He recalled the resolution adopted by the General Assembly at its emergency special session on the crisis, which called for an immediate and sustained humanitarian truce leading to a cessation of hostilities, and the resolution adopted by the Security Council on Wednesday that called for urgent and extended humanitarian pauses and corridors throughout the Gaza Strip.

Mr. Türk underscored that these resolutions must not be ignored by Israel or Palestinian militants in the Gaza Strip.

“There must be a ceasefire on humanitarian and human rights grounds, and an end to the fighting – not only to deliver urgently needed food and provide meaningful humanitarian assistance, but also to create space for a path out of this horror,” he stressed.

The UN rights chief also warned against rising hate speech and disinformation, which is fuelling dehumanization and thwarting the search for an enduring political solution.

“I am very concerned about the risk of further grave violations, even potentially amounting to atrocity crimes, in light of recent statements by some in leadership positions,” he said.

Stop attacks on healthcare, protect patients: WHO chief

Tedros Adhanom Ghebreyesus, Director-General of the UN World Health Organization (WHO), informed Member States that it is becoming harder to evaluate the functioning of the health system in Gaza.

“What is clear is that the health needs of the people of Gaza are growing all the time, and the health system is near collapse,” he said.

Only 10 of Gaza’s 36 hospitals are still functioning, with just 1,400 hospital beds, and many health workers have been displaced, forced to flee with their families.

“Here’s what that means: more and more casualties, and fewer and fewer beds, health workers, medicines and supplies,” said Mr. Tedros, adding that there are rising cases of respiratory and skin infections, and acute watery diarrhoea due to lack of sanitation.

The head of WHO called for the immediate implementation of the Security Council resolution adopted on Wednesday, and for the parties to abide by it.

“We call for attacks on healthcare to stop, and for patients, health facilities, health infrastructure and health workers – as well as aid workers – to be protected,” he stressed.

“And we continue to call for an end to this conflict, to prevent further deaths of civilians and further damage to Gaza’s hospitals and health facilities,” he said.

Massive economic losses: UNDP head

UN Photo/Paulo Filgueiras

Achim Steiner, UNDP Administrator. (file)

Achim Steiner, Administrator of the UN Development Programme (UNDP), told Member States that the almost six weeks of war have created a crisis of massive scale.

“On top of this humanitarian catastrophe […] a development crisis of massive proportions is already unfolding,” he said, warning that it could have generational implications.

He presented findings from UNDP’s latest assessment, which projected that if the fighting continues for a second full month, poverty could soar by 34 per cent, pushing half a million additional people into poverty.

“A third full month of war would see poverty increase by almost 45 per cent, expanding poverty to include over 39 per cent of the population for a total of more than 2.1 million people,” he said.

He also informed Member States of the impacts on the Palestinian economy, with the GDP declining by an estimated 4.3 per cent, sustaining a loss of over $857 million.

“With a third full month of war, the decrease of GDP would reach 12.2 per cent, with losses of over $2.5 billion,” he said.

The UNDP head said that even with the most conservative scenario, it is estimated that the war will set back development in the State of Palestine by 11 years, with Gaza suffering a setback of 17 years. Under higher impact scenarios, the impact in Gaza would rise to 19 years and in the State of Palestine as a whole by 16 years, he said.

“Every additional month that this war continues will come with huge and compounding cost to all Palestinians now and in the medium term,” he said, underscoring the need to step up efforts to stop the war, “as a humanitarian but also as a development imperative.”

Catastrophic situation for women, girls: UNFPA

Laila Baker, Regional Director for Arab States at the UN Population Fund (UNFPA), drew attention to the catastrophic situation faced by women and girls in Gaza.

“At the moment, some 50,000 Palestinian pregnant women are in Gaza, every day approximately 180 women give birth there […] and are facing appalling conditions during those deliveries,” she said, with the situation most critical for the women facing obstetric complications.

Their lives and the lives of their unborn children are at risk, due to severely limited access to healthcare and emergency obstetric care, Ms. Baker added, noting that with supplies running low, women are forced to undergo caesarean sections without anaesthesia, and as military strikes land near hospitals.

“This situation is unconscionable. Hospitals, health workers and civilians must never be targets,” she stressed.

Impacts on children ‘will last a lifetime’: UNICEF

Lana Al Wreikat, Director of Emergency Programmes ad interim at UN Children’s Fund (UNICEF), highlighted the impact of the crisis on children.

“The magnitude of reported child deaths is devastating. Children’s living conditions are getting worse by the day, and their safety and wellbeing is under constant threat,” she said.

“The impact of this war on generation of children, many of whom have already experienced multiple wars, will last a lifetime,” she added.

The UNICEF official called for all crossing points into Gaza to be opened to allow continuous and safe passage of essential supplies and personnel.

Food stocks nearly depleted: WFP

Paul Skoczylas, Director of the UN World Food Programme’s (WFP) New York Office, noted that food stocks across the Gaza Strip are nearly depleted, and prices of any food still available are skyrocketing.

“Gaza has never witnessed such a surge in pricing before,” he said, noting that no commercial goods are entering the Strip.

“Information gathered from the people we serve indicate that people are surviving on one meal a day – if they are lucky,” he added.

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Ethnically-based attacks on the rise — Global Issues

Hundreds of ethnic Masalit civilians were reportedly killed earlier this month in Ardamata town, West Darfur, by the RSF and their allied Arab militia.

The RSF has its roots in the Janjaweed militias which fought on the Government side against a rebel coalition in the Darfur war two decades ago. Some of its leaders face outstanding war crimes and atrocity crimes charges.

‘Six days of terror’

“Preliminary information we have obtained from survivors and witnesses suggests Masalit civilians suffered six days of terror at the hands of the RSF and its allied militia after they took control of the Sudanese army’s base in Ardamata on 4 November,” saidOHCHR Spokesman Jeremy Laurence, speaking in Geneva.

The army base is located just outside the West Darfur capital, El Geneina. Some of the victims were summarily executed or burnt alive.

Many of those killed were young Masalit men and relatives of Sudanese soldiers remaining in Ardamata after the troops fled the town.

Sexual violence, torture, executions

Mr. Laurence said women and girls were reportedly subjected to sexual violence in the Ardamata camp for internally displaced persons (IDPs) and in some homes. Thousands of people have been displaced, with some fleeing across the border to Chad.

The RSF and its allied militias reportedly looted property at Ardamata and another IDP camp, Dorti, as well as the Al-Kabri neighbourhood, all of which are mainly inhabited by the Masalit community.

IDPs were tortured and many executed, their bodies left unburied on the streets.

OHCHR said 66 Masalit men were summarily executed in three separate incidents on 5 November alone. In Al-Kabri district, men were separated from women and killed. Hundreds more men were arrested and taken to various RSF-run detention camps. Their fate and whereabouts remain unknown.

Bodies in the streets

Ardamata marked the second reported mass attack by the RSF and its allied Arab militia against Masalit civilians in a matter of months, Mr. Laurence said.

Between May and June, hundreds of Masalit men, women, and children – including the governor of West Darfur – were killed. Many were buried in mass graves while some bodies were left in the streets.

“Such attacks may constitute crimes under international law,” he said.

He also pointed to serious allegations that in revenge attacks, some Arab civilians were reportedly attacked by members of the Masalit militias.

Appeal for condemnation

“All violations must stop immediately, and those responsible must be brought to justice following thorough, independent and impartial investigations,” he said.

He reiterated the call made in June by the UN High Commissioner for Human Rights, Volker Türk, urging the RSF leadership to unequivocally condemn and stop the killings, other violence and hate speech targeted at civilians, based on their ethnicity.

“Amid worrying reports of an imminent RSF assault on El Fasher, the capital of North Darfur, we remind them and all other parties to the conflict to respect their international humanitarian law obligations to ensure protection of civilians and civilian infrastructure,” he said.

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UN’s Türk calls for political path out of ‘horror’ — Global Issues

Speaking in Geneva, the High Commissioner for Human Rights urged the parties to the conflict to “create the political space for a path out of this horror”.

Mr. Türk condemned the widespread targeting of civilians in the past five weeks of hostilities and urged accountability for gross rights violations.

He stressed that attacks directed at “hospitals, schools, markets and bakeries” as well as collective punishment “in the case of Israel’s blockade and siege imposed on Gaza” are prohibited under international humanitarian law.

So too is “aiming indiscriminate projectiles into southern Israel” by Palestinian armed groups, hostage-taking and the “use of civilians to shield locations from military operations”.

I am on the side of every civilian, Palestinian or Israeli, who is harmed, or who lives in fear,” he said.

Ceasefire now

Addressing the desperate humanitarian situation in the enclave after briefing Member States and journalists in Geneva, Mr. Türk highlighted multiple patient deaths at Gaza City’s besieged Al-Shifa hospital and the proliferation of attacks on healthcare in the Strip. Since 7 October, 137 such attacks have been documented by UN health agency WHO.

The UN rights chief spoke of people forced to move south by Israeli bombardments and fighting on the ground, “carrying elderly family members, and terrified, sometimes wounded children, moving slowly on a bomb-cratered road”, and of those unable to move who remain trapped in sealed-off northern Gaza.

Putting hostilities on hold to give space to humanitarian action, as called for by Security Council resolution 2712 adopted on Wednesday night, is “critically necessary”, Mr. Türk said, urging the parties to the conflict to “give effect, immediately, to the Council’s calls”.

Safe zones ‘untenable’

The High Commissioner echoed the 10-point plan presented on Wednesday by UN emergency relief chief Martin Griffiths, notably regarding the need to provide fuel to power aid trucks, hospitals, bakeries and desalination plants.

In alignment with Mr. Griffiths’ comments, Mr. Türk warned that proposals for a so-called “safe zone” are untenable” because the zone is “neither safe nor feasible for the number of people in need”.

War crimes investigations

Speaking to journalists of the need for justice and accountability, he said that documenting and analysing evidence of all violations was a long and necessary process. He stressed the importance of access to both Israel and the occupied Palestinian territory for independent monitoring.

Where national authorities “prove unwilling or unable” to carry out investigations, and “where there are contested narratives on particularly significant incidents” an international investigation could be called for, he said.

Asked about the case of Al-Shifa hospital, which was the object of an Israeli military raid this week, he said that there were contradictory statements on the developments there, which would warrant an independent international investigation “to find out what is actually happening”.

The Israeli Defense Forces raided the hospital claiming that Hamas had established a command centre under the hospital – an allegation denied by medical staff.

‘Risk of spill over’

Mr. Türk also stressed that the crisis “extends well beyond Gaza”, with a “potentially explosive” situation in the occupied West Bank, where settler attacks against Palestinians and the use of military means in law enforcement operations are on the rise.

Having returned from a visit to the region last week, the UN rights chief also said that he shared “the deep sense of foreboding of many of [his] interlocutors about the risk of spill over into the wider Middle East region, if the current trajectory continues”.

He warned against the “trap” of further polarisation, insisting that “every one of us needs to strive to find common ground, and a solution”.

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Lack of fuel threatening to shut down entire humanitarian operation — Global Issues

In a wide-ranging briefing to journalists in Geneva, UNRWA Commissioner-General Philippe Lazzarini reiterated calls for a ceasefire and addressed misinformation targeting the agency, including claims that aid is being diverted.

He said he has also received reports of UN schools being used “for military purposes”.

Commitment in crisis

During the briefing, Mr. Lazzarini said he had received reports that Gaza was under a communications blackout due to the lack of fuel.

He repeated his earlier warning that UNRWA is running out of fuel, thus putting lifesaving support to 2.2 million in Gaza at risk. Everything from aid delivery, to water supply, to even accessing cash from ATM machines will be impacted.

“We will not be able to uphold our commitment to provide for the Palestinian people any longer,” he said. “I do believe there is a deliberate attempt to strangle our operation and paralyse the UNRWA operation.”

Exodus from the north

Mr. Lazzarini outlined the total devastation of nearly six weeks of conflict which he said has sparked the largest displacement of Palestinians since 1948.

Thousands of people have fled northern Gaza for the south, arriving “dehydrated, hungry, exhausted and shell-shocked.”

UNRWA schools are now hosting more than 800,000 people amid dire conditions and lack of food, water and adequate sanitation. More than 30 per cent of people in shelters are already exhibiting skin illnesses.

UN shelters hit

He also addressed some of UNRWA’s latest concerns as well as “misunderstandings” or “misinformation”.

Although people have been evacuating from the north, one-third of all killings have occurred in the south, he said. He stressed that “there is nowhere safe in Gaza”, including UN compounds.

“Up to 60 of them have been hit since the beginning of the conflict. We had more than 60 people now killed. We had hundreds of people injured,” he said.

UNRWA deaths mount

He provided an update on UNRWA losses, with at least 103 staff now confirmed killed although the number could be higher. He described these colleagues as UN civil servants dedicated to serving the community who “had absolutely nothing to do with the conflict per se.”

Mr. Lazzarini also responded to articles that said UNRWA schools teach hatred, which he flatly refuted. He said the agency has “zero tolerance” for hate speech, racism and incitement to discrimination, hostility, or violence.

Condemnation and clarifications

“UNRWA rejects claims linking its personnel and schools to the abhorrent 7 October attacks in Israel; attacks that UNRWA has condemned in the strongest terms and which I will always continue to condemn,” he said.

He questioned “the motivation of those who make such claims through large advocacy campaigns, especially under these current circumstances.”

He further emphasized that UNRWA does not let aid get diverted as the agency directly implements its programmes without intermediaries.

“Whenever we work with suppliers, they are systematically checked against sanction lists,” he said, adding that the names of all staff are sent to the host country and to the Israeli authorities each year.

“In reality, we are certainly one of the most scrutinized organizations,” he said.

UN facilities ‘violated’

Mr. Lazzarini reported that UN facilities “have been violated over the last six weeks quite regularly”.

In recent days he has received reports that several UNRWA schools have been used for military purposes “including a recent discovery of weapons in schools and including the positioning of Israeli forces in at least two UN schools.”

Journalists repeatedly asked for clarification.

“I have received or heard reports and allegations- again, I’m not in a position to confirm it– that…in the north, where we have a ground military operation, that reportedly there might have been weapons found in schools. And reportedly also we heard through social media that there have been also Israeli military forces positioning in UN compound,” he said at one point.

He stressed that this was a “blatant violation” which also endangers UNRWA colleagues on the ground.

“If this information (is) correct, it needs to be pushed back and condemned,” he said.

Sewage in the streets

Regarding dwindling fuel supply, Mr. Lazzarini recalled that he first sounded the alarm three weeks ago. UNRWA was able to “tap into the remaining fuel in the Gaza Strip” in the interim, and always through coordination with Israel.

While the agency received a “tiny shipment” of fuel – half a truck – on Wednesday, he said “it was delivered with conditionalities”. The fuel can only be used for trucks collecting goods arriving at the Rafah crossing with Egypt, meaning that water desalination plants, sewage pumping systems or bakeries will go without.

“As from yesterday 70 per cent of the population just in the south has no access anymore to clean water, and as of today, we have raw sewage starting to flow in the streets,” he said.

WFP warns of starvation risk

Meanwhile, cases of malnutrition and dehydration in Gaza “are increasing rapidly and by the day,” the World Food Programme (WFP) reported on Thursday.

“Gaza actually risks sliding into hunger hell without fuel and a rapid surge in food supplies,” said Abeer Atefa, WFP Senior Spokeswoman for the Middle East, speaking from Cairo.

She warned that “with winter fast approaching, and the unsafe and overcrowded shelters, lack of clean water, people are facing the immediate possibility of starvation.”

Eating raw onions

Ms. Atefa said only 10 per cent of necessary food items have entered the enclave since the start of the conflict, creating “a massive food gap”. Practically the entire population of 2.2 million people now needs food assistance.

People are barely able to have one meal a day, food options are limited to canned food, if it is available, and bread is a rare luxury.

“Some people have actually resorted to consuming raw onions, uncooked eggplant, whatever they can get their hands on,” she said.

© WHO

The Al Naser hospital in Khan Younis.

Food systems collapsing

Although aid trucks are trickling in, they can barely deliver their small cargoes of food and water because roads have been damaged or fuel is in very short supply.

“The existing food systems in Gaza are basically collapsing,” she said, while shops have run out of supplies.

“Food production has come to an almost complete halt, markets have collapsed, fishermen cannot access the sea, farmers cannot reach their farms and the last bakery that the World Food Programme has been working with has closed its door because of the shortage of fuel.”

Last mill shuttered

Furthermore, bakeries that were operating are unable to do so now because of the shortage of fuel and clean water, or because they sustained damage. The last mill for grinding wheat flour used to make bread also shut down after being hit.

“This has all halted the supply of bread, which is the last staple food for people in Gaza,” she said.

“And with gas and electricity in desperate supply, many people are using wood to cook or to make bread, and perishable food is not really an option at all because there is no electricity to keep items refrigerated.”

Bread baskets empty

At the start of the conflict, WFP and UNRWA were working with 23 bakeries providing fresh bread each day to 200,000 people in shelters. All are now out of service.

Approximately 130 bakeries were dotted across Gaza prior to the conflict. More than 11 have been hit by airstrikes and destroyed, including one contracted by WFP. The rest are barely working because of the shortage of fuel.

Safe access critical

WFP has so far reached roughly 764,000 people across Gaza and the West Bank with ready-to-eat food, in-kind food parcels and electronic vouchers. Nearly half a million people in UN shelters have received bread and canned tuna, or nutritionally dense date bars.

She said people redeemed vouchers throughout October “but they’re deemed useless now” because there are no food commodities to buy.

WFP plans to scale up operations to reach one million people in Gaza by December, and she stressed the need for fuel, more aid convoys, multiple border entry points and safe humanitarian access to meet the growing needs.

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‘Hospitals are not battlegrounds’, children’s suffering must stop, UN humanitarians say — Global Issues

Her comments came amid reports on Wednesday morning of an ongoing Israeli Defense Forces raid inside Gaza City’s Al-Shifa hospital, where patients including premature babies have died over the course of the past days after incubators and other life-saving equipment lost power.

“Hospitals are not battlegrounds,” UN relief chief Martin Griffiths wrote on social platform X, insisting that “the protection of newborns, patients, medical staff and all civilians must override all other concerns”. Speaking to UN News earlier, he stressed that “Hamas must not use a place like a hospital as a shield for their presence” and that “the hospital should not become a warzone of danger”.

“We find these two issues equally important,” he insisted.

‘Grave violations’

Ms. Russell condemned the “grave violations” against children committed by the parties to the conflict and said that she was in Gaza “to do whatever I can to advocate for the protection of children”.

“Inside the Strip, there is nowhere safe for Gaza’s one million children to turn,” she said, highlighting that more than 4,600 children have reportedly been killed and nearly 9,000 injured.

Many children are believed buried under the rubble of collapsed buildings, “the tragic result of the use of explosive weapons in populated areas”, she said.

Ceasefire now

The UNICEF chief described hearing harrowing stories from her agency’s staff on the ground and stressed the high risk to humanitarian actors operating inside Gaza. Since 7 October 102 staff members of the UN agency for Palestine refugees (UNRWA) have been killed in the enclave.

Ms. Russell reiterated calls for an “immediate humanitarian ceasefire”, the release of all abducted and detained children, and for “safe, sustained and unimpeded access” for humanitarians to people in need.

‘Horrific situation’

Mr. Griffiths, the UN’s top aid official, told UN News that from a humanitarian perspective and outside of any military considerations, “our problem is protecting the people of Gaza”.

He stressed that Gazans are in a “horrific situation in which they have no escape and are being asked to move in conditions of danger”.

Over 1.5 million people in Gaza are estimated to be internally displaced, including about 787,000 who are staying in some 154 UNRWA shelters, where massive overcrowding is leading to the spread of disease.

The UN humanitarian affairs coordination office OCHA headed by Mr. Griffiths reported on Wednesday that displaced people staying in makeshift tents outside the shelters in southern Gaza for lack of room are now suffering from the onset of heavy rains and flooding.

© UNRWA/Ashraf Amra

Palestinians continue to flee from the northern part of the Gaza Strip.

Aid trucks at a standstill

Regarding the lack of fuel, which has not been allowed into the Strip since the start of the crisis, Mr. Griffiths said that “we need at least a couple hundred thousand litres to get us moving again”.

UNRWA said on Tuesday night that its trucks inside Gaza were not able to pick up aid coming in through the Rafah border crossing from Egypt that day because they don’t have fuel.

According to media reports late on Tuesday night, Israel gave approval for 24,000 litres of diesel fuel to be used solely by trucks for UN operations but it was not clear when and how the fuel would be delivered.

‘Ready to go’

Mr. Griffiths explained that a ceasefire was also necessary to let the private sector operate and allow depleted shops to restock. “That’s just as important as our operations, if not more,” he said.

“We are right there, sitting in front of those people, at the borders of Gaza, in Rafah, ready to go” and to “try to reach people where they are”, he insisted in his plea for access.

“It is a standard way of operation in a crisis like this,” he said.

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UN emergency relief chief unveils 10-point plan ‘to rein in the carnage’ — Global Issues

The initiative from veteran aid chief Martin Griffiths, head of the UN aid coordination office OCHA, comes more than five weeks since Hamas militants killed 1,200 people in Israel and took around 240 hostages.

The full-scale Israeli siege and assault that followed has levelled thousands of buildings in Gaza and reportedly claimed more than 11,000 civilian lives, according the Ministry of Health there.

Halt the killing

“As the carnage in Gaza reaches new levels of horror every day, the world continues to watch in shock as hospitals come under fire, premature babies die, and an entire population is deprived of the basic means of survival,” Mr. Griffiths said. “This cannot be allowed to continue.”

In a call to the warring parties and all those able to exert influence on them to heed the initiative, Mr. Griffiths underscored the need to ensure a safe and “continuous flow of aid convoys” into Gaza.

Additional crossing points should be opened into the enclave, over and above Rafah from Egypt, according to the 10-point plan, including Kerem Shalom, and private sector suppliers should be included in this plan too.

Fuel access is key

Access to fuel, a key requirement for all aid to flow, should also be made possible “in sufficient quantities” to deliver basic services, and the UN and partners should be allowed to expand the number of shelters available to all those forced from their homes in northern Gaza by the Israeli military’s evacuation order.

Additional funding for the humanitarian response is also required, Mr. Griffiths pointed out, noting that it now amounts to $1.2 billion. UN and partner aid distribution hubs should also be permitted and civilians should be allowed “to move to safer areas and to voluntarily return to their residences”, the UN official said.

© UNRWA/Ashraf Amra

A man and a boy share drinking water in the Gaza Strip.

Earlier on Wednesday a truck with 23,000 litres of fuel entered Gaza but Israeli authorities have restricted its use to only transporting aid from Rafah. At least 120,000 litres a day are needed to operate hospital generators, ambulances, desalination plants, sewage treatment plants and telecommunications.

This problem can be easily rectified the UN said: the supply of electricity must be restored, and sufficient fuel must be allowed to enter to run vital infrastructure and distribute life-saving aid.

More to come on this developing story…

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Humanitarians step up response to deadly cholera outbreak in Sudan — Global Issues

UN agencies and partners are scaling up response to the outbreak, which was first declared in Gedaref state, located in the east, on 26 September.

At least 2,525 suspected cases of acute watery diarrhoea/cholera have been reported, including 78 associated deaths, in 27 localities across seven states.

Millions at risk

More than 3.1 million people are estimated to be at risk through the end of the year, according to the latest OCHA update.

Humanitarian agencies are supporting the detection and treatment of cases, while surveillance is ongoing in affected and high-risk areas to identify and address risk factors.

Last week, the sixth flight chartered by UN health agency, WHO, landed in Port Sudan, located on the Red Sea coast, from its Global Logistics Hub in Dubai.

The plane delivered more than 33 metric tonnes of supplies for cholera response, including medicines, laboratory supplies and equipment, as well as reproductive health kits for the UN Population Fund (UNFPA).

Vaccines on the way

Furthermore, the international mechanism that manages and coordinates emergency vaccine supply has approved the authorities’ request for nearly three million doses of oral cholera vaccines that will be used in campaigns in nine localities in Gedaref and two other states.

They are expected to arrive on 20 November and the vaccination campaigns should begin by the end of the month.

Conflict still raging

The cholera outbreak is taking place against the background of conflict that erupted in mid-April between the Sudanese army and a rival paramilitary group known as the Rapid Support Forces (RSF).

More than six million people have fled their homes, with 1.2 million escaping across the border.

The UN refugee agency, UNHCR, recently warned that reports of continued sexual violence, torture, killings, and other violations in West Darfur echo atrocities committed 20 years ago.

Healthcare under pressure

The conflict is “straining the health system to its limits”, WHO Director-General Tedros Adhanom Ghebreyesus said on Monday, posting on social media platform X.

“As violence escalates in Darfur, numerous individuals are fleeing to Chad in search of safety, further burdening an already fragile nation,” he wrote.

Although WHO “is actively coordinating with partners to establish mobile clinics, enhance surveillance, and distribute essential medicines and supplies,” Tedros said efforts are being hampered by “the challenging security situation, as well as bureaucratic and administrative obstacles that impede access.”

He appealed to the international community to focus attention on Sudan and the pressing needs there.

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