DEIR AL-BALAH, Gaza Strip (AP) — Five starving children at a Gaza City hospital were wasting away, and nothing the doctors tried was working. The basic treatments for malnourishment that could save them had run out under Israel’s blockade. The alternatives were ineffective. One after another, the babies and toddlers died over four days.
In greater numbers than ever, children hollowed up by hunger are overwhelming the Patient’s Friends Hospital, the main emergency center for malnourished kids in northern Gaza.
The deaths last weekend also marked a change: the first seen by the center in children who had no preexisting conditions. Symptoms are getting worse, with children too weak to cry or move, said Dr. Rana Soboh, a nutritionist. In past months, most improved, despite supply shortages, but now patients stay longer and don’t get better, she said.
“There are no words in the face of the disaster we are in. Kids are dying before the world … There is no uglier and more horrible phase than this,” said Soboh, who works with the U.S.-based aid organization Medglobal, which supports the hospital.
This month, the hunger that has been building among Gaza’s more than 2 million Palestinians passed a tipping point into accelerating death, aid workers and health staff say. Not only children — usually the most vulnerable — are falling victim under Israel’s blockade since March, but also adults.
In the past three weeks, at least 48 people died of causes related to malnutrition, including 28 adults and 20 children, the Gaza Health Ministry said Thursday. That’s up from 10 children who died in the five previous months of 2025, according to the ministry.
The U.N reports similar numbers. The World Health Organization said Wednesday it has documented 21 children under 5 who died of causes related to malnutrition in 2025. The U.N. humanitarian office, OCHA, said Thursday at least 13 children’s deaths were reported in July, with the number growing daily.
“Humans are well developed to live with caloric deficits, but only so far,” said Dr. John Kahler, Medglobal’s co-founder and a pediatrician who volunteered twice in Gaza during the war. “It appears that we have crossed the line where a segment of the population has reached their limits”
“This is the beginning of a population death spiral,” he said.
The U.N.’s World Food Program says nearly 100,000 women and children urgently need treatment for malnutrition. Medical workers say they have run out of many key treatments and medicines.
Israel, which began letting in only a trickle of supplies the past two months, has blamed Hamas for disrupting food distribution. The U.N. counters that Israel, which has restricted aid since the war began, simply has to allow it to enter freely.
Hundreds of malnourished kids brought daily
The Patient’s Friends Hospital overflows with parents bringing in scrawny children – 200 to 300 cases a day, said Soboh.
On Wednesday, staff laid toddlers on a desk to measure the circumference of their upper arms — the quickest way to determine malnutrition. In the summer heat, mothers huddled around specialists, asking for supplements. Babies with emaciated limbs screamed in agony. Others lay totally silent.
The worst cases are kept for up to two weeks at the center’s 10-bed ward, which this month has had up to 19 children at a time. It usually treats only children under 5, but began taking some as old as 11 or 12 because of worsening starvation among older children.
Hunger gnaws at staff as well. Soboh said two nurses put themselves on IV drips to keep themselves going. “We are exhausted. We are dead in the shape of the living,” she said.
The five children died in succession last Thursday, Saturday and Sunday.
