Famine Expert: Israel's Starvation of Gaza Most 'Minutely Designed and Controlled' Since WWII

A leading global authority on famine on Monday accused Israel of orchestrating a carefully planned campaign of mass starvation in the Gaza Strip, remarks that came amid a steadily rising death toll from malnutrition caused by the 654-day U.S.-backed Israeli siege and obliteration of the Palestinian enclave.

"I've been working on this topic for more than four decades, and there is no case since World War II of starvation that is being so minutely designed and controlled," Alex de Waal, executive director of the World Peace Foundation at Tufts University's Fletcher School of Law and Diplomacy, told Al Jazeera.

"This is preventable starvation. It is entirely man-made," de Waal added. "And every stage of this has been predicted, and at every stage action could have been taken—by Israel, by the international authorities, [the] international community, those who back Israel—to prevent what is happening now... Those steps have simply not been taken."

The Gaza Health Ministry—whose casualty figures have been deemed accurate by Israeli military officials and a likely undercount by multiple peer-reviewed studies—said Tuesday that 15 more Palestinians, including four children, died from malnutrition over the past 24 hours, bringing the total number of starvation deaths in the coastal enclave to at least 101, including 80 children, since October 2023. The ministry said that 21 Gaza children have starved to death over the past three days alone.

When combined with lack of medicine, malnutrition has claimed hundreds of Palestinian lives in Gaza, according to officials there.

"I am so hungry," Ruwaida Amer, a 30-year-old Gaza woman, wrote for +972 Magazine Monday. "We are starving. My body is breaking down. My mother is collapsing from exhaustion. My cousin cheats death every day for a morsel of aid. Gaza's children are dying in front of our eyes, and we are powerless to help them."

Another Gaza woman, Amina Badir, told Amer while clutching her starving 3-year-old: "Tell me how to save my daughter Rahaf from death. For a week she's eaten nothing but a single spoon of lentils each day."

"She's suffering from malnutrition. There's no treatment, no milk at the hospital," Badir added. "They've taken away her right to live. I see death in her eyes."

Gaza medical officials say 17,000 children are severely malnourished in the strip. According to the Integrated Food Security Phase Classification, also known as the IPC scale, at least 244,000 people in Gaza are in Phase 5, defined as such "an extreme deprivation of food" that "starvation, death, destitution, and extremely critical levels of acute malnutrition are or will likely be evident."

The "complete siege" imposed on Gaza immediately following the October 7, 2023 Hamas-led attack on Israel has fueled widespread starvation and disease, and has been condemned as a war crime. The International Criminal Court last year ordered the arrest of Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant for alleged murder and forced starvation of Gazans. The International Court of Justice is also weighing a genocide case filed against Israel by South Africa.

Amid intense international pressure, Israel partially lifted its siege of Gaza in May. However, de Waal and others say the move is wholly inadequate to prevent the famine taking hold in the strip.

"The partial lifting was not to bring in the kind of humanitarian program that we have been familiar with as humanitarians over the decades," de Waal told Al Jazeera Monday. "It was to bring in a type of rationed program that is simply an arm of the Israeli military."

Israel has also come under intense criticism for its method of delivering aid in Gaza via the U.S.-backed Gaza Humanitarian Foundation, whose distribution points have been the sites of near-daily massacres. Israel Defense Forces (IDF) officers and troops say they were ordered to shoot and shell desperate aid-seekers at GHF distribution centers. Officials said at least 10 aid-seekers were killed on Tuesday alone.

"The killing of civilians seeking aid in Gaza is indefensible."

"As of July 21, we have recorded 1,054 people killed in Gaza while trying to get food; 766 of them were killed in the vicinity of GHF sites and 288 near [United Nations] and other humanitarian organizations' aid convoys," U.N. human rights spokesperson Thameen Al-Kheetan told Agence France-Presse.

Kaja Kallas, the European Union's foreign policy chief, said Tuesday that "the killing of civilians seeking aid in Gaza is indefensible," adding that the "IDF must stop killing people at distribution points."

Other international humanitarian experts also weighed in on the growing Gaza famine, with Michael Fakhri, the U.N. special rapporteur on the right to food, telling Al Jazeera Monday that the "man-made" starvation in the strip "is a war crime."

"Israel has been using aid as a way to bait civilians and has been killing civilians who have been seeking aid," he said. "What we're seeing now is the most horrific stage of Israel's 20-month starvation campaign."

Jan Egeland, secretary general of the Norwegian Refugee Council, told Reuters Tuesday that "our last tent, our last food parcel, our last relief items have been distributed. There is nothing left."

"Hundreds of truckloads have been sitting in warehouses or in Egypt or elsewhere, and costing our Western European donors a lot of money, but they are blocked from coming in," he explained. "That's why we are so angry. Because our job is to help."

"Israel is not yielding," Egeland added. "They just want to paralyze our work."

This article has been corrected to state that 244,000 Palestinians in Gaza were in Phase 5 of starvation in May 2025. A previous version incorrectly stated that 85% of the population was in Phase 5.