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humanitarian aid
'Where Is the Ceasefire?': Israel's Bombing of Gaza Kills 23, Mostly Women and Children
It comes as nearly 20,000 Palestinians are being denied the ability to leave Gaza for medical treatment, in what activist Muhammad Shehada called "a slow-motion massacre."
Feb 04, 2026
Israeli bombings across Gaza have killed at least 23 Palestinians since dawn on Wednesday, including at least two infants, according to hospital officials and other health authorities.
“Where is the ceasefire? Where are the mediators?” asked Dr. Mohamed Abu Salmiya, director of Gaza City’s Shifa Hospital, which received the bodies of 11 people—mostly from the same family—who were killed after Israeli soldiers fired upon a building in northern Gaza.
Israel said the attack was in retaliation after Hamas militants fired at an Israeli soldier, badly wounding him. The Associated Press reports that among the Palestinians killed were "two parents, their 10-day-old girl Wateen Khabbaz, her 5-month-old cousin, Mira Khabbaz, and the children’s grandmother."
Another attack on a tent in the southern city of Khan Younis killed three more people: Nasser Hospital, which received the bodies, said they included a 12-year-old boy. Another strike killed five more people, including a paramedic named Hussein Hassan Hussein al-Semieri, who was on duty at the time.
A total of 38 Palestinians were wounded in the series of attacks, according to the Gaza Health Ministry.
Since a "ceasefire" agreement went into effect on October 10 last year, the Gaza Government Media Office says Israel has committed at least 1,520 violations, killing at least 556 people—including 288 children, women, and elderly people—and wounding 1,500 others.
In comments to Al Jazeera, the Palestinian human rights advocate Muhammad Shehada said a ceasefire that is violated so consistently “is no ceasefire at all”.
“At most, [the deal] can be just described as some sort of mild diplomatic restraint,” Shehada said. “Whenever the world’s attention is elsewhere, Israel escalates dramatically.”
Since its genocidal war in Gaza began in October 2023, nearly 72,000 Palestinians have been killed and 171,000 injured, according to the Gaza Health Ministry, whose figures the Israel Defense Forces (IDF) recently conceded are accurate after more than two years of denial. Independent estimates suggest the true death toll is much higher.
Wednesday's onslaught came as Israel began to slowly open the Rafah crossing—the main point of entry and exit from the strip—for those in severe need of medical attention to leave.
Gaza's hospitals have been rendered largely inoperable by two years of relentless bombing and a lengthy blockade on medical supplies entering the strip, which has left more than half the population without medical treatment.
The World Health Organization said last week that 18,500 Palestinians are in need of medical treatment abroad, including hundreds in need of immediate treatment.
According to Egyptian officials, 50 patients were expected to enter through the crossing each day. However, on Monday, just five Palestinians were allowed to leave Gaza for treatment, followed by 16 on Tuesday, according to Al Jazeera reporters on the ground.
Around 4,000 of those awaiting treatment are children. According to health officials, one of them, 7-year-old Anwar al-Ashi, died of kidney failure on Wednesday while on a waitlist.
Meanwhile, those attempting to cross have been met with treatment described as "humiliating" by reporters who witnessed it. Israeli troops have subjected patients to strip searches and interrogations—some were blindfolded and had their hands tied.
"The Rafah crossing continues to be a cruel and severely restricted 'passage' of pain and humiliation," said the Palestinian politician and activist Hana Ashrawi. "This continues to be a multifaceted war of aggression, based on the deliberate manipulation of the pain of a captive people."
Salmiya said that at the rate Israel is allowing them to leave, "it will take about five years on average for all patients to be discharged." He referred to Israel's actions as "crisis management, not a solution to the crisis."
On Tuesday, United Nations Secretary-General António Guterres called for "the facilitation of rapid and unimpeded passage of humanitarian relief at scale—including through the Rafah crossing."
He added that Israel's recent suspension of dozens of aid organizations—including Doctors Without Borders, Oxfam, and Save the Children—defies humanitarian principles, undermines fragile progress, and worsens the suffering of civilians."
Shehada, who said he and his family were eagerly awaiting the end of travel restrictions, told Al Jazeera that "Israel hollowed [it] out of any substance or meaning." Instead, he said, "it’s basically a slow-motion massacre."
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Israel's Attack on Aid Organizations in Gaza Is an Attack on Palestinian Survival
What emerges is a coherent strategy: first, producing dependency through siege, destruction, and institutional dismantling; then, weaponizing that dependency by controlling or withdrawing the means of staying alive.
Jan 03, 2026
Israel’s decision to halt the operations of 37 international aid groups marks a dangerous escalation in its ongoing genocidal campaign, which has destroyed Gaza’s capacity to sustain life through bombardment and siege, and now moves to deprive survivors of the last remaining forms of assistance.
While framed as an administrative measure, this latest move cannot be understood in isolation. It is the culmination of a longer process that has unfolded over the past two years, as Israel has systematically dismantled the humanitarian and medical infrastructure sustaining Gaza’s civilian population.
By defunding and delegitimizing The United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), the primary agency tasked with aiding Palestinian refugees; and by leveling accusations against humanitarian and health personnel, in the absence of meaningful global pushback, Israel has further entrenched a longstanding system of weaponized aid.
While the Israeli government initially framed the suspension of aid groups as being linked to their failure to comply with new registration requirements, it later noted in a statement that the process was “intended to prevent the exploitation of aid by Hamas, which in the past operated under the cover of certain international aid organizations, knowingly or unknowingly.”
Such criteria not only regulate aid work; they effectively silence dissent, conditioning the ability to deliver humanitarian assistance on political conformity.
Israel has long accused Hamas of exploiting humanitarian aid, despite such claims having repeatedly been debunked, including by senior Israeli military officials themselves.The new regulatory framework extends well beyond technical compliance. It introduces explicitly political and ideological conditions for aid delivery, disqualifying organisations that have supported boycotts of Israel or engaged in “delegitimization campaigns.”
Such criteria not only regulate aid work; they effectively silence dissent, conditioning the ability to deliver humanitarian assistance on political conformity.
UNRWA Test Case
The dismantling of UNRWA was a critical test case. For decades, the agency served as the backbone of civilian life for Palestinian refugees, providing healthcare, education, food assistance, and social services, under conditions of Israeli occupation and siege.
After October 7, 2023, Israel intensified its efforts to recast UNRWA not as a humanitarian agency operating under an international mandate, but as a political problem to be neutralized.
Allegations that a limited number of UNRWA employees were affiliated with Hamas, or involved in the October 7 attacks, were rapidly generalized into claims about the organisation as a whole. These claims triggered sweeping donor suspensions—including the immediate freezing of US funding, among UNRWA’s largest sources of support—illustrating how fast states are willing to act on evidence-free allegations from Israel, whose overall goal is to avoid global scrutiny of its crimes.
The persecution of UNRWA thus demonstrated how easily a central pillar of the humanitarian system can be dismantled, setting the stage for what would come next, as Israel launched a broader attack on international aid groups operating in Gaza.
In the months that followed, Israel blocked UNRWA’s operations on the ground and passed legislation criminalizing its activities across historic Palestine.
The response from the international community was striking in its weakness: While some donors ultimately resumed funding to UNRWA, no binding enforcement mechanisms were activated, nor were any serious political costs imposed on Israel.
The persecution of UNRWA thus demonstrated how easily a central pillar of the humanitarian system can be dismantled, setting the stage for what would come next, as Israel launched a broader attack on international aid groups operating in Gaza.
The consequences of this latest move are devastating. For decades, such organizations have provided essential services, amid the systematic degradation of civilian infrastructure and repeated assaults on healthcare in Gaza. Groups like Doctors Without Borders and Medical Aid for Palestinians offer vital resources for emergency and trauma care, along with other key services to sustain Gaza’s fragile health system, at a time when many hospitals are damaged or out of service.
Buffers Against Collapse
The centrality of international aid groups to Gaza’s survival is itself a measure of the depth of destruction imposed on Palestinian society. Such actors have long operated in spaces where Palestinian institutions have been dismantled, and political solutions deferred.
In the absence of an end to Israel’s occupation and siege, their presence has become one of the few remaining buffers against total collapse. In the context of an ongoing genocide and the destruction of the infrastructure required to sustain life in Gaza, stripping away the remaining humanitarian presence amounts to a direct assault on survival itself.
The Israeli government has sought to downplay the impact of the suspensions by asserting that the targeted organisations “did not bring aid into Gaza throughout the current ceasefire, and even in the past their combined contribution amounted to only about 1% of the total aid volume.”
In Gaza, where Israel has already destroyed the material conditions of life, the suspension of humanitarian operations completes this logic.
But this calculation of material aid fails to capture the nature of the work and services these groups have provided, including specialized medical care, trauma surgery, rehabilitation for injured and disabled people, psychosocial and mental health services, and sustained institutional support to keep Gaza’s collapsing health system functioning.
In 2025 alone, Doctors Without Borders carried out nearly 800,000 outpatient consultations and treated more than 100,000 trauma cases in Gaza, while Medical Aid for Palestinians made many critical interventions, including through expanded cancer care in the territory’s north.
Israel’s 1% calculation, which has not been independently verified, reduces humanitarian impact to quantitative supply indicators, rather than lifesaving capacity. To present these organizations as marginal is not a factual assessment, but a narrative designed to normalize their removal.
What emerges is a coherent strategy: first, producing dependency through siege, destruction, and institutional dismantling; then, weaponizing that dependency by controlling or withdrawing the means of survival.
In Gaza, where Israel has already destroyed the material conditions of life, the suspension of humanitarian operations completes this logic. This is not a failure of humanitarianism, but part of a broader genocidal strategy, where the regulation and withdrawal of aid is used to render survival itself increasingly impossible.
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Many in Gaza to 'Lose Access to Critical Medical Care' as Israel Suspends Doctors Without Borders
"The humanitarian response in Gaza is already highly restricted, and cannot afford further dismantlement," the renowned organization warned.
Dec 30, 2025
The Israeli government said Tuesday that Doctors Without Borders, one of the largest medical organizations currently operating in Gaza, is among the 25 humanitarian groups that will be suspended at the start of the new year for their alleged failure to comply with Israel's widely criticized new registration rules for international NGOs.
According to the Associated Press, Israel's Ministry of Diaspora Affairs "said the organizations that will be banned on January 1 did not meet new requirements for sharing staff, funding, and operations information." The Israeli government specifically accused Doctors Without Borders, known internationally as Médecins Sans Frontières (MSF), of "failing to clarify the roles of some staff that Israel accused of cooperation with Hamas and other militant groups," AP reported.
In addition to providing medical assistance to desperate Palestinians, MSF has been an outspoken critic of what has it described as Israel's "campaign of total destruction" in Gaza. The group said in a report released last December that its teams' experiences on the ground in Gaza were "consistent with the descriptions provided by an increasing number of legal experts and organizations concluding that genocide is taking place."
Ahead of Tuesday's announcement, Doctors Without Borders warned that the looming withdrawal of registration from international NGOs "would prevent organizations, including MSF, from providing essential services to people in Gaza and the West Bank."
"With Gaza’s health system already destroyed, the loss of independent and experienced humanitarian organizations’ access to respond would be a disaster for Palestinians," the group said in a statement last week. "The humanitarian response in Gaza is already highly restricted, and cannot afford further dismantlement."
"If Israeli authorities revoke MSF’s access to Gaza in 2026, a large portion of people in Gaza will lose access to critical medical care, water, and lifesaving support," the group added. "MSF’s activities serve nearly half a million people in Gaza through our vital support to the destroyed health system. MSF continues to seek constructive engagement with Israeli authorities to continue its activities."
Pascale Coissard, MSF's emergency coordinator for Gaza, noted that "in the last year, MSF teams have treated hundreds of thousands of patients and delivered hundreds of millions of liters of water."
"MSF teams are trying to expand activities and support Gaza’s shattered health system," said Coissard. "In 2025 alone, we carried out almost 800,000 outpatient consultations and handled more than 100,000 trauma cases."
Israel's announcement came shortly after Prime Minister Benjamin Netanyahu met with US President Donald Trump in Florida, where both dodged questions about their supposed "peace plan" for Gaza after more than two years of relentless bombing. The Israeli military has been accused of violating an existing ceasefire agreement hundreds of times since it took effect in October.
Al Jazeera reported Tuesday that "Israeli forces have carried out strikes across the Gaza Strip as they continue with their near-daily violations of the ceasefire agreement, with Israel’s genocidal war on the besieged enclave continuing apace and displaced Palestinians enduring the destruction of their few remaining possessions in flooding brought about by heavy winter rains."
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