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"In MSF's nearly 54 years of operations, rarely have we seen such levels of systematic violence against unarmed civilians."
The international medical aid group Médecins Sans Frontières on Thursday called for the immediate shuttering of the Israel-U.S.-backed Gaza Humanitarian Foundation, denouncing the distribution sites it operates as "essentially death traps."
Backing up its condemnation, MSF released a new analysis—titled, "This is not aid. This is orchestrated killing"—which "documents the horrors witnessed" by the group's staff over recent weeks and the deadly failures of GHF, a group conceived of by the Israeli government with the backing of the Trump administration and staffed by private U.S. contractors after the United Nations-run distribution infrastructure, powered by hundreds of cooperating NGOs, was eviscerated by Israel earlier this year.
"Children shot in the chest while reaching for food. People crushed or suffocated in stampedes. Entire crowds gunned down at distribution points," said MSF's general director Raquel Ayora in a statement. "In MSF's nearly 54 years of operations, rarely have we seen such levels of systematic violence against unarmed civilians."
"The GHF distribution sites masquerading as 'aid' have morphed into a laboratory of cruelty," says Ayora. "This must stop now."
According to the report:
MSF operates two primary healthcare centres in southern Gaza located in close proximity to the GHF distribution sites. Between 7 June and 24 July 2025, these health centres received 1,380 injured people, including 28 dead bodies from the GHF sites. This represents only a fraction of the total number of people killed and injured at the distribution sites. MSF's two health centres—due to their sheer proximity to the GHF sites—now place biweekly orders for body bags.
Over a seven-week period in June and July 2025, MSF staff treated 174 people for gunshot wounds originating from the GHF sites. The vast majority of those injured—96 percent—were young men. This reflects a grim survival strategy: families are sending the youngest and fittest to retrieve food.
The report includes testimony from Palestinians who survived the carnage they experienced at the GHF-run sites.
"We're being slaughtered," said Mohammed Riad Tabasi, a patient treated at the MSF Al-Mawasi clinic in southern Gaza. "I've been injured maybe 10 times. I saw it with my own eyes, about 20 corpses around me. All of them shot in the head, in the stomach."
Joining an international chorus condemning the U.S.-Israeli aid effort—which was criticized loudly by humanitarian aid experts from the moment of its conception—MSF called "for the immediate dismantling of the GHF scheme; the restoration of the U.N.-coordinated aid delivery mechanism" and called on governments worldwide—but "especially the United States"—as well as private donors to "suspend all financial and political support for the GHF, whose sites are essentially death traps."
"This body has failed to effectively address this conflict. We have watched members of this council deliberate and delay while civilians die."
The head of a leading international humanitarian group on Thursday implored the United Nations Security Council to work out an immediate cease-fire in Gaza, where more than 100,000 Palestinians have been killed or maimed by Israeli bombs and bullets, around 90% of the strip's 2.3 million people are forcibly displaced, and famine is a growing reality.
"Meeting after meeting, resolution after resolution, this body has failed to effectively address this conflict," Doctors Without Borders/Médecins Sans Frontières (MSF) secretary general Christopher Lockyear told the Security Council in New York City. "We have watched members of this council deliberate and delay while civilians die."
"Every day, we witness unimaginable horror."
"This death, destruction, and forced displacement are the result of military and political choices that blatantly disregard civilian lives," he said. "These choices could have been—and still can be—made very differently."
Lockyear's remarks came just two days after the United States vetoed a Security Council cease-fire resolution for the third time since Israeli forces began bombarding Gaza following the October 7 Hamas-led attacks on Israel.
"We are appalled by the willingness of the United States to use its powers as a permanent council member to obstruct efforts to adopt the most evident of resolutions: one demanding an immediate and sustained cease-fire," Lockyear said.
In addition to diplomatic support that includes testifying against South Africa-led allegations of Israeli genocide at the International Court of Justice, the Biden administration is leading an effort to send more than $14 billion in additional military aid to Israel atop the nearly $4 billion it already receives each year from Washington.
Biden has also twice bypassed Congress to fast-track armed aid to Israel, even as reports emerge of war crimes including the torture, rape, and execution of men, women, children, and elders. Many of the victims are medical professionals.
"Every day, we witness unimaginable horror," Lockyear told the council. "As I speak, more than 1.5 million people are trapped in Rafah. We live in fear of a ground invasion."
"Our fears are rooted in experience," he said. "Just 48 hours ago, as a family sat around their kitchen table in a house sheltering MSF staff and their families in Khan Younis, a 120mm tank shell exploded through the walls, igniting a fire, and killing two people and severely burning six others. Five of the six injured are women and children."
"We took every precaution to protect the 64 humanitarian staff and family members from such an attack by notifying warring parties of the location and clearly marking the building with an MSF flag," Lockyear noted. "Despite our precautions, our building was struck not only by a tank shell but by intense gunfire. Some were trapped in the burning building while active shooting delayed ambulances from reaching them. This morning I am looking at photos that show the catastrophic extent of the damage and I am watching videos of rescue teams removing the charred bodies from the rubble."
"This is all too familiar—Israeli forces have attacked our convoys, detained our staff, and bulldozed our vehicles, hospitals have been bombed and raided," he said. "Now, for a second time, one of our staff shelters has been hit. This pattern of attacks is either intentional or indicative of reckless incompetence. Our colleagues in Gaza are fearful that, as I speak to you today, they will be punished tomorrow."
Lockyear continued:
For 138 days, we have witnessed the unimaginable suffering of the people of Gaza.
For 138 days, we have done everything we can to enact a meaningful humanitarian response.
For 138 days, we have watched the systematic obliteration of a health system we have supported for decades. We have watched our patients and colleagues be killed and maimed.
This situation is the culmination of a war Israel is waging on the entire population of the Gaza Strip—a war of collective punishment.
A war without rules.
A war at all costs.
"The consequences of casting international humanitarian law to the wind will reverberate well beyond Gaza," said Lockyear. "It will be an enduring burden on our collective conscience. This is not just political inaction—it has become political complicity."
Lockyear then took aim at the recent U.S. calls for a "temporary cease-fire" to be implemented "as soon as practicable."
"A new draft resolution by the United States ostensibly calls for a cease-fire," he said. "However, this is misleading at best. This council should reject any resolution that further hampers humanitarian efforts on the ground and leads this Council to tacitly endorse the continued violence and mass atrocities in Gaza."
"The people of Gaza need a cease-fire not when 'practicable,' but now," Lockyear stressed. "They need a sustained cease-fire, not a 'temporary period of calm.' Anything short of this is gross negligence."
"You have destroyed the international rules of the game, insulted the authority of the U.N., torn apart the sense of justice... and tarnished the face of human civilization."
The director of the aid group that runs the Indonesian Hospital in Gaza—where Israeli attacks killed at least a dozen people on Monday—appealed directly to U.S. President Joe Biden, imploring him to push Israel to accept a cease-fire in a war that's killed or maimed more than 40,000 Palestinians.
"Gazans are facing death every day. Every five minutes, a Palestinian child is killed," Sarbini Abdul Murad, head of Medical Emergency Rescue Committee (MER-C) Indonesia, wrote in a letter to Biden.
Noting that Israeli forces have attacked "babies, children, women, the elderly, the disabled, hospitals, ambulances, medics, schools, teachers, residential complexes, worship places, and much more," Murad asserted that "this is completely genocide and ethnic cleansing."
"It is very unfortunate that your siding with Israel by facilitating weapons of mass destruction has actually made the conflict even wider," Murad continued. "Your action clearly contradicts various international treaties and agreements that apply to the existence of Palestine. You have destroyed the international rules of the game, insulted the authority of the [United Nations], torn apart the sense of justice, hurt human values, and tarnished the face of human civilization."
"Mr. President, we believe you still have a conscience," Murad wrote. "Your great country certainly wants to be seen as honorable for its humanitarian defenses. Moreover, your administration has determined to make the principles of multilateralism, justice, and human rights the foundation of United States foreign policy. So, actually, this is the right to prove it."
Urging Biden to "avoid double standards in dealing with the Palestinian-Israeli conflict," Murad added: "For the sake of peace and humanity, we demand that you immediately do [a] cease-fire. Restore the dignity of the United States as a country that upholds human rights. The cease-fire must be implemented now, so as not to increase the loss of life on both sides."
Murad's letter came as Israel Defense Forces tanks surrounded the Indonesian Hospital in northern Gaza after IDF artillery shelling killed 12 people in the facility's compound, including patients and their companions, according to the Gaza Health Ministry. The ministry also said many people were wounded in the attack, including patients in critical condition.
"The attack is a clear violation of international humanitarian laws. All countries, especially those that have close relations with Israel, must use all their influence and capabilities to urge Israel to stop its atrocities," Indonesian Foreign Minister Retno Marsudi said Monday.
According to Gaza officials, there are about 700 patients, staff, and other Palestinians trapped in the Indonesian Hospital. People trying to flee the compound have reportedly come under Israeli fire.
Marwan Abdallah, a medical worker at hospital, told Al Jazeera that Israeli tanks could be seen maneuvering around the compound.
"You can see them moving around and firing," Abdallah said. "Women and children are terrified. There are constant sounds of explosions and gunfire."
The World Health Organization (WHO) said it is "appalled" by the attacks on Indonesian Hospital.
"Health workers and civilians should never have to be exposed to such horror, and especially while inside a hospital," the agency said in a statement.
"There have been multiple and ongoing attacks on health facilities in the last six weeks, that have resulted in forced mass evacuations from hospitals, and multiple fatalities and casualties among patients, their companions, and those who had sought refuge in hospitals," WHO continued.
"The Indonesian Hospital had already reportedly sustained damages due to at least five attacks since October 7," the organization added, referring to the date when Israel began bombarding Gaza by air, land, and sea following the Hamas-led attacks on southern Israel that killed around 1,200 people, with another 240 or so taken hostage.
"The world cannot stand silent while these hospitals, which should be safe havens, are transformed into scenes of death, devastation, and despair."
"WHO has recorded 335 attacks on healthcare in the occupied Palestinian territory since October 7, including 164 attacks in the Gaza Strip and 171 attacks in the West Bank," WHO noted. "There were also 33 attacks on healthcare in Israel during the violent events of October 7."
"The world cannot stand silent while these hospitals, which should be safe havens, are transformed into scenes of death, devastation, and despair," the agency added.
On Tuesday, Médecins Sans Frontières (MSF), or Doctors Without Borders, said two of its physicians—Drs. Mahmoud Abu Nujaila and Ahmad Al Sahar—were killed along with another doctor, Ziad Al-Tatari, in a strike on al-Awda Hospital in northern Gaza.
"We condemn this strike in the strongest terms, and call yet again for the respect and protection of medical facilities, staff, and patients," MSF said in a statement.
Israeli officials
claim Hamas and other Palestinian militants are using hospitals as headquarters. However, Israel has provided no proof to support its allegations, which Palestinian and international medical professionals working in the facilities resoundingly refute.
According to Palestine's WAFA News Agency, at least 205 Palestinian medical workers have been killed by Israeli bombs and bullets during the war.
The WHO said Tuesday that one of its employees, Dima Alhaj, was killed in an Israeli attack on Gaza alongside her husband, their 6-month-old baby, and two of the woman's brothers.
Israel and Hamas appeared close to reaching a Qatar-brokered multiday cease-fire agreement on Tuesday, with hard-right holdouts in Israel's government—most notably, National Security Minister Itamar Ben-Gvir and Finance Minister Bezalel Smotrich—opposed to the deal, which would reportedly involve the release of around 50 civilian hostages held by Hamas and of Palestinian women and children imprisoned by Israel.
Gaza officials said Tuesday that the death toll from Israel's 46-day onslaught rose to at least 14,128, including over 3,900 women and 5,800 children. Tens of thousands more Palestinians have been wounded, nearly 1.7 million others have been forcibly displaced, and around half of all homes in the embattled strip have been damaged or destroyed.