The World Health Organization (WHO) and other UN agencies have confirmed that famine is now present in parts of Gaza. This is a public health emergency that affects children, health systems, and the entire humanitarian response on the ground.
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What does “famine” mean
When experts say “famine,” they mean the most severe level of food insecurity: widespread starvation, very high levels of child malnutrition, and preventable deaths. Think of it as a medical alarm bell. Hospitals see more malnourished children, clinics run out of therapeutic foods, and staff are overwhelmed. For healthcare workers and public health planners, famine means shifting from routine care to lifesaving triage and emergency nutrition programs.How many people are affected?
A joint analysis released in August 2025 by the IPC (Integrated Food Security Phase Classification) and supported by UN agencies found famine conditions in the Gaza Governorate, with projections that famine could spread to other governorates. The WHO says more than half a million people are trapped in famine conditions. These figures matter because they guide how agencies prioritize food, medical supplies, and logistics.Why did this happen?
There’s rarely just one cause. In Gaza, several factors came together like a chain of failures:- Blocked or delayed aid: Humanitarian convoys have faced restrictions, delays, and attacks, which have reduced the flow of food and medical supplies.
- Destroyed food systems: Crop fields, livestock, and bakeries were heavily damaged, so local food production collapsed.
- Health system collapse: Clinics and hospitals have been damaged or are short-staffed, limiting care for the sick and malnourished.
Who is at the greatest risk?
Children under five, pregnant and breastfeeding women, the elderly, and people with chronic illnesses are at the highest risk. In healthcare terms, these groups have the highest odds of rapid deterioration when food and medical care are scarce. That means nutrition screening, breastfeeding support, and ready-to-use therapeutic foods (RUTF) should be top priorities.What are the immediate public health priorities?
Healthcare and humanitarian actors need to act across several fronts at once. Here’s a practical checklist:- Scale up emergency nutrition: Set up or expand nutrition stabilization centers and outpatient therapeutic programs.
- Protect water and sanitation: Prevent disease outbreaks that worsen malnutrition (e.g., diarrhea).
- Prioritize health workforce support: Ensure staff safety, supplies, and rotations to keep services running.
- Guarantee humanitarian access: Safe corridors are essential to get food and medical supplies where they’re needed most.
What could happen if the world does nothing?
If famine is allowed to spread, we will see rising child mortality, long-term developmental harm from early-life malnutrition, and a health system pushed past its limits. The human cost is obvious, but there’s also a broader public health impact: outbreaks of communicable disease, increased chronic disease complications, and regional instability that complicates aid delivery. The cost of delay is measured in lives and in years of lost human potential.How can the international community respond now?
This crisis needs both immediate action and short-to-medium-term planning. Some concrete steps:- Demand and secure immediate, unfettered humanitarian access to all areas.
- Fund emergency nutrition and health supplies at scale.
- Support local health workers with supplies, protection, and mental health support.
- Coordinate logistics to keep supply chains open and reliable.
What can healthcare professionals and public health advocates do today?
Ask questions and use your voice:- Advocate: Contact professional societies, donors, and policymakers to press for safe aid corridors and funding.
- Share data: Use surveillance data to highlight the needs of malnutrition indicators, hospital admissions, and supply gaps that matter.
- Prepare: If your organization supports surge response, stand ready to send trained teams and supplies.

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