Tag: Medecins Sans Frontieres

MSF: Israeli authorities ‘starving Palestinians of water in Gaza’

  • Israel is deliberately depriving people of water in Gaza, Palestine.
  • Organisations like MSF would be able to increase the amount of safe water in the Strip, however, Israel is blocking imports of critical water treatment items.
  • The Israeli military must stop its destruction of water infrastructure and allow the immediate repair of water systems that have been damaged.

Israel is deliberately depriving people of water in Gaza, Palestine, as part of its genocidal campaign – denying Palestinians of life’s necessities, including food, water and healthcare, says Médecins Sans Frontières (MSF). 

After 22 months of Israel destroying and restricting access to critical water infrastructure, the amount of water available in Gaza is wholly insufficient.

Organisations like MSF would be able to increase the amount of safe water in the Strip, however, Israel is blocking imports of critical water treatment items.

Since June 2024, for every 10 import requests of items for water desalination, MSF has had only one approved.

Israel must begin allowing the importation of critical equipment for water supply and distribution, at scale. The Israeli military must stop its destruction of water infrastructure and allow the immediate repair of water systems that have been damaged to ensure people have life-sustaining access to water. Water and other necessities of life must not be used as weapons of war.

Not only is there insufficient water overall for people in Gaza, but the reliance on water trucking means they do not have predictable methods to obtain what is available.

Eighty-six per cent of Gaza is under forced displacement order by the Israeli military, making it unsafe for water trucks to attempt to reach people in those areas. The lack of adequate storage methods in households compounds the problems people face.

The reduction of clean water in Gaza has resulted in an increase of disease, with MSF medical teams conducting over 1,000 consultations for acute watery diarrhoea a week for the past month. Without sufficient water for hygiene, people have been suffering from skin conditions, such as scabies.

Clean water is also essential for hospitals; to reduce the spread of infection and to keep patients hydrated so their bodies can heal from their injuries and illnesses.

An MSF water distribution point operates next to our Primary Health Care Center (PHCC) in Mawasi. Clean water is essential not just for drinking, but for preventing infection in medical facilities. However, Israel’s restrictions mean only 11% of MSF’s requests for critical desalination equipment are approved, severely limiting the scale of this lifesaving work.

“There’s too little water for too many people,” says Mohammed Nsier, a water and sanitation officer for MSF in Gaza. “The amount we can provide is very small compared to the need, and conditions are extremely difficult.”

Israel is creating difficult conditions for the delivery of safe water to people. It has always controlled much of the flow of water into Gaza. There is no naturally available drinking water in Gaza because of salination and contamination of sewage and chemicals, making people reliant on pipelines coming from Israel and desalination plants in Gaza. This infrastructure has been subjected to continuous Israeli attacks.

Israel has repeatedly damaged two out of the three water pipelines into Gaza since October 2023. It is estimated that 70 per cent of the water that goes through these pipes is lost because of leaks in the broader pipeline network, from the damage caused by bombardment. As a result, water must be distributed by water trucking, coming from desalination plants. Of the 196 desalination plants that are publicly- and NGO-run, over 60 per cent are non-functional because of their location or damage.

There’s too little water for too many people. The amount we can provide is very small compared to the need, and conditions are extremely difficult.

Mohammed Nsier, a water and sanitation officer for MSF in Gaza

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Humanitarian organisations are willing to repair the damaged pipes and plants of the water infrastructure that existed before October 2023, but Israel has repeatedly hindered these efforts by denying access to these sites.

For locations that are reachable, repair efforts use “Frankenstein” techniques, salvaging parts from one generator or broken sites to fix another, and desperate attempts to source parts locally. Such actions are necessary as the supplies required to repair this infrastructure are impeded from entering Gaza by Israel.

When items do come in, they arrive months late because of deliberate blockages.

Seven MSF water treatment units produce enough water for 65,000 people to receive 7.5 litres per day,1 a fraction of what is needed. For months, MSF has been trying to get nine new treatment units into Gaza – which would significantly increase MSF’s water production capacity – but these efforts have remained unsuccessful as Israel has not issued approvals or allowed the units to enter.

When water trucks can reach desalination plants, the next step of distributing it to people also means contending with major obstacles. Reaching people safely is near impossible, as the expansion of military activities and bombardments in so-called safe zones mean distribution points have to be continually re-located.

In 2025, MSF has had to stop providing water at at least 137 water distribution points. To reach distributions, people must walk long distances carrying their heavy jerry cans.

You see how people are struggling, everyone is desperate for water… I don’t know what to tell you—it’s torture.

– A woman waiting for a water distribution in Gaza city

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“You see how people are struggling, everyone is desperate for water,” says a woman waiting for an MSF distribution in Gaza city. “Honestly, [it’s] very, very hard to get water, even walking a little bit is very difficult. I don’t know what to tell you—it’s torture.”

The dangers of collecting water are compounded by its limitation, with the scarcity creating tension at distributions. People have told MSF staff that they fear collecting water. Our teams see children who get lost after a distribution site has been forced to move by a displacement order or an airstrike, or because extensive damage has made their surroundings unrecognisable.

“As with food, supplies, and healthcare, the Israeli military is restricting access to water to minimal levels,” says Ozan Agbas, MSF emergency manager. “By refraining from cutting off water entirely, they allow plausible deniability while choking Palestinians of their means of survival.”

7.5 litres is the minimum amount of water a person needs per day during a humanitarian emergency, according to the WHO

GHF-run food distributions in Gaza are sites of “orchestrated killing”

A REPORT BY MEDECINS SANS FRONTIERES

  • The GHF-run food distributions in Gaza, Palestine, have become sites of “orchestrated killing and dehumanisation”, not humanitarian aid.
  • A new MSF report documents the horrors witnessed by MSF staff at two clinics that regularly received mass influxes of casualties following violence at sites run by the GHF.
  • MSF calls for the immediate dismantling of the GHF scheme and the restoration of the UN-coordinated aid delivery mechanism.

An analysis of Médecins Sans Frontières (MSF) medical data, patients’ testimonies, and first-hand medical witnessing at two MSF clinics in Gaza, Palestine, point to both targeted and indiscriminate violence by Israeli forces and private American contractors against starved Palestinians at food distribution sites run by the so-called Gaza Humanitarian Foundation (GHF). 

MSF calls for the immediate dismantling of the GHF scheme; the restoration of the UN-coordinated aid delivery mechanism; and calls on governments, 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.

A new MSF report, This is not aid. This is orchestrated killing, documents the horrors witnessed by MSF staff at two clinics that regularly received mass influxes of casualties following violence at sites run by the GHF, an Israeli-US proxy that has militarised food distribution.

Between 7 June and 24 July 2025, 1,380 casualties, including 28 dead, were received at MSF’s Al-Mawasi and Al-Attar clinics in southern Gaza, located near the GHF-run distribution sites. 

During those seven weeks, our teams treated 71 children for gunshot wounds, 25 of whom were under the age of 15. Faced with no alternatives to find food, starved families frequently send teenage boys into this lethal environment, as they are often the only males in the household physically able to make the journey.

In May 2025, the genocide in Gaza, Palestine, took a further disturbing turn as Israeli authorities sought to dismantle the UN-led humanitarian response and replace it with a militarised food distribution scheme run by a previously unknown entity — the Gaza Humanitarian Foundation (GHF). All four distribution sites operated by the GHF are located in areas under full Israeli military control and “secured” by private American armed contractors.

MSF’s report ‘This is not aid. This is orchestrated killing’ draws on medical data, patient testimonies and first-hand medical witnessing to demonstrate that what has been branded as “aid distribution” is in fact a system of institutionalised starvation and dehumanisation.

MSF calls for an immediate cessation of the GHF distribution mechanism and urges states and private donors to refrain from funding what is essentially a death trap.

This is not aid. This is orchestrated killing.pdf — 2.63 MBDownload

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 per cent — were young men. This reflects a grim survival strategy: families are sending the youngest and fittest to retrieve food.

The injured who arrive in our clinics are normally covered in sand and dust from time spent lying on the ground while taking cover from bullets.

A significant number of injured patients coming from the Khan Younis distribution centre (SDS3) had gunshot wounds to the lower limbs. The anatomical precision of these injuries strongly suggests intentional targeting of people within the distribution sites, rather than accidental or indiscriminate fire.

Of the 28 dead bodies received in our health centres, all but one were young men (aged 20–30 approximately) with gunshot wounds to the upper body.