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MSF sounds alarm as Gaza faces population collapse, severe malnutrition and healthcare breakdown

KUALA LUMPUR: Gaza faces population collapse as it deals with severe malnutrition cases and continuous systematic destruction of the healthcare system, said Doctors Without Borders/Médecins San Frontières (MSF).

MSF International security-general Christopher Lockyear said the political choices made incurred no political costs as allies enabled actions conducted by the Israeli forces with impunity.

In an online briefing with the media to detail the MSF teams' Gaza visit last month, Lockyear said the daily manipulation and dehumanisation are part of the brutal and disproportionate tactics employed by the Israeli forces.

MSF Paris deputy programme manager for the Middle-east Dr Amber Alayyan and emergency coordinator (Gaza) Marie-Aure Perrault Revial are also part of the discussion.

The rising death toll (now more than 33,000 civilian casualties) and extraordinary number of aid workers killed, said Lockyear, underscored the severity of the situation.

He added that the sight of morgues filled to capacity and corridors teeming with patients underscored the overwhelming demand for medical attention.

"This war is fought with no rules and we are seeing rising cases of malnutrition, both inpatient and outpatient, that compounds the pressure on the hospitals.

"Medical personnel now have to face the harsh reality of prioritising between trauma and malnutrition, with patients enduring agonising pain beyond what medication can alleviate," he said.

On the coordination of aid workers, Perrault said there is no safe space for humanitarians to work in Gaza and that they face increasing difficulties in accessing civilians to provide vital assistance.

She said despite the presence of humanitarian actors over the last six months, access to healthcare diminished with the constant targeting of medical facilities and staff.

Meanwhile, maternity services are scarce and dire living conditions force people onto beaches without adequate water or sanitation, she said.

Echoing this, Dr Alayyan stressed on prolonged suffering in Gaza: "We have a staff who, for example, have children with disabilities, and they are really struggling to keep those kids alive. And they are in the north."

"We have worked closely with World Central Kitchen and are really grieving over the loss but this is not the first instance (of such a tragedy).

"However, I would ask the question, is there a difference when foreign nationals are killed versus Palestinians who are killed? Because to me there shouldn't be and it shouldn't matter what passport you carry," she added.

On Israel's deliberate aggression towards Palestinian civilians and aid workers in the conflict zone, Dr Alayyan added that it has wiped out the entire socio-economic status.

While condemning the recent attack on World Central Kitchen staff, Lockyear said the MSF teams are still present (in Gaza) today and risks are being assessed on a daily basis despite the crisis having reached a state where "medical teams are overwhelmed".

He added the prolonged inaction of the United Nations Security Council adds to the frustration, with allies in support of "Israel's invasion" offering mere condemnation serving as distraction rather than substantive action.

"Again, the war is (extremely) brutal and disproportionate.

"What really needs to change is the way this conflict is being conducted and that we ultimately need a sustained ceasefire to allow movements to treat civilians," he said.

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