{#Iran} #Conflict deepens #health #crisis across Middle East, #WHO says (March 11 '26)

 

More than ten days into the latest escalation of conflict in the Middle East, health systems across the Region are coming under strain as injuries and displacement rise, attacks on health care continue, and public health risks increase.

National health authorities in Iran report more than 1300 deaths and 9000 injuries, and in Lebanon report at least 570 deaths and more than 1400 injuries. In Israel, authorities report 15 deaths and 2142 injuries.

At the same time, the conflict is affecting the very services meant to save lives. 

In Iran, WHO has verified 18 attacks on health care since 28 February, resulting in 8 deaths among health workers. 

Over the same period in Lebanon, 25 attacks on health care have resulted in 16 deaths and 29 injuries. These attacks not only cost lives but deprive communities of care when they need it most. 

Health workers, patients and health facilities must always be protected under international humanitarian law.

Beyond the immediate impact, the conflict is creating wider public health risks. 

Current estimates indicate more than 100 000 people in Iran have relocated to other areas of the country due to insecurity, and up to 700 000 people have been internally displaced in Lebanon, with many in crowded collective shelters under deteriorating public health conditions, with limited access to safe water, sanitation and hygiene. These conditions increase the risk of respiratory infections, diarrhoeal diseases, and other communicable illnesses, especially for the most vulnerable populations, such as women and children.

Environmental hazards are also a raising concern. In Iran, petroleum fires and smoke from damaged infrastructure exposed nearby communities to toxic pollutants that potentially cause breathing problems, eye and skin irritation, and contaminated water and food sources.

Access to health services is becoming increasingly constrained across several countries. 

In Lebanon, 49 primary health-care centres and five hospitals have shut following evacuation orders issued by Israel’s military, reducing the availability of essential services as medical needs rise.

In the occupied Palestinian territory, increased movement restrictions and checkpoint closures are delaying ambulance and mobile clinics’ access across several governorates in the West Bank. 

In Gaza, medical evacuations remain suspended since 28 February, while hospitals continue to operate under strain amid ongoing shortages of medicines, medical supplies and fuel, which is being rationed to prioritize essential health services such as emergency and trauma care, maternal and neonatal services, and management of communicable diseases.

Temporary airspace restrictions have disrupted the movement of medical supplies from WHO’s global logistics hub in Dubai. 

More than 50 emergency supply requests, intended to benefit over 1.5 million people across 25 countries, are affected, resulting in significant backlogs. 

Current priority shipments include supplies planned for Al Arish, Egypt, to support the Gaza response, as well as Lebanon and Afghanistan. The first shipment, containing cholera response supplies for Mozambique, is expected to depart from the hub in the coming week.

The escalation comes at a time when humanitarian needs in the Eastern Mediterranean Region were already among the highest in the world. 

Across the Region, 115 million people require humanitarian assistance – almost half of all people in need globally – while humanitarian health emergency appeals remain 70% underfunded.

Without protection for health care, sustained humanitarian access and stronger financial and operational support for the humanitarian health response, the strain on vulnerable populations and already fragile health systems will continue to grow.

WHO calls on all parties to protect civilians and health care, ensure unimpeded and sustained humanitarian access, and pursue de-escalation of the conflict so communities can begin to recover and move towards peace.

Source: 

Link: https://www.who.int/news/item/11-03-2026-conflict-deepens-health-crisis-across-middle-east--who-says

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#Assessment of #malnutrition in preschool-aged #children by mid-upper arm circumference in the #Gaza Strip (January, 2024–August, 2025): a longitudinal, cross-sectional, surveillance study

 

Summary

Background

Since October, 2023, Palestinian children in the Gaza Strip have suffered war-induced displacement, food insecurity, malnutrition, and elevated risks of famine and mortality. In this study, we aimed to document the extent of, and patterns in, wasting malnutrition in children aged 6–59 months across the Gaza Strip between January, 2024, and August, 2025.

Methods

This longitudinal, cross-sectional, surveillance study was conducted across a total of 16 UN Relief and Works Agency for Palestine Refugees in the Near East health centres and 78 medical points established within school shelters and tent encampments across the five governorates of Gaza. Children aged 6–59 months were screened for wasting malnutrition by mid-upper arm circumference (MUAC) measurement. Children with a MUAC of less than 125 mm were enrolled into therapeutic feeding regimens. MUAC Z scores were derived from published WHO age-specific and sex-specific arm circumferential growth curves. Monthly prevalence of acute wasting (MUAC Z scores less than –2) and severe wasting (MUAC Z scores less than –3) were described by age, sex, type of screening facility, and governorate.

Findings

Between Jan 1, 2024, and Aug 15, 2025, 265 974 measurements were obtained from 219 783 uniquely identified children, with two-thirds of children screened in Khan Younis and Middle Governorates. The monthly prevalence of acute wasting ranged from 5% (34 of 722 children) to 7% (794 of 10 907) between January and June, 2024. After approximately 4 months of severe aid restrictions between September, 2024, and mid-January, 2025, the prevalence of wasting increased from 8·8% (1601 of 18 225 children) to 14·3% (1661 of 11 619), with the highest prevalence observed in Rafah (32·2%; 95 of 295) and among children aged 24–59 months (21·0%; 1366 of 6518). After a 6-week ceasefire, marked by a substantial increase in the number of aid trucks entering through territory borders, by March, 2025, the prevalence of wasting had declined to 5·5% (831 of 15 165). However, after an 11-week blockade from March to May, 2025, and continued severely restricted entry of food, water, medicines, fuel, and other essentials thereafter, by early August, 2025, 15·8% (1213 of 7668) of screened children were acutely wasted, including 3·7% (280 of 7668) severely wasted, equating to more than 54 600 children in need of therapeutic care.

Interpretation

After nearly 2 years of war and severe restrictions in humanitarian aid, tens of thousands of preschool-aged children in the Gaza Strip are suffering from preventable acute malnutrition and facing an increased risk of mortality.

Funding

UN Relief and Works Agency for Palestine Refugees in the Near East.

Source: The Lancet, https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)01820-3/abstract?rss=yes

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#Assessment of #malnutrition in preschool-aged #children by mid-upper arm circumference in the #Gaza Strip (January, 2024–August, 2025): a longitudinal, cross-sectional, surveillance study

 

Summary

Background

Since October, 2023, Palestinian children in the Gaza Strip have suffered war-induced displacement, food insecurity, malnutrition, and elevated risks of famine and mortality. In this study, we aimed to document the extent of, and patterns in, wasting malnutrition in children aged 6–59 months across the Gaza Strip between January, 2024, and August, 2025.

Methods

This longitudinal, cross-sectional, surveillance study was conducted across a total of 16 UN Relief and Works Agency for Palestine Refugees in the Near East health centres and 78 medical points established within school shelters and tent encampments across the five governorates of Gaza. Children aged 6–59 months were screened for wasting malnutrition by mid-upper arm circumference (MUAC) measurement. Children with a MUAC of less than 125 mm were enrolled into therapeutic feeding regimens. MUAC Z scores were derived from published WHO age-specific and sex-specific arm circumferential growth curves. Monthly prevalence of acute wasting (MUAC Z scores less than –2) and severe wasting (MUAC Z scores less than –3) were described by age, sex, type of screening facility, and governorate.

Findings

Between Jan 1, 2024, and Aug 15, 2025, 265 974 measurements were obtained from 219 783 uniquely identified children, with two-thirds of children screened in Khan Younis and Middle Governorates. The monthly prevalence of acute wasting ranged from 5% (34 of 722 children) to 7% (794 of 10 907) between January and June, 2024. After approximately 4 months of severe aid restrictions between September, 2024, and mid-January, 2025, the prevalence of wasting increased from 8·8% (1601 of 18 225 children) to 14·3% (1661 of 11 619), with the highest prevalence observed in Rafah (32·2%; 95 of 295) and among children aged 24–59 months (21·0%; 1366 of 6518). After a 6-week ceasefire, marked by a substantial increase in the number of aid trucks entering through territory borders, by March, 2025, the prevalence of wasting had declined to 5·5% (831 of 15 165). However, after an 11-week blockade from March to May, 2025, and continued severely restricted entry of food, water, medicines, fuel, and other essentials thereafter, by early August, 2025, 15·8% (1213 of 7668) of screened children were acutely wasted, including 3·7% (280 of 7668) severely wasted, equating to more than 54 600 children in need of therapeutic care.

Interpretation

After nearly 2 years of war and severe restrictions in humanitarian aid, tens of thousands of preschool-aged children in the Gaza Strip are suffering from preventable acute malnutrition and facing an increased risk of mortality.

Funding

UN Relief and Works Agency for Palestine Refugees in the Near East.

Source: The Lancet, https://www.sciencedirect.com/science/article/abs/pii/S0140673625018203?dgcid=rss_sd_all

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#Gaza: Top independent #rights #probe alleges #Israel committed #genocide

 

16 September 2025 

Senior independent rights investigators appointed by the Human Rights Council alleged on Tuesday that Israel’s actions in Gaza constitute genocide, a charge flatly rejected by Tel Aviv.

In a new report published against the backdrop of intensifying Israeli military operations in Gaza City, the UN Independent International Commission of Inquiry on the Occupied Palestinian Territory, including East Jerusalem, and Israel, urged Israel and all countries to fulfil their obligations under international law “to end the genocide” and punish those responsible.

“The Commission finds that Israel is responsible for the commission of genocide in Gaza,” insisted Navi Pillay, Chair of the Commission. “It is clear that there is an intent to destroy the Palestinians in Gaza through acts that meet the criteria set forth in the Genocide Convention.”

At a press conference in Geneva, the panel’s members - who are not UN staff but instead appointed by the Human Rights Council’s 47 Member States - explained that their investigations into the war in Gaza beginning with Hamas-led terror attacks in Israel on 7 October 2023 had led to the conclusion that Israeli authorities and security forces “committed four of the five genocidal acts defined by the 1948 Convention on the Prevention and Punishment of the Crime of Genocide”.

These acts are:

-- killing,

-- causing serious bodily or mental harm,

-- deliberately inflicting conditions of life calculated to bring about the destruction of the Palestinians, and

-- imposing measures intended to prevent births.

Ms. Pillay maintained that responsibility for the atrocity crimes “lies with Israeli authorities at the highest echelons”, amid “explicit statements” denigrating Palestinians by Israeli civilian and military authorities.

The Commission also analysed conduct of Israeli authorities and the Israeli security forces in Gaza, “including imposing starvation and inhumane conditions of life for Palestinians in Gaza…genocidal intent was the only reasonable inference that could be concluded from the nature of their operations”, the panel said.

Methodical examination

The Commission’s assertion follows its review of Israeli military operations in Gaza, “including killing and seriously harming unprecedented numbers of Palestinians” and the imposition of a “total siege, including blocking humanitarian aid leading to starvation”, it said.

According to the UN aid coordination wing, OCHA, nearly one million people remain in Gaza City, famine has been confirmed there, and residents face daily bombardment and “compromised access to means of survival after the Israeli military placed the entire city under a displacement order”.

For its latest report, the panel also examined what it called the “systematic destruction” of healthcare and education in Gaza and “systematic” acts of sexual and gender-based violence against Palestinians. 

Justice call

In addition, the Commission of Inquiry reviewed the alleged “direct targeting” of children and Israel’s “disregarding [of] the orders of the International Court of Justice, which issued an order in March 2024 that Israel should take ‘all necessary and effective measures to ensure…the unhindered provision at scale by all concerned of urgently needed basic services and humanitarian assistance to Palestinians throughout Gaza’”.

“The international community cannot stay silent on the genocidal campaign launched by Israel against the Palestinian people in Gaza,” said Ms. Pillay.

“When clear signs and evidence of genocide emerge, the absence of action to stop it amounts to complicity,” she added.

“All States are under a legal obligation to use all means that are reasonably available to them to stop the genocide in Gaza.”

Qatari dimension

In a related development on Tuesday, the Human Rights Council shuffled its schedule to make way for an urgent debate on last week’s Israeli strike on Hamas’s political leadership in Qatar.

The strike targeted a neighbourhood of the Qatari capital, Doha, reportedly killing six people including five members of Hamas and prompting widespread condemnation including from the Security Council and Secretary-General.

In a statement, António Guterres spoke out against what he called a “flagrant violation” of Qatari sovereignty and territorial integrity.

And at a Security Council meeting called in response to the strike, the UN’s political affairs chief told ambassadors the attack in violation of Qatar’s sovereignty was a serious threat to regional peace and security. It also undermined international mediation efforts to end the war in Gaza and return the hostages, said Rosemary DiCarlo.

Source: United Nations, https://news.un.org/en/story/2025/09/1165856

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Public #Health #Situation #Analysis - occupied #Palestinian territory-September (#WHO, Sept. 10 '25)

 

Overview

Starvation and malnutrition in Gaza are at the highest levels ever since the conflict began almost two years ago. 

Deliberate blocking and delay of large-scale food, health, and humanitarian aid has cost many lives.

Malnutrition is on a dangerous trajectory in the Gaza Strip, marked by a spike in deaths in July. 

As of 5 September 2025, 361 Palestinians have died due to malnutrition, including 130 children. 

As of 15 August 2025, Famine (IPC Phase 5)—with reasonable evidence—is confirmed in Gaza Governorate. 

After 22 months of relentless conflict, over half a million people in the Gaza Strip are facing catastrophic conditions characterised by starvation, destitution and death. 

Another 1.07 million people (54%) are in Emergency (IPC Phase 4), and 396 000 people (20%) are in Crisis (IPC Phase 3).

More broadly, since 7 October 2023, as reported by Ministry of Health (MoH), the number of casualties include 63 746 fatalities and 161 245 injuries.7 

As of 5 September 2025, there have been 2 339 reported fatalities among aid seekers near militarized distribution sites and along convoy routes since 27 May.

Ongoing attacks and resource shortages have severely weakened the health system – damaging or destroying 94% of hospitals, overwhelming remaining partially functional ones, and disrupting essential health service delivery. 

The Health Cluster reports that hospitals are overwhelmed by mass casualty incidents, with an average of eight incidents per day. 

Al-Shifa and Al-Ahli hospitals, in Gaza city, are operating at nearly 300% over capacity, with a constant influx of complex trauma injuries. 

Every hospital is overrun. If the Israeli-announced offensive on Gaza city goes ahead, the Gaza Strip could lose half of its hospital bed capacity. 

On 20 July, the WHO’s main warehouse in Deir Al-Balah was destroyed due to attacks, amid MoH reports that 52% of essential drugs and 68% of medical disposables are at zero stock.

In the West Bank, escalating settler violence, with the acquiescence, support, and in some cases participation, of Israeli security forces, has worsened the coercive environment in the occupied West Bank, resulting in several Palestinian casualties and the forcible displacement of Palestinian communities in the last month.

Source: World Health Organization, https://www.who.int/publications/m/item/public-health-situation-analysis---occupied-palestinian-territory-September

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