Since May 27, at least 583 Palestinians have been killed and 4,186 injured while waiting for food at aid distribution sites operated by the Israeli- and United States-backed Gaza Humanitarian Foundation (GHF), according to the Gaza Stripâs Ministry of Health.
The killings have occurred daily as famine looms over the besieged enclave. International organisations have warned for weeks that Gazaâs 2.1 million residents face catastrophic food shortages with markets emptied, clean water scarce, and aid deliveries sporadic and dangerous.
In the first eight days of the GHFâs operation, more than 100 people were killed by gunfire from Israeli forces.
Al Jazeeraâs Hani Mahmoud, reporting from Gaza City, said the GHF remains the only source of food in the Strip as Israel continues to place severe restrictions on the entry of supplies by other groups.
âA lot of people here are trying to stay away from the GHFâs centres because of the danger involved in going to them because of the ongoing and deliberate shootings of aid seekers there,â Mahmoud said. âBut again, staying away is not an answer because if there are no food parcels, it means that children are going to go to bed hungry.â
Where are the aid distribution sites?
While the previous United Nations-led distribution network operated about 400 sites across the Strip, the GHF, guarded by armed private security contractors working for a US company, has set up only four âmega-sitesâ, three in the south and one in central Gaza â none in the north, where conditions are most severe.
[Al Jazeera]
GHF centres operate irregularly, sometimes opening for just an hour. In one instance, a site announced its opening on Facebook, only to post eight minutes later that supplies had already run out.
The centres function on a first-come, first-served basis, often fostering chaos as desperate crowds fight over limited resources.
How do people access these aid distribution sites?
Accessing these centres is perilous. Palestinians must sometimes walk many kilometres through active combat zones, navigate biometric checkpoints and carry heavy provisions back to their families.
The system in effect excludes the most vulnerable â including the elderly, injured and disabled people â who are least able to make the journeys.
Whatâs in the boxes?
The aid boxes themselves barely meet subsistence needs. While the World Food Programme recommends 2,100 calories per person per day, Israel has capped aid at 1,600.
GHF parcels offer slightly more â about 1,750 calories â but fall far short of nutritional requirements and contain no clean water, medicine, blankets or fuel. For many, receiving a box is not relief but a rare stroke of luck.
Al Jazeera correspondent Hind al-Khoudary reported from Gaza that the rations offer little to sustain families for long.
She described a typical GHF box as containing 4kg (8.8lb) of flour, a couple of bags of pasta, two cans of fava beans, a pack of tea bags and a few biscuits. Some parcels include lentils and small portions of soup mix, but quantities are minimal.
Are aid seekers being deliberately shot?
According to Israelâs Haaretz newspaper, which quoted unnamed Israeli soldiers, troops were told to fire at the crowds of Palestinians and use unnecessary lethal force against people who appeared to pose no threat.
âWe fired machineguns from tanks and threw grenades,â one soldier told Haaretz. âThere was one incident where a group of civilians was hit while advancing under the cover of fog.â
In another instance, a soldier said between âone and five people were killed every dayâ in the area of Gaza where the soldier is stationed.
âItâs a killing field,â that soldier said.
What is the GHF?
Before the war began on October 7, 2023, about 500 trucks carrying humanitarian aid entered Gaza daily. That changed when Israel launched its war on the enclave. Aid deliveries plummeted to fewer than 80 trucks a day, and in March, Israel halted them altogether during a nearly three-month blockade on all supplies.
On May 27, the GHF took over aid operations as a private contractor, introducing a new delivery system outside the traditional UN framework.
The organisation, set up this year in the US, was described by The New York Times newspaper as âan Israeli brainchildâ â part of a longer-term strategy conceived in 2023 as Israel began planning for Gazaâs future.
The GHF has not publicly disclosed its funding sources. It said it has secured $100m in commitments although details remain vague. The US Department of State recently pledged $30m in support.
How are Gazaâs children affected?
UNICEF has warned that child malnutrition in Gaza is rising at an âalarming rateâ.
In May alone, at least 5,119 children between six months and five years old were admitted to hospitals for treatment for acute malnutrition â a nearly 50 percent increase from April and a 150 percent surge from February when a temporary ceasefire allowed for greater aid access.
âIn just 150 days from the start of the year until the end of May, 16,736 children â an average of 112 each day â have been admitted for treatment,â said Edouard Beigbeder, UNICEFâs regional director for the Middle East and North Africa.
âEvery one of these cases is preventable. The food, water and nutrition treatments they desperately need are being blocked from reaching them. These are man-made decisions that are costing lives,â he added.
Of 19 documented deadly incidents involving food aid distribution, children were among the casualties in more than half, underscoring the vulnerability of Gazaâs youngest residents.
Palestinians travel on a route known as the âroad of deathâ to receive food parcels despite Israeli shelling and the threat of snipers in Khan Younis, Gaza, on June 28, 2025 [Doaa Albaz/Anadolu]
How is Israel threatening the people of Gaza with starvation?
One in five Palestinians in the Gaza Strip is facing starvation because of Israelâs aid blockade. The chaos at aid distribution points underscores the staggering level of hunger gripping Gaza.
According to the latest Integrated Food Security Phase Classification (IPC) report, 1.95 million people â 93 percent of the enclaveâs population â are facing acute food shortages.
Certain governorates are experiencing more severe levels of hunger, namely in northern Gaza.
The IPC said Israelâs continued blockade âwould likely result in further mass displacement within and across governoratesâ as items essential for peopleâs survival will be depleted.
