Gaza: Life in a Death Trap – An MSF Report

  • A new report from MSF highlights how repeated Israeli military attacks on civilians in Gaza, and the systematic denial of humanitarian assistance are destroying the conditions of life.
  • Our teams are seeing clear signs of ethnic cleansing as Palestinians are forcibly displaced, trapped, and bombed.
  • The health care system lies in ruins and medical staff – including MSF’s – have been detained or killed.
  • We call for an immediate ceasefire and for states to leverage their influence to alleviate the suffering of people and enable a massive scale-up of aid in Gaza.

Repeated Israeli military attacks on Palestinian civilians over the last 14 months, the dismantling of the health care system and other essential infrastructure, the suffocating siege, and the systematic denial of humanitarian assistance are destroying the conditions of life in Gaza, Palestine, according to a new Médecins Sans Frontières (MSF) reportGaza: Life in a death trap. MSF is urgently calling on all parties, once again, for an immediate ceasefire to save lives and enable the flow of humanitarian aid. Israel must stop its targeted and indiscriminate attacks against civilians, and its allies must act without delay to protect the lives of Palestinians and uphold the rules of war.

“People in Gaza are struggling to survive apocalyptic conditions, but nowhere is safe, no one is spared, and there is no exit from this shattered enclave,” says Christopher Lockyear, MSF secretary general, who visited Gaza earlier this year.

Brutal War

“The recent military offensive in the north is a stark illustration of the brutal war the Israeli forces are waging on Gaza, and we are seeing clear signs of ethnic cleansing as Palestinians are forcibly displaced, trapped, and bombed,” says Lockyear. “What our medical teams have witnessed on the ground throughout this conflict is consistent with the descriptions provided by an increasing number of legal experts and organisations concluding that genocide is taking place in Gaza.”

“While we don’t have legal authority to establish intentionality, the signs of ethnic cleansing and the ongoing devastation – including mass killings, severe physical and mental health injuries, forced displacement, and impossible conditions of life for Palestinians under siege and bombardment – are undeniable,” Lockyear adds.

In response to the horrific attacks carried out by Hamas and other armed groups in Israel on 7 October 2023 – in which 1,200 people were killed and 251 people were taken hostage – Israeli forces are crushing the entire population of Gaza. Israel’s all-out war on Gaza has reportedly killed more than 45,000 people, according to the Ministry of Health, including eight MSF colleagues. The number of excess deaths related to the war is likely much higher due to the impacts of a collapsed health care system, disease outbreaks, and severely limited access to food, water, and shelter. The United Nations estimated earlier this year that more than 10,000 bodies remained buried under the rubble.

Denied

Israeli forces have on numerous occasions prevented essential items such as food, water, and medical supplies from entering the Strip, as well as blocked, denied, and delayed humanitarian assistance, as documented in the report. Some 1.9 million people—90 percent of the entire population of the Strip—have been forcibly displaced, many forced to move multiple times.

Fewer than half of Gaza’s 36 hospitals are even partially functional, and the health care system lies in ruins. During the one-year period covered by the report – from October 2023 to October 2024 – MSF staff alone have endured 41 attacks and violent incidents, including airstrikes, shelling, and violent incursions in health facilities; direct fire on our shelters and convoys; and arbitrary detention of colleagues by Israeli forces. MSF medical personnel and patients have been forced to evacuate hospitals and health facilities on 17 separate occasions, often literally running for their lives. Warring parties have conducted hostilities near medical facilities, endangering patients, caretakers, and medical staff.

Meanwhile, Palestinians’ physical and mental health injuries are overwhelming, and the needs continue to grow. MSF-supported facilities have carried out at least 27,500 consultations for violence and 7,500 surgical interventions. People are suffering from war wounds as well as chronic diseases, made worse when they cannot get access to essential health care services and medicines. Israel’s forced displacement has pushed people into unbearable and unhygienic living conditions where diseases can spread rapidly.

Worsening Health

As a result, MSF teams are treating high numbers of people for illnesses like skin diseases, respiratory infections, and diarrhoea – all of which are expected to increase as winter temperatures drop. Children are missing out on crucial immunisations, leaving them vulnerable to diseases like measles and polio. MSF has observed an increase in the number of malnutrition cases, however it is impossible to carry out a full malnutrition screening in Gaza due to widespread insecurity and the lack of proper deconfliction measures.

As medical care options dwindle in Gaza, Israel has made it even more difficult for people to be medically evacuated. Between the closure of the Rafah crossing in early May 2024 and September 2024, Israeli authorities have only authorised the evacuations of 229 patients—which amounts to 1.6 percent of those who needed it at that time. This is a drop in the ocean of needs.

The situation in northern Gaza is especially dire following Israel’s recent scorched earth military offensive that has depopulated large areas and reportedly killed almost 2,000 people. The northern part of the Strip, particularly Jabalia camp, has been besieged again by Israeli forces since 6 October 2024.

Israeli authorities have dramatically reduced the quantity of essential aid authorised to enter the north. In October 2024, the amount of supplies reaching the whole Gaza Strip hit its lowest point since the war escalated in October 2023: a daily average of 37 humanitarian trucks entered in October 2024, well below the 500 humanitarian trucks entering before 7 October 2023.

Mass Destruction

“For more than a year, our medical staff in Gaza have witnessed a relentless campaign by the Israeli forces marked by massive destruction, devastation, and dehumanisation,” says Lockyear. “Palestinians have been killed in their homes and in hospital beds.”

“They have been forcibly displaced time and time again to areas that are not safe or healthy,” says Lockyear. “People cannot find even the most basic necessities like food, clean water, medicines, and soap amid a punishing siege and blockade.”

MSF calls on states, particularly Israel’s closest allies, to end their unconditional support for Israel and fulfil their obligation to prevent genocide in Gaza. Nearly a year ago, on 26 January, the International Court of Justice (ICJ) ordered Israel to take “immediate and effective measures to enable the provision of urgently needed basic services and humanitarian assistance to address the adverse conditions of life faced by Palestinians in the Gaza Strip.” Israel has taken no meaningful action to comply with the court order. Instead, Israeli authorities continue to actively block MSF and other humanitarian organisations from providing lifesaving assistance to people trapped under siege and bombardment.

States must leverage their influence to alleviate the suffering of people and enable a massive scale-up of humanitarian assistance across the Gaza Strip. As the occupying power, Israeli authorities are responsible for ensuring the rapid, unimpeded, and safe delivery of humanitarian aid at the level sufficient to address people’s needs. Instead, Israel’s blockade and continued obstruction of aid have made it close to impossible for people in Gaza to access essential goods, including fuel, food, water, and medicines. At the same time, Israel has decided to effectively ban the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), which is the largest provider of aid, health care, and other vital services for Palestinians.

Sustained ceasefire

MSF repeats our call for an immediate and sustained ceasefire. The total destruction of Palestinian life in Gaza must stop. MSF is also calling for immediate and safe access to northern Gaza, to allow the delivery of humanitarian aid and medical supplies to hospitals. While MSF continues to provide lifesaving care in central and southern Gaza, we call on Israel to end its siege on the territory and open vital land borders, including the Rafah crossing, to enable a massive scale-up of humanitarian and medical aid.

The MSF report notes that even if the Israeli military offensive on Gaza ended today, its long-term impacts would be unprecedented, given the scale of the destruction and the extraordinary challenges of providing health care across the Strip. A staggering number of war-wounded people are at risk of infection, amputation, and permanent disability, and many will require years of rehabilitative care. The cumulative physical toll and mental trauma caused by the extreme violence, loss of family members and homes, repeated forced displacement, and inhumane living conditions will scar generations.

Reliefweb

CrossFireArabia

CrossFireArabia

Dr. Marwan Asmar holds a PhD from Leeds University and is a freelance writer specializing on the Middle East. He has worked as a journalist since the early 1990s in Jordan and the Gulf countries, and been widely published, including at Albawaba, Gulf News, Al Ghad, World Press Review and others.

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Lebanese Media in The Age of Political Conspiracies

By Sama Abu Sharar

Lebanese media outlets have traditionally played a pivotal role in shaping public opinion on the current issues of the day. This includes their promotion of the Syrian tutelage in the 1990s, their tacit acceptance of Hezbollah’s influence during the 2016 presidential settlement, and their consistent coverage of the framework agreement recently signed in Washington.

Local TV channels align with the agendas of their respective political parties. Each era has its agenda with the current one clearly aimed at whitewashing the image of Israel in the eyes of the Lebanese public, and reinforcing the notion that peace with Israel is possible, and normalization is not impossible.

Lebanese television stations are controlled by influential figures linked to political parties or families known for their impact on local politics. Al-Manar is affiliated with Hezbollah, while NBN is owned by Speaker of Parliament Nabih Berri and seen as the official mouthpiece of the Amal Movement. Pierre Daher, who broke away from the Lebanese Forces following a dispute that reached the courts, owns half of LBCI.

This is while MTV, headed by Michel Murr, is owned by his family and is known for promoting the Lebanese Forces’ rhetoric. Al-Jadeed, owned by Tahsin Khayat, fluctuates its editorial policy depending on its funding sources, and OTV is affiliated with the Free Patriotic Movement. Given the clear affiliations and loyalties of the Lebanese audience, these television channels appear more like a mirror image reflecting the sectarian and political mosaic of the country, spanning the spectrum from the far right to the far left and everything in between.

Political Money in Lebanese Media

A study by the Maharat Foundation in collaboration with the Legal Agenda and the European Media and Journalism Research Centre (MJRC) indicates that the vast majority of print, broadcast, and online media outlets in Lebanon are affiliated with political parties, sectarian groups, or influential political entities. These outlets reflect political agendas rather than editorial independence, transformed into tools in the hands of powerful decision-makers, whether individuals, parties, or even regional states. The study describes journalism in Lebanon as a weapon in the ongoing political conflicts.

Media coverage of the recent Israeli war on Lebanon reveals that most television stations chose to prioritize their political agendas over the Israeli crimes targeting Lebanese civilians and this demonstrates their political alignment over the issues professionalism and interests of the people.

Research by the Legal Agenda reveals shortcomings in the media coverage of the 2024 Israeli war on Lebanon. This coverage has sometimes misled public opinion, justified violations, weakened documentation, and obscured the victims. A review of the media coverage of 10 war crimes committed by Israel showed that the three most-watched television channels (Al-Jadeed, LBC, and MTV) omitted crucial legal questions. The extent of Israel’s adherence to the principles of international humanitarian law and its disregard for necessary measures to protect civilians. These were ignored. Furthermore, their coverage lacked legal analysis of the Israeli attacks, despite their serious violations amounting to war crimes.

Lebanese journalist Jumana Baalbaki affirms that some media outlets “deepened the division, justified the aggression, and indulged in dangerous sectarian rhetoric, thus deviating from the priority of maintaining peace and accuracy.” The accuracy that Baalbaki refers to is not limited to publishing the correct news; it also refers to the neglect of events and realities such as people’s stories, their deaths, displacement, and their suffering. “The victims became mere numbers, without names or faces, and consequently, their stories not part of the narrative that could have exerted pressure to stop the war, as happened in Gaza, where its people shared their suffering through TikTok.”

In his study, “The Lebanese Press and Its Role in Times of Peace and War,” Dr. Nassim Khoury argues that the Lebanese media has historically played a constructive role on one hand and a destructive one on the other. It contributed to strengthening nationalist and independence sentiments, while on the other hand, at various periods in Lebanon’s history, it served as a tool for political polarization, sectarian conflict, and foreign influence.

According to Khoury, the relatively broad press freedom in Lebanon allowed for the flourishing of diverse opinions, but it also enabled newspapers to align themselves with political parties, sectarian groups, and foreign governments instead of serving the public interest. Although the study focused on Lebanese newspapers, most of which no longer exist, its conclusions can be applied to the majority of visual, audio, and electronic media.

He argues that the media formed part of the conflict during the Lebanese Civil War, whether through its work as an arm of the various political factions and militias or through fueling fear, hatred, and division.

Mobilizing the Street

Some might think the various Lebanese media outlets learned from their experience with political alignments, but not so. Political money, promoting specific agendas, continues to influence most of them, and more openly than in previous eras.

Lebanese journalist Hussein Ayoub confirms the role played by most Lebanese media outlets has not changed. He points to the worsening situation with the deepening internal divisions over Lebanon’s identity and regional positioning. Are these media outlets “an ally of America and Israel, or an ally of Iran? Are they an ally of Turkey, Saudi Arabia, and the Gulf states, or an ally of Europe? Is it even permissible for a country like Lebanon to be neutral?” Ayoub asks.

The environment in which the media operates takes us back to the early stages of the formation of the Lebanese state, according to Ayoub: “When you live in a country called Lebanon, whose pillars, since it’s founding a 100 years ago, have been sectarian and reinforced by foreign tutelage,” political, partisan, cultural, and media institutions represent “an extension of the sectarian system.” They are distributed according to sectarian considerations, making them a tool for measuring the sectarian audience that follows this channel or boycotts that one, based on criteria of polarization and alienation.

It is clear to observers today that the loudest voices are those of media outlets promoting peace—if their presence is compared to the voices rejecting any kind of relationship with Israel. And abundant political funding not only ensures the media’s adherence to the peace agenda but has also demonstrated its ability to disseminate this orientation.

As Lebanese media outlets compete to promote the Israeli narrative to their local audiences, MTV hosted members of the South Lebanon Army residing in Israel on one of its programs to glorify the Jewish state and create the impression of Israelis’ love for the Lebanese, revealing a performance that aligns with a predetermined agenda. LBCI television defied the Israeli boycott law by hosting Israeli journalist Barak Ravid, a correspondent for Israel’s Channel 12 and Axios.

In this context, Al-Jadeed’s Washington correspondent, Pedro Ghanem, rushed to make an exclusive interview with Israeli Ambassador Yechiel Leiter following a round of negotiations between the Lebanese and Israeli delegations, giving him airtime to comment on the talks.

During an interview with MP Hassan Fadlallah, a member of the Loyalty to the Resistance Bloc, George Salibi, host of the “Halak Shu” program on Al-Jadeed, posed a question on behalf of Israeli army spokesperson Avichai Adraee to his guest, who declined to answer it.

Ayoub believes that such matters transcend normalization with Israel and reach the level of professional ethics. He argues that “the most egregious aspect of this is that of George Salibi and the question he raised while his country negotiates directly with the Israelis in Washington and concluding an agreement with them that can only be described as a complete violation of Lebanese sovereignty. Nothing prevents the deployment of Lahad militia operatives in villages whose inhabitants have not been displaced, or mercenary companies contacting Lahad agents in Israel to determine if they can exploit them or their children should the security zone be established” in southern Lebanon.

In an interview with “Voice of the People” radio, university professor and researcher Jad Melki links the Lebanese media’s promotion of the Israeli narrative to the official Lebanese discourse that has criminalized the resistance. He points out that the media chaos facilitated by the Lebanese presidency is being met with widespread condemnation from the Lebanese public.

He gives as an example the video that went viral on the social media, in which a young Lebanese woman, participating in a survey about the possibility of peace with Israel, says: “They party like us, they talk like us, and they value women like us,” attempting to draw parallels between Lebanese and Israelis. Maliki says this video wouldn’t have gained such widespread attention had there not been a negative reaction and rejection of what the young woman said.

Malki add: “In all media coverage, those on the fringes, the extremes, attract the largest audience, even though they might represent only one percent. For example, today in the United States, those who talk about abortion are very few. A large segment is on the extreme right, and a small segment is on the extreme left. These are the ones who attract the most attention. But the majority of the population, those in the middle, and most of them are rational on this issue, accept abortion under certain circumstances, but not always. The same applies to all issues,” Maliki explains.

Opinion Polls and the Transparency of Representation

Public opinion polls typically reflect people’s views on a particular topic by taking the opinions of a representative sample encompassing all segments of society according to rigorous scientific standards. However, things take a different turn in a country like Lebanon, where those concerned question the representativeness of public opinion polls and the extent to which the institutions conducting them are subject to political funding.

Hussein Ayoub states: “There are questions raised about the timing of most opinion polls in Lebanon like who funds them, and what are their objectives, do they have Lebanese or foreign agendas.” He points out also that scientific standards are absent from many opinion polls, especially in the way questions are formulated. “It’s not just about asking the question, but also about selecting the sample,” he says, asking rhetorically: “Can you ask a drowning person if they would like to travel to La La Land?” He stresses the necessity for a scientific methodology related to types of questions asked, timing, sample selection, and target audience.

Among the polls that sparked controversy in Lebanon was the one held by “International Information,” which showed a significant increase in public support for signing a peace agreement with Israel, from 25 percent in August 2025 to 49 percent this year. But there was much criticism on the way the organization used in conducting the poll. Ayoub points out that the poll overlooked the fact that 26 percent of respondents refused to answer and were given alternatives—a percentage that, if included, could have altered the poll’s results whilst mentioning other shortcomings, errors, and flaws common in most opinion polls.

Political parties and research centers

Jumana Baalbaki focuses on several Lebanese political parties that rely on research centers to conduct polls for purely internal purposes: Gauging popularity and/or identifying factors that benefit the party in its battles with its rivals. She questions whether research institutions classified as independent, such as Ipsos, International Information, and Araa, are truly free from the influence of business interests in their work and results, especially since many of these polls are conducted or commissioned by political parties to reinforce a particular viewpoint.

Neither Ayoub nor Baalbaki believes that opinion polls in Lebanon—like the media—actually reflect the pulse of the street. “Perhaps a more accurate approach would be to hold a public referendum, provided its results are not manipulated as happens in elections,” Baalbaki explains. Ayoub argues that “the problem with opinion polls is more serious than with the media, in that most of the funding is external.”

He points to the electoral climate where polling institutions compete to demonstrate their support for one candidate or another, resulting in figures determined by who pays the most. There are always exceptions, whether in the media or polling institutions, but they are few in a country like Lebanon, governed by sectarianism and sharp internal divisions, amidst the extremely delicate and complex circumstances the country is experiencing.

A study on media platforms and news sources and their impact on political trends during the 2026 Israeli war on Lebanon, supervised by Dr. Jad Melki, Journalism and Media Studies Professor at the Lebanese American University, revealed a radical shift in how Lebanese people access news. According to a survey of 1,000 participants, television stations lost their position as the primary source of war news for the first time to social media, specifically to WhatsApp. The study showed 73 percent of those following war news received their information via mobile phones, 63 percent via television, and only 2 percent via radio.

The study indicates that despite the fact that 50% of survey participants closely followed war news, 82% did not share any war-related content on social media. WhatsApp again emerged as the most used platform, with 53% of respondents using it, followed by Facebook at 22%, Instagram at 14%, and TikTok at the bottom, with less than 7%.

The study reveals that despite the sharp political differences among respondents, there was widespread agreement regarding the stance towards Israel; with 87% of those surveyed considering Israel as the enemy, 51% the United States as an enemy, and 38%, as Iran as the enemy. Regarding the future path, 54% chose diplomacy as the sole means for liberation, while 35% in favour of armed resistance.

The study concludes that media usage in Lebanon reflects and reinforces political polarization. The shift from traditional media like television to social media platforms is a double-edged sword. While it threatens social cohesion during wartime, it also empowers the new generation with broader global perspectives and a more critical outlook, particularly if they transcend their sectarian divisions.

The lack of trust in traditional media and polls has fostered critical thinking, analytical skills, and the ability to read between the lines. In a country like Lebanon, there are no single friends or enemies, and the country is governed by a sectarian system characterized by sectarian power-sharing in all state institutions. The media, often referred to as the fourth estate, struggles to transcend its role as a mirror of this sectarian power-sharing system. This raises doubts about its ability to represent the pulse of the street and transforms it into a platform for loud noise, still striving to convince the audience that it represents the majority.

This article, originally written in Arabic, appeared in Al Quds Al Arabi and is reprinted in crossfirearabia.com.  Sama Abu Sharar is a professional journalist, writer and translator with skills in three languages: Arabic, French and English. She is currently residing in Beirut and writes on different Palestinian and Lebanese issues for publications such as the online Palestine Chronicle and Al Quds Al Arabi, a prestigious Arabic language daily newspaper published in London. Her articles appear in translated form in crossfirearabia.com.

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Mustapha Barghouti: ‘Repression Will Not Deter The Palestinian People’

CROSSFIREARABIA – Palestinian leader Dr. Mustafa Barghouti affirmed that the brutal genocidal war waged by the Israeli occupation against the Palestinian people of the Gaza Strip has been transformed into a war of attrition—humanitarian, economic, and humanitarian—all in full view of the world.  He stressed that the practices of oppression and abuse will not succeed in breaking the will of the Palestinian people and will not stop them from continuing to resist injustice and repression.  He added that Israel is not hiding the fact that it is involved in a process of ethnic cleansing coupled with terrorist settler groups in the West Bank under a fascist government with Israeli army protection. He added the western soft sanctions against settlers is nothing but “ashes” and what is needed is real and effective sanctions against the Israeli government which finances and protects the terrorists.

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