Open Letter to End The Gaza Genocide

What follows below is an open letter in the British Lancet called “Break The Selective Silence on The Genocide in Gaza.”

Substantial and well-documented evidence indicates a catastrophic public health emergency in Gaza (appendix pp 1–5), marked by severe food insecurity and alarming levels of malnutrition-related deaths.1 Life expectancy at birth reportedly declined by approximately 35 years in 2024.2 This represents a greater collapse in longevity than that recorded during the genocide in Rwanda, where life expectancy at birth declined from age 42·9 years in 1993 to age 12·2 years in 1994.3

Palestinian children have been disproportionately affected. Since October 7, 2023, Gaza has recorded more child deaths than any other conflict zone and has the highest number of children with amputations per person in the world.4 The health-care system has also been systematically dismantled. Between October, 2023 and May, 2025, there were 720 documented attacks on health-care targets, including 125 health facilities, 34 hospitals, and 186 ambulances.5 Gaza has recorded the highest numbers of health-care worker fatalities (over 1400 deaths), UN staff deaths (295 deaths), and journalist fatalities (212 deaths) in any recent conflict zone.6

Starvation is being used repeatedly and relentlessly as a weapon of war.7 Leading human rights organisations, UN agencies, and UN Special Rapporteurs have officially recognised the genocide in Gaza.8 This position is also supported by a broad and distinguished group of genocide scholars.9 However, most public health, medical, and social science associations have either remained silent or issued vague statements—a response that contrasts sharply with their rapid and vocal support in other conflicts, such as with Ukraine.10 This pattern suggests a selectively empathic response: a tendency to express solidarity with people who are perceived as being part of a so-called in-group and neglect those classified as an out-group based on nationality, ethnicity, religion, or geopolitical alignment.11

To challenge this selective silence, we issued an open letter urging professional and academic associations in the fields of health care, public health, and the social sciences to publicly recognise the genocide in Gaza and to revise their official positions accordingly (appendix pp 6–20).12 Within days, the letter gathered over 3300 signatures, including 1300 from academics and professionals. Moreover, the initiative prompted three major public health associations—the European Public Health Alliance, the European Public Health Associations, and the World Federation of Public Health Association, who represent over 5 million health professionals globally—to issue a joint statement acknowledging the genocide.13

The genocide in Gaza is a defining ethical test for the global public health community, social scientists, and academic associations. Silence is not an option. As scholars and health professionals, we face a stark choice: either we uphold our collective ethical responsibility and speak out to prevent further mass violence and starvation, or we will be remembered for our selective silence and inaction during one of the most urgent moral and public health crises of our time.

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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    DEIR AMMAR, Occupied West Bank—Mustafa Badaha drove along the edge of his land, past rows of olive trees he could no longer access. A red string put up by Israeli settlers demarcated the border of what was stolen from him in Deir Ammar, a Palestinian town around 17 kilometers northwest of Ramallah in the occupied West Bank. The settlers had recently established a new outpost in the area named Ramataim Zofim.

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    A red string put up by Israeli settlers on Mustafa Badaha’s land in Deir Ammar in the occupied West Bank demarcating the land they took over. April 30, 2026. Photo by Naqaa Hamed.

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    “This represents an unprecedented pace and scale of expansion,” Amir Daoud, director of Publishing and Documentation at the Colonization and Wall Resistance Commission, told Drop Site. Until the establishment of the current Israeli government there were 127 official settlements in the West Bank, according to the Israeli group Peace Now. Adding over 100 new official settlements represents an increase of nearly 80%.

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    A map of the 34 newly approved Israeli settlements approved in March 2026. Credit: Peace Now.

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    Qawasmi said that grapevines more than 100 years old and police trees planted by his father were all uprooted. “This land is extremely valuable to us—not in money, but because it was passed down through generations. My father inherited it from his father, and so on. We were even offered to sell it before, but we always refused. This land is not for sale,” he said. “To lose it like this, without any right, is devastating. It destroys you emotionally.”

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    “The land involved here is around 500 dunams [around 123 acres], and what’s happening now—through road construction and gradual takeover—means this entire area could effectively be confiscated,” Mohammad Arqawi, the head of the village council of Al-Arqah village in Jenin, told Drop Site. “And when 500 dunams are affected, it doesn’t just impact one group. It affects farmers, traders, workers, shepherds—the entire local community.”

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    * Sharif Abdel Kouddous contributed to this report which is published in the Drop Site website

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