The IPC said that from May to July, the proportion of households experiencing extreme hunger in Gaza has doubled, with the food consumption threshold for famine already passed in most areas.

“Malnutrition has been rising rapidly in the first half of July and has reached the famine threshold in Gaza City,” it added. The IPC said that over 20,000 children had been admitted for treatment for acute malnutrition from April to mid-July alone, with more than 3,000 severely malnourished, while hospitals had reported a “rapid increase in hunger-related deaths of children under five.”

“This is not a surprise,” Beckie Ryan, response director in Gaza for CARE, a humanitarian agency working to address global hunger that participates in the IPC, said in a phone interview. “This is what we’ve been seeing for quite some time,” she said, adding that even the organization’s staff were “getting thinner and thinner before our eyes.”

People gather as a C-130 Hercules military transport aircraft drops humanitarian aid on the northern Gaza Strip on July 27, 2025.
A C-130 Hercules military transport aircraft drops humanitarian aid Sunday on the northern Gaza Strip.Bashar Taleb / AFP – Getty Images

Death toll rises

The health ministry in Gaza said Tuesday that the total number of people killed since the war began had reached 60,034. A day earlier it said that nearly 150 people had died from malnutrition since the war began, including at least 88 children.

Israel launched its offensive in Gaza following the Hamas-led Oct. 7, 2023, attacks in which some 1,200 people were killed and around 250 taken hostage, marking a major escalation in a decadeslong conflict.

Since then, Israel has faced mounting allegations of genocide, including in an ongoing case brought by South Africa before the International Court of Justice. On Monday, two prominent Israeli rights groups, B’Tselem and Physicians for Human Rights-Israel, echoed the allegation, concluding that their country was committing genocide.

Israel and the U.S. have consistently denied this.

Israel has regularly defended its aid restrictions and the introduction of a widely condemned new distribution system by arguing that Hamas has been diverting aid from civilians in the enclave throughout the war.

But an internal U.S. government analysis has found no evidence of systematic theft of aid supplies by Hamas, according to a report presented to State Department officials and later seen by NBC News. The IDF dismissed the report as “biased.”

A mourner carries the body of a victim killed by Israeli bombardment on the Mawasi area of Khan Younis, during a funeral outside Nasser Medical Complex in Khan Younis on July 28, 2025.
A mourner carries the body of a victim killed by Israeli bombardment on the Mawasi area of Khan Younis, during a funeral Monday outside Nasser Medical Complex in Khan Younis.AFP – Getty Images

How famine is assessed

The IPC has only declared famine in a handful of cases, including in Somalia in 2011, South Sudan in 2017 and in 2020, as well as parts of Sudan’s western Darfur region last year.

It is typically U.N. officials or governments that will make a formal statement, often based on the IPC’s analysis.

The IPC, which brings together experts from organizations around the world, uses a five-phase index measuring food insecurity, with Phase 5 marking a catastrophe or famine.

That includes: when at least 20% of households have an extreme lack of food; when 30% of children are suffering from acute malnutrition; and when two adults or four children per every 10,000 people are dying on a daily basis of hunger or its complications.

Assessing whether Gaza meets those qualifications is particularly difficult with Israel severely limiting access to the enclave, making data hard to gather and assess.

In its latest report, the IPC said Gaza was “still confronted with a critical risk of Famine.”

The whole territory, it said, was classified in the “Emergency” stage of Phase 4, while at least 22% of the population was considered to be in Phase 5.

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