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\nhumanitarian emergency  \nMaha Rabayaa  ,1,2 Doha Rabaya3  \nTo cite: Rabayaa M,  \nRabaya D. Starved futuresin the Gaza Strip: long-term outcomes of childhood malnutrition as a humanitarian emergency. BMJ Glob Health 2026;11:e022254 . doi:10 . 1136/ bmjgh-2025-022254  \nHandling editor Amalia Postier  \nReceived 22 September 2025 Accepted 13 December 2025  \n© Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.  \n1Department of Biomedical Sciences and Basic Clinical Skills, Faculty of Medicine and Allied Medical Sciences, An-Najah National University, Nablus, Palestine 2Department of Physiology, Faculty of Medicine, Bolu Abant İzzet Baysal University, Bolu, Türkiye  \n3Radiation Therapy Department, An-Najah National University Hospital, Nablus, Palestine  \nCorrespondence to  \nMaha Rabayaa;  \n[m.rabayaa@najah.edu](m.rabayaa@najah.edu)  \nINTRODUCTION  \nIn the Gaza Strip, the starvation of children isnot a consequence of scarcity; it is the result of sustained blockade-induced deprivation. In August 2025 alone, over 12 800 children were identified as acutely malnourished, with 23% of those admitted for treatment suffering from severe acute malnutrition based on the UNICEF report.1 While short-term mortality and morbidity are alarming, the insidious danger lies in the enduring biological, cognitive and intergenerational consequences of early-life malnutrition. Without intervention, malnutrition in Gaza today foreshadows a future of diminished human resources and public-health crises spanning generations. These cascading effects represent a public health crisis, a moral indictment of global silence against injustice, and an urgent call for accountability and sustained intervention.  \nBLOCKADE AS A DETERMINANT OF STARVATION  \nMalnutrition remains one of the leading causes of morbidity and mortality among children worldwide, with profound implications that extend beyond childhood into adulthood and across generations.2 The blockade in the Gaza Strip has systematically restricted the entry of food, fuel and essential supplies, creating the structural conditions that drive widespread and persistent malnutrition. As a result, Gaza, enduring one of the most protracted and severe humanitarian crises of the 21st century, is currently experiencing an alarming escalation in child malnutrition.3 Recent reports by United Nations agencies document more than 5000 children treated for malnutrition within a single month.4 More than 40% of pregnant and breastfeeding women are severely malnourished, with rising rates of severe acute malnutrition and  \nSUMMARY BOX  \n⇒ Malnutrition in Gaza is a man-made nutritional crisis shaped by structural violence and deprivation, with irreversible consequences on neurodevelopment and intergenerational health.  \n⇒ The blockade-induced starvation of children in Gaza has effects that extend far beyond immediate, lifethreatening consequences, such as heightened mortality, severe acute malnutrition and increased vulnerability to infectious disease, but inflicts longterm neurocognitive and intergenerational harm that will shape population health and resilience for decades.  \n⇒ Without urgent translational and policy intervention, the epigenetic scars of Gaza’s famine will persist beyond ceasefires; written into the biology of children yet unborn.  \nheightened risk of famine-related mortality.5 A longitudinal surveillance study of children aged 6–59 months documented a sharp rise in malnutrition-induced wasting, increasing from 8.8% to 14.3% over 4 months of severe aid restriction. Notably, the prevalence of wasting temporarily declined to 5.5% during a brief ceasefire in March 2025, when humanitarian aid was allowed to enter the Gaza Strip. However, by early August 2025, acute wasting had again escalated to 15.8%, including 3.7% class","cbCairKjI5Fj7eyZ","https://ap.wps.com/l/cbCairKjI5Fj7eyZ","pdf",194802,"English","# INTRODUCTION\n# BLOCKADE AS A DETERMINANT OF STARVATION\n# CHILDHOOD MALNUTRITION: LONG-TERM OUTCOMES","[{\"question\":\"What is described as the root cause of child starvation in the Gaza Strip?\",\"answer\":\"The document states it is driven by sustained blockade-induced deprivation rather than scarcity.\"},{\"question\":\"How does the blockade affect child malnutrition according to the text?\",\"answer\":\"It systematically restricts entry of food, fuel and essential supplies, creating structural conditions that drive widespread and persistent malnutrition.\"},{\"question\":\"What long-term consequences are emphasized beyond short-term mortality and morbidity?\",\"answer\":\"It highlights enduring biological, cognitive and intergenerational consequences, including neurodevelopmental and long-lasting population health impacts.\"}]","Starved futures in the Gaza Strip - long-term outcomes of childhood malnutrition as a humanitarian emergency | PDF",1790746252]