Cherry Picking: the Gaza Nutrition Cluster Survey, Hasbara and Famine Denial

E. Mark Windle 15 August 2026.

In July 2026, results of the Gaza Nutrition Cluster Survey were presented at a Nutrition Cluster Coordination Meeting. Objectives were to estimate the prevalence of acute and chronic malnutrition and morbidities in 1,335 children since the October 2025 ‘ceasefire’. Additional aims were to assess health seeking behaviours of their mothers and to review feeding practices of caregivers.

On the face of it, the results were surprising: not least the low percentage of malnutrition being reported. Using weight-for-height z-scores (a statistical reflection of individual variance in wasting compared to a population), acute malnutrition rates between regions ranged from zero to 0.8%. On the basis of Mid Upper Arm Circumference (an indirect marker of muscle and subcutaneous fat stores), a maximum of 1.9% acute malnutrition was found. Using a system that combines the results from both techniques acute malnutrition was recorded at a maximum of 2%.

Polarised response

These levels were well below previous findings. Almost a year previously the Famine Review Committee had announced famine had arrived in Gaza. Greater humanitarian partner presence and the doubling of nutrition treatment sites were considered to be significant influences on the latest figures. Other reasons included increased nutrition monitoring and intervention with supplementary feeding, and increased breastfeeding support since the ‘ceasefire’.

The global response was instantaneous and highly polarised. The Israeli Ministry of Foreign Affairs and Danny Danon, Israeli Ambassador to the UN, amplified the findings via social media and the press, using results to support Israel’s narrative that the famine in Gaza had always been a manufactured lie. The Jewish Chronicle led with the headline “How a United Nations study shatters the Gaza starvation narrative”. Other pro-Israel media outlets commented that this was a nail in the coffin for an international attempt to vilify Israel.

Gaza Nutrition Cluster findings and limitations ignored

The alternative take was that these comments were a brazen demonstration of Hasbara in overdrive. There had been no denial from humanitarian groups that there was some—limited—mitigation of overall malnutrition. Observations had tracked the improving trend in food access since the previous year’s famine. It was also true that malnutrition rates cited in the new survey were low. But the methodology had not been designed to investigate the question of famine in 2025. Other evidence had already been considered by the FRC to support that. The latest analysis was of information collected from a much more recent period.

Israeli authorities selectively interpreted the survey data in other ways. Certain findings were ignored, including the fact that that overall vulnerability remained high, with continuing evidence of stunting and poor diet quality. Survey investigators acknowledged that any nutrition gains were fragile. Additionally, they were highly dependent on continued food access, the incidence of disease and availability of specialised nutrition support.

Also completely ignored by Israel was a major methodology limitation. Collecting data in conflict zones is precarious at best. As clearly stated by the researchers:

“The survey is representative (only) on areas that are accessible for humanitarian interventions within each Domain and Gaza Strip i.e. areas considered inaccessible were removed from the sampling frame before the cluster selection.”

In other words, those studied by default were likely to have high levels of access to food, while those likely to be at risk of malnutrition were not reached for assessment.

Reality on the ground

For many civilians, the lifting of Gaza’s famine alert has been academic and a declaration of a ceasefire farcical. Six months into the ceasefire, the US and IDF had started a series of joint attacks on Iran. Israel simultaneously closed Gaza borders once again, with COGAT announcing:

“…several necessary security adjustments have been implemented, including the closure of the crossings into the Gaza Strip, among them the Rafah Crossing, until further notice. The rotation of humanitarian personnel is postponed at this stage.”

Airstrikes and ground attacks continue. People are still dying. Border closures with little or no notice and lengthy customs delays are creating hurdles for agencies trying to coordinate supply chains and deliver perishable goods. Food and water access in many areas, particularly those not assessed by the Nutrition Cluster, remains a serious issue.

Highly volatile factors influence food security in regions of long term conflict. Levels in malnutrition can fluctuate over time and in both directions. But when windows appear for escalations in organised nutrition intervention, those opportunities must be genuine, sustained and reach an entire population. Gaza’s famine of 2025 may have quiesced but the issue of chronic population-wide malnutrition is far from resolved. The adverse effects of malnutrition on morbidity and mortality are also long-lasting. Meanwhile, Israel continues to deny there was ever a problem.

(Excerpt from the book “Where The Olive Trees Grow” by E. Mark Windle, scheduled for publication mid-2027. Why not come on the journey and support a Palestinian artist at the same time—find out more on my Crowdfunder page).

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Al-Ankaa Library: a Gaza ‘First’

E. Mark Windle 2 August 2026.

(Image permissions: Omar Hamad / Al-Ankaa Library, Gaza)

Alongside Israeli occupation, civilian slaughter and the widespread destruction of residential property and public infrastructure, has been the erasure of Gaza’s cultural heritage. Since October 2023, over a 100 libraries (including the iconic 13th-century Great Omari Mosque Library) and archival centres have been destroyed. All the more remarkable then, that Al-Ankaa Library had its official opening in Gaza City earlier this year. Aptly named (Al-Ankaa translates as ‘phoenix’), this is the first library to be built in the midst of the genocide.

Cultural eradication

Systematic destruction of Palestinian identity, history, and collective memory through the targeting of heritage is nothing new. During the conflict, Israeli military strikes have destroyed over 200 historically important locations including ancient mosques, churches and museums. All of Gaza’s universities have also been damaged, including their libraries and book publishing houses.

Human rights groups argue the widespread devastation is not merely collateral damage but a deliberate attempt to erase evidence of Palestinian historical claims to the land. In part, this was South Africa’s basis for filing the genocide case at the International Court of Justice.

One of the main individuals responsible for the creation of Al-Ankaa Library is Omar Hamad, who survived thirteen displacements by order of the IDF. Throughout each journey Omar’s modest personal collection of books accompanied him. Operating from his tent in central Gaza, he offered a simple space consisting of around a hundred books for him and others to read, so that they could continue their education. It’s popularity and support spread the word, and later led to a funding campaign to secure a building in the Rimal district of Gaza City.

Rising of the Phoenix

With the help of friend Ibrahim and around 20 volunteers, work started on rennovating the building and conversion to a library space. The inventory was expanded with books retrieved from the ruins of university libraries and educational centres. Some literature was sourced from Al-Aqsa University—the same facility where IDF soldiers had filmed themselves torching books and rooms for social media ‘likes’.

A library to serve the community

Al-Ankaa Library now houses thousands of books and continues to grow. Already being referred to as a symbol of cultural revival, its aim is to preserve knowledge and history through the curation of works on Palestine studies and Judaism. Science, Law and Journalism textbooks also feature.

But Omar and Ibrahim are aiming even further. The intention is for Al-Ankaa to become a community focused cultural and educational hub that both children and adults can access and enjoy. A podcast studio and lecture series are also underway. In June, the library held its first cultural seminar and book study sessions with local writers and journalists. If an example is needed that Palestinian resilience, community cohesion and determination to preserve cultural identity still exist after all these years of brutal oppression, this is it.

The fund raising campaign continues to complete and stock the library. For more details and to support the efforts of Omar, Ibrahim and friends, please check out their donation page at Chuffed.org

Gaza, Famine ’25 and the Fragility of a Crisis Response

E. Mark Windle 1 August 2026.

September 2025 was an uncomfortable month for Israel. International condemnation of its activities in Gaza was intensifying. The Global Sumud Flotilla—the maritime attempt to break the Israeli blockade—set sail. The mission to reach Gaza’s shores may have failed when the flotilla was intercepted but there were other gains. Now there was unambiguous and widespread focus on the plight of the people of Gaza via social media and television, mass demonstrations and workforce strikes across Europe.

Genocide

With the conclusion of the UN’s Independent International Commission of Inquiry on the Occupied Palestinian Territory that Israel’s actions in Gaza met the legal definition of genocide, other events quickly followed: Britain’s long overdue official recognition of the State of Palestine came within a week (in part, a consequence of ongoing political pressure, but doubtless also of the UK government’s futile attempt to distance itself from complicity), talk of a peace plan, and eventual closure of Gaza Humanitarian Foundation activities.

Undeniably, the Famine Review Committee’s call to action following a famine declaration in the previous month and escalation of aid agency operations had some positive impact. Aid efforts were maintained in part by a new ceasefire announcement that came alongside the US-brokered peace proposal. Four months after famine had been confirmed in the Gaza Governate, the Integrated Food Security Phase Classification (IPC) analysis team reassessed malnutrition prevalence. Gaza was now officially in a famine recovery phase.

Ceasefire failure

In spite of the encouraging news from the IPC team, 1.6 million people still faced high levels of acute food insecurity. The situation was also expected to remain severe through to at least April 2026. This was a best-case scenario, assuming a sustained ceasefire, open borders and freedom of access. To date none of that has fully happened. Well in excess of 100,000 children are requiring treatment for malnutrition.

For so many civilians, the declaration of another ceasefire and the lifting of Gaza’s famine alert has been entirely academic. Airstrikes and ground attacks continue. Children are still being killed . Frequent border closures with little or no notice create hurdles for agencies trying to coordinate sully chains and deliver perishable goods. Aid entry often faces lengthy customs delays.

In regions affected by long term conflict, levels of food security are influenced by highly volatile factors. The devastating famine of 2025 was quiesced rather than resolved and ripple effects have been long lasting, with Israel denying it ever happened.

An excerpt from “Where The Olive Trees Grow” by E. Mark Windle; an analysis of Palestinian nutritional welfare and exploring its role in the eventual reconstruction of Gaza. Scheduled for publication mid-2027. Check out the book cover Crowdfunder to find out how you can be part of this book’s journey and support a Palestinian artist at the same time.

Caledonia Soul: How Scotland Helped Shape Northern Soul

E. Mark Windle 14 July 2026.

A major new book by author Martin Gavin focuses on Scotland’s contribution to the northern soul scene, from its modernist and R&B origins of the 1960s to the present day.

The passage of time can easily erase important elements from soul music history if they are left undocumented. In the case of the northern soul scene, the subculture and classic dance venues of the late 1960s and 1970s have been extensively presented in print. Yet there remains so much of the wider northern soul story to be told. That’s where Martin Gavin’s unique angle comes in. In what is surely among of the most ambitious and comprehensive publications of its kind, his focus is on Scotland’s contribution to the soul music community.

Using a heady mix of social commentary, extensive research and oral history, the author guides us through modernist beginnings and the live music scene of Glasgow and Edinburgh of the 1960s. He introduces us to key players there on the R&B scene, and to the Tamla Motown and soul music explosion.

We are also taken on a journey through northern soul’s halcyon days of the 1970s—not from the perspective of an isolated Scottish scene but one that interacted with and was influenced by venues, DJs and record dealers on both sides of the border. 

Martin then explores a rebirth: after Wigan Casino closed its doors and the world assumed northern soul was all over, die-hard record collectors, dancers and enthusiasts kept the fire burning with a new musical philosophy. Influenced in no small way by the Stafford’s Top of the World all-nighters and forward-thinking DJs, the Scottish soul scene took on a life of its own at venues like the Crown Hotel, the Glenrothes YM and Allanton all-nighters embracing traditional uptempo northern soul, beat ballads, R&B, latin soul and modern soul.

That spirit continues to this day. Documentation of Scotland’s important role in this musical subculture has been a long time coming. I for one applaud Martin’s deep commitment to preserving its history. 

Caledonia Soul: How Scotland Helped Shape Northern Soul” by Martin Gavin is planned for publication August 2026. Available for pre-order now at: https://www.caledoniasoul.co.uk/

Support the Crowdfunder for “Where the Olive Trees Grow” and a Gaza Artist

E. Mark Windle 14 June 2026.

“A perfect storm doesn’t quite describe the Palestinian plight—rather, a cumulative assault through political upheaval, war and population containment.”

It was a few years ago now when I decided to write “The Hundred Year Hunger“. The book’s purpose was to investigate the root causes of food insecurity and malnutrition in Gaza and document its effects on its people through decades of oppression and occupation up to the current escalation in conflict.

Within a month of its publication in 2025, the concern in the humanitarian sector that famine was imminent had become a reality. This was after continued denial by Israeli authorities that malnutrition was an issue.

Today, food insecurity is still classed as high among most of the population in Gaza. At the time of writing, official estimates suggest over 100,000 children and 37,000 pregnant and breastfeeding women require treatment for acute malnutrition and associated complications.

An infinite number of unknowns remain regarding Gaza’s future, including its eventual reconstruction. Before that, a true ceasefire—beyond in name only—is required. Aid trucks must also be allowed to freely cross its borders and a committed plan worked through to sustain long-term nutritional welfare and public health. And ultimately, there must be accountability.

A new writing project

My latest work-in-progress continues the central theme of nutritional welfare in Gaza. In “Where the Olive Trees Grow” I place the spotlight on events developing since the publication of the previous book and offer predictions for Gaza’s future public health, based on an analysis of what we know now.

This time, a diverse collection of commentaries will be presented, including an account of the famine of 2025; how politics and conflict have created challenges for delivery of food aid in Gaza in the latest escalation in conflict; humanitarian aid effectiveness (and scandal); and a deep dive into the evidence for genocide specifically from a malnutrition perspective. 

Among today’s talk of genocide accountability and nation complicity in war crimes, there is also that of Palestinian resilience and global solidarity. Ultimately (and as reflected in the title) “Where the Olive Trees Grow” searches for that positivity. While major NGOs wrestle with political barriers to aid delivery on a mass scale, I investigate how small grassroots organisations are actively addressing nutritional concerns at a community level. There will also be an exploration of the potential for establishing improved food security, nutritional care, and public health policy during Gaza’s eventual reconstruction.  

Supporting Gaza artist Laila Kassab

“Where the Olive Trees Grow” is scheduled for completion and release in mid-2027 under my imprint, A Nickel and a Nail. As a freelance writer primarily involved in self-publication, I’m also responsible for managing the practical and aesthetic aspects of bookmaking, including book cover design.

I’d already been admiring Malak Mattar’s art on the cover of UN Special Rapporteur Francesca Albanese’s “When the World Sleeps” when I picked up a copy on its English version release in April. On the very same day and by pure chance I stumbled across similar work by self-taught artist and mother of five, Laila Kassab.

Laila lived through eight months of the war in Gaza before being forced to flee with her children to Egypt, where she is currently based. Her themes are of family, culture and resistance, and her striking and colourful work has reached Palestinian heritage centres and galleries here in the UK and elsewhere.

The Crowdfunder

Seizing the opportunity to utilise her talent for the cover of “Where the Olive Trees Grow” made perfect sense. Within days we connected online. Laila liked the book concept and the fact that I felt her work resonated. Soon we were discussing how I could use and support her work at the same time.

So here we are. Please take a few minutes to visit our crowdfunding page. You’ll get the full story there, be able to see examples of Laila’s work, and discover how you can contribute to the book project. As well as having the satisfaction of knowing that you will be supporting the livelihood of an artist, your donation will also be rewarded with some fine practical tokens of appreciation. To donate, go to the Crowdfunder campaign page at Artwork for Where the Olive Trees Grow.

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Plumpy’Nut. Revolutionary Therapeutic Food or Cash Cow?

E. Mark Windle    2 June 2026

A tragic though often-used opener for any discussion on global nutritional health is the fact that malnutrition underpins nearly half of all causes of deaths in children under the age of five. Over the past 50 years, the world has seen around a dozen famines in Africa and Asia, whether caused by conflict, natural disaster or drought. In these events, somewhere between 6 to 8.5 million people are estimated to have died from malnutrition or its complications. The true number is higher still, when it is considered that these acute crises superimpose on a chronic backdrop of food insecurity.

Given these daunting statistics and the need for aid delivery at scale, a longstanding relationship has existed between the humanitarian and commercial sectors. Nutritional supplementation is big business. In 2025 alone, UNICEF procured 278 million US dollars-worth of nutrition supplies from the food manufacturing and pharmaceutical industries. Prior to the 1990s, aid organisations struggled to keep up with the demand to feed malnourished populations in many areas. Community kitchens and food distribution hubs were an important means of support for those physically able to attend. Indeed, these remain an essential part of nutritional care. But as the situation in Gaza has demonstrated, chronic conflict creates isolation and difficulties in reaching the very young children, pregnant women, the elderly, and the injured or disabled. These groups become those most at risk of severe malnutrition.

So, enter Plumpy’Nut. This convenient supplement with the cute name and French origins has proven to be a lifesaver in regions of humanitarian crises. From its humble beginnings to becoming the United Nation’s go-to for the treatment of severe malnutrition, the Plumpy’Nut rise to success has been impressive. But the tale is also one tainted by ethical debate, legal wrangles, misuse in the field and political interference in supply.

Origins

In the late 1940s, the Rouen District Dairy Cooperative launched the Nova brand to promote its line of yogurts and cheeses throughout Normandy and Brittany. The well-coordinated enterprise was pretty much an overnight success. Within a few years, Mamie Nova was launched: a new product range of luxury yogurts and desserts with a series of iconic advertising campaigns that turned the brand into a household name.1

Working for Mamie Nova was Michel Lescanne, a young agricultural and food processing engineer whose dreams really lay elsewhere in the food manufacturing industry. Lescanne had long wanted to apply his expertise to ways of alleviating childhood malnutrition. In 1986, he set out to do just that by establishing his own company, Nutriset, so that he could focus on developing commercially viable food aid.

The concept had arrived at a crucial time for global relief efforts. UNICEF’s work to support children in crises had begun in Europe and the US following World War II and expanded significantly during the Vietnam War and the Nigerian Civil War. By the 1970s, aid organisations were operating various programmes that were improving the nutritional health in over 100 nations. However, this often involved food acquisition from local producers or limited international sources, as the overseas supply chain and logistics were in their infancy. By the time Lescanne arrived on the scene, decades of conflict and crises had led to chronic food shortages. Malnutrition rates were high, and the landscape of international aid needed to evolve.

F-100

UNICEF’s Child Survival and Development Revolution outlined the urgent need for implementation of GOBI: an umbrella acronym for combined growth and development monitoring, oral rehydration therapy, the promotion of breast feeding and immunisation. Alongside other infant nutrition public health measures, the rollout of GOBI was associated with improved vaccination uptake and less gastrointestinal disease. Infant mortality was also reduced. 2, 3  Screening of nutritional status was another major UNICEF focus. Surveys concentrated on collecting data about food security and the efficacy of ration provisions in refugee camps. Organisations were also starting to consider how the most severely malnourished could be optimally fed.

The use of supplementation in humanitarian settings wasn’t new. Basic milk, oil and sugar mixes had been used in camps in Gaza, Asia and elsewhere since at least the 1950s, with nutritional refinements made over subsequent years. Lescanne partnered with researchers and organisations that were already working on milk-based therapeutic products to create a product that could be a source of complete nutrition. Professor Mike Golden was one, widely regarded as a key player in the development of a prototype high protein-high energy oral supplement, first tested by Golden and coworkers in Jamaica in the late 1980s. With the support of Action Contre la Faim (ACF; Action Against Hunger), Nutriset started commercial production of F-100 in 1993. 4 Containing 100kcal and 2.9g protein/100ml, F-100 is still made today for use in the main recovery / rehabilitation phase from malnutrition. A derivative product known as F-75 is also available as a ‘starter’ supplement, containing 75kcal and 0.9g protein/100ml on reconstitution.

F-100 and F-75 were an early game changer. Positive effects were demonstrated on weight gain, physiological markers of muscle mass increased, and mortality rate of severely malnourished children was reduced. Over following decades, safety and clinical benefits have been re-evaluated and reconfirmed. 5-7  Both products are now regularly used by the World Health Organisation and UNICEF.

Plumpy’Nut development

F-100 is a dried powdered product. It requires reconstitution with cooled, boiled water and was initially indicated only for administration under supervision and in clinical settings such as feeding centres. In North Uganda, it was observed that mothers were reluctant to bring their children to humanitarian or medical hubs, because of the high risk of kidnapping by the Lord’s Resistance Army. 8 A ready-to-use therapeutic food (RUTF) was needed that was nutritionally rich and required no preparation, reconstitution or refrigeration, and so could be kept and taken at home if required.

The ACF Scientific Committee considered various options. André Briend, a paediatrician, coworker of Golden and AFC committee member, was aware of the popularity of the hazelnut spread product Nutella. The possibility of using a peanut butter base was suggested as a core ingredient of RUTF to optimise palatability. Briend made the decision to resign from the ACF to join forces with Nutriset on product development. Plumpy’Nut was officially released onto the market in 1996.

Presented as a nutrient dense paste in a plastic wrapper, ingredients include peanut butter, sugar, vegetable oil and skimmed milk powder. The product is enriched with Vitamins A, C, D, E and K, a range of B vitamins, Calcium, Iron, Zinc, Copper, Iodine, and Magnesium. 9 Each 92-gram sachet provides 500 kilocalories. UNICEF guidelines for use are for three sachets to be taken daily for 6-8 weeks. 10

The primary indication for use is in the treatment of severe malnutrition in children aged 6 months and over, though it can also be used in adults with severe acute malnutrition, or to treat moderate acute malnutrition in accordance with national protocol. Plumpy’Nut is not intended to be made freely available within communities. When consumed as a home-based therapy, usage should be overseen where possible by community health workers.

The first evaluations were promising. In a study of malnourished Senegalese children aged 6-36 months, weight gain was faster with the (solid texture) Nutriset-produced RUTF than with F-100 therapeutic milk. 11 In a Bangladesh MSF nutrition programme for pregnant and lactating women, 85% of subjects perceived some therapeutic benefit from the paste version. 12

Product development continued to enhance composition, acceptability and stability. RUTF products were now revolutionising the humanitarian sector, with studies alluding to dramatic reductions in malnutrition-related morbidity and mortality. By the mid-2000s, UNICEF entered a mass-scale procurement agreement with Nutriset. UNICEF is now the biggest purchaser of global RUTF.

Patent and monopoly challenges

For the first 10 years of manufacture, and riding on the early field results of mitigated progression of malnutrition, the product was lauded as a revolutionary tool within the humanitarian sector. Its status was reinforced during the 2005-2006 Niger food crisis, when chronic poverty, drought and damage by locust infestation resulted in 3.3 million people facing increased food insecurity. The acute malnutrition rate reached 13.4 percent. Plumpy’Nut was distributed with the aim of reaching 40,000 malnourished children.

Recovery rates for those treated were once again impressive, at around 90%. 13 However Nutriset had a major supply challenge. Some NGOs felt that manufacture and delivery was not happening quickly enough and there was too much reliance on international logistics. Of the product provided by Nutriset to its primary clients (UNICEF and Médecins Sans Frontières), 30% of the Niger supply was made locally in one factory. The remainder had to be shipped in from factories abroad.14

With limited manufacturing capacity and import delays, Nutriset recognised that collaborating with local partners for Plumpy’Nut manufacture made sense. By patenting Plumpy’Nut and entering into contracts with local factories, Michel Lescanne indicated that Nutriset were playing their part in sustaining local industries and contributing to local economies. 13 Profits continued: over a 4-year period to 2009, sales increased by 36 million euros. 14 There were also general nods of approval now from humanitarian groups, especially with RUTF products, including Plumpy’Nut, being rubber-stamped by WHO and UNICEF.

Meanwhile, other manufacturers (conscious of market opportunities created by supply gaps) viewed Nutriset’s patents and its working relationship with the UN as a monopoly. UNICEF was buying Plumpy’Nut as most of its world stock of RUTF. Andre Briend was known to have professional links with the WHO and UNICEF at various points in time, though he did wave any personal right to financial benefits from the development of Plumpy’Nut.

Concerns were expressed that patent registrations were preventing manufacturers from creating and producing similar RUTF products and so were holding the health of hundreds of thousands of malnourished children to ransom. Two US companies, Breedlove Food and the Mama Cares Foundation, filed lawsuits in Washington DC for nullification of the US patent. Claims were that Plumpy’Nut was not a unique product; the concept and development of fortified oil-based energy dense supplements was already established in the industry; and Nutriset were preventing other companies from producing similar products that could be manufactured at a fraction of the cost. 15 The lawsuits collapsed after US courts deemed that the patent was valid.

No magic bullet

A RUTF packet that requires no preparation and minimal storage requirements offers convenience for the parent of a malnourished child and makes warehouse storage, transfer and distribution less problematic. While comments were not specifically aimed at Plumpy’Nut, there were worries that the inherent advantages of RUTF and media hype about nutrient properties were tempting overuse in the field. 16 Plumpy’Nut was only indicated for the treatment of malnutrition. In practice, it was frequently being used for malnutrition prevention. Public health efforts to promote breastfeeding (and the conferred immunological and bonding benefits) were being undermined.

At the other extreme, product acceptability varied between groups and populations. Palatability and general tolerance may seem minor issues but heavily influence a child’s compliance with nutrition therapy. In one study of 149 care givers in an urban slum region of Bangladesh, only four out of ten felt that Plumpy’Nut was readily accepted. Nearly half of children required significant encouragement with consumption. 17

Cost

UNICEF acknowledges that RUTF use in malnutrition treatment programmes requires significant financial outlay. 18  In 2017, an eight-week course of treatment with Plumpy’Nut was around 40-60 US dollars depending on the location of manufacture. 19 However, nearly ten years later, the cost of treatment is about the same. 20 This may partly reflect increased production capacity and advances in technological efficiency. Market competition may be another factor, with the expiration of patents in the US in 2017 and in the UK and European Union in the following year.

Despite cost stability, the use of Plumpy’Nut in chronically poor African and Asian countries remains heavily dependent on international aid funding sources. RUTF manufacturers have also reported huge increases in milk powder, grain and vegetable oil costs—almost double as a result of the war on Ukraine and global drought conditions affecting crop yields. 21

US foreign aid cuts

Originally established in the early 1960s by President John F. Kennedy, the United States Agency for International Development (USAID) is the financial conduit for US foreign aid. Programmes are given the green light after review by US Congress and involve contractual allocations of financial support to agencies working on the ground in health, education and social welfare.

In January 2025, just days after the Trump administration established the controversial Department of Government Efficiency (DOGE) and with Elon Musk in prominent position, USAID was targeted for closure. Trump’s claims were that the organisation was corrupt, run by “radical left lunatics” and required scrapping. In less than one month, the USAID workforce was decimated to 2% of its original size. Knock-on effects included the immediate cessation of major clinical trials for diseases associated with high mortality, and the prevention of medical aid and food supply to numerous global regions with high levels of food insecurity. By spring, USAID was able to re-engage in some specific collaborations with the UN World Food Programme. However, with foreign aid payouts largely halted, other agencies had to downsize operations drastically. 22

Nutriset’s concern lay in the ability of Edesia Nutrition, the contracted US manufacturer of Plumpy’Nut, to continue production and supply. Implications of the cuts were huge—Edesia Nutrition typically made enough Plumpy’Nut to support five million children in over two dozen countries each year. Edesia and another peanut-paste supplement producer had to cease manufacturing and shipping for the first half of 2025, as several foreign aid contracts were placed on pause or cancelled completely. Stock lay idle in the company warehouses for months. In August production was allowed to partially resume, but only after Edesia Nutrition had accumulated a deficit of 22 million US dollars in cancelled or unshipped orders. 23

RUTF in Gaza

Gaza’s history of food insecurity stretches back to the early 1900s, as a result of occupations by the Ottoman, Britain and (most notably) Israel. Famine was officially confirmed in Gaza for first time in August 2025. Even at the time of writing, an estimated 100,000 children and 37,000 breastfeeding and pregnant women in Gaza require treatment for acute malnutrition.

Plumpy’Nut regularly features in NGO donation campaigns in the media and charity storytelling, though most groups have a range of RUTF products at their disposal. Multiple RUTF options and suppliers provide flexibility—a key requirement in conflict zones, and political decisions that affect supply chains. That said, in many cases Plumpy’Nut is a preferred choice (for financial, contractual or logistical reasons) and has been used in Gaza by UNICEF, MSF and the World Food Programme almost since its invention. Edesia Nutrition also works with smaller partners inside Gaza including Multifaith Alliance to deliver Plumpy’Nut to local communities.

Unique challenges exist in delivering aid to Gaza. Ever since the early days of Israeli occupation, control of Gaza’s borders has been strangulating. With the escalation in conflict since October 2023, border closure frequency has increased dramatically. In 2025 when Gaza was already teetering on the edge of famine, Israeli forces put in place a complete land blockade for 12-weeks.

Even when aid trucks are allowed to enter, restrictions are placed on specific items. Israeli authorities have previously classified peanut butter as a ‘luxury’ item, preventing the entry of derived products into Gaza. 24 As Jamil and coworkers noted, the effectiveness of RUTFs including Plumpy’Nut has been hampered by politics, supply chain issues, blockades and the widespread displacement of care givers. 25

When intervention with RUTF in Gaza is been possible, outcomes have been positive. In one of the first major assessments since October 2023, a study was conducted as an evaluation of 1,415 moderate and severely malnourished children being treated with Plumpy’Nut at Patients’ Friends Benevolent Society Hospital, which was the only functioning paediatric facility in Gaza City at the time. Significant improvements in body weight and markers of lean body mass were found, particularly in those treated for more than four weeks. 26

All’s well that ends well?

Are there parallels between the Plumpy’Nut story and the infamous pharma scandals of the 1990s, when restrictive patents and corporate profiteering of HIV antiretroviral drugs led to millions of deaths in Africa? With regard to patents, Nutriset have stated they actually offer commercial protection to contracted producers in poor countries and in doing so, support businesses and local economies. Over time, many disputes over intellectual property protection and price setting have been resolved. In part, this occurred passively. As Plumpy’Nut patents in various countries reached their natural expiration dates, the market was opened up. Nutriset remains the largest RUTF manufacturer, though it is responsible for less than half of world production these days. 27

Then there is the PlumpyField initiative. This franchise programme involves extensive collaboration with government bodies, humanitarian agencies and local businesses. Nutriset maintains overall control, though the PlumpyField networking does represent a major shift towards local manufacture. It has undoubtedly optimised manufacture and distribution—and lessened cost—in emergency situations. MSF and Nutriset are friends again. In many instances Nutriset allows NGOs and local companies to produce the paste without paying licence fees, as long as quality standards are adhered to. This approach certainly isn’t harming business—Nutriset’s turnover was in excess of 160 million euros in 2022.

Lescannes’ original vision remains. Steadfast commitment to treating malnutrition and improving the health and survival of the world’s most vulnerable individuals is at the heart of everything Nutriset does. It may not be a not-for-profit operation, but the company is run as a social and solidarity enterprise. As a signatory of the UN Global Compact, Nutriset has committed to conduct its business in a way that preserves human rights and international labour standards. Profits to shareholders are limited and a substantial amount of Nutriset income is reinvested into R&D to fight malnutrition.

The incidence of global malnutrition is not static. Constant political unrest and new escalations in conflict see to that. Peaks and troughs in food insecurity affect the demand for aid and the ability for humanitarian and commercial sectors to respond appropriately. Political variables—not least Trump administration changes on foreign policy and aid funding—are equally hard to predict or influence. But Nutriset has a system in place and for the most part it seems to be working.

For now at least, Nutriset’s future in the management of malnutrition seems secure.

References

  1. Mamie Nova. Available from: https://www.laita.com/en/brands/mamie-nova
  2. Palti H, Tulchinsky TH. Anemia as a public health problem in Israel. Public Health Rev. 1988; 16: 215-250.
  3. Tulchinsky TH, El Ebweini S, Ginsberg GM, Abed Y, Montano- Cuellar D, Schoenbaum M, Zansky SM, Jacob S, El Tibbi AJ, Abu Sha’aban D, Koch J, Melnick Y. Growth and nutrition patterns of infants associated with a nutrition education and supplementation programme in Gaza, 1987-92. Bull. World Health Organ. 1994; 72 (6): 869-875.
  4. MSF Access. Available from: https://msfaccess.org › sites › files › MalNut › Docs (PPT) Prof Michael Golden, Uni Aberdeen. PPT: MSF satellite meeting Hanoi, 2008.
  5. Islam MM, Huq S, Hossain MI, Ahmed AMS, Ashworth A, Mollah MAH, Ahmed T. Efficacy of F-100, diluted F-100, and infant formula as rehabilitation diet for infants aged < 6 months with severe acute malnutrition: a randomized clinical trial. Eur J Nutr. 2020 Aug; 59(5): 2183-2193. doi: 10.1007/s00394-019-02067-5. Epub 2019 Jul 31. PMID: 31367914.
  6. Navarro-Colorado C, Lacquière S. Clinical trial of BP100 vs F100 milk for rehabilitation of severe malnutrition. Emergency Nutrition Network [Internet]. 2005 Mar 1 [cited 2026 May 28]. Available from: https://www.ennonline.net/fex/24/en/clinical-trial-bp100-vs-f100-milk-rehabilitation-severe-malnutrition  
  7. Lubis A, Riyadi H, Khomsan A, Rimbawan R, Shagti I. Effects of Formula-100 therapeutic milk and Bregas Nutriroll ready-to-use therapeutic food on Indonesian children with severe acute malnutrition: A randomized controlled trial study. Narra J. 2024 Aug; 4(2): e846. doi: 10.52225/narra.v4i2.846. Epub 2024 Jul 15. PMID: 39280274; PMCID: PMC11391968.
  8. New UN report highlights Lord’s Resistance Army atrocities against children. UN News [Internet]. 2012 Jun 6 [cited 2026 May 28]. Available from: https://childrenandarmedconflict.un.org/2012/06/the-lords-resistance-army-and-children
  9. Plump’Nut® Ready-to-Use Therapeutic Feed (RUTF). Nutriset [Internet]. Available from: https://nutriset.fr/en/products/plumpynut-en/
  10. This peanut butter has changed the world. How Plumpy’Nut® is restoring nutrition to children worldwide. UNICEF Australia [Internet]. 2025 January 15 [cited 2026 May 28]. Available from: https://www.unicef.org.au/stories/what-is-plumpy-nut?
  11. Diop el HI, Dossou NI, Ndour MM, Briend A, Wade S. Comparison of the efficacy of a solid ready-to-use food and a liquid, milk-based diet for the rehabilitation of severely malnourished children: a randomized trial. Am J Clin Nutr. 2003 Aug;78(2):302-7. doi: 10.1093/ajcn/78.2.302. PMID: 12885713.
  12. Ali E, Zachariah R, Shams Z, Manzi M, Akter T, Alders P, Allaouna M, Delchevalerie P, Harries AD. Peanut-based ready-to-use therapeutic food: how acceptable and tolerated is it among malnourished pregnant and lactating women in Bangladesh? Matern Child Nutr. 2015 Oct;11(4):1028-35. doi: 10.1111/mcn.12050. Epub 2013 May 6. PMID: 23647821; PMCID: PMC6860257.
  13. Arie S. Hungry for profit. BMJ. 2010 Oct 6; 341:c5221. doi: 10.1136/bmj.c5221. PMID: 20926480.
  14. Niger: Is Plumpy-nut ready to grow up? Relief Web [Internet]. 2008 Jan 31 [cited 2026 May 28]. Available from: https://reliefweb.int/report/niger/niger-plumpy-nut-ready-grow
  15. Schofield H. Legal fight over Plumpy’nut, the hunger wonder-product. BBC News [Internet]. 2010 Apr 8 [cited 2026 May 28]. Available from: http://news.bbc.co.uk/1/hi/world/europe/8610427.stm
  16. Randall P, Gupta A, Dadlich JP, Kent G. ready-to-use therapeutic foods [Correspondence]. World Nutrition. 2011 Mar; 2(3): 148-153. Available from: https://worldnutritionjournal.org/wn/article/view/505/450
  17. Ali E, Zachariah R, Dahmane A, Van den Boogaard W, Shams Z, Akter T, Alders P, Manzi M, Allaouna M, Draguez B, Delchevalerie P, Harries AD. Peanut-based ready-to-use therapeutic food: acceptability among malnourished children and community workers in Bangladesh. Public Health Action. 2013 Jun 21;3(2):128-35. doi: 10.5588/pha.12.0077. PMID: 26393015; PMCID: PMC4463117.
  18. Evaluation of Community Management of Acute Malnutriton [PDF]. UNICEF Evaluation Office. 2014 [cited 2026 May 28]. Available from: https://www.unicef.org/executiveboard/media/37111/file/2014-EB-Informal-CMAM-May-13.pdf
  19. Bazzano AN, Potts KS, Bazzano LA, Mason JB. The Life Course Implications of Ready to Use Therapeutic Food for Children in Low-Income Countries. Int J Environ Res Public Health. 2017 Apr 11;14(4):403. doi: 10.3390/ijerph14040403. PMID: 28398257; PMCID: PMC5409604.
  20. UNICEF. Ready-to-use therapeutic food price data 2003-22026. Weighted average price for Ready to Use Therapeutic Food [Microsoft Excel Spreadsheet]. [updated 2025; cited 2026 May 28]. Available from: https://www.unicef.org/supply/media/24911/file/Ready-to-use-therapeutic-food-price-2003-2025-b.pdf
  21. Bastmeijer J. Ukraine war pushes up price of emergency food for starving children. The Guardian [Internet]. 2022 Aug 18 [cited 2026 May 28]. Available from: https://www.theguardian.com/global-development/2022/aug/18/ukraine-war-pushes-up-price-of-emergency-food-for-starving-children-plumpy-nut
  22. Frankel J. Humanitarian aid efforts in Gaza slow as hundreds of millions of promised USAID dollars do not arrive. PBS News / Associated Press. [Internet]. 2025 Mar 7 [cited 2025 Apr 29]. Available from: https://www.pbs.org/newshour/world/humanitarian-aid-efforts-in- gaza-slow-as-hundreds-of-millions-of-promised-usaid-dollars-do- not-arrive
  23. Emanuel G. Why the company that makes Plumpy’Nut is ‘just over the moon!” NPR [Internet]. 2025 Aug 11 [cited 2026 May 28]. Available from:     https://www.npr.org/sections/goats-and-soda/2025/08/08/g-s1-81553/malnourished-children-hunger-plumpynut-foreign-aid
  24. UN News. Gaza City lifelines collapsing, UN aid agency warns. United Nations [Internet]. 2025 Sep 18 [cited 2026 May 28]. Available from: https://news.un.org/en/story/2025/09/1165876
  25. Jamil S, Adebayo UO, Obadeyi KB, Okesanya OJ, Ayelaagbe OB, Oso TA. Child Malnutrition in Gaza: Public Health Implications and Response Priorities. Sage Open Pediatr. 2026 Mar 12;13:30502225261429672. doi: 10.1177/30502225261429672. PMID: 41836752; PMCID: PMC12982854.
  26. Helu YE, Salah S, Maraqa B, Haj-Yahia S. Childhood malnutrition care during the Gaza siege: a prospective program evaluation. BMC Nutr. 2026 Jan 20;12(1):36. doi: 10.1186/s40795-026-01256-w. PMID: 41559813; PMCID: PMC12895578.
  27. Dahan N, Leca B. How Nutriset, a French company, has helped alleviate hunger and create jobs in some of the world’s poorest places. The Conversation [Internet]. 2025 Feb 25 [cited 2026 Jun 2]. Available from: https://www.yahoo.com/news/nutriset-french-company-helped-alleviate-185035229.html

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A Chained Sea: The Israeli Occupation of Maritime Gaza

E. Mark Windle 15 April 2026

Imperialist nations have long recognised the strategic importance of having access to the Levant. Over the last 500 years this region—the ‘eastern wall’ of the Mediterranean Sea, represented by the Palestinian occupied territories, Israel, Egypt, Lebanon and Syria—has seen invasion and occupation by the Ottoman Empire, the British, Israel and others. Dominance of trading routes on land and sea were the initial interest. These were established prior to the Ottoman arrival, though this period marked major network expansion as the empire spread across southeastern Europe, Asia and North Africa.

As has happened with other colonising powers, the Ottoman ambition to continually increase geographical reach could not be matched by the military and financial resources required to do so. Greed, national uprisings, the neglect of outposts and competition from other nations took its toll. By the early 20th century, the Levant was a major theatre of war. It was also to be the site of key trigger events which led to the oppression of Palestinian society that continues today: the British occupation, large scale Jewish immigration aided by the Zionist movement and the Balfour Declaration, the Nakba in which 700,000 Palestinians were forcibly displaced and self-declaration of the State of Israel.

Trade routes in the eastern Mediterranean

The Ottoman Empire may have been here the longest, at least in recent centuries, but it was not the first. Egyptian, Minoan and Phoenician civilisations already had a hand in establishing early maritime trading routes. Over a 3000-year period (and by 300 BC), ports were established along the coast of the Levant that acted as hubs for import and export. The Phoenicians shipped cedarwood and dyes. The Greeks using ports to move wine, grain and olive oil eastwards to Asia, and west to North Africa.

From the 10th century onwards, silk and spice would be shipped by Arab merchants. Under Ottoman rule, routes were expanded and connected to southern European. Ports in the central and northern parts of the Levant like Beirut thrived—at one point, this was its primary shipping port. These coastal cities were cosmopolitan in nature, invariably featuring bustling bazaars, mosques and centrally located markets.

In contrast, the southern Levant—including that region known today as the Gaza Strip—was largely bypassed by trading ships. The reasons were partly prohibitive: piracy in earlier eras, and shallow water which would be unsuitable for the docking of large ships. There was also little commercial interest in the land. Agriculture in the interior was limited to the ancient practice of musha’ farming, a self-sustaining community approach involving temporary land share.

By the coast, wide expanses of sand dunes and scrubland also reduced the potential for any major farming. Before the 20th century, coastal habitation rarely extended beyond simple rural village life in this corner of the Mediterranean. Then came the Nakba, population concentration and changes in land appearance. Refugee camps (and eventually, some urban development) would fill the landscape.

Gaza fishing industry

In a 2025 issue of the Journal of Palestine Studies, Annelien Groten addressed the paucity of documentation on Gaza’s fishing industry history.1 Accounts were compiled by interviewing fishing communities in the al-Shati refugee camp in Gaza City and the al-Tawfiq Fishermen Cooperative Association. Groten also commented on her personal observations made during NGO work.

Her essay “Fishing in Gaza: Between Cultural Endurance and Everyday Resistance” recognises that prior to mass displacement of 1948, fishermen led a life of relatively unthreatened self-sustainability. For the most part they worked to provide for their families, or at most, for small and tightly knit communities. The beginning of the Nakba and the immediate influx of refugees to northern Gaza brought great pressure on essential resources and on competition to fish the sea.

A centuries-old traditional way of life was being threatened. Simultaneously, new skills brought to the coastal regions would ultimately assist in the expansion fishing as a commercial industry. Fishing was likely at its peak in terms of commercial success during the 1970s and 1980s, when the population density of the Gaza Strip was smaller than later decades and fish yields more plentiful due to freedom of sea access.

Along Gaza’s 41km sandy coastline, fishing boats were launched directly from the beach or small communal or private jetties. The old small harbour in the Rimal district known as the Port of Gaza was utilised up to October 2023. It was never intended to accommodate large commercial ships. The water here is too shallow, and harbour lacked infrastructure required to handle large cargo.

Nevertheless, the port was an important focal point for the industry. Half of Gaza’s fishermen delivered their catches here at one time, and around three quarters of all fish hauls came through the port’s wholesale market. Fish would then be transported to smaller markets around the Strip for purchase by households and seafood restaurants.

Plans existed for the construction of a much larger, modern commercial seaport located just south of Gaza City. The concept was agreed in principle during negotiation processes in 1993. But long-term projects in Gaza often fail to reach completion due to conflict. Commencement of the work was delayed for five years over resource issues, then Israeli forces destroyed the early construction during the Second Intifada. Later what remained of the port was sieged by Israel and subjected to naval blockade. By 2014, the project was abandoned.

Weaponising water

While the dietary inclusion of sea fish is culturally significant on the coast, for a long time it was a lesser consideration among the wider Palestinian population. That has changed. The chronic nature of blockade, conflict, food insecurity and malnutrition has placed greater emphasis on any locally available produce, and on the importance of fish as a source of amino acids, essential fatty acids and fat-soluble vitamins. Canned oily fish often features as a component of humanitarian food aid packages, though the availability of fresh fish at market is determined by freedom of access to the sea.

Israel has a long track record of denying access to water. Weaponisation of water for drinking or sanitary purposes has been enabled not only through general occupation but by the specific application of military edicts that restrict access. An early example of this is a series of orders from the 1967 occupation that tightly controlled new water installations and the use of springs. A challenging application process for permit requests was required; frequently these were rejected without reason or chance of appeal.

In recent decades, Gaza has had to obtain most of its potable water from a combination of three sources: the Mekorot pipeline supply (connected to Israel’s National Water Carrier network and under State control), the importation of tanked or bottled drinking water, and three main desalination plants. Water is chronically compromised by restriction of the Mekorot supply, blockade, and the destruction of desalination plants by airstrike. In a similar manner, Israeli occupation forces have long enforced restrictions on sea access. This has profound negative effects on the ability to deliver aid by sea, to fish or sail in it or even to enter the sea for respite in hot summer months.

Oslo Accords and sea access rights

In 1993, Israeli PM Yitzhak Rabin and Palestine Liberation Organisation head Yasser Arafat met for a series of political meetings which became known as the Oslo Accords. An essential early requirement was for agreement to find a political pathway for Palestinian self-determination and coexistence with Israel. Commitment to find a two-state solution was demonstrated further in the Interim Agreement on the West Bank and Gaza Strip (commonly known as the Oslo II). Signed in 1995, Oslo II outlined organisational structure and power sharing changes envisioned for peace. Included in the plan was the creation of three distinct areas in West Bank, with a new Palestinian Authority conferred some autonomy for local governing and civil duties.

Arafat and Rabin received the Nobel Peace Prize in recognition of political convergence and a pledge to find middle ground for peace, yet there was significant division regarding the implication of the Oslo Accords. As now, some Israelis and Palestinians neither sought a two-state solution, nor believed that it is feasible. Even for those subscribed to the idea, the devil was in the detail. Israeli concern was over the need for timely and phased removal of its military forces from territory it had occupied since the late 1960s and transferring authority to a new Palestinian body. Among the Arab community, Arafat’s political reputation was a mixed bag. Public perceptions varied between revolutionary hero, a statesman placed in an impossible position, and a leader who corrupted and betrayed the people he represented.

Within two years Rabin was assassinated by a Jewish far right extremist. A series of assignation attempts were also made on Arafat by a Mossad unit. Yasser Arafat’s death in 2004 has been widely attributed to a stroke, although the cause of death has also been challenged over the years, including controversial accusations of polonium poisoning.

The Camp David Summit of July 2000 was a failed attempt to finalise the peace negotiations. Palestinian representatives found the proceedings premature and overtly Israel (and US)-centric. Arguments arose over territory sharing, the right of return for first generation and descendant Palestinians, the implication of continued presence of Israeli settlements and Israeli control of Palestinian airspace. The political process floundered and inflamed ongoing civilian protests in the Middle East, which rapidly escalated into the Second Intifada.

Regarding sea access rights for Palestinians, Oslo II addressed these in Article XIV: Security Along the Coastline to the Sea of Gaza. Coastal waters of the Mediterranean Sea were zoned with some designated as no-go areas. These prohibited access to water adjacent to the Israeli coastline in the north, and to Egypt in the south:

“The sea off the coast of the Gaza Strip will be divided into three Maritime Activity Zones, K, L, and M, as detailed below:

(1) Zones K and M:

(a) Zone K extends to 20 nautical miles in the sea from the coast in the northern part of the sea of Gaza and 1.5 nautical miles wide southwards.

(b) Zone M extends to 20 nautical miles in the sea from the coast, and one nautical mile wide from the Egyptian waters.

(c) Subject to the provisions of this paragraph, Zones K and M will be closed areas, in which navigation will be restricted to activity of the Israel Navy.

(2) Zone L:

(a) Zone L is bounded to the south by Zone M and to the north by Zone K and extends 20 nautical miles into the sea from the coast.

(b) Zone L will be open for fishing, recreation and economic activities, in accordance with the following provisions:

(i) Fishing boats will not exit Zone L into the open sea and may have engines of up to a limit of 25 HP for outboard motors and up to a maximum speed of 18 knots for inboard motors. The boats will neither carry weapons nor ammunition nor will they fish with the use of explosives.

(ii) Recreational boats will be permitted to sail up to a distance of 6 nautical miles from the coast. Recreational boats may have engines up to a limit of 10 horsepower. Marine motor bikes and water jets will neither be introduced into Zone L nor be operated therein.

(iii) Yachts may sail up to a distance of 6 nautical miles from the coast at a maximum speed of 15 knots.

(iv) Foreign vessels entering Zone L will not approach closer than 12 nautical miles from the coast.

General Rules of the Maritime Activity Zones:

(1) The aforementioned fishing boats and recreational boats and their skippers sailing in Zone L shall carry licenses.

(2) The boats shall have identification markings.

(3) Residents of Israeli settlements in the Gaza Strip fishing in Zone L will carry Israeli licenses and vessel permits.

(4) As part of Israel’s responsibilities for safety and security within the three Maritime Activity Zones, Israel Navy vessels may sail throughout these zones, as necessary and without limitations, and may take any measures necessary against vessels suspected of being used for terrorist activities or for smuggling arms, ammunition, drugs, goods, of for any other illegal activity…”

For the fishermen of Gaza, the distance allowed from shore to fish is crucial for fish yields. Bigger shoals are found between 8 and 12 nautical miles (nm) from the coast. Sardines, mackerel, tuna and other high nutritional value fish can be reached at 20nm. In practice, Israel did not adhere to Oslo Accord stipulations and continues to maintain tight control over Gazan fishing rights. Between 2008 and 2020, several severe restrictions were imposed. These ranged from a 3nm limit to complete fishing bans. Some temporary relaxations in policy did occur, though these usually occurred as a result of international pressure.

The livelihood of fishermen has been further threatened by restrictions on the import of materials for boat and equipment repair, which Israel claims could be used for the manufacture of rockets by Hamas. Registration statistics held by the Ministry of Agriculture indicate that by 2020 Gaza’s fishing industry had declined by more than 50%. Knock-on effects were observed on coastal restaurants and fish markets.

Dangers of fishing, post October 2023

In the early stages of the Israel-Hamas conflict ambiguity reigned over the status of sailing limits. Did previous restrictions still apply or was there now a complete ban on entering the water? By 2025, Palestinians were suffering from the cumulative effects of living in a war zone, a violated ceasefire agreement between January and March, complete border closure for 12 weeks and now a looming famine. Add to that the dependency on fish for food, and a July heatwave with temperatures in excess of 30 degrees Celsius and 60% humidity—avoiding the sea was not an option. Witnesses reported Israeli forces firing shots at swimmers near the shore, despite Israeli media claims that the IDF had not enforced the ban against those wishing to “cool off in the water by the beach, (but) only those heading out deeper into the sea”.

Israeli forces also intensified their assault on what little remained of Gaza’s fishing industry. Navy vessels repeatedly pushed fishing boats back to shore. Interrogation and confiscation of boats and equipment invariably followed, regardless of whether or not they had strayed beyond zone restrictions.

In a May 2025 UN review, Israel’s track record of fishing vessel interception was documented, including the use of lethal force. Ministry of Agriculture data indicated that 200 fishermen and associates had been killed either on land or at sea in the previous 6 months, as a result of drone attacks, naval boat gunfire or pushbacks using strong waves to force direction or to capsize fishing boats. Helicopters and drones set fire to fishing boats at the Gaza City seaport, three other major landing sites, and virtually all of 300 individual fishing stations. The UN also noted when fishermen tried to hide their boats in the sand, the IDF sent in bulldozers to uncover and destroy them. 

By July 2025 the military direction was clear. Palestinians were now prohibited from entering the sea for any reason. The message was reinforced by IDF spokesperson Colonel Avichay Adraee, who stated that entry into the sea along the entire length of the Strip was forbidden: “We urge fishermen, swimmers and divers to refrain from entering the sea. Entering the sea along the Strip exposes you to danger.”

Israeli and international gas field interests

An added dynamic in Israeli’s desire to control maritime access is the competition for fossil fuel. Energy extraction projects have been particularly active since the early 2000s. After the discovery of Gaza Marine and Border Field natural gas reserve, an agreement was drawn up between the Palestinian Authority and British Gas to power Gaza’s main desalination plant for 25 years. Energy companies working in neighbouring gas fields (and in Israel’s interests) contested boundary issues and the Palestinian Authority’s right to licence. A court decision that the Gaza field was located in a “no-man’s sea” meant the plan had to be abandoned.

Since then, gas extraction by Israel in the Mediterranean Sea has been via the Tamar, Leviathan, Noa and Mari-B gas rigs, along with the creation of “safety exclusion zones” of 5nm or more. Gas is piped not only for Israeli use or but in deals made with Jordan, Egypt and the European Union. Israel has also ‘awarded’ gas exploration licences in Palestinian waters.

The flotillas—reaching for Gaza

Of all the prior civilian flotilla efforts to form a humanitarian corridor, carry aid and break Israel’s siege on Gaza, the summer of 2025 mission was the most ambitious to date. With collective fleets amounting to around 50 vessels, the Global Sumud Flotilla was an international display of solidarity, demonstrated by the scale of the operation, the mass presence of supporters at ports around the Mediterranean and by the world following the journey via social media and the press.

An early flotilla attempt was the 2008 Free Gaza Movement, when two boats carrying aid succeeded in reaching Gaza’s shores. In 2010, the Gaza Freedom Flotilla was established between the Free Gaza Movement and the Turkish Foundation for Human Rights and Freedom and Humanitarian Relief. That attempt to deliver food aid and building materials was halted by Israeli forces when the boats were raided. Ten activists were killed and 30 wounded. Subsequent flotillas have been unable to reach Gaza’s beaches due to sabotage and interception by the Israeli military, though the long history of missions have helped to keep the world’s focus on the Palestinian struggle and continued oppression.

In early May 2025 the Conscience vessel (carrying aid and up to 30 human rights activists) was attacked by drones around 30km from the Maltese coast. The following month, the Gaza Freedom Flotilla set off to deliver infant milk formula, rice, flour and medical equipment. On 9 June, Israeli forces seized the Madleen and detained participants in Israel before deportation. A third attempt was made in July by the Handala vessel but was raided again in international waters.

More than 500 civilians from almost 50 countries joined the coalition of existing movements, known collectively as the Global Sumud Flotilla. As with previous ones, this was a non-violent civilian intention to break the siege and deliver humanitarian aid—300 tons of it—and importantly, to keep the world’s eyes on the genocide happening in Gaza. The mission was a response to government inertia regarding meaningful intervention in support of the people of Palestine, and in many cases, national refusal to call out genocide.

The flotilla’s name reflected the coalition’s cause. Sumud in Arabic refers to steadfastness, perseverance or resilience. Participants came from a range of backgrounds including sailing crew, activists, medical and legal staff, journalists, politicians. Public figures included internationally recognised activists Thiago Ávila and Greta Thunberg (both of whom had been involved in flotilla attempts earlier that spring), and Mandla Mandela, grandson of Nelson Mandela.

Vessels were scheduled to depart from ports in Spain, Italy and Tunisia from late August onwards. Some were allocated to break the blockade in Gaza territorial waters. Others had supportive and observer responsibilities. Ruhi Akhtar, founder and CEO of the UK NGO Refugee Biriyani & Bananas joined the flotilla from the port at Tunis. Bad weather, technical issues and drone attacks on the Family leader boat meant a temporary delay in departure. However, by mid-September, Akhtar’s boat Summertime-Jong was heading toward the first port of call at Sicily:

“Summertime-Jong was designated as an observer vessel. Our job was to monitor the rest of the fleet for Israeli violations, to keep notes and to make reports which could inform future legal cases. Our boat also had a role as a ‘mother’ boat. It was responsible for carrying extra water, fuel, and equipment and to assist any boats in distress. Summertime-Jong was carrying people from Malaysia, Palestine, the UK, Pakistan, Bangladesh, Indonesia, Italy, South Africa, Maldives, Algeria, Tunisia, Turkey and Morocco. We saw that diversity as our strength. United in action, we were adding our voices to the call for freedom and justice for the people of Palestine and Gaza.”

While in Sicily assisting other boats in distress, news came that further drone attacks had targeted five boats sailing ahead of the Summertime-Jong. Although no boats were damaged beyond repair, this was a clear attempt at psychological warfare, as well as an illegal assault in international waters on a boat that carried no weapons. Messages were sent via social media to lobby local politicians, highlighting that governments urgently needed to respond to ensure the safety of their citizens.

“By the end of the month we were a few hundred nautical miles from Gaza” says Ruhi Akhtar. “This was the first time we could see a full stretch of vessels pushing forward together as one. It gave us a chance to catch up with Alma, the boat carrying Thiago Àvila and Mandla Mandela.”

By 1st October, the flotilla was nearing 100 nautical miles off Gaza’s coastline—the zone where the Madleen and Handala were stopped in previous attempts:

“We received news that Alma and Sirius vessels had their communication systems damaged. There was also further psychological intimidation from an Israeli vessel. None of us knew what was in store. There was little sleep that night, but we held onto the thought that the people of Gaza were waiting for us, that the genocide was ongoing, and that anything we were experiencing was nothing compared to what they experience every day.”

“Soon a number of vessels were intercepted late in the night. Communication with hundreds of our friends was lost. We had to assume that they had been kidnapped in international waters and were now likely to be in detention. The decision was made to redirect Summertime-Jong to Cyprus. We had Palestinian friends on board, and their capture could have resulted in them spending decades in prison. With Summertime-Jong as a mother ship, we also had a responsibility to liaise with others on land in the demand for the release of our colleagues from detention.”

Over 3 days in early October, Israeli forces raided 42 boats carrying food, baby formula and medical aid, and detained all passengers. Other flotilla vessels continued to push ahead. The Mikeno came within nine miles of the Gaza shoreline before interception—closer than any flotilla boat had achieved in recent years.

The extent of the interception was soon clear to all. Of the 462 participants detained, many reported receiving hostile treatment, including being held in poor captive conditions, subjected to beatings and verbal humiliation, and deprived of basic liberties. As anticipated, the Israeli authorities denied all reports. In Cyprus, Ruhi Akhtar and her team worked with colleagues to amplify the request for urgent release of those held captive. A few days later, once back home, she was able to greet some of the first detainees who were deported to the UK.

For all involved, there was always an awareness that the flotilla may not succeed in its aim of reaching Gaza. But the overall mission was viewed as being far from a failure. The Global Sumud Flotilla was a symbolic demonstration that global solidarity still exists and can be a powerful force. That solidarity has pushed governments, authorities and the public into action. A huge wave of spontaneous demonstrations took place in Madrid, Naples, Rome and other European cities in support of the flotilla and to demand the end of Israel’s siege. In Italy, there was a national strike. Dockworkers closed ports in an attempt to block arms shipments to Israel.

*

Since October 2023, the small Port of Gaza has remained been non-functional. Video surveillance demonstrated that within one month of the commencement of the Israel-Hamas conflict, arial bombing destroyed the harbour walls in four places and rendered 40% of moored vessels as non-operational (burned or sunk). A follow-up investigation revealed that all remaining boats in the port had been destroyed by January 2024. A harbour at Khan Younis became the site of an overcrowded camp for displaced people. Boats there were broken up and the wood used for tent poles and fires.

Since the so-called ceasefire was called in October 2025, there has been very little relaxation on sea access restrictions Depending on location or during evolving events the limit varies but generally set between 0.5-1.0nm. Even within permitted zones fishermen report that they have been targeted. At least 238 have been killed at sea or on land since the start of the conflict. Once there were 5,000 fishermen. Now, only 5-10% of Gaza’s fishing fleet remains.

For Ruhi Akhtar, there was some comfort in the knowledge that, while Israeli forces were distracted in their attempt to block the passage of the Global Sumud Flotilla, at least a few fishermen of Gaza were able to evade the maritime ban. For at least one day, possibly more, they could freely cast their nets and provide for their families. While additional complications now exist (the US and Israel’s war on Iran, and Israel’s advancement in military operations in Lebanon), the flotilla attempts continue. On 12th April 2026, 39 humanitarian vessels left Barcelona with medical aid, food, school bags and educational material. With around 30 more boats planned to depart from number of southern European and north African ports and the flotilla’s coordination with a land convoy, the 2026 civilian attempt to form a humanitarian corridor is set to be the largest yet.

(Footnote: Flotilla extracts from “The Global Sumud Flotilla—Sailing for Solidarity, Resilience and Hope”. Visit Refugee Biriyani and Bananas for full article.)

The Aqua Connection: Origin Stories of The Aqua Lads and Twilights

E. Mark Windle    10 March 2026.

Many folks from the soul music community will have known the late Mark Bicknell, whether directly through his friendship, his DJing, radio hosting or record dealing. Doubtless they will also be aware of his music industry networking and passion for reissuing rare soul recordings on his Big Man Records imprint.

A few years ago, while Mark was working on some Carolina recordings he had secured under licence, he approached me to write the sleeve notes. Needless to say, I was honoured and obliged. Within the first few months two fine 45s were released that showcased 1960s recordings by The Embers, originally appearing on EEE and JCP. Riding on the popularity of those, Big Man Records set to work on a third. This was to include a pairing of the rare soul collector’s favourite “I Remember” by Anthony and the Aqua Lads, and The Twilights’ up-tempo dancer “You’re the One”. The record was chalked up for release but sadly, with Mark’s sudden illness and eventual passing, it never materialised. In the spirit of Mark’s efforts to preserve soul music history and with the permission of his partner Karen Bentham, the following article reproduces my notes for what would have been BMR 1019.

ANTHONY & THE AQUA LADS

The origin story of The Aqua Lads begins on a US Air Force base in Libya during the early 1960s. As part of The Renegades, Carolinians Roy Edwards and Tony Maner (also Manor) were able to hone their musical talents, playing mainly doo-wop and rock and roll to soldiers on base and in downtown Tripoli.

The pair eventually returned to the Carolinas from military service, but Tony was determined to continue his passion for performing. Sharing their love for the emerging soul music phenomenon, he and Roy reconnected. Recruitment for additional band members commenced through local newspaper advertising and word of mouth. The newly assembled band hooked up with Hit Attractions, one of the largest booking agencies in the southeast. Promoted as Anthony & the Aqua Lads, bookings came thick and fast for appearances at Charlotte, Myrtle Beach, and at college venues throughout the South.

While the boys were performing on the east coast, they caught the attention of a New York record producer. The infectious up-tempo “I Remember”, written and arranged by Roy, was recorded during a 1966 session at Robbins Recording Studio in Greensboro, North Carolina. The release on Gold Bee label early the following year received a little radio play, though without any major marketing or distribution it failed to break into the national charts.

Image: EM Windle

 The ultimate drive as far as The Aqua Lads were concerned was for live performance, and other than some quiet releases on the Aqua label that’s where they directed their energy. The ensuing years featured various changes in personnel (including Earl Dawkins taking Tony’s place upfront when he left for other ventures). There was a good run as a revue that included The Chantells, a female double-act spotted by the group on the way back from a North Carolina gig. Before the decade was out, The Aqua Lads would share the stage with James Brown, Wilson Pickett, The Drifters, The Tams, Jackie Wilson and various Motown acts.

It would be more than a decade later—the early 1980s—before the blue-eyed soul of “I Remember” was rediscovered by the UK soul scene. A copy had passed hands from renowned record dealer John Anderson to collector / DJ Mark “Butch” Dobson, who then traded that copy with Stafford Top of the World DJ Keb Darge. The rest is “60’s newies” history. Butch would later include the record in his own sets at Tony’s New Empress Ballrooms, the 100 Club and other venues. He was also fortunate enough to turn up the holy grail: the original Robbins Recording Studio acetate carrying the slogan We Record Anything Worth Keeping!

THE TWILIGHTS

The Twilights are connected to The Aqua Lads story by the fact that both groups were managed by Ralph Farmer from Kannapolis, an individual who was keen on promoting upcoming regional bands. Confusingly, at least two groups in North Carolina went by the name of The Twilights; the one of interest here hailed from Salisbury.

The group was comprised of friends from a number of schools in the same neighbourhood. Lead singer and horn player Gary Lowder had originally been in a Baptist choir and was a student at South Rowen School. Other members included Olin Jones, Gerald Smith and Randy Bost (on horns), Duane Smith (bass guitar), Ricky Christy (drums), Jimmy Lackey (keyboards) and Larry Pinkston (guitar).

The up-tempo “You’re the One” was written by Gary, recorded at Arthur Smith Studios in Charlotte, and released on Aqua during the spring of 1971. In an effort to push the record and to get greater general exposure for Gary as a singer, Farmer accompanied him to Memphis to shop around local studios and labels. Legendary producer and songwriter Chips Moman was also impressed enough to offer them a song to record though nothing more came of it.

Image permission: Karen Bentham

Around the same time as the Aqua release, The Twilights had a busy schedule covering venue in Washington DC and Florida. Rudy Guarino, manager of Boston’s Sugar Shack invited the group to a week-long residency at his new club at the Marco Polo hotel in Miami Beach. Wayne Cochran and the C.C. Riders were huge headliners at the time. Gary admitted they were awestruck by Cochrane and his band, while learning a lot about stage performance and musicianship from them.

Inspired, on The Twilights’ return to North Carolina the horns were cranked up, the name changed to Hot Smokin’ Brass—and the next few years were spent on the road as Jackie Wilson’s backing band until Wilson’s career was tragically cut short in 1975. After a long period outside the region, Gary eventually returned to the southeast, where in recent years he has recorded and performed as Gary Lowder and Smokin’ Hot.

*

(The Stroke Association is a UK charity that provided a range of support during Mark Bicknell’s illness. If you’d like to find out more about the important work they do to prevent stroke, support those affected by it and to fund research, visit the Stroke Association website)

Mocha and Cream. The Global Records Story

E. Mark Windle 6 March 2026.

The passing of Edwin James Balbier a couple of years ago went virtually unnoticed in UK northern scene circles: indeed few outside of the industry will recall his name. Yet, this individual would be the unwitting driving force behind one of the most popular soul re-issue (if brief) label imprints of the 1970s, even if it was the company’s younger soul music enthusiast employees who shaped the nature of the label arm of the operation.

Balbier’s initial interests did not lie in soul music, but more generally in the oldies market. Born in 1930, the Philadelphian had an early career in the US Air Force before turning to the wholesale record business in city in the 1960s. Balbier arrived on UK shores in 1971 with his entourage of nine children to explore making a living in record importing and sales. The move to Manchester in 1971 wasn’t exactly an overnight success, but he was a determined individual with a strong work ethic and a desire to provide the best for his large family.

“Global Records was one of the first companies to import records into the UK”, comments Rick Cooper, one-time employee of Ed Balbier’s empire. “Ed owned a couple of record stores in Philly in the early 60s. He moved into distributing indie label releases and then oldies and deletions market. Somehow, he must have found out that his warehouse full of old records was worth more in the UK than the US. Who knows, maybe a few UK collectors started turning up at his warehouse.”

“Balbier set up Global in a small basement on Corporation Street in Manchester city centre, while his eldest son Eddie Jr. stayed in Philly keeping the warehouse operating. Ed never set out to specialise in northern soul. His main business was country, rock and pop albums and oldies singles. However, he knew it was worth employing someone in Manchester who could pick the titles that were in demand. Derek Howe was one of the first to work there, then Barry Tasker and Richard Searling. Barry was one of the best DJs in the early days and gave Richard his big break at Manchester’s Pendulum Club. I landed a part time job at Global and was employed full time by 1973. By then, Balbier had relocated to a larger premises on Princess St. and finally to the whole basement of an office block just off Oxford St. It was about the size of a football pitch and could hold a huge number of records.”

Global’s first priority was to establish the importing side of its business:

“Ed would go to the States every five or six weeks. He’d stay in Philly and use the warehouse as a collection and packing facility. Two or three times a year he’d send a container by sea freight instead of the usual air freight. These would be filled with anything he picked up cheap: a mix of 45s and albums. I don’t know where he sourced them from but was probably smart enough not to buy anything that had already been picked clean. There was always some great tracks among the singles even if they weren’t in massive quantities. I didn’t have time to play every unknown title, so probably missed out on some good stuff. Also northern soul was still a fairly narrow genre then. Even by playing everything I couldn’t have predicted future moves through mid-tempo, beat ballads, R&B and funk-edged soul. I do remember the best container had multiple copies of Eddie Spencer, Tobi Lark, Mikki Farrow, Jimmy Soul Clarke and most releases from the Miracle label. One-offs included the International GTOs, Gwen and Ray, and Michael and Raymond. I got quite a few unknowns in but just kept them rather than selling them to DJs. Several of these eventually received plays at the Stafford all-nighters and beyond.”

Rick Cooper (right) at the TK studio in Miami (1977) with Francis “Mr Tee” Thomas (photo courtesy of Rick Cooper).

“I went to the States with Ed a couple of times. This should have been a dream come true but I found it disappointing. I’d have to get up very early, be driven up to 80 miles to huge warehouses full of albums, spend eight hours sorting through boxes looking for country and rock music, then get back late at night completely exhausted. On my last US trip with Global, I was sent on my own. Another employee called Will was already there. He was actually living in the Philly warehouse, sleeping in a tiny little room with instructions to never leave after dark. I flew in and was met by Ed’s son. As it was late, I stayed with him that night at the family house in the suburbs. Next day I got the train to inner city Philly to meet Will. As I was leaving the train station a young man approached me, asking the time. Being a young naive Brit I stopped to tell him. He grabbed my jacket, pulled out my wallet, took the contents and calmly walked off. No guns, knives or any violence so all was cool, especially as it wasn’t my money he took. I got to look through books of mug shots at the police station and ride around in a cop car looking for the guy, but we didn’t find him.

The warehouse work involved a 10 or 11-hour day sorting out albums with hardly any time to look for singles—even though there were thousands. Also it was February and -15C at night. All I wanted to do was keep warm with a beer in that tiny office! Of course, looking back I should have spent time going through some of paperwork and files.”

Back in Manchester the imported sales were doing well. Record collectors would turn up at the huge basement location to pick up old recordings and to see what had just arrived. A mail order facility was provided, with an occasional list available for customers with around a dozen pages of singles and albums. Ed Balbier focussed on the numbers end of the business, whilst day to day sales and customer contact were left to his employees. Ed quickly become suspicious if any large orders were received. Panicking that the product was under-priced, items would routinely be marked as “out of stock” until the next list, by which time the price tag would be increased.

“The titles in large quantities were listed for wholesale to shops and northern titles listed on a ‘specials’ list”, remembers Rick. “There were loads of other stock that was lying around. Some of this had been roughly sorted by artist for unlisted collectors’ stock. The idea was that if someone asked what they had by, say James Brown, it was easy to find a large selection. This proved handy when something started getting played by a known artist on the northern scene. I got a copy of “Landslide” as soon as Ian Levine played it by simply going to the Tony Clarke section. Same for The Coasters’ “Crazy Baby”, Gene Chandler’s “Mr Big Shot” and The Van Dykes on Mala. Barry Tasker and Richard Searling got plenty of good stuff before me, so it was really when new stock arrived that I got the best records.”

So to the label arm of Global Records: back in the 1960s Balbier was not entirely unaware of the soul music market as he distributed a number of independent labels back in Philadelphia, including stock running into the thousands of The Precisions’ “If This Is Love” on Drew. Balbier’s professional connections with Bernie Binnick, owner of Swan Records would be the root of the inception of Global’s foray into label releases and the eventual Cream imprint. Ed had acquired some Swan material from Bernie on ¼” mono tapes and ½” studio masters. Rick Cooper took the tapes to a former BBC sound engineer in Altringham who had facilities to deal the ½” tape. The engineer mixed the material including some instrumental versions of particular tracks and pressed up some 2-3 acetates of each track.

Global’s first two pressings replicated the Swan logo, as part of the requirement of the agreed licencing contract. These were The Guys From Uncle “The Spy” (UK Swan S-4240), a popular Wigan Casino instrumental at the time, and The Modern Redcaps “Never Too Young To Fall In Love” (UK Swan S-4243).

Author collection.

As these sold well, Ed Balbier supported Rick’s idea to set up a label dedicated to releasing further content. There was still Swan material left to utilise, and a new label imprint meant that sourced from other labels could be considered. With that, Cream was born. 

Swan output was further represented via Eddie Carlton “It Will Be Done” (Cream 5001), which was mixed from a four-track session master tape. The instrumental version was chosen to replace “Misery” which appeared on the original 45.  Cream 5003 would complete the Swan product, featuring The Jaywalkers’ up-tempo “Can’t Live Without You”, and on the flip, an instrumental version of Sheila Ferguson’s “Heartbroken Memories”.

James Fountain’s “Seven Day Lover” (CRM 5002) would be Cream’s biggest seller. Rick felt the time was right to choose this as the inaugural release. In many ways a ground breaker for the northern soul scene with its heavy funk bassline, it was near the peak of its popularity with the original Peachtree format being played by DJs at various events across the country. The time was also right to market a legitimate reissue as demand had not been affected by bootlegging.

Courtesy of Rick Cooper.

“William Bell owned the Peachtree recordings. He wasn’t exactly hard to get a hold of, being a public figure. I contacted him by letter, we drew up a contract. The contract was fairly simple. He confirmed he had the right to licence out the recording. Global agreed to pay an advance and an amount per record when sales had covered the advance. The rights were exclusive for three years. We started pressing and did lot of promotional work was done on this one. Advertisements were placed in Black Echoes and Black Music magazines. We even tried to get national distribution through the major labels, including CBS. In the end they didn’t want to commit, so we supplied directly though Global. Some high street shops picked it up also, like HMV and Boots. The first pressing run of 5000 sold within a week, so we followed it up with another 5000, and then another 2-3000. We must have sold up to 11000 in the end.”

Courtesy of Rick Cooper.

Enter American #2: Irving Weinroth. Irving, a local Judge and his son had been co-owners of the US Party Time label back in the 1960s, which had featured The Showstoppers on “Ain’t Nothin’ But A House Party” and The Four Perfections “I’m Not Strong Enough”. Both groups were well known on the UK northern soul scene for these recordings and would make easy choices for release.

“He was the person I dealt with for leasing The Showstoppers and The Four Perfections” says Rick. “At the time Irving was out of the record industry. He told me that the Party Time label had been set up for his son some years before. I guess Irving provided the money to try to get his son into the record business. I met him at the North Broad St. warehouse in Philly. He mentioned the producer listed on the Four Perfections record, Kip Gainsborough, was a made-up name from Kip their dog and the street they lived on. Maybe they did this to hide some-one under contract to another label, who knows. He gave me a copy of the Four Perfections and a couple of unreleased Showstoppers tracks. The instrumental version of “I’m Not Strong Enough” on the flip of the Cream release was mixed at Grand Prix studios by Walt Khan, the producer of Life’s “Tell Me Why”.”

Johnny Jones and the King Kasuals’ funked-up version of “Purple Haze” would see a simultaneous release in 1976 on both UK Brunswick and Cream:

“Around the same time, “Purple Haze” was becoming popular in the northern clubs. The original US Brunswick stated it was a Peachtree record, produced by William Bell, not a Peachtree recording (the usual term). We felt this inferred that Peachtree retained more ownership than merely producing the record. I asked William if we could licence “Purple Haze” for release on Cream in the UK. He told us he had owned the recording, so we exchanged contracts and had the record pressed. About two weeks later Decca issued “Purple Haze” on UK Brunswick. We sought legal advice and informed Decca that we had exclusive rights to release the record, through William Bell. The only way we could prove this claim was to refer to William Bell’s contract with US Brunswick. I phoned him and said he’d try to find it. Time was running out as Decca was already selling their record as well as threatening a court injunction. I was on the phone to William Bell every day for about a week to see if he had found the contract. Eventually we decided to withdraw our release of the record as the contract couldn’t be located. I don’t know if Ed Balbier sorted the money side with Bell, maybe he refunded the advance. Whatever, I don’t remember any animosity between Global and William Bell.

One of the DJ’s from Amsterdam used to take any deep soul stuff I had at Global. Millie’s records bought loads. Loads of the stuff sold by Global to the Netherlands was originally surplus stock we’d bought from John Anderson’s Soul Bowl. I was sent three or four times in the mid 70’s to Norfolk in the largest van you could drive without an HGV licence. John Anderson took me to what looked like an old village primary school a few miles out of King’s Lynn. This was packed with 45’s. We loaded up the van as much as possible paying about 1p per disc. Back at Global I’d play through them and send samples off to customers in Holland. They would order hundreds at 75p each. We must have got tens of thousands of records from Soul Bowl but not one was in any way ‘northern soul’. John must have been the most thorough dealer of them all. Most people would have let a few slip through. One load was the remains of his Sue/Symbol/Eastern label buy. We also approached William Bell again for a contract to press one thousand copies of Mitty Collier’s “Share What You Got / I’d Like To Change Places” (UK Peachtree P 122) from the original master tape, to sell to the Netherlands. A few copies of that ended up in HMV in Manchester, the rest went to Millies.

Courtesy of Rick Cooper.

“I left Global after a disagreement with Ed Balbier just after The Showstoppers’ record came out on Cream” continues Rick Cooper. “I’d done the work on the record. It was getting good reviews in the music press and I had been busy sending out promos. Ed then told me that the record, and all previous releases on Cream, were to be sold at the top price charged for US issues and not the same as the usual UK label price. From memory I think this would be 75p instead of 59p. This would mean the price in the shops would be at least £1.25, same as US pressings. This to me was crazy as the whole point of setting up the label was to get records into the big chains such as Boots, HMV, Smiths and Woolworths. They would have never allowed one label’s singles to sell at higher prices. If Ed wanted the higher price it would have been simpler just to get the records from the US via the owner or label. We did this for plenty of titles- Carstairs, Oscar Perry, Nasco, Jamie Guyden etc. These sold well in specialist shops but were not really worth issuing on Cream. This is how Inferno, Grapevine, Selectadisc and Black Magic worked it with their records, so I couldn’t understand why Ed thought he could do it differently. We also stocked The Showstoppers’ original record in large quantities at Global, so what was the point of the Cream release. Seemed bloody stupid. I left Global in 1976 and sold most of my own collection to fund a trip to the States. Global would eventually close in the late 1980s. Yanks was the name used for the retail part of the Manchester warehouse, situated in the same premises but set out more like a shop with records in racks. His son, Gregg, was more involved with this but this was after I’d left. Roger Banks helped Ed sort out and price up the stock as northern started its comeback.”

Much of the remaining stock and tapes were eventually sold to Rollercoaster Records, where Dave Flynn remembers initially stored the stock in an artic lorry trailer in a field before moving indoors to a low-ceiling basement , underneath a ladies clothing store in Cirencester. Robinson’s Records also apparently accrued some of the stock. Ed Balbier returned to the US, around ten years after his first wife Anna had passed away. He retired from the business in the 1980s, settling in Denver, Colorado but still took the time to travel the world. He passed away in September 2018, aged 87. His obituary reads: “Edwin is survived by his second wife Gloria, his nine children, eleven grandchildren and four great grandchildren. He will be remembered for his demanding work ethic, love of travel and decaf mocha!”

Acknowledgements: Rick Cooper, Richard Searling, Pete Smith, Roger Banks, Neil Rushton, Ian Cunliffe, Dave Flynn, Dave Moore. An earlier article on the Global / Cream history also appeared in Soul Up North magazine (editor Howard Earnshaw).

Malnutrition Relief or Empty Calories? Gaza Food Aid Composition, Distribution and Effectiveness

E. Mark Windle 18 February 2026.

Last year’s nutrition-related headlines in Gaza were hardly in short supply. In the spring of 2025, there was a three-month complete aid blockade on a background of chronically restricted border access. By August, over 54,600 children were acutely malnourished, 40% of pregnant and breastfeeding women were severely malnourished, and a famine was officially declared.

Last year’s malnutrition-related headlines in Gaza were hardly in short supply. In the spring of 2025, there was a three-month complete aid blockade on a background of chronically restricted border access. By August, over 54,600 children were acutely malnourished, 40% of pregnant and breastfeeding women were severely malnourished, and a famine was officially declared.

The opening line from United Nations spokesperson Stéphane Dujarric this January gave a hint of cautious optimism—for the first time since October 2023, the UN and partners had enough stock “to meet 100 percent of the minimum caloric standard”. Over the new year period alone, 10,000 metric tonnes of goods were sent into Gaza via the Karim Shalom, Karem Abu Salam and Zikim crossings. 1

Of course, ‘stock’ doesn’t quite equate to internal distribution. This is particularly true  in the context of ongoing conflict (a ceasefire has been called in name only), and Israel’s determination to suspend the operations of numerous NGOs in Gaza and West Bank.

The UN’s announcement was encouraging but the challenges are real. Importantly, the UN also stressed that the delivery of food, clothing and shelter must remain unimpeded to prevent exacerbation of the current crisis. It’s one thing to have enough stock. It’s another to ensure that it actually reaches those who need it. Then there’s further consideration regarding food aid: that of intrinsic quality and appropriateness. Donors may entrust such matters to NGOs, but are food parcels practically, nutritionally and culturally fit for purpose?

Sphere guidelines

While not the only set of internationally recognised standards for agencies to plan aid delivery, the Sphere Handbook:  Humanitarian Charter and Minimum Standards in Humanitarian Response is a widely used reference point. 2 Guidance is offered in the four main areas of crisis response: water supply including sanitation and hygiene promotion (WASH); shelter, health, and nutrition.

The nutrition standards stress the need to continuously monitor aspects of malnutrition incidence, food security status, and the availability of local markets and health facilities. As a starting point, where food rations are designed to supply all dietary energy in the absence of any other available food, then they should also contain full daily amounts required of macronutrients (protein, fat and carbohydrate) and micronutrients (vitamins, minerals and trace elements). For a total energy target of 2,100kcal per day—the Sphere Handbook assumption of a typical adult’s daily requirement—protein content should represent a minimum of 10-12% of total calories, or 52.5 – 63g per day.

Where communities are able to obtain some food locally, Sphere guidelines suggest a pro rata approach to calorie (energy) and individual nutrient provision. If the nature of typically available food is known, the parcel should be designed to “complement these foods by filling nutrient gaps”. 2

Types of food aid

Aid may be presented in the form of single or multiple bulk food parcels, ready to use therapeutic / supplementary foods, voucher and subsidised systems, and food fortified with micronutrients. On-site kitchens can also prepare and serve soup, hot meals and fortified bread. The severely malnourished and those with specific dietary needs to manage a chronic medical condition may require specialised oral feeds. Some of these individuals are best managed in clinical settings, though Israel’s destruction of Gaza’s healthcare infrastructure has ruled that option out for many.

The following illustrates some of large-scale food distribution approaches and population reach in Gaza:

World Food Programme “food baskets”: these boxes may contain cereals (like wheat, maize, or rice), pulses (such as lentils and beans), vegetable oil, and iodized salt. WFP prioritises food purchasing from local suppliers and often uses staple foods fortified with micronutrients. 3  Within a month of the October 2025 ceasefire announcement, WFP delivered food packages designed to last 10 days to 1 million people in Gaza from the organisation’s 44 hubs. Fresh bread was also delivered to 700,000 people through 17 approved bakeries. 4

Relief kitchens: US NGO World Central Kitchen (WCK) scaled up its activity in Gaza in 2025, shifting from an emergency response to a widely established community-led activity. Despite frequent security incidents, WCK’s six main relief kitchens and its partner facilities were able to cook between 650,000 and 1 million hot meals every day during the latter half of 2025. 5, 6

Cash / vouchers– nearly 200,000 people in Gaza received emergency digital cash payments from the WFP in October 2025 for the purposes of purchasing food and essential goods from local markets. 4

Ready-to-use Therapeutic Foods (RUTF) – nutrient dense RUTF are presented as a paste, spread or biscuit bar in foil wrapping and do not require refrigeration or water for reconstitution. Most are based on peanut butter, vegetable oil, skimmed milk powder, sugar and fortified with vitamins and minerals. Among the most widely used is Plumpy’Nut, manufactured by Nutriset (and others under special licence arrangements). Each 92g sachet provides 500kcal.

As its indication for use is in the treatment of severe acute malnutrition in children, Plumpy’Nut is classed as a prescribed medicine. Nutriset also manufacture less nutrient dense supplementary ready-to-use products for the prevention of malnutrition or for the management of moderate acute malnutrition. UNICEF and WFP have been the main supplier to hospitals and community clinics in Gaza. Other NGOs such as Médecins San Frontières, CESVI Fondazione and Action Against Hunger have also been involved in the use of RUTF. 7-9

Political and conflict factors affecting food manufacture and distribution

Ensuring nutritional needs are met is a humanitarian priority. However, a number of barriers influence the manufacture, supply, composition and delivery of food aid intended for Gaza.

External politics: Cuts made by Trump and the Elon Musk-associated Department of Government Efficiency (DOGE) to the funding approval abilities of USAID affected a number of supply chain contracts, including those of RUTF companies. US-based peanut paste manufacturers like MANA Nutrition and Edesia Nutrition were given federal instructions to halt work on active orders. Contracts were voided and existing warehouse stock carrying the USAID logo and other US references was rendered useless, as RUTF manufacturers were informed that it should not be distributed. 10

Border crossing closures and goods blockade: Gaza’s high population density has meant a constant and heavy reliance on the external supply of goods, including food, power and water. Obvious difficulties for aid organisations have been border closures and Israel’s goods blockade. At times blockade has been complete and sustained, as in the spring of last year that ultimately led to the famine a few months later. Chronic partial blockades have also placed severe and illogical constraints on goods supply. Previously, Israeli authorities placed peanut butter paste (and by extension, RUTF) on the restricted list, categorising it as a “luxury” item. 11

Transportation risks across land: Truck convoys have faced precarious journeys even before entering Gaza. Protest groups against the supply of aid while Israeli hostages were still being held captive by Hamas attempted to sabotage operations. Tsav 9, Forum Tikva and Warrior Mothers carried out a number of demonstrations at the crossings of Kerem Shalom, Nitzana and Tarqumiyah.12-14 These often turned violent, with truck drivers stoned, and food and clothing supplies taken or destroyed. In one instance, trucks were torched by a teenage gang from the Israeli settlement at Evyatar. The passiveness of local Israeli police and inadequate protection for trucks travelling to border gates were reported by senior security commissioners to have been the result of an order from Itamar Ben-Gvir, Minister of National Security. 15

Once inside Gaza, goods are usually taken to warehouses or designated storage areas, and from there, to distribution sites or other places where communities gather. The Gaza Ministry of Health repeatedly reported a number of attacks on aid workers travelling to and from storage hubs. In 2024, a small convoy of World Central Kitchen cars travelling between a warehouse and a food distribution area was targeted by missiles fired from an Israeli drone. Seven workers were killed: the IDF later admitted a serious violation of standard military operating procedures and had dismissed a number of its senior officers and commanders. 16 Within the first 12 months of the latest escalation in conflict, over 320 aid workers were estimated been killed by Israeli snipers, open fire and airstrikes. 17

Airdrops and maritime transfer: Because of persistent dangers posed by a lack of truck protection in and outside Gaza, attempts to deliver goods by air or sea have been made with very limited success. Airdrops are costly and inefficient. Parcels can land in the sea or present a danger to civilians on land. In active conflict zones, parachuted pallets may have to be dropped from heights between 300 and 5,000 metres. The US also implemented a floating pier and causeway concept. Goods would be unloaded from incoming ships, then transferred by smaller boats to a 500-metre coastal pier on the beach.

From the outset the project was perceived by many as a Biden administration publicity stunt. 18,19 Homes in the al-Zahra neighbourhood were bulldozed to create a buffer zone for pier access. Accusations were also made that the IDF—in cooperation with US forces— used the pier for a hostage rescue mission at Nuseirat refugee camp: one which left over 200 Palestinians dead. US forces denied it had been used for military purposes, despite the fact that there was video footage of military equipment on the pier. 20 In the end, bad weather and expense ensured the exercise was short-lived. At construction and maintenance costs of 230 million US dollars, the floating pier assisted in the equivalent of one day’s aid. 21

Practical and cultural considerations for package composition

Where the intention is to include fresh food such as meat, fish, dairy products and fruit and vegetables, perishability is limiting factor when transportation times are long, border openings unpredictable and where there are numerous links in the supply chain. The prolonged nature of conflict in Gaza now means local sourcing is near impossible. Exclusion zones, destroyed infrastructure and people displacement has almost completely limited access to agricultural land. Even back in the summer of 2025, the UN Food and Agriculture Organisation (FAO) reported that only 9% of cropland was physically available. Additionally, a mere 1.5% of land had soil that escaped contamination by white phosphorous and debris from bombing. 22, 23

Since the inclusion of fresh produce in food programmes remains a major problem for agencies, emphasis is often placed on commodities requiring little temperature or storage control. ‘Dry’ staples like cereals, flour and rice, and packets of biscuits, energy dense halva bars, and tinned fruit and vegetables are among items typically featured in aid packages.

Best practice, as highlighted by the Sphere guidelines, is to ensure food supply is culturally appropriate. WFP food basket contents are selected to be familiar to recipients by actively monitoring market availability, purchasing habits, and community or religious food traditions. 3 Certified and tinned shelf-stable halal products, including meat sourced from Australia and India, have been transported via Jordan through a number of distribution programmes. The WFP, alongside Muslim organisations such as the Global Rahmah Foundation and iF Charity have been involved in purchasing, processing and canning of halal and Qurbani meat for Gaza. 24, 25

Nutritional diversity, compromise and bad practice

The body requires sufficient amounts of protein, fat and carbohydrate for optimal physiological function. Around half of all calories should be derived from dietary carbohydrate, the body’s preferred energy source which helps to fuel metabolic processes and muscle and brain function. Of equal importance is dietary protein for its essential role in wound repairing, immune function, muscle building, metabolic reactions and nutrient transport in the body.  

Well intended but disproportionate use of certain foods can lead to an imbalance in nutritional diversity, especially in prolonged periods of dependency. Flour, rice and couscous are often core components of multi-item packages. However, sometimes these parcels can be “carbohydrate-heavy” and lack in significant amounts of protein. Cost and the perishable nature of some protein-rich foods can be prohibitive. There are workarounds, such as using lentils, chickpeas, beans and other plant sources. Options for animal sources of protein include tinned meat and fish, and ultra-heat-treated milk.

Vitamins, minerals, trace elements are required in small amounts only, but their presence in the diet is essential for cellular reactions that produce energy, the manufacture of hormones and enzymes, and immune function optimisation. Muscle wasting and weight loss are classic features of malnutrition, though sequelae can also include single or multiple micronutrient deficiencies. In Gaza, chronic food insecurity has led to a persistently high prevalence of iron-deficiency anaemia among young children, pregnant mothers and the severely malnourished. 26, 27

An example of how not to supply food aid is ably demonstrated the Gaza Humanitarian Foundation (GHF) throughout the five months of its existence in 2025. The controversial US-Israeli backed venture was fraught with a number of concerns, not least with regard to hundreds of incidences of shooting and killing of civilians at or near its distribution hubs.28 As far as the GHF packages were concerned, each box contained a total of 42,500 kcal; calculated to be sufficient to feed just over 5 people for half a week. Academics highlighted deficits in the wider nutrient profile: including iron, vitamin C, calcium, zinc and some B vitamins which could exacerbate existing levels of anaemia and scurvy.  29There was also a fundamental flaw—with hubs centralised to no more than four at best throughout the whole of Gaza, civilians were faced with very long journeys on foot, often made by children who would struggle with boxes weighing almost 20kg.

Water: the essential ‘nutrient’

In the absence of drinking water, adult survival rarely extends beyond four or five days: babies and young infants within half that time, and less when on a background of malnutrition, diarrhoea and disease. Most adults are likely to need around 2 to 2.5 litres per day at baseline, though requirements increased where fluid loss increases such as in hot environments, or with diarrhoea. For washing, cooking, cleaning and personal hygiene purposes, WHO recommendations are 15 litres per person daily. The tragic reality is that over two billion people in the world do not have access to clean water, whether due to climate, conflict, politics or poverty. 30

Since the beginning of the Nakba in the late 1940s, Gaza has depended on external supplies of potable water. The only source of flowing surface water and the groundwater basin have long been contaminated with sewage. Clean water was derived from desalination plants (now mostly damaged by airstrikes) and mainline pipes connected to Israel’s National Water Carrier network, a supply heavily controlled and weaponised by Israeli authorities.

If potable water is scarce, incorporation in aid parcels of cereals, rice, powdered milk and other foods that require cooking or reconstitution is a failed concept. Where bottled water is not included as part of an agency’s strategy, there should be coordination with others who do supply it or be knowledge that it is obtainable and affordable in local markets. The reality in Gaza is that there is often heavy reliance on private suppliers of bottled or tanked water enterprises which can be costly and of low quality.

The most logical way to meet population demand for clean, safe water is through a combination of importing, restoration of desalination plants and repair of disrupted pipe networks. Despite numerous challenges, Oxfam reported in January 2026 that they had worked with partners to restore wells in Gaza City and Khan Younis. Around 156,000 people in these locations now had a sustainable water supply. Plans to work on pumping stations also anticipated to benefit a further 175,000. 31

*

Humanitarian aid requires careful design and delivery. A range of indicators are used to justify and assess efficiency and success. The amount of food delivered has been expressed as the number of trucks entering Gaza; food pallets distributed, and even calories provided. Ultimate proof of success will be found through tracking food security and nutritional status over time. There are tentative signs that organised efforts are working once again. The Famine Review Committee report that there are no areas of the Strip currently in famine. Malnutrition rates decreased slightly in October last year. This is all relative of course. The situation on the ground remains dire, with food insecurity at high levels in 77% of the population. Projections to April 2026 suggest that 100,000 children and 37,000 pregnant and breastfeeding women will continue with acute malnutrition, its associated morbidity and mortality. 32, 33

The UN’s January report is encouraging, but to significantly improve nutrition and the lives of the people of Gaza, a very long road lies ahead.

References

  1. Gaza: 100 per cent of basic food neees met for the first time since 2023. UN News [Internet]. 2026 Jan 5, 2026 [cited 2026 Jan 15]. Available from: https://news.un.org/en/story/2026/01/11
  2. Sphere Association. The Sphere Handbook: Humanitarian Charter and Minimum Standards in Humanitarian Response. Fourth Edition [Internet]. Geneva, Switzerland: Sphere Association; 2018. Available from: https://handbook.spherestandards.org/en/sphere/#ch001
  3. WFP Staff. All you need to know about the WFP food basket.  World Food Programme [Internet]. 2025 Jan 8 [cited 2026 Jan 15]. Available from: https://www.wfp.org/stories/wfp-food-basket/
  4. One Million People in Gaza Receive WHP Food Boxes but More Crossings Needed for Continued Scale-Up. World Food Programme [Internet]. 2025 Nov 4 [cited 2026 Jan 16]. Available from: https://wfpusa.org/news/one-million-people-gaza-receive-wfp-food-boxes/
  5. Chefs for Gaza. WCK Adds New Large Capacity Kitchen in North Gaza. World Central Kitchen [Internet]. 2025 Dec 7 [cited 2026 Jan 16]. Available from: https://wck.org/news/new-north-gaza-kitchen/
  6. Chefs for Gaza. Your Questions Answered. Updated January 2026. World Central Kitchen [Internet]. 2026 Jan 6 [cited 2026 Jan 17]. Available from: https://wck.org/news/gaza-questions/
  7. Treatment of Severe Acute Malnutrition. Ready-to-use Therapeutic Food (RUTF). Nutriset [Internet]. Cited 2026 Jan 17. Available from: https://nutriset.fr/en/products/plumpynut-en/
  8. Latham M, Jonsson U, Sterken E, Kent G. World nutrition commentary. Ready-to-use therapeutic food. RUTF stuff. Can the children be saved with fortified peanut butter paste? [PDF]. Journal of the World Public Health Nutrition Association. 2011 Feb; 2 (2). Available from: https://www.wphna.org/htdocs/downloadsfeb2011/11-02%20WN3%20Comm%20RUTF%20pdf.pdf
  9. Catastrophic hunger in Gaza. To counter it CESVI distributes 18 tonnes of life-saving food. CESVI [Internet]. 2024 Mar 28 [cited 2026 Jan 18]. Available from: https://cesvi.eu/news/catastrophic-hunger-in-gaza-to-counter-it-cesvi-distributes-18-tonnes-of-life-saving-food/
  10. Bright J, Emanuel G, Silver M. Where’s Plumpy’Nut? A lifesaving food for malnourished kids is caught up in U.S. cuts. NPR [Internet]. 2025 Apr 25 [cited 2026 Jan 19]. Available from: https://www.npr.org/sections/goats-and-soda/2025/04/25/g-s1-62165/malnutrition-children-plumpynut-lifesaving-u-s-aid
  11. OCHA: Last lifelines for Gaza city civilians collapsing amid intensified military operations. United Nations; The Question of Palestine [Internet]. 2025 Sep 18 [cited 2026 Jan 19]. Available from: https://www.un.org/unispal/document/ocha-press-release-18sep25/
  12. TOI Staff. For second day in a row, protestors block aid reaching Gaza from Israel. The Times of Israel [Internet]. 2024 Jan 24 [cited 2026 Jan 21]. Available from: https://www.timesofisrael.com/for-second-day-in-a-row-protesters-block-aid-reaching-gaza-from-israel/
  13. Fried S. The struggle to aid Hamas continues: Nitzana crossing blocked, trucks left outside. Makor Rishon [Internet]. 2024 Feb 27 [cited 2025 Feb 17]. Available from: https://www.makorrishon.co.il/news/739251.
  14. Right-wing activists vandalize aid shipment headed to Gaza, set 2 trucks alight. Times of Israel [Internet]. 2024 May13 [cited 2025 Feb 17}. Available from: https://www.timesofisrael.com/right-wing-activists-block-vandalize-aid-shipment-headed-to-gaza.
  15. Turgeman M and Morag G. Commissioner to Attorney General: Ben Gvir instructed his deputies not to secure aid convoys and threatened consequences when I refused. Ynet [Internet]. 2024 Jul 13 [cited 2025 Feb 17]. Available from: https://www.ynet.co.il/news/article/hj6opjuba.
  16. Estrin D. Israel’s military dismisses officers over World Central Kitchen airstrike. NPR [Internet]. 2024 Apr 5 [cited 2026 Jan 22]. Available from: https://www.npr.org/2024/04/05/1242986585/israels-military- dismisses-officers-over-world-central-kitchen-airstrike.
  17. OCHA. UN relief chief decries ‘bullets and bombs’ against aid workers [Internet]. OCHA. 2024 Nov 22 [cited 2026 Jan 22]. Available from: https://www.unocha.org/publications/report/world/un-relief-chief-decries-bullets-and-bombs-against-aid-workers.
  18. Borger J. Biden announces US will build pier on Gaza shore for large scale aid delivery. The Guardian [Internet]. 2024 Mar 8 [cited 2026 Jan 22]. Available from: https://www.theguardian.com/world/2024/mar/07/biden-us-port- gaza-aid-delivery.
  19. Michaelson R. US military releases images of aid pier under construction off Gaza coast. The Guardian [Internet]. 2024 Apr 30 [cited 2026 Jan 22]. Available from: https://www.theguardian.com/world/2024/apr/29/us-navy-ship- off-gaza-coast-building-part-of-aid-platform-images-show.
  20. US denies Gaza aid pier was used in deadly hostage rescue operation. The National [Internet]. 2024 Jun 9 [cited 2025 Mar 18]. Available from: https://www.thenationalnews.com/news/mena/2024/06/09/us- denies-gaza-aid-pier-was-used-in-deadly-hostage-rescue- operation.
  21. Reidy E. US Gaza pier to close after costing $230M for a day’s worth of aid. The New Humanitarian [Internet]. 2024 Jul 16 [cited 2026 Jan 31]. Available from: https://www.thenewhumanitarian.org/analysis/2024/07/16/us- gaza-pier-close-after-costing-230-million-days-worth-aid.
  22. FAO. Land available for cultivation in the Gaza Strip as of 28 July 2025 [PDF]. Food and Agriculture Organization of the United Nations [cited 2026 Jan 31]. Available from: https://openknowledge.fao.org/items/3a966c1f-c31b-4550-90bb-eca8efbe9c1f
  23. Lakhani N. Only 1.5% of Gaza cropland left for starving Palestinians due to Israel’s war, UN says. Guardian [Internet] 2025 Aug 6 [cited 2026 Jan 31]. Available from: https://www.theguardian.com/world/2025/aug/06/israel-gaza-war-palestinian-cropland-starvation
  24. Qurbani 2026/Give Their Share. Global Rahmah Foundation [Internet]. Cited 2026 Jan 31. Available from: https://grfuk.org/islamic-giving/qurbani-donation
  25. Make your sacrifice for Palestine. iF Foundation Charity [Internet]. Cited 2026 Jan 31. Available from: https://www.ifcharity.org.uk/campaign/qurbani2025/
  26. El Bilbeisi AH. Prevalence of nutritional anemia and its risk factors in children under five in the Gaza Strip. Front Nutr. 2025 Feb 12; 12:1496494. doi: 10.3389/fnut.2025.1496494. PMID: 40013160; PMCID: PMC11860101.
  27. Hidden Hunger: Micronutrient Deficiencies in the West Bank and Gaza—World Bank Article. United Nations. The Question of Palestine [Internet]. 2022 Jun 20 [cited 2026 Jan 31]. Available from: https://www.un.org/unispal/document/hidden-hunger-micronutrient-deficiencies-in-the-west-bank-and-gaza-world-bank-article/
  28. Windle EM. Failure, Fatalities and Falsehood. The Dire Legacy of the Gaza Humanitarian Foundation. 2026 Jan 2 [cited 2026 Jan 31]. Available from: https://windlefreelance.com/2026/01/02/failure-fatalities-and-falsehood-the-dire-legacy-of-the-gaza-humanitarian-foundation/
  29. Nguyden K, Murray A. What is inside the GHF food aid box being distributed in Gaza? BBC Verify [Internet]. 2025 Jul 26 [cited 2025 Dec 23]. Available from: https://www.bbc.co.uk/news/articles/cd787er1qz4o
  30. WHO and UNICEF Joint Monitoring Programme (JMP) Report. Progress on Drinking Water, Sanitation and Hygiene: 2017 Update and Sustainable Development Goal Baselines [Internet]. WHO and UNICEF; 2017 [cited 2024 Nov 20]. Available from: https://www.dropbox.com/scl/fi/qtllzjcbwrfcml75cdiwq/Section-1-Highlights-June-20-revised-July-10-docx?rlkey=jhabslybug8t7d75mvshan6o6&e=1&dl=0.
  31. 100 days into ceasefire Gaza still deliberately deprived of water as aid groups forced to scavenge under illegal blockade. Oxfam [Internet]. 2026 Jan 14 [cited 2026 Jan 31]. Available from: https://www.oxfam.org/en/press-releases/100-days-ceasefire-gaza-still-deliberately-deprived-water-aid-groups-forced-scavenge
  32. UN agencies welcome news that famine has been pushed back in the Gaza Strip, but warn fragile gains could be reversed without increased and sustained support. World Health Orghanization [Internet]. 2025 Dec 19 [cited 2026 Jan 31]. Available from: https://www.who.int/news/item/19-12-2025-un-agencies-welcome-news-that-famine-has-been-pushed-back-in-the-gaza-strip-but-warn-fragile-gains-could-be-reversed-without-increased-and-sustained-support
  33. Gaza Strip: Famine conditions offset, but situation remains critical/16 October 2025 – 15 April 2026 [PDF]. Integrated Food Security Phase Classification. 2025 Dec 19 [cited 2026 Jan 31].