Some 20 world leaders, including Trump, signed the agreement at a special summit in Egypt on Monday.

"MSF teams are witnessing a sharp and unprecedented rise in acute malnutrition among people in Gaza," the organisation said in a statement.

"In Al-Mawasi clinic, southern Gaza, and the MSF Gaza Clinic in the north, we are seeing the highest number of malnutrition cases ever recorded by our teams in the Strip."

MSF said it now had more than 700 pregnant and breastfeeding women and nearly 500 children with severe and moderate malnutrition currently enrolled in ambulatory therapeutic feeding centres in both clinics.

The numbers at the Gaza City clinic had almost quadrupled in under two months, from 293 cases in May to 983 cases at the start of this month, it said.

"This is the first time we have witnessed such a severe scale of malnutrition cases in Gaza," Mohammed Abu Mughaisib, MSF's deputy medical coordinator in Gaza, said in the statement.

'Intentional' starvation
"The starvation of people in Gaza is intentional," he charged, insisting that "it can end tomorrow if the Israeli authorities allow food in at scale".
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MSF warns acute malnutrition soaring in Gaza
Geneva (AFP) – Doctors Without Borders warned Friday that its teams on the ground in Gaza were witnessing surging levels of acute malnutrition in the besieged and war-ravaged Palestinian territory.

Issued on: 11/07/2025 – 19:02
Modified: 11/07/2025 – 18:58

2 minReading time
MSF said acute malnutrition levels had reached an 'all-time high' at two of its Gaza Strip facilities
MSF said acute malnutrition levels had reached an 'all-time high' at two of its Gaza Strip facilities © – / AFP
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The medical charity, known by its French acronym MSF, said levels of acute malnutrition had reached an "all-time high" at two of its facilities in the Gaza Strip.

"MSF teams are witnessing a sharp and unprecedented rise in acute malnutrition among people in Gaza," the organisation said in a statement.

"In Al-Mawasi clinic, southern Gaza, and the MSF Gaza Clinic in the north, we are seeing the highest number of malnutrition cases ever recorded by our teams in the Strip."

MSF said it now had more than 700 pregnant and breastfeeding women and nearly 500 children with severe and moderate malnutrition currently enrolled in ambulatory therapeutic feeding centres in both clinics.

The numbers at the Gaza City clinic had almost quadrupled in under two months, from 293 cases in May to 983 cases at the start of this month, it said.

"This is the first time we have witnessed such a severe scale of malnutrition cases in Gaza," Mohammed Abu Mughaisib, MSF's deputy medical coordinator in Gaza, said in the statement.

'Intentional' starvation
"The starvation of people in Gaza is intentional," he charged, insisting that "it can end tomorrow if the Israeli authorities allow food in at scale".

Starting in March, Israel blocked deliveries of food and other crucial supplies into Gaza for more than two months, leading to warnings of famine across a territory widely flattened by Israeli bombing since Hamas's deadly October 7, 2023 attack on Israel.

Israel began allowing food supplies to trickle in at the end of May, but using a new US- and Israel-backed organisation called the Gaza Humanitarian Foundation (GHF).

That group's operations, which effectively sidelined a vast UN aid delivery network in Gaza, have been marred by chaotic scenes and near-daily reports of Israeli forces firing on people waiting to collect rations.

The UN said Friday that at least 615 people had been killed in the vicinity of GHF sites since May 27. The organisation itself denies that fatal shootings have occurred in the immediate vicinity of its aid points.

MSF maintained Friday that "the existence of malnutrition in Gaza is the result of deliberate, calculated choices by the Israeli authorities".

They have decided, it said, to "restrict the entry of food to the bare minimum for survival, dictate and militarise the means of its subsequent distribution, all while having destroyed the majority of local food production capacity".

MSF described how injured patients at its clinics warned that its malnourished patients were "begging for food instead of medicine, their wounds failing to close due to protein deficiency".

Far more babies were also being born prematurely, while six-month pregnant women often weighed no more than 40 kilos (88 pounds), it said.

"The situation is beyond critical," said MSF doctor Joanne Perry.

The official said key sticking points included how aid would be distributed during the ceasefire and Israeli troop withdrawals.

Israeli Prime Minister Benjamin Netanyahu is visiting the US and hopes of a deal had been raised as he had an unscheduled second meeting with President Donald Trump on Tuesday.

US special envoy Steve Witkoff also said they were now "down to one" unresolved issue at the Doha talks and that he was hopeful of an agreement on a 60-day ceasefire by the end of this week.
A Palestinian official with knowledge of the negotiations told the BBC on Wednesday that they remained stalled.

According to the official, the impasse is due to the Israeli delegation's refusal to allow the unrestricted entry of humanitarian aid into Gaza through UN agencies and other international organisations.

Israel was insisting on maintaining what the official described as "the current humiliating mechanism" for aid distribution – a reference to the US- and Israel-backed Gaza Humanitarian Foundation (GHF), which uses private security contractors to bypass the UN.

The source also noted that Israel continued to reject calls for the withdrawal of its forces from areas of Gaza it has occupied since 18 March – when Israel resumed its offensive, collapsing the last ceasefire – further complicating progress in the negotiations.
As these details are being thrashed out in Doha, on the ground in Gaza at least 20 people were killed in overnight Israeli strikes on a tent in the southern Khan Younis area and on house in al-Shati refugee camp, north-west of Gaza City, according the Hamas-run Civil Defence agency.

There was no immediate comment from the Israeli military.

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LIVE: Over 40 Palestinians killed as Trump says Israel agrees to Gaza truce

Trump says Israel agrees terms for ceasefire, urges Hamas to accept
By Virginia Pietromarchi and Tim Hume
Published On 2 Jul 2025
2 Jul 2025
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Israeli forces have killed at least 43 Palestinians across Gaza as they target aid seekers and displaced people sheltering in tents.
More than 600 Palestinians have been killed in just five weeks while waiting for food parcels at the US and Israeli-backed Gaza Humanitarian Foundation (GHF) sites.
US President Donald Trump says Israel has agreed to “the necessary conditions to finalise” a 60-day ceasefire in Gaza, and urges Hamas to accept the proposal.
Officials at al-Shifa, the largest medical centre in northern Gaza, say hundreds of patients are “facing death” as the hospital runs out of fuel amid Israel’s blockade.
Israel’s war on Gaza has killed at least 56,647 people and wounded 134,105, according to Gaza’s Health Ministry. An estimated 1,139 people were killed in Israel during the October 7 attacks, and more than 200 were taken captive.

White House Press Secretary Karoline Leavitt said on Thursday that Israel had “signed off” on the ceasefire proposal, and the Trump administration’s Middle East envoy, Steve Witkoff, had submitted it to Hamas for consideration.

Hamas political bureau member Basem Naim told the Reuters news agency that the deal “does not meet any of our people’s demands, foremost among them, halting the war”.

“Nonetheless, the movement’s leadership is studying the response to the proposal with full national responsibility,” Naim added.

The details of the new proposal have not been made public, but senior Hamas official Sami Abu Zuhri told Reuters that, crucially, it did not contain commitments from Israel to end its war on Gaza, withdraw Israeli troops from the enclave, or allow aid to freely enter the war-torn territory.