How mass starvation in Gaza may impact the next generation : NPR

Hundreds of Palestinians are waiting for hours to receive food aid in Gaza City on July 27.
Abdalhkem Abu Riash / Anadolu via Getty Images
hide
tilting legend
Abdalhkem Abu Riash / Anadolu via Getty Images
The inhabitants of Gaza are experiencing a disastrous hunger crisis – and the consequences could resonate through generations.
About a third of the 2.1 million people in Gaza have experienced several days in a row without food, and a quarter of the population experienced “famine conditions,” said last week at Ross Smith, director of emergency preparation and the response to the United Nations World Food Program.
“The hunger crisis in Gaza has somehow reached new and amazing levels of despair,” he said.


On Saturday, in the midst of growing concerns concerning the hunger crisis in Gaza, the Israeli army said it would stop by fighting 10 hours a day in parts of Gaza to allow more food and medical aid in the regions.
According to Smith, nearly 100,000 women and children suffer from acute serious malnutrition. This month, doctors without borders said that his two clinics treated more than 700 pregnant women and breastfed for malnutrition.
Chronic hunger has an impact on body and mind, even long after recovery, several health experts agree. This is particularly dangerous for children and fetuses develop in the uterus, according to the United Nations World Food Program.
The damage can be as deep as the modification of the functioning of genes – which means that famine can not only affect survivors but also their descendants, according to Marko Kerac, Associate Clinical Professor at the London School of hygiene and tropical medicine who studies the long -term effects of malnutrition.
“It’s one thing for life, and it’s even in generations,” said Kerac.
How the hunger crisis has intensified in recent months
Generalized hunger has been a concern in Gaza since the first days of the War of Israel-Hamas, which began in October 2023.
But the crisis has worsened radically from March, when Israel began to block deliveries of food and medical supplies in Gaza in order to put pressure on Hamas to accept an extension of the ceasefire agreement. Around the same time, Israel resumed its bombing of Gaza.
The blockade was attenuated in May. But since then, a large part of the aid delivery has been led by Gaza Humanitarian Foundation (GHF), which was created this year in response to Israel’s concerns that Hamas was flying and sold food from other aid groups.
Gaza previously had 400 aid distribution points managed in a non -coordinated system. Now, this number has been reduced to four, all managed by GHF, Airor Zabalgogeazkoa, an emergency coordinator with doctors without borders in Gaza, said last month at NPR.
NPR also pointed out that near the GHF sites, people have faced an Israeli military fire, crowds colliding with rations and masked thieves. In mid-July, 674 people were killed near GHF sites, according to the United Nations Human Rights Office.
The series of events led to a creeping hunger in Gaza. On Sunday, at least 133 people died due to the famine since the start of the war, with more than half of the deaths that took place this summer, the Gaza Ministry of Health reported. The deaths could not be checked independently by NPR.
Israeli officials have challenged the existence of a mass famine event in Gaza.
The Palestinians are looking for the flour of a help distribution truck in Gaza City on July 27.
Saeed Mmt Jaras / Anadolu via Getty Images
hide
tilting legend
Saeed Mmt Jaras / Anadolu via Getty Images
Hunger is particularly dangerous for children
During extreme hunger, the body begins to feed on itself – Decompose its carbohydrates, its fat reserves and muscles proteins to maintain the whole body. Children are particularly vulnerable because they have a smaller and less fat body to count.

Malnutrition as a child can slow down physical growth and brain development. It is also linked to health problems such as diabetes and heart disease in adulthood. The higher the malnutrition occurred early, the higher the health risks, said Kerac.
“It’s a bit like having a small car engine in a large truck,” he added. “If he pulls much more than his weight, it will run out much faster.”
In Gaza, the development of children is also disrupted by the exposure to violence, lack of education and forced trips, according to Zane Swanson, assistant director of the World Food Safety and Water Program of the Center for Strategic and International Studies, a Washington, DC thinking group
“A vicious circle develops when the conditions of poverty and food insecurity increase malnutrition rates, which hinder community development and economic potential, which increases the risk of malnutrition and insecurity for this community,” he said.
The inheritance of hunger and trauma is recalled in our cells
Malnutrition can also harm the fetuses that still develop in the uterus, according to health experts.
A famous example comes from the Dutch hunger winter – a serious famine that struck the Netherlands near the end of the Second World War. Decades later, researchers discovered that children born of pregnant women during famine were more likely to live Obesity, diabetes, cardiovascular diseases and shorter lifespan.
In addition to that, research has shown that the grandchildren of the survivors were also likely to have bad results for health, even if they were not directly exposed to the famine themselves.
“We inherit the memory of trauma on a molecular basis,” said Hasan Khatib, professor of genetics and epigenetics at the University of Wisconsin-Madison.

Epigenetics is the study of how environmental and behavioral factors can influence the way our genes are expressed. Although extreme hunger – and trauma more broadly – do not change the DNA sequence itself, they can leave small labels on DNA, affecting the way the genes are activated or deactivated, and these epigenetic changes can be transmitted to descendants, according to Khatib.
Dutch hunger winter studies have had certain limits, especially to what degree of factors such as socioeconomic status and pre -existing conditions affected the results. Today, researchers are still working to understand the mechanisms behind changes in the expression of genes and their full impact.
“The more studies are carried out, the more you can see varieties of symptoms and troubles,” said Khatib.
Recovery is possible, but it depends on rapid action and coherent care, say health experts
Although children exposed to severe malnutrition risk the risk of life health challenges, there are ways to improve their long -term health results, according to Kerac from the London School of Hygiene & Tropical Medicine.
One is an early intervention. “We want to try to make sure that the undernutrition periods are as short as possible,” he said.
High quality and consistent treatments are also crucial. “The recovery of malnutrition is not only to put the weight. It is a much longer process, and this implies both a physical healing, also mental,” added Kerac.
Khatib, of the University of Wisconsin-Madison, said that epigenetic changes could be reversible, but would depend on significant improvements in the environment of a person and global living conditions.
“There is hope,” he said. “This is the message as a epigistian [I] would like to transmit to people – this epigenetics is not really our destiny. “”



