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For almost a month, Israel has blocked attempts by aid organisations to deliver aid in areas of
northern Gaza, effectively severing the population from access to vital lifelines, including food,
medical supplies and all other humanitarian aid. Nearly all attempts by humanitarian
organisations to deliver food to people in the besieged areas of North Gaza governorate have
been blocked by the Israeli authorities. Tens of thousands are facing starvation as a result.
...
7 INGOs reported that their movement requests have been either denied by Israeli
authorities or cancelled due to unsafe operational areas, lack of fuel or unusable
infrastructure. Mercy Corps reports that the Israeli forces denied its movements
within the Israeli-designated ‘humanitarian zone’ in the southern areas of Gaza Strip
for a period of nine days (15-24 Oct). Multiple movements were denied by the Israeli
Coordination and Liaison Administration (CLA) in the so-called “humanitarian zone”,
meaning that humanitarian operations there could not proceed.

Most surveyed INGOs reported fuel shortages that are severely impacting operations.
This is increasing costs for services like water trucking, waste collection, and
cleaning, while reducing available resources for aid, and affecting hospitals abilities
to provide critical lifesaving services The vast majority of humanitarian organizations
operating in the Gaza Strip rely entirely on UNRWA for fuel. The lack of fuel affects
their ability to deliver aid and run water purification services. Lack of fuel also
hampers the ability to power offices, communication systems, forcing organizations
to rely on unreliable generators. The Norwegian Refugee Council (NRC) had to
suspend water trucking for 10,000 displaced Palestinians in Gaza City in the period
23-25 October due to fuel shortages.
...
Displacement and movement restrictions have halted key activities for
many organizations, forcing some, like Mercy Corps, to switch to warehouse-based
distributions. In the wake of the early and mid-October displacement orders, Oxfam, Islamic
Relief, and ACF were forced to suspend water distribution, sanitation, and health services,
limiting their ability to assist vulnerable populations. DCA/NCA reported that the heightened
security risks and movement restrictions following these orders significantly hindered their
ability to reach target communities and carry out planned activities in the area.

https://www.care-international.org/sites/default/files/2024-11/Gaza%20Humanitarian%20Access%20Snapshot%20%237.pdf