Worsening SouthYazan al-Kafarna, 10, died Monday after almost a week of unsuccessful treatment in Gaza’s southernmost city of Rafah. Photos of the boy showed him extremely emaciated, with twig-like limbs and deep-sunk eyes in a face shrivelled to his skull.Al-Kafarna was born with cerebral palsy, a neurological condition that affects motor skills and can make swallowing and eating difficult. His parents said they struggled to find food he could eat, including soft fruits and eggs, since fleeing their home in the north.He died due to extreme muscle wastage caused primarily by lack of food, according to Dr. Jabr al-Shair, head of the children’s emergency department at Abu Youssef Najjar Hospital.On a recent day, around 80 malnourished children crowded the hospital’s wards. Aya al-Fayoume, a 19-year-old mother displaced to Rafah, had brought her 3-month-old daughter, Nisreen, who has lost vast amounts of weight over the winter months, sick with persistent diarrhoea and vomiting. On her diet of mainly canned goods, al-Fayoume said she doesn’t produce enough breast milk for Nisreen.”Everything I need is expensive or unavailable,” she said.Fresh food supplies in Rafah have dwindled, while its population has swelled to more than 1 million with displaced residents. The main thing available are canned goods, often found in aid packages.At Emirati Hospital, Dr. Ahmed al-Shair, deputy head of the nursery unit, said the recent deaths of premature babies were rooted in malnutrition among mothers. Malnourishment and extreme stress are both factors causing premature, underweight births, and doctors say anecdotally cases have risen during the war, though the UN does not have statistics.Al-Shair said premature babies are treated for several days to improve their weight. But then they are released home, which is often a tent with not enough heat, with mothers too malnourished to breastfeed and milk difficult to obtain. Parents sometimes give newborns plain water instead, which is often unclean, causing diarrhoea.Within days, the babies “are brought back to us in a terrible state. Some were brought already dead,” al-Shair said. He said 14 babies at the hospital died in February and two more so far in March.Currently, the hospital’s wards have 44 babies under 10 days old with weights as low as 2 kilograms (4 pounds), some on life support. Every incubator has at least three premature babies in it, raising the risk of infection. Al-Shair said he fears some will meet the same fate when they return home.”We treat them now but God knows what the future will be,” he said.



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