Acute malnutrition among children in the Gaza Strip, Palestine: May 2024-November 2024
Dana Hassneiah1, Rana Sobh2, Fadi Abed2
1Division of Infectious Diseases, Beth Israel Deaconness Medical Centre Boston, Boston, Massachusetts, USA.
Insights
War in Gaza has led to high rates of acute malnutrition in children under 5. Urgent humanitarian aid and cessation of hostilities are critical to address the crisis and prevent famine.
Area of Science:
- Pediatrics
- Public Health
- Global Health
Background:
- The ongoing conflict in Gaza since October 2023 has led to widespread displacement and restricted access to essential resources.
- This situation has heightened concerns regarding the risk of famine and malnutrition among the vulnerable population, particularly children.
Purpose of the Study:
- To estimate the prevalence of moderate acute malnutrition (MAM) and severe acute malnutrition (SAM) in children under five years old in the Gaza Strip.
- To identify factors associated with acute malnutrition in this population during the conflict.
Main Methods:
- A cross-sectional analysis was conducted using de-identified nutritional assessment data from children up to 5 years old in Gaza.
- Data were collected from humanitarian relief clinics between May 2024 and November 2024.
- Standardized definitions for MAM and SAM based on weight-for-length Z-scores and mid-upper arm circumference (MUAC) were applied.
Main Results:
- Out of 22,901 children assessed, 8.92% were diagnosed with MAM or SAM.
- Severe acute malnutrition (SAM) prevalence was significantly higher in North Gaza/Gaza City (15.7%) compared to South/Middle Gaza (0.4%).
- Factors associated with SAM in North Gaza/Gaza City included paternal death and younger age (<6 months).
Conclusions:
- A substantial proportion of young children in Gaza exhibit signs of acute malnutrition, with disproportionately higher rates in the northern areas.
- The findings underscore the severe impact of conflict, bombings, and aid restrictions on child nutrition.
- Immediate cessation of hostilities and unimpeded humanitarian aid are crucial to mitigate the escalating malnutrition crisis in Gaza.
Introduction:
People in the Gaza Strip have been denied food and medical care through war and displacement since October 2023, introducing the risk of famine in the region. We sought to estimate the proportion of children assessed in nutritional centres with moderate acute malnutrition (MAM) and severe acute malnutrition (SAM) in the Gaza Strip during this war.
Methods:
We conducted a cross-sectional analysis of nutritional assessments for children up to 5 years old in the Gaza Strip, Palestine, from May 2024 to November 2024. We used de-identified data from humanitarian relief clinics to determine the proportion of MAM and SAM. We defined SAM as weight-for-length Z score <-3. For children above 6 months, we additionally used mid-upper arm circumference (MUAC) <11.5 cm to identify SAM. We defined MAM as weight-for-height Z-score between -2 and -3, or MUAC 11.5-12.4 cm. We used logistic regression to determine factors associated with acute malnutrition.
Results:
Of 22 901 children (49.6% girls; 12.0% in North Gaza), there were 2042 (8.92%, 95% CI 8.56% to 9.28%) children diagnosed with SAM or MAM during the study period. SAM was higher in North Gaza/Gaza City than in South/Middle Gaza (15.7% vs 0.4%, p<0.001). In North Gaza/ Gaza City, SAM was associated with having a deceased father (adjusted OR 1.97, 95% CI 1.24 to 3.06) and in children <6 months (adjusted OR 1.86, 95% CI 1.15 to 2.96). The prevalence of SAM decreased in North Gaza/Gaza City during this study period.
Conclusion:
A high proportion of children under 5 years old had evidence of SAM or MAM, particularly in North Gaza and Gaza City, which has been subjected to more intense bombings and restrictions in aid. Cessation of hostilities and resumption of humanitarian aid relief is urgently needed for children in Gaza.
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