Médecins Sans Frontières, better known as Doctors Without Borders, has called for an immediate dismantling of the so-called Gaza Humanitarian Foundation (GHF), calling the sites run by the Israeli military and private American contractors as "essentially death traps".
In a report titled "This is not aid. This is orchestrated killing", published on Thursday, the non-profit medical organisation said, "In practice, the militarised food distribution scheme has weaponised starvation and curated suffering."
Members of MSF, which runs two clinics, Al-Attar and Al-Mawasi located near the GHF-run distribution sites in southern Gaza, have witnessed the atrocities first-hand, as they regularly received mass influxes of casualties following violence at sites run by the GHF.
According to the report, from early June to late July 2025, the two healthcare centres received 1,380 casualties, including 28 dead bodies, from GHF sites. Among the injured, 174 people had gunshot wounds, which included both women and children.
"MSF teams treated 71 children with gunshot wounds, 25 of them under 15 years old [in the first seven weeks after the GHF sites opened]. We triaged an eight-year-old girl with a gunshot wound to the chest and a five-year-old boy with severe head trauma, both of them injured near the GHF sites," the report added.
In May 2025, the protracted Israeli onslaught in Gaza saw the dismantling of the UN-coordinated humanitarian response, as it was replaced by a militarised food distribution scheme run by a previously unknown entity, the GHF.
MSF has called for the restoration of the UN-led aid delivery arrangement.
Citing medical data, patient testimonies and accounts of witnesses who work at the aforementioned clinics, the report said the killings and casualties at the GHF sites point both to "targeted and indiscriminate violence by Israeli forces and private American contractors against starved Palestinians".
A GHF spokesperson said, "The fact is the deadliest attacks on aid sites have been linked to UN convoys."
Cases treated by MSF teams included an eight-year-old girl shot in the chest, a 10-year-old boy with a gunshot wound to the head, and a 14-year-old girl with a gunshot wound to the head.
Patients have also included a 12-year-old boy hit by a bullet that had passed through his abdomen, and five young girls.
The recurring events of children and teenagers getting shot, often targeted, are due to the families having no alternative but to starve or to get killed while getting "aid", as sometimes they are the only members of the family able to make the journey.
"This pattern highlights the impossible choices families are forced to make — to send their children into lethal environments simply to access food, or for the whole family to stay hungry," the report says.
MSF General Director Raquel Ayora said, "In MSF's nearly 54 years of operations, rarely have we seen such levels of systematic violence against unarmed civilians.
"The GHF distribution sites masquerading as 'aid' have morphed into a laboratory of cruelty," says Ayora. "This must stop now."
A patient who was treated at the MSF Al-Mawasi clinic, Mohammed Riad Tabasi, said, "We're being slaughtered. I've been injured maybe 10 times.
"I saw it with my own eyes, about 20 corpses around me. All of them shot in the head, in the stomach."
An initial analysis of the physical location of gunshot wounds among patients arriving at the MSF health centres reveals that the anatomical precision of these injuries is strongly suggestive of intentional targeting of people within the distribution sites, rather than accidental or indiscriminate fire.
The MSF report gives its decisive verdict,"The medical data is clear. This is not aid. It is orchestrated killing."
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