Medical workers held strips of plastic around the upper arms of small children in a Rafah tent, measuring the circumferences of their arms for signs of wasting flesh as a hunger crisis hits Gaza after months of Israel's military campaign there.
One small girl of two and a half years had tiny arms, the skin already starting to hang loose after her weight plummeted from 11kg before the conflict to just 7kg now, said her mother Hana Tabash.
Initial data from measurements taken around Gaza shows 5% of under fives in the tiny, crowded Palestinian enclave are now acutely malnourished, the UN humanitarian office OCHA said last week.
Doctor Muhammed Abu Sultan, one of the doctors from the Medglobal Team working with the UN children's agency Unicef, said the poor health conditions in Gaza and lack of adequate food were causing the widespread malnutrition.
Aid agencies have accused Israel of hampering aid deliveries into Gaza and say the military has prevented distribution outside southern areas around Rafah. The hunger crisis is believed to be far worse in northern areas that are harder to reach.
Tabash said her daughter had been underweight even before the war began but as the family had fled their home in Khan Younis, ending up displaced in Rafah where a million people are sleeping in rough shelters, she grew thinner still.
"I used to give her medical treatments and supplements but with the current situation I can't find a solution for her," Tabash said, adding that her daughter had developmental delays.
Unicef's regional communications head Ammar Ammar, based in Jordan, said that over the coming weeks there would be at least 10,000 children in Gaza whose lives are at risk from malnutrition exacerbated by a lack of clean drinking water.
"There is also a direct impact in terms of physical development, cognitive ability, school performance and productivity later in life," from the malnutrition they are suffering now, Ammar added.
Reuters