Hospital patients in Gaza are under increasing threat as Israel’s blockade on food and other supplies entering the enclave enters its third month.

Palestinians across Gaza are struggling to feed themselves, and with hospitals unable to provide food, families must bring whatever they can find for their loved ones.

“Most, if not all, wounded patients have lost weight, especially in the past two months,” said Dr Khaled Alserr, a general surgeon at Nasser Hospital in the southern city of Khan Younis.

Nutritional supplements for intensive care unit patients are lacking, he said. “Our hands are tied when it comes to making the best choice for patients. Choices are limited.”

Aid groups say that malnutrition is on the rise across Gaza.

Thousands of children have been found with acute malnutrition in the past month, but adults are also not receiving proper nutrients, according to the United Nations. It estimates that 16,000 pregnant women and new mothers this year face acute malnutrition.

Since Israel’s blockade began on March 2, food sources have been dwindling.

Aid groups have stopped food distribution. Bakeries have closed. Charity kitchens handing out bowls of pasta or lentils remain the last lifeline for most of the population, but they are rapidly closing for lack of supplies, according to the UN.

Markets are empty of almost everything except canned goods and small amounts of vegetables, and prices have been rising.

Local production of vegetables has plummeted because Israeli forces have damaged 80 percent of Gaza’s farmlands, the UN says, and much of the rest is inaccessible inside newly declared military zones.

Israel says it imposed the blockade and resumed its military campaign in March to pressure Hamas to release its remaining captives and disarm.

Israeli officials have asserted that enough food entered Gaza during a two-month ceasefire earlier this year. Rights groups have disputed that and called the blockade a “starvation tactic” and a potential war crime.

Now, Israel plans to control aid distribution in Gaza, using private contractors to distribute supplies.

The UN and other aid groups have rejected the idea, saying it could restrict who is eligible to give and receive aid and could force large numbers of Palestinians to move, which would violate international law.

Those under care at hospitals, and their families who scrounge to feed them, would face further challenges under Israel’s proposal. Moving to reach aid could be out of the question.

Israel’s war on Gaza has killed at least 52,829 Palestinians and wounded 119,554, according to Gaza’s Health Ministry. The enclave’s Government Media Office updated the death toll to more than 61,700, saying thousands of people missing under the rubble are presumed dead.

An estimated 1,139 people were killed in Israel during the Hamas-led attacks on 7 October 2023, and more than 200 were taken captive.