By Vijay Prashad

March 14, 2024  Tricontinental Institute


In the face of looming famine, Biden’s promise to build a ‘temporary pier’ to allow aid into Gaza is hollow, undermined by his country’s complicity in Israel’s genocide against Palestine.

On 4 March, Commissioner-General of the United Nations Relief and Works Agency for Palestine (UNRWA) Philippe Lazzarini presented his startling report on the situation in Gaza (Palestine) to the UN General Assembly. In just 150 days, Lazzarini said, Israeli forces have killed more than 30,000 Palestinians, nearly half of them children. Those who survive continue to face Israel’s attacks and are afflicted with the traumas of war. The four horsemen of the apocalypse described in the Bible’s Book of Revelation – Conquest, War, Famine, and Death – are now galloping from one end of Gaza to the other.

‘Hunger is everywhere’, Lazzarini said. ‘A man-made famine is looming’. A few days after Lazzarini made his blunt assessment, Gaza’s Ministry of Health reported that child malnutrition levels in the northern part of the strip are ‘particularly extreme’. The UN’s Humanitarian Coordinator for Palestine Jamie McGoldrick said that ‘hunger has reached catastrophic levels’ and ‘children are dying from hunger’. By the end of the first week of March, at least twenty children had died due to starvation. Among them was ten-year-old Yazan al-Kafarna of Beit Hanoun (northern Gaza), who died in Rafah (southern Gaza) on the same day that Lazzarini spoke at the UN. The image of Yazan’s emaciated body tore into the already battered conscience of our world. Story upon ugly story pile up alongside the rubble produced by Israeli bombing. Dr Mohammed Salha of Al-Awda hospital, where Yazan died, says that many pregnant women suffering from malnutrition have birthed stillborn fetuses or have required caesarean operations to remove them – without anaesthetics.

A ceasefire is nowhere on the horizon. Nor is any real commitment to get aid into Gaza, particularly in the north where hunger has taken the greatest toll (on 28 February, UN World Food Programme Deputy Executive Director Carl Skau told the Security Council that there is a ‘real prospect of famine [in northern Gaza] by May, with over 500,000 people at risk if the threat is allowed to materialise’). Around 155 trucks of aid are entering Gaza per day – well below the 500-truck daily capacity at the crossing – with only a few of them going to northern Gaza. Israeli soldiers have been ruthless. On 29 February, when aid trucks arrived at the Al-Nabulsi roundabout (on the southwestern edge of Gaza City, in northern Gaza) and desperate people rushed to them, Israeli troops opened fire and killed at least 118 unarmed civilians. This is now known as the Flour Massacre. Airdrops of food are not only inadequate in volume, but they have resulted in their own heartbreaks, with some parcels landing in the Mediterranean Sea and others crushing at least five people to death.

As if from nowhere, US President Joe Biden announced in his State of the Union address on 7 March that his country would build a ‘temporary pier’ in southern Gaza to facilitate the entry of aid through the sea. The context for this decision, which Biden omitted, is clear: Israel is not permitting the bare minimum of humanitarian aid to pass through land crossings, Israel destroyed the Gaza harbour on 10 October, and Israel pulverised the Gaza airport at Dahaniya in 2006. This decision is certainly not from nowhere. It also comes in the midst of the campaign for Democrats in the US to vote ‘uncommitted’ in the ongoing primaries to make it clear that the US’s complicity in the genocide will negatively impact Biden’s re-election effort. Although one loaf of bread is better than none, these loaves of bread will come to Gaza stained in blood.

There is a hollowness to Biden’s pronouncement. Once aid arrives at this ‘temporary pier’, how will it be distributed? The main institutions in Gaza capable of any mass-scale distribution are UNRWA – now defunded by most Western countries – and the Hamas-led Palestinian government – which Western countries have set out to destroy. Since neither will be able to distribute humanitarian aid on the ground (and, as Biden said, ‘no US boots will be on the ground’), what will become of the aid?

UNRWA has been at work since shortly after UN resolution 302 (IV) was passed in 1949, since which time it has been the main organisation to provide relief to Palestinian refugees (of which there were 750,000 when UNRWA began its operations and of which there are 5.9 million today). UNRWA’s mandate is precise: it must ensure the well-being of Palestinians but cannot operate to permanently settle them outside their homes. That is because UN resolution 194 affords Palestinians the ‘right to return’ to their homes from which they were ejected by the Israeli state. Although UNRWA’s main work has been in the field of education (two thirds of its 30,000 staff work for UNRWA schools), it is also the organisation most equipped to handle aid distribution.

The West allowed for the creation of UNRWA not because of any particular concern for Palestinians, but because – as the US Department of State noted in 1949 – the ‘conditions of unrest and despair would provide a most fertile hotbed for the implantation of Communism’. That is why the West provided funds for UNRWA (although, since 1966, this has come with severe restrictions). In early 2024, most Western countries cut their funding to UNRWA based on an unsubstantiated accusation tying UNRWA employees to the 7 October attack. Though it has recently come to light that the Israeli army tortured UNRWA employees, such as through waterboarding and beatings, and forced them to make these confessions, most of the countries that cut their funding based on these grounds have failed to reinstate it (with the exception of Canada and Sweden, which have recently resumed their funding). Meanwhile, several Global South countries – led by Brazil – have increased their contributions.

Filippo Grandi, the UN High Commissioner for Refugees who ran UNRWA from 2010 to 2014, recently said that if ‘UNRWA is not permitted to work, or is defunded, I can hardly see who can substitute [it]’. No humanitarian relief programme for Palestinians in Gaza is possible in the short run without UNRWA’s full partnership. Anything else is a public relations sham.


Vijay Prashad is an Indian historian, editor and journalist. He is a writing fellow and chief correspondent at Globetrotter. He is an editor of LeftWord Books and the director of Tricontinental: Institute for Social Research. He is a senior non-resident fellow at Chongyang Institute for Financial Studies, Renmin University of China. He has written more than 20 books, including The Darker Nations and The Poorer Nations. His latest books are Struggle Makes Us Human: Learning from Movements for Socialism and (with Noam Chomsky) The Withdrawal: Iraq, Libya, Afghanistan, and the Fragility of U.S. Power.