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Doctors Without Borders (MSF) said that despite the ceasefire agreement, Israel continues to use humanitarian aid as a means of pressure against the Palestinians. In a press statement on Sunday, MSF's project coordinator in Gaza, Caroline Willemen, stressed that humanitarian aid sent to the Gaza Strip should not be tied to any political conditions.Willemen explained that Israeli attacks on the Strip have decreased significantly since the ceasefire agreement began, but the Israeli army launched a large-scale offensive on October 19, continuing to fire almost daily. She noted that the humanitarian situation in Gaza has not improved significantly, as water and shelter shortages persist, and hundreds of thousands are still living in tents as winter approaches.MSF teams, she pointed out, continue to record cases of severe malnutrition among children under five and pregnant women. The nutritional situation remains alarming despite the slight improvements, and providing daily health services remains extremely difficult despite the ceasefire.MSF's project coordinator added that Palestinians in Gaza have been experiencing the horror of genocide for two years. There is a dire need for aid, and rebuilding Gaza will take a long time, but the minimum basic humanitarian conditions in the Strip have not yet been reached.

Medecins Sans Frontieres (Doctors Without Borders) warned of a worsening humanitarian catastrophe in Gaza Strip, stating that over a million people face "constant terror" after receiving urgent evacuation orders from Gaza City ahead of the large-scale ground offensive by Israeli occupation forces.Secretary-General of the organisation, Christopher Lockyer, stated on Sunday that escaping the intense bombardment is impossible for many elderly people, the sick, pregnant women, and the wounded, warning that survivors of this tragic journey will find themselves in overcrowded areas in central and southern Gaza that lack safety and basic necessities for survival.He emphasized that what is happening in Gaza goes beyond a humanitarian disaster, describing it as a systematic genocide of an entire nation, and noting that Israeli occupation forces are committing these crimes with complete impunity.Lockyer added that loss of life is immense, with figures from the Palestinian Ministry of Health showing over 64,000 deaths, including 20,000 children, with the real number expected to be higher due to many still trapped under the rubble.He stressed that there is no safe haven in Gaza, citing entire families being annihilated in their homes, as well as attacks on health workers and journalists documenting events, describing the bombardment an attack on both infrastructure and civilians.He further pointed out that the healthcare system in the Strip has been subjected to systematic targeting, including hospitals and medical facilities, endangering the lives of staff and patients, and reaching the level of war crimes, noting that the remaining hospitals are overcrowded and severely lacking in supplies, resulting in unnecessary suffering and preventable deaths.