There is a critical shortage of engine oil and spare parts in Gaza, Palestine - crucial items for the running of medical and humanitarian activities. Due to these shortages, some Médecins Sans Frontières/Doctors Without Borders (MSF) services have been closed or curtailed.
In some instances, patients have no longer been able to access surgery at night, nurses have not been able to sterilise essential equipment, some X-ray services have stopped, and people with painful burns have been left to suffer in extreme heat without air conditioning.
No engine oil also means no healthcare services, potentially leaving hundreds of thousands of people without the medical care they desperately need.
Without functioning generators, health services would be forced to shut down, medical equipment such as oxygen plants and concentrators, heart rate monitors, suction machines for children with respiratory diseases, lab equipment to identify infections, operating theatres and anaesthetic machines for surgery, and mechanical ventilators in intensive care units will cease working. Generators are used to power the blood bank, if there is no blood, people cannot be treated in the event of severe blood loss.
A full breakdown of the generators at just one MSF field hospital alone would affect over 460 patients per month, stop 700 surgical procedures per month, and deprive patients from lifesaving care. Just a single operating theatre sees on average 10 people per day.
Now, the massive demand is pushing prices ever higher. In July, our teams were quoted over $1,800 per litre of engine oil, which is more than 20 times the price it was six months ago.
This is part of an escalating problem. Since the beginning of January 2026, MSF has been prevented by the Israeli authorities from bringing international staff and additional supplies into Palestine, and by 1 March our remaining international staff were forced to leave the territory.
Our Palestinian colleagues continue to work under immense pressure; our medical programs are facing shortages. Restrictions on supply and staff entry are depriving our medical teams of much-needed materials and technical skills.
In addition to our depleting stocks from 2025, MSF relies on solidarity from different partners in the wider health sector in Palestine to sustain part of its ongoing medical activities.
Aid continues to be used intentionally as an instrument of oppression against Palestinians. Supplies continue to be delayed by shifting restrictions at crossings, and aid is folded into ceasefire negotiations as though they are political concessions. The phases of so-called ceasefire implementation itself are also used as a cycle to weaponise aid: treating aid as leverage rather than a legal obligation.
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