KHAN YOUNIS, Gaza Strip — It was expensive, Asmaa Fayez noted, but she managed to purchase a few zucchinis at a market in Gaza. She prepared them with rice and brought the dish to her 4-year-old son, who has been hospitalized for the last week. The soup was his sole meal of the day, and he asked for additional servings.

“It’s all finished, darling,” Fayez replied softly. Still, it was an improvement from the canned beans and tuna she brings on other days, she said.

Hospital patients are some of the most vulnerable as Palestinians throughout Gaza struggle to secure food, with Israel’s blockade on provisions entering the area now extending into a third month.

With hospitals unable to provide food, families must bring whatever they can find for loved ones.

“Most, if not all, injured patients have experienced weight loss, particularly over the past two months,” explained Dr. Khaled Alserr, a general surgeon at Nasser Hospital in Khan Younis in the south, to The Associated Press. There is a shortage of nutritional supplements for patients in the intensive care unit, he stated.

“Our hands are tied when it comes to making the best choice for patients. Choices are limited,” he said.

Malnutrition is on the rise across Gaza, aid groups say. Thousands of children have been found with acute malnutrition in the past month, but adults as well are not getting proper nutrients, according to the U.N. 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 drying up. 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, the U.N. says.

Markets are empty of almost everything but canned goods and small amounts of vegetables, and prices have been rising. Local production of vegetables has plummeted because Israeli forces have damaged 80% of Gaza’s farmlands, the U.N. says, and much of the rest is inaccessible inside newly declared military zones.

Fayez’s son, Ali al-Dbary, was admitted to Nasser Hospital because of a blocked intestine, suffering from severe cramps and unable to use the bathroom. Fayez believes it’s because he has been eating little but canned goods. She splurged on the zucchini, which now costs around $10 a kilogram (2.2 pounds). Before the war it was less than a dollar.

Doctors said the hospital doesn’t have a functioning scanner to diagnose her son and decide whether he needs surgery.

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

Hamas ignited the war with its Oct. 7, 2023, attack on Israel, in which militants killed some 1,200 people, mostly civilians, and took 251 hostage, most of whom have been released in ceasefire agreements or other deals. Israel’s offensive has killed over 52,000 Palestinians, mostly women and children, according to Gaza’s Health Ministry, which does not say how many of the dead were civilians or combatants.

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 Israeli plans to control aid distribution in Gaza, using private contractors to distribute supplies. The U.N. and 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.

Another patient at Nasser Hospital, 19-year-old Asmaa Faraj, had shrapnel in her chest from an airstrike that hit close to her tent and a nearby charity kitchen in camps for displaced people outside Khan Younis.

When the AP visited, the only food she had was a small bag of dates, a date cookie and some water bottles. Her sister brought her some pickles.

“People used to bring fruits as a gift when they visited sick people in hospitals,” said the sister, Salwa Faraj. “Today, we have bottles of water.”

She said her sister needs protein, fruits and vegetables but none are available.

Mohammed al-Bursh managed to find a few cans of tuna and beans to bring for his 30-year-old son, Sobhi, who was wounded in an airstrike three months ago. Sobhi’s left foot was amputated, and he has two shattered vertebrae in his neck.

Al-Bursh gently gave his son spoonfuls of beans as he lay still in the hospital bed, a brace on his neck.

“Everything is expensive,” Sobhi al-Bursh said, gritting with pain that he says is constant. He said he limits what he eats to help save his father money.

He believes that his body needs meat to heal. “It has been three months, and nothing heals,” he said.

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