Israel says it will suspend more than two dozen humanitarian organisations, including Doctors Without Borders, for failing to meet its new rules for aid groups working in the war-ravaged Gaza Strip.

Organisations facing bans starting on Thursday didn’t meet new requirements for sharing information on their staffs, funding and operations, Israeli authorities said.

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Other major organisations affected include the Norwegian Refugee Council, CARE International, the International Rescue Committee and divisions of major charities such as Oxfam and Caritas.

Israel accused Doctors Without Borders, known by its French acronym MSF, of failing to clarify the roles of some staff members, alleging they cooperated with Hamas.

“The message is clear: Humanitarian assistance is welcome. The exploitation of humanitarian frameworks for terrorism is not,” Diaspora Affairs Minister Amichai Chikli said.

MSF – one of the largest medical groups operating in Gaza, where the health sector has been targeted and largely destroyed – said Israel’s decision will have a catastrophic impact on its work in the enclave, where it supports about 20 percent of the hospital beds and one-third of births. The organisation also denied Israel’s accusations about its staff.

“MSF would never knowingly employ people engaging in military activity,” it said.

International organisations said Israel’s rules are arbitrary. Israel said 37 groups working in Gaza didn’t have their permits renewed.

‘Appalling conditions’

Aid organisations help with a variety of social services, including food distribution, healthcare, mental health and disability services, and education.

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Amjad Shawa from the Palestine NGOs Network said the decision by Israel is part of its ongoing effort  “to deepen the humanitarian catastrophe” in Gaza.

“The limitations on the humanitarian operations in Gaza are in order to continue their project to push out the Palestinians, deport Gaza. This is one of the things Israel continues doing,” Shawa told Al Jazeera.

Israel’s move comes as at least 10 countries expressed “serious concerns” about a “renewed deterioration of the humanitarian situation” in Gaza, describing it as “catastrophic”.

“As winter draws in civilians in Gaza are facing appalling conditions with heavy rainfall and temperatures dropping,” Britain, Canada, Denmark, Finland, France, Iceland, Japan, Norway, Sweden and Switzerland said in a joint statement.

“1.3 million people still require urgent shelter support. More than half of health facilities are only partially functional and face shortages of essential medical equipment and supplies. The total collapse of sanitation infrastructure has left 740,000 people vulnerable to toxic flooding.”

The countries urged Israel to ensure international NGOs can operate in Gaza in a “sustained and predictable” way and called for the opening of land crossings to boost the flow of humanitarian aid.

Israel’s Ministry of Foreign Affairs called the joint statement “false but unsurprising” and “part of a recurring pattern of detached criticism and one-sided demands on Israel while deliberately ignoring the essential requirement ‌of disarming Hamas”.

‘Needs in Gaza are enormous’

Four months ago, more than 100 aid groups accused Israel of obstructing life-saving aid from entering Gaza and called on it to end its “weaponisation of aid” as it refused to allow aid trucks to enter the battered Gaza Strip.

More than 71,000 Palestinians have been killed since Israel launched its genocidal war on Gaza in October 2023. Hundreds have died from severe malnutrition and thousands more from preventable diseases because of a lack of medical supplies.

Israel claims it’s upholding the aid commitments laid out in the latest ceasefire, which took effect on October 10, but humanitarian groups dispute Israel’s numbers and say a lot more aid is desperately needed in the devastated enclave of more than two million Palestinians.

Israel changed its registration process for aid groups in March, which included a requirement to submit a list of staff, including Palestinians in Gaza.

Some aid groups said they didn’t submit a list of Palestinian staff for fear those employees would be targeted by Israel.

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“It comes from a legal and safety perspective. In Gaza, we saw hundreds of aid workers get killed,” said Shaina Low, communications adviser for the Norwegian Refugee Council.

Desperately needed lifelines

The decision not to renew aid groups’ licences means their offices in Israel and occupied East Jerusalem will close and organisations won’t be able to send international staff or aid into Gaza.

“Despite the ceasefire, the needs in Gaza are enormous, and yet we and dozens of other organisations are and will continue to be blocked from bringing in essential lifesaving assistance,” Low said. “Not being able to send staff into Gaza means all of the workload falls on our exhausted local staff.”

Israel’s decision means the aid groups will have their licences revoked on Thursday and, if they are located in Israel, they will need to leave by March 1, according to the ministry.

This isn’t the first time Israel has tried to crack down on international humanitarian organisations. Throughout the war, it accused the United Nations agency for Palestinian refugees, UNRWA, of being infiltrated by Hamas and Hamas of using UNRWA’s facilities and taking its aid. The UN has denied that.

In October, the International Court of Justice issued an advisory opinion saying Israel must support UN relief efforts in Gaza, including those conducted by UNRWA.

The court found Israel’s allegations against UNRWA – including that it was complicit in the Hamas-led October 7, 2023, attacks on Israel – were unsubstantiated.

The court also said Israel, as the occupying power, must ensure the “basic needs” of the Palestinian population of Gaza are met, “including the supplies essential for survival”, such as food, water, shelter, fuel and medicine.

A number of countries halted funding for UNRWA after Israel’s accusations, jeopardising one of Gaza’s most desperately needed lifelines.