The convoy, part of the Zad El-Ezza: From Egypt to Gaza initiative, crossed from the Egyptian side of the Rafah crossing to the Israeli-controlled Karm Abu Salem terminal.
It carried trucks loaded with infant formula, food staples, and medical aid, organized by the Egyptian Red Crescent (ERC) in coordination with the United Nations (UN).
The famine in Gaza is drawing mounting international alarm.
On Saturday, the United Nations Relief and Works Agency for Palestine Refugees (UNRWA) Commissioner-General Philippe Lazzarini warned that the enclave is facing a “man-made famine,” adding on X that “total impunity and lack of empathy have made life for Gazans an inferno.”
He noted that UNRWA has enough aid stuck in Egypt and Jordan to sustain the population for three months, but called for the political will to “open the gates and let us work.”
Since the launch of the US- and Israeli-backed Gaza Humanitarian Foundation (GHF), Israeli occupation forces have killed at least 2,300 starving, aid-seeking Palestinians and injured 17,000 others near aid distribution centres.
The deadly Israeli land, sea, and air blockade imposed on 2 March has deepened Gaza’s already catastrophic conditions, with more than 380 Palestinians — including 185 in August alone — dying from malnutrition, the same month the UN formally declared a famine in the enclave.
Health officials say 43,000 children under five are severely malnourished, while two-thirds of pregnant women are anaemic.
More than 55,000 pregnant and breastfeeding women remain at acute risk. The UN’s Integrated Food Security Phase Classification (IPC) projects further deterioration by the end of September.
Despite the soaring starvation-related deaths and the global outrage which pushed Israel to allow in a trickle of aid starting late July, humanitarian access remains severely restricted.
At Karm Abu Salem, protracted Israeli inspections continue to delay or block shipments, leaving thousands of trucks stranded and food rotting in storage.
Fuel, essential for hospitals, ambulances and water treatment, is largely barred, with only a few trucks allowed through every 10 days.
The UN Office for the Coordination of Humanitarian Affairs (OCHA) said last week: “Daily, civilians continue to be killed and injured by military forces or due to violence erupting among desperate crowds while trying to access aid, including in the militarized zone near checkpoints and at non-humanitarian distribution sites.”
Less than 40 percent of the 2,000 tonnes of food required each day has entered Gaza, OCHA added.
The World Food Programme (WFP) has also warned that families without able-bodied members to collect aid face the greatest risk.
Since 27 July, Egypt has dispatched 30 convoys while repeatedly accusing Israel of waging a “war of starvation” on Palestinians.
Cairo says it has supplied more than 70 percent of all aid that has entered Gaza since Israel's genocidal war on the strip in October 2023.
It has delivered over 45,125 truckloads carrying 500,000 tonnes of food, medicine, and fuel. Of this, around 368,000 tons came directly from Egypt, with the rest supplied by international donors.
This also included 209 ambulances and 81,380 tons of fuel.
Additionally, El-Arish airport has received over 1,000 aircraft, loaded with 27,247 tonnes of international aid. The town’s port has also handled 32 ships, carrying 74,779 tonnes of relief materials.
Egypt's military also conducted 168 airdrops carrying 3,730 tonnes of supplies.
Securing a ceasefire is seen as key to halting the bloodshed and unlocking sustained humanitarian access.
On Friday, Egypt’s foreign minister, Badr Abdelatty, wrote in the Washington Examiner that “the ball is now in Israel’s court” after Hamas accepted a Cairo- and Doha-brokered 60-day truce proposal on 18 August.
He said the deal could free Israeli captives and bring urgent relief to Palestinians, warning that Tel Aviv’s response would determine whether the conflict escalates or de-escalates.
Israel's war on Gaza has killed 64,400 Palestinians, most of them women and children, wounded 160,000 others, while at least 9,000 remain missing beneath the rubble, according to the Palestinian health ministry.
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