Thousands of children have been admitted for treatment for acute malnutrition in Gaza since an October ceasefire, the UN children's agency said on Tuesday.

UNICEF, the biggest provider of malnutrition treatment in Gaza, said that 9,300 children were treated for severe acute malnutrition in October, when the first phase of an agreement to end the two-year Israel-Hamas war came into effect.

While this is down from a peak of over 14,000 in August, it is still significantly higher than during the brief February-March ceasefire. It indicates that aid flows remain insufficient, UNICEF spokesperson Tess Ingram said at a Geneva press briefing via video link from Gaza.

"It's still a shockingly high number," she said.

"The number of children admitted is five times higher than in February, so we need to see the numbers come down further." Ingram described meeting underweight babies weighing less than 1 kilogram born in hospitals, "their tiny chests heaving with the effort of staying alive."

Palestinian children react near the site of an Israeli strike on a house, amid the ongoing conflict between Israel and the Palestinian terrorist group Hamas, in Rafah, in the southern Gaza Strip earlier this year..
Palestinian children react near the site of an Israeli strike on a house, amid the ongoing conflict between Israel and the Palestinian terrorist group Hamas, in Rafah, in the southern Gaza Strip earlier this year.. (credit: MOHAMMED SALEM/REUTERS)

UNICEF can import considerably more aid into the enclave than before the October 10 agreement. Still, obstacles remain, she said, citing delays and denials of cargo at crossings, route closures, and ongoing security challenges.

"We have seen some improvement, but we continue to call for all of the available crossings into the Gaza Strip to be open," she added. There are not enough commercial supplies entering Gaza, she added, noting that meat remains prohibitively expensive at around $20 per kilogram.

"Most families can't access this, and that's why we're still seeing high rates of malnutrition," she said.

In August, a UN-backed hunger monitor determined that famine conditions were affecting about half a million people - or a quarter of Gaza's population.

Children were severely affected by hunger as the war progressed, with experts warning that the effects could cause lasting damage.