UN Geneva Press Briefing - 20 June 2025
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UN Geneva Press Briefing - 20 June 2025

UN GENEVA PRESS BRIEFING

20 June 2025

Alessandra Vellucci of the United Nations Information Service (UNIS) in Geneva, chaired the hybrid briefing, attended by spokespersons and representatives of the United Nations Children’s Fund, the World Health Organization, the United Nations High Commissioner for Refugees, the Office of the High Commissioner for Human Rights and the United Nations Trade and Development.

Update on the situation in Gaza

 

James Elder, for the United Nations Children’s Fund (UNICEF), speaking from Amman, said that currently, just 40 percent of drinking facilities in Gaza remained operational, and without fuel, these would be cut in a matter of weeks. If the current, more than 100-day blockade of fuel coming into Gaza did not end, children would begin to die of thirst. UNICEF had reported a 50 percent increase in children admitted for treatment, for malnutrition from April to May. Gaza was facing a man-made drought. However, because it was manmade, it could be stopped. None of these problems were logistical or technical; they were political. If there was the political will, then the water crisis could be solved overnight. Fuel meant that water could flow from hundreds of ground water wells and supply could be restored within a day. But time was running out. On the streets, people were carrying anything they could to try and gather water. Donkeys were being used instead of trucks due to the lack of fuel, but there was barely enough food to keep the donkeys alive. Fuel was holding Gaza's devastated health care system together. Denying fuel cut off survival. Mr. Elder said people had learned to live without so much; their loved ones, their homes, and even food, but they could not live without water. UNICEF was clear this was Gaza's most critical moment since the war on children began.  

Responding to questions from the media, Mr. Elder clarified that 40 percent of drinking water production facilities remained operational, but these would cease to function within a couple of weeks. This did not include the three lines coming from Israel which supplied drinking water, the levels of which were determined by Israel. Two needed repairs, but the northern line could take more water depending on political will. The repairs were also a matter of political will. The levels of drinking water in Gaza were currently way below emergency standards.


Also answering questions, Mr. Elder said the Gaza Humanitarian Foundation was making a desperate situation worse.  Two months ago, during the cease fire, between 500 and 600 trucks were entering Gaza daily and 400 aid distribution points had been established.  This resulted in malnutrition and disease rates falling and access to medication increasing. Now, there were just a handful of distribution sites, meaning half a million starving people were being forced into small pockets, which were also combat sites. Children were killed at these sites. Mr. Elder had met a young boy wounded by tank shell at one of the sites, who had since passed away. The lack of equity was critical. On the ground, Mr. Elder spoke to a grandmother in tears who was unable to access the sites. Aid could not be distributed in a militarized zone. Humanitarian aid was so much more than food in a box; it was hygiene packs, medicines, and incubators, which the United Nations was providing just a few months ago. Mass casualty events were increasing due to the level of desperation, as well as confusion by the population around sites’ opening hours. There had been times when people had received information that a site was open, but then missed information that they were closed. They had gone to the sites and were deemed to be entering combat zones, and subsequently were attacked.

Responding to further questions, Mr. Elder said most children with severe acute malnutrition died of a common illness. Nasser hospital was now the only fully functioning hospital in the south, servicing over half a million people. Many people on oxygen had left due to fear of attack, which meant they would die in a matter of time. Mr. Elder would do his best to ascertain the number of children who had passed away from severe acute malnutrition this year, but it would likely be a gross underestimate. Mr. Elder said children were dying from a range of issues beyond bombardments and trauma. Fuel, which was synonymous with the desalination, treatment and production of water, had been blocked for more than 100 days from going into Gaza. This could be fixed with the stroke of a pen. Water was now at its lowest levels since October 7, 2023.

Answering questions, Alessandra Vellucci, for the United Nations Information Service (UNIS), said a WHO team had visited the Nasser Medical Complex two days ago, and could provide further information.

Also answering questions, Christian Lindmeier, for the World Health Organization (WHO), said malnutrition was complex; children typically died of the diseases hitting their weak body. 610 patients had been admitted to hospital due to severe malnutrition, which meant in a way they were the lucky ones. There were many who were too weak to leave, or who could not reach health facilities due to road closures or bombings. Malnutrition was just a small indicator of a starving population. The result was a dying population.

Responding to further questions, Mr. Lindmeier said it was extremely difficult to make accurate estimations on those suffering from acute malnutrition, and it was the same for the number of deaths. The 610 people were the figures reaching the hospitals, but they were a gross underrepresentation of the number of people suffering.

Responding to further questions Mr. Elder said sidelining an extensive humanitarian system would only exacerbate the situation. Many people, even strong men, had visited the sites several times and had not been able to access them, let alone single mothers, the wounded or elderly people. This was what the United Nations had warned against, and now a situation was occurring beyond their worst imagination. When UNICEF was providing aid, no civilians were being killed at any point. Mr. Elder confirmed that there had been mass casualty events around the aid sites when they had been closed. There had been contradictory statements made, which to a population entering a combat zone, could be lethal.

World faced with a health financing emergency

Kalipso Chalkidou, Director for Health Financing and Economics, for the World Health Organization, said the world was facing a health financing emergency. The decision by the Government of the United States to freeze or discontinue aid programmes, coupled with announcements by European governments to reduce aid, had created a significant disruption in the aid ecosystem and national health systems. Health aid was projected to decline by 35 to 40 percent in 2025 compared to the 2023 baseline, decreasing by 10 billion USD from 25.2 billion USD in 2023. This was important because external aid still played a significant role in the financing of health systems in several sub-Saharan countries. In several countries, the US Development Assistance for Health was the main source of external aid, representing up to 30 percent of the current health expenditure in countries like Malawi, or 25 percent in Mozambique or Zimbabwe. Since 2006, per capita external aid in low-income countries had consistently surpassed domestic public spending on health, which sat at around 8 USD per person, per year. Given the exploding debt burdens of many sub-Saharan African countries, it would not be as simple as saying that health should have a greater priority in government budgets. African governments spent twice as much on servicing their debt and Africa was now the biggest net creditor to the world.

WHO were advising countries on how to tackle this issue, including to address aid dependency. Aid was more than money; the gap left behind was also about capabilities and visibility. It was also important to protect the poorest, who would likely be the hardest hit by the cuts. WHO were also advising countries to mobilise new revenue, through better taxation, including health taxes like tobacco and alcohol, to generate efficiencies, and to work with multilateral banks to encourage concessional lending targeting the most cost-effective investments. It was critical that the issue of health financing would be addressed on a global level at the fourth International Conference on Financing for Development in Seville. WHO would attend and hoped to come away with tangible commitments.

Responding to questions from the media, Ms. Chalkidou said the 10 billion USD figure referred to a reduction in aid for health for this year. They were largely made up by US cuts, but she could not provide the exact figures. Some important estimates were expected to be published next week from OECD. Ms. Chalkidou clarified that the total amount spent in 2023 for aid health was around over 25 billion USD, and the 10 billion reduction for 2025 would bring the figure down to the lowest amount in the past decade.

World Refugee Day

Alessandra Vellucci, for the United Nations Information Service, said that today was World Refugee Day. In his message for World Refugee Day, which had been shared with the media, the UN Secretary-General highlighted the suffering of the refugees, the growing global xenophobia and the unfair burden placed on developing host countries. Despite limited support, the refugees continued to show resilience and contribute positively to society. The Secretary-General urged the international community to move beyond words and act through increased aid, protection, asylum rights, refugee participation and long-term integration efforts.

Olga Sarrado, for the United Nations High Commissioner for Refugees (UNHCR), said that World Refugee Day was a time to honour the courage and strength of millions of people around the globe who had been forced to flee their homes due to persecution, war, or violence.  It was also a time to advocate for their right to seek safety and call for a world where refugees were welcomed, protected and valued.  This year, World Refugee Day was marked with a heavy heart, as civilians remained under attack in many parts of the world. The recent escalation between Israel and Iran was the latest sign of alarm and all civilians must be spared. Last week, UNHCR released their Global Trends report, which showed there were 122.1 million people forcibly displaced by the end of April 2025. This amounted to one in every 67 people worldwide forced from their homes, equivalent to the population of Japan. One-third originated from just four countries: Sudan, Syria, Afghanistan and Ukraine. 

While needs were growing, brutal funding cuts were dismantling the support systems refugees relied on, with UNHCR and partners forced to make difficult decisions, including scaling back operations in several locations, with critical programmes already affected. Today, the United Nations High Commissioner for Refugees, Filippo Grandi was in Syria to mark World Refugee Day, where two million Syrians had now returned home after more than a decade displaced. Their journeys were only made possible by support provided over the years by neighbouring countries, communities and generous donors. On World Refugee Day, UNHCR called on governments, organizations, the private sector and the public to come together in solidarity to build solutions for those forced to flee, allowing them to rebuild in dignity and return home. Increased financial support was critical to support both refugees and their host communities.

Ms. Sarrado said in honour of World Refugee Day, UNHCR were selling bracelets made by refugees across the world, with proceeds also providing a small donation to UNHCR so they could continue their life saving work.

 

Human Rights Council Update

Pascal Sim, for the Human Rights Council, said there had been a change to the programme of the Human Rights Council. Today at 3 p.m., Abbas Araghchi, the Minister of Foreign Affairs for the Islamic Republic of Iran, would intervene in person at the beginning of the Council’s afternoon meeting.  The Council would then continue with its regular programme of work. The meeting would be webcast live.

Alessandra Vellucci, for the United Nations Information Service (UNIS), said at 2:30pm today, a press stakeout would be held with Daniel Meron, Ambassador and Permanent Representative of Israel to the United Nations Office at Geneva, in the stakeout area behind Room XX. The stakeout would not be broadcast.

Announcements

Catherine Huissoud for the United Nations trade and development (UNCTAD), said UNCTAD was participating in the AI for Good Global Summit, taking place from July 7 to July 11 and would hold a background briefing on Thursday 26 June at 10 a.m, with artificial intelligence experts.

Alessandra Vellucci, for the United Nations Information Service (UNIS), said the Security Council meeting on Threats to International Peace and Security was confirmed for 10am today, New York time. It would likely be webcast on UN Web TV.

On Monday 23 June 2025 at 1 p.m, a press conference would be held by the UN Special Rapporteur on the right to health, Tlaleng Mofokeng, who will address her thematic report to the Human Rights Council focused on health and care workers as defenders of the right to health; the press conference would include the screening of a video message by Dr. Tedros Adhanom Ghebreyesus, Director-General of the World Health Organisation.

Also on Monday, at 3.pm, an off-the-record briefing about the UN 80 initiative of the Secretary-General would be held by Guy Ryder, United Nations Under-Secretary-General for UNOG accredited journalists. Mr. Ryder would connect from New York, but for technical reasons, the connection could only be made in the room. Journalists were required to be physically present, as the briefing was not accessible online.

On Tuesday, 24 June at 2.30 p.m, a press conference would be held by Cecilia Bailliet, the UN Independent Expert on human rights and international solidarity, where she would address the normalization of violence and arctic militarization risks through indigenous peoples’ examples, including insights from her visit to Denmark and Greenland.

On Tuesday at 3 p.m., Geneva time, the UN Secretary-General would set out a compelling and evidence-backed case for why the renewables revolution was now inevitable. This would be accompanied by the release of a special technical report prepared by the Secretary-General's Climate Action Team. The speech would be live streamed into the State of Climate Politics Forum event, at the London Climate Action Week, and would also be live streamed on UN web TV (webcast link).

Ms. Vellucci also said that today, the Committee on the Elimination of Discrimination against Women would review the report of Ireland. On Monday, 23 June, at 3 p.m., the Committee would meet with civil society organizations from the countries whose reports were to be reviewed next week: Afghanistan, San Marino, Chad and Botswana.

Also on Monday, the Human Rights Committee would open its 144th session at 10 a.m. During this session, the Committee would review reports submitted by seven State parties to the International Covenant on Civil and Political Rights: Kazakhstan, Guinea Bissau, North Macedonia, Latvia, Spain, Haiti, and Vietnam.

***

The webcast for this briefing is available here: https://webtv.un.org/en/asset/k1d/k1dth2cpiz

The audio for this briefing is available here:
https://www.unognewsroom.org/share/l9avljLdG1

Teleprompter
[Other language spoken]
Welcome to the press briefing of the UN Information Service.
This morning is Friday, 20th of July.
We have quite a few announcements of I think last minute and the first one I start with is Pascal's who has an update on the Council.
[Other language spoken]
Good morning, everyone.
We have a quick but important update to this.
[Other language spoken]
Of work of the Human Rights Council, the United Nation Human.
Rights Council will hear.
From the Minister of Foreign Affairs of the Islamic Republic of Iran, Mr Abbas Ahachi, today at 3:00 PM Geneva time.
Mr Arakshi will intervene in person in Room 20 at the beginning of the Council's afternoon meeting and after his intervention, the Council.
Will resume.
Its normal programme of work and just a reminder that the meeting will be.
Webcast live and that our.
Colleagues from UNTV will film the intervention.
[Other language spoken]
Thank you very much, Pascal.
And I would like to also add to the programme of this afternoon a press conference that is press stick out that we just announced by Daniel, by His Excellency Daniel Meron, Ambassador and Permanent Representative of Israel to the UN office at Geneva, who will speak at the stick out of the Council at 2:30 on this subject press statement on Iran.
So now you have the update for this afternoon.
And if there's any further question, we are available, of course.
Otherwise, can I see if there are any questions?
There aren't.
[Other language spoken]
So let me see if James is connected.
[Other language spoken]
Thank you very much, Pascal.
James, thank you very much for being with us.
You have conducted an incredible mission in in Gaza, very, very close to the children there.
And you're connecting quickly on between two planes from Amman to tell us what you've seen and what you've reported about.
You've got the floor.
Thanks for being with us, Alessandra.
Thanks so much and nice to see everyone and good morning.
This briefing will really focus on water and then I can speak to to anything else relevant to to the journalists.
In a war already.
Defined by its brutality, Gaza now teeters at its deadliest edge.
Currently, just 40% of drinking water production facilities remain functional in Gaza.
Now without fuel, the each.
One of these will stop operating within.
Weeks so since all electricity.
To Gaza was cut after the horrific tax of 7th of October.
2023 fuel became.
[Other language spoken]
To produce, to treat, to distribute water to more than two.
Million Palestinians if the.
Current more than 100 day blockade of fuel coming into Gaza does not end children.
Will begin to die of.
Thirst diseases are already advancing and chaos is tightening.
[Other language spoken]
Now, whilst alarm bells.
Rightly ring on the nutrition situation in Gaza.
Just yesterday, UNICEF reported a 50% increase in children admitted for treatment for malnutrition from April to May.
That's six to six months.
To five years water can't be sidelined and so in the most.
[Other language spoken]
Terms Gaza's facing water would amount to a man made drought.
Water systems are collapsing now.
However, because this is man made, it can be stopped.
None of these.
Problems are logistical or technical.
They are political denial.
Has become policy if there is the political.
Will then the water.
Crisis is eased overnight fuel means that water flows from hundreds of.
Groundwater wells and restores supply quite literally within a.
Day, but time is.
Running out to help further paint that picture without fuel.
[Other language spoken]
Already operate on reduced capacity, they will cease.
To run completely.
Now, critical membranes, the things that.
Help those function they'll close.
Doing immense damage to that machinery.
So right now, without fuel, trucking.
Millions of litres of water to people will stop.
It will cease to.
Happen on the streets in Gaza, the.
Thing you notice more than anything else, everyone carrying anything they can to try and retrieve.
Water at major production points.
Now you see large numbers of donkeys.
Queuing and they're replacing trucks now.
This is the last.
Gasp of a collapsing.
[Other language spoken]
[Other language spoken]
[Other language spoken]
You see it heave under the weight of 5.
[Other language spoken]
And even the donkeys are.
[Other language spoken]
There's barely enough.
Food to keep.
Them.
[Other language spoken]
So that's water.
Which is unprecedented.
Now we have hit uncharted terrain again in Gaza.
Fuel is, of course, also holding.
Gaza's devastated healthcare system.
Together.
Without fuel.
Hospital generators stop oxygen production stop.
[Other language spoken]
Ambulances can't move, incubators go dark.
Denying fuel doesn't cut just cut off supply, it cuts off survival sanitation.
The sewage systems are broken.
[Other language spoken]
Now flows into makeshift shelters.
And tents.
There are already suspected cases of Hep A.
And of Hep B.
Both of which are highly infectious on nutrition as mentioned.
Just as the water crisis.
[Other language spoken]
So too is the malnutrition it fuels in Gaza, these two crises.
Fuel off each feed off.
Each other creating a deadly cycle now on average since the.
Start of this year every.
Day each and every day more than a.
[Other language spoken]
[Other language spoken]
Have been admitted for treatment.
Of malnutrition, again six months to five years.
Colleagues at the start.
[Other language spoken]
[Other language spoken]
[Other language spoken]
Without so much, we've learnt to live without loved.
Ones we've learnt to live.
Without our.
[Other language spoken]
But we cannot live without.
[Other language spoken]
[Other language spoken]
Days when I saw him again before I left, he clarified that statement saying.
We've learnt.
To live with so much.
Without our.
Homes without our loved ones.
[Other language spoken]
Learnt that we can live.
Without food for a week.
[Other language spoken]
But we cannot survive without water.
UNICEF is very clear.
This is Gaza's most critical moment since the war on children began.
[Other language spoken]
[Other language spoken]
Is in place humanitarian aid is being sidelined the.
Daily killing of girls and.
Boys in Gaza does not register.
[Other language spoken]
Crisis is severing Palestinians most essential element for survival.
[Other language spoken]
[Other language spoken]
Thank you very much, James.
It's really an appalling description.
I'll open the floor to questions now in the room or online.
Let me see if there's any hint.
[Other language spoken]
[Other language spoken]
Hi there, James.
Thank you very much for this.
Briefing this morning, I just wanted to check you were saying.
[Other language spoken]
[Other language spoken]
Remain functional in Gaza.
And also just secondly, just talking to the point about the broader hunger issue, what have you observed?
On the ground in terms of?
These.
Reports of people being shot at, injured and.
Killed while trying to receive food aid.
On the ground, any observations?
In terms of types of.
Injuries that people have endured.
Or any sense of scale?
In recent days and weeks.
[Other language spoken]
[Other language spoken]
[Other language spoken]
[Other language spoken]
Percent of drinking water Drinking water is key here This is the.
[Other language spoken]
[Other language spoken]
Water, which is often brackish.
[Other language spoken]
So it's 40% of drinking water production facilities and that 40%, I'll share the exact number in, in the briefing note that I'll send immediately after this.
So they're big and small desalinations operated by the authorities, supported by humanitarians and NGOs.
And that's all, no cost.
Within a couple of weeks they're gone.
That that, that is crisis on top of crisis.
It is hard to articulate how things get so much worse in.
Gaza now important, Olivia, and it gets very.
Confusing in the way water.
This does not include the three mech rot.
[Other language spoken]
They have 3.
Lines coming from Israel, they supply drinking water the supply.
There is determined by Israel, OK.
Two of them repair need repair and the northern line is fine and could take a lot more drinking.
Water with simply with political will the repairs.
Are the same.
[Other language spoken]
About logistics, that's not complicated.
The repairs are also about political will.
[Other language spoken]
Below emergency standards in terms of drinking water for people in Gaza.
To your second question of GHF, yes, it it is.
[Other language spoken]
You have to go.
Back one step as.
Colleagues will know well.
Humanitarian aid is about needs based.
You go to where the need is and you make sure you you reach those people in need.
You assess the need and you go to where they are.
And we have got scores of examples.
Of course, Olivia, over 50 years since World War Two.
We don't need to go back that far.
[Other language spoken]
[Other language spoken]
[Other language spoken]
[Other language spoken]
During the ceasefire, hostages go home 506 hundred trucks a day.
[Other language spoken]
Distribution points 400 UNICEF was going.
Door to door in.
Cases for malnutrition What did those 400?
[Other language spoken]
The UN and all the.
Brave partners on the ground.
Malnutrition.
Falling disease, falling access to water medicines increasing.
These.
[Other language spoken]
Handful.
[Other language spoken]
Million people facing starvation with.
[Other language spoken]
Choice of being forced into.
Very small pockets where most people can't access into what are.
Officially known as Combat sites.
[Other language spoken]
We know of children.
[Other language spoken]
I met a little boy who was wounded by a tank shell at one of these.
Sites on the final day.
[Other language spoken]
I learnt that this little.
Boy had since died of those injuries.
That speaks to both what is happening at these sites and what is not happening when.
It comes to medical evacuations.
So the.
Lack of equity, Olivia.
[Other language spoken]
Critical all our messaging around.
What does a mum, single mum do?
What does a grandmother do?
When I go on the ground, I speak to a grandmother in tears.
Saying how am I possibly to get to these?
Sites, it's the same people all the time.
[Other language spoken]
Them it's the same people.
It's the people with knives.
I've met young men who've been 7 times and never returned with anything.
So there's a complete lack of equity.
There's a complete lack of.
[Other language spoken]
[Other language spoken]
Aid that in a militarised zone in a combat zone by one party to the.
Conflict and of course.
[Other language spoken]
Much more than food in a box, it's oxygen.
Kits, it's ventilators, it's hygiene packs, it's medicines, it's incubators, it's all those things that United Nations was doing just a couple of months ago.
The final point I would make, Olivia, is that one of the reasons you've seen?
One of the reasons.
These mass casualty events seemingly increasing.
Is this such?
The level of desperation, all those other.
Reasons I explained, but.
Also, there's such little public.
Clarity on when they're open.
And again, they are combat sites officially deemed, so there's confusion.
Among the population around opening hours, but it's a desperate.
[Other language spoken]
There have been.
Instances where information is shared that a site is open, but then it's communicated.
On social media that they're.
Closed but that information was was shared when Gaza.
'S Internet was down and.
People had no access to it and still they go and then they're deemed as entering a combat site.
[Other language spoken]
And yes, I had many, many testimonials of women and everyday people who went there and were injured.
All those, as we know, children who died of their wounds at or around these sites.
Thank you very much, James.
[Other language spoken]
[Other language spoken]
Thanks for the update.
[Other language spoken]
[Other language spoken]
New information to share on the number of therapeutic centres operating in Gaza for children with severe acute malnutrition.
And what have you documented in these facilities?
How many children have died of Sam in the last few weeks that you can confirm to us?
[Other language spoken]
I'll get back to you with a number that we have across across the course of this year.
These numbers are very, very difficult, of course, because as you know as an expert, John, that most.
Children with severe acute malnutrition.
Die of of an of an everyday illness that.
Makes a child 10 times more likely to die at the same time.
Accessing that data is incredibly different.
[Other language spoken]
I spend a lot of time at NASA hospital.
It is the only now.
Fully functioning hospital.
In the South, so it serves 1,000,000 people.
[Other language spoken]
Entirely in a red zone, so.
Rather than so people with trauma.
Wounds ambulances will come civilians with children with severe.
[Other language spoken]
Malnutrition will not come in.
Fact civilians with.
Children who are on oxygen have.
Left because of the fear.
[Other language spoken]
Again and as the doctors.
Told me if you have a child who needs oxygen and they leave without the oxygen, they will.
Over a matter of time.
[Other language spoken]
[Other language spoken]
Paint that picture, John, just to say.
I'll get you the best numbers we have.
And there was a press.
Release yesterday, but in this situation.
And certainly in terms of.
The the relentless, relentless siege, if you will.
[Other language spoken]
Hospitals, it's very difficult to ascertain any number and if we.
Do it will be a gross.
Undercount, thank you very much.
And I remind you that there was AUN team who visited the Nasser Medical Complex in Canyonis 2 days ago.
So there is more, I think from WHO if, if you want to ask them, John.
[Other language spoken]
James in, in what you mentioned having difficulty they access the hospital.
What is the what is the situation for parents where the child is suffering from severe acute malnutrition will require therapeutic feeding otherwise it will die.
So are we seeing many of these children that you're having?
Difficulty document dying because unable to reach these therapeutic facilities.
I don't have the numbers.
To speak to if it's, if it's.
Many John there is no doubt that children are dying from a whole range of underlying.
Issues beyond beyond the bombardments and trauma and.
That as much as those.
On this.
Briefing have heard warnings many, many times before those.
Warnings in terms of the the Nexus between malnutrition.
And water and disease they hold of.
18 months ago the.
[Other language spoken]
[Other language spoken]
The restrictions, 100 restrictions.
So I don't have that.
I can't give it because.
[Other language spoken]
Camps and there is no.
Way if a child died there of of of any particular.
Illness that that would necessarily be recorded at the moment.
Again, 700,000 people have been displaced since the ceasefire ended, so the ability.
As soon as you.
Understand who is in a.
[Other language spoken]
And then they are.
Moving again to another entire part of Gaza, which does speak back to water again.
For children whose.
Responsibility often is to try.
Spend a day finding water.
Invariably they've moved.
Again, they're in a city.
That's not their own.
That's very difficult when you've.
Got an entirely stressed.
Population and an 8 year old girl is is 1 of 200 people behind a behind a truck.
So again, to reiterate that one clear number, fuel, which is synonymous with the.
Distribution, treatment and production of water has been blocked for more than 100.
[Other language spoken]
This could be fixed.
With a stroke of a pen and the.
Levels of stress in Gaza.
Right now, because of course.
Aid has been reduced to less than 10%.
The virtual blockade, the daily mass casualty events, nutritional crisis we spoke of yesterday.
All the health crisis, WHO said.
And now?
Water is at its shortest least amount.
Since the 7th of October.
[Other language spoken]
Before I give you the first visa, sorry Christian has a little bit more on the health situation.
[Other language spoken]
Thanks so much, James, for leading on this here today.
This is so important.
And let me just remind everybody that malnutrition is such a complex thing, because you children, weak people, elderly.
They die not of.
Malnutrition per SE, they they die normally of the diseases which then hit a weak body.
I mean, I think the latest report says 610 patients have been admitted due to severe malnutrition complications.
But what does that mean?
That means these are the lucky ones who made it so far to get to a place.
This does not count the many who were too.
Weak to reach.
Any point who are too weak, who cannot be transported because the roads are blocked, because there are no ambulances, because the hospitals, the rim, some of the health emergency centres have been shelled and bombed and are being constantly shelled and bombed.
So this is the scenario we're talking about South malnutrition, it's just a small blueprint indicator here of the starving population and the result is a dying population.
[Other language spoken]
Good morning, first of all.
I want to ask the AA chair about you say that.
Those are the lucky.
Ones the 610 that reached I want to ask.
Do you have any estimate on what?
Would be the total.
[Other language spoken]
About the malnutrition complicities in Gaza.
And I have a second questions for James as James.
[Other language spoken]
People to follow the opening and closure hours of these aid.
Zones, resulting them entering combat zones and die in.
[Other language spoken]
Ask if James thinks closing hours are being announced.
Openly.
And widely enough to make sure these incidents.
[Other language spoken]
[Other language spoken]
[Other language spoken]
I mean, this is really a bad guess to to make how many people are really suffering.
You saw the IPC report which is now a couple of weeks old already with the level of yeah, famine like conditions and with the amount of people being at the situation of starving.
And again, because people are somewhere in the houses and somewhere in the in, in shelters or somewhere out in the open and cannot be reached and they cannot go to a health centre.
Any estimation is so difficult.
It's similar with deaths by the way.
Let's not forget deaths are being counted in official places.
That means hospitals.
So any death outside is a guess or can only be counted once found by an ambulance or reported back to a hospital.
So this is the.
I'd say problem with official figures, but we know, and maybe James has more, that this is a rough, rough underestimate.
These, these about the 610 are not an estimation.
These are actually figures reaching the hospitals.
But James is in the field and I would assume he has seen more.
[Other language spoken]
Yeah, to answer the second question on the clarity, I think it is certainly one part of it, but it's a much bigger part which is I was asked, let me.
[Other language spoken]
About Isn't it better than nothing?
There's a false equivalent.
We're not comparing to nothing, we're comparing to humanitarian aid systems that have worked since World War.
Two, we're comparing to what we saw in.
[Other language spoken]
We don't need, you know, the idea of.
Sidelining an extensive humanitarian system will only exacerbate the the situation, as I say again because a handful of sites.
[Other language spoken]
Because if you're a single.
Mother if you're elderly if you're wounded if you're.
Amputated you cannot possibly reach them, and again if you're a mid.
[Other language spoken]
I've spoken to people.
Who've been there seven times and not succeeded?
These are combat sites.
This is everything, the United Nations warned.
About before it was set.
Up and now.
Beyond our worst imagine.
[Other language spoken]
Scenario taking place remembering humanitarian aid when we say, you know, principled and neutral.
That's they're not nice words.
That's how.
It works and that's why we have the trust of community.
So when you see these horrendous mass.
Casualty events around the sites.
Of.
[Other language spoken]
[Other language spoken]
Remember, at some point in the Gaza Strip, who is?
Doing service delivery UNICEF is.
Doing nutrition with malnourished mountains.
Clean water has been distributed.
And at no point are.
Civilians being killed in that at no point.
So the problem lies.
With sidelining a system that is tried and tested for 70 years.
Thank you very much.
[Other language spoken]
I just want to have a little.
Bit of clearance if you.
Really find it.
Enough of an announcement of about.
You know, opening and.
Closure hours or not?
Opening enclosure hours.
Of the eight side zones, there have been mass casualty events around those sites when they have been.
Closed there.
There has.
Been contradictory statements made.
Contradictory statements to a population entering a combat zone can be lethal.
[Other language spoken]
And yes, you I know you have a question, but Evan that so if it's for James, so for go ahead.
Another question was if the stakeout.
Would be on UNTV.
As well.
Oh, you mean the stakeout on the of the Israeli ambassador?
Yeah, no, that's the one I announced before any other question to James or Christian on on Gaza before we go to the next topic.
I don't see any other hand up.
James, thank you so much for connecting from Amman.
Have a safe trip back and we wait for you in Geneva.
And thanks so much for having told us about what you saw and in such a comprehensive way.
[Other language spoken]
And together with Doctor Calipso Chalkido, I hope you're pronounced well.
Who's the director for Health Financing and Economic economics at the WHOI don't know if we would like to start.
[Other language spoken]
Say, I think, I mean it's, it's difficult times in terms of what's happening geopolitically, but since the health financing impacts many, many, many countries around the world and.
Not only.
W Joe as an organisation or funding cuts, not only the UN as such, but it's the beneficiaries who are suffering.
That's why I thought it's high time to bring a bit of a briefing and an overview of what the situation looks like and what the challenges and possible options are.
[Other language spoken]
[Other language spoken]
Thanks very much.
Well, I think it's it's fair to say that the world is faced with a health financing emergency.
The decision by the US government to freeze or discontinue aid programmes, coupled with several public announcements by European governments to.
Reduce drastically reduced.
[Other language spoken]
Has.
Created significant disruptions in the aid ecosystem and to National Health systems.
Health aid is projected by our own assessments to decline by 35 to 40% in 2025 compared to the 2023 baseline.
This is less than 10 billion or so from a 25.2 billion in 2023.
This is in real dollars.
Eleven OECD that countries members have announced in Q1 this year reductions in aid related budgets for 2025.
This matters because in several sub-saharan African countries, external aid plays a most significant role in the financing of health systems.
In the latest WHO Pulse Survey, countries are reporting.
Back peak COVID level service.
[Other language spoken]
So disruptions not experienced since the peak of COVID.
In most of these countries, the US development assistance for health was the main source of external aid.
US development assistance for health represented up to 30% of current health expenditure in countries like Malawi.
[Other language spoken]
5% Mozambique or Zimbabwe this is a shock that's not happening in a vacuum it.
[Other language spoken]
Underinvestment in health by national governments in in countries, especially in low and lower middle income countries.
This has made donor funding a critical component of health financing in these countries, and has.
Perpetuated effectively aid.
Dependency Since 2006, per capita external aid in low income countries has consistently surpassed domestic public spending on health.
And to give you a sense of how much poor countries spend on health through public budgets per year, the per person per year amount is around 8 dollars $8 US per person per year on health through public financing.
Only a handful of of countries in sub-Saharan Africa have met their commitment they've made to allocate 15% of their national budget.
To health.
And what makes the situation even?
[Other language spoken]
Difficult is that in addition to the systems being dependent on external aid, the second most important source of financing is out of pocket spending.
So This is Money that.
Households, Poor households have to.
To source and spend giving up on other needs including food and and schooling in order to finance in order to.
Access health services.
And this is the most inequitable and least efficient.
Way of financing a healthcare.
[Other language spoken]
It's very difficult to.
Suggest that governments in these countries actually pick up and fill the financing gap.
In many cases, this is not desirable either.
We know that aid itself has suffered from inefficiencies.
We know also that the burden of servicing their debt is huge.
Right now, we're looking at about twice as much on average as a proportion of GDP being spent by sub-saharan African countries in servicing their debt.
As compared to health so.
Twice as much spent on servicing the debt and spending on on health.
[Other language spoken]
Significant and at the same time.
Because of all sorts of.
Issues including illicit financial flows.
Africa is now on a continental level, the most important, the biggest net creditor to the world.
Africa is actually exporting capital to other parts of the world, public and private.
[Other language spoken]
And that is quite problematic given the situation we're faced with now in terms of solutions to what we're trying to do working with.
[Other language spoken]
Supporting ministers of health, Minister Finance Understand.
First of all, where?
The gaps are.
Because of the way aid.
Has been channelled.
All these years.
A lot the time it's not just about the financing gap, it's about a visibility gap.
So governments find it very difficult.
National Treasuries find it very difficult to understand how the money has been channelled through systems, a lot of the time parallel systems and what exactly the money was going towards.
So this is this is.
Important, try and understand where the gaps are.
And then another important gap is that of capabilities.
So running supply chains, procurement systems, IT systems, a lot of the time for procuring medicines, the systems have been run from from the US or other centres.
And so it's very difficult for countries to step in and fill that gap.
Our advice is also very much towards protecting the poorest because we know we have anecdotal evidence that what is happening.
Currently is households are.
Footing the bill?
And more and more households.
Effectively people going into poverty because they have to contribute out of pocket to make up for the lost revenue from aid.
We're making a case for mobilising new revenue, including through better taxation and taxing the things such as tobacco, alcohol and sugary drinks.
We know this is a public health intervention that works and can generate some revenue, but also generating efficiency, so working again with countries.
To look at pulled procurement.
Approaches at regional or continental?
[Other language spoken]
Making sure helping ministries of health execute fully execute the budgets that are allocated to them, reducing overheads and better integration.
[Other language spoken]
Vertical programmes into government run programmes, these are difficult things to happen in a very short period of time given how abrupt these cuts have been.
We're also working with multilateral development banks to look.
[Other language spoken]
How we can enhance highly concessional lending towards the most cost effective treatments going towards those people that are mostly in need.
And we're hoping that this bigger financial agenda will be aired and discussed and some actions taken post the Financing for development conference coming up in Seville.
We think this is absolutely critical.
The universal healthcare coverage matters, and ultimately as our.
[Other language spoken]
[Other language spoken]
Thank you indeed.
Thank you very much.
[Other language spoken]
Let me see if there is quite there are questions for you in the room.
Don't see any hand up John.
Sarah Costas on the platform.
[Other language spoken]
Thank you very much.
Can you please clarify the 10 billion that you mentioned?
In the beginning of your.
Briefing, is that your estimate of all the multilateral and bilateral aid going into health globally?
Is that your figure?
And roughly if you do, you have the breakdown of that 30% that you estimated was from the US, how much of that breakdown was from the US aid and how much was from the financial line from the State Department, State Department aid segment?
Because there's two, there used to be two.
[Other language spoken]
[Other language spoken]
Yes, this is a 10 billion less we're estimating.
These are projections for this calendar year and these are estimates that refer to reduction in aid for health.
They're made-up to a large extent by US cuts, but I don't have the exact breakdown now.
[Other language spoken]
For you.
But you can't differentiate right now between the different parts of the UAUS subset within that.
Figure so this is.
Projections based on both bilateral and multilateral.
[Other language spoken]
Reductions based on the announcements by OCD dark countries including the US and making some assumptions also about how much of this money is is likely.
Especially for the US, likely.
To, to be unfrozen though following the latest rescission decisions, I think we're, we're, we're edging towards the upper end of that of that figure 35 to 40%.
And also to say that we're expecting some estimates to be published next week by our colleagues at OECD, which will not include that on thing multilaterals, but I think they're they're important estimates coming from OECD on DAC members, including the US.
[Other language spoken]
[Other language spoken]
Think I haven't had my coffee and I got a bit confused.
What I'm interested is what the 10 billion is A.
Reduction.
For this year, what is the?
Do you have an estimate?
What would be the total figure?
Spent bilateral multilaterally for health.
Say what it was in 2/20/2000 and 24 and 10 billion reduction this year so so we can have a comparison.
Sorry, maybe I haven't.
Had my coffee either.
So compared to, what is the?
Comparator of the 10 billion for this year this calendar.
Year compared to.
[Other language spoken]
Yeah, the total figures spent.
Multilaterally and bilaterally for health.
Through aid channels and the amount for this the estimated for this year, so we can have the differential figures.
So the total amount we're estimating in real dollars in 2023, which was the base year, right, we're looking at 25 compared to 2023 was a bit over $25 billion US and we're estimating a 10 billion or so reduction off of that figure, which brings the figure.
The total.
Down lower than the lowest point in the past.
[Other language spoken]
I can offer more detailed numbers on that and.
[Other language spoken]
To a link as well where we've done the analysis.
Thank you very much.
Do you want to add some?
[Other language spoken]
[Other language spoken]
Because of all these figures.
We did already sent the briefing notes to you all.
I hope you're there well.
Received so.
To make a bit more and easier sense through all these.
[Other language spoken]
[Other language spoken]
Indeed it has been sent.
So it's any other question to the Blue HO.
I don't see any other hand up.
Doctor, thank you very much for for this important update.
Christian, thanks also for your answers on Gaza.
Let me ask Olga to come to the pool.
[Other language spoken]
[Other language spoken]
[Other language spoken]
And on a special day and for for the international community and specifically for UNHCR, the Refugee Agency, today, as you know, is the World Refugee Day.
We have shared with you the statement of the Secretary General on this important day where he honours the millions of refugees displaced by war, persecution and disasters.
As you know, the Secretary General used to be the High Commissioner for Refugees.
This is a a subject which is really close to to his heart.
In his statement, he highlights the suffering of the refugees, the group in global xenophobia and the unfair burden placed on developing host countries.
Despite limited support, refugees continue to show resilience and contribute positively to society, say as Geo terrorists.
He urges the international community to move beyond words and act through increased aid, protection, asylum rights, refugee participation and long term integration efforts.
He concludes with a call to choose solidarity, courage and humanity in our common response.
And I'm sure August, much more from High Commissioner Grandin from UNHCR.
[Other language spoken]
We also shared the statement of the High Commissioner Grandi yesterday afternoon, so you have that.
[Other language spoken]
On your on your emails.
So today is World Refugee Day, a moment when we honour the courage and strength of millions of people around the globe who have been forced to flee their homes due to persecution, war and violence.
It is also a moment to advocate for the right to seek safety and to make a strong call for a wall where refugees are welcome, protected and valued.
This year, we mark World Refugee Day with a heavy heart as civilians remain under attack in many parts of the world, brutal, futile and prolonged conflicts are causing unimaginable.
Suffering and inflicting deep scars.
That will be difficult to heal the recent.
Escalation between Israel and Iran.
Is the latest sign of alarm, we think of all civilians impacted.
Iranians and Israelis.
They must be spared.
We must avoid further regional instability and displacement.
Last week, we released our annual statistics update, the Global Trends Report.
It showed there were 122.1 million people forcibly.
Displaced by the end of.
[Other language spoken]
Decade high numbers.
That's that's one in.
Every 67 people worldwide forced to flee from their homes to save their lives.
Equivalent to the population of Japan, 1/3 originated from just 4.
Countries Sudan, Afghanistan, Syria and.
Ukraine and while the needs are growing brutal.
Funding cuts are dismantling the.
Support systems refugees rely on with UNHCR and partners forced.
To make difficult decisions, including scaling back operations in several locations.
We are doing everything.
Possible to prioritise the most?
Impactful activities and protect the most vulnerable, but critical programmes have already been already been affected.
We are also seeing attacks on Asylum.
[Other language spoken]
And growth in the humanising.
Narratives around refugees, which are.
Fuelling fear and concern.
Yet we cannot give up, as the UN High Commissioner for Refugees Filippo Grandi said recently at Georgetown University.
Even in the darkest of times, there's hope.
Please never lose sight of that hope today, Mr Grandi.
Is in Syria to mark World Refugee Day.
After more than a decade displaced, 2,000,000 Syrians have now returned home.
Their journeys are only made possible by the solidarity and sustained support provided over the years by neighbouring.
Countries, communities and generous donors.
In moments like this.
When fear and division seem.
Louder than compassion, These positive developments and our.
[Other language spoken]
Voices matter more than ever.
The recently published Ipsos survey on public attitudes towards refugees confirms there is still a groundswell of support to the right to seek safety.
2/3 of the public in 29 countries support the principle of offering.
Refuge to those in need.
And a considerable proportion continues to acknowledge the positive contributions refugees make to their new homes.
The survey also reveals that the that the vast majority believe that welfare countries should do more to support refugees.
On this Refuge World Refugee Day, we call on.
Governments, organisations, the private sector.
And the public to come together in.
Solidarity to build.
Solutions for those forced to flee so they can rebuild in dignity and return home when feasible.
Increased financial support is critical to support both refugees.
And the countries that host.
Them while this year's.
Commemorations might be more restrained.
Events around the world are taking place in solidarity with refugees.
Art exhibitions are happening in Bangladesh, Qatar, Georgia.
Community events in.
Amman, Athens and Paris.
Sport events in South Africa monuments lit in blue across.
[Other language spoken]
[Other language spoken]
And we are launching A refugee employment guide in.
France developed in partnership.
With the 10th Foundation.
These are just some of the events that are happening through the week.
Then just to finalise, we want to thank you.
Here in the.
In the room, but also online for your continued support to bring in refugee issues to the spotlight.
This is not a time to turn our backs, It is a time to stand firm.
In our commitment to.
Refugees and displaced people everywhere.
And maybe, maybe we can show this.
Oh yeah, actually this.
Year we've made an activation with our goodwill.
Ambassadors and celebrities.
So this is these are bracelets that are done by refugees across the world.
So we are selling those to support the the refugees.
That are making those and also this year include a small donation to UNHCR so we can continue doing our work.
Around the world we are going to wear it, I think all of us to show our support to the refugee 'cause and to UNHCR.
Thank you very much Olga.
Any question to to Olga on what refugee day or other subjects don't see any hand up in the room or online.
So thank you very much, Olga.
And yes, we will celebrate with our bracelets.
[Other language spoken]
While I put my bracelets, Kathy is coming up for an announcement for Ank Ted.
[Other language spoken]
[Other language spoken]
With this AI for good global summit.
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No, Messi, Buku, Katrina, I have a few announcements for you, which is what I'm left with.
Somebody has asked.
Yeah, I think Anya has asked.
So just to repeat the stakeout of the Ambassador and permanent Representative of Israel at 2:30 today, it's not here.
It's in the stick out position behind Room 20 and it's not webcast.
So you will have to come to listen to him in person.
Also somebody has asked me to confirm the the Security Council meeting in entitled threats to international peace and security.
It's going to be at 10 AMI think New York time it's confirmed.
I was looking to to to try and find if there was webcast.
I think it will be, but just check on the live schedule of the UN web TV.
So these are the two things.
Then I have a few announcement of other press conferences.
First of all, it's 1:00 PM on Monday, 23rd of June.
The UN Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health of the Human Rights Council is going to present.
The thematic is going to brief you on the thematic report to the Council focused on health and care workers as defenders of the right to health.
So this is Doctor Claleng **** King, and he, there will also be a recorded video message by Tedros, Dr Tedros, director General of WHO.
So that will be here in this room at 2:30.
Sorry, at 3:00 in this room in person, please.
And off the record briefing by Under Secretary General Guy Rider to the Geneva Press.
This is off the record and it's about the UNAT initiative of the Secretary General.
Let me explain because we have had a few questions from you when we have announced this.
So Mr Writer, USG Writer is not in Geneva.
He will connect from New York, but for technical reasons, we have to ask you to be in this room.
The connection.
Connection can only be made from this room.
So please be in this room and USG rather will brief you and answer your question from New York.
So please hear in this room at 3:00 PM for an off the record briefing.
On Tuesday 24th of June at 2:30, another conference on human rights, the press conference on human rights, This is human rights and International solidarity is given by Cecilia BIA, the UN Independent expert on human rights and International Solidarity.
The title is Call for solidarity.
MPs addressing the normalisation of violence and Arctic militarisation risks through indigenous peoples.
Examples including insights from the independent experts.
Visit to Denmark and Greenland.
Also on Tuesday at 9:00 AM New York time, that would be in New York, the Secretary General, we'll set out a compelling and evidence backed case for why the renewables revolution is now inevitable and the benefits that adjust transition away from fossil fuels will bring to economy, economies, energy security and people's well-being.
So this is a special address from the Secretary General.
It's title is A Moment of Opportunity supercharging the new energy era.
It's a follow up to this to his Moment of Truth speech of last year and will be accompanied by the release of a special technical report prepared by the Secretary General's Climate Action Team with the support of UN agencies, funds and programmes, as well as leading international institutions, synthesising the latest available science and evidence on the progress, opportunities and benefits of the emerging clean energy economy.
That speech will be live streamed into the State of Climate Politics Forum event, which is organised by an independent climate think tank at the London Climate Action Week.
It will be, of course, live streamed by UN Web TV.
So that's 9:00 New York time on Tuesday, so that if I'm not wrong, it's 2:00 here in Geneva.
And of course you will be able to to follow this on UN web TV.
We will send you the speech as soon as we get it.
I think this is for the press conference, the events.
Just a couple of words about the Committees of Human Rights.
[Other language spoken]
The Committee on the Elimination of Discrimination against Women will review, is reviewing in fact the report of Ireland.
On Monday, the committee will meet with civil society organisations from the countries was reported to be reviewed next week, which are Afghanistan, San Marino, Chad and Botswana.
Also on Monday, the Human Rights Committee will open it's 144th session at 10 AM at Pally Wilson.
During this session, the committee will review reports submitted by 7 state parties to the International Covenant on Civil and Political Rights, which are Kazakhstan, Yenna Bissau, N Macedonia, Latvia, Spain, Haiti and Vietnam.
We will be able to announce you also the meeting, next meeting of the Conference on Disarmament at a later stage.
And if I'm not wrong, I think I've told you everything I had.
So I don't know if there is any question before we close.
[Other language spoken]
[Other language spoken]
So thank you very much.
If there are no other questions, I wish you a very good weekend and I'll see you next week.
[Other language spoken]