CAIRO (AP) 鈥 Famine has been mostly averted in Gaza as a surge of aid enters the territory during a fragile ceasefire, the United Nations humanitarian chief said Sunday. But he warned the threat could return quickly if the truce collapses.

Tom Fletcher spoke exclusively to The Associated Press after a two-day visit to Gaza, where hundreds of trucks carrying humanitarian aid have arrived each day since the ceasefire began on Jan. 19.

鈥淭he threat of famine, I think, is largely averted,鈥 Fletcher said in Cairo. 鈥淭hose starvation levels are down from where they were before the ceasefire.鈥

He spoke as concerns grow over whether the ceasefire can be extended and talks are meant to begin on its more difficult second phase. The six-week first phase is halfway through.

As part of the agreement, Israel said it would allow 600 aid trucks into Gaza each day, a major increase after months of aid officials expressing frustration about delays and hampering both the entry and distribution of food, medicines and other badly needed items.

The U.N. humanitarian office has said more than 12,600 aid trucks have entered Gaza since the ceasefire took effect.

Fletcher urged both Hamas, which quickly reasserted its control of the territory in the hours after the ceasefire took effect, and Israel to stick to the deal that has 鈥渟aved so many lives.鈥

鈥淭he conditions are still terrible, and people are still hungry,鈥 he said. 鈥淚f the ceasefire falls, if the ceasefire breaks, then very quickly those (famine-like) conditions will come back again.鈥

The internationally recognized mortality threshold for famine is

For months before the current ceasefire, food security monitors, U.N. officials and others had been in parts of devastated Gaza, especially the north, which had been largely isolated since the earliest weeks of the 16-month war. Hundreds of thousands of Palestinians have been able to return to the north under the ceasefire.

鈥淲e can鈥檛 ... sit by and just allow these people to starve to death," Cindy McCain, the American head of the U.N. World Food Program, told CBS in December. The Biden administration repeatedly urged Israel to allow more aid deliveries and warned that failing to do so could trigger U.S. restrictions on military support.

Fletcher said more food and medical supplies are crucially needed for the territory of more than 2 million people, most of them displaced, and he expressed concerns about disease outbreaks due to the lack of basic health supplies. He also called for scaling up the delivery of tents and other shelters to those who have returned to their home areas, as winter continues.

鈥淲e must get tens of thousands of tents very rapidly in, so that people who are moving back, particularly moving back into the north, are able to take shelter from those conditions,鈥 he said.

Fletcher entered the Palestinian territory through the Erez crossing between Israel and northern Gaza, where he said he drove through 鈥渂ombed-out, flattened and pulverized鈥 areas.

鈥淵ou can鈥檛 see the difference between a school or a hospital or a home,鈥 he said of the north.

He said he saw people trying to find where their homes had been and collecting the bodies of loved ones from the rubble. He saw dogs looking for corpses in the rubble, too.

鈥淚t is a horror movie. It鈥檚 a horror show,鈥 he said. 鈥淚t breaks your heart again and again and again. You drive for miles and miles and miles, and this is all you see.鈥

Fletcher acknowledged that some Palestinians have been angry at the international community over the war and its response.

鈥淭here was despair and anger. And I can understand the anger at the world that this has happened to them,鈥 he said. 鈥淏ut there was also a sense of defiance as well. People were saying, 鈥榃e will go back to our homes. We will go back to the places that we have lived for generations, and we will rebuild.鈥欌

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