The images of skeletal children that are now pouring out of Gaza are shocking but they should not be surprising. Humanitarian groups with decades of experience distributing aid in Gaza have been warning about this scenario for months,

Six-week-old Yousef's lifeless body lay limp on a hospital table in Gaza City, his skin stretched over protruding ribs and a bandage where a drip had been inserted into his tiny arm. Doctors said the cause of death was starvation.