Israel has failed to meet US demands to allow greater humanitarian access to the Gaza Strip, where conditions are worse than at any point in the 13-month-old war, international aid organisations said on Tuesday.

The obstacles facing aid distribution were on this display this week.

Even after the military gave permission for a delivery to the northernmost part of Gaza, virtually cut off from food for more than a month by an Israeli siege, the United Nations said it could not deliver most of it because of turmoil and restrictions from Israeli troops on the ground.

Hunger experts have warned the north may already be experiencing famine.

Meanwhile, in the south, hundreds of truckloads of aid are sitting on the Gaza side of the border because the UN says it cannot reach them to distribute, again because of the threat of lawlessness, theft and Israeli military restrictions.

The Biden administration last month set a deadline expiring on Tuesday for Israel to “surge” more food and other emergency aid into the Palestinian territory.

On Tuesday the administration said Israel has made good but limited progress in increasing the flow of humanitarian aid to Gaza and it will not limit arms transfers to Israel as it had threatened to.

State department spokesman Vedant Patel said the progress to date must be supplemented and sustained but that “we at this time have not made an assessment that the Israelis are in violation of US law”.

The law requires recipients to adhere to international humanitarian law and not impede the provision of such aid.

The department’s decision comes a day after secretary of state Antony Blinken met Israeli Prime Minister Benjamin Netanyahu’s top national security adviser, Ron Dermer, in Washington to go over the steps that Israel has taken since Mr Blinken and defence secretary Lloyd Austin warned in October of possible repercussions.

Israel has announced a series of steps, though their effect was unclear.

On Tuesday it opened a new crossing in central Gaza, outside the city of Deir al-Balah, for aid to enter.

It also announced a small expansion of its coastal “humanitarian zone”, where hundreds of thousands of Palestinians are sheltering in tent camps. It connected electricity for a desalination plant in Deir al Balah.

US state department spokesman Matthew Miller said last week that Israel had made some progress but needs to do more. US officials have not said whether they will take any action.

Israel’s new foreign minister, Gideon Saar, appeared to downplay the deadline, telling reporters on Monday that he was confident “the issue would be solved”.

The Biden administration may have less leverage after the re-election of Donald Trump, who was a staunch supporter of Israel in his first term.

Trucks carrying humanitarian aid cross into the Gaza Strip from Erez crossing in southern Israel
Trucks carrying humanitarian aid cross into the Gaza Strip from Erez crossing in southern Israel (Tsafrir Abayov/AP)

Eight international aid organisations said in their report on Tuesday that “Israel not only failed to meet the US criteria” but also took actions “that dramatically worsened the situation on the ground, particularly in northern Gaza. That situation is in an even more dire state today than a month ago”.

The report listed 19 measures of compliance with the US demands. It said that Israel had failed to comply with 15 and only partially complied with four.

The report was co-signed by Anera, Care, MedGlobal, Mercy Corps, the Norwegian Refugee Council, Oxfam, Refugees International and Save the Children.

In an October 13 letter, the US gave Israel 30 days to, among other things, allow a minimum of 350 truckloads of goods into Gaza each day; open a fifth crossing; allow people in coastal tent camps to move inland before the winter; and ensure access for aid groups to northern Gaza.

It also called on Israel to halt legislation that would hinder operations of the UN agency for Palestinian refugees, known as UNRWA.

Aid levels remain far below the US benchmarks. Access to northern Gaza remains restricted, and Israel has pressed ahead with its laws against UNRWA.

Israel launched a major offensive last month in the north, where it says Hamas militants had regrouped. The operation has killed hundreds of people and displaced tens of thousands.

Through October and the first days of November, Israel allowed no food to enter the area, where tens of thousands of civilians have stayed despite evacuation orders.

Palestinians line up for food distribution
Palestinians line up for food distribution in Deir al-Balah, Gaza Strip (Abdel Kareem Hana/AP)

Last week, Israel allowed 11 trucks to go to Beit Hanoun, one of the north’s hardest-hit towns.

But the World Food Organisation said troops at a checkpoint forced its trucks to unload their cargo before reaching shelters in the town.

On Tuesday, COGAT, the Israeli military body in charge of humanitarian aid to Gaza, said it allowed a new delivery of food and water to Beit Hanoun a day earlier.

Again, the WFP said that while it tried to send 14 trucks, only three made it to the town “due to delays in receiving authorisation for movement and crowds along the route”.

When it tried to deliver the rest on Tuesday, Israel denied it permission, it said.

Aid into all of Gaza plummeted in October, when just 34,000 tons of food entered, only a third of the previous month, according to Israeli data.

UN agencies say even less actually gets through because of Israeli restrictions, ongoing fighting and lawlessness that makes it difficult to collect and distribute aid on the Gaza side.

In October, 57 trucks a day entered Gaza on average, and 75 a day so far in November, according to Israel’s official figures. The UN says it only received 39 trucks daily since the beginning of October.

Palestinians storm trucks loaded with humanitarian aid
Palestinians storm trucks loaded with humanitarian aid in the central Gaza Strip (Abdel Kareem Hana/AP)

COGAT said 900 truckloads of aid are sitting uncollected on the Gaza side of the Kerem Shalom crossing in the south.

“Before the organisations give out grades, they should focus on distributing the aid that awaits them,” COGAT said in response to the aid groups’ report.

Louise Wateridge, a spokeswoman for UNRWA, said the miliary was not co-ordinating movements for aid trucks to reach the stacked-up cargos.

“If we are not provided a safe passage to go and collect it, it will not reach the people who need it,” she said.

COGAT blamed the drop in October on closures of the crossings for the Jewish high holidays and memorials marking the anniversary of the October 7, 2023, Hamas attack that triggered the war.

An Israeli official also pointed to theft by Hamas and organised crime families in Gaza.

The war began last year when Hamas-led militants stormed into southern Israel, killing about 1,200 people, mostly civilians, and abducting about 250 people.

About 100 hostages are still inside Gaza, a third of whom are believed to be dead.

Israel’s bombardment and ground invasion have killed more than 43,000 Palestinians, more than half of them women and children, according to local health authorities, who do not say how many of those killed were militants.

About 90% of the population of 2.3 million has been displaced, and hundreds of thousands are packed into squalid tent camps, with little food, water or hygiene facilities.

The United States has rushed billions of dollars in military aid to Israel during the war, while pressing it to allow more aid into Gaza.