the sis clinic rayong

The sis clinic Rayong

สถาบันดูแล ผิวหน้า รูปร่าง และสปา ครบวงจร

หมายเลขโทรศัพท์ : +66988350292

เว็บไซต์ : แนะนำเว็บไซต์อย่างเป็นทางการ

หมวดหมู่ : สุขภาพ/ความงาม, ความงาม เครื่องสำอาง และการดูแลตนเอง, สินค้า/บริการ

เวลาทำการ :

ที่อยู่ : สุขุมวิท, Rayong 21000

ตั้งอยู่ที่ไหน? 12.68331 , 101.24841 (พิกัด GPS) จังหวัดระยอง, ประเทศไทย

Facebook : facebook.com/102229057898537

Instagram : ภาพถ่ายและวิดีโอ

Beauty, Cosmetic & Personal Care in Thailand

✏️ แนะนำข้อมูลอัพเดท 🚩 บ่นเกี่ยวกับหน้านี้

บริษัทและสถานที่ใกล้เคียง

โรงแรม โฮสเทล และอพาร์ตเมนต์ใดบ้างที่อยู่ใกล้กับ the sis clinic rayong.

รายชื่อโรงแรมที่ใกล้ที่สุด:

Star Convention Hotel (Star Hotel) โรงแรมสี่ดาว ตั้งอยู่ที่ 109 Soi. Rayong Trade Center No.4, Sukumvit Road., Tha Pradu, Muang, Rayong, 246 เมตร ตะวันตก .

D Varee Diva Central Rayong โรงแรมสี่ดาว ตั้งอยู่ที่ 590 Sukhumvit Rd., Nuenphra, Mueng, 298 เมตร ทิศตะวันออก .

The Writer โรงแรมสามดาว ตั้งอยู่ที่ Soi Ruampattana 1 , Rayong City Center, 324 เมตร ไปทางทิศเหนือ .

Golden City Rayong Hotel โรงแรมสามดาว ตั้งอยู่ที่ 530/1 Sukhumvit Road Noenpra A. Mung, 587 เมตร ทิศตะวันออก .

Me condominium ตั้งอยู่ที่ Me condo, No 12, Sukhumvit Nakornrayong 6, Amphoe Mueang , Rayong, 602 เมตร ตะวันตก .

ME Residence & ME Condominium ตั้งอยู่ที่ No 12, Building 1, Sukhumvit Soi 7,Nakorn Rayong (Soi Rung Reang Pakpoa), Neonpa, Muang Rayong, 640 เมตร ตะวันตก .

Rayong Lanna Hotel โรงแรมสี่ดาว ตั้งอยู่ที่ 158/8-9 Ratbumrung Road, Muang, 716 เมตร ไปทางทิศตะวันออกเฉียงใต้ .

คุณสามารถค้นหาโรงแรม โฮสเทล และอพาร์ทเมนท์เพิ่มเติมได้ใน แผนที่โรงแรมแบบโต้ตอบ ของเรา

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• The Sis Clinic Rayong

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Raymond Paz, MD

Dr. Raymond Paz is a Board Certified Family Physician and a Certified Medical Examiner for the U.S. Department of Transportation. He has been providing healthcare services on the Palouse since 2008.

Dr. Paz received his bachelor’s degree from the University of California-San Diego in Biochemistry and Cell Biology and his Doctorate of Medicine from the University of Iowa Carver College of Medicine. Dr. Paz pursued broad training in the specialty of Family Medicine at Idaho State University’s Family Medicine Residency Program, where he also served as Chief Resident.

Dr. Paz chose Family Medicine because it allows him to provide comprehensive healthcare to patients throughout all stages of life. He performs office based procedures and surgeries, cares for patients with acute and chronic health conditions, while providing preventive healthcare for men, women, and children, including DOT physicals.

Sara Presol, FNP-C

Sara Presol is a Board Certified Family Nurse Practitioner. Sara obtained her BSN degree from Lewis-Clark State College and her Masters of Science in Nursing from Gonzaga University.

Sara enjoys the diversity of primary health care, and has clinical experience in acute and chronic care management. She is passionate about helping individuals with weight management, preventative health and is highly committed to providing optimal care to our community. Sara and her husband were both raised in Moscow and are deeply rooted to the community, raising their two amazing daughters. The Presol family own and operate a Certified Organic garlic farm and enjoy everything outdoors.

Jessica Cruz, PA-C

Jessica Cruz began her career in healthcare as a Certified Athletic Trainer after graduating, Suma Cum Laude, from California State University — Fresno with a undergraduate degree in Kinesiology. Jessica went on to earn her master’s degree from Idaho State University, though if you ask her she is a Vandal at heart.

Having grown up in a small agricultural town in California, Jessica and her husband knew they wanted to provide a similar experience for their own children, where they could get to know their neighbors and be part of a tight-knit community. Taking the time to know her patients has been Jessica’s priority and has aided her in providing the best healthcare treatment possible.

The sis clinic Rayong

• Address: สุขุมวิท, Rayong, Thailand 21000
• Phone: +66988350292
• Facebook: https://www.facebook.com/102229057898537
• Time zone: Asia/Bangkok
• Local Date:
• Local Time:
• Geo: 12.6833091152, 101.248412132
• Sunrise: 05:52 , Sunset: 18:44
• Moonrise: 00:03 Jun 29, 2024 , Moonset: 12:32 Jun 29, 2024
• Capital: Bangkok
• Currency: Baht (THB)
• Dialing Code: +66
• ISO Code: TH / THA

Where to find The sis clinic Rayong? The sis clinic Rayong is located at สุขุมวิท, Rayong, Thailand 21000 in the state Rayong, Thailand. What is the phone number of The sis clinic Rayong? The place can be reached through its phone number, which is +66988350292. The local time zone is Asia/Bangkok . The current local time and date is .

Today, If you want to go to The sis clinic Rayong, the sun rises in The sis clinic Rayong at 05:52 and sets at 18:44. You can see the moon rise at 00:03 and set at 12:32 Jun 29, 2024.

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Grim Lessons At Hospital No. 6

T o most of the world, the Chernobyl nuclear accident was a disaster of terrifying proportions. But for the specialists struggling to save lives at Moscow Hospital No. 6, the mishap created a kind of medical classroom–a unique if horrific opportunity to learn how to cope with large-scale exposure to deadly radiation. So far, the lessons have been sobering. “This incident has demonstrated our very limited ability to respond to nuclear accidents,” says Dr. Robert Gale, 40, a bone-marrow-transplant expert from UCLA who helped Soviet counterparts treat Chernobyl victims. “If we are very hard pressed to deal with 300 cases, it should be evident how inadequate our response would be in a thermonuclear war.”

Gale, with two UCLA colleagues, Paul Terasaki and Dr. Richard Champlin, and Israeli Specialist Yair Reisner, worked with Soviet doctors under what he called “battlefield” conditions. In all, 299 people, most of them fire fighters and plantworkers, were hospitalized after exposure to estimated levels of radiation that ranged from 100 rads to more than 800 rads. In normal circumstances a person is exposed to about one-tenth of a rad per year. “Those in the lower-dose range will have modest and reversible damage,” Gale says. Many of the 299 fell into this category. But 35 patients were exposed to doses exceeding 800 rads and were listed in “grave condition.” Nineteen of them were chosen either for transplants of bone marrow from donors or for more experimental transplants of liver tissue from fetuses. At week’s end eleven of the 35 had died, including six who had apparently undergone transplants.

The operations were needed because massive radiation destroys vulnerable bone-marrow tissue. The vital substance acts as the body’s production center for blood cells that carry oxygen, help to cause clotting and provide immunity against disease. Victims of damaged marrow can die within weeks of severe anemia, hemorrhaging and infection. To transplant the tissue, physicians use a syringe to draw out healthy marrow–usually from a donor’s hipbone–and inject it into the patient’s bloodstream. The marrow cells make their way naturally to the interior regions of bones. For the procedure to succeed, the tissue of the donor and the patient must match exactly, or the donated cells must be treated to make them compatible. In Moscow, all the donors were siblings or parents of the victims. Still, rejection can occur. And even when a transplant takes, the recipient may die of infection or other injuries caused by the radiation.

The doctors’ toughest job was screening out those victims who might recover without the risky operation as well as those too ill to benefit. Of the patients selected for transplants, some had received such a heavy dose of radiation that their white blood cells, which are needed to match tissues, had already been destroyed. That forced the doctors to use the liver tissue from fetuses, which is also a source of blood cells and is less likely to be rejected In future nuclear accidents, Gale suggested, blood samples should be taken from all victims within 48 hours so that they will be available for tissue typing.

The physicians faced other painful problems. The sister of one patient, ) saying she was afraid of anesthesia, reportedly refused to be a donor. That left doctors with no choice but to search elsewhere for the critically needed tissue.

Gale is a somewhat controversial figure. Some colleagues at UCLA privately complain that the talented researcher is prone to self-promotion. Gale has also received a written reprimand from the National Institutes of Health for failing to get proper approval before performing experimental procedures on cancer patients. For his efforts last week, however, Gale was personally thanked by Soviet Leader Mikhail Gorbachev, first in the Soviet leader’s televised speech to his nation and again in a meeting in Gorbachev’s office. That marked a rare tribute to a foreigner by a country that prides itself on being self-sufficient.

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• Conveniently schedule appointments by texting, email, or phone.

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Monthly membership prices.

3 month commitment required, *3% charge for credit cards

Adults aged 22-64

married couples under 21 pay this price

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$90 one-time fee per person.  Not to exceed $180 per family, when all family members are registered at the same time.

Direct Primary Care is not health insurance. Membership provides affordable care for most of your family’s medical needs. For catastrophic coverage, SFM recommends purchasing insurance or joining a Healthcare Sharing Ministry. DPC members usually are able to choose higher deductible coverage, ultimately saving significantly on healthcare costs.

Why Direct Primary Care?

Looking for a better health care option? We can help. Dr. Story takes a few minutes to explain why Direct Primary Care could be a game changer for your family or business. 

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Our patients say..., "exactly what i needed", "never felt more confident".

"I had the opportunity of being one of Dr. McCabe's first patients.  He and the office staff were very professional, thorough, compassionate, and quickly helped make referrals.  I was impressed by his personal follow up text and phone calls to check on me.  Story Family Medicine is exactly what I needed at a time when I changed to a higher deductible insurance.  Now I am recommending them to my friends and family." Rhonda

"I can’t believe that this model isn’t more prevalent! We are saving hundreds a month on insurance and have so much more access to medical care. I love not having to evaluate whether it’s worth it to take my children to the doctor. Balancing your child’s health against your finances feels terrible and I no longer have to do it! Dr Story and Jenny are so prompt and in the first month have already helped us with well child checks, minor infections and emergency issues. They are kind, efficient and competent. I have never felt more confident in my medical coverage than I do now. No wondering if I am going to get a bill in three months, no waiting rooms and no barriers to actually speaking with my doctor." Caitlin

"Warm, caring, and capable"

"Went with my son to Dr. Story for his routine physical exam which is required for sports eligibility. Dr. Story was remarkably thorough yet without being fussy. He also displayed a wonderful combination of professionalism and personalized interest and care. I have experienced routine doctor visits that seemed to be like passing through an assembly line, but this experience with Dr. Story stood out in stark contrast. Warm, caring, and capable." Chris

Serving Moscow, Pullman and the Surrounding Area

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Story Family Medicine - Direct Primary Care

1350 Troy Road, Moscow, Idaho 83843, United States

208.310.7773 (o) 208.301.6030 (f)

Monday: 8:30 am - 5 pm

Tuesday: 8:30 am - 5 pm

Wednesday: 8:30 am - 5pm

Thursday: 8:30 am - 5 pm

Friday: 8:30 am - 12:30pm

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• Latah Community Health

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• Address: 803 S. Main St. Suite 120 Moscow, ID 83843
• Phone: 208.848.8300
• Toll Free Phone: 866.729.8258
• Clinic Fax: 208.882.5587
• Pharmacy: 208.848.8312

Business Hours

Medical & pharmacy.

Monday – Friday** | 7:30 am* – 6:00 pm

Monday – Friday | 7:30 am* – 6:00 pm

*Opens at 9 am on the third and last Wednesday of every month, for continuing education for staff so they can better serve our patients.

CHAS Health is a non-profit community health center that provides high quality healthcare services to families and individuals of all ages, regardless of insurance status. Opening its doors in 2013, our Latah clinic primary care team has been meeting the needs of individuals and their families located in Moscow, Pullman, and surrounding areas. Our facility includes a convenient, in-clinic pharmacy to allow for easy prescription pick-up and expert pharmacy staff to answer any of your questions. CHAS Health’s Latah Clinic expanded in 2017 to include Dental. Our experienced and professional dentists and hygienists offer exams, cleanings, extractions, restorative care, wisdom teeth consulting, and more.

Walk-In Clinic Services

Our Latah Community Health clinic offers walk-in hours from 1:00 pm – 5 pm Monday – Friday. Walk-in visits are first-come-first-served and available to both new and established patients. Some of the services we offer for walk-in patients include:

• Sore throat
• Sinus Congestion
• Rashes & Allergies
• Nausea, vomiting, & diarrhea
• Minor injuries: cuts & burns
• Urinary/bladder infections
• Sprains & Strains

Video Visits on the CHAS Health App

Call to schedule with your provider, and  tell your scheduler you want a video visit.

Learn more about using the CHAS Health App for a convenient video visit from the comfort of your home.

Behavioral Health

• Adult Psychiatry
• Medication Management
• Adult Counseling
• Substance Use Disorder Services 
• Specialized Therapies for Children & Adolescents

Our dentists & hygienists offer:

• Root Canals

Our Dietitians offer nutrition counseling that includes individualized nutrition evaluations and interventions, to help patients make positive lifestyle changes and improve their overall health and well-being.

Our pediatricians offer services for children through age 18 including:

• Well Child Exams
• Immunizations
• Sports Physicals

Our pharmacists work side by side with our providers to bring a collaborative approach providing coordinated care for our patients.

Primary Care

CHAS Health employs the best primary care physicians and general practitioners that can help you and your family with all of your medical needs. Our care team care about your overall health and are trained in family medicine.

Specialty Care (Latah)

We are trained to help you with specialty care, such as:

• Hepatitis C
• Diabetes Education
• Bone & Joint Conditions

Women's Health & Pregnancy Care

Our providers care for a comprehensive range of women’s health services including:

• Annual Gynecological Exams
• Family Planning
• Birth Control
• Menopause Management
• Access to Midwives
• Complete Pregnancy Care

Sports Medicine Clinic

The addition of the Gritman|MFM Sports Medicine Clinic is part of Gritman’s continuing commitment to excellence in care for athletes in regional high schools and at the University of Idaho. The Gritman-U of I partnership helps provide Doctor of Athletic Training students directly in regional high schools and helps to support the specialized athletic training needs of collegiate athletes.

Whether you are slowed by an injury, needing a sport physical or looking to begin a new training regiment, and no matter your age or skill level, our Sports Medicine Clinic is here for you.

Call to schedule an appointment 208-882-0540 .

Teen and adolescent wellness exams with sports physicals

Gritman|Moscow Family Medicine’s Sports Medicine Clinic is now offering teen and adolescent wellness exams with sports physicals at our QuickCARE location. Annual adolescent and teen wellness exams, which are covered by most insurance programs, including Medicaid, are recommended by the American Academy of Pediatrics for all children age 5 and older and are much more thorough than simple sports physicals. The exam includes a complete physical examination of your child from head to toe. Our providers also take time to visit with your child about conditions and issues that teens and adolescents commonly face.

The clinic offers and treats:

• Non-operative treatment of sports injuries
• Ultrasound-guided injections
• Adolescent and teen wellness exams with sports physicals
• Acute musculoskeletal injuries (ankle sprains, shoulder strains, fractures, etc.)
• Overuse injuries (rotator cuff issues, tendinitis/tendinosis, stress fractures)
• Acute back pain and neck pain
• Concussions
• Injury prevention
• Exercise prescription
• Return to play/exercise issues in sick or injured patients
• Care of athletes with medical conditions like asthma, diabetes, pregnancy, etc.
• Over-training and energy deficiency issues
• Osteopathic manipulative therapy

Frequently asked questions:

• Mild traumatic brain injury and other head injuries
• Athletes with chronic or acute illness (such as infectious mononucleosis, asthma or diabetes)
• Nutrition, supplements, ergogenic aids and performance issues
• Exercise prescription for patients who want to increase their fitness
• Return to play decisions in the sick or injured athlete
• Strength training and conditioning
• Healthy lifestyle promotion

Jacob K. Christensen, DO

Our patient experience.

Don’t live on the sidelines

Staying at peak performance

Offering Teen and Adolescent Wellness Exams with Sports Physicals

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ClearView Eye Clinic & Audiology

Julie Cheng, CCC-A

Julie Cheng earned her Master’s Degree in audiology from the University of Central Florida. She has been working since 1987 performing pediatric and adult hearing evaluations, hearing aid fittings and  assessments, aural rehabilitation and hearing conservation.  Julie’s passionate about her work and assisting her patients to achieve their hearing goals. She also enjoys her time spent with family, friends, and outdoor activities including cycling, tennis, and gardening.

Read 2 verified patient reviews for ClearView Eye Clinic & Audiology! Their average review score is 5 ( ) from 2 reviews.

Write a review Sort by: Newest Highest Rating Lowest Rating

“Today I had an appointment with Julie Cheng at Clear View Audiology. I was greatly impressed with her knowledge regarding hearing loss and ability to test and verify the extent of my hearing loss. She mentioned that she has been in the business for 30 years, so she is able to work on many different kinds of hearing aids and issues. I would highly recommend that everyone to go see her. She is gentle, caring and very thorough.”

“Julie Cheng with Audiology is knowledgeable not only in her profession but in the specific needs of her clients. She patiently listens and is able to adjust to my hearing needs. She deserves a 5 rating. ”

Clinic details

ClearView recognizes the greatest moments in life are often filled with the wonders of both sight and sound. We understand that having decreased hearing can be a challenge for our patients and do not want your quality of life to be compromised. ClearView Eye Clinic added Audiology Services in September of 2013. Julie Cheng, MA, CCC-A, a Licensed Audiologist, joined our team to provide a full range of hearing services to our patients.

Hearing care services

With over 25 years audiology experience, Julie provides hearing examinations for patients of all ages as well as hearing aid fittings and maintenance care.

Hours of operation

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Accepted forms of payment.

• American Express
• Financing available for those who qualify
• Insurance accepted, please call for details

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Middle East Crisis Gaza Famine Warning Spurs Calls to Remove Restrictions on Food Shipments

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Follow news updates on the crisis in the Middle East .

New report on hunger in Gaza adds fuel to calls for lifting Israeli restrictions on aid.

Spurred by new evidence that the Gaza Strip is on the brink of a long-feared famine, aid groups and international leaders on Tuesday called for the Israeli border restrictions choking off the supply of food to the territory to be lifted.

“We need sustainable, meaningful, uninterrupted aid in the Gaza Strip if we want to reverse the hunger situation,” Philippe Lazzarini, the head of the U.N. agency for Palestinian refugees, said .

The pleas followed the release earlier in the day of a report from a panel of global experts who found that after more than eight months of war between Israel and Hamas, almost half a million Gazans face starvation because of a catastrophic lack of food. They stopped short of saying that a famine had begun.

“The figures in this report are a shameful testament to the failure of world leaders to heed earlier warnings and hold Israel to account for its deliberate use of starvation as a weapon of war,” Sally Abi Khalil, the Middle East director for the aid agency Oxfam, said.

Israeli officials have said for months that there is no limit on the amount of food and other aid that can enter Gaza. In recent weeks, Israel has increased the number of commercial vehicles carrying food and other goods across the border.

The U.N. special coordinator for the Middle East peace process, Tor Wennesland, said in comments to the Security Council on Tuesday, however, that the increase was not enough.

After the release of the Integrated Food Security Phase Classification famine report, he echoed longstanding calls from aid and human-rights groups for Israel to open more border crossings into Gaza.

“While it is positive that Israel has opened additional entry points for humanitarian aid, others have been closed,” Mr. Wennesland said. “It is imperative that all necessary access points be opened and made operational,” he said.

The United Nations Security Council took up the findings of the food security experts at a meeting in New York on Tuesday, where diplomats urged action.

The American ambassador, Linda Thomas-Greenfield, said the report made “alarmingly clear” that humanitarian aid across Gaza must be scaled up and that the “situation is at risk of worsening rapidly.”

Jonathan Miller, Israel’s deputy permanent representative to the U.N., argued that “the problem was and remains in the collection and distribution of this aid by the United Nations,” as well as attacks on aid convoys by Hamas fighters.

Mr. Lazzarini said the challenges were heightened by desperate crowds struggling for limited resources, threats against truck drivers and a lack of protection for aid workers. Speaking in Geneva, he said “we are confronted nowadays with a near total breakdown of law and order.” He also noted that “the number of crossings remains far too limited.”

A U.S. State Department spokesman said the problem was not lack of aid but the breakdown of law and order that made delivery difficult. The spokesman, Matthew Miller, also said that while an American-established pier and airdrops helped, there was “no substitute for the land route” in delivering aid.

But the only “real solution” to the crisis, Mr. Miller said, is to end the fighting, which began in October. “We need to see a cease-fire,” he said.

In their report, the experts said that the amount of food reaching northern Gaza had in fact increased in recent months. Israel, under intense pressure from global governments and aid organizations, has recently opened border crossings for aid there.

Ms. Khalil, the Oxfam official, said that showed what was possible, if Israel were willing to act.

In the south, Mr. Lazzarini said in a post on social media that the hunger situation had significantly deteriorated since Israel began a ground offensive in Rafah in May.

“Much more must be done,” he said.

Anushka Patil contributed reporting.

— Eric Nagourney and Anjana Sankar

A strike in Gaza kills a sister of Hamas’s political leader and her family.

A strike in the northern Gaza Strip killed a sister of Ismail Haniyeh, the political leader of Hamas, and her family on Tuesday, the armed group and a Gazan rescue official said.

Hamas confirmed the death of Mr. Haniyeh’s sister, Zaher Haniyeh, in a statement. The Israeli military said it was aware of the reports but could not “currently confirm” that it had struck the Haniyeh family home.

Mr. Haniyeh, who heads the Hamas political bureau from exile in Qatar, is a longstanding political leader of the group that governs the Gaza Strip and that launched the deadly Oct. 7 attack on Israel.

Mahmoud Basal, a spokesman for the Palestinian Civil Defense, said that emergency rescue crews had removed the bodies of Mr. Haniyeh’s sister, her husband and their eight children from their home in the Shati neighborhood in northern Gaza, which was demolished in the strike.

An Israeli airstrike in April killed three of Mr. Haniyeh’s sons and three of his grandchildren while they were traveling in a car in Gaza. The Israeli military confirmed the strike and said the sons were active in Hamas’s military operations.

At the time, Mr. Haniyeh did not specify his sons’ roles in the group but called them martyrs. He said that 60 members of his extended family had been killed by Israel over time.

— Hiba Yazbek reporting from Jerusalem

Half a million people are at high risk for famine in Gaza, report says.

Gaza is at high risk of famine and almost half a million people there face starvation because of a catastrophic lack of food, a group of global experts said on Tuesday, though it stopped short of saying that a famine had begun in the enclave as a result of Israel’s war against Hamas.

The experts said that the amount of food reaching northern Gaza had increased in recent months. Israel, under intense pressure from global governments and aid organizations, recently opened border crossings for aid in the north.

The analysis by the group, called the Integrated Food Security Phase Classification , or I.P.C., carries considerable weight. The group is a partnership of U.N. bodies and major relief agencies, and global leaders look to it to gauge the severity of hunger crises and allocate humanitarian aid.

After Hamas led a deadly attack on Israel on Oct. 7, Israeli officials declared a siege of Gaza, and they have severely restricted the entry of humanitarian aid, saying they do not want it to help Hamas. From October to early May, the daily number of aid trucks entering the territory through the two main crossing points in southern Gaza dropped by around 75 percent, according to U.N. data, and reports of hunger and malnourishment have been widespread.

Khalil Al-Satri, a 43-year-old graphic designer from Gaza City, said that over the past two months, his family of seven was only able to procure one bag of flour and a few canned goods. “Prices have skyrocketed, making it impossible to buy everything we need,” he said.

Mr. Al-Satri said he worried about the long-term impact that the lack of nutritious food could have on his children. He said that his 5-year-old daughter Mariam has told him that “there is no hunger in heaven,” and becomes upset whenever she sees pictures of food on his phone. Children cannot endure hunger as well as adults, he said, adding, “It’s a difficult and harsh feeling.”

While acknowledging the hunger in Gaza, Israeli officials have accused Hamas of stealing or diverting aid. Ismael Thawabteh, deputy head of the Hamas government media office in Gaza, said last month that those allegations were “absolutely false and incorrect.” He added that, while there had been some looting of relief supplies, it had been done by a small number of people who had been forced into desperation by Israel.

Some Gazans have also accused Hamas of benefiting from looted aid.

The I.P.C. report said that almost all of Gaza’s population of around 2.2 million faced high levels of acute food insecurity, and it put Gaza at Phase 4, the “emergency” phase, on its five-level classification scale. But it also said that 495,000 people faced “catastrophic levels of acute food insecurity,” which is Phase 5 on the scale.

“In this phase, households experience an extreme lack of food, starvation, and exhaustion of coping capacities,” the report said.

In March, the I.P.C. predicted that famine would likely occur in northern Gaza by the end of May. But on Tuesday, it said that the amount of food and other nutrition delivered there had increased in March and April.

Those increases “appear to have temporarily alleviated conditions” in the north, the report said, adding, “In this context, the available evidence does not indicate that famine is currently occurring.”

Sally Abi Khalil, the Middle East director of Oxfam, an aid agency that contributed to the I.P.C. report, said that the slight improvement in conditions in northern Gaza showed that Israel had the ability to end the hunger crisis.

“The figures in this report are a shameful testament to the failure of world leaders to heed earlier warnings and hold Israel to account for its deliberate use of starvation as a weapon of war,” Ms. Abi Khalil said.

In early May, Israel’s military sent ground troops into the southern Gazan city of Rafah, and more than a million people, many of whom had previously been displaced from their homes, fled to a coastal area that lacks basic infrastructure, making them acutely vulnerable.

The military operation closed the Rafah border crossing from Egypt and disrupted aid deliveries at the Kerem Shalom crossing with Israel. The situation in the south has since deteriorated, the report said.

The United Nations and aid groups have said that Gaza’s hunger crisis is man-made. Most incidents of severe and widespread hunger occur in parts of the world inaccessible to aid where the population has been weakened by years of drought. Aid groups say that there was relatively little malnutrition in Gaza before Oct. 7.

The arm of the Israeli military that implements government policy in the occupied West Bank and Gaza, known as COGAT, said on Tuesday that “more and more aid is entering Gaza,” a position at odds with that of Israel’s allies, who have for months pressed the country to scale up assistance.

“We continue to press Israel to create better conditions for facilitating aid delivery inside Gaza,” said Linda Thomas-Greenfield is the U.S. ambassador to the United Nations. She also said that it was “unacceptable” that Israel’s system for aid groups to notify it of their locations — a system known as deconfliction — remained ineffective.

On Monday, President Emmanuel Macron of France and King Abdullah II of Jordan, called for all restrictions at the crossing points into Gaza to be lifted.

The I.P.C. said that to be able to buy food, more than half of households in Gaza “had to exchange their clothes for money, and one-third resorted to picking up trash to sell.” It added that more than half of households often did not have any food to eat and that more than 20 percent went full days and nights without eating.

The I.P.C. identifies a famine when at least 20 percent of households in an area face an extreme lack of food, at least 30 percent of children suffer from acute malnutrition and at least two adults or four children for every 10,000 people die each day from starvation or disease linked to malnutrition. Since the I.P.C. was established in 2004, its approach has been used to identify only two famines: in Somalia in 2011 , and in South Sudan in 2017 .

After the group’s warning in March that Gaza was at risk of imminent famine , South Africa asked the U.N.’s highest court, the International Court of Justice, to issue emergency orders for Israel to stop what it called the “genocidal starvation” of the Palestinian people. The request was part of South Africa’s broader case that accuses Israel of genocide in Gaza, a charge that Israel rejects.

A month ago, the court, which is based in The Hague, ordered Israel to “immediately” halt its military offensive in Rafah, and it emphasized the need for open land crossings as part of its request for “the unhindered provision” of humanitarian aid . The Rafah offensive continues, but the order increased global pressure on Israel to scale back its attacks and limit civilian casualties.

Rawan Sheikh Ahmad contributed reporting.

— Matthew Mpoke Bigg

Austin and Gallant meet as attacks intensify across Israel’s border with Lebanon.

Defense Secretary Lloyd J. Austin III and his Israeli counterpart, Yoav Gallant, were meeting on Tuesday in Washington to discuss the war with Hamas in Gaza and to address the intensifying conflict along Israel’s border with Lebanon.

Mr. Gallant’s last visit to the Pentagon was in March , and Mr. Austin has visited Israel twice since the Oct. 7 Hamas-led attack set off the war in Gaza. “And you and I have spoken by phone more times than I can count,” Mr. Austin told Mr. Gallant in opening remarks that emphasized American support for Israel.

Since Mr. Gallant’s last visit to Washington, the United States has helped defend Israel against an “unprecedented” Iranian attack in April, President Biden signed legislation with more than $14 billion in assistance for Israel, and the United States helped to open new routes to ease the humanitarian crisis in Gaza, including constructing a temporary pier for aid delivery off the coast of Gaza, Mr. Austin said.

Mr. Austin also noted that Israel still faces a “very real and very dangerous threat from Iran” and “from its terrorist partners and proxies” including Hezbollah, the Houthis, and Hamas. “The United States will always support Israel’s right to defend itself, and the United States will always ensure that Israel has what it needs to defend itself,” Mr. Austin said.

But Mr. Austin also stressed that “another war between Israel and Hezbollah could easily become a regional war with terrible consequences for the Middle East, and so diplomacy is by far the best way to prevent more escalation.”

Mr. Gallant, in his opening remarks, called Iran “the greatest threat to the future of the world and the future of our region,” and warned that “time is running out” to prevent Iran from obtaining nuclear weapons.

Mr. Gallant also did not rule out the possibility of escalating conflict at Israel’s norther border with Lebanon, following weeks of intensifying hostilities between Hezbollah and Israel. “We are working closely together to achieve an agreement, but we must also discuss readiness for every possible scenario,” Mr. Gallant said.

Mr. Gallant met with Mr. Austin on his third day of talks with senior Biden administration officials. Days before, the Israeli prime minister, Benjamin Netanyahu, declared that the intensive phase of fighting in Gaza was nearing an end and indicated that Israel was preparing to turn its focus to the threat from Hezbollah. The United States is seeking to prevent those tensions along Israel’s northern border with Lebanon from becoming another full-fledged war.

Mr. Gallant met with Secretary of State Antony J. Blinken in Washington on Monday, and they discussed stalled cease-fire negotiations with Hamas, next steps for governance and security in Gaza, and the importance of those efforts to Israel’s security, a state department spokesman said. Mr. Blinken also emphasized the importance of keeping the conflict with Hezbollah from escalating further.

The Israeli defense minister began his meetings in Washington on Sunday, sitting down with Amos Hochstein, a Biden adviser who has overseen previous talks between Israel and Lebanon. A week earlier Mr. Hochstein met with Mr. Netanyahu in Jerusalem and with Lebanese officials in Beirut, as the Israeli military warned that Hezbollah’s cross-border strikes against Israel risked a wider confrontation.

On Monday, Mr. Gallant also met with William J. Burns, the C.I.A. director. On Wednesday, he is scheduled to meet with President Biden’s national security adviser, Jake Sullivan.

— Ephrat Livni

What is a famine and who determines that one exists?

A group of global experts said on Tuesday that Gaza is at high risk of famine , but it stopped short of saying that one had begun.

Officially determining that a famine exists is a technical process. It requires analysis by experts, and only government authorities and top U.N. officials can declare one.

So how is famine defined? Here’s a closer look.

What is a famine?

Food insecurity experts working on the Integrated Food Security Phase Classification , or I.P.C., an initiative controlled by U.N. bodies and major relief agencies, identify a famine in an area on the basis of three conditions:

At least 20 percent of households face an extreme lack of food.

At least 30 percent of children suffer from acute malnutrition.

At least two adults or four children for every 10,000 people die each day from starvation or disease linked to malnutrition.

Since the I.P.C. was developed in 2004, it has been used to identify only two famines: in Somalia in 2011, and in South Sudan in 2017. In Somalia, more than 100,000 people died before famine was officially declared.

I.P.C. analysts expressed grave concern about food insecurity in Yemen and Ethiopia related to the civil wars in those countries, but said not enough information was available from governments to issue a formal assessment.

The classifications of famine in Somalia and South Sudan galvanized global action and spurred large donations.

What has the I.P.C. said about hunger in Gaza?

The first I.P.C. report on Gaza, released in December, found that the enclave’s entire population was experiencing food insecurity at crisis or worse levels. Though the group said Gaza had not yet crossed the famine threshold, it warned that the risk of famine-level hunger would increase if the war did not stop.

A second analysis in March projected that famine was “imminent” for the 300,000 Palestinian civilians in northern Gaza, and that such conditions would develop by the end of May.

The group’s analysis on Tuesday said almost half a million people in Gaza face starvation because of a catastrophic lack of food. It said aid deliveries had improved the situation in the north, but that Israel’s ground operations in the south had disrupted aid distribution there.

What are the complications in declaring a famine?

The December I.P.C. analysis relied on publicly available data from international and local aid groups in Gaza that the group said met its methodology standards. But I.P.C. analysts said they lacked recent data on the prevalence of acute malnutrition. Getting that data is very difficult in a war zone and poses a burden on already overwhelmed health care workers, the group added.

The organization’s criteria were originally designed to address weather-related famine, not wartime crises like the one in Gaza. But most severe hunger crises in recent history have been driven by conflict rather than weather.

And while I.P.C. experts perform the analysis that can classify a famine, it is up to government authorities and the United Nations to formally declare one.

In some cases, countries have hesitated to do so. In 2022, Somalia’s president expressed reluctance to declare a famine during a severe hunger crisis brought on by a drought. And in 2021, Ethiopia blocked a classification of famine in the Tigray region through heavy lobbying, according to a top U.N. official .

It is unclear exactly what authority could declare a famine in Gaza. The I.P.C. group said the process typically involves the government in a country and its top U.N. official. Determining who that authority would be in Gaza was beyond the organization’s scope, it said.

— Gaya Gupta

Israel’s Supreme Court rules that the military must draft ultra-Orthodox Jews.

Israel’s ultra-orthodox must serve in military, supreme court rules, the exemption for the ultra-orthodox has long been a source of contention for secular israelis..

“The army asks for thousands of soldiers now, and we must bring the religion Orthodox — they are not going to the yeshiva to learn. They must go to the army, and do what all the other kids in their ages are doing. If my kids can go to the army, so everybody can go to the army. There is no other options.” “This ruling actually doesn’t have any implications, any practical implications. It’s more of a declaration more than anything else. It doesn’t add anything to the defense issue at this time. So it’s very hard to give any credit to this ruling. It doesn’t mean much. In fact, the high court shouldn’t have interfered at all in this issue.”

Israel’s Supreme Court on Tuesday ruled that the military must begin drafting ultra-Orthodox Jewish men, a decision that threatened to split Prime Minister Benjamin Netanyahu’s coalition government amid the war in Gaza.

In a unanimous decision, a panel of nine judges held that there was no legal basis for the longstanding military exemption given to ultra-Orthodox religious students. Without a law distinguishing between seminarians and other men of draft age, the court ruled, the country’s mandatory draft laws must similarly apply to the ultra-Orthodox minority.

In a country where military service is compulsory for most Jewish Israelis, both men and women, the exemption for the ultra-Orthodox has long prompted resentment. But anger over the group’s special treatment has grown as the war in Gaza has stretched into its ninth month, requiring tens of thousands of reservists to serve multiple tours and costing the lives of hundreds of soldiers.

“These days, in the midst of a difficult war, the burden of that inequality is more acute than ever — and requires the advancement of a sustainable solution to this issue,” the Supreme Court said in its ruling.

The decision threatened to widen one of the most painful divisions in Israeli society, pitting secular Jews against the ultra-Orthodox, who say their religious study is as essential and protective as the military. It also exposed the fault lines in Mr. Netanyahu’s coalition, which depends on the support of two ultra-Orthodox parties that oppose their constituents’ conscription, even as other Israelis are killed and wounded in Gaza.

Israeli courts have ruled against the exemption before, including Supreme Court decisions in 1998, 2012 and 2017 . The top court has repeatedly warned the government that to continue the policy, it must be written into law — though that law would be subject to constitutional challenges, as previous ones were — while also giving the government time to hammer out legislation.

But for seven years, since the last law was struck down, successive Israeli governments have dragged their feet in drafting new legislation. In 2023, the law finally reached its expiration date, leading the Israeli government to order the military simply not to draft the ultra-Orthodox while lawmakers worked on an exemption.

On Tuesday, the court indicated that its patience had finally run out, striking down that order as illegal. It did not set a timeline for when the military must start conscripting tens of thousands of draft-age religious students. Such a move would likely prove a massive logistical and political challenge, as well as be met with mass resistance by the ultra-Orthodox community.

Gali Baharav-Miara, Israel’s attorney general, in a letter to government officials on Tuesday, said the military had committed to draft at least 3,000 ultra-Orthodox religious students — out of more than 60,000 of draft age — during the coming year. The letter noted that the number would come nowhere near to bridging the gap in military service between the ultra-Orthodox community and other Israeli Jews.

Instead, the ruling included a means of pressuring the ultra-Orthodox to accept the court’s judgment: the suspension of millions of dollars in government subsidies given to religious schools, or yeshivas, that previously supported the exempted students, striking a blow to revered institutions at the heart of the ultra-Orthodox community.

The court’s ruling threatens Mr. Netanyahu’s fragile wartime coalition, which includes secular members who oppose the exemption and ultra-Orthodox parties that support it. Either group breaking ranks could cause the government to collapse and call new elections, at a time when popular support for the government is at a low. The opposition in the Israeli Parliament largely wants to end the exemption.

The Hamas-led attacks on Oct. 7 — which ignited the eight-month war in Gaza — somewhat loosened the ultra-Orthodox stance on the draft, with some leaders saying that those who could not study scripture should go to the military.

“Still, the maximum that the ultra-Orthodox community is willing to give is far less than what the general Israeli public is willing to accept,” said Israel Cohen, a commentator for Kol Barama, an ultra-Orthodox radio station.

But the ultra-Orthodox parties, with few palatable options, might not be eager to bring down Mr. Netanyahu’s coalition, he said. “They don’t see an alternative, so they’ll try to make it work for as long as they can,” said Mr. Cohen. “They will compromise more than they might have been willing to a year ago in an attempt to preserve the government.”

For now, the military must devise a plan to potentially welcome to its ranks thousands of soldiers who are opposed to serving and whose insularity and traditions are at odds with a modern fighting force.

The court’s decision creates a “gaping political wound in the heart of the coalition” that Mr. Netanyahu now must urgently address, said Yohanan Plesner, chairman of the Israel Democracy Institute, a Jerusalem-based think tank.

In a statement, Mr. Netanyahu’s Likud party criticized the Supreme Court for issuing a ruling when the government was planning to pass legislation that would render the case obsolete. The government’s proposed law, the party said, would increase the number of ultra-Orthodox conscripts while recognizing the importance of religious study.

It was unclear whether Mr. Netanyahu’s proposal would ultimately hold up to judicial scrutiny. But if passed by Parliament, a new law could face years of court challenges, buying the government additional time, said Mr. Plesner.

The Supreme Court’s decision on Tuesday immediately sparked outrage among ultra-Orthodox politicians. Many ultra-Orthodox view military service as a gateway to assimilation into a secular Israeli society that would lead young people to deviate from a lifestyle guided by the Torah, the Jewish scriptures.

“The State of Israel was established in order to be a home for the Jewish people, for whom Torah is the bedrock of their existence. The Holy Torah will prevail,” Yitzhak Goldknopf, an ultra-Orthodox government minister, said in a statement on Monday.

After the Oct. 7 Hamas-led attack on southern Israel, Israelis united in determination to strike back. But as thousands of reserve soldiers were asked to serve second and third tours in Gaza, the fault lines in Israeli society quickly resurfaced.

Some Israeli analysts warn that war could spread to additional fronts in the West Bank and the northern border with Lebanon, leading the government to call for more conscripts and further straining relations between secular and ultra-Orthodox Jews.

Already many Israelis — secular, religious and ultra-Orthodox alike — see the draft issue as just one skirmish in a broader cultural battle over the country’s increasingly uncertain future.

Ultra-Orthodox Jews have been exempt from military service since the founding of Israel in 1948 , when the country’s leadership promised them autonomy in exchange for their support in creating a largely secular state. At the time, there were only a few hundred yeshiva students.

The ultra-Orthodox have grown to more than a million people, roughly 13 percent of Israel’s population. They wield considerable political clout and their elected leaders became kingmakers, featuring in most Israeli coalition governments.

But as ultra-Orthodox power grew, so did anger over their failure to join the military and their relatively small contribution to the economy. In 2019, Avigdor Lieberman, a former ally of Mr. Netanyahu, rebuffed his offer to join a coalition that would legislate the draft exemption for the ultra-Orthodox. The decision helped send Israel to repeated elections — five in four years.

Last year, after Mr. Netanyahu returned to power at the helm of his current coalition, he sought to legislate a plan to weaken the country’s judiciary, setting off mass protests. For the ultra-Orthodox, who backed the judicial overhaul, a major motivation was ensuring that the Supreme Court could no longer impede their ability to avoid the draft.

Ron Scherf, a lieutenant colonel in the Israeli reserves, said many soldiers were frustrated to be serving multiple tours of duty during the war, even as ultra-Orthodox Israelis are “never called up in the first place.”

An activist with Brothers in Arms, a collection of reserve soldiers who oppose Mr. Netanyahu, Mr. Scherf asked, “How can Israel just allow an entire community to be exempt from its civic duties?”

Gabby Sobelman , Johnatan Reiss and Myra Noveck contributed reporting.

— Aaron Boxerman Reporting from Jerusalem

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