Gaza Rafah Border Crossing Reopens as Israel Bans MSF Operations

The Rafah border crossing between Gaza and Egypt has reopened in a limited capacity after being largely shut since May 2024, marking a small but significant development in Gaza’s humanitarian and security situation. The reopening allows movement only on foot and under strict controls by Israel, Egypt, and the European Union.

In the first days, just 50 people per day in each direction are expected to pass through the Rafah crossing, according to Egyptian state-linked media. Israeli officials say the crossing can handle between 150 and 200 people at a time, with more people leaving than returning, mainly patients and their escorts. All travellers must receive prior security clearance from Israel, following multiple screening processes.

The reopening comes as Gaza faces mounting humanitarian pressure. The Palestinian health ministry says around 20,000 patients are waiting for permission to leave Gaza for medical treatment abroad. Despite the ceasefire that began in October, Israeli attacks have killed more than 500 Palestinians, while Palestinian militants have killed four Israeli soldiers, according to official sources.

At the same time, Israel has announced it will ban Médecins Sans Frontières (MSF) from operating in Gaza after the medical charity refused to hand over staff lists, citing safety concerns. MSF says at least 15 of its staff have been killed since October 2023 and warns its services — including 800,000 medical consultations and support for one in three births — cannot be easily replaced.

UN special rapporteur Francesca Albanese criticised the decision, saying Israel lacks the authority to restrict humanitarian access in occupied territory. Israel rejects accusations of genocide and maintains its actions are in self-defence following the October 7, 2023 Hamas attacks.

While the Rafah crossing reopening offers limited relief, tight restrictions and ongoing violence mean movement remains slow, uncertain, and far below Gaza’s humanitarian needs.