Two weeks since the International Court of Justice (ICJ) ruling, the situation for civilians in Gaza has become even worse, according to humanitarian organisation Islamic Relief.

The group warned Israel’s attack on Rafah “will have catastrophic consequences for civilians”, according to Al Jazeera.

Since the ICJ ruling, “thousands more people have been killed and injured, and famine is becoming more likely every day as the Israeli siege continues to cut families off from food, healthcare and water”, said Islamic Relief.

An Islamic Relief staff member in Gaza said, “Israel is starving us. We either get killed by bullets or starvation. My children and I haven’t eaten fruit or vegetables for months, and people get killed when they try to meet aid trucks arriving from the UN.”

Islamic Relief called on world leaders and governments to demand an “immediate ceasefire and implementation of the ICJ ruling”.

International aid organisations also warn any major operation in Rafah would compound what is already a humanitarian catastrophe.

“If they aren’t killed in the fighting, Palestinian children, women and men will be at risk of dying by starvation or disease,” said Bob Kitchen of the International Rescue Committee. “There will no longer be a single ‘safe’ area for Palestinians to go to.”

Israel’s four-month air, sea and ground offensive – among the most destructive in recent history – has driven most people from their homes and pushed one-quarter of the population towards starvation.