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Famine is already happening in parts of Gaza, a top US humanitarian official publicly acknowledged this week for the first time. After six months of Israeli war and blockades, an estimated 2.2 million people are facing acute or catastrophic food shortages. One in three children in northern Gaza are malnourished, and deaths due to hunger are expected to accelerate quickly, US officials have warned.

According to the groundbreaking work of Dutch researcher Dr. Tessa Roseboom, the impacts of near starvation are also likely being experienced by generations not yet born. Roseboom, a biologist and professor of early development and health at the Amsterdam UMC/University of Amsterdam, has been studying the long-term consequences of prenatal malnutrition for almost 30 years.

Much of her work focuses on people like her parents, who were born around the time of the Dutch “Hunger Winter” at the end of World War II. In dozens of studies, Roseboom and her colleagues have provided some of the first direct evidence in humans of the intergenerational impact of in-utero exposure to stresses such as famine. Their work suggests that malnutrition during pregnancy can have lasting consequences not only for the future health of the child but for subsequent generations. “It’s one of the things that makes me very passionate to talk about how the decisions we make today will have an effect for many, many decades,” Roseboom says. “I really feel the generations before me urging me to speak out.”

Audio journalists Neroli Price, Salman Ahad Khan, and Gabrielle Berbey talked with Roseboom as part of their investigation into how Israel’s blocking of aid trucks carrying food and medical supplies is leading to a maternal and infant health disaster. Excerpts of their conversation can be heard on the latest Reveal radio episode, “In Gaza, Every Pregnancy is Complicated,” (available for listening on nearly 600 NPR stations or for download here). Given the timeliness and urgency of the subject, we are presenting a longer digital version here.

Let’s start with the Hunger Winter. What was the confluence of events that made the winter of 1944-1945 so devastating for people in the Netherlands?

The Hunger Winter was a period of famine that occurred at the end of the Second World War, in the part of the Netherlands that had not been liberated by the Allied forces. [After the D-Day invasion in June 1944], the Allies liberated France and Belgium and retook the southern part of the Netherlands. The Dutch government-in-exile called for a railway strike to support the Allies, but the operation failed before they could retake the north and west of the country, which included the capital, Amsterdam. The German occupying forces retaliated for the railway strike by banning all food transports from rural parts of the country to urban areas. Suddenly, rations that had been around 2,000 calories a day during the entire war dropped to around 400 to 600 calories a day. Two slices of bread, two potatoes, and half a sugar beet was the typical ration for adults during that........

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