Follow -up – a dangerous development that threatens the life of the child, Sham Qudaih (two years), who has severe malnutrition and starvation, as her body turned into a skeleton after suffering a severe dryness and her entry into the most serious stages of malnutrition. Initial diagnoses indicate an enlarged liver that causes severe flatulence, a severe temperature, along with a decrease in weight from 4.8 kg to 4.3 kg in a short period, while its normal weight is supposed to range between 12 and 14 kg. Sham is in urgent need of urgent treatment abroad, and conducting comprehensive tests and analyzes to diagnose her condition accurately, in light of the Nasser Hospital for the necessary medical equipment and medicines, in light of the siege and the war of constant extermination on the sector