A Palestinian child died on Sunday while waiting for Israel to approve his exit from Gaza for medical treatment amid an ongoing healthcare crisis in the enclave, whose medical infrastructure has been destroyed by Israel’s genocidal war.

Nidal Abu Rabeea’s family told Al Jazeera that they had medical referral documents approved to receive treatment abroad, but he was left waiting for 14 months to be allowed out of the enclave of 2.3 million Palestinians, most of whom are displaced.

“Israel closed the crossings and killed my son,” said Iman Hamdouna, his mother, adding that her son struggled with an enlarged liver and high fever for months before his death. He was two and half years old.

Hospitals in Gaza, operating with critical shortages due to curbs imposed by Israel, could not help him and cannot help thousands of other sick and wounded Palestinians who need higher levels of medical care.