International medical charity Doctors Without Borders (MSF) has accused Israel of systematically depriving people in Gaza of the water they need to survive, in what amounts to "collective punishment" of Palestinians.

The extensive destruction of civilian water infrastructure in Gaza, coupled with obstruction of access, constitutes "an integral part of Israel's genocide," said the group Tuesday.

In a report entitled "Water as a Weapon," MSF said the "engineered scarcity" was occurring alongside "direct killing of civilians, the devastation of health facilities, (and) the destruction of homes."

Together, this amounted to "the deliberate infliction of destructive and inhumane conditions of life on the Palestinian population in Gaza," warned the report, based on testimonies and data MSF collected in 2024 and 2025.

"Israeli authorities know that without water, life ends," MSF emergency manager Claire San Filippo said in a statement.