Four Tunisian activists arrested in March over alleged financial irregularities linked to fundraising for the Global Sumud Flotilla — an international campaign to deliver aid to Gaza — remain in pretrial detention after a Tunis court of appeal rejected a challenge to a four-month extension on Wednesday. Three of the four, Ghassan Henchiri, Ghassan Boughdiri, and Nabil Channoufi, are on hunger strike, while the fourth, Wael Naouar, suspended a 38-day hunger strike last month following appeals from his lawyers; all four are reported to be suffering serious health deterioration, including neurological symptoms, untreated injuries, and skin conditions. The case has widened beyond the original four, with fourteen people detained after a September 19 solidarity protest — including a minor — now also held in pretrial custody, drawing concern from Human Rights Watch over Tunisia's use of financial crime laws against civil society.