On November 14, 2007, on her 34th birthday, Elmalich died weighing less than after years of suffering from anorexia nervosa. She had been hospitalized several times due to the condition. She finally succumbed to it, collapsing and dying in her home due to heart failure.
Immediately after her death, Israeli fashion photographer Adi Barkan called her a "sacrifice to fashion". He initiated a worldwide campaign to "change the definition of beauty by encouraging models not to be skinny". Barkan's concern over Elmalich's death led to new body weight and body mass indexrequirements in Israel in 2012. These requirements do not allow modeling agencies to hire any models who have a BMI less than 18.5, below which is considered underweight. This law means a 5'9" woman would have to weigh at least 125 pounds in order to be hired. This is supposed to encourage models to not be so thin and release the pressure for women to continually lose weight.