Crisis overview and projections
On 7 October 2023, Palestinian armed groups in Gaza launched more than 3,500 missiles and rockets towards Israel and breached the perimeter fence of Gaza in multiple locations. They then entered Israeli towns, communities, and military facilities near the Gaza Strip, killing over 1,200 people, wounding thousands of others and capturing over 200 Israelis and foreign nationals, with reports of rape and other sexual violence.
The Israeli military declared a “state of war alert” and began striking targets in the Gaza Strip. On 9 October, the Government of Israel ordered a “total siege” on Gaza, cutting off water and electricity connections, and closing off all border crossings preventing movement into and out of Gaza. Between 8 October and 10 November, over 10,000 Palestinians were killed, of whom 68 per cent are reported to be women and children, and over 26,000 injured, according to the Gaza Ministry of Health.
The aerial bombardment and ground incursions into Gaza continue as have rockets from Gaza into Israel. Israeli military orders to evacuate north and central Gaza to areas in south Gaza amid the ongoing hostilities, together with 35,000 destroyed and damaged homes have resulted in the displacement of 1.7 million people, 8 out of every 10 people being displaced. Half of those displaced are sheltering in 156 UNRWA facilities, which are operating well beyond capacity. Even with civilians moving away from the north, nowhere is safe as hostilities continue in the south as well.
The Gaza power plant ceased operations on 11 October due to fuel shortages, resulting in near-total electricity shutdown, forcing essential service infrastructure to rely on backup generators, also constrained by fuel scarcity. Limited fuel supplies, and only for basic humanitarian operations, were allowed into Gaza for the first time on 15 November.
The functioning of critical services is further compounded by the destruction of water and sanitation, hospitals, electricity lines and cell towers, many of these sites treated as military target. Complete disruptions of communications and internet services, including satellite connections, have been imposed by Israel three times, creating panic and severely disrupting access to essential services and humanitarian efforts. Food systems have also been breaking down with mills out of operation, bakeries shutting down and shops unable to re-stock.
The health system has been overwhelmed with overflowing patients and dwindling medical supplies, and many facilities have been withstanding several attacks, including Al-Shifa and Al Ahli Baptist Hospital in Gaza city, and the Indonesian Hospital in North Gaza. As many as 25 hospitals out of Gaza’s 36 hospitals are out of service or unable to admit new patients. Health conditions are exacerbated by inability of people to access potable water. People rely on unhealthy water sources which is increasing water borne diseases, in particular among children. The unsanitary conditions across Gaza, especially in heavily overcrowded IDP locations and the lack of availability of basic personal and domestic hygiene items, create a high-risk environment for public health. Reported cases of diarrhea are on the increase. Additionally, as Gaza’s food system has been stretched to breaking point and food production has virtually halted, people are likely to have inadequate nutrition, further weakening their immune systems and exposing them to various diseases. Prior to this crisis, more than half of the population of Gaza had experienced acute food insecurity since 2022, according to FAO. Currently there is scarcity of essential food commodities due to security constraints that often prevent resupplying. Additionally, prices have surged, with vegetables seeing a 32 per cent increase and wheat experiencing a 65 per cent rise. Hours-long queues are reported in front of the limited bakeries that remain operational, where people are exposed to airstrikes.
While attention since 7 October has primarily been focused on Gaza, the situation in the West Bank has been increasingly volatile. The number and severity of “settler-related” incidents of violence have increased, as have military operations in the West Bank. As many as 219 Palestinians, including 55 children and 4 Israelis have been killed between 7 October and 24 November. The Palestinian casualties in these seven weeks account for 48 per cent of all Palestinian fatalities in the West Bank in 2023. Another 2,944 Palestinians have been injured and 1,176 displaced.
Response priorities in 2024
The immediate priority until the end of 2023 is to scale up the humanitarian response to address the current level of needs across OPT, while accounting for the fact that the magnitude of needs and levels of operational constraints are beyond what has been seen before in the OPT. The response to date has been limited due to high levels of insecurity, extremely limited goods coming into Gaza including fuel, insufficient funding and reduced operational capacity. Ensuring operational capacity is a priority but it depends on complex negotiations for allowing staff to rotate in and out, and must account for the fact that many of the staff of humanitarian organizations operating in Gaza are they themselves directly affected, with many displaced.
The humanitarian community has not been able to keep pace with the scale and depth of need. Impediments imposed by the parties have prevented humanitarians from reaching a large portion of the population of Gaza, particularly in areas in the north, and from securing entry of sufficient humanitarian aid into Gaza. The pause that started on 24 November is expected to provide windows of opportunity for deliveries in the north.
Implementation of the response assumes an increase in humanitarian assistance into Gaza, sufficient fuel for humanitarian operations and that humanitarian actors have safe and sustained access to all people in need, across the Gaza Strip and the West Bank.