Six months since the ceasefire announcement, Palestinians in Gaza continue to suffer daily attacks, severe humanitarian deprivation, and a near-complete collapse of medical care, Islamic Relief says.
Israel continues to block humanitarian aid, leaving most people living in damaged tents or bombed-out buildings and hospitals unable to treat cancer patients or critically ill children. The killing has not stopped, just slowed down – an average of four Palestinians have been killed and 24 wounded every day of the “ceasefire” period in Gaza, while attacks on Palestinian life in the West Bank have surged.
The ceasefire announcement has become an excuse for global political inaction, and governments are failing to protect Palestinians. Islamic Relief is calling on world leaders to ensure a real ceasefire that ensures people can live in safety and dignity, with an end to impunity for violations of international law. There can be no sustainable peace without an end to the illegal occupation of Palestine.
Nowhere near enough aid is getting in to meet the massive needs
The ceasefire terms agreed at least 600 trucks a day to enter Gaza, but in reality far more are needed. Yet in the past six months, a daily average of only 110 humanitarian trucks have been allowed to enter – around 80% carrying food (i). More private sector trucks have been allowed in, but even these are less than half the number that used to enter Gaza before October 2023(ii). Most of these also carry food, much of it of poor nutritional value.
There is now more food available in Gaza, but many families are still only getting half of their daily calorific needs and malnutrition remains extremely high, especially among young children. At least 249,000 children need treatment for acute malnutrition this year(iii).
Other essential supplies are frequently blocked and are running critically low:
- Very little fuel or cooking gas is permitted to enter, so half of families now resort to burning hazardous waste to cook food. Fuel shortages mean community kitchens that are a lifeline for the poorest families are shutting down, and hospitals are cutting vital services.
- Doctors report that many vital medicines are now completely unavailable, and hospitals face shortages of even basic supplies such as gauze for dressing wounds. Assistive devices for the huge numbers of people with severe injuries or disabilities are also frequently denied entry.
- Displaced families are living in desperate conditions. Around 900,000 people need emergency shelter items (iv), but new materials are frequently denied entry. Many families are still in tents damaged by severe winter storms and floods, and more heavy rains over the past two weeks have damaged thousands more tents. Raw sewage floods people’s shelters as sanitation systems are destroyed and new equipment is blocked.
The number of trucks allowed into Gaza has decreased even further since the escalation of war across the Middle East over the past month.
Critically ill patients stuck without treatment
Half of Gaza’s hospitals and primary health centres are completely shut down, and the rest are only partially functional and face a daily struggle to stay open due to shortages of fuel and medical supplies. People with cancer, kidney disease and other life-threatening illnesses are living in agony without adequate care and treatment.
Others are dying while waiting for treatment. At least 18,500 critically ill patients, including 4,000 children, need medical evacuation, but referrals to hospitals in the West Bank remain blocked. In the six months since the ceasefire announcement only 875 patients (v) have been allowed to leave for treatment through the Rafah crossing – less than 5% of those who need it.
Four Palestinians killed in Gaza every day since the ceasefire announcement
In the past six months, at least 733 Palestinians in Gaza have been killed and 2,034 wounded (vi). Children have been shot as they try to reach bombed out schools. Ongoing Israeli strikes have also damaged vital infrastructure, disrupting water supply and other services to hundreds of thousands of people.
Reconstruction has barely begun
Gaza remains in rubble. Israel’s assault destroyed almost all of Gaza’s agriculture and food production, leaving people dependent on external supplies. An estimated 92% of homes are damaged. Around 93% of schools need full rebuilding or major repairs, and a generation of children remains without formal school access. 89% of water and sanitation infrastructure and 77% of roads have been damaged or destroyed. Rebuilding will take many years and tens of billions of dollars, but can only truly begin when Israel lifts its illegal blockade of Gaza.
Recovery and reconstruction in Gaza must be led and owned by Palestinians, not externally imposed. It must be driven by the needs of the people, not Israeli interests or international profits. Local communities, civil society, and marginalised groups must all be central to the process, and genuine reconstruction must include justice, healing and accountability.
Escalating annexation and attacks in the West Bank
Since the announcement of a ceasefire in Gaza, attacks have surged on Palestinians in the West Bank, including East Jerusalem. They are facing record levels of Israeli settlement expansion, violent settler attacks, home demolitions, movement restrictions, and other human rights violations designed to permanently impede any future Palestinian state.
Notes
- [i] Based on analysis of data recorded through the UN2720 Mechanism for Gaza
- [ii] UN OCHA
- [iii] Integrated Food Security Phase Classification (IPC)
- [iv] Shelter Working Group
- [v] Health Cluster
- [vi] Ministry of Health / OCHA