Gaza: Life in a Death Trap – An MSF Report

  • A new report from MSF highlights how repeated Israeli military attacks on civilians in Gaza, and the systematic denial of humanitarian assistance are destroying the conditions of life.
  • Our teams are seeing clear signs of ethnic cleansing as Palestinians are forcibly displaced, trapped, and bombed.
  • The health care system lies in ruins and medical staff – including MSF’s – have been detained or killed.
  • We call for an immediate ceasefire and for states to leverage their influence to alleviate the suffering of people and enable a massive scale-up of aid in Gaza.

Repeated Israeli military attacks on Palestinian civilians over the last 14 months, the dismantling of the health care system and other essential infrastructure, the suffocating siege, and the systematic denial of humanitarian assistance are destroying the conditions of life in Gaza, Palestine, according to a new Médecins Sans Frontières (MSF) reportGaza: Life in a death trap. MSF is urgently calling on all parties, once again, for an immediate ceasefire to save lives and enable the flow of humanitarian aid. Israel must stop its targeted and indiscriminate attacks against civilians, and its allies must act without delay to protect the lives of Palestinians and uphold the rules of war.

“People in Gaza are struggling to survive apocalyptic conditions, but nowhere is safe, no one is spared, and there is no exit from this shattered enclave,” says Christopher Lockyear, MSF secretary general, who visited Gaza earlier this year.

Brutal War

“The recent military offensive in the north is a stark illustration of the brutal war the Israeli forces are waging on Gaza, and we are seeing clear signs of ethnic cleansing as Palestinians are forcibly displaced, trapped, and bombed,” says Lockyear. “What our medical teams have witnessed on the ground throughout this conflict is consistent with the descriptions provided by an increasing number of legal experts and organisations concluding that genocide is taking place in Gaza.”

“While we don’t have legal authority to establish intentionality, the signs of ethnic cleansing and the ongoing devastation – including mass killings, severe physical and mental health injuries, forced displacement, and impossible conditions of life for Palestinians under siege and bombardment – are undeniable,” Lockyear adds.

In response to the horrific attacks carried out by Hamas and other armed groups in Israel on 7 October 2023 – in which 1,200 people were killed and 251 people were taken hostage – Israeli forces are crushing the entire population of Gaza. Israel’s all-out war on Gaza has reportedly killed more than 45,000 people, according to the Ministry of Health, including eight MSF colleagues. The number of excess deaths related to the war is likely much higher due to the impacts of a collapsed health care system, disease outbreaks, and severely limited access to food, water, and shelter. The United Nations estimated earlier this year that more than 10,000 bodies remained buried under the rubble.

Denied

Israeli forces have on numerous occasions prevented essential items such as food, water, and medical supplies from entering the Strip, as well as blocked, denied, and delayed humanitarian assistance, as documented in the report. Some 1.9 million people—90 percent of the entire population of the Strip—have been forcibly displaced, many forced to move multiple times.

Fewer than half of Gaza’s 36 hospitals are even partially functional, and the health care system lies in ruins. During the one-year period covered by the report – from October 2023 to October 2024 – MSF staff alone have endured 41 attacks and violent incidents, including airstrikes, shelling, and violent incursions in health facilities; direct fire on our shelters and convoys; and arbitrary detention of colleagues by Israeli forces. MSF medical personnel and patients have been forced to evacuate hospitals and health facilities on 17 separate occasions, often literally running for their lives. Warring parties have conducted hostilities near medical facilities, endangering patients, caretakers, and medical staff.

Meanwhile, Palestinians’ physical and mental health injuries are overwhelming, and the needs continue to grow. MSF-supported facilities have carried out at least 27,500 consultations for violence and 7,500 surgical interventions. People are suffering from war wounds as well as chronic diseases, made worse when they cannot get access to essential health care services and medicines. Israel’s forced displacement has pushed people into unbearable and unhygienic living conditions where diseases can spread rapidly.

Worsening Health

As a result, MSF teams are treating high numbers of people for illnesses like skin diseases, respiratory infections, and diarrhoea – all of which are expected to increase as winter temperatures drop. Children are missing out on crucial immunisations, leaving them vulnerable to diseases like measles and polio. MSF has observed an increase in the number of malnutrition cases, however it is impossible to carry out a full malnutrition screening in Gaza due to widespread insecurity and the lack of proper deconfliction measures.

As medical care options dwindle in Gaza, Israel has made it even more difficult for people to be medically evacuated. Between the closure of the Rafah crossing in early May 2024 and September 2024, Israeli authorities have only authorised the evacuations of 229 patients—which amounts to 1.6 percent of those who needed it at that time. This is a drop in the ocean of needs.

The situation in northern Gaza is especially dire following Israel’s recent scorched earth military offensive that has depopulated large areas and reportedly killed almost 2,000 people. The northern part of the Strip, particularly Jabalia camp, has been besieged again by Israeli forces since 6 October 2024.

Israeli authorities have dramatically reduced the quantity of essential aid authorised to enter the north. In October 2024, the amount of supplies reaching the whole Gaza Strip hit its lowest point since the war escalated in October 2023: a daily average of 37 humanitarian trucks entered in October 2024, well below the 500 humanitarian trucks entering before 7 October 2023.

Mass Destruction

“For more than a year, our medical staff in Gaza have witnessed a relentless campaign by the Israeli forces marked by massive destruction, devastation, and dehumanisation,” says Lockyear. “Palestinians have been killed in their homes and in hospital beds.”

“They have been forcibly displaced time and time again to areas that are not safe or healthy,” says Lockyear. “People cannot find even the most basic necessities like food, clean water, medicines, and soap amid a punishing siege and blockade.”

MSF calls on states, particularly Israel’s closest allies, to end their unconditional support for Israel and fulfil their obligation to prevent genocide in Gaza. Nearly a year ago, on 26 January, the International Court of Justice (ICJ) ordered Israel to take “immediate and effective measures to enable the provision of urgently needed basic services and humanitarian assistance to address the adverse conditions of life faced by Palestinians in the Gaza Strip.” Israel has taken no meaningful action to comply with the court order. Instead, Israeli authorities continue to actively block MSF and other humanitarian organisations from providing lifesaving assistance to people trapped under siege and bombardment.

States must leverage their influence to alleviate the suffering of people and enable a massive scale-up of humanitarian assistance across the Gaza Strip. As the occupying power, Israeli authorities are responsible for ensuring the rapid, unimpeded, and safe delivery of humanitarian aid at the level sufficient to address people’s needs. Instead, Israel’s blockade and continued obstruction of aid have made it close to impossible for people in Gaza to access essential goods, including fuel, food, water, and medicines. At the same time, Israel has decided to effectively ban the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), which is the largest provider of aid, health care, and other vital services for Palestinians.

Sustained ceasefire

MSF repeats our call for an immediate and sustained ceasefire. The total destruction of Palestinian life in Gaza must stop. MSF is also calling for immediate and safe access to northern Gaza, to allow the delivery of humanitarian aid and medical supplies to hospitals. While MSF continues to provide lifesaving care in central and southern Gaza, we call on Israel to end its siege on the territory and open vital land borders, including the Rafah crossing, to enable a massive scale-up of humanitarian and medical aid.

The MSF report notes that even if the Israeli military offensive on Gaza ended today, its long-term impacts would be unprecedented, given the scale of the destruction and the extraordinary challenges of providing health care across the Strip. A staggering number of war-wounded people are at risk of infection, amputation, and permanent disability, and many will require years of rehabilitative care. The cumulative physical toll and mental trauma caused by the extreme violence, loss of family members and homes, repeated forced displacement, and inhumane living conditions will scar generations.

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CrossFireArabia

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Dr. Marwan Asmar holds a PhD from Leeds University and is a freelance writer specializing on the Middle East. He has worked as a journalist since the early 1990s in Jordan and the Gulf countries, and been widely published, including at Albawaba, Gulf News, Al Ghad, World Press Review and others.

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Hiding The Evidence: Israel Removes Mass Debris Via 100 Trucks Daily

Euromed stated that Israel is seeking to hide the evidence of genocide in Gaza Strip by removing the rubble and wreckage of destroyed buildings and the remains of missing persons underneath them through transport via 100 trucks daily.

In a press statement reported by the Sanad News Agency, Monday, the European-Mediternean human rights organization explained that the Israeli occupation is unilaterally carrying out a systematic operation to remove the rubble in areas under its military control and is transport it out of the Gaza Strip to obliterate evidence the criminal evidence it carried out in Gaza since 7 October, 2023.

Euromed,  officially named he Euro-Mediterranean Human Rights Monitor, has indicated that initial estimates suggest Israel wants to remove about 10 million tons of rubble in the so-called Yellow Line areas which is under Israeli military control.

Euromed emphasized that its estimates that are 400 Israeli vehicles involved the removal of the rubble, besides the 100 trucks who are transporting the debris to unknown locations inside Israel.

It pointed out that the rubble that is being removed and transported focuses on sites where murders have taken places and where mass graves exist. It warned that “removing it separates physical evidence from its spatial context.”

Euromed added: The remains of some 8,500 missing persons are being crushed and mixed with rubble due to the use of crushers without forensic investigation. Meanwhile, the removed rubble contains property and essential building materials, and removing it without compensating its owners constitutes confiscation and looting, which is prohibited under international law.

The Euro-Mediterranean Human Rights Monitor called on the international community to intervene urgently, halt the rubble removal, and send international investigation teams to inspect and document the sites of destruction.

The amount of rubble and debris accumulated in the Gaza Strip by the first half of 2026 is estimated at approximately 60 million tons (other UN estimates put the figure at 68 million tons), following the complete or partial destruction of more than 80% of buildings and infrastructure.

Official statistics issued by the Government Media Office in Gaza indicate that more than 80% of buildings in the Gaza Strip have been destroyed or damaged, while the area is covered by approximately 60 to 70 million tons of rubble.

See Full Report Below:

The Israeli forces, along with Israeli civilian contractors, are conducting a wide and organised operation to process and clear the rubble from neighbourhoods and facilities they have destroyed in the Gaza Strip and relocate it from areas under their military control to outside the Strip.

This is occurring without any official record of the quantities removed or independent oversight, and before international and local investigative committees have had the chance to survey, examine, and document the sites. This risks destroying crucial evidence of genocide and the remains of victims still unaccounted for under the rubble.

These operations are not part of organised humanitarian efforts to rescue the missing, open roads, or prepare for reconstruction. Instead, Israel is acting unilaterally within closed areas under its military control by demolishing remaining buildings and then crushing, mixing, and transporting the rubble before forensic teams, evidence experts, and unexploded ordnance specialists can examine, document, and preserve the sites, along with the evidence and human remains.

The Gaza Rapid Damage and Needs Assessment, published jointly by the World Bank, the United Nations, and the European Union in April 2026, estimated that approximately 68 million tonnes of rubble are spread across the Gaza Strip, based on damage reports up to October 2025. This figure does not necessarily account for damage caused by later demolition and destruction operations.

According to its initial field data, Euro-Med Human Rights Monitor estimates that at least 10 million tonnes of rubble have been removed, crushed, or moved from their original sites within the areas under Israel’s unlawful military control, which encompass about 66 per cent of the Gaza Strip.

Approximately 400 heavy pieces of excavation, demolition, crushing, and transport machinery, operated by Israeli civilian companies under military protection, are active across eastern and southern Gaza. They demolish remaining structures, crush rubble from destroyed neighbourhoods, and load the debris onto trucks for transportation away from the original sites.

In recent weeks, Euro-Med Monitor tracked nearly 100 Israeli trucks daily leaving the Gaza Strip with debris. These trucks carry rubble to undisclosed sites within Israel and further south of the occupied West Bank. The Israeli authorities have not provided details on the quantities removed, the routes taken, the destination sites, or how the material is utilised. They also have not permitted independent oversight of the sorting, weighing, or transport processes. This lack of transparency makes it very difficult to trace the transported material, identify evidence, or recover any human remains that might be present.

The systematic removal of rubble at this pace conceals the evidence of appalling crimes Israel committed in Gaza, especially those related to genocide, such as summary executions and killing unarmed civilians. These sites need careful examination and thorough criminal investigation before any intervention that might change or erase their features.

The debris scattered throughout the Gaza Strip includes possible locations of unlawful killings and bombings that targeted entire families, as well as sites believed to contain mass graves or bodies buried within destroyed homes, hospitals, shelters, and civilian facilities.

These sites hold evidence critical for identifying the weapon, attack sequence, victim and attacker positions, firing ranges, cause and manner of death, as well as fragments, projectiles, spent cartridges, biological traces, and personal belongings.

Crushing, mixing, and transporting rubble can erase evidence, location details, and connections within the crime scene. This process also disrupts the chain of custody, potentially making it impossible to trace where evidence was collected or to link it to a particular incident or victim. This damage cannot be reversed by aerial photographs or subsequent testimony, as investigating international crimes also requires tangible evidence that can be examined, compared, and legally verified.

These operations pose a direct risk to the remains of thousands of missing persons, estimated by Gaza’s Civil Defence to be around 8,500 in July 2026. Using crushers and heavy machinery without prior forensic and humanitarian surveys could crush or scatter the remains, mix them with rubble, and separate them from belongings and documents vital for victim identification. This process may also lead to transporting the remains to unknown locations that may become impossible to access later.

This conduct infringes on the families’ right to know the fate of their missing relatives and to recover and bury their remains with dignity. It also contradicts international standards that call for searching for the deceased, collecting and safeguarding information about them, and ensuring proper identification and recording. Additionally, removing sites before investigation breaches the guidelines outlined in the Minnesota Protocol on the Investigation of Potentially Unlawful Death. This protocol emphasises securing and documenting the scene, gathering evidence while preserving its chain of custody, and recovering and examining remains with scientific methods that uphold the victims’ dignity and their family’s rights.

The debris in the Gaza Strip comprises more than just rubble; it includes private and public property, essential building materials like steel, stone, and concrete that can be recycled and reused, as well as other valuable assets necessary for Palestinians to reconstruct their homes, roads, and infrastructure. It may also contain property documents, official records, and personal belongings that are part of individuals’ and families’ rights and memories.

Removing rubble from the Gaza Strip and commercially exploiting it without the owners’ consent or compensation may, depending on the circumstances and intent of the seizure, constitute unlawful confiscation or pillage. Such acts are prohibited under international humanitarian law, especially Article 33 of the Fourth Geneva Convention and the relevant provisions of the Rome Statute.

These actions are part of a broader pattern that has involved bulldozing sites believed to contain mass graves, storming and damaging hospitals and medical facilities after they were suspected of being sites of grave crimes, ongoing demolition of buildings in military-controlled zones, and targeting Palestinian journalists. Additionally, international investigators and independent media have been prevented from accessing the most heavily destroyed areas.

This deliberate removal of evidence occurs when the International Criminal Court (ICC) is still investigating crimes in Palestine, alongside other cases under universal jurisdiction in national courts. Destroying crime scenes before investigations are finished hampers legal accountability and complicates efforts by international investigators and prosecutors to establish facts, as vital evidence may be lost once removed from the Gaza Strip.

Moreover, Article 70(1)(c) of the Rome Statute considers “destroying, tampering with or interfering with the collection of evidence” as criminal acts that hinder the ICC’s justice mission when done deliberately. The ICC Prosecutor should investigate these actions as deliberate interference with evidence collection related to the ongoing investigation into the Situation in the State of Palestine, which also includes unlawful destruction, seizure, or pillage of property.

The large-scale crushing and removal of rubble not only destroys evidence but also erases land boundaries, house foundations, street networks, and neighbourhood features. This process strips Palestinians of the physical markers of ownership and their connection to the land, making it more difficult for them to return and rebuild their communities as they once were.

Transforming forcibly depopulated Palestinian towns and neighbourhoods into levelled, open spaces under Israeli control is a concrete act that deepens the displacement and ethnic cleansing. This process is inseparable from Israeli settler colonialism, which involves uprooting Palestinians, erasing signs of their presence, and redefining the land without them. This sets the stage for Israel’s efforts to re-establish settlements in Gaza and displace Palestinian residents, advancing a new phase of colonisation and the ongoing denial of land and the right of return.

The international community, including the Security Council, the UN General Assembly, and states parties to the Rome Statute, must urgently intervene to halt the systematic removal and transport of rubble from the Gaza Strip. They should also advocate for independent international forensic and criminal investigation teams to be granted access to assess and document the destruction sites before any further removal or transport occurs, ensuring that physical evidence is preserved to hold those responsible for genocide accountable.

Euro-Med Monitor urges the international community to push Israel to immediately and fully stop all rubble removal and transport activities. This includes requiring detailed disclosures of transported materials, weighing logs, truck routes, ultimate destinations, company and contractor names, beneficiary parties, payment information, machinery and truck registration numbers, and tracking data, as well as transparency regarding any sale, recycling, or commercial use of materials extracted from Gaza.

Furthermore, removing rubble or recyclable materials from the Gaza Strip should be prohibited until a transparent Palestinian and international system for managing these materials is put in place. This system should ensure that any unlawfully transported materials are either returned or their full value is compensated to the owners. Additionally, rubble suitable for reuse should be allocated to local reconstruction projects that benefit the Palestinian population and protect individual and public property rights.

States where the implicated companies or machinery manufacturers are based should mandate a halt to any actions that could lead to property demolition, evidence removal, or rubble seizure. They must also preserve all relevant contracts, correspondence, and operational data, and carry out independent investigations into the accountability of their directors and staff. Euro-Med Monitor urges targeted measures against individuals and companies found to have known about and taken part in these illegal activities, such as exclusion from public contracts, freezing assets, and criminal prosecution.

Any efforts to remove rubble or rebuild in the Gaza Strip must be led by Palestinians, involving local residents, property owners, and families of the missing. These initiatives should ensure the protection of evidence, recovery of remains, clearance of unexploded ordnance, sorting of hazardous materials, local reuse of rubble, preservation of property maps and urban fabric, and prevent reconstruction from being used to cement control or alter the enclave’s geographic or demographic makeup.

Euro-Med Monitor affirms that a ceasefire or political agreements do not erase crimes or their evidence. Reconstruction and rubble removal should happen alongside preserving evidence, discovering the fate of the missing, recovering property, holding perpetrators accountable, and ensuring victims’ rights to truth, justice, and reparation.

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Israeli Bullet Rips a Child’s Hand in a Gaza Classroom

CROSSFIREARABIA – A bulled fired by an Israeli soldier pierced through the hand of a pupil in-the-sixth grade and lodged into his wrist. The incident occurred on Monday while the pupil was sitting in class in school in Gaza City according to the Education Ministry. It said the boys name was Khaled Al Ashram from Al Sawafir School in the west of Gaza City. “The bulled pierced the small hand of the child while he was sitting at a school desk holding his open,” a Ministry statement emphasized. In its statement the Ministry included a photo showing the hand of the child pierced by the bullet and covered in blood according to Anadolu.

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