On 8 July 2014, Israel initiated a military offensive in the Gaza Strip. Although accounts vary, most estimates put the number of residents of Gaza killed in the 50-day armed conflict at over 2,100, of whom at least 70% were civilians, including over 500 children. Over 11,000 were wounded and over 100,000 made homeless. According to Israeli official accounts, 73 Israelis were killed: 67 soldiers and 6 civilians, including one child and one migrant worker. 469 soldiers and 255 civilians were wounded.
Questions arose regarding violations of international human rights and humanitarian law in the course of the conflict. In July 2014, following discussions with Al Mezan Center for Human Rights, Physicians for Human Rights-Israel (PHR-Israel) commissioned a fact-finding mission (hereafter ‘FFM’) to Gaza, whose aim was to gather evidence and draw preliminary conclusions regarding types, causes and patterns of injuries and attacks; attacks on medical teams and facilities; evacuation; impact of the conflict on the healthcare system; and longer-term issues including rehabilitation of the wounded, mental health, public health and displacement.
PHR-Israel recruited 8 independent international medical experts, unaffiliated with Israeli or Palestinian parties involved in the conflict: four with special expertise in the fields of forensic medicine and pathology; and four experts in emergency medicine, public health, paediatrics and paediatric intensive care, and health and human rights.
The FFM made three visits to the Gaza Strip between 19 August and 12 November 2014. Access and meetings were facilitated by PHR-Israel in partnership with local Palestinian non-governmental organisations: the Al Mezan Center for Human Rights, the Gaza Community Mental Health Programme (GCMHP) and the Palestinian Center for Human Rights in Gaza (PCHR).
Meetings and site visits were held in medical facilities and in the community, and included interviews with victims, witnesses, healthcare professionals and human rights workers, officials from the Gaza Ministries of Health and Justice, and representatives of international health organisations in Gaza and the West Bank. Wherever possible, forensic, medical and other material evidence was collected to support oral testimonies.