SITUATION OVERVIEW
From 7 to 30 October at least 9770 people were killed in Gaza: 41% are children (4008), 45% female (4409) and 55% male (5361), according to MoH. 141 Palestinians have been killed in the West Bank; 30% (43) are children.
According to Israeli authorities, 1400 Israelis and foreign nationals have been killed, 5,400 injured and 239 being held hostage since the hostilities started.
Gaza: Largescale fatalities and casualties with mass displacement of 1.5 million people and continued siege severely restricting entry of essential supplies, as well as entry/exit of humanitarian workers and evacuation of the injured/sick.
Of 1.5 million displaced, 717 000 are in UNRWA shelters; 122 000 in hospitals, churches, and public buildings; and 110 000 people in 89 non-UNRWA schools. 2260 people including 1270 children reported to be missing and may be trapped under the rubble, obstacles to providing first aid response.
West Bank, including east Jerusalem: Increased settler and military violence, including airstrikes and live ammunition.
Complete obstruction at checkpoints between Palestinian towns and closure of several communities, restricting access for patients, health personnel and ambulances. Since 7 October, at least 1048 people, including 424 children, have been forcibly displaced in the context of settler violence, discriminatory planning regulations in Area C and east Jerusalem, and punitive demolitions.
HEALTH NEEDS AND RISKS
Gaza
• Traumatic injuries: at least 24 808 people injured in Gaza, of whom 33% are children (8283), 34% female (8479) and 66% male (16 329).
• Destruction severely affecting infrastructure in the Gaza Strip and obstructing ambulance access to the injured.
• Functioning of health care facilities and ambulances is critically affected by acute shortages of fuel with lack of mains electricity, as well as depletion of medications and medical supplies.
• 350,000 non communicable diseases patients (diabetes, heart disease, cancer, and others). 1000 patients in need of kidney dialysis.
• 50,000 pregnant women, with an average of 183 births per day.
• 130 premature infants are dependent on incubators of which 61% are in the north, require electricity to keep them alive.
• A public health catastrophe is rapidly evolving in Gaza with high levels of violent deaths and injuries, mass displacement, overcrowding, major disruption and dysfunction of the health system, and damage to water and sanitation infrastructure.
• Routine surveillance systems are not functioning, and laboratory capacity is severely diminished, hampering detection and response of potential outbreaks. UNRWA shelters report thousands of cases of acute respiratory infections, diarrhoea, chickenpox, skin infections including scabies and others.
• Severe stressors for mental health affecting the whole population, including bombardment and siege. Over 485,000 people with severe or moderate mental health disorders were reported before the escalation in hostilities.
West Bank, including east Jerusalem • Increased injuries placing a high demand for emergency medical supplies for first response and at hospitals.
• Over 270 patients per day need access to health care in east Jerusalem, as well as in Israeli facilities, from the rest of the West Bank.
• At least 400 patients and companions from the Gaza Strip are stranded in the West Bank, including east Jerusalem.
• At least 5491 Palestinians from the Gaza Strip who had been working in Israel on 7 October are also sheltering in the West Bank, where they require primary health care support and provision of medications for chronic conditions.