Gaza Humanitarian Response | Situation Report No. 2

22 Oct 2025

This daily report outlines UN and partners’ efforts and progress in scaling up the humanitarian response across the Gaza Strip under the ceasefire agreement that entered into effect on 10 October 2025.

HIGHLIGHTS

Rapid assessments of IDP shelters in Gaza city’s Az Zaytoun area highlight urgent need for safe drinking water provision, hygiene supplies, latrine and sewage network rehabilitation.
WHO facilitated the medical evacuation of 41 critical patients and 145 companions outside of Gaza. Two new field hospitals are being established in the northern and western parts of Gaza governorate.
New Stabilization Center for the treatment of Severe Acute Malnutrition opens in Khan Younis.
First WFP convoy with food parcels dispatched from southern to northern Gaza will commence distribution imminently. Six WFP-contracted bakeries in northern Gaza are now repaired and ready to start bread production.

SITUATION OVERVIEW

The Gaza Ministry of Health reported receiving 30 bodies of deceased Palestinian detainees on 21 October, bringing the total since the start of the ceasefire to 195.

On 21 October, the Site Management Cluster counted nearly 9,400 displacement movements across the three Population Flow Monitoring Points set up to assess displacement patterns across the Gaza Strip. Overall, nearly 58,000 movements were observed in the last three days - 25,600 from western to eastern Khan Younis, with the remainder from southern to northern Gaza.

On 22 October, an inter-cluster team conducted multisectoral rapid assessments at two collective centers sheltering IDPs in the Az Zaitoun neighborhood of Gaza city which are now hosting 205 newly returned families. This area was inaccessible prior to the ceasefire. Both communities reported a high prevalence of skin diseases due to poor hygiene conditions and lack of clean water. Residents at the first site reported consuming domestic water while those at the second travel back and forth multiple times to the nearest water point which is two kilometres away due to lack of sufficient jerricans. In both sites, there is a critical need to repair latrines and sewage systems to stop or avert sewage leakages. Services are extremely limited, with no medical point, mobile health services, or nutrition screening available. Beyond the urgent need for food, safe drinking water, hygiene materials, and equipment to repair water, sanitation and hygiene (WASH) infrastructure, the community stressed the need for cash assistance to purchase winter clothing, shoes, tarpaulins, and kitchen sets.

UNITED NATIONS-COORDINATED HUMANITARIAN AID ENTRY^*

UN and partner truck offloads and collections - 21 October

On 21 October, 177 UN and partner trucks were manifested through the Logistics Cluster. Of these, 147 were offloaded at the Kerem Shalom and Kissufim crossings. Approximately 67 per cent of all cargo offloaded was food aid, followed by WASH items – mostly diapers and hygiene kits (29 per cent) – and tarps for emergency shelter assistance (3 per cent). Only 5 out of 11 convoys with shelter items dispatched from Jordan via the Back-to-Back modality offloaded, while six others were rejected due to metal bars used to secure the tent pallets.

During the same timeframe, at least 80 United Nations-coordinated trucks were collected from the crossings for distribution into Gaza. These include 803 pallets of food supplies – mostly rations, fresh vegetables, rice, and wheat flour; 380 pallets of WASH items – water tanks, handwashing stations, hygiene kits, buckets and latrine slabs; 98 pallets of eco pellets and stoves for community kitchens, as well as 340,500 litres of diesel collected via Kerem Shalom.

Trucks manifested and collected (preliminary) - 22 October

A total of 222 UN and partner trucks were manifested for entry under the Logistics Cluster on 22 October. These comprised 108 trucks with food supplies – wheat flour, rations, date bars, high-energy biscuits, yeast, canned vegetables and bulk supplies for kitchens; 51 with shelter items – tarps, tent fittings, ropes, blankets, clothes and shoes; 24 with WASH items as water jerrycans, hygiene kits and diapers; 14 with medical supplies, medicines and medical equipment, including monitors, ventilators, and incubators; 14 with post-partum kits, and 11 with non-food items for community kitchens.

While no comprehensive data for cargo collection on 22 October is available yet, UNICEF safely uplifted 20 trucks with 473 pallets of baby diapers from Kerem Shalom. Two WFP food cargo uplift missions from Kissufim and Kerem Shalom also took place, but details remain unavailable.

With regard to fuel, UNOPS successfully collected four trucks with 159,000 litres of diesel from Kerem Shalom and distributed 118,084 litres of diesel and 1,231 litres of petrol for critical humanitarian operations.

HUMANITARIAN RESPONSE

Food Security

Through a south-to-north convoy, WFP dispatched food parcels to newly functional general food distribution (GFD) points in Gaza city, where they aim to resume household-level food parcel distributions.
Between 15 and 20 October, 150 mt of concentrate fodder was collected into the Gaza Strip. The distribution to livestock holders started in Deir Al Balah on 21 October. More fodder is expected to enter in the coming days.
On 21 October, 103,960 2-kilogram bread bundles were produced at the nine WFP-supported bakeries. Six additional contracted bakeries in northern Gaza are now repaired and ready for production, a further two bakeries have been assessed and ready for contracting.

Nutrition

A partner opened a second Stabilization Center (SC) for the treatment of Severe Acute Malnutrition with medical complications in Khan Younis, bringing the total number of SCs across the Gaza Strip to six—two sites per governorate in Gaza, Deir al Balah and Khan Younis.

Water, Sanitation and Hygiene

The Al-Samer pumping station in Gaza city has completed the testing phase and is now operating normally, discharging directly to the sea after being repaired yesterday.
The rehabilitation of Al-Sawarah sewage pumping station in Al-Zawaida, Deir al Balah, has been completed as the pressure pipeline clogged. The station is now operating normally.
Maintenance of the Mekorot water pipeline in Nuseirat, northern Deir al Balah, was completed, with damaged sections of the main pipeline replaced to ensure continuous water supply and improve access for residents.

Health

On 22 October, the World Health Organization facilitated the medical evacuation of 41 critical patients and their 145 companions outside of Gaza; this was the first medical evacuation since the onset of the ceasefire.
The Palestine Red Crescent Society (PRCS) is initiating a new field hospital in the northern part of Gaza city. The facility will initially consist of an out-patient department, in-patient department, emergency department, intensive care unit, and operating theatre. In parallel, work by IMC continues to establish a field hospital in the Kaateba area, in the west of the Gaza governorate.
Two Health Cluster partners conducted a family planning training session for 27 doctors, midwives, and nurses from local and international NGOs, UNRWA, and the Ministry of Health.

Shelter

On 21 October, the Cluster distributed 300 tents to prioritized households in Khan Younis.

Protection

Between 18 and 21 October, protection actors supported an estimated 21,000 people in displaced and returnee communities – key highlights:
- Child Protection: Across all governorates, 3,000 children and caregivers were provided with psychosocial first aid, psychosocial support, case management and follow-ups for at-risk children, including those with disabilities.
- Women’s Protection and GBV: Approximately 5,000 women and girls were provided with case management, psychosocial counseling, GBV/PSEA awareness, dignity and hygiene kits, life-skills sessions in safe spaces, as well as legal aid and mediation support.
- On 22 October, GBV partners provided another 337 dignity kits and 512 menstrual hygiene items to women and girls across Gaza through Women and Girls Safe Spaces (WGSSs).
- Currently, seven WGSSs are functional in Gaza city, 12 in Deir al-Balah, and 14 in Khan Younis, all providing essential GBV response services, including case management and psychosocial support to displaced women and girls.
- Disability inclusion: About 370 children with disabilities received psychosocial and speech-therapy services, with nutritional-support components for over 300 children. Assistive devices and adult-care items were provided to 30 people.
- Emergency relief: Partners distributed approximately 250 food parcels and emergency tents/hygiene kits to protection cases.
- Legal aid: Over 300 legal consultations were provided and documentation cases supported, with family-mediation sessions also conducted ensuring child-parent reunification and custody support.
- Mental Health and Psychosocial Support: Approximately 900 participants engaged in therapeutic, support activities, group and individual counseling, including through mobile Mental Health and Psychosocial Support teams. “Helping the Helpers” sessions were conducted for over 140 frontline staff to mitigate burnout.
- Mine Action: Mine Action partners provided technical expertise in three inter-agency missions. In parallel, 58 explosive ordnance risk education (EORE) facilitators delivered EORE sessions, reaching a total of 2,008 people across affected communities.

Education

Distribution of hygiene kits is currently ongoing across 32 Temporary Learning Spaces (TLSs) in Deir al Balah and Khan Younis, with 6,800 school-aged children reached thus far. The kits play a vital role in promoting good hygiene practices and supporting children’s health, dignity, and well-being within the TLS learning environment.
WFP has begun distributing nutrition supplies – High-Energy Biscuits and fortified date bars – to school-aged children across 18 TLSs in Gaza. The aim is to address the nutritional needs of children amidst food shortages and encourage enrolment and attendance.

* All figures solely refer to UN and partner assistance dispatched through the UN-coordinated system, are preliminary and will be reconciled in the course of the ceasefire. Trucks entering through bilateral donations and the commercial sector are not reflected.