Gaza Humanitarian Response | Situation Report No. 38

04 Dec 2025

As of 18:00 on 3 December 2025, unless otherwise noted.

This report, issued daily from Monday to Saturday, outlines efforts and progress made by the UN and its partners to scale up humanitarian response across the Gaza Strip under the ceasefire that entered into effect on 10 October 2025. For all situation reports see here.

HIGHLIGHTS

In the last 10 days, six health service points have become newly functional across the Strip. Over sixty per cent of all health facilities, however, remain non-operational.
During the month of November, at least 50 new Temporary Learning Spaces (TLS) were established across the Strip. Over 370 TLSs are currently functional in Gaza, providing in-person learning for approximately 215,000 children or 32 per cent of all school-aged population in Gaza.
In five days, Shelter partners reached 4,400 families with critical shelter items across all Gaza governorates.

SITUATION OVERVIEW

On 3 December, reports of airstrikes, shelling, and gunfire continued in North Gaza’s Beit Lahiya area, east of Gaza city, east of Deir al Balah, east and southeast of Khan Younis, as well as north and north-east of Rafah city. According to the Gaza Ministry of Health, six people were killed and 16 injured.

The Israeli Defence Forces reported that four soldiers were injured in an attack by militants emerging from a tunnel in Rafah. As a result of the clashes in the area, all UN operations along Philadelphi Corridor were temporarily halted.

On 4 December, Israeli authorities confirmed that the remains transferred to them the evening before (SitRep #37) belonged to the last deceased Thai hostage. Presently, the body of one Israeli hostage is still believed to remain in the Gaza Strip.

Site Management Cluster partners are undertaking efforts to relocate approximately 4,000 people living along the Khan Younis shoreline in areas at risk of risk flooding and unstable sand cliffs. One thousand people have been prioritized for relocation, and 3,000 to receive in-situ shelter support. The cluster is working with the Khan Younis municipality to operationalize two safer relocation sites, while similar discussions are ongoing with the Deir al Balah and Gaza city municipalities to identify suitable land.

UNITED NATIONS-COORDINATED AID ENTRY^*

On 3 December, at least 4,860 pallets of aid administered by the UN and its partners were offloaded at Gaza’s crossings, based on data retrieved from the UN 2720 Mechanism dashboard at 19:00 on 4 December. About 70 per cent of these pallets contained food supplies, followed by water, sanitation and hygiene items (12 per cent), shelter supplies (11 per cent), nutrition supplies (5 per cent), and health supplies (2 per cent). At least 178 truckloads were offloaded at Kerem Shalom and 31 at Kissufim.

On the same day, UNOPS international monitors deployed at Gaza’s crossing verified the collection of at least 5,450 pallets of aid – 4,909 from Kerem Shalom between 08:30 and 15:45 and 541 from Zikim between 07:58 and 09:30. These comprised inter alia 3,118 pallets of food assistance, including flour, canned chickpeas and lentils, 1,687 pallets of dignity kits and 44 of hygiene kits, 153 of tents, 280 of blankets and winter clothes, 54 of sleeping mats, as well as 50 of mobility devices.

Overall, between the announcement of the ceasefire on 10 October, and 3 December, at least 137,902 pallets of humanitarian cargo were offloaded, and 119,191 pallets were collected from the different crossings. Only 2 per cent of all uplifted aid was intercepted during transit within Gaza, while over 117,000 pallets safely reached warehouses for onward distribution to people in need.

All the above data excludes bilateral donations and the commercial sector.

As of 4 December, the Kerem Shalom, Zikim and Kissufim crossings remained operational, with humanitarian cargo offloading and uplifting alternating days between Zikim and Kissufim.

Since the ceasefire, UNOPS has collected 182 trucks of fuel into Gaza, corresponding to approximately 7 million litres of diesel and around 105,000 litres of petrol.

Health

Between 24 November and 3 December, six additional health service points became operational across the Strip: one field hospital, one primary health care centre (PHC), and two medical points in Gaza City, one medical point in Khan Younis, as well as one PHC in Rafah. The total number of functioning health facilities has risen by approximately 17 per cent since the October ceasefire. More than 60 per cent of all health service points, however, remain non-operational across the Strip.
On 3 December, the Health Cluster facilitated the referral and transfer of the first patient to the Emirati Field Hospital in Rafah, which until recently had been inaccessible following the 2024 Rafah incursion. Presently, this is the only functioning medical facility serving the Rafah area.

Shelter

Between 30 November and 3 December, Shelter partners reached 4,400 families across the Strip with critical shelter and NFI assistance. Supplies distributed included 552 clothing vouchers, 354 tents and 145 tarpaulins in North Gaza and Gaza city governorates, benefiting 1,302 households; 1,291 tarpaulins, 983 clothing kits, 556 blankets, 266 kitchen sets, and 87 tens in Deir al Balah and Khan Younis, to support 2,164 households in total, and 3,906 tarpaulins to 1,302 families in Rafah.

Water, Sanitation and Hygiene

WASH Cluster partners are rehabilitating five wells in the Beit Lahiya area of North Gaza, one of which will provide drinking water through the installation of a desalination plant. Repairs have also begun on three wells in Gaza city and a 10-metre damaged section has been replaced at Al Shati Camp. In Khan Younis, the Al Rahma water reservoir is now 50 per cent operational, while maintenance on a well in the governorate has been completed, and pumping is expected to start next week.
Water production by the Southern Gaza Desalination Plant has increased following the addition of a high-pressure pump.
Cluster partners are repairing water networks in Gaza city. Communal water tanks and bladders have been delivered for shelters and camps in Khan Younis, while two displacement sites in Deir Al Balah have been connected to municipal water networks.
Partners are supporting winterization works, including clearing stormwater networks and manholes in streets adjacent to Nuseirat camp, in Deir al Balah.
The repair of two sewage trucks for the Coastal Municipalities Water Utility (CMWU) operating in Deir al Balah was undertaken. Sewage system manholes are being assembled from rubble blocks due to the lack of cement or pre-cast concrete manholes.

Protection

Between 30 November and 3 December, Protection Cluster partners collectively reached over 12,000 people through protection services, including psychosocial support, relief assistance, targeted support for people with disabilities, and community-based interventions.
During the same reporting period, jointly with the Prevention of Sexual Exploitation and Abuse (PSEA) Network, mobile protection teams conducted 46 safeguarding visits at distribution points to ensure assistance was safe, accountable, and protection sensitive. Additionally, 13 people with disabilities were integrated into the Mobile Teams after completing training on Protection and Safeguarding monitoring at distribution sites.

Gender-Based Violence Prevention and Response

Between 1 and 3 December, Gender-Based Violence (GBV) partners reached approximately 2,500 women and girls across the Strip with case management, cash for protection, awareness-raising, and targeted psychosocial support to address GBV.
During the same period, 1,000 dignity kits and menstrual hygiene management (MHM) items, were distributed via partners, particularly in northern Gaza and Khan Younis, based on assessed needs.
Additional small grants and resources were provided to partners to scale up services in Gaza city (including Beach camp area), Khan Younis, and Maghazi camp, in Deir al Balah.

Mine Action

On 4 December, 2 Explosive Hazards Assessment (EHAs) were completed in Deir al Balah and Gaza city, bringing the total EHAs to 52 completed over the past week, most of them in support of rubble removal activities.
Explosive Ordnance Risk Education activities continue through five partners in Deir al Balah, Khan Younis, and Gaza city.
Mine action partners are working to expand their operational capacity; however, the lack of dedicated vehicles to access assessment sites remains a significant constraint.

Education

During the month of November, at least 50 new Temporary Learning Spaces (TLSs) were established across the Strip, bringing the total of TLSs to more than 370 sites across the Strip that now provide in-person learning opportunities to approximately 215,000 school-aged children - up from 154,000 in October. Despite this progress, coverage remains limited to about 32 per cent of the school-aged population, highlighting the urgent need for additional resources to sustain the scale-up of TLSs and to ensure the dignified relocation of displaced populations currently sheltering in school buildings.

Nutrition

On 1 December, the Nutrition Cluster visited a Stabilization Centre for the treatment of Severe Acute Malnutrition with medical complications and an Outpatient Therapeutic Program (OTP) site in Gaza city where they observed some improvements. While progress was noted in the malnutrition detection rate and supply availability at the OTP site, critical gaps persist at the Stabilization Centre including staffing, water shortages, and support for vulnerable children requiring specialized care or evacuation.

Site Management Cluster

Site management interventions remain limited due to shortages of materials, access, and safety constraints, with partners covering only 30 per cent of known displacement sites. Over 1 million people in sites lack basic site management support, including drainage, planning, and community structures. The cluster continues to prioritize winterization works such as drainage pathways, and basic flood protection where possible.

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