Gaza Humanitarian Response | Situation Report No. 43

10 Dec 2025

As of 18:00 on 9 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

The Bani Suhaila Mekorot water pipeline, which last week supplied an average of 16,200 cubic metres of drinking water per day in Khan Younis, is now damaged and out of service.
Three new outpatient malnutrition treatment sites opened in northern Gaza during the first week of December, bringing the total number of operational malnutrition sites to 41 in the north and 182 across the entire Gaza Strip.
Over the past three days, approximately 20,000 dignity kits and 10,000 menstrual hygiene management kits were prepositioned in northern and southern Gaza to ensure essential support for vulnerable women and girls. In the meantime, the distribution of 146,208 child winter clothing kits is progressing apace.

SITUATION OVERVIEW

Sporadic reports of airstrikes, shelling and gunfire continued across all governorates, with the majority recorded in Gaza city, east of the “Yellow Line”. According to the Gaza Ministry of Health, two people were killed and five injured in the past 24 hours.

On 10 December, OCHA coordinated a body retrieval mission carried out by a Palestinian Civil Defense team in Beit Lahiya, in the North Gaza governorate. The body was reported by a UN mission in the area at the Al Waha Junction near Al Rasheed Road, approximately 1,450 metres south of the “Yellow Line.” The team retrieved the remains and transported them to Al Shifa Hospital in Gaza city. The deceased was reportedly a fisherman.

On 9 December, two bullets reportedly hit the ground floor of UNRWA’s Maghazi Health Center in Deir al Balah, located near the “Yellow Line.”

With a storm anticipated, low temperatures and rains are putting vulnerable groups at particular risk, including newborn children for whom hyperthermia is extremely dangerous. The UN and partners have targeted efforts to deliver assistance to communities living in flood-prone areas, including by scaling up the distribution of winter clothes for children from 5,000 to 8,000 kits per day.

In preparation for expected storm, Site Management partners have been proactively distributing the remaining flour sacks to be utilized as sandbags, along with tools and sand wherever feasible. Communication channels have been established with communities through designated site focal points to inform them about the forecasted rainfall, with practical guidance provided to help residents prepare.

According to a flood risk analysis concluded by the Site Management Cluster, 761 displacement sites hosting about 850,000 people, are at the highest risk of flooding. Over 3,500 displacement movements were recorded on 7 and 8 December, likely in anticipation of forecasted heavy rainfall expected to make landfall on 10 December.

Partners have also been accelerating the relocation of displaced households from high-risk shoreline areas. On 10 December, an initial group of 200 families was expected to relocate to a new site identified by municipal authorities in what remains of Hamad city, in eastern Khan Younis. Work continues to enable the relocation of an additional 300 households. Meanwhile, municipalities in Khan Younis are identifying more land, and site preparations are being expedited to facilitate the movement of further vulnerable families in the coming days.

UNITED NATIONS-COORDINATED AID ENTRY^*

On 9 December, at least 2,367 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 18:00 on 10 December. About 46 per cent of these pallets contained food supplies, followed by shelter (31 per cent), water, sanitation and hygiene items (13 per cent), nutrition (9 per cent) and health supplies (1 per cent). At least 102 truckloads were offloaded at Kerem Shalom and 50 at the Zikim crossing.

On the same day, UNOPS international monitors deployed at Gaza’s crossings verified the collection of at least 3,736 pallets of aid – 3,514 from Kerem Shalom between 08:33 and 15:15, and 222 from Kissufim between 07:02 and 09:06. These comprised inter alia 2,556 pallets of food assistance, including flour, pasta, rice and canned food, 710 of blankets and tarpaulins, 215 of winter clothes, 165 of infant formula and 55 of medicines.

Overall, between the announcement of the ceasefire on 10 October, and 9 December, at least 153,785 pallets of humanitarian cargo were offloaded, and 135,366 collected from the different crossings. Only 2 per cent of all uplifted aid was intercepted during transit within Gaza, while over 133,400 pallets safely reached warehouses for onward distribution to people in need.

The above data excludes bilateral donations and the commercial sector.

On 9 December, five out of six humanitarian movements submitted for coordination with the Israeli authorities were facilitated. Denied outright was a planned assessment mission to Ash-Shaaf Maqbara and surrounding areas, in Gaza city, to gauge priority health, WASH, nutrition and protection needs of communities in those locations and provide appropriate support.

HUMANITARIAN RESPONSE

Food Security

Between 1 and 8 December, Food Security Sector partners reached 52,000 households (approximately 260,000 people) with general food distributions as part of the December monthly assistance cycle. Families are receiving aid via 60 distribution points, including one newly established in the Beit Lahiya area of North Gaza that opened this week.
The distribution of the 3,500 veterinary kits that entered Gaza on 5 December has commenced (SitRep #41 refers). So far, 133 herders have received one kit and three bags of fodder in Deir Al Balah.

Nutrition

On 8 December, the Nutrition Cluster collected from the crossings 247 pallets of Ready-to-Use Complementary Food (RUCF), which will meet the nutritional needs of over 5,000 infants and young children for one month. The Cluster equally uplifted 167 pallets of Ready-to-Use Infant Formula (RUIF), sufficient to support more than 3,600 infants who cannot be breastfed for one month. While more RUIF is also expected to enter Gaza, there remains a supply gap in therapeutic milk (F-100). However, given the significant decline in malnutrition cases requiring inpatient treatment and the availability of therapeutic food (RUTF), this shortage is not expected to pose a major challenge.
On the service delivery side, three new outpatient therapeutic sites for the treatment of malnutrition opened in northern Gaza during the first week of December, bringing the total number of operational sites to 41 in the north and 182 across the entire Gaza Strip. Approximately two-thirds of these sites provide integrated health and nutrition services, while the remaining one-third focuses exclusively on nutrition. Overall, the number of functional malnutrition sites has increased by 42 per cent compared to the month prior to the ceasefire.

Water, Sanitation and Hygiene

The Bani Suhaila Mekorot water pipeline in Khan Younis is damaged and out of service. Last week, this pipeline supplied an average of 16,200 cubic metres of drinking water per day, with its damage representing a key concern. On 10 December, the team attempted to reach the site through coordination with the Israeli authorities, but access was denied.
As part of flood preparedness measures, mobile pumps have been prepositioned in high-risk locations, contractors with heavy machinery and equipment are on standby, and mobile pumping units have been deployed in low-lying areas. Stormwater and sewage system unblocking and cleaning continues across Gaza.
Cross-sectoral assessments are ongoing at the Nasser, Al Aqsa and Al Shifa hospitals to reinforce water supply and chlorination. The WASH Cluster is providing 30,000 cubic metres of drinking water per day to the Al-Shifa Hospital through the subsidized water program.
Medical waste management in accordance with Scenario B of the approved medical waste protocol is taking place north of Wadi Gaza at the destroyed Sheikh Ijleen wastewater plant site. Scenario B includes clay coverage of medical waste in a temporary control cell location. The 8,000 sharps boxes from Al-Rantisi Hospital have already been transferred.

Protection

Child Protection
- Partners are continuing the distribution of 27,622 winter clothing kits for children aged 0-3 months, 33,438 kits for children up to 12 months of age, and 85,148 kits for children aged 1–2 years. So far, 70 per cent of these kits have already been distributed through child protection and health partners and delivery hospitals. Due to the shortage of funding, partners will only be able to cover 37 per cent of the children in need.
Gender-Based Violence (GBV) Prevention and Response
- The GBV Area of Responsibility (AoR) is supporting partners with dignity kits and menstrual hygiene materials (MHM) for women and girls. Over the past three days, approximately 20,000 dignity kits and 10,000 MHM kits have been prepositioned with GBV AoR partners in both northern and southern Gaza to ensure vulnerable women and girls can access essential support through the storm.
- As part of the closure of the 16 Days of Activism campaign on 10 December, GBV partners conducted a “Men Leading Change” training program in Deir Al-Balah, targeting 15 camp management male staff. The training emphasized the importance of engaging men in promoting sexual and reproductive health knowledge and preventing gender-based violence, fostering their role as partners in the family, and community protection. Other activities included interactive art therapy, recreational sessions, and focused psychosocial support directly targeting women and girls.
- Over the past three days, a total of 3,400 women and girls benefited from multisectoral GBV response services provided at Women and Girls’ Safe Spaces (WGSSs) across Gaza, including case management, psychosocial support, awareness sessions, and referrals across Gaza.
Mine Action
- On 9 December, Mine Action partners conducted five Explosive Hazard Assessments (EHAs) in support of rubble removal efforts in Gaza city and Deir al Balah. Overall, 32 EHAs were conducted in the last week, 80 per cent of which in support of rubble removal efforts.
- Explosive Ordnance Risk Education activities continue through five partners in Gaza city, Deir al Balah, and Khan Younis.

Fuel

Between 1 and 10 December, UNOPS collected approximately 1.83 million litres of diesel from Kerem Shalom and distributed nearly 1.57 million litres across northern and southern Gaza to support critical humanitarian operations.

* 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.