Israeli bombardment and airstrikes continued during the past 24 hours. According to the Israeli military spokesperson, Israeli forces expanded their ground operations within the Gaza Strip.
While communication lines were largely restored by the morning of 29 October, it is difficult to assess the real extent of damages and fatalities on 27-29 October, with Civil Defense and medical personnel struggling to reach casualties. According to anecdotal evidence, in the north of Gaza, airstrikes appear to be systematically destroying sections of entire residential areas.
Among the deadliest attacks reported in the past 24 hours were airstrikes targeting residential structures. In the early hours of 29 October, airstrikes reportedly struck a house in Jabalia, northern Gaza, killing 26 Palestinians, while 14 others are still under the rubble. About the same time, another house was hit in Khan Younis Camp, southern Gaza, killing 16 Palestinians and injuring 25 others.
Since 7 October, 8,005 Palestinians have been killed, including at least 3,324 children and 2,062 women, and about 20,242 have been injured, according to the MoH in Gaza. Over two thirds of fatalities are said to have been killed in their homes alongside their family members.
Among these fatalities, 995 have not been identified yet, including at least 248 children. As of 27 October, over 60 per cent of the fatalities were reported in the northern region of Gaza.
As of 29 October, about 1,800 people, including at least 940 children, have been reported missing and may be trapped or dead under the rubble, awaiting rescue or recovery. Rescue teams, primarily from the Palestinian Civil Defense, are struggling to carry out their missions, amid continuous airstrikes, severe shortage of fuel to run vehicles and equipment The Palestinian Red Crescent Society (PRCS) announced that, due to the lack of fuel, it was forced to reduce the number of ambulances it operates.
Palestinian Civil Defense has stated that the decomposition of bodies under collapsed buildings, amid the limited rescue missions, raises humanitarian and environmental concern.
According to the MoH in Gaza, as of 27 October, 192 Palestinian families had lost ten or more of their members, 136 Palestinian families had lost 6 to 9 members, and 444 families had lost two to five of their members.
According to Israeli sources, at least 1,400 Israelis and foreign nationals have been killed in Israel, and at least 5,431 have been injured, the vast majority on 7 October. Israeli media reported that, as of 25 October, the names of 1,117 of these fatalities have been released, including 808 civilians, 309 soldiers. Of those whose ages have been provided, 30 are children.
The cumulative number of IDPs since the start of hostilities in Gaza is estimated at over 1.4 million. This figure includes nearly 671,397 people staying in 150 UNRWA facilities, 121,750 sheltering in hospitals, churches, and other public buildings, and nearly 83,000 in 72 non-UNRWA schools. In addition, the Ministry of Social Development estimates that some 700,000 IDPs are residing with host families.
Reports suggest that IDPs are moving from one area to another based on the availability of means to survive, food and water, and security concerns.
As of 29 October, MoH in Gaza agreed to provide services to at least 117,000 IDPs sheltering in 13 hospitals and other health care facilities, mainly in Gaza city and north Gaza. These services will be administered through the Ministry of Social Development similar to the services provided in other public shelter centres.
Over 15 percent of the IDPs are estimated to have disabilities, yet most shelters are not adequately equipped for their needs. Shelters lack the required medical mattresses and beds, causing ulcers and other medical issues that cannot be treated in unsterilized conditions.
In Israel, hundreds of thousands of people residing near the Gaza Strip, as well as along the border with Lebanon, have fled or been evacuated, with the Israeli authorities providing for the needs of these IDPs (this report focuses on the humanitarian situation in Gaza).
Since 11 October, Gaza has been under a full electricity blackout, following Israel’s halt of its electricity and fuel supply to Gaza, which in turn triggered the shutdown of Gaza’s sole power plant. This has forced essential service infrastructure to rely on backup generators, which are limited by the scarcity of fuel in the Strip. Goods entering Gaza since 21 October through the Rafah crossing have not included fuel.
Hospitals are facing an unprecedented level of devastation, primarily driven by the overwhelming number of injuries, critical shortages of vital resources and concerns of being targeted by airstrikes. Over the past 24 hours, on two separate occasions, the vicinity of the Al Quds hospital in the North of Gaza was bombarded; affecting staff, patients and 14,000 IDPs. In the same time period, residential buildings near the Indonesian Hospital, in Beit Lahia and Shifa Hospital in Gaza city, were hit, reportedly by airstrikes.
Since the start of hostilities, over one-third of hospitals in Gaza (12 of 35) and nearly two-thirds of primary health care clinics (46 of 72) have shut down due to damage or lack of fuel, increasing the pressure on the remaining health facilities that are still operational. All ten hospitals* in the north have received evacuation orders.
On 29 October, at least 33 trucks entered Gaza through the Rafah Crossing, including 12 trucks carrying medical supplies and 3 trucks carrying medical supplies and other items.
Overall, at least 70 out of the 117 trucks that have entered Gaza through the Rafah crossing since 21 October, carried medical supplies. While limited in volume, these supplies play a crucial role in bolstering trauma response and sustaining essential healthcare services.
The distribution plan for these supplies is based on the needs confirmed on the ground by technical officers, by WHO, and by PRCS in Gaza. After delivery into Gaza and reception, the technical officers accompany the supplies to each hospital. Post-delivery monitoring is carried out regularly to assess consumption.
The ongoing hostilities have displaced most of the medical professionals in Gaza, forcing the hospitals to operate with less than one-third of their normal staffing levels, according to MoH in Gaza. The hospitals continue to suffer from a severe fuel shortage, leading to stringent rationing and limited use of generators for only the most essential functions. Moreover, maintaining and repairing backup generators, originally not intended for continuous operation, is growing increasingly challenging due to the scarcity of spare parts.
Two out of the 33 trucks that entered Gaza on 29 October through the Rafah crossing carried WASH supplies and other items. Overall, out of the 117 trucks that have entered Gaza through the Rafah crossing since 21 October, at least 13 carried WASH supplies.
On 29 October, the Israeli authorities informed the Palestinian Water Authority (PWA) that they would resume water supply from Israel to the Middle Area and that PWA personnel is authorized to repair the damage sustained by the relevant pipeline. Once repaired, this connection is expected to supply about 500 cubic metres of drinking water per hour. This would be the second pipeline from Israel (out of three) to resume operations, after the connection supplying southern Gaza was reactivated on 15 October.
Additionally, water supply to the areas south of Wadi Gaza have witnessed significant improvement since 22 October, following daily deliveries of small amounts of fuel by UNRWA and UNICEF from their reserves within Gaza to key water facilities.
These deliveries have enabled two seawater desalination plants in the Middle Area and Khan Younis to resume operations at 30 per cent of their full capacity (the third seawater desalination plant in northern Gaza remains closed). Furthermore, the supply of piped water to other areas in the south, primarily brackish water, was made possible by the operation of 120 water wells and 20 pumping stations. On the other hand, about 70 per cent of leakage was identified in one of the main pipelines between Rafah and Khan Younis, due to the damage it sustained, compelling water providers to resort to less efficient water trucking.
As of 29 October, only one of the bakeries contracted by the World Food Programme (WFP), and eight additional bakeries (one in Rafah, four in Khan Younis, and three in the Middle area) are operational and supplying bread to shelters. The shortage of fuel is the primary obstacle preventing these bakeries from meeting local demand. Unless fuel is allocated to them, most bakeries will shut over the next few days.
During the same nine-day period, ten bakeries were struck and destroyed; six in Gaza city, two in northern Jabalia, and two in the Middle Area (Maghazi Camp and Nusseirat). As a result, people are struggling to obtain bread. Long queues between 4-6 waiting hours are reported in front of bakeries, where people are exposed to airstrikes.
WFP estimates that current stocks of essential food commodities in Gaza are sufficient for about eight days. However, at the shop level, the available stock is expected to last for five days. Retailers are facing significant challenges when restocking from wholesalers due to widespread destruction and lack of security.
Out of the 117 trucks that have entered Gaza through the Rafah crossing since 21 October, at least 57 carried food and three carried nutrition items, including ready-to-eat food such as canned tuna, canned meat, and other non-perishables. All food items are being distributed in UNRWA shelters. With delivery, WFP began the distribution of corned beef and canned tuna at a DES in the Khan Younis Training Center.
Thirty-tree trucks with humanitarian supplies entered on 29 October through the Rafah crossing with Egypt after passing through Nitzana crossing between Israel and Egypt (about 40 kilometres south of Rafah) for security checks by the Israeli authorities. The trucks contained beds, food, medical and WASH items.
Prior to the hostilities, patients, including some 2,000 cancer patients from Gaza, had been referred for regular treatment in hospitals in East Jerusalem and Israel. However, this practice has been halted since 7 October.
Access to the sea along Gaza’s shore has been prohibited by the Israeli military, and all fishing activity ceased when the hostilities began. Access to areas near Israel’s perimeter fence remains prohibited, and it has expanded from 300 to 1,000 metres from the border, barring entry to key agricultural areas.
All humanitarian agencies and personnel have faced significant constraints in providing humanitarian assistance, due to ongoing hostilities, movement restrictions and shortages of electricity, fuel, water, medicines, and other essential items. Humanitarian partners cannot safely access people in need and warehouses where aid supplies are stored.
On 28 October, thousands of people entered several UNRWA warehouses and took food supplies and hygiene kits. One of the warehouses, in Deir al Balah, is where UNRWA stores supplies from the humanitarian convoys coming from Egypt.
Despite these challenges, humanitarian actors are working around the clock to support the most vulnerable. The major operation entails the hosting of IDPs in UNRWA schools, where basic food, medicine and support is provided to retain dignity and a glimmer of hope. Other interventions include the distribution of food and cash assistance to IDPs and emergency fuel to WASH facilities, psychosocial support helplines, and a mass media campaign to raise awareness about the risks of unexploded ordnance (for further detail, see Humanitarian Needs and Responses).
As of 27 October, about US$107.93 million worth of pledges have been confirmed in support of the inter-agency Flash Appeal launched on 12 October by the oPt Humanitarian Country Team. This represents about 37 per cent of the estimate required when the Appeal was first launched. Of the total amount pledged, 88 per cent are for UN agencies and 12 per cent for national and international NGOs. About $81.85 million were earmarked for UNRWA; $7.1 million for WHO, and $4 million for WFP.
Private donations to the Occupied Palestinian Territory Humanitarian Fund are collected online through this link: crisisrelief.un.org/opt-crisis.
In the West Bank, between the afternoon of 28 October and 21:00 on 29 October, Israeli forces killed four Palestinians, and another one died from wounds sustained previously. Three Palestinians were killed during search-and-arrest operations in Beit Rima (Ramallah), Ad Duheisha Refugee Camp (Bethlehem), and Tammun (Tubas). In two separate incidents, one Palestinian was killed, and another died from wounds sustained after being shot by Israeli forces during confrontations that occurred during punitive demolitions in Askar and Balata Refugee Camps (both in Nablus).
Since 7 October, Israeli forces and settlers have killed 115 Palestinians, including 33 children. Almost 50 per cent of the total were killed during confrontations that followed Israeli search-and-arrest operations; about 40 per cent in the context of demonstrations in solidarity with Gaza; and most of the remaining 10 per cent during attacks and alleged attacks by Palestinians against Israeli forces or settlers, and in settler attacks against Palestinians.
Since 7 October, Israeli forces and settlers have injured 2,150 Palestinians, including at least 193 children. Some 27 per cent of the injuries have been caused by live ammunition. The number of Palestinian injuries from live ammunition is almost eight times higher than the average of such injuries between 1 January and 6 October 2023.
The already high level of Israeli settler violence recorded during the first nine months of 2023 has sharply increased since the escalation of hostilities. Since 7 October, OCHA has recorded 167 settler attacks against Palestinians, resulting in Palestinian casualties (26 incidents), damage to Palestinian property (113 incidents), or both casualties and damage to property (28 incidents). This reflects a daily average of seven incidents, compared with three since the beginning of the year.
More than one-third of the incidents involved threats with firearms, including shooting, by settlers. Almost half of all incidents involved Israeli forces accompanying or actively supporting Israeli settlers while carrying out the attacks. Many of the latter incidents were followed by confrontations between Israeli forces and Palestinians, where three Palestinians were killed, and dozens injured. Affected properties included 24 residential structures, 41 agricultural/animal-related structures, 73 vehicles and more than 650 trees and saplings.
Since 7 October, 65 Palestinians have been displaced following demolitions in Area C and East Jerusalem, due to lack of permits, and another 20 following punitive demolitions, targeting the family homes of perpetrators and alleged perpetrators of fatal attacks against Israelis.
In addition, there has been an increase in the displacement of Palestinians amid settler violence and access restrictions. Since 7 October, at least 98 households comprising 828 people, including 313 children, have been displaced in this context. The displaced households are from more than 15 herding/Bedouin communities.
On 28 October, 24 Palestinians households, comprising 141 people, half of them children, were displaced from Khirbet Zanuta herding community in Hebron, after settlers pointed guns at them, threatening to kill them if they do not leave. The following day, the families dismantled about 50 residential and animal structures and left the area along with their 5,000 livestock. One of the family members, 43-year-old Abu Khaled, stated:
“On 26 October, settlers attacked us, destroying our homes, water tanks, solar panels, and cars. That day, I felt the presence of death so tangibly as if I saw it with my own eyes. I was torn between staying in or leaving the place I love, where I belong, where I may die. On 28 October, I made the hardest decision in my life: to leave Zanuta and leave everything behind, as memories. I did this to protect my children."
Response to Date
Response to Date
Response to Date
Response to Date
Response to Date
Response to Date
Protection against sexual abuse and exploitation (PSEA) remains a cross-cutting priority for all clusters. The SAWA helpline, reachable at 121 and through WhatsApp at +972 59-4040121 (East Jerusalem at 1-800-500-121), operates 24/7. This toll-free number is widely disseminated across all areas of intervention to report cases of SEA and to facilitate emergency counseling and referrals for affected communities to access life-saving services. The PSEA Network monitors calls daily and will increase the number of counselors if necessary.
* This figure has been rectified following the publication of this update.