According to the Israeli military, infantry and armored forces expanded their ground operations within the Gaza Strip overnight. Media reports indicate that such operations have focused on the outskirts of Gaza city, and on the northeast area of the Strip, including clashes with Palestinian armed groups. Bombardment and airstrikes continued over the past 24 hours, and some 600 targets were reportedly attacked.
In one of the deadliest incidents, on 30 October afternoon, airstrikes struck a wedding hall in Nusseirat in the Middle area, killing 26 IDPs, as the structure was being used as an informal shelter. Earlier in the day, airstrikes reportedly struck a residential building in Az Zawayda, also in the Middle Gaza, killing 11 Palestinians. A house was hit in western Khan Yunis, reportedly killing 16 Palestinians and injuring more than twenty.
Since 7 October, 8,309 Palestinians have been killed, including at least 3,457 children* and at least 2,062 women, and about 21,048 have been injured, according to the MoH in Gaza. Among these fatalities, 995 have not been identified yet, including at least 248 children.
As of 29 October, about 1,950 people, including at least 1,050 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 Palestine Red Crescent Society (PRCS) announced that, due to the lack of fuel, it was forced to reduce the number of ambulances it operates.
The Palestinian Civil Defense has stated that the decomposition of bodies under collapsed buildings, amid the limited rescue missions, raises humanitarian and environmental concerns.
According to the MoH in Gaza, over two thirds of the fatalities have been reportedly killed in their homes. Relatedly, a total of 192 Palestinian families have lost ten or more of their members, 136 Palestinian families have lost 6 to 9 members, and 444 families have lost two to five of their members, the Ministry says.
Since 7 October, 19 IDPs sheltering in UNRWA premises have been killed and 310 have been injured. In total, 44 UNRWA installations have been damaged since 7 October.
The World Health Organization (WHO) has documented three new attacks on health care since noon on 29 October, with damage to two hospitals and destruction of an ambulance. One of the attacks on 30 October was against the PRCS Al Quds Hospital, in Tel Al Hawa neighbourhood of Gaza city, where damages due to nearby bombardment resulted in severe debris and dust entering the hospital with inhalation and suffocation among patients, staff, and IDPs.
Additionally, on 30 October, Israeli forces continued for the second consecutive day to target the vicinity of hospitals causing damage to An Nasser hospital, the Turkish Friendship Hospital (the only cancer hospital), and an UNRWA health centre. Additionally, the PRCS warehouses next to Al Quds Hospital were hit and damaged.
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 1,135 of these fatalities have been released, including 823 civilians and police, and 312 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 672,00 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.
Provision of assistance to about 300,000 IDPs hosted in 100 shelter centres in Gaza city and Northern Gaza is increasingly challenging, due to the intensity of airstrikes and hostilities. At least 117,000 of these IDPs are taking refuge in 13 hospitals and other healthcare facilities. On 29 October, the MoH in Gaza committed to provide services to the latter IDPs, in coordination with the Ministry of Social Development, similar to the services provided in other public shelter centres.
The average number of IDPs per shelter in UNRWA facilities has reached almost four times their intended capacity. The Khan Younis Training Centre is currently the most crowded shelter, hosting 22,100 IDPs, more than 10 times its capacity.
Reports suggest that IDPs are relocating from one area to another based on the availability of means to survive, such as food and water, alongside security concerns. Consequently, the abovementioned figures continuously change.
Over 15 per cent 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.
Of the 26 trucks that entered Gaza through the Rafah Crossing on 30 October, at least eight carried medical supplies and two additional trucks carried medical supplies alongside other items. Overall, at least 52 out of the 143 trucks that have entered 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.
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.
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 13 hospitals still operational in Gaza city and Northern Gaza have received evacuation orders.
Nine UNRWA health centres (out of 22) are still operational in the Middle and South areas. On 28 October (last available figure) they received 4,400 patients’ visits.
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.
On 30 October, as of 14:00, water supply from Israel to western Khan Younis stopped for the first time since this line was reactivated on 15 October; the reasons remain unknown. This line previously supplied 600 cubic metres of drinking water per hour.
The resumption of water supply from Israel to the Middle Area, through the reactivation of a second pipeline to provide some 500 cubic metres of drinking water per hour, is yet to start. On 29 October, the Israeli authorities informed the Palestinian Water Authority (PWA) of their intention to do that and authorized them to repair the damage sustained by the relevant pipeline; however, no repairs have taken place. A third pipeline from Israel to northern Gaza remains is also closed since 8 October.
On the other hand, in the Middle Area and southern Gaza, the operation of two seawater desalination plants at about 40 per cent of their capacity, alongside 120 water wells and 20 pumping stations, has continued. This has been enabled by the delivery of small amounts of fuel by UNRWA and UNICEF. As a result, households still connected to the water network have been receiving water for a few hours a day, while others have received water by trucks.
By contrast, access to water in Gaza city and northern Gaza is far more challenging than in the south. Neither the water desalination plant nor the Israeli pipeline supplying those areas is operational. While UNRWA and UNICEF have also provided limited amounts of fuel to a number of water wells, water is provided by trucks only. On 30 October, water trucking activities came to halt due to the ongoing military operations.
Overall, out of the 143 trucks that have entered Gaza since 21 October, at least 15 carried drinking water (jerrycans and bottles), water tanks, water purification equipment, and hygiene kits.
As of 30 October, only one of the bakeries contracted by the World Food Programme (WFP), and eight additional local bakeries (one in Rafah, four in Khan Younis, and three in the Middle area) are operational and supplying bread to shelters. UNRWA continued to cooperate with these local bakeries and supply them with flour, allowing them to offer bread to families at half the cost. However, 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.
Since 7 October, 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. Hours-long queues 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 seven more 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.
Whenever possible, UNRWA has been distributing hot meals to IDPs in shelters, mostly donations received from host communities. While limited, this assistance plays an important support role, given the limited access to the local market and the inability of many IDPs to prepare hot meals at their shelters.
Of the 26 trucks that entered Gaza through the Rafah Crossing on 30 October, at least 13 carried food, including ready-to-eat food, such as canned tuna, canned meat, and other non-perishables. Overall, at least 58 out of the 143 trucks that have entered since 21 October, carried food. 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 Centre.
Twenty-six trucks with humanitarian supplies entered on 30 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 mattresses, food, medical and WASH items.
Kerem Shalom crossing with Israel, which prior to the hostilities was the main entry point for goods, as well as the Erez passenger crossing connecting Gaza with Israel and the West Bank, have remained closed.
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 and one WFP 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 29 October and 21:00 on 30 October, Israeli forces killed six Palestinians and an Israeli settler killed another one. This brings the total number of Palestinians killed by Israeli forces or settlers since 7 October to 121, including 33 children. Of these 113, including 32 children, were killed by Israeli forces; and eight, including one child, by Israeli settlers. One member of Israeli forces was killed by Palestinians.
The deadliest incident, which resulted in four of these fatalities, occurred during a search-and-arrest operation in Jenin Refugee Camp on 30 October, which involved armed clashes between Palestinians and Israeli forces. During the incident, Israeli forces launched an airstrike using a drone, which destroyed two homes and displaced two households. Extensive damage to infrastructure and public buildings was also reported.
One fatality was recorded on 30 October during confrontations that erupted during a protest in solidarity with Gaza near Zif junction (Hebron). In East Jerusalem, a Palestinian man reportedly stabbed and injured an Israeli police officer and was subsequently shot and killed.
Another Palestinian man died of wounds sustained after armed Israeli settlers opened fire at a vehicle near Ras Karkar in Ramallah on 24 October.
Out of the Palestinian fatalities since 7 October, almost 50 per cent were killed during confrontations that followed Israeli search-and-arrest operations; 35 per cent were in the context of demonstrations in solidarity with Gaza; and most of the remaining 10 per cent were killed while attacking or allegedly attacking Israeli forces or settlers, and in settler attacks against Palestinians.
Since 7 October, Israeli forces and settlers have injured 2,156 Palestinians, including at least 201 children, an additional 52 Palestinians have been injured by settlers, including nine with live ammunition. About 1,200 Palestinians have been injured by Israeli forces in the context of demonstrations. 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 most severe incidents of settler violence during the past 24 hours were reported in southern Hebron. In one, Israeli settlers, reportedly from Havat Ma’on, broke into a home in Tuba, physically assaulted its residents, stole their mobile phones, and killed six sheep. Reportedly, the settlers threatened the family to leave the community, or they would be killed.
In another incident, a group of masked and armed settlers physically assaulted Palestinian farmers harvesting their olives near Qawawis (Hebron). The settlers threatened to kill the harvesters if they didn’t leave. Israeli forces who arrived injured three Palestinians farmers and detained them for several hours.
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 171 settler attacks against Palestinians, resulting in Palestinian casualties (26 incidents), damage to Palestinian property (115 incidents), or both casualties and damage to property (30 incidents). This reflects a daily average of seven incidents, compared with three since the beginning of the year.
Out of the 171 settler attacks, more than one-third involved threats with firearms, including shooting. 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, 42 agricultural/animal-related structures, 74 vehicles and more than 670 trees and saplings.
Since 7 October, 76 Palestinians, including 35 children, have been displaced following demolitions in Area C and East Jerusalem, due to lack of permits, and another 23, including 13 children 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 a series of settler attacks including the injury of three Palestinians on 12 October, vandalizing solar panels and vehicles at night on 21 October, and vandalizing four residential structures, water tanks and solar panels on 26 October. Additionally, settlers pointed guns at residents, threatening to kill them if they didn’t leave. On 28 October, the families dismantled about 50 residential and animal structures and left the area along with their 5,000 livestock.
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.