Hostilities in the Gaza Strip and Israel | Flash Update #104

Key points

• Intense Israeli bombardment from air, land, and sea continued across much of the Gaza Strip on 27 and 28 January, resulting in further civilian casualties, displacement, and destruction. Hostilities were particularly intense in Khan Younis, with heavy fighting reported in proximity to Nasser and Al Amal hospitals, with reports of Palestinians fleeing to the southern town of Rafah, which is already overcrowded, despite the lack of safe passage. Rocket fire from Gaza into southern Israel continued as well. Ground operations and fighting between Israeli forces and Palestinian armed groups were also reported across much of Gaza. Hostilities were particularly intense in Khan Younis, with heavy fighting reported.
• Between the afternoons of 26 and 28 January, according to the Ministry of Health (MoH) in Gaza, 339 Palestinians were reportedly killed (165 people on 28 January, 174 people on 27 January), and 600 Palestinians were injured (290 on 28 January and 310 on 27 January). Between 7 October 2023 and 12:00 on 28 January 2024, at least 26,422 Palestinians were killed in Gaza and 65,087 Palestinians were injured, according to the MoH.
• Between the afternoons of 26 January and 28 January, no Israeli soldier was reportedly killed in Gaza. As of 26 January, 218 soldiers were killed, and 1,269 soldiers injured in Gaza, according to the Israeli military.
• On 27 January, the UNRWA Commissioner-General warned of the threat to the Agency’s ongoing humanitarian work, especially in Gaza, following the decision of a number of donor countries to temporarily suspend their funding. This was in response to allegations by the Israeli authorities that several UNRWA staff members had participated in the attacks in southern Israel on 7 October 2023. UNRWA has terminated the contracts of nine of the accused and an investigation by the UN’s Office of Internal Oversight Services (OIOS) has been activated. “It would be immensely irresponsible to sanction an Agency and an entire community it serves because of allegations of criminal acts against some individuals, especially at a time of war, displacement and political crises in the region,” the Commissioner-General stated. UNRWA is the main humanitarian agency in Gaza, with over two million people now dependent on its services and some 3,000 out of its 13,000 staff in Gaza continuing to report to work, despite the ongoing hostilities. The UN Secretary-General also strongly appealed to “the governments that have suspended their contributions to, at least, guarantee the continuity of UNRWA’s operations. The abhorrent alleged acts of these staff members must have consequences. But the tens of thousands of men and women who work for UNRWA (across the region), many in some of the most dangerous situations for humanitarian workers, should not be penalized. The dire needs of the desperate populations they serve must be met.”
• On 28 January, the UN Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Martin Griffiths stated: “The people of Gaza have been enduring unthinkable horrors and deprivation for months. Their needs have never been higher – and our humanitarian capacity to assist them has never been under such threat. We need to be at full stretch to give the people of Gaza a moment of hope.”
• In the second half of January, humanitarian partners continue to observe a declining trend in their attempts to access the northern and central areas of Gaza. The reasons include excessive delays for humanitarian aid convoys before or at Israeli checkpoints and heightened military activity in central Gaza. Threats to the safety of humanitarian personnel and sites are also frequent, impeding not only the delivery of time-sensitive and life-saving aid but also posing serious risks to those involved in humanitarian efforts.
• As of 25 January, according to the WHO, only 14 of 36 hospitals in Gaza are partially functional; seven in the north and seven in the south. ‘Partial functionality’ indicates that a hospital is accessible by people in need of health care; it can admit some new patients and can undertake some level of surgery. In addition, Nasser Hospital in Khan Younis is, ‘minimally functioning,’ providing available services to patients in its care, but no longer able to receive patients or supplies, as it is surrounded by the Israeli military and experiencing intense fighting. Al Kheir Hospital in Khan Younis, which was previously designated as ‘minimally functioning,’ and one of only three in the Gaza Strip that provides maternity services, is no longer operational, with reports of patients, who had just undergone critical operations, having to flee the facility.
• On 26 January, Médecins Sans Frontières reported that Nasser hospital could no longer provide vital medical services, leaving many wounded patients with no options for treatment amid ongoing heavy fighting and bombing. The hospital’s surgical capacity is almost non-existent, and the handful of medical staff remaining in the hospital are trying to manage with very low supplies insufficient to handle the large influx of wounded people. Between 300 and 350 patients with war-related injuries remain at the hospital, unable to evacuate due to the danger and the lack of ambulances. On January 24, at least one patient at the hospital died because there was no orthopaedic surgeon available. Shelling in the vicinity of the hospital was reported again on 27 January.
• On 27 January, the Palestine Red Crescent Society (PRCS) reported that Israeli forces were continuing to bombard the vicinity of the Al Amal Hospital and the PRCS branch headquarters in Khan Younis, jeopardizing the safety of medical staff, the wounded, patients, and the approximately 7,000 internally displaced persons (IDPs) who had sought refuge there. The PRCS stated that dozens had been killed and injured inside, and in the vicinity of the two facilities amid ongoing fighting over the previous four weeks. The continuing siege of the facilities is hindering the movement of ambulances and emergency medical teams in the city, and preventing medical teams from reaching the injured and transporting them to the hospital for necessary medical care. The PRCS denied claims by Israeli forces of the presence of armed individuals inside the hospital building and appealed to the international community and partners in the International Red Cross and Red Crescent Movement to intervene to protect the hospital, the medical teams, the wounded, patients, and IDPs. On the morning of 28 January, shells were reportedly fired towards the vicinity of the European Hospital in Khan Younis, with casualties reported, amid intense fighting in the area.

Hostilities and casualties (Gaza Strip)

• The following are among the deadliest incidents reported on 27 and 28 January:
  • On 28 January, at about 09:00, eight Palestinians were reportedly killed in Gaza city after a residential building was struck.
  • On 26 January, at least 10 Palestinians were reportedly killed, and several others injured, after a residential building in Deir al Balah was struck.
  • On 26 January, at about 13:00, at least six Palestinians were reportedly killed, and several others injured, after a residential building in An Nuseirat Refugee Camp was struck.
  • On 26 January, at about 2:00, at least three Palestinians were reportedly killed, and several others injured, in a strike in eastern Rafah.

Displacement (Gaza Strip)

• On 26 January, the head of the UN Human Rights Office for the Occupied Palestinian Territory said that the people displaced who reached Rafah are resorting to living in the street, with sewage running in the streets and “conditions of desperation conducive to a complete breakdown in order. An overspilling of violence in Rafah would have severe implications for the more than 1.3 million people who are already crowded into the city. Heavy rainfall has aggravated the humanitarian situation in tent encampments where IDPs have sought shelter, with UNRWA reported that an unknown number of tents of displaced people in Rafah were flooded and that “thousands of families sleeping on the floor are now freezing and unable to keep dry.”
• As of 26 January, according to UNRWA, there are an estimated 1.7 million IDPs in Gaza. Many of them have been displaced multiple times, as families have been forced to move repeatedly in search of safety. Due to continued fighting and evacuation orders, some households have moved away from the shelters where they were initially registered. Rafah governorate is where over one million people are squeezed into an extremely overcrowded space. Following intense Israeli bombardment and fighting in Khan Younis and the central area of the Gaza Strip in recent days, as well as new Israeli military evacuation orders, a significant number of displaced people have moved further south.
• On 23 and 25 January, the Israeli military issued new evacuation orders via social media to Palestinians in several city blocks in Khan Younis across a four-square-kilometre area. There are about 88,000 residents in the area, in addition to an estimated 425,000 internally displaced people (IDPs) seeking shelter in 24 schools and other institutions. The affected area includes Nasser Hospital (475 beds), Al Amal Hospital (100 beds) and the Jordanian Hospital (50 beds), representing almost 20 per cent of the remaining partially functioning hospitals across the Gaza Strip. Three health clinics are also located in the affected area. Some 18,000 IDPs are reported to be in the Nasser Hospital, with an unknown number of IDPs seeking shelter in the other health facilities. On 25 January, the Israeli military reissued the same evacuation orders via social media.

Electricity

• Since 11 October 2023, the Gaza Strip has been under an electricity blackout, after the Israeli authorities cut off the electricity supply, and fuel reserves for Gaza’s sole power plant were depleted. The communications and industrial fuel shutdown continue to significantly hinder the aid community’s efforts to assess the full extent of needs in Gaza and to adequately respond to the deepening humanitarian crisis. For more information on electricity supply to the Gaza Strip, please see this dashboard.
• Since 19 November, limited fuel amounts have entered the Gaza Strip from Rafah. However, since these are insufficient, hospitals, water facilities and other critical facilities are still only operating at limited capacity. A Rapid Disaster Needs Assessment team has identified about 570 kilometres of electricity feeder lines that have been damaged as of 12 January. This represents some 57 per cent of feeder lines, with damage expected to have increased further since then. Fuel is urgently needed for the Gaza Electricity Distribution Company (GEDCO) teams to conduct damage assessments and field repairs.

Health care, including attacks (Gaza Strip)

• According to WHO, health care in Gaza remains extremely fragile. The seven partially functional hospitals in the north have been offering limited maternity, trauma, and emergency care services. However, they face challenges such as a shortage of medical staff, including specialized surgeons, neurosurgeons, and intensive care staff, as well as a lack of medical supplies, and have an urgent need for fuel, food, and drinking water. The seven partially functional hospitals in the south are operating at three times their capacity, while facing critical shortages of basic supplies and fuel. Hospitals in Khan Younis are at risk of closure due to intense hostilities and the issuance of evacuation orders in adjacent areas. Over 90 health facilities and over 80 ambulances have been impacted since the escalation of hostilities. Other factors include power supply disruptions and fuel shortages. According to the MoH in Gaza, on average, occupancy rates are reaching 206 per cent in inpatient departments and 250 per cent in intensive care units.
• UNRWA reports that between 3 and 24 January, over 13,700 children were vaccinated against diseases including measles, mumps and rubella with vaccines supplied by UNICEF. However, only four out of 22 UNRWA health centres are still operational. Continuing bombardment and access restrictions prevent the provision of life-saving health services in these facilities.

Humanitarian Access

• Between 1 and 25 January, 51 missions to deliver humanitarian aid were planned for the north of Wadi Gaza; however, only eight were facilitated by the Israeli military while 29 were denied. Most of the missions that were facilitated were related to food distribution, while support to critical hospitals and WASH facilitates were largely denied. Two missions were partially facilitated (e.g., only the assessment components were facilitated, instead of a planned delivery of aid supplies) and another four were postponed (due to security and other requirements). In an emerging pattern, an additional eight planned missions were initially facilitated, but subsequently impeded as routes designated by the Israeli military proved to be unpassable, or the imposition of excessive delays prior to the departure of the missions or at checkpoints en route.
• Between 1 and 25 January, humanitarian partners coordinated 87 humanitarian missions to the Middle Area of Gaza, of which 63 per cent (55 missions) were facilitated and 25 per cent (22 missions) were denied. Due to increasing military activity, ten missions were postponed. Postponement of humanitarian movements to and from hospitals and humanitarian sites has been an emerging trend since 12 January due to increased military activity. The need to coordinate movement to areas south of Wadi Gaza has only been a requirement since December.
• None of the 22 requests by the United Nations to the Israeli military to open checkpoints early to access areas north of Wadi Gaza (in January) were facilitated. Given the heavy congestion around UN warehouses and the high levels of needs, early movement is essential for security, programmatic and protection reasons. The humanitarian community has consistently called for both main supply routes (MSRs) to be open in Gaza, and for checkpoints to open at 6:00 every day. Only one of the two main supply routes has been made available for aid missions so far.
• In addition to widespread attacks on health care facilities and workers, 12 incidents of attacks against, and access constraints on, Emergency Medical Teams (EMTs) were recorded between 7 November 2023 and 24 January 2024. These included ten instances of direct and indirect fire resulting in seven deaths and 12 injuries (including to members of EMTs, patients and other people within the vicinity) and two entry blockages. These teams have been undertaking life-saving surgeries in partially functioning over-congested hospitals across Gaza.

Hostilities and casualties (Israel)

• Over 1,200 Israelis and foreign nationals have been killed in Israel, including 36 children, according to the Israeli authorities, the vast majority on 7 October.
• The Israeli authorities estimated that about 136 Israelis and foreign nationals remained captive in Gaza. During the humanitarian pause (24-30 November), 86 Israeli and 24 foreign national hostages were released.

Violence and casualties (West Bank)

• On 27 January, a Palestinian man, aged 24, died of wounds he sustained during an Israeli raid the night before in Deir Abu Da’if village in Jenin. The raid led to clashes between Israeli forces and Palestinians, during which Israeli forces exchanged fire with Palestinians.
• Since 7 October 2023 and as of 28 January 2024, 362 Palestinians have been killed, including 92 children, across the West Bank, including East Jerusalem. Additionally, two Palestinians from the West Bank were killed while carrying out an attack in Israel on 30 November. Of these 362 fatalities, 352 were killed by Israeli forces, eight by Israeli settlers and two by either Israeli forces or settlers. The number of Palestinians killed in the West Bank, including East Jerusalem, in 2023 (507) marks the highest number of Palestinians killed in the West Bank since OCHA started recording casualties in 2005. So far in 2024 (as of 28 January), 53 Palestinians, including at least 11 children, have been killed.
• Since 7 October 2023 and as of 28 January 2024, five Israelis, including four members of Israeli forces, have been killed in Palestinian-perpetrated attacks in the West Bank, including East Jerusalem. In addition, four Israelis were killed in an attack carried out by Palestinians from the West Bank in West Jerusalem (one of the four was killed by Israeli forces who misidentified him) on 30 November 2023. Another Israeli woman was killed in another attack perpetrated by Palestinians in Israel on 15 January 2024. The number of Israelis killed in the West Bank and Israel in 2023 in attacks perpetrated by Palestinians from the West Bank (36) was the highest since OCHA started recording casualties in 2005.
• Since 7 October 2023 and as of 28 January 2024, 4,366 Palestinians, including 657 children, have been injured in the West Bank, including East Jerusalem. Of them, 4,230 have been injured by Israeli forces, 115 by settlers and 21 by either Israeli forces or settlers. Of the total injuries, 54 per cent were reported in the context of search-and-arrest and other operations, 34 per cent in demonstrations and 8 per cent during settler attacks against Palestinians. Some 33 per cent of those injuries have been caused by live ammunition, compared with 9 per cent in the first nine months of 2023.

Settler Violence

• Since 7 October 2023 and as of 28 January 2024, OCHA has recorded 464 Israeli settler attacks against Palestinians, resulting in Palestinian casualties (46 incidents), damage to Palestinian-owned property (362 incidents), or both casualties and damage to property (56 incidents).
• One-third of the settler attacks against Palestinians after 7 October 2023 have involved firearms, including shootings and threats of shootings. In nearly half of all recorded incidents after 7 October, Israeli forces were either accompanying or reported to be supporting the attackers.
• In 2023, 1,229 incidents involving Israeli settlers in the West Bank, including East Jerusalem (with or without Israeli forces), resulted in Palestinian casualties, property damage or both. Some 913 of these incidents resulted in damage, 163 resulted in casualties and 153 resulted in both. This is the highest number of settler attacks against Palestinians in any given year since OCHA started recording incidents involving settlers in 2006.

Displacement (West Bank)

• Since 7 October 2023 and as of 28 January 2024, at least 198 Palestinian households comprising 1,208 people, including 586 children, have been displaced amid settler violence and access restrictions. The displaced households are from at least 15 herding/Bedouin communities. More than half of the displacement occurred on 12, 15, and 28 October, affecting seven communities. The displacement toll since 7 October 2023, represents 78 per cent of all displacement reported due to settler violence and access restrictions since 1 January 2023 (1,539 people, including 756 children).
• Since 7 October 2023 and as of 28 January 2024, 495 Palestinians, including 246 children, have been displaced following the demolition of their homes due to lack of Israeli-issued building permits in Area C and East Jerusalem, which are almost impossible to obtain.
• A total of 22 homes have been demolished and 105 Palestinians, including 45 children, displaced due to punitive demolitions from 7 October 2023 and as of 28 January 2024. The numbers exceed those reported in the first nine months of 2023, during which 16 homes were punitively demolished and 78 people displaced.
• Since 7 October 2023 and as of 28 January 2024, 743 Palestinians, including 311 children, have been displaced, following the destruction of 116 homes during other operations carried out by Israeli forces across the West Bank. About 95 per cent of the displacement was reported in the refugee camps of Jenin, Nur Shams and Tulkarm. This represents 82 per cent of all displacement reported due to the destruction of homes during Israeli military operations since January 2023 (908 people).

Funding

• As of 28 January, Member States have disbursed $700.3 million against the updated Flash Appeal launched by the UN and its partners to implement its response plan in support of 2.2 million people in the Gaza Strip and 500,000 people in the West Bank. This constitutes 58 per cent of the $1.2 billion requested.
• Private donations are collected through the Humanitarian Fund. A private foundation in Australia has donated $2.2 million. Since 7 October, the Humanitarian Fund has disbursed about $55 million.

HUMANITARIAN NEEDS AND RESPONSES: 14-21 January

Health

Needs

• According to WHO, only 16 of Gaza’s 36 hospitals are partially functional - nine in the south and seven in the north.
• According to the MoH in Gaza, there is a shortage of available hospital beds, as occupancy rates in these hospitals are reaching 206 per cent in inpatient departments and 250 per cent in intensive care units.
• Food, drinking water, fuel, medical supplies, and support to health workers through rotations and additional personnel, are urgently needed in healthcare facilities across Gaza.
• During missions to Shifa, Al Helou, Al Aqsa and Nasser hospitals to deliver supplies, fuel, and conduct assessments on 13 January, the WHO team observed the following:
  • A significant decrease in the number of health personnel in some of the hospitals.
  • Only 12 medical doctors are still working at the Al Aqsa hospital, which is about 10 per cent of the staff who operated before the start of the hostilities.
  • The maternity unit at Al Aqsa Hospital is not operating and is referring all pregnant women to Al Awda Hospital, which is further away, putting patients at risks during the additional travel time, due to ongoing hostilities.
  • Nasser Hospital is currently experiencing a significant decrease in staff and patient numbers, with over 50 per cent of staff leaving and only 400 out of 750 patients remaining, some seeking care elsewhere or remaining at home. The hospital's capacity including maternity services, where only two obstetricians remain, have been severely impacted.
• Poor living conditions in shelters have resulted in a rise in water-borne diseases among IDP.
• Health Cluster’s partners report that there is no access to Al Amal Hospital in Khan Younis, where an estimated 13,000 displaced people have sought refuge. The hospital is still providing emergency consultations and maternity services.

Response

• To compensate for staff shortages at Nasser Hospital, additional medical personnel from Al Quds Hospital were reassigned and two Emergency Medical Teams (EMTs) were deployed to Nasser Hospital.
• In Al Amal Hospital, emergency consultations and maternity services are still being provided.
• The Health and WASH Clusters are working together to respond to the surge in Hepatitis A cases and to prepare for other outbreak-prone diseases linked to poor living conditions and lack of access to proper WASH facilities.
• The mapping exercise to identify formal and informal shelters that do not have access to primary healthcare services is ongoing; the mapping will help identify actors who can fill gaps.
• Eleven EMTs are present in Gaza Strip and have been providing support to hospitals across the Strip.

Challenges and Gaps

• The high insecurity and limited access to health facilities in the northern governorates and Deir al Balah continues to present major challenges to partners’ response activities.
• Partners’ operations continue to be adversely affected due to the displacement of staff, social stresses, and telecommunication challenges.

WASH

Needs

• People in Gaza do not have access to adequate quantity and quality of water and lack hygiene materials, which has consequences on their wellbeing, including physical health.
• The accumulation of solid waste on the streets, around hospitals, IDP shelters, and various sites remains a priority concern, as tens of thousands of tons of uncollected public waste are intensifying public health risks. The Gaza Municipality estimates that approximately 50,000 tons of solid waste remain unmanaged, exacerbating environmental and health concerns.

Response

Information regarding water production from the Gaza Municipality wells between 15 and 21 January is very limited due to the communication blackout, with data available from only two wells. During the reporting week:

• Some 3,100 cubic metres were accessible through the short-term desalination plants each day, in contrast to the pre-hostilities period when 22,000 cubic metres were available daily.
• Some 560 cubic metres of water is accessible through the municipal wells daily, while the production capacity was up to 255,000 cubic metres each day.
• The UAE's small desalination plant located in Egyptian Rafah continues to operate below capacity, providing 1,140 cubic metres per day out of a possible 2,400. All desalinated water from this plant is distributed via tankers.
• The construction of a 3-kilometre transmission line extending to the Saudi Water Reservoir within the Philadelphia corridor is underway and expected to be completed in early February.
• Provision of 10,000 cubic metres of water to affected and displaced people through trucking and bottled water continues daily.

Challenges and Gaps

• In Gaza, humanitarian partners have not been able to assess or resupply fuel to the Jabalya area, where sewage flooding was reported in the refugee camp on 5 January. At least 100,000 IDPs are estimated to reside in the UN and public shelters in this area.
• Markets are not functioning and construction materials for latrines, desludging services and other essential supplies for sanitation are not available for purchase.
• Import restrictions, as well as complex and unpredictable clearance procedures for critical items considered by Israel as dual use, such as generators, pumps, and pipes are preventing a scale up of the WASH response.
• Most partners face resource shortfalls, with no commitment to new funding, particularly in camps and other areas where many IDPs are settled.
• In the West Bank, the closure of Khirbet ‘Atouf in Tubas since 7 October has restricted access to water for herding, severely affecting several communities in the area. Checkpoint delays cause significant water shortages for residents and livestock, necessitating urgent WASH intervention.

Protection

Needs

• Unaccompanied and separated children require urgent protection, including family tracing and provision of shelter, winter clothing, blankets, water, and food.
• Even in the absence of formal assessments, the scale of explosive contamination will require, at a minimum:
  • Explosive Ordnance Disposal.
  • Explosive Ordnance Risk Education (EORE) and Conflict Preparedness and Protection (CPP) messages, including tailored to different groups and needs.
  • EORE and CPP training for humanitarian actors and widespread risk education.
  • Victim Assistance services for survivors of shelling and explosive ordnance related accidents.

Response

• Since 7 October 2023 and as of 22 January, Child Protection partners have reached more than 93,000 boys and girls, and nearly 20,000 women and men across the Gaza Strip with awareness raising interventions; Mental Health and Psychological Support (MHPS) for children and caregivers–mainly as part of group or family activities– child protection referrals for education services; registration and alternative care for unaccompanied and separated children; and distribution of clothing kits.
• Some Mine Action partners were able to operate, amid the ongoing blackout, in the reported period. UNICEF and other implementing partners conducted direct Explosive Ordnance awareness sessions, continued disseminating EORE-awareness messages and distributed 20,000 EORE leaflets in shelters.
• The UN Mine Action Service (UNMAS) continued providing explosive ordnance disposal (EOD) support to ensure the safe passage of convoys.
• Humanity and Inclusion are conducting needs assessments for emergency rehabilitation and MHPSS and preparing a refresher training EORE package for their teams.
• The Legal Task Force, together with the Norwegian Refugee Council (NRC) is working on providing substitute identifications cards for Palestinians arriving through the Karem Shalom Crossing without IDs, including providing attestations that can serve as substitute identity documentation.

Challenges and Gaps

• The communications blackout and the continued restrictions on access and safe movement directly affected the delivery of planned child protection interventions, and the reporting of ongoing interventions.
• Mine Action partners report challenges in obtaining authorization to deploy personnel, especially EOD specialists, to carry out contamination assessments; further challenges include access restrictions on equipment, movement concerns due to insecurity. In the reporting period, the communication blackout interfered with risk education, messaging, and coordination of mine action partners.
• The Legal Task Force and its partners report major challenges, stemming from a lack of clear information and/or data on the people who have lost their documents following their displacement. Further, the authorities in Gaza are unable to issue new civil documentations amid hostilities, while challenges remain in obtaining alternative IDs and birth registrations data for people who have lost such documents and for newborns The application process with authorities in Gaza is dependent on criteria that many residents in Gaza cannot meet, currently, including proving families ties in the West Bank or employment in international non-governmental organizations. Partners are engaging in advocacy efforts with the authority to find ways to facilitate document re-issuance.

Shelter and Non-Food Items (NFI)

Needs

• As of 22 January, it is estimated that about 73,000 housing units across the Gaza Strip have been destroyed or rendered uninhabitable and over 290,000 housing units have been damaged.
• It is estimated that over 650,000 people will have no home to return to, and that many more will be unable to return immediately, due to the level of damage to surrounding infrastructure, as well as the risk posed by explosive remnants of war.
• Partners estimate that the amount of debris generated by the destruction of residential housing units will exceed 8,000,000 metric tons and will take over three years to remove it, given Gaza's current capabilities.
• Displaced people residing in both formal and informal emergency shelters still lack basic non-food items (NFIs), and hundreds of thousands lack proper and adequate shelter.
• Tents, timber sections, and tarpaulin sheets are highly needed to allow the displaced communities to protect themselves and their children during the current harsh weather conditions and to alleviate the worrying overcrowded and unhygienic conditions in the current makeshift shelters.

Response

• During the reporting period, cluster partners distributed about 24,000 bedding items, including blankets, mattresses, and mats.

Challenges and Gaps

• There is a high shortage of all essential NFIs for IDPs inside and outside shelters. This includes 50,000 family winterized tents, 200,000 bedding sets (1,200,000 mattresses and blankets), 200,000 sealing-off kits, 200,000 winter clothes kits, and wooden timber to support IDPs in establishing self-built shelters.

Food security

Needs

• Uninterrupted and secure humanitarian corridors for delivering critical aid across Gaza is critically needed to allow more trucks from the private sector to enter Gaza.
• Immediate provision of fuel and cooking gas is critical to sustain humanitarian efforts and maintaining the operation of essential services, such as mills and bakeries. Without them, communities will be unable to prepare the limited food available to them.
• According to the Integrated Food Security Phase Classification (IPC):
  • 2.2 million people are at imminent risk of famine.
  • Some 378,000 people are at Phase 5 (catastrophic levels). Phase 5 refers to extreme lack of food, starvation, and exhaustion of coping capacities.
  • Some 939,000 people at Phase 4 (emergency levels).

Response

• Between 15 and 21 January, 14 Food Security Sector (FSS) partners engaged in providing food assistance across the Gaza Strip and reached about 1.2 million people with at least one type of food assistance. Rafah Governorate received about 57 per cent of the total food assistance; Deir al Balah received about 29 per cent; Khan Younis about 21 per cent; 14.3 per cent of the food assistance reached the northern governorates. In particular:
  • In north Gaza, 10,374 people received food parcels, including 6,510 people in public shelters and 3,864 people with host families. Hot meals were provided to 16,000 people, specifically focusing on people displaced in UNRWA shelters.
  • In Deir al Balah governorate, food parcels were distributed to a total of 25,850 people, including 8,350 in public shelters and 17,500 staying with host families.
• In the south, FSS partners reached 606,091 IDPs, including in UNRWA shelters, public shelters, host families and makeshift camps in Rafah, Khan Younis, and Deir al Balah governorates through food parcels, ready-to-eat (RTE) packages and hot meals.
• Some 309,275 people to the south of Wadi Gaza received flour outside UNRWA shelters between 15 and 21 January; while from 1 to 17 January, bread distribution reached a total 305,620 people in Rafah.

Challenges and gaps

• FSS partners’ operational space and delivery access are greatly hindered across the Gaza Strip.
• Continued hostilities, disruptions in healthcare services, lack of access to nutritious food, lack of access to clean water and poor sanitation conditions remain major challenges and contribute to the risk of famine in Gaza.
• Despite partners' efforts, food distribution in northern Gaza falls far below needs. The challenges faced in Gaza underscore the importance of continued coordination and support to address the pressing food security needs of the affected people.

Nutrition

Needs

• Malnutrition among children and pregnant and breastfeeding women (PBW) remains a significant concern, amid lack of functioning health and WASH systems and deterioration of the food security situation.
• Provision of nutrition interventions, including lifesaving supplies in Gaza, is critically needed across the Strip.

Response

• UNICEF, WFP, and other nutrition partners continued to address the nutritional needs of children and mothers through delivery of key nutrition commodities across the Gaza Strip, particularly among vulnerable children and women. Partners are providing therapeutic services and supplies for children with acute malnutrition, including therapeutic food (RUTF to pregnant women and breastfeeding mothers, such as Lipid Nutrient Supplement paste (LNS-MQ). From 12 to 20 January, nutrition partners delivered and implemented the following:
  • Eight partners received key nutritional commodities in both the northern and southern governorates and delivered them to affected communities, including:
  • Compact food (BP5) for about 360 people.
  • Nutrition supplements (LNS-SQ, 5,530 cartons) benefiting 36,866 children.
  • Ready to Use Infant Formula (RUIF, 23,426 cartons) for 5,856 non-breastfed infants (0-5 months).
  • Therapeutic food (RUTF) (1,190 cartons) for 2,975 children.
  • Anthropometric supplies, including 14 scales, seven height boards, and packs of mid- upper arm circumference (MUAC) tapes for nutrition assessment.
• A number of Lipid Nutrient Supplement paste - Medium Quantity (LNS-MQ) - were secured to cover the needs of approximately 450,000 PBW and Children under-five for around two months. The first distribution cycle of 68 metric tons (MT)of LNS-MQ took place in December, in all Rafah UN shelters, covering all PBC and Children under-two.
• On 21 January, another cycle of 147 MT entered Gaza and distribution is expected between 23 and 24 January to UN shelters in Rafah, to address the needs of around 155,000 PBW and children under five for 15 days.

Challenges and gaps

• Given stock and funding, nutrition partners can meet only 25 per cent of the nutritional needs of malnourished children and vulnerable mothers in the next two months. Without immediate funding and an expanded response, 375,000 individuals are at risk of severe undernourishment. Urgent action is crucial to prevent this life-threatening situation.

Education

Needs

• More than 625,000 students and close to 23,000 teachers in the Gaza Strip have been affected by school closures and attacks on education since 7 October 2023. The students need to access education safely.
• Some 90 per cent of all school buildings in Gaza are being used as shelters for Internally Displaced Persons (IDPs) and/or have sustained varying levels of damage. A total of 378 schools (76 per cent of the total school budlings in Gaza) sustained damage, including 117 schools that sustained major damages or were fully destroyed. Combined, these schools previously served some 433,000 children and more than 16,200 teachers. The Khan Younis, North and Gaza governorates have the highest proportion (three quarters) of all damaged schools. The schools will need not be rebuilt or repaired and the needs of IDPs met.
• Education partners highlight the need for the protection of schools and education facilities from attacks, and to scale up advocacy, as well as prioritizing education as an essential programme, for the protection and well-being of children.
• Key priorities include the provision of Education in Emergencies (EiE) recreational activities and psychological support, including Social Emotional Learning (SEL) activities to children in shelters and designated emergency shelters (DESs); establishing Temporary Learning Spaces (TLS) in shelters/DESs to start non-formal learning for children; provision of emergency supplies and learning kits. In addition, a key need is the identification and support of children with disabilities and other needs, with assistive devises for continuity of learning.

Response

• UNICEF with three of its partners and Teacher Creativity Center are working on establishing Temporary Learning Centers (TLS) to start non-formal education activities with the IDPs children in shelters/DESs. The Cluster’s response is guided by a three-phased response plan – supporting conflict-affected children, teachers, and caregivers in shelters and in host communities; preparing a safe learning environment and re-establishing a sense of normalcy as soon as hostilities stop; and preparing to restore the formal education system through the reconstruction of education infrastructure after a reduction in hostilities.
• Since October 2023, eleven partners have reached close to 122,000 students and teachers with psychosocial support, emergency learning and recreational supplies, activities and awareness sessions in the Khan Younis, Rafah, and Middle governorates. Most of the cluster responses are delivered by local partners.
• The Education and the Shelter clusters are carrying out advocacy activities to highlight the devastating impacts of the current situation in Gaza on children and the inextricable links between shelter and schooling. https://reliefweb.int/report/occupied-palestinian-territory/education-day-2024-end-conflict-imperative-return-learning-palestine

Challenges and Gaps

• No activities have been undertaken in Gaza and North Gaza governorates, due to ongoing hostilities and access challenges.
• As of 21 January, the education response remains significantly underfunded, receiving only three per cent of its requirements as articulated in the Flash Appeal. Education actors and donors are urged to mobilize rapid resources to meet immediate response requirements and start planning for reconstruction in the medium- to long- term when hostilities subside.

Logistics

• On 10 January, Logistics Cluster and WFP conducted a logistics assessment of Al Arish seaport. The port had already received five vessels since the onset of the Gaza response, mostly for government-chartered vessels; the largest one to dock so far had a capacity of about 4,000 MT of space. More information on the assessment can be found here.
• The Logistics Cluster has been engaging with partners in Amman, Jordan regarding discussions on the Jordan Corridor. Advocacy efforts are ongoing with the Jordan Hashemite Charity Organisation (JHCO) and Jordanian and Israeli authorities to further streamline the current processes for the Jordan Corridor, to allow a larger number of convoys per week.
• The IMPACCT Working Group published their fourth bulletin on the process of transiting humanitarian aid items from Egypt to support the Gaza response. The live document provides the latest updates based on discussions with government entities and the Egyptian Red Crescent (ERC).

Emergency Telecommunications

Needs

• Recurrent telecommunication shutdown in Gaza Strip. Telecommunication services in Gaza have gradually started returning but are still not fully functional. This is the seventh time that communications have stopped working since 7 October.
• There is an urgent need for critical telecommunications equipment into Gaza to set up services for the humanitarian response.

Response

• The Emergency Telecommunications Cluster (ETC) and its partners continue to engage with the Israeli Coordinator of Government Activities in the Territories (COGAT) for authorization to import telecommunications equipment and set up an independent, efficient, and reliable communications platform for humanitarian responders. On 20 January, the ETC resubmitted the consolidated partners’ Information and Communications Technology (ICT) equipment list in an official letter format to COGAT through the UN Humanitarian Coordinator (HC).
• On 15 January, the ETC assessed the Rafah VHF digital radio repeater at Al Shaboura Clinic. Although the repeater is functional, the security communications systems (SCS) are non-operational due to incompatibility between the VHF radio antennae and the digital repeater system. The ETC is assisting UNDSS to import compatible antennae from Jerusalem, with approval from the Israeli Coordinator of Government Activities in the Territories (COGAT).
• The Emergency Telecommunications Cluster (ETC) continues to offer technical support to humanitarian partner agencies in Rafah, Gaza.

Challenges and Gaps

• The communications and fuel shutdown continues to significantly hinder efforts to assess the full extent of needs in Gaza and to adequately respond to the deepening humanitarian crisis.

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 counselling and referrals for affected communities to access life-saving services. The PSEA Network monitors calls daily and will increase the number of counsellors if necessary.

* Asterisks indicate that a figure, sentence, or section has been rectified, added, or retracted after the initial publication of this update.