The attacks, documented between 12 October 2023 and 30 June 2024, raise serious concerns about Israel’s compliance with international law, the report states. Medical personnel and hospitals are specifically protected under international humanitarian law, provided they do not commit, or are not used to commit, outside their humanitarian function, acts harmful to the enemy.“As if the relentless bombing and the dire humanitarian situation in Gaza were not enough, the one sanctuary where Palestinians should have felt safe in fact became a death trap. The protection of hospitals during warfare is paramount and must be respected by all sides, at all times,” UN High Commissioner for Human Rights Volker Türk said.“This report graphically details the destruction of the healthcare system in Gaza, and the extent of killing of patients, staff, and other civilians in these attacks in blatant disregard for international humanitarian and human rights law.”  The appalling destruction wrought by the Israeli military’s attacks on the Kamal Adwan hospital last Friday – leaving the population of North Gaza with almost no access to adequate health care – reflects the pattern of attacks documented in the report. Staff and patients were forced to flee or were taken into custody, with many reports of torture and ill-treatment. The director of the hospital was taken into custody and his fate and whereabouts are unknown.During the period covered by the report, there were at least 136 strikes on at least 27 hospitals and 12 other medical facilities, claiming significant casualties among doctors, nurses, medics and other civilians and causing significant damage, if not complete destruction of civilian infrastructure.In the exceptional circumstances when medical personnel, ambulances, and hospitals lose their special protection because they fulfil the strict criteria to be considered military objectives, any attack on them must still comply with the fundamental principles of distinction, proportionality and precautions in attack. Failure to respect any of these principles constitutes a breach of international humanitarian law.Intentionally directing attacks against hospitals and places where the sick and wounded are treated, provided they are not military objectives; intentionally directing attacks against the civilian population as such, or against individual civilians not taking direct part in hostilities, including the launching of an indiscriminate attack resulting in death or injury to civilians; and intentionally launching disproportionate attacks, are also war crimes, the report adds. Under certain circumstances, the deliberate destruction of healthcare facilities may amount to a form of collective punishment, which would also constitute a war crime.The report also notes that several of these acts, if committed as part of a widespread or systematic attack directed against a civilian population, further to a State or, in case of non-State actor, organizational policy, may also amount to crimes against humanity.In most instances, Israel alleges that the hospitals were being improperly used for military purposes by Palestinian armed groups, the report states. However, insufficient information has so far been made available to substantiate these allegations, which have remained vague and broad, and in some cases appear contradicted by publicly available information. If these allegations were verified, this would raise serious concerns that Palestinian armed groups were using the presence of civilians to intentionally shield themselves from attack, which would amount to a war crime.The impacts of the Israeli military’s operations in and around hospitals, and associated combat, extend far beyond the physical structures, the report finds.Women, especially pregnant women, have suffered gravely. Many women have given birth with no or minimal pre- and post-natal care, increasing the risk of preventable maternal and child mortality. The UN Human Rights Office received reports that newborns had died because their mothers were unable to attend postnatal check-ups or reach medical facilities to give birth.The increasingly limited healthcare system prevented many of those who had sustained trauma injuries from receiving timely and possibly life-saving treatment. By the end of April 2024, according to the Ministry of Health of the State of Palestine (Palestinian MOH), 77,704 Palestinians were injured. Many injured reportedly died while waiting to be hospitalized or treated. According to the Palestinian MOH, by the end of June 2024, more than 500 medical professionals had been killed in Gaza since 7 October.The Israeli military’s first major operation against a hospital involved Al Shifa Medical Complex in November 2023. It raided the facility a second time in March 2024 leaving it in complete ruin by 1 April. Subsequent to the withdrawal by the Israeli military, three mass graves were reportedly found at the hospital, with at least 80 corpses retrieved, raising serious concerns that crimes under international law may have been committed. Some of these bodies were reportedly found with catheters and cannulas still attached, suggesting they had been patients.In some of the attacks, the Israeli military likely used both heavy weapons and air dropped munitions with wide area effects, the report finds. It appears that an MK 83 munition was used in the 10 January airstrike in front of Al Aqsa Martyrs Hospital in Deir al Balah, Middle Gaza. Reportedly, at least 12 people were killed, including a journalist and several IDPs, and 35 people were injured. The use of explosive weapons with wide-area effects in a densely populated area raises serious concerns of an indiscriminate attack.The report finds that another feature of such attacks has been the apparent targeting of people inside hospitals, but that in most of these cases it was difficult to determine attribution. The UN Human Rights Office verified multiple cases of people being shot dead at Al Awda Hospital in Jabalya, including a volunteer nurse who was fatally shot in the chest while looking out of a window on 7 December 2023.“It is essential that there be independent, thorough and transparent investigations of all of these incidents, and full accountability for all violations of international humanitarian and human rights law which have taken place,” said Türk. “All medical workers arbitrarily detained must be immediately released.”“It must also be a priority for Israel, as the occupying power, to ensure and facilitate access to adequate healthcare for the Palestinian population, and for future recovery and reconstruction efforts to prioritise the restoration of the medical capacity which has been destroyed over the last 14 months of intense conflict.”Please see the links to the full report below:ENGLISH: Thematic Report - Attacks on hospitals during the escalation of hostilities in Gaza (7 October 2023 - 30 June 2024) | OHCHRARABIC: https://www.ohchr.org/ar/documents/reports/thematic-report-attacks-hospitals-during-escalation-hostilities-gaza-7-october

Yesterday, 4 December, an Israeli airstrike hit a makeshift tent encampment sheltering 21 families in Al Mawasi, Khan Younis, which had been unilaterally declared a “safe humanitarian zone” by the Israeli military. The strike, together with secondary explosions, destroyed all 21 tents and killed at least 23 Palestinians, including at least 4 children and 2 women – one of them pregnant - while seriously injuring others. The Israeli military claims to have targeted “senior Hamas commanders” and alleges that secondary explosions were likely caused by weapons present in the area. However, according to the information available to UN Human Rights Office, it was the gas cylinders for domestic use that appear to have caused these secondary explosions.This is the seventh attack on an IDP tent encampment in the past two weeks, altogether killing at least 34 Palestinians, including 10 children and 3 women. Four of these attacks occurred in the Israeli-declared “humanitarian zone” in Al Mawasi, killing at least 11 Palestinians including a woman who died with her 2 daughters, and 4 additional children.Almost everyone in Gaza has been displaced more than once due to ceaseless Israeli displacement orders and bombardment. In this context, the pattern of attacks on shelters including schools and tent camps raise concerns about Israel's failure to comply with its obligations under International Humanitarian Law including the principles of distinction, proportionality, and precautions in attack. Depending on the circumstances, such strikes may amount to the deliberate targeting of civilians- a war crime and could also amount to crimes against humanity when conducted as part of a widespread or systematic attack against a civilian population.The UN Human Rights Office urges the Israeli military to prioritize the protection of civilians in Gaza. We call for independent, impartial and effective investigations for all such attacks on tents sheltering displaced families that have led to the deaths of civilians, including women and children, since the beginning of the war on 7 October 2023 and for accountability for those found responsible. We also urge the Palestinian armed groups to refrain from any activities that may expose civilians to the risk of attacks.

For two weeks since 6 October, the Israeli military has taken measures that make life in North Gaza impossible for Palestinians while repeatedly ordering the displacement of the entire governorate. Israeli authorities prevented the entry of all essential supplies to North Gaza between 1 and 14 October, exacerbating the already dire situation under which food and fuel supplies to the north were dwindling, and many were facing starvation. After 15 October, a token amount of aid seems to have entered the North, but this does not commensurate with the needs of the population.While the Israeli military has demanded that all civilians leave North Gaza, it has continued to relentlessly bomb and attack the area, especially in and around Jabalya Camp. These attacks have made it extremely dangerous for civilians to flee, and the UN Human Rights Office has received reports over the last weeks of Palestinians targeted while fleeing. Many Palestinians in the North have also expressed fears that should they flee; they will never be allowed to return to their homes in North Gaza. Israeli troops have also destroyed residential buildings and attacked schools serving as shelters, resulting in numerous civilian casualties and further limiting available shelter as winter approaches.  One strike on a residential block in Beit Lahiya on 19 October killed at least 87 Palestinians according to the Gaza Ministry of Health. Keeping with the trend in this escalation, many of the casualties appear to be children and women.The Israeli military’s resumed attacks on two of the three main hospitals in North Gaza put even more pressure on the civilian population. All three hospitals, already damaged in previous IDF attacks, are also struggling with shortages of supplies and fuel. Rescue teams and medics continue to report restrictions and direct and indirect attacks by the Israeli military, hindering lifesaving operations, including the recovery of Palestinians trapped under rubble. Internet services in North Gaza have been disrupted since 19 October, and at least 3 Palestinian journalists were killed in the last 2 weeks, limiting the available information about the conditions of life in North Gaza.Reports also indicate that tens of Palestinian men are being taken into custody by the IDF, raising fears that they may be subjected to arbitrary detention as well as torture and other ill-treatment, especially considering previous violations documented by the UN Human Rights Office. Israel must promptly announce the identity of all those taken into custody and ensure their access to their lawyers and families.We reiterate that all parties must respect and protect civilians. Palestinian armed groups must refrain from deliberately co-locating military objectives and civilians or civilian objects and must take all feasible precautions to protect the civilian population and civilian objects under their control against the effects of attacks. Even where Palestinian armed groups have failed to comply with these norms of IHL, Israeli forces retain their obligations to respect the principles of distinction, proportionality and precautions in attack.The UN Human Rights Office reminds the State of Israel of the provisional measures ordered by the International Court of Justice on 26 January 2024 that it take all measures within its power to prevent the commission of all acts within the scope of Article II of the Convention on the Prevention and Punishment of the Crime of Genocide in relation to Palestinians in Gaza. It also reminds Israel that, as the occupying power, it must ensure the provision of food, medical supplies and shelter for the population of Gaza, as also ordered by the International Court of Justice.

According to UN data, the ongoing war in the Gaza Strip has left 625,000 students completely deprived of their access to education, and 23,000 teachers deprived of the ability to deliver learning adequately.  Following 7 October all UNRWA schools in the Gaza Strip were closed. Hundreds of thousands of displaced people are now using these schools as shelters. About 93 per cent of school buildings are estimated to have sustained some level of damage. At least 84.6 per cent of schools in Gaza will either need full reconstruction or major rehabilitation work to be functional again.Since the beginning of the war, around 9,000 students and 400 teachers have been killed in the Gaza Strip. In the West Bank, including East Jerusalem, the total number killed is around 76 students and two teachers.Movement restrictions, military operations, and violence have exacerbated a pre-existing education crisis to unprecedented levels, affecting at least 782,000 students across the West Bank. The threats to the right to education for Palestinian students have never been so serious.Attacks on education have serious, long-term physical and psychological repercussions for students and teachers. Formal teaching and learning have been suspended for over an entire school year now, with no indication as to when they may resume, which may lead to a significant increase in dropout rates. Military use and destruction of schools and other educational institutions remain a constant threat, creating significant barriers to learning, and impacting access to quality, equitable, inclusive, and safe education - which is a human right of all children. António Guterres, the Secretary-General of the United Nations highlighted “This important day reminds us of the damage of war on young learners’ bodies, minds, and spirits. From injuries and loss of life to abduction, forced displacement, sexual violence, recruitment to the fighting, and lost opportunities, the risks are enormous”.It is crucial to ensure that every individual has the opportunity to learn and grow in a safe environment. We must stand united in safeguarding our educational institutions, promoting peace, and fostering a culture of respect and understanding to provide consistent, safe, and high-quality education to all Palestinian children.We also echo once again the Secretary-General's call for ‘an immediate cessation of hostilities and a sustained ceasefire in Gaza’ and the ‘immediate and unconditional release of all hostages,’ some of whom are also students.