UNICEF has described the humanitarian situation in Gaza as “dire” after more than two years of sustained conflict, with aid organizations reporting a systemic collapse of sanitation, healthcare, and basic infrastructure. According to UNICEF Communication Officer Salim Oweis, the territory faces a public health crisis driven by destroyed sewerage systems and the accumulation of solid waste, which has created an environment prone to rodent infestations and the spread of disease.
How has the collapse of infrastructure impacted daily life?
The destruction of water, sanitation, and hygiene (WASH) systems has left civilians without the means to maintain basic cleanliness, according to Salim Oweis. Oweis, who recently completed a two-week assessment on the ground, reported that mountains of rubble and uncollected solid waste have become breeding grounds for rodents. These pests are now infiltrating tents, makeshift camps, and remaining residential structures. The failure of the sewerage system, compounded by a lack of maintenance during the ongoing conflict, means that residents are struggling to protect themselves from insect bites and rodent-borne illnesses, according to UNICEF.

The United Nations considers figures provided by Gaza’s health ministry to be reliable. Since the ceasefire took effect on October 10, 2023, the ministry reports that at least 986 Palestinians have been killed, while the Israeli army has reported five deaths among its own ranks during the same period.
What is the current state of healthcare in Gaza?
Gaza’s health system is currently unable to provide full-scale care, as no hospital in the territory is fully functioning, according to UNICEF. The remaining facilities are overwhelmed by a dual burden: they must treat injuries caused by ongoing airstrikes—such as the recent attack on the Jabalia refugee camp that killed four people—while simultaneously managing daily disease outbreaks and trauma cases. Oweis noted that while UNICEF facilitates the medical evacuation of children, the process is often hindered by security constraints, leading to instances where patients die while waiting for care.

Why does aid access remain a primary challenge?
Humanitarian operations are constrained by both physical destruction and restricted access, according to UNICEF. While some movement is permitted in specific zones, large portions of the population remain cut off from essential services due to safety concerns. The Israel Defence Forces have increased their control over the coastal enclave, now occupying more than 60% of the territory, according to UNICEF reporting. Aid agencies continue to call for safe, unfettered access to the region to address what they describe as a collapse of basic services.
Comparison: Conflict-Related Fatalities
| Source | Reported Deaths (Post-Oct 10, 2023) |
|---|---|
| Gaza Health Ministry | 986+ Palestinians |
| Israeli Army | 5 personnel |
Frequently Asked Questions
- Why are rodents a major issue in Gaza?
According to UNICEF, the accumulation of rubble and the total destruction of sewerage and waste management systems have created an ideal environment for rodents to multiply and enter living spaces. - Are any hospitals in Gaza fully operational?
No. UNICEF reports that while some hospitals remain standing, none are fully functioning, and the system is collapsing under the pressure of war injuries and disease. - What is the current status of the ceasefire?
Despite a months-old ceasefire, both Israel and Hamas report near-daily violations, and progress toward a permanent end to the war remains stalled, according to reports from the region.
To stay updated on humanitarian developments in the Middle East, follow official updates from the UNICEF press center or monitor reporting from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA).

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