One year after a ceasefire agreement mediated in October 2025, humanitarian groups and international organizations report that Israeli forces continue daily attacks in Gaza, killing more than 1,400 Palestinians and leaving severe restrictions on aid, reconstruction, and basic infrastructure.
Three years after the October 7, 2023, attack led by Hamas and the subsequent launch of Operation Iron Swords by Israel, the humanitarian crisis in the Gaza Strip remains severe. The October 10, 2025, ceasefire agreement brought an end to large-scale bombardment and facilitated the release of remaining hostages held in Gaza alongside thousands of Palestinians held by Israel, according to reporting from the BBC.
However, more than 100 humanitarian, human rights, and civil society organizations state that the agreement exists in name only. Ongoing military operations, airstrikes, and shootings have continued to claim lives across the enclave on a near-daily basis.
Casualties Rise as Ceasefire Fails to Halt Violence
Data compiled by the Gaza Ministry of Health and international agencies indicate that at least 1,454 Palestinians have been killed and over 5,000 wounded since the ceasefire took effect, according to figures cited by Aljazeera. That rate equates to a Palestinian being killed or wounded in Gaza every 90 minutes on average.

The total death toll in Gaza since the outbreak of hostilities in October 2023 has surpassed 74,000 people, with more than 175,000 injured. The casualties include at least 327 children killed during the ceasefire period alone, alongside hundreds of bodies recovered from rubble or remaining unreachable in areas under military control.
UN Women estimates that nearly 50,000 women and girls have been killed or seriously injured since October 2023, leaving approximately one in 21 Gazan women and girls either dead or living with lifelong disabilities. Nearly every woman and girl in the territory is displaced, carrying sole responsibility for holding their families together amid widespread devastation. Mohsen Abu Ramadan, Palestinian NGO Network Board Member, said: Palestinian organisations are responding to immense needs under Israeli occupation with destroyed offices, displaced staff, and shrinking budgets.
Israel Expands Control Over Gaza
Under the terms endorsed by the UN Security Council, Israel was not intended to occupy or annex Gaza, and territory was slated to be handed over to an international stabilization force. Instead, Israeli military control has expanded across the Strip.
According to UN reporting cited by Al-Quds, the initial Yellow Line
left Israel controlling about 53 percent of Gaza. By mid-2026, that footprint expanded to approximately 63 percent, with directives from Prime Minister Benjamin Netanyahu to move toward 70 percent control.
Islamic Relief reports that this military perimeter has crowded Gaza’s population of nearly 2.1 million people into the remaining 35 percent of the territory. Tent cities and makeshift camps house the vast majority of inhabitants, who face extreme shortages of food, clean water, and basic medical care.

Gaza’s Infrastructure Lies in Ruins
Reconstruction and recovery efforts remain stalled due to ongoing restrictions on heavy equipment, building materials, and fuel. Satellite imagery and UNRWA assessments indicate that more than 80% of structures across Gaza have been damaged or destroyed, including roughly two-thirds completely flattened.
Gaza’s wastewater and sanitation infrastructure has been severely devastated, with bombing destroying or damaging nearly 90% of the territory’s water and sanitation facilities since 2023. Every day, 45,000 cubic metres of untreated sewage are discharged into the Mediterranean Sea while an additional 15,000 cubic metres seep into the ground, leading to an infestation of rats and other rodents in Gaza, with two in three children living in displacement sites plagued by these vermin.

- More than half of health services have shut down, and not a single hospital is fully functioning.
- Over 18,500 patients, including at least 4,000 children, await medical evacuation, with more than 1,000 having died while waiting.
- Wastewater and sanitation systems are heavily compromised, with tens of thousands of cubic metres of untreated sewage discharged daily into the Mediterranean or seeping into the ground.
- An estimated 1.4 million people face crisis-level hunger or worse through the end of the year.
Diplomatic Efforts Stalled by Political Divisions
Political pathways toward a permanent settlement have encountered persistent obstacles. The United States negotiated the October 2025 ceasefire framework, but analysts note a widening gap between American diplomatic rhetoric and its actual influence.
Qatar University political science professor Ali Al Hail noted that Washington's role as chief mediator is complicated by its military aid and diplomatic backing of Israel, which suggests it may not be impartial. In recent commentary, Nikolay Mladenov, high representative of the Board of Peace
, acknowledged that discussions remain stuck on the implementation of Israeli commitments, while Jared Kushner pointed to domestic political pressures in Israel as factors affecting progress.
Meanwhile, international bodies continue legal proceedings. The International Court of Justice advanced South Africa’s genocide case into the merits phase, with Israel’s final brief scheduled for May 2029, following previous provisional orders that Israel has failed to fully implement.