Israel has killed 1,151 workers in Gaza’s healthcare system since October 2023, according to the Palestinian Ministry of Health. Among the dead are 260 nurses, 184 health associates, 165 physicians, and 76 pharmacists, along with hundreds of management and support staff. While most of the victims’ names have been confirmed by health authorities, over 150 confirmations are still pending due to Israel’s refusal to release the martyrs’ bodies.

In addition to those killed, hundreds of health workers remain imprisoned, where they face abuse and torture, as documented by international organizations. Ziad Muhammad Al-Dalu, a physician from Al-Shifa Hospital, was among those who died in Israeli custody, as reported by the Ministry of Health. His death serves as yet another example of Israel’s deliberate targeting of Gaza’s healthcare workers and infrastructure, actions that violate international humanitarian law.

The ongoing attacks on healthcare have left tens of thousands of people with life-altering injuries. According to the World Health Organization (WHO), approximately 25% of those injured between October 2023 and July 2024 have suffered burns, severe limb injuries, or amputations, with no access to rehabilitation services. Dozens of physiotherapists were killed in the attacks, and inpatient rehabilitation services have been shut down for months. “Even the most essential assistive devices, like wheelchairs and crutches, are lacking due to the restricted flow of aid,” the WHO said.

Israel’s blockade on humanitarian aid continues to choke Gaza’s healthcare system. At the moment, one of the most urgent problems is the shortage of soap and detergents. With the cost of a small bar of soap reaching USD 10—a price that could buy approximately 2 kilograms of soap in Germany—many families in Gaza are unable to afford basic hygiene supplies. “A family relying on cash-for-work income would spend 60% of the unskilled income on consumable hygiene products,” warned organizations monitoring water and sanitation in Gaza.

With soap being an omnipresent product, it might be difficult to imagine how severe the effects of a shortage might be, particularly for children. Health and hygiene officials estimate that adequate access to soap in the Gaza Strip could reduce respiratory infections by 20% and diarrheal diseases by up to 40%. This would potentially prevent illness in at least one in three children currently suffering from diarrhea. However, humanitarian organizations estimate that delivering the 5 million soap bars needed each month to meet demand in Gaza is basically impossible under the existing restrictions.

Despite this situation, Gaza recently completed the first phase of its polio vaccination campaign, with an 87% coverage rate among children—just below the 90% benchmark. The campaign is set to resume in the coming weeks, but incidents of Israeli forces obstructing access to those taking part in it persist, jeopardizing future public health efforts.

As winter approaches, the need for essential medicines, hygiene supplies, and nutritious food in Gaza becomes even more urgent. Concerns about potential floods and worsening living conditions highlight once again the critical need for an immediate ceasefire and rebuilding of the health system.

People’s Health Dispatch is a fortnightly bulletin published by the People’s Health Movement and Peoples Dispatch. For more articles and to subscribe to People’s Health Dispatch, click here.