Geneva:

Palestinian health authorities say Israel’s ground and air campaign in Gaza has killed more than 38,000 people, mostly civilians, and driven most of the enclave’s 2.3 million people from their homes.

The war began on Oct. 7 when Hamas operatives rushed across the border into Israeli communities. Israel says the operatives killed more than 1,200 people, mostly civilians, and dragged 253 into captivity in Gaza.

This explainer examines how the Palestinian death count is calculated, how reliable it is, the breakdown of civilians and fighters killed and what each side says.

HOW DO GAZA HEALTH AUTHORITIES CALCULATE THE DEATH COUNT?

In the first months of the war, death counts were calculated entirely from counting bodies that arrived in hospitals and data included names and identity numbers for most of those killed.

As the conflict ground on, and fewer hospitals and morgues continued to operate, the authorities adopted other methods too.

From early May, the Health Ministry updated its breakdown of total fatalities to include unidentified bodies which account for nearly a third of the overall deaths. Omar Hussein Ali, head of the ministry’s emergency operations centre in the Israeli-occupied West Bank, said these were bodies that had arrived at hospitals or medical centres without personal data such as identity numbers or full names.

It also began including deaths reported online by family members who had to input information including identity numbers.

IS THE GAZA DEATH COUNT COMPREHENSIVE?

The numbers “do not necessarily reflect all victims due to the fact that many victims are still missing under the rubble”, the Palestinian Health Ministry says. In May it estimated that some 10,000 bodies were uncounted in this way.

The Lancet medical journal published a letter from three academics on July 5 estimating that indirect deaths, caused by factors such as disease, might mean the death count is several times higher than official Palestinian estimates.

The letter said it was “not implausible to estimate that up to 186,000 or even more deaths could be attributable to the current conflict in Gaza”.

The authors said the figure, which made global headlines, was based on what they said was the conservative estimate of four indirect deaths to one direct death based on trends from prior conflicts.

The U.N. human rights office and the Humanitarian Research Lab at the Yale School of Public Health have also said during the conflict that the true figures are likely higher than those published, without giving specifics.

HOW CREDIBLE IS THE GAZA DEATH COUNT?

Pre-war Gaza had robust population statistics and better health information systems than in most Middle East countries, public health experts told Reuters.

A spokesperson for the World Health Organisation said the ministry has “good capacity in data collection/analysis and its previous reporting has been considered credible”.

The United Nations regularly cites the ministry’s death count figures, while naming the ministry as the source.

Early in the conflict, after U.S. President Joe Biden cast doubt on casualty figures, the health ministry published a detailed list of the 7,028 deaths that had been registered by that point.

Academics looking at details of listed casualties said in a peer-reviewed article in the Lancet medical journal in November that it was implausible that the patterns shown in the list could be the result of fabrication.

However, there are specific questions over the inclusion of 471 people said to have been killed in an Oct. 17 blast at al-Ahli al-Arab hospital in Gaza City. An unclassified U.S. intelligence report estimated that death count “at the low end of the 100 to 300 spectrum”.

DOES HAMAS CONTROL THE FIGURES?

While Hamas has run Gaza since 2007, the enclave’s Health Ministry also answers to the overall Palestinian Authority ministry in Ramallah in the West Bank.

Gaza’s Hamas-run government has paid the salaries of all those hired in public departments since 2007, including in the Health Ministry. The Palestinian Authority still pays the salaries of those hired before then.

The extent of Hamas control in Gaza now is difficult to assess with Israeli forces occupying most of the territory, including around locations of major hospitals that provide casualty figures, and with fighting ongoing.

WHAT DOES ISRAEL SAY?

Israeli officials have said the figures are suspect because of Hamas’ control over government in Gaza. Foreign Ministry spokesperson Oren Mamorstein said the numbers were manipulated and “do not reflect the reality on the ground”.

However, Israel’s military has also accepted in briefings that the overall Gaza casualty numbers are broadly reliable.

In May, Israeli Prime Minister Benjamin Netanyahu said 14,000 Hamas fighters and 16,000 Palestinian civilians had been killed in the war.

HOW MANY CIVILIANS HAVE BEEN KILLED?

The Health Ministry figures do not differentiate between civilians and Hamas combatants, who do not wear formal uniform or carry separate identification.

Israel periodically provides estimates of how many Hamas fighters it believes have been killed. The most recent was Netanyahu’s estimate of 14,000.

Israeli security officials say such estimates are reached through a combination of counting bodies on the battlefield, intercepts of Hamas communications and intelligence assessments of personnel in targets that were destroyed.

Hamas has said Israeli estimates for its losses are exaggerated but has not said how many of its fighters have been killed.

The Palestinian Health Ministry says more than 70% of the dead are women and children. For most of the conflict its figures showed children as representing slightly over 40% of all those killed.

However, conditions in hospitals compiling figures have worsened amid the fighting and many of those killed may not be identifiable due to their injuries.

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Gaza City:

The Israeli army on Wednesday dropped thousand of leaflets on Gaza City urging all residents to leave amid an intensified military offensive on the Palestinian territory’s main city, an AFP journalist said.

The leaflets, addressed to “everyone in Gaza City”, set out routes out of the city to designated safe areas further south and warned the urban area would “remain a dangerous combat zone” as the army hits Hamas targets.

Israel issued a first formal evacuation order for part of the city on June 27, and two more in following days.

In the leaflet drop, the army said residents would be able to take two safe roads “quickly and without inspection from Gaza City to shelters in Deir Al-Balah and Al-Zawiya”.

Following the October 7 Hamas attacks, Israel said in January that it had “dismantled” the group’s “military structure” in the northern city.

Tens of thousands more residents have already fled Gaza City since troops launched the latest offensive in the city’s eastern Shujaiya district and ground battles have since raged.

The two latest orders covered central and western districts where tanks and troops have move in this week.

The army also said its forces had attacked operatives inside Gaza City’s vacated headquarters of the UN agency for Palestinians, UNRWA.

Strikes have also hit Deir Al-Balah, an area where Palestinians have been urged to move to for safety.

The United Nations on Tuesday expressed alarm at Israel’s evacuation orders, saying they tell Palestinians to go to zones where there is fighting.

The October 7 Hamas attack on southern Israel resulted in the deaths of 1,195 people, mostly civilians, according to an AFP tally based on Israeli figures.

The operatives also seized 251 hostages, 116 of whom remain in Gaza, including 42 the military says are dead.

Israel’s military offensive has killed at least 38,243 people in Gaza, also mostly civilians, according to figures released Tuesday by the Hamas-run territory’s health ministry.

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Hamas said they informed ceasefire talks mediators that they are ready to reach a “complete agreement” including a comprehensive hostages/prisoners exchange deal if Israel “stops its war and aggression against people in Gaza,” a statement from the group said on Thursday.

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The Hague:

Judges at the top United Nations court ordered Israel on Friday to halt its military assault on the southern Gaza city of Rafah, in a landmark emergency ruling on South Africa’s case accusing Israel of genocide.

Reading out the ruling by the International Court of Justice or World Court, the body’s president Nawaf Salam said the situation in the Palestinian enclave had deteriorated since the court last ordered Israel to take steps to improve it. Conditions had been met for a new emergency order.

“The state of Israel shall (….) immediately halt its military offensive, and any other action in the Rafah governorate, which may inflict on the Palestinian group in Gaza conditions of life that could bring about its physical destruction in whole or in part,” he said.

The court also ordered Israel to open the Rafah crossing between Egypt and Gaza to allow in humanitarian aid, and said it must provide access to the besieged enclave for investigators and report back on its progress within one month.

The order was adopted by the panel of 15 judges from around the world in a 13-2 vote, opposed only by judges from Uganda and from Israel itself.

It was handed down a week after it was requested by South Africa as part of a case accusing Israel of genocide.

The ICJ is the highest U.N. body for hearing disputes between states. Its rulings are final and binding but have been ignored in the past. The court has no enforcement powers.

Outside, a small group of pro-Palestinian demonstrators waved flags and played a rap on a boom box calling for a free Palestine.

Israel has repeatedly dismissed the case’s accusations of genocide as baseless, arguing in court that its operations in Gaza are self-defence and targeted at Hamas operatives who attacked Israel on Oct. 7.

An Israeli government spokesman said on the eve of Friday’s decision that “no power on Earth will stop Israel from protecting its citizens and going after Hamas in Gaza”.

Israel launched its assault on the southern city of Rafah this month, forcing hundreds of thousands of Palestinians to flee a city that had become a refuge to around half of the population’s 2.3 million people.

Rafah, on Gaza’s southern edge, has also been the main route in for aid, and international organisations say the Israeli operation has cut off the enclave and raised the risk of famine.

EMERGENCY MEASURES

South Africa’s lawyers asked the ICJ last week to impose emergency measures, saying Israel’s attacks on Rafah must be stopped to ensure the survival of the Palestinian people.

A decision against Israel could heap more diplomatic pressure on the government of Prime Minister Benjamin Netanyahu.

The chief prosecutor of the International Criminal Court – a separate court also based in The Hague – announced on Monday he had filed an application for arrest warrants against Netanyahu and Defence Minister Yoav Gallant, as well as leaders of Hamas.

Prosecutor Karim Khan accused Netanyahu and Gallant of crimes including extermination, using hunger as a weapon and deliberately attacking civilians. Israel strongly denied those charges and called on allies to repudiate the court.

South Africa’s wider case at the ICJ accuses Israel of orchestrating a state-led genocide against the Palestinian people. The ICJ has not ruled on the substance of that accusation – this could take years – but has rejected Israel’s demand to throw the case out.

In previous rulings, the court ordered Israel to prevent acts of genocide against the Palestinians and allow aid to flow into Gaza, while stopping short of ordering a halt to Israeli military operations.

Israel launched its air and ground war on Gaza after Hamas-led operatives rushed into southern Israeli communities, killing 1,200 people and seizing more than 250 hostages, according to Israeli tallies. More than 35,000 Palestinians have since been killed in the offensive, Gaza’s health ministry says.

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Jerusalem:

The US military said aid deliveries began Friday via a temporary pier in Gaza aimed at ramping up emergency humanitarian assistance to the war-ravaged Palestinian territory.

“Today at approximately 9 a.m. (Gaza time), trucks carrying humanitarian assistance began moving ashore via a temporary pier in Gaza,” the US Central Command (CENTCOM) said in a statement, adding that no US troops went ashore.

“This is an ongoing, multinational effort to deliver additional aid to Palestinian civilians in Gaza via a maritime corridor that is entirely humanitarian in nature,” it said.

The pier was successfully anchored on Thursday, with around 500 tonnes of aid expected to enter the Palestinian territory in the coming days.

Photos released on Thursday by CENTCOM showed humanitarian aid being lifted onto a barge in the nearby Israeli port of Ashdod.

The Palestinian territory is facing famine after an Israeli siege brought dire shortages of food as well as safe water, medicines and fuel for its 2.4 million people.

The arrival of occasional aid convoys has slowed to a trickle since Israeli forces took control last week of the Gaza side of the Rafah crossing.

The UN has said that opening up land crossing points and allowing more trucks convoys into Gaza is the only way to stem the spiralling humanitarian crisis.

The Gaza war broke out after Hamas’s October 7 attack on southern Israel which resulted in the deaths of more than 1,170 people, mostly civilians, according to an AFP tally of Israeli official figures.

Israel’s devastating military retaliation has killed at least 35,272 people, mostly civilians, according to the health ministry in Hamas-ruled Gaza.

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)