UNITED NATIONS, April 17 (IPS) – Roughly six months after the ceasefire in the Occupied Palestinian Territory went into effect, the humanitarian situation in Gaza remains precariously fragile, despite a relative decline in hostilities. The crisis, marked by ongoing Israeli airstrikes and shelling, continued blockades on humanitarian aid, and widespread displacement, has pushed the majority of Palestinians in Gaza to the brink. Amid the vast scale of needs, basic services are increasingly strained, and humanitarian experts warn that the situation could deteriorate further in the coming months unless sustained aid and funding are secured.
A new report from the United Nations Relief and Works Agency for Palestinians in the Near East (UNRWA) on the current conditions in Gaza confirmed a continuation of airstrikes, shelling, and gunfire across multiple areas, including Beit Lahia, Jabalia, Deir al Balah, Khan Younis, Rafah, and Bureij. The Office for the Coordination of Humanitarian Affairs (OCHA) estimates that since the eruption of hostilities on October 7, 2023, approximately 72,315 Gazans have been killed and another 172,137 injured.
“The scale and pattern of these actions, occurring alongside mass displacement of Palestinians from their homes and land in Gaza shows once again the ongoing broader policy of ethnic cleansing across the occupied Palestinian territory,” said a group of United Nations (UN) experts on April 13. “This cycle of displacement, terror, and targeted attacks serves an ultimate purpose: to make life unbearable for Palestinians and permanently force them from their land…Targeting areas known to shelter displaced civilians is a grave breach of international humanitarian law and is a grim reminder of the urgent need for international action and accountability.”
According to Palestine’s Ministry of Health, at least 32 Gazans have been killed by Israeli forces in early April alone. Airstrikes, gunfire, and shelling are daily occurrences, with women, children, disabled persons, humanitarian workers, and journalists being routinely targeted. On April 9, a young girl was killed by Israeli gunfire in a crowded classroom-turned-makeshift encampment.
“For the past 10 days, Palestinians are still being killed and injured in what is left of their homes, shelters, and tents of displaced families, on the streets, in vehicles, at a medical facility and in a classroom,” said United Nations High Commissioner for Human Rights Volker Türk. “Movement itself has become a life-threatening activity. Incidents of Palestinians killed by Israeli forces while walking, driving, or standing outside are recorded nearly every day.”
The Office of the High Commissioner for Human Rights (OHCHR) also confirmed that there have been increasing cases of Israeli forces killing Palestinians based on their proximity to the “yellow line”, a line of demarcation that divides the Palestinian-controlled areas of Gaza and the Israeli-controlled areas. “Targeting civilians not taking direct part in hostilities is a war crime, regardless of their proximity to deployment lines,” said Türk
On April 6, Israeli forces shot at vehicles from the World Health Organization (WHO), killing a driver. Two days later, Israeli drone strikes killed Al Jazeera journalist Mohamed Washah in Gaza City, marking the 294th Palestinian journalist to be killed by Israeli forces since October 7, 2023. Additionally, Israel has continued to ban international journalists from accessing Gaza, further compounding the regional decline of journalistic freedom.
“The number of journalists and humanitarian personnel killed in Gaza is unprecedented, and further compounds civilian harm as it makes reporting on the situation and responding to its humanitarian implications life-threatening,” added Türk.
Internal displacement is particularly rampant, with OCHA estimating that routine evacuation orders and bombardment have affected roughly 92 percent of all housing across the enclave, with the vast majority of affected communities having been displaced multiple times. Civilians residing in overcrowded, makeshift encampments are disproportionately affected by insecurity, freezing temperatures, building collapse, and a severe shortage of humanitarian aid and basic services.
Humanitarian movement remains severely constrained, with all UNRWA staff banned from accessing the entire Occupied Palestinian Territory since March 2025. The agency, which has long acted as a critical lifeline for Palestinians, has pre-positioned food parcels, flour, and shelter supplies at Gaza’s borders, which could help hundreds of thousands of Gazans.
Thousands of Palestinians across the enclave are in urgent need of medical care as Gaza’s health system nears the brink of collapse, facing severe shortages of supplies amid an influx of injured and ill patients. Medications are critically short in supply, and UNRWA has reported a sharp uptick in cases of ectoparasitic infections such as scabies and fleas, as well as chickenpox and other skin diseases, which have been linked to disrupted water and hygiene (WASH) services, overcrowding, and pests.
Despite these challenges, humanitarian experts have expressed optimism that the situation in Gaza could improve as access constraints begin to fade. Following nearly 40 days of closure, the critical Zikim crossing reopened in early April, allowing nutritional and health supplies to reach northern Gaza directly. UNRWA is currently supporting over 67,000 displaced individuals across 83 collective emergency shelters, with over 11,000 personnel providing lifesaving care.
UNRWA, in collaboration with WHO, the United Nations Children’s Fund (UNICEF), and Palestine’s Ministry of Health, reached almost 2,100 children under three years of age with vaccinations between April 5 and 9. WHO and its partners have also been facilitating dozens of medical evacuations through the Rafah border crossing and providing access to medical care, food, water, and psychosocial services to returning Gazans.
The UN experts stressed that a definitive end to hostilities, an expansion of protection services, and the unimpeded delivery of humanitarian aid are crucial in coordinating an effective return to stability in Gaza. Additionally, the experts called on Israeli authorities to ensure a safe and dignified return to Gaza for displaced individuals, as well as the lifting of restrictions for UNRWA operations.
“We reiterate our call on States to bring Israel’s unlawful occupation to an end and ensure the immediate protection of civilians sheltering in displacement sites across the Gaza Strip, including by scaling up vital humanitarian assistance,” the experts said. “States must comply with their legal obligations. They must bring Israel’s unlawful occupation to an end, refrain from recognising it and withhold assistance to it, and take effective measures to ensure investigations and accountability for grave violations of international law in the occupied Palestinian Territory.”
IPS UN Bureau Report
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