Gaza-Israel War

Accessing health care has become increasingly difficult for the wounded and the sick in Gaza, adding to an already shocking toll from this war.. Malnutrition is prevalent, communicable diseases are spreading, clean water is scarce and winter weather is making life conditions worse for people who were not able to take warm clothes when the war began.

Infections resulting from poorly treated wounds are  putting lives at risk. The risks of infection are incredibly high because of the conditions that people are forced to live in and the fact that there just isn’t the capacity and ability to provide the in-hospital care that these patients truly need. The World Health Organization also reports an increase in infectious diseases including diarrhea, acute respiratory infections, skin infections, and outbreaks like hepatitis. Pregnant mothers struggle to find access to delivery rooms due to crowded hospitals, leading to stillbirths or births in terrible conditions for both mother and child.

Due to the unprecedented number of wounded in Gaza, the severity and complexity of injuries, we need to be able to provide safe and medicalised passage to health facilities outside of Gaza for patients who need it and choose to do so. Palestinians who are medically evacuated must retain the right to return home to Gaza as required under international human rights law.

MSF’s mental health teams have been addressing the psychological toll of the war and forced displacement on children’s emotional wellbeing in Gaza after nearly three months of siege and bombardment. Children have been exposed to extremely traumatic episodes with some patients recovering from physical injuries and some having lost their family members. 

MSF began working in Palestine in 1989 and has run medical programs in Gaza for more than 20 years. 

Working in three hospitals and several outpatient clinics, we offer comprehensive care for people suffering from burns and trauma, which includes surgery, physiotherapy, psychological support, occupational therapy and health education. 

Since 2018, we have also been running a reconstructive surgery programme in northern Gaza. MSF’s project is crucial since Gaza’s local healthcare system is overstretched and underfunded, and deeply impacted by over a decade of blockade.

Since we currently only run programs in Palestine, our reporting is rooted in the direct witnessing of our patients and staff on the ground there. However, we have offered support to Israeli hospitals treating casualties from these attacks.

We are a humanitarian organisation, which means we treat everyone who needs help, but our resources are not unlimited: we focus them where they are needed the most. 

The Palestinian healthcare systems, both in the West Bank and the Gaza Strip, have been crippled by over 70 years of occupation and over ten years of blockade. They are unable to meet the basic health needs of their respective populations. 

MSF offered support to Israel in response to the 7 October Hamas attacks but this was respectfully declined as Israel has an excellent healthcare system.

One of the central pillars of our identity is to bear witness and call attention to the problems driving emergency needs in the places where we provide humanitarian assistance.

We have a long history of speaking out and advocacy when governments or other actors implement policies that threaten the health and safety of our patients or our staff, for example in conflicts in Syria, Yemen, and Afghanistan.

International humanitarian law and the rules of war require militaries to distinguish between civilians and combatants and prohibit attacks that cause disproportionate harm to civilians and civilian objects. The way Israel is prosecuting this war is causing massive death and suffering among Palestinian civilians and is inconsistent with these norms and laws.

Medical facilities and their surrounding areas have repeatedly been attacked or subjected to evacuation orders by Israeli forces, making access to healthcare extremely dangerous for patients and putting the lives of medical staff at risk. This compels us to speak out and demand an immediate ceasefire.

We were horrified by Hamas’ massacre in Israel on 7 October, and we are horrified by Israel’s response. As humanitarians, we grieve for all civilian lives lost, and the vast majority of the victims of this conflict are civilians, including many elderly people, women and children. Violence against civilians is never justified, and all civilians deserve protection.

MSF’s reporting is based on what our patients and staff tell us they are seeing on the ground in Gaza, where the Israeli military campaign and siege have had devastating consequences. The healthcare system has collapsed, and hospitals have run out of drugs, medical supplies, and fuel for generators. People have limited access to food, water, shelter, and electricity. And the death toll continues to rise. 
 

We are calling for a sustained ceasefire because widespread and indiscriminate attacks on civilians—including attacks on healthcare—have made it impossible to deliver the humanitarian assistance needed in Gaza.

MSF offers medical humanitarian assistance to people based solely on need, irrespective of race, religion, gender, or political affiliation. As an organisation, we focus on filling the greatest gaps in healthcare.

We have no agenda except to go where we are needed and treat patients and we are struggling to do so right now in Gaza due to the lack of drugs, medical supplies and fuel for generators.

MSF takes any allegation of anti-Semitism extremely seriously. At any given time, MSF has approximately 68,000 people working in our projects and headquarters. Any form of bigotry or discrimination by MSF staff is unacceptable.

We do not believe that criticism of Israeli government policies is equivalent to anti-Semitism.

MSF speaks out when governments or actors implement policies that are harmful to the health and safety of our patients or our staff. The way Israel is prosecuting this war is causing massive death and suffering among Palestinian civilians and putting our staff at risk. This is inconsistent with the norms and laws of war.

No state is above criticism.

As humanitarians, we grieve for all civilian lives lost, and the vast majority of the victims of this conflict are civilians, including many elderly people, women, and children. Violence against civilians is never justified, and all civilians deserve protection.

MSF works with the Ministry of Health in Gaza. We coordinate our work through them. When it comes to ensuring the safety of our teams in Gaza, we maintain contact with the Ministry of Interior in Gaza, just as we maintain contact with the Israeli authorities. 

MSF works in more than 70 countries around the world. Wherever armed conflict is present, we maintain contact with all actors to safeguard our teams and activities.

Al-Shifa Hospital

Evacuated — No MSF staff
Following a 14-day operation by Israeli forces which ended on April 1, the hospital was left in ruins and is no longer functional. There is no possibility for MSF to resume its activities in the near future.  

MSF clinic (Gaza city)

MSF facility with MSF staff – Now functional, reopened July 2024
Since July 2024, primary healthcare activities have been launched at the Gaza clinic and include general consultation, non-communicable disease treatment, dressings, physiotherapy and malnutrition screening. In addition, since beginning of August 2024 and according to health care needs assessments, our teams have started developing sexual and reproductive health activities, following up pregnant women for antenatal and postnatal care, providing gynaecological consultations and family planning.

Sheihk Radwan Primary Health Care Centre (Gaza city)

Ministry of Health facility with MoH and MSF staff
In January 2025 MSF began supporting the Ministry of Health in this primary health care centre, mainly focusing on training staff for nutrition and emergency care, including supply donation.

Al-Aqsa Hospital, Deir Al Balah

Ministry of Health facility with MSF staff
MSF began working in Al-Aqsa hospital on 26 November 2023. On 6 January 2024, MSF had to evacuate Al-Aqsa hospital due to fighting all around the premises and evacuation orders that made MSF’s pharmacy store inaccessible. On 6 February 2024, MSF teams returned to Al-Aqsa and prepared the premises for a return to previous activities, which resumed the following day.

MSF supports the Ministry of Health in the emergency room with acute trauma surgery, advanced wound care, post-operative wound care, physiotherapy, health promotion and mental health support. MSF supports the red area of the Emergency department and the wound care tent. Access to the pharmacy store has also been re-established.  Activities also include malnutrition screening and referral. 

Al Martyrs Primary Health Care Centre, Deir Al Balah

Ministry of Health facility with MSF staff
MSF team provides wound care and malnutrition screening activities, mental health services, health promotion, and physiotherapy at the primary healthcare centre. MSF began working in this facility at the end of February 2024.

Al Hekker Primary Health Care Centre

MSF facility with MSF staff
The primary healthcare centre in Al Hekker provides outpatients services, including general & paediatric consultations for acute and chronic conditions, vaccination, reproductive health services, dressing and minor surgery, psychosocial and mental health services including psychological first aid, individual and family sessions, and psychoeducation and health promotion activities. Services also include malnutrition screening and an ambulatory nutritional treatment for severe and moderate children, infants and pregnant and lactating women. 

Deir Al Balah Field Hospital 

Ministry of Health facility with Ministry of Health and MSF staff
As a response to the destruction of the health system in Gaza, MSF teams opened a field hospital in collaboration with the MoH. The Emergency Department, OPD, IPD and Operation theatre are open with 70 beds available.  

Deir Al Balah Modular Field Hospital

MSF facility with MSF staff
The field hospital runs outpatient activities with general consultations, non-communicable disease follow-up, sexual and reproductive health (including sexual violence treatment), wound dressings, physiotherapy, psychological consultations and malnutrition screening. Our teams also provide  paediatric hospitalisation with 51 beds (including isolation, emergency room and intensive care unit). One of the tents in the modular field hospital has now been closed as many people left the area following the ceasefire announcement.

Nasser Hospital, Khan Younis

Ministry of Health facility with MSF staff
Nasser hospital is now the largest surgical centre in Gaza, as Al-Shifa hospital is not functioning anymore. MSF staff were forced to flee and leave patients behind after a shell struck the hospital in mid-February 2024 and Israeli forces ordered the evacuation of the facility before raiding it. 

In mid-May 2024, following the evacuation order of the Rafah Indonesian hospital due to the Rafah offensive, in collaboration with the Ministry of Health, MSF relaunched operations in Nasser, focusing on orthopaedic surgery, the burn unit, plastic surgery, general laboratory activities, physiotherapy and counselling department.

We are currently working in the Trauma/Ortho/Burn Unit of Nasser Hospital and are running two operation rooms, 67 inpatient beds, and four beds in intermediate care. We are also running daycare surgery service (three days per week) for trauma and burn patients. In addition, we also managed an outpatient department for wound care, providing dressings and physiotherapy sessions for burn and trauma cases. MSF also supports mother and childcare in Nasser hospital, including three paediatric wards with a total of 94 beds, and an outpatient department for specialist consultation, delivery, pre- and postpartum, gynaecology and obstetrics. A paediatric intensive care unit has nine beds and a newborn intensive care unit has 30 beds. We also support through paediatric and maternity emergency rooms, mental healthcare and health promotion.

In mid-June, MSF also opened an inpatient therapeutic feeding centre for malnourished children. Nasser’s maternity is one of the sole functional maternity units in the South of Gaza. 

Khan Younis Primary Healthcare Centre in Khan Younis

MSF facility with MSF staff
MSF provides outpatient consultations, vaccination, mental health, ambulatory therapeutic feeding centre, midwife/sexual and reproductive health, wound care and physiotherapy, and health promotion. Given the massive influx of population from Rafah into an already packed humanitarian zone, and the lack of health facilities to cover trauma needs, MSF expanded activities in November 2024 to include a lightweight emergency service focused on stabilising and referring more complex cases while managing simpler cases.

Al Attar Primary Healthcare Centre in Khan Younis

MSF facility with MSF staff
The primary healthcare centre is located between Al Mawasi and Khan Younis to address the needs of the local population who have set up tents in the area, offering services such as general and paediatric consultations for acute and chronic conditions, vaccination, emergency healthcare and wound care, antenatal and postnatal care, psychosocial and mental healthcare, health promotion, malnutrition screening and ambulatory therapeutic feeding centre (ATFC), for severe and moderate children and pregnant & lactating women. There is also a 24-hour emergency service. 

Al Qarara clinic in Khan Younis

Private health facility with PalMed staff – No MSF staff
MSF is supporting PalMed, a diaspora-based Palestinian medical organisation, with medications, incentives and running costs, to provide sexual and reproductive health care and general medical consultations (wound dressing, skin infections, non-communicable diseases, etc).

In November 2024 medical activities expanded to incorporate screening for malnutrition and an ambulatory therapeutic feeding programme for children under 5 and pregnant and lactating women.

Al-Mawasi Advanced Primary Health Care Centre in Rafah

MSF facility with MSF staff
MSF staff are providing outpatient services, including general and paediatric consultations for acute and chronic conditions, vaccination, reproductive health care, dressing and minor surgery, psychosocial and mental health services, and health promotion. The primary healthcare centre includes a 24/7 emergency room to stabilise and refer severe patients. It also provides malnutrition screening and ambulatory feeding treatment centre (ATFC) for severe and moderate children and pregnant and lactating women.

West Bank

October 2023 marked a turning point for the occupied West Bank, and more recently, the ceasefire implemented in Gaza too. A major escalation of violence took place in an already-turbulent West Bank, with a significant spike in the attacks on Palestinians by Israeli settlers and forces. 

The Jenin refugee camp, already targeted by incursions by the Israeli army in the past few years, has become a major target of Israeli military operations, including air strikes, as Israeli forces seek to eliminate militants of armed groups. MSF is maintaining operations in the West Bank, focusing on providing emergency care, primary health care via mobile clinics, and mental health care in Hebron, Nablus, Jenin and Tulkarem.
 

Hebron

Current activities include operating 15 mobile clinics and providing support to six primary health clinics, with support including primary health care, non-communicable diseases, sexual and reproductive healthcare and maternal health, implementation and support of the maternity ward increase in Halhul Hospital, mental health support, capacity building in emergency response, as well as advocacy and protection. We are strengthening emergency capacity building at level of hospital (four hospitals Dura, Yata, Halhul and Mohtaseb) with capacity building and donation of supplies and at community level with training and supplies (First Aids kits) in six communities Beit Ummar, Al Fawwar camp, Al Arroub camp, Aida camp, Azza camp and Dheisheh camp.

The activities cover the areas outside and inside Hebron's Old City, but also in Dura and in the remote villages of Masafer Yatta in the Southern West Bank and include social work case management for communities affected by settlers’ attack. MSF also offers “safe/community spaces” activities in Umm Qussa, Al Majaz, Umm Al Kheir and Hebron city. MSF increased health promotion activities, and the distribution of relief items, hygiene kits and food parcels, portable toilets and pipes installations to displaced people, and West Bank residents affected by violence and forcible displacement.
 

Nablus

MSF continues to provide psychological therapy, sexual and gender based violence case management and psychological consultations in Nablus, Qalqiliya and Tubas despite the intensified movement restrictions by Israeli forces since October 2023. In collaboration with the Palestinian Union of Social Workers and Psychologists (PUSWP), MSF started in March, the third cohort of intern training for eight psychologists, and the interns will do 770 hours of theoretical and practical training in MSF clinic.

MSF is also training volunteers from the Palestine Red Crescent Society (PRCS) volunteers as first aid providers and first responders in the governorates of Nablus, Tubas, and Qalqilya. MSF has equipped six stabilisation points (Ministry of Health and PRCS) across Nablus, Qalqiliya and Tubas, to mitigate access constraints for patients and ambulances.

In April, MSF began a training for doctors and nurses in the emergency room in three different hospitals (Nablus, Tubas and Qalqilya) to increase the capacity of Ministry of Health staff to respond to trauma cases.

Since July, MSF is providing primary healthcare with a mobile team in six identified locations (two in Qalqilya governorate and four in Nablus governorate) supporting existing primary healthcare centres amidst challenges in HR, access and availability of medications.
 

Jenin and Tulkarem 

Usually, MSF teams in Jenin and Tulkarem are focused on capacity building of first responders and mental health activities. However, due to the security situation, all our regular activities are suspended, and we are focusing on meeting the most basic humanitarian and supply needs of the displaced people in the camps of Jenin, Tulkarem, and their main medical structures.

In Jenin, we have successfully coordinated the delivery of 157 trucks, each carrying 10,000 litres of water, and one truck with 10,000 litres of fuel to the Jenin government hospital. We have also supported many families with mattresses, diapers, food, and medications.

In Tulkarem, within the refugee camp, we have distributed nearly 500 food packages to families who are trapped, and outside the camp, we have delivered various types of NFI to displaced families.

At the same time, we are working with the Ministry of Health to develop a long-term mobile clinic program for the most hard-to-reach villages in the Tulkarem and Jenin governorates, including some villages divided by the wall. This support will also enable the activation of diagnostic labs in remote areas and improve the availability of medical services in case of further movement restrictions.

Water and Sanitation

In January 2025, MSF distributed 500,000 litres of water per day through desalinisation process in more than 64 water points in Al Mawasi, Khan Younis, Rafah, and Deir El Balah. Since the ceasefire our teams also started water trucking activities in the North. We are continuously working to increase this quantity, as drinkable water is a scarce source.

Since February 2024, in partnership with the Agriculture Development Association (PARC), MSF is implementing water and sanitation activities in camp shelters in Deir El Balah and Khan Younis, including the building of latrines, providing hygiene kits and water treatment units, and supporting a camp hosting 70 families (400 people) of people living with disabilities with the needed sanitary facilities (accessible latrines and showers).    

Since the ceasefire, water, sanitation and hygiene (WASH) partners are scaling up water trucking activities to increase water accessibility and meet staggering levels of need given the high level of damage to water facilities or their presence in currently inaccessible locations in buffer zones. 67 per cent of water wells were damaged, mostly in Gaza governorate.

Lack of water, lack of hygiene and sanitation are huge risk factors for disease outbreaks. With the conditions of Gaza today, an infectious disease outbreak could have disastrous consequences for a population whose health is already weakened by the general living conditions, exhaustion and the lack of adequate food.

2024

• 17 December – Intense fighting in Al Mawasi, southern Gaza, forced MSF teams to temporarily close a healthcare facility, due to the insecurity, and more than 30 MSF staff were trapped in the office due to bombings and heavy shootings. 12 of MSF staff members and their families were trapped in their homes.  
• 3 December – In Tubas, West Bank, Israeli forces raided and opened fire inside the Turkish hospital, which we collaborate with. According to information gathered by our team, five non-MSF medical staff were detained, and one person was wounded. Medical staff on site were threatened at gunpoint and subjected to aggressive questioning while patients were told to stay still, or they would be shot and killed. 
• 13 November – An Israeli airstrike hit the densely populated zone of Al Mawasi, only 250 meters away from an MSF healthcare clinic. MSF did not receive an official evacuation order from Israeli forces. Both MSF staff and about 500 patients and caregivers present that day had only a few minutes to flee the facility, which was later found with equipment destroyed and shrapnel damages to the desalination plant. 
• 9 November – An Israeli airstrike targeted once again an area housing displaced people inside the Al Aqsa hospital compound in Deir Al Balah, Gaza. MSF teams assisted in treating 8 wounded in the emergency room. 
• 26 October – MSF orthopaedic surgeon, Dr Mohammed Obeid, was detained by Israeli forces along with several medical staff from Kamal Adwan hospital in north Gaza during a military operation targeting the hospital.  
• 14 October – An Israeli airstrike targeted an area housing displaced people inside the MSF-supported Al Aqsa hospital compound in Deir Al Balah, resulting in 65 wounded and 5 dead. Tents of displaced people caught on fire while people were sleeping. The hospital treated 40 patients, including 10 children and 8 women; many of them with severe burns. 25 more injured patients had to be referred to other health facilities due to the lack of capacity in the hospital. 
• 7 October – In the early hours, the compound of the MSF-supported Al Aqsa hospital, Deir Al Balah, was once again hit by an Israeli strike, while another strike hit a tent in the street only a dozen meters away from the hospital. 8 people injured in these strikes were treated at the hospital. 
• 5 September – An Israeli strike hit a displacement site within the compound of the MSF-supported Al Aqsa hospital in Deir El Balah, central Gaza. According to the Ministry of Health, four people were killed, and 16 were wounded and treated at the hospital. The scale and intensity of Israel's nine-day incursion in Jenin was unprecedented. Israeli forces obstructed access to health facilities, blocking and targeting ambulances. In the MSF-supported Khalil Suleiman Hospital, which was surrounded by Israeli Forces since the start of the incursion, electricity and water supplies was compromised and the medical team was forced to halt dialysis operations, key for the treatment of kidney failure. In Tulkarem, after the withdrawal of Israeli forces, MSF teams heard disturbing reports from an MSF-trained volunteer who was beaten and interrogated by Israeli authorities.
• 25 August – An explosion approximately 250 meters away triggered panic with many choosing to leave the hospital. As a result, MSF considered whether to suspend wound care, while trying to maintain life-saving treatment. Of around 650 patients, only 100 remained in the hospital, with 7 in intensive care unit according to the Ministry of Health. 
• 4 August – Strikes hit tents for displaced people in the compound of the MSF-supported Al-Aqsa hospital, Deir Al-Balah, central Gaza. According to the Ministry of Health, 3 people were killed and 18 injured. 
• 22 July – A strike hit near the main entrance of the MSF-supported Al Aqsa hospital’s emergency room in Deir Al-Balah, central Gaza. 
• 8 July – The MSF clinic in the north of Gaza was forced to temporarily close from 8 to 18 July, after Israeli forces issued an evacuation order for parts of Gaza City.  MSF teams continued to provide patient care until the last minute, before fleeing the area that came under heavy fire. 
• 25 June – MSF colleague, Fadi Al-Wadiya, was killed by an Israeli strike along with several people while going to work at the MSF clinic in Gaza City. The day after his killing, the Israeli authorities shared several posts on social media accusing Fadi of involvement in military activities in Gaza. MSF took these allegations very seriously and asked the Israeli authorities for clarifications about the circumstances of his killing. Only an independent investigation can establish the facts. 
• 30 May – Israel’s offensive in Rafah forced the closure of an MSF primary healthcare centre in Al Mawasi in which our teams used to conduct around 400 consultations a day. 
• 28 May – The MSF Tal Al Sultan stabilization point that was opened on 15 May in Rafah and had since then been responding to many casualties and trauma cases, had to be evacuated due to extreme violence in the area. 
• 23 May – Al-Awda hospital in Gaza was forced to temporarily close following a four-day siege by the Israeli forces. On 19 May, the hospital was surrounded by tanks, and staff and patients were forced to take cover under tables and beds as bullets and shelling smashed windows. MSF’s official partnership with Al-Awda hospital, which started in 2018, ended in December 2023 but some MSF staff have continued to support the hospital on a regular basis even after that date. 
• 12 May – The intensification of the onslaught by Israeli forces on Rafah, southern Gaza, forced MSF to stop providing lifesaving care at Rafah Indonesian Field hospital. The 22 patients who remained in the hospital were referred to other facilities, as we could no longer guarantee their safety. 
• 6 May – an MSF-supported stabilisation point was stormed during a violent raid by Israeli forces in Tulkarem and Nur Shams camps in the West Bank. Volunteer paramedics trained by MSF were harassed and no longer feel safe in providing lifesaving care to patients.
• 21 April – an MSF-trained paramedical volunteer was shot in the leg while on duty during a three-day incursion in Tulkarem and Nur Shams refugee camps in the West Bank. Due to the hostilities, it took him seven hours to reach the hospital.
• 1 April – after a 14-day long operation by Israeli forces in and around Al-Shifa hospital, the hospital was left in ruins and is out of service. An MSF clinic in the hospital’s vicinity was also badly damaged. Hundreds of people were killed, including medical staff, and mass arrests of medical staff and other people took place in and around the hospital.
• 31 March – an Israeli airstrike hit the yard of MSF supported Al Aqsa hospital compound just outside of the emergency room where many internally displaced people were sheltering. Many people were killed and injured. After the attack, part of the MSF team had to stop providing care.  
• 27 March – an airstrike hit a greenhouse near Al Shaboura clinic, an MSF supported facility in Rafah. Several people reportedly were killed in the attack, despite a United Nations Security Council Resolution requiring a ceasefire being passed on 25 March. No MSF staff or patients were hurt. 
• 13 March – the Israeli military conducted operations in Jenin. At the MSF-supported Khalil Suleiman Hospital, people standing in the hospital courtyard were fired on. 6 people were wounded by the ER door, 2 of whom died.  
• 2 March – a shell struck a shed next to the main entrance of Al-Emirati hospital in Rafah, killing 2 people and injuring several people.
• 20 February – an Israeli tank fired on a house sheltering MSF colleagues and their families, killing the daughter-in-law and wife of one of our colleagues, and injuring seven people.
• 15 February – a shell struck the orthopedic department; staff members fled the compound leaving behind several patients. One MSF staff was detained at a checkpoint by Israeli forces and is still in their custody.
• 22 January – Nasser Hospital in Khan Yunis is surrounded by fighting, bombing, and evacuation orders. Strikes are killing people as close as 150 meters from hospital entrance, staff report.
• 8 January –  MSF “Lotus” shelter in Khan Yunis was struck by a tank shell, killing 5-year-old daughter of MSF staff. Over 125 MSF staff and their families are relocated to Rafah.
• 6 January – Al-Aqsa Hospital is evacuated after fighting gets close and evacuation orders put MSF pharmacy inside exclusion area. A sniper bullet broke through the intensive care unit wall on 5 January.

2023

• 17 December - Israeli forces take control of Al Awda hospital after a 12-day siege. Males over 16 years old are taken, stripped and interrogated – six MSF staff among them. After the interrogations, most of them are sent back into the hospital and told not to move. The same day, the maternity ward of Nasser hospital is hit by the casing of Israeli “illumination rounds”. One patient is killed, others are wounded.
• 12 December - an MSF surgeon is injured inside Al-Awda hospital by a shot fired from the outside. 
• 5 December - MSF staff in Al Awda report that the hospital is facing a total siege. In the following days two members of medical staff at the hospital (not MSF staff) are shot and killed by the snipers.
• 1 December - hours after the truce ended, a blast damages Al Awda hospital.
• 24 November - a minibus sent from south Gaza to attempt another evacuation of MSF staff and their relatives in the north is destroyed by the Israeli forces.
• 21 November - a strike on Al Awda Hospital kills Dr Mahmoud Abu Nujaila and Dr Ahmad Al Sahar from MSF, and another doctor, Dr Ziad Al-Tatari.
• 18 November - an MSF evacuation convoy is targeted by Israeli sniper fire, two people are killed including an MSF volunteer. Two days later, the MSF cars from the convoy are destroyed by a bulldozer and Israeli heavy military vehicles under the eyes of our colleagues sheltering in the MSF guesthouse. The Israeli forces also damage the MSF clinic by pushing the vehicles against its perimeter wall, which fell down. Part of the clinic caught fire.
• 15 November - Al Shifa hospital is stormed by the Israeli ground troops. All remaining MSF staff had left the hospital about one week earlier.
• 3 November - An ambulance is hit and destroyed outside Al Shifa hospital, many people killed.
• 30 October - MSF-supported Turkish-Palestinian Friendship hospital in Gaza is hit by a projectile, causing damage to the building. The hospital stops functioning when it runs out of fuel on 1 November.
• 13 October - Israeli forces give two hours to evacuate MSF-supported Al-Awda Hospital. The hospital was not hit, but damaged by nearby bombing.
• 11 October -  Airstrike close to Al-Awda Hospital, where MSF has been operating since 2018 – some ceilings are damaged etc, but the hospital continues to function.
• 10 October -  MSF Gaza clinic damaged by an Israeli airstrike; no staff injured.
• 7 October - Airstrike next to the MSF-supported Indonesian hospital – the blast from the strike ignites oxygen canisters in the hospital causing damage and killing a nurse from the hospital (not MSF).