The situation in Gaza has been described by our teams as "apocalyptic."

Between October 7, 2023 and August 31, 2025, more than 64,000 Palestinians have been killed, including more than 18,000 children, and another 170,000 have been injured, according to the WHO.

A state of famine has been officially declared in the Gaza governorate by the UN. The latest IPC analysis indicates that malnutrition threatens the lives of 132,000 children under five, including 41,000 severe cases, double the number recorded in May 2025.

— The situation in Gaza 

Since 18 Match, Israeli forces have been carrying out widespread attacks that disproportionately impact civilians. Palestinians in Gaza are suffering each day from Israel’s all-out military campaign, which is now accompanied by the misery of an inhumane siege.

Gaza City and the North governorate of Gaza are almost completely destroyed, with no available essential services. Over half a million people have returned to the north of Gaza since the initial ceasefire, returning to neighbourhoods and homes that have been reduced to ashes. Hospitals have been razed. People are settling on the rubble of their homes with no other shelter. There is a worrying lack of health structures, water, and other essential services. People are being pushed further into a state of total desperation.

The Israeli forces have dismantled the health system and have left people without, or with very difficult, access to medical care. Out of 36 hospitals in Gaza, 18 are partially functional. As it stands, the very few hospitals and medical facilities that remain operational cannot cope with the vast medical needs.

Despite the supposed lifting of the siege on 18 May, only tiny amounts of humanitarian aid have been allowed in. Food distributions, either through the Israeli-US scheme, or people waiting for the tiny number of humanitarian trucks allowed in, are leading to deadly massacres. We are seeing humanitarian aid, and food in particular, being weaponised.

— The situation in the West Bank

The situation is worsening in the West Bank, with increased settler violence and Israeli incursions, particularly in Jenin, Tulkarem and Tubas. This is causing immense suffering and severe obstruction to the provision of healthcare. According to OCHA, between 7 October 2023 and 20 August 2025, 995 Palestinians were killed in the West Bank, including 210 children.  

A military operation called “Iron wall” was launched by Israel on 21 January 2025, intensifying demolitions and displacement in Jenin, Tulkarem, and Nur Shams camp. It’s estimated that between January 2024 and April 2025, at least 41,270 Palestinians were displaced across the West Bank.  

People lack water, fuel and electricity. MSF is committed to staying and supporting residents, despite the restrictions on movement caused by insecurity.  

Severe movement restrictions imposed by Israeli forces across the West Bank are making every journey complicated, whether to go to work, visit relatives, or seek medical care. Moving in the West Bank is characterised by road closures, prolonged delays at checkpoints, and the installation of new gates at village entrances.