The Palestinian Ministry of Health says more than 46,000 Palestinians have been killed in Israeli attacks and thousands more are buried under rubble and threatened by illness.
Here are the latest casualty figures as of 1:30pm in Gaza (11:30 GMT) on December 22:
Gaza
- Killed: at least 45,259 people, including 17,492 children
- Injured: more than 107,627 people
- Missing: more than 11,000
The latest figures from the Palestinian Ministry of Health in the occupied West Bank are as follows:
Occupied West Bank
- Killed: at least 817 people, including at least 169 children
- Injured: more than 6,250 people
In Israel, officials revised the death toll from the October 7 attacks down from 1,405 to 1,139.
Israel
- Killed: 1,139 people
- Injured: at least 8,730
Devastation across Gaza
According to the latest data from the United Nations Office for the Coordination of Humanitarian Affairs, the World Health Organization and the Palestinian government as of December 18, Israeli attacks have damaged:
- More than half of Gaza’s homes (damaged or destroyed)
- 80 percent of commercial facilities
- 88 percent of school buildings
- Healthcare facilities - 17 of 36 hospitals are partially functional
- 68 percent of road networks
- 68 percent of cropland
Journalists killed
As of November 20, more than 150 journalists, mostly Palestinians, have been killed since the Israel-Gaza war began on October 7. According to the Committee to Protect Journalists and the International Federation of Journalists, at least 120 Palestinian, three Lebanese and two Israeli journalists have been killed.
Forced displacement
The Israeli military has issued more than 65 evacuation orders since October 7, leaving about 80 percent of the Gaza Strip under active evacuation orders.
Sixteen years of Israeli blockade
The Gaza Strip has a population of about 2.3 million people living in one of the most densely populated areas in the world. It is located between Israel and Egypt on the Mediterranean coast.
Since 2007, Israel has maintained strict control over Gaza's airspace and territorial waters and restricted the movement of goods and people in and out of Gaza.
Since Hamas's October 7 attacks in southern Israel, Israeli Prime Minister Benjamin Netanyahu has threatened to turn Gaza into a “deserted island” and warned its residents to “leave now”.
How the Hamas attack unfolded
About 6:30am (03:30 GMT) on October 7, Hamas fired a huge barrage of rockets into southern Israel. Sirens were heard as far away as Tel Aviv and Beersheba.
The group said it launched 5,000 rockets in the initial barrage. Israel’s military said 2,500 rockets were fired.
About an hour later, fighters crossed into Israel in an unprecedented multipronged operation by land, air and sea. Most fighters entered through breaches in security barriers separating Gaza and Israel.
Hamas’s surprise attack came after Israeli settlers stormed the Al-Aqsa Mosque compound and after a record number of Palestinians had been killed by Israel at that point in 2023.
At 9:45am (06:45 GMT), blasts were heard in Gaza, and at 10am (07:00 GMT), Israel’s military spokesperson said the air force was carrying out attacks in Gaza.
Gun battles continued between Israeli forces and Palestinian fighters in several areas of southern Israel.
Israeli air attacks continued late into the night as did rocket fire into southern Israel.
Gaza's densely populated neighbourhoods
The Gaza Strip comprises five governorates: North Gaza, Gaza City, Deir el-Balah, Khan Younis and Rafah.
North Gaza extends for 10km (six miles) and has a crossing into Israel through Beit Hanoon, also known as the Erez crossing.
North Gaza is home to the Jabalia refugee camp, the largest in the Gaza Strip.
Gaza City is the largest and most populous city with more than 750,000 residents. Remal, Shujayea and Tal al-Hawa are among its most well-known neighbourhoods.
At the heart of the Remal neighbourhood is al-Shifa Hospital, the largest medical facility in the Gaza Strip.
Deir el-Balah is one of Gaza’s largest agricultural producers. It is also home to four refugee camps: Nuseirat, Bureij, Maghazi and Deir el-Balah.
Gaza’s only operating power plant is located along the district’s boundary with Gaza City.
Khan Younis is home to about 430,000 people. At its centre is the Khan Younis refugee camp, where about 90,000 people live.
Rafah is the southernmost district of Gaza with a population of about 275,000. Rafah is also the name of the crossing with Egypt that is located there.
Both Israel and Egypt have kept their borders largely shut and are responsible for further deteriorating the already weakened economic and humanitarian situation in Gaza.