This article is part of a developing story.

See latest updates

Gaza: "The wounded are in danger of dying in the next few hours"

MSF medical coordinator Guillemette Thomas on the dire situation in Gaza

Ambulances and crowds around Al-Shifa hospital during the Israel-Gaza war in 2023.

The few medical facilities still operating in northern Gaza are under unimaginable duress. Many medical staff have been forced to flee to the south, as the Israeli strikes are relentless. Those who remain are working under siege, with restricted access to electricity, water, and fuel and dwindling stocks of essential medicines and medical supplies. Here, Doctors Without Borders/Médecins Sans Frontières (MSF) medical coordinator for Palestine Guillemette Thomas, who is currently based in Jerusalem, shares an update on the situation.  

What is the situation in Gaza’s hospitals? 

Since the evacuation order issued by the Israeli authorities, forcing more than a million inhabitants to scramble to the south of the Gaza Strip, people have had to make extremely difficult choices between staying and leaving. For health workers, this meant the choice between abandoning their patients to an almost certain death or staying and risking their own lives.  

Some stayed and continued to work, despite the risks. We are in touch with some of our colleagues who are supporting teams from the Palestinian Ministry of Health, particularly in Al-Shifa hospital in Gaza City, where MSF had provided care for burn victims for years. Today, medical staff suffer the same fate as the rest of Gazans: they have been constantly bombed for the past 10 days. Our colleagues tell us that many doctors and other health workers have died since the start of the Israeli offensive. 

They report that between 800 and 1,000 people are injured every day in the Gaza Strip, but this figure only includes those who manage to get to a hospital. Since access to health facilities is extremely dangerous and complicated by the shortage of fuel, only the most severely sick or wounded patients risk seeking hospital care.  

Since the start of the conflict, more than 9,700 people have been injured. I believe that these people are in serious danger of dying in the next few hours because it’s becoming impossible to get medical attention. 

Is the health system still functional in Gaza? 

We are already witnessing the collapse of patient care. The medical staff can no longer treat people or admit new patients properly. Everything is being done in extremely poor conditions, with a shortage of staff, drugs, and medical equipment. There are constant flows of patients and seriously injured people, with complex trauma wounds, burns, fractures and crushed limbs. 

“We dread nightfall”: Voices from Gaza

Read more

Al-Shifa Hospital, the main hospital in Gaza, now hosts thousands of people who went there looking to be protected from the constant bombing. While Gaza is in darkness, Al-Shifa is one of the few places that still has electricity, though the fuel will only last another 24 hours at most.  

In short, without electricity, many patients will die—especially those in intensive care, neonatology, and on respiratory support machines. Patients with chronic illnesses, such as diabetes and cancer, and pregnant women are also at risk due to a general shortage of medicines. 

A Palestinian civil defense officer is resuscitated at Al Shifa Hospital in Gaza on October 16
Palestinian Ministry of Health staff care for a wounded patient at Al-Shifa Hospital in October. Palestine 2023 © Ali Jadallah/Anadolu via AFP

What do we know about the living conditions of displaced people in the south? 

It has come to the point where water is our main priority. Today, 60 percent of the people in Gaza—more than one million people—are estimated to be living outdoors without access to water or health care. No basic health care is available because the clinics are closed, and hygiene conditions are very poor.  

In addition to those with severe injuries, we risk seeing a wave of illnesses linked to poor living conditions: illnesses like diarrhea, respiratory and skin infections, and dehydration can develop rapidly and seriously endanger the most vulnerable, including women and children. Half the people in Gaza are under the age of 18. Yet there is no health system left to care for them. 

What do you see as the priorities for medical support?  

It is vital to get the hospitals back up and running. To do that, regular ceasefires must be guaranteed for medicines and fuel to be brought in on a massive scale.If we run out of anesthetic drugs, surgeons will be forced to stop operations. 

Immediate humanitarian support is needed for the one million displaced people. They need access to water and sanitation, as well as basic health care, before their health deteriorates even further. 

How MSF is responding to the war in Gaza

How you can help

Not everyone can treat patients in the field. But everyone can do something.

Some humanitarian crises make the headlines—others don’t. Unrestricted support from our donors allows us to mobilize quickly and efficiently to provide lifesaving medical care to the people who need it most, whether those needs are in the spotlight or not. And your donation is 100 percent tax-deductible.

We need your support to continue this lifesaving work

We need your support to continue this lifesaving work

Hear from our medical staff and experts

Hear from our medical staff and experts

Raise funds with friends

Raise funds with friends