Palestinians evacuate the area following an Israeli airstrike on the Sousi mosque in Gaza City on October 9, 2023. Israel continued to battle Hamas fighters on October 9 and massed tens of thousands of troops and heavy armour around the Gaza Strip after vowing a massive blow over the Palestinian militants’ surprise attack. (Photo by Mahmud HAMS / AFP)

Gaza lies in ruins, with its population suffering hunger and displacement. Nearly 42,000 Palestinians, mostly women and children, have now been killed and 90% of the population forced out of their homes, with no end to the bombing in sight.

United Nations Secretary-General Antonio Guterres said yesterday the Israeli war on the besieged Gaza Strip, which began a year ago, continues to devastate the lives of Palestinians and cause them severe human suffering.

In a video message marking the anniversary of the Israeli war in Gaza, the UN chief expressed solidarity with the war victims and their families.

The war “continues to shatter lives and inflict profound human suffering for Palestinians in Gaza, and now the people of Lebanon,” he said.

It is time, he added, for the release of all Israeli prisoners of war held in Gaza, “time to silence the guns. Time to stop the suffering that has engulfed the region. Time for peace, international law and justice.”

Israel has killed more than 41,900 Palestinians, many of them women and children, and wounded over 97,300 others since 7 October 2023. More than 10,000 people are still missing, presumed dead under the rubble.

It has been a year of unimaginable suffering, the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) said today as it marked one year since Hamas and other Palestinian armed groups launched the deadliest attack in Israel’s history – a horrific event that foreshadowed the devastation brought on by the Israeli response.

The toll is staggering

Nearly the entire population of Gaza has been displaced, many of them multiple times, with no safe place to go.

Thousands of Palestinians are arbitrarily detained, reportedly subjected to torture and other inhuman treatment and with no information on their whereabouts.

Civilians face extreme deprivation, with limited or no access to health care, food, electricity or humanitarian aid. Children have missed out on an entire year of education. Schools sheltering displaced families have been repeatedly shelled, health-care workers and hospitals have been systematically attacked, and aid convoys have been continually blocked and even shot at.

In the West Bank, the use of lethal force by Israeli forces, along with rampant settler violence and house demolitions, have led to a sharp rise in fatalities, widespread destruction and forced displacement.

“No statistics or words can fully convey the extent of the physical, mental and societal devastation that has taken place,” said Joyce Msuya, the Acting Under-Secretary-General and Emergency Relief Coordinator.

“But we know what must happen: The hostages must be released and treated humanely. Civilians must be protected and their essential needs met.

“Palestinians arbitrarily detained must be released. Humanitarian workers must be safeguarded and their work facilitated. Perpetrators must be held accountable for any serious violations of international humanitarian law. And the assault on Gaza must stop.”

The past year has seen Israel blocking humanitarian access into and within Gaza, crippling aid operations. As a result, a weakened population is left to battle disease, hunger and death.

More than 300 aid workers, the vast majority from the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), have been killed in Gaza – more than in any other single crisis, making Gaza the most dangerous place for aid workers.

Despite the immense risks – including violence, looting of supplies, and access challenges – humanitarian agencies continue to deliver aid when and where they can. More than 560,000 children were vaccinated against polio during the first phase of an emergency vaccination campaign – an example of what can be achieved when aid workers can reach people in need. But such examples are few.

“It has been 12 months of unrelenting tragedy – this must end,” said Ms. Msuya. “Member States must wield their influence to ensure respect for international humanitarian law and human rights and compliance with the rulings of the International Court of Justice. They must also work to end impunity. An immediate ceasefire and durable peace are long overdue.”