UNRWA Situation Report #45 on the situation in the Gaza Strip and the West Bank, including East Jerusalem

Monday, December 4, 2023

All information is valid as of 3 December 2023 at 22:30 local time 

Day 58 of Hostilities 


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Key Points  

The Gaza Strip 

  • UNRWA has been able to confirm that at least 19 additional colleagues were killed during strikes. In total, 130 UNRWA colleagues have been killed since 7 October. 

  • Nearly 1.9 million people (or over 85 per cent of the population) have been displaced across the Gaza Strip since 7 October. 

  • As of 3 December, almost 1.2 million internally displaced persons (IDPs) were sheltering in 156 UNRWA installations across all five governorates of the Gaza Strip, including in the North and Gaza City.   

  • Nearly 1 million IDPs were sheltering in 99 facilities in the Middle, Khan Younis and Rafah areas. Of those, 64 are in Khan Younis and Rafah.  

Palestinians search for their belongings in the rubble in the Nuseirat refugee camp (Middle Areas), Gaza, 3 December 2023. © 2023 UNRWA Photo by Ashraf Amra
Palestinians search for their belongings in the rubble in the Nuseirat refugee camp (Middle Areas), Gaza, 3 December 2023. © 2023 UNRWA Photo by Ashraf Amra

Overall Situation 

The Gaza Strip

  • According to the Ministry of Health in Gaza, between 7 October and 3 December, at least 15,523 Palestinians have been killed in Gaza, about 70 per cent of whom are said to be women and children. Many more are missing, presumably under the rubble, waiting for rescue or recovery. 

  • Overall, around 1,200 Israelis and foreign nationals have been killed in Israel, according to Israeli Authorities, the vast majority on 7 October (OCHA). 


The West Bank

  • According to OCHA, since 7 October, 244 Palestinians, including 65 children, have been killed by Israeli Forces in the West Bank. In addition, eight people, including one child, have been killed by Israeli settlers 


Humanitarian Access, Protection of Civilians 

The Gaza Strip

  • On 3 December, one UNRWA school in Deir Al Balah, in the Middle Area (a different school to the one impacted one day prior), reportedly sustained damage due to a strike that directly impacted its classrooms on the upper floor. Three IDPs reportedly sustained moderate injuries. The school was sheltering around 6,170 Internal displaced people (IDPs) that day. The same school was previously impacted on 12 November, resulting in the injury of three IDPs at that time. 

  • One UNRWA school in Khan Younis was collaterally damaged by a strike nearby to the school. As a result, four IDPs were killed and a further seven were injured. The school was reportedly sheltering more than 3,790 IDPs that day. 

  • 120 incidents impacting UNRWA facilities have been confirmed since the beginning of the war. 30 installations have sustained direct hits and 55 have sustained collateral damage. UNRWA has also received reports of the military use of its facilities on at least five incidents. 

  • UNRWA estimates that in total 222 IDPs sheltering in UNRWA shelters have been killed and another 911 injured since the start of the war. UNRWA is verifying the number of casualties caused by incidents that impacted its installations.  


UNRWA Response  

The Gaza Strip  

UNRWA Shelters  

  • In total, almost 1.2 million displaced people are now sheltering in 156 UNRWA installations. 

  • The average number of IDPs in UNRWA shelters is 10,326, more than four times their capacity. 



  • On 3 December, UNRWA continued to provide health care services both in the open health centres and in the shelters but due to the escalation of hostilities in the southern areas, UNRWA has not been able to collect data on the services provided so far. 


Psychosocial support (PSS) 

  • UNRWA teams, including 196 social workers in the shelters, provided psychosocial first aid and other specialized protection services to IDPs. Since 7 October, 89,977 people have been reached.  


Food Security 

  • UNRWA distribution of flour outside of shelters continued on 3 December in the southern governorates. A total of 47,504 families have been reached so far.  


Water, Sanitation and Hygiene (WASH) 

  • On 3 December, UNRWA continued to operate nine water wells pumping about 10,000 cubic metres to provide potable and domestic water supply. Potable water trucking operations to the shelters in Rafah and Khan Younis areas continue. 

  • Shelters in Rafah began to receive potable water through tankers from the Coastal Municipalities Water Utility. 

  • Solid waste collection from the camps, emergency shelters and transfer to landfills continued in the Middle, Khan Younis and Rafah areas. About 45 loadings were transferred to temporary dumping sites on 3 December. There is an urgent need for additional sanitation trucks and vehicles. 

  • Provision of emergency transfer service of solid waste from shelters continued with available resources. There is a shortage of sanitation trucks and vehicles. A private contractor started to support the collection and transfer of solid waste and preparation for a temporary dumping site in Rafah. 


Quote from Jehan, an UNRWA counselor in the Gaza Strip 

We are also in danger as we walk. Our lives are at a standstill. […] There is the smell of death here. But we’re determined to live.” 



ENDs -  


* On 30 November, exceptionally, two additional UNRWA centres opened in the southern area for one day.



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Palestinians search for their belongings in the rubble in the Nuseirat refugee camp (Middle Areas), Gaza, 3 December 2023. © 2023 UNRWA Photo by Ashraf Amra