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HomeRead, Watch, ListenIsrael
Israel Hamas WarFeatureIsrael

The high price Gaza paid for Hamas’ October 7 attack

However justified the war, the scale of loss in Gaza is staggering.
Ben Lynfield
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Gaza bodies

Palestinians pray over bodies of relatives, killed in an Israeli airstrike, in Beit Lahia the northern Gaza Strip on October 27, 2024 (AFP via Getty Images)

Published: 20 January 2025

Last updated: 29 October 2025

To be alive in Gaza, is enough to consider oneself fortunate. A Gazan who was injured and lost his home told The Jewish Independent he considered himself relatively lucky.

“Praise to God, no one in my close family was killed,” he said by WhatsApp from his tent camp in Mawasi in southern Gaza. Hours later an Israeli air strike killed five people in Mawasi, medics told Reuters.

Both sides have paid a very high price for Hamas October 7 attack and the IDF’s onslaught, but the indicators of loss on the Palestinian side are staggering.

Dead, injured, displaced

As of October 7 2025 68,234 Palestinians have died, according to the UN Office for the Coordinator of Humanitarian Affairs (OCHA), which bases its figures on data provided by the Hamas-run Gaza Ministry of Health. The IDF does not accept the numbers, writing in a response to The Jewish Independent that the ministry “falsifies” the figures. But it declined to offer any numbers of its own.

The IDF says that it adheres to international law and does its utmost to avoid harming civilians. It accuses Hamas of using the civilian population as human shields and of hiding munitions in civilian sites such as hospitals and schools.

My Gaza acquaintance, whom I will call Abdul, served as my driver when I visited the Strip frequently for reporting during the second intifada from 2000 to 2005. He and his son, who was wounded in the face ten months ago during an aerial attack in Khan Yunis, are two of the and 170,373 injured, according to OCHA figures. His family is also among the 1.9 million Palestinians internally displaced: 90 percent of the Strip’s population.

Their first displacement came amid Israeli aerial bombardments of his town near the Israeli border. The family headed southward to Jabalia and stayed there in a school for fifteen days, he recalled, before heading to Nuseirat refugee camp after a friend advised them it was safer there. It wasn’t. The family moved further south to Khan Yunis. In Khan Yunis his unoccupied car was hit in an airstrike.

“You move to find a safe place to survive because you know many people are killed every day,” he told me.

The spiralling numbers of wounded and dead came as the IDF damaged and destroyed hospitals it says were being used as cover by Hamas for headquarters, infrastructure and weapons storage. At least half of Gaza’s 36 hospitals ceased functioning and they were working only partly, according to the Ministry of Health.

Abdul experienced the dangers of this first hand after he was wounded in the back by shrapnel from a tank shell in Khan Yunis in February.”I lost blood but I’m okay now. It was very hard in the hospital, there wasn’t much medicine, there were people on the ground, there were dead people. It was not like a normal hospital.”

“After two days in the hospital, the doctor told me to leave because there was no space for me. He gave me some medicine, told me to take it with me and said: go.”

Humanitarian crisis

Widespread hunger and desperation for food amid shortages and unaffordable prices have taken an enormous toll on Gazans.  In August famine was declared in parts of Gaza by the Integrated Food Security Phase Classification (IPC) — the globally recognised index for assessing hunger. The IPC said more than half a million people were "facing catastrophic conditions characterised by starvation, destitution and death". Israel has criticized IPC reports as displaying persistent failures of neutrality, transparency and methodology

The health crisis would only intensify steadily as the IDF captured or closed major facilities, most recently Kamal Adwan Hospital in northern Gaza. Its director Hossam Abu Safieh is being held and interrogated in Ofer prison near Ramallah amid concerns among rights groups about his well being, according to Physicians for Human Rights-Israel. Three Gaza doctors have died in jail during the war, according to Guy Shalev, director of Physicians for Human Rights-Israel.

Shalev told The Jewish Independent that the severe damage to Gaza’s health system is a devastating loss to Gazan society as a whole. The health system was a crucial support in a needy society made up mostly of refugees and their descendants who trusted it more than any other government body, Shalev said. “It employed tens of thousands people and practically every family counted a medical worker. Despite its limitations, it holds the society together.”

Shalev believes the IDF has not made a convincing case that hospitals were infiltrated by Hamas in a way that would make them legitimate targets for military operations according to international law. Rather, he says, the IDF has waged an “intentional and deliberate” campaign against the Gaza health system “to harm the society as a whole” and to encourage flight of the population from areas such as northern Gaza..

The IDF strongly denies this. “The IDF strikes on the grounds of military necessity exclusively. The assertion that the IDF strikes medical facilities deliberately and with the intention of wrecking Gaza’s health system is as aggravating as it is intolerable,” it said in a statement to the Jewish Independent.

The IDF added that it adheres to international law “while taking feasible precautions to mitigate civilian harm” and makes “the utmost efforts to refrain from disrupting medical services in any way during the conduct of hostilities.”

Abdul expects to find that his house was destroyed by the IDF: 69 percent of all structures in Gaza have been destroyed or damaged, according to the UN’s satellite imaging service UNOSAT, cited in the.OCHA snapshot document.

However hard to grasp the magnitude of that and Gaza’s other losses are, there could be more suffering, death and destruction to come--and quite soon. Israel has failed to achieve its stated war objective of destroying Hamas, even though it has destroyed most of Gaza. Voices in the government and the security lobby are already clamoring for more combat, insisting it is necessary and possible to finish off the terrorist group.

“Hamas has paid a heavy price,” Brigadier-General (reserves) Amir Avivi, chairman of the Israel Defense and Security Forum told The Jewish Independent. “Most of its Gaza leadership has been liquidated, tens of thousands of terrorists have been killed, wounded or captured. In a military frame it has been very heavily damaged.”

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About the author

Ben Lynfield

Ben Lynfield

Ben Lynfield covered Israeli and Palestinian politics for The Independent and served as Middle Eastern affairs correspondent at The Jerusalem Post. He writes for publications in the region and has contributed to the Christian Science Monitor, Foreign Policy and the New Statesman.

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