Will the ICC seek prosecutions in Sudan following Darfur hospital attack?

Special Will the ICC seek prosecutions in Sudan following Darfur hospital attack?
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Sudanese refugees who have fled from the war in Sudan get off a truck loaded with families arriving at a Transit Centre for refugees in Renk, on February 13, 2024. More than 550,000 people have now fled from the war in Sudan to South Sudan since the conflict exploded in April 2023, according to the United Nations. (AFP/File)
Special Will the ICC seek prosecutions in Sudan following Darfur hospital attack?
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Sudanese refugees who have fled from the war in Sudan get off a truck loaded with families arriving at a Transit Centre for refugees in Renk, on February 13, 2024. More than 550,000 people have now fled from the war in Sudan to South Sudan since the conflict exploded in April 2023, according to the United Nations. (AFP/File)
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Updated 20 June 2024
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Will the ICC seek prosecutions in Sudan following Darfur hospital attack?

Will the ICC seek prosecutions in Sudan following Darfur hospital attack?
  • International Criminal Court’s chief prosecutor is ‘concerned by the ethnically motivated nature’ of the conflict
  • Fourteen months into the conflict, legal experts have criticized the court’s belated appeal for evidence of atrocities

LONDON: The International Criminal Court’s chief prosecutor Karim Khan has appealed for evidence of atrocities in Sudan, saying his ongoing investigation “seems to disclose an organized, systematic and a profound attack on human dignity.”

However, legal experts who spoke to Arab News have accused the ICC of dragging its feet on the deteriorating situation in Sudan and of focusing too narrowly on the Darfur region while neglecting the wider conflict.

Khan last week said he had become “particularly concerned by the ethnically motivated nature” of the conflict in Sudan after combatants reportedly attacked the main hospital in Al-Fasher, North Darfur, in what likely constituted a war crime.




El-Fasher South Hospital in Al-Fasher, North Darfur, after it was attacked. (X: Twitter)

Doctors from the medical charity Medecins Sans Frontieres confirmed to Arab News that the attack on the South Hospital on June 8 had forced MSF and its partners in the Sudanese Ministry of Health to suspend all activities and withdraw staff from the facility.

A spokesperson said authorities had already reduced services at the hospital, with many patients having been transferred before the attack owing to the uptick in fighting around the city — the last in Darfur still under the control of the Sudanese Armed Forces (SAF).

Fighters affiliated with the Rapid Support Forces (RSF), a breakaway military faction that has seized control of swathes of the country since the conflict began on April 15, 2023, were accused of mounting the attack.




Members of Sudan's paramilitary group known as RSS were accused of burning villages in some parts of the country. (AFP/File)

“It’s outrageous that the RSF opened fire inside the hospital,” Michel Lacharite, head of emergencies at MSF, told Arab News. “It is not an isolated incident. Staff and patients have endured attacks on the facility for weeks from all sides, but opening fire inside a hospital crosses a line.

“Warring parties must stop attacking hospitals. One by one, hospitals are damaged and closed. Remaining facilities in Al-Fasher aren’t prepared for mass casualties, we are trying to find solutions, but the responsibility lies with warring parties to spare medical facilities.”

INNUMBERS

• 14,000 Estimated number of people killed in Sudan since the conflict began on April 15, 2023.

• 10 million People displaced, including over 2 million who have crossed into neighboring countries.

The RSF, commanded by Mohammed Hamdan Dagalo, also known as Hemedti, has previously denied claims that its forces attack civilian infrastructure.

While details about the hospital attack remain sketchy, the MSF spokesperson said “most patients” and “all MSF staff” were able to escape.




Mohamed Hamdan Dagalo (C), known as Hemeti, commander of the Rapid Support Forces paramilitary, has denied accusations that his group were committing war crimes. (AFP/File)

As the main referral hospital for treating Al-Fasher’s war-wounded, the only one equipped to manage mass casualty events and one of just two with surgical capacity, the loss of services will have a major impact. In less than a month, the facility had treated some 1,300 people.

The UN Security Council adopted a UK-drafted resolution on June 14 demanding an end to the siege of Al-Fasher.

The measure expressed “grave concern” over the spreading violence and reports that the RSF was carrying out “ethnically motivated violence.”

During the meeting, Mohamed Abushahab, the UAE’s ambassador to the UN, said: “We believe that the Sudanese people deserve justice and peace. They need a ceasefire, a credible political process and unhindered flow of humanitarian aid.”

Rebutting accusations made by the representative of Sudan’s SAF-backed government, he said: “Excuses and finger pointing only prolongs the suffering of civilians.”

Independent ivestigations using videos suggest recent SAF victories were enabled by the deployment of such Iranian-made combat drones as Mohajer-6 and Zajil-3.




A handout picture provided by the Iranian presidency on April 18, 2022 shows an Iranian combat drone on display during a military parade in Tehran. Independent investigations using videos suggest recent SAF victories were enabled by the deployment of such Iranian-made combat drones. (AFP/File)

According to Wim Zwijnenburg, a drone expert and head of the Humanitarian Disarmament Project at Dutch peace organisation PAX, the videos are “an indication of active Iranian support” for SAF.

“If these drones are equipped with guided munitions, it means they were supplied by Iran because those munitions are not produced in Sudan,” Zwijnenburg told BBC.

Sudan’s SAF-dominated governing council has denied acquiring weapons from Iran.

Cameron Hudson, a senior fellow for the Africa Program at the Center for Strategic and International Studies, said that although the Al-Fasher hospital assault has been a wake-up call for the ICC, attacks of this kind were “nothing new.”

“The fact of the matter is that this is not the first hospital to be looted or destroyed in this conflict,” Hudson told Arab News.




Fire rages in a livestock market area in al-Fasher, the capital of Sudan's North Darfur state, on September 1, 2023, in the aftermath of bombardment by the paramilitary Rapid Support Forces (RSF). (AFP/File)

“It is a conflict that has been raging for 14 months and has been fought in much the same way with this attack well within the nature of the conflict.

“What is new is that Sudan’s civilian population’s ability to withstand the shocks of this war has depleted. But while it may feel like a game-changing moment, it is not.”

Referring to the July 1995 massacre of more than 8,000 Bosniak Muslim men and boys during the Bosnian War, Hudson said: “Maybe if there was a Srebrenica moment, a move to extermination, that would be game-changing.”

Khan’s comments indicate the ICC has been paying attention to the situation in Sudan. However, Hudson voiced disappointment at the court’s slow response to the conflict.

Contrasting the “alacrity” with which the ICC acted against Russia for its war in Ukraine and Israel for its assault on Gaza, he said it was telling of Sudan’s ranking in international priorities that the court was “only now” investigating.




International Criminal Court's chief prosecutor Karim Khan (L) visits the Kalma camp for internally displaced people in Nyala, the capital of South Darfur, on August 21, 2022. (AFP/File)

“Khan’s comments strike me as an admission that the court has not moved at pace and should have been doing more,” said Hudson. “I am not sure what restraints he is operating under but he’s not prioritized Sudan, and, in Darfur, these cases build themselves.

“It is not just the court, this conflict has been neglected more broadly, there need to be moves to build a diplomatic process and to get humanitarian aid because only eight percent of a global appeal has been met, which is shockingly low.

“I would like to see an increase in the cost on this war’s actors as part of a move to bring it to an end, including the use of sanctions, which have not been deployed efficiently, and could have a part to play in bringing actors to the negotiating table.”

Although efforts at brokering a ceasefire between the two sides have so far failed, Saudi aid agency KSrelief has been rolling out health projects intended to support Sudan’s civilian population, with three projects put into action in the last week alone.




Sudanese villagers receive humanitarian aid from Saudi Arabia at a KSrelief center in Khartoum, Sudan. (SPA/File)

With thousands of civilians reportedly killed and thousands more displaced by the fighting across Darfur, the ICC’s machinery has swung into action. Even so, Sudanese international lawyers have expressed skepticism.

One who spoke to Arab News on the condition of anonymity said they were particularly concerned by Khan’s focus on the violence in Darfur when in reality, the violence has spread far beyond the troubled western region.

“The ICC was mandated to investigate crimes in Darfur in 2005, and we have not yet seen any results from that mandate, and now this conflict is happening in other areas,” the lawyer said. “This violence is not all in — nor is it originating from — Darfur.

“What is happening outside Darfur is not lesser than the violence happening within it and yet the ICC, partly as a consequence of Sudan not being a party to the court’s jurisdiction, is drawing attention away from this and making it all about Darfur.”

Despite lacking jurisdiction as a consequence of the Sudanese government failing to ratify the ICC treaty, otherwise known as the Rome Statute, the court had gained jurisdiction for a limited investigation into earlier crimes in Darfur through a UN Security Council referral.

That referral resulted in the ICC’s 2009 decision to issue an arrest warrant for the since-ousted Sudanese President Omar Bashir for multiple charges, including for a genocide that took place in Darfur between 2003 and 2008.




Sudan's former strongman Omar Bashir (left) was the subject of an arrest warrant issued by the ICC over genocide charges committed in Darfur between 2003 and 2008 allegedly by the RSF led by General Mohammed Hamdan Dagalo (right)

Born out of Arab militias commonly known as Janjaweed, the RSF was mobilized by Bashir against non-Arab tribes in Darfur. At the time, they were accused of mass killings, rapes and other atrocities, and Darfur became synonymous with genocide.

Welcoming Khan’s push for evidence, another Sudan-based legal expert, who spoke to Arab News anonymously, challenged those questioning the focus on Darfur, stressing it made sense given the region’s history.

“Does it make sense to keep looking at cases within the Darfur geographic region? Yes, because all that is happening in Sudan from 2003 up to now can be connected back to Darfur, as that is where this conflict’s root causes lie,” they said.

“There are questions to be asked though in relation to how the ICC is addressing the Darfur case and the role that this, and the coverage of it, will have around the protection of civilians as what is needed is to reduce that risk.”




Internally displaced women wait to collect aid from a group at a camp in Gadaref on May 12, 2024. (AFP/File)

The war in Sudan has cost the lives of more than 14,000 people and left thousands more wounded while pushing the population to the brink of famine.

The UN warned the warring parties last month that there is a serious risk of widespread starvation in Darfur and elsewhere in Sudan if they do not allow humanitarian aid into the region.

The war has also created the world’s largest displacement crisis as more than 10 million people have been forced to flee their homes, including over 2 million people who have crossed into neighboring countries.

Saudi Arabia has played a central role in facilitating talks between the two warring factions, urging them to meet their obligations to protect civilians under both the Jeddah Declaration and the requirements of international humanitarian law.
 

 


Israeli military confirms hostage killed alongside father in Gaza

Israeli military confirms hostage killed alongside father in Gaza
Updated 12 sec ago
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Israeli military confirms hostage killed alongside father in Gaza

Israeli military confirms hostage killed alongside father in Gaza
Israeli forces continued on Friday to pound Gaza, with Palestinian medics saying at least 15 people had been killed
The Israeli military has said it suspected Hamza and Youssef were killed in one of its strikes

JERUSALEM: Israel confirmed on Friday that the remains of a hostage found killed in Gaza were of Hamza Ziyadne, the son of deceased hostage Youssef Ziyadne, whose body was found beside him in an underground tunnel near the southern city of Rafah.
Israeli forces continued on Friday to pound Gaza, with Palestinian medics saying at least 15 people had been killed, including a journalist for Cairo-based Al-Ghad TV who had been covering an incident at Nuseirat refugee camp in central Gaza.
There was no immediate comment on the latest fighting from Israeli’s military, which earlier announced it had concluded forensic tests to identify Hamza Ziyadne, an Israeli Bedouin taken hostage by Hamas-led fighters alongside his father and two of his siblings.
It said earlier this week that the body of Hamza’s father Youssef had been recovered close to those of armed guards from Islamist group Hamas or another Palestinian militant group and there were indications that Hamza may also have been killed.
There was no immediate comment from Hamas although the group’s armed wing told Qatar’s Al-Jazeera news network that most of the hostages in northern Gaza were now considered missing because of intense Israeli strikes there.
The left-leaning Israeli newspaper Haaretz reported that the Israeli military has said it suspected Hamza and Youssef were killed in one of its strikes, given their bodies were found next to those of dead militants. A military spokesperson said this week that Youssef Ziyadne had not died recently.
The military declined to comment on the cause of the hostages’ deaths.

EFFORTS TO END FIGHTING
Mediators Qatar, the United States and Egypt are making new efforts to reach a deal to halt the fighting in Gaza and free the remaining hostages before President-elect Donald Trump takes office on Jan. 20.
The Hostages and Missing Family Forum, which represents most of the families, renewed its call on the Israeli government to conclude a deal with Hamas and bring back the hostages, saying Youssef and Hamza Ziyadne could have been saved through an earlier agreement.
The negotiations have been at an impasse for a year over two key issues. Hamas has said it will only free its remaining hostages if Israel agrees to end the war and withdraw all its troops from Gaza. Israel says it will not end the war until Hamas is dismantled and all hostages are free.
Israeli defense minister Israel Katz on Friday instructed the military to present a plan for the “total defeat” of Hamas in Gaza if it does not release the hostages before Trump’s inauguration. It was not clear how such a plan would differ from existing Israeli military plans.
“We must not be dragged into a war of attrition against Hamas in Gaza, while the hostages remain in the tunnels, putting their lives at risk and suffering severely,” he told senior commanders, according to a defense ministry statement.
Israel launched its assault on the Gaza Strip after Hamas fighters stormed across its borders in October 2023, killing 1,200 people and taking more than 250 hostages, according to Israeli tallies.
Since then, more than 46,000 people have been killed in Gaza, according to Palestinian health officials, with much of the enclave laid waste and most of its people — displaced multiple times — facing acute shortages of food and medicine due to Israel’s actions, humanitarian agencies say.

Arab, international support for Lebanon pours in as Aoun set to form government

Arab, international support for Lebanon pours in as Aoun set to form government
Updated 10 January 2025
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Arab, international support for Lebanon pours in as Aoun set to form government

Arab, international support for Lebanon pours in as Aoun set to form government
  • Bukhari expressed “Saudi Arabia’s satisfaction with Lebanon’s successful presidential election”
  • Cypriot President Nikos Christodoulides visited Beirut to congratulate Aoun, marking the first visit by a foreign head of state to Lebanon following the election

BEIRUT: Joseph Aoun’s first day as president of Lebanon was marked by strong Arab and international support.
Parliamentary consultations to name a new prime minister will take place next week.
Imran Riza, UN humanitarian coordinator in Lebanon, announced the allocation of $30 million from the Lebanon Humanitarian Fund to address urgent humanitarian needs caused by the recent escalation of hostilities between Israel and Hezbollah.
Lebanon’s Dar Al-Fatwa relayed remarks from the Saudi ambassador to Lebanon, Walid Bukhari, during his meeting with Grand Mufti Sheikh Abdel Latif Derian.
Bukhari expressed “Saudi Arabia’s satisfaction with Lebanon’s successful presidential election, achieved through Lebanese unity that inspires hope.”
He described the accomplishment as a significant step toward Lebanon’s renaissance, reconstruction, security, and stability, as well as the initiation of reforms and restoring Arab and international confidence.
Dar Al-Fatwa also reported that Bukhari admired “President Joseph Aoun’s inaugural speech, which was a reflection of his national responsibility.”
On Friday, Cypriot President Nikos Christodoulides visited Beirut to congratulate Aoun, marking the first visit by a foreign head of state to Lebanon following the election.
Aoun also received a congratulatory message from Iranian President Masoud Pezeshkian, expressing “the Iranian government’s readiness to continue strengthening bilateral cooperation in all areas.”
Pezeshkian said he hoped the presidential elections would lead to political stability, economic growth, peace, and security for the people of Lebanon. He added that reinforcing stability and unity would thwart Israel’s ambitions in Lebanon’s territory.
Aoun’s initial meetings included a session with Prime Minister Najib Mikati, who, along with Foreign Minister Abdallah Bou Habib, is set to visit Syria on Saturday. This marks the first official Lebanese visit to Damascus since the fall of Bashar Assad.
Aoun asked Mikati to “continue managing caretaker duties until a new government is formed.”
Mikati said after the meeting that during the two years and two months since the end of former President Michel Aoun’s term, his government held 60 Cabinet sessions and issued more than 1,211 decisions and more than 3,700 decrees.
“We managed to navigate this phase and maintain the continuity of the state, particularly through its backbone — the army — under the leadership of Gen. Joseph Aoun and through our cooperation with him.”
Mikati explained that the discussion with the president focused on “the existing challenges and the content of the inaugural address, in which Aoun outlined the directions for any new government to implement the speech’s content through the necessary constitutional steps.”
Mikati said: “We talked about the situation in the south and the necessity for a swift and full Israeli withdrawal, reestablishing stability in the south and halting Israeli violations.”
He said the next government must be able to reflect the direction outlined by the president. “We are embarking on a new phase that requires everyone’s cooperation to exert serious efforts to save the nation. The broad outlines set by the president are very important and the leadership of this country has the will to act. Many of these objectives can be achieved quickly through an active government.”
Regarding Aoun’s insistence in his speech on “the state having a monopoly on bearing weapons,” Mikati said: “Do we expect the president of the country to say that weapons are legal for everyone? Do we expect a new government to say that weapons are legal for all citizens? Today, we are entering a new phase that starts from southern Lebanon, specifically south of the Litani River, to withdraw arms and ensure that the state will be present across all Lebanese territory, with stability beginning from the south.”
Aoun’s inaugural address on Thursday was widely welcomed in Lebanon, and across the Arab and international states. Leaders of political parties and economic bodies expressed support for the speech and its implementation.
Sami Gemayel, head of the Lebanese Kataeb Party, said: “His address is unprecedented in the past three decades, as all presidents came during the Syrian guardianship or when Hezbollah controlled decisions and no president was allowed to speak about the interest of his country.”
Gemayel pledged to “defend the speech, which fully represents us, and to stand by the president to realize his national project.”
A few hours after the election of the president, Israeli reconnaissance planes resumed violations of Lebanese airspace, starting from the south and reaching Beirut and its southern suburb, extending to Hermel on the border with Syria.
Meanwhile, Israeli forces continued their incursions into southern Lebanon, destroying border villages.
Aita Al-Shaab was subjected to artillery shelling, with Israeli forces conducting explosions and intensive sweep operations inside the town.
Movements of Israeli forces’ vehicles were observed between Tallat Al-Hamames and the adjacent Metula settlement at the Khiam-Wazzani triangle.
Once again, Israeli tanks and infantry forces conducted incursions in the town of Taybeh and opened fire on the remaining houses.
On Friday, a Lebanese Army unit entered the town of Aitaroun in Bint Jbeil, accompanied by a bulldozer to clear a dirt barrier previously erected by the Israeli Army at the village entrance.
The Lebanese Army is awaiting a signal from a five-member committee, tasked with overseeing the implementation of the ceasefire resolution, to redeploy in positions at the Al-Qouzah-Debel-Aita Al-Shaab triangle following the Israeli withdrawal.
On Thursday Israel heavily bombed the border town of Aita Al-Shaab, causing tremors deep in southern regions.
Israel also carried out operations to detonate houses in Kafr Kila, Houla, and the vicinity of Wazzani, with the Israeli military claiming it had bombed “five large ammunition warehouses.”
Israeli forces still have 15 days left of the 60-day deadline to fully withdraw from the area following the incursion on Oct. 1.
On Friday, Israeli military spokesperson Avichay Adraee renewed his warning to the residents of southern Lebanon via social media, advising them against “moving south to the line of villages from Mansouri in the west to Shebaa in the east until further notice. Anyone who moves south of this line is at risk.”
Civil defense personnel, in coordination with the army and UNIFIL, continue to search and survey the areas from which the Israeli army withdrew, looking for the bodies of Hezbollah fighters who were reportedly missing.


Stampede at central Damascus mosque kills four: health official

Stampede at central Damascus mosque kills four: health official
Updated 10 January 2025
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Stampede at central Damascus mosque kills four: health official

Stampede at central Damascus mosque kills four: health official
  • Ghina, who was at the mosque to attend Friday prayers, said she saw “people carrying an elderly woman with blood dripping from her face“
  • The Al-Watan newspaper said it happened during the distribution of free meals

DAMASCUS: A stampede at the landmark Umayyad Mosque in Syria’s capital on Friday killed four people, a Damascus health official told state media.
“Damascus Health Director Dr. Mohammed Akram Maatouq announced that the final toll from the unfortunate stampede that occurred today in the Great Umayyad Mosque and its surroundings is four dead and 16 injured,” a statement carried by state news agency SANA said.
Earlier, Damascus Governor Maher Marwan had told SANA that the deadly crush took place “during a civilian event at the mosque.”
A photographer who collaborates with AFP and was at the site of the stampede saw large crowds gathered near the mosque because free meals were being handed out.
Ghina, who was at the mosque to attend Friday prayers, said she saw “people carrying an elderly woman with blood dripping from her face,” adding that she appeared dead.
The Al-Watan newspaper said the stampede happened during the distribution of free meals by a social media personality.
A YouTuber called Chef Abu Omar, who has a restaurant in Istanbul, had earlier posted a video of preparations for the distribution of free meals at the Ummayyad Mosque.
Italian Foreign Minister Antonio Tajani had visited the mosque in the morning.


Israel strikes Yemen Houthis, warns it will ‘hunt’ leaders

Israel strikes Yemen Houthis, warns it will ‘hunt’ leaders
Updated 10 January 2025
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Israel strikes Yemen Houthis, warns it will ‘hunt’ leaders

Israel strikes Yemen Houthis, warns it will ‘hunt’ leaders
  • “A short while ago... fighter jets struck military targets belonging to the Houthi terrorist regime,” the Israeli military said
  • It said it also struck military infrastructure in the ports of Hodeida and Ras Issa

JERUSALEM: Israel struck Houthi targets in Yemen on Friday, including a power station and coastal ports, in response to missile and drone launches, and warned it would hunt down the group’s leaders.
“A short while ago... fighter jets struck military targets belonging to the Houthi terrorist regime on the western coast and inland Yemen,” the Israeli military said in a statement.
It said the strikes were carried out in retaliation for Houthi missile and drone launches into Israel.
The statement said the targets included “military infrastructure sites in the Hizaz power station, which serves as a central source of energy” for the Houthis.
It said it also struck military infrastructure in the ports of Hodeida and Ras Issa.
Israeli Prime Minister Benjamin Netanyahu, in a statement after the strikes, said the Houthis were being punished for their repeated attacks on his country.
“As we promised, the Houthis are paying, and they will continue to pay, a heavy price for their aggression against us,” he said.
Israeli Defense Minister Israel Katz said Israel would “hunt down the leaders of the Houthi terror organization.”
“The Hodeida port is paralyzed, and the Ras Issa port is on fire — there will be no immunity for anyone,” he said in a video statement.
The Houthis, who control Sanaa, have fired missiles and drones toward Israel since war broke out in Gaza in October 2023.
They describe the attacks as acts of solidarity with Gazans.
The Iran-backed rebels have also targeted ships in the Red Sea and Gulf of Aden, prompting retaliatory strikes by the United States and, on occasion, Britain.
Israel has also struck Houthi targets in Yemen, including in the capital.
Since the Gaza war began, the Houthis have launched about 40 surface-to-surface missiles toward Israel, most of which were intercepted, the Israeli army says.
The military has also reported the launch of about 320 drones, with more than 100 intercepted by Israeli air defenses.


Gaza war death toll could be 40 percent higher, says study

Gaza war death toll could be 40 percent higher, says study
Updated 10 January 2025
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Gaza war death toll could be 40 percent higher, says study

Gaza war death toll could be 40 percent higher, says study
  • Researchers sought to assess the death toll from Israel’s air and ground campaign in Gaza between October 2023 and the end of June 2024
  • They estimated 64,260 deaths due to traumatic injury during this period, about 41 percent higher than the official Palestinian Health Ministry count

LONDON: An official Palestinian tally of direct deaths in the Israel-Hamas war likely undercounted the number of casualties by around 40 percent in the first nine months of the war as the Gaza Strip’s health care infrastructure unraveled, according to a study published on Thursday.
The peer-reviewed statistical analysis published in The Lancet journal was conducted by academics at the London School of Hygiene and Tropical Medicine, Yale University and other institutions.
Using a statistical method called capture-recapture analysis, the researchers sought to assess the death toll from Israel’s air and ground campaign in Gaza between October 2023 and the end of June 2024.
They estimated 64,260 deaths due to traumatic injury during this period, about 41 percent higher than the official Palestinian Health Ministry count. The study said 59.1 percent were women, children and people over the age of 65. It did not provide an estimate of Palestinian combatants among the dead.
More than 46,000 people have been killed in the Gaza war, according to Palestinian health officials, from a pre-war population of around 2.1 million.
A senior Israeli official, commenting on the study, said Israel’s armed forces went to great lengths to avoid civilian casualties.
“No other army in the world has ever taken such wide-ranging measures,” the official said.
“These include providing advance warning to civilians to evacuate, safe zones and taking any and all measures to prevent harm to civilians. The figures provided in this report do not reflect the situation on the ground.”
The war began on Oct. 7 after Hamas gunmen stormed across the border with Israel, killing 1,200 people and taking more than 250 hostages, according to Israeli tallies.
The Lancet study said the Palestinian health ministry’s capacity for maintaining electronic death records had previously proven reliable, but deteriorated under Israel’s military campaign, which has included raids on hospitals and other health care facilities and disruptions to digital communications.
Israel accuses Hamas of using hospitals as cover for its operations, which the militant group denies.

STUDY METHOD EMPLOYED IN OTHER CONFLICTS
Anecdotal reports suggested that a significant number of dead remained buried in the rubble of destroyed buildings and were therefore not included in some tallies.
To better account for such gaps, the Lancet study employed a method used to evaluate deaths in other conflict zones, including Kosovo and Sudan.
Using data from at least two independent sources, researchers look for individuals who appear on multiple lists of those killed. Less overlap between lists suggests more deaths have gone unrecorded, information that can be used to estimate the full number of deaths.
For the Gaza study, researchers compared the official Palestinian Health Ministry death count, which in the first months of war was based entirely on bodies that arrived in hospitals but later came to include other methods; an online survey distributed by the health ministry to Palestinians inside and outside the Gaza Strip, who were asked to provide data on Palestinian ID numbers, names, age at death, sex, location of death, and reporting source; and obituaries posted on social media.
“Our research reveals a stark reality: the true scale of traumatic injury deaths in Gaza is higher than reported,” lead author Zeina Jamaluddine told Reuters.
Dr. Paul Spiegel, director of the Center for Humanitarian Health at the Johns Hopkins Bloomberg School of Public Health, told Reuters that the statistical methods deployed in the study provide a more complete estimate of the death toll in the war.
The study focused solely on deaths caused by traumatic injuries though, he said.
Deaths caused from indirect effects of conflict, such as disrupted health services and poor water and sanitation, often cause high excess deaths, said Spiegel, who co-authored a study last year that projected thousands of deaths due to the public health crisis spawned by the war.
The Palestinian Central Bureau of Statistics (PCBS) estimates that, on top of the official death toll, around another 11,000 Palestinians are missing and presumed dead.
In total, PCBS said, citing Palestinian Health Ministry numbers, the population of Gaza has fallen 6 percent since the start of the war, as about 100,000 Palestinians have also left the enclave.