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Over 74,000 Dead in Gaza One Year After US-Brokered Ceasefire, Officials Say

One year after a US-brokered ceasefire was announced in Gaza, residents face severe water shortages, destroyed housing, and continuing military attacks that have pushed the death toll past 74,000, according to international organizations and Palestinian health officials.

President Donald Trump brokered a diplomatic breakthrough on October 9, 2025, but daily survival in the Gaza Strip is still governed by scarcity and displacement. Most residents live in tents far from their original homes, surviving on meager rations and relying on a fraction of the water needed for basic health according to the International Committee of the Red Cross.

Water Shortages Plague Daily Survival

People queue daily for water, receiving an average of just 6 liters per person each day. This total falls short of the World Health Organization standard of 15 liters required for basic survival.

Not a single hospital in Gaza operates at full functionality, according to Physicians for Human Rights. While authorities approved large shipments of medical supplies, less than a third successfully crossed through tightly controlled border checkpoints.

Akram Al-Sourani, a writer and poet from Gaza City and author of A Homeland Out of Coverage, Half-Baked Homeland and What’s That, described mornings beginning in queues for water, far from the privacy and independence once enjoyed in personal homes. In towns including Khan Younis, Rafah, al-Mawasi, al-Zawayda, and Deir al-Balah, children count their school years not in grades or certificates, but in the number of years spent living in tents and enduring ongoing fear. These struggles mirror the mass displacement orders that began on the morning of Friday, October 13, 2023.

Military Strikes Continue After Truce

Military operations and localized strikes have persisted despite the agreement heralded as an end to the conflict by the Arab Center Washington DC. Figures released by the Palestinian Health Ministry in Gaza document a rising toll of dead and injured amid ongoing shelling, drone attacks, and infantry fire.

Deaths resulting from military actions since the truce took effect have climbed to 1,568, with thousands more injured or missing under collapsed buildings reported by Fana News. The cumulative death toll since October 2023 has reached 74,564 casualties, alongside 175,770 injuries according to Petra and Palestinian sources.

Metric Recorded Figures
Total Deaths Since October 2023 74,564
Total Injuries Since October 2023 175,770
Casualties Since Ceasefire (October 2025) 1,568 killed / 5,649 injured
Destroyed or Damaged Homes Approximately 430,000

A citizen was martyred in a shelling carried out by an occupation drone on Mawasi Rafah, while another citizen was seriously wounded in the head in the Qizan Rashwan area, Al-Quds reported. In Gaza City, individuals have succumbed to wounds from earlier strikes near Palestine Stadium, while northern areas near Jabalia camp and Beit Lahia face ongoing artillery fire as residential blocks are targeted and reduced.

Nick Gier
Photo: Idaho State Journal

Over 67,000 Palestinians were killed between October 7, 2023, and October 3, 2025, prior to the October 9, 2025 ceasefire. Following the formal agreement, the Palestinian Health Ministry in Gaza reported that Israeli forces killed an additional 1,538 Palestinians and injured 5,498 as of October 22, 2026, with subsequent tallies from the ministry raising total post-ceasefire fatalities even higher. National forces have criticized the silence of the international community and the lack of an effective role from representatives of the ‘Peace Council’, arguing that the current posture greenlights forced displacement and the narrowing of available geographical space.

Reconstruction Costs Outpace Global Interest

Coverage dropped to less than two-thirds of its pre-ceasefire volume within three months of the deal, according to an analysis of US media reports by national media watch group FAIR. International attention turned toward implementation technicalities and aid logistics.

The United Nations has estimated current rebuilding expenses at more than $71 billion. Previous conflicts in 2008–09, 2014, and 2021 resulted in combined rebuilding costs of approximately $10 billion estimated by Oxfam.