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Displaced Palestinian children sit on a mat in the central Gaza Strip, September 26, 2025. REUTERS/Dawoud Abu Alkas
As the Israeli-Hamas conflict in Gaza marks two years, here is a look at the war's toll.
LONDON - After two years of conflict in Gaza, tens of thousands of Palestinians, mostly civilians, have been killed, 1.9 million people are displaced, and hundreds of thousands face starvation as famine spreads.
Israel launched its ground and air assault after Hamas militants attacked southern Israel on Oct. 7, 2023, killing 1,200 people and seizing about 250 hostages.
A United Nations Commission of Inquiry concluded in September that Israel had committed genocide in the narrow 25-mile (40 km) strip of land, an assessment rejected by Israel.
Here is a breakdown of the conflict's impact.
Palestinian officials say at least 67,000 people have been killed but estimate thousands more bodies are buried under rubble.
About 168,700 others have been wounded, according to Gaza's health ministry. U.N. experts say more than a quarter could have permanent injuries.
Israeli officials have said the ministry's count is suspect because of Hamas' control of the government in Gaza, but it is often cited by U.N. agencies.
The ministry says more than 2,500 people have been killed and more than 18,900 injured while trying to access aid since May when Israel established a new distribution system, overseen by the Gaza Humanitarian Foundation (GHF) and private U.S. security firms.
The U.N. says many people have been killed by the Israeli military near GHF distribution sites, while some have been crushed in stampedes. Others have died while seeking food near aid convoys run by the U.N. or U.N. partners.
More than 550 aid workers have also been killed in Gaza, according to the Aid Worker Security Database, the highest toll of any conflict it has recorded.
Israel said earlier this year it had killed nearly 20,000 Hamas fighters. The military says Hamas uses civilians as human shields by operating within densely populated areas, humanitarian zones, schools and hospitals. Hamas denies this.
More than 460 Israeli soldiers have been killed in the conflict and about 2,900 have been wounded, according to the military.
Twenty of the 48 hostages remaining in Gaza are believed to still be alive.
Displaced Palestinians shelter in tents, in the central Gaza Strip, September 26, 2025. REUTERS/Dawoud Abu Alkas
Displaced Palestinians shelter in tents, in the central Gaza Strip, September 26, 2025. REUTERS/Dawoud Abu Alkas
A man-made famine, affecting more than half a million people in Gaza City and surrounding areas, was confirmed in August by a U.N.-backed global hunger monitor.
Contributing factors include Israel's blockade of food deliveries in March and April, continuing restrictions on aid, repeated waves of displacement and the destruction of farming.
Aid agencies fear famine could spread to the areas of Deir al-Balah in central Gaza and Khan Younis in the south, where hundreds of thousands are sheltering in tents along the coast.
Israel says the hunger crisis is exaggerated. But U.N. agencies say more than one in three people report going days without eating.
Rates of life-threatening malnutrition in children are soaring, with one in five acutely malnourished in Gaza City.
There have been 450 malnutrition-related deaths during the conflict, with numbers escalating this year, according to Gaza's health ministry.
Palestinian children at the site of Israeli strikes on a house, in Gaza City, September 26, 2025. REUTERS/Ebrahim Hajjaj
Palestinian children at the site of Israeli strikes on a house, in Gaza City, September 26, 2025. REUTERS/Ebrahim Hajjaj
At least one Palestinian child has been killed every hour on average during the war, according to Save the Children.
It says more than 20,000 children have been killed - nearly a third of the overall death toll - and 42,000 have been injured.
Gaza now has more child amputees than anywhere in the world, according to U.N. experts.
Many children are deeply traumatised and require mental health and psychosocial support.
Every school in the Gaza Strip has been closed since the start of the war, depriving 660,000 children of education.
About 90% of Gazans have been displaced, some 10 times or more.
More than 90% of residential buildings, schools and hospitals have been damaged or destroyed, contributing to more than 60 million tonnes of rubble, according to U.N. estimates.
Only 14 of Gaza's 36 hospitals are functioning, albeit partially.
The World Health Organization has documented more than 720 attacks on healthcare, with at least 1,580 health workers killed.
The war has also decimated agriculture with about 98% of cropland damaged or inaccessible.
Palestinians inspect the site of an Israeli strike on a UNRWA school sheltering displaced people, amid the Israel-Hamas conflict, in Nuseirat refugee camp in the central Gaza Strip, June 6, 2024. REUTERS/Abed Khaled
Palestinians inspect the site of an Israeli strike on a UNRWA school sheltering displaced people, amid the Israel-Hamas conflict, in Nuseirat refugee camp in the central Gaza Strip, June 6, 2024. REUTERS/Abed Khaled
More than half of Gaza's population of 2.3 million people were already living in poverty pre-war; now almost everyone is.
Over $53 billion is needed for recovery and reconstruction, according to an assessment in February by the U.N., European Union and World Bank.
This includes $29.9 billion for rebuilding and repairs, and $19.1 billion to make up for social and economic losses, including in health, education, commerce and industry.
A study by an international research team published by Queen Mary University of London calculated that the carbon emissions from the first 15 months of the war exceeded the annual emissions of more than 100 individual countries.
It estimated that more than 31 million tonnes of CO2 equivalent could be emitted through the current destruction and future clean-up and rebuilding.
The war has caused extensive damage to land, soil, trees, watercourses and marine ecosystems, according to the U.N. Environment Programme, which says recovery could take decades.
Millions of tonnes of rubble are likely contaminated with asbestos, industrial waste, heavy metals and other hazardous materials. Sewage has also polluted land and water.
This story was updated on October 6 2025 at 11:45 GMT to reflect the latest figures.
(Reporting by Emma Batha and Nazih Osseiran; Editing by Jon Hemming, Ayla Jean Yackley and Lyndsay Griffiths.)
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