The Ministry of Health in Gaza has been struggling to replace casualty figures as Israeli forces have more and more focused hospitals and allied companies within the besieged enclave.

The United Nations has confirmed that the “collapse of services and communications” at hospitals in northern Gaza is severely hampering well being officers.

So, when was the final time we received an replace, how has the ministry managed its figures to this point, and the way dire is the state of affairs of hospitals in Gaza?

When was the final replace?

On Sunday, the federal government media workplace in Gaza up to date the casualty figures after a niche of two days. It raised the death toll to 11,100, together with greater than 8,000 kids and girls. The final official replace got here on November 10 at 2pm (12:00 GMT).

“Due to the targeting of hospitals and the prevention of entry of any of the bodies or wounded, the Ministry of Health was unable, on Saturday, to issue accurate statistics for the numbers of dead and injured during the past hours,” the media workplace mentioned in an announcement.

The Health Ministry in Gaza has been offering day by day updates because the battle began following the shock Hamas assault inside Israel killed about 1,200 individuals.

Last week, Barbara Leaf, assistant US secretary of state for Near Eastern affairs, advised a House panel that the variety of these killed in Gaza – dwelling to 2.3 million individuals – is probably going “higher than is being cited”.

The UN reduction company confirmed in its newest replace on Saturday {that a} communications breakdown has prevented new figures from coming in.

Nearly 3,000 Palestinians stay lacking and could also be trapped or lifeless below the rubble whereas one other 27,490 Palestinians have reportedly been injured, the Health Ministry mentioned on Friday.

How does the system work?

The Health Ministry had beforehand defined its methodology for compiling information on Palestinian casualties.

Once a sufferer who arrives on the emergency division of a authorities hospital is recognized, their information, together with ID quantity and private info, together with the time of arrival, are recorded within the hospital’s computerised info system.

Each hospital additionally information the circumstances of loss of life for the wounded who spent a interval within the hospital earlier than their loss of life.

The day by day information about the killed Palestinians is transferred from the decentralised hospital system to the central database of a authorities registry.

Non-governmental hospitals use their very own kinds to report information concerning the sufferer as quickly as they arrive. Then, these kinds are despatched to the Health Information Centre on the Ministry of Health inside 24 hours for entry into the central database.

The ministry processes the info, verifies its completeness, and ensures there aren’t any duplicates or errors after the switch is accomplished.

The ministry’s info centre prepares day by day stories, that are despatched to the government-run Health Emergency Operations Centre for approval and dissemination.

How unhealthy are hospitals in Gaza having it?

Israeli air raids have struck areas in and surrounding hospitals and medical centres throughout Gaza to devastating impact because the begin of the battle based mostly on a declare disputed by Palestinians in addition to worldwide medical NGOs that Hamas is working in these areas. Israel has not offered any proof for its claims.

But as Israel’s floor offensive has progressed in northern Gaza, its forces have also increasingly focused on hospitals, and the previous few days have marked a pointy improve of their focusing on.

Israeli tanks have now surrounded al-Shifa Hospital, the most important facility in Gaza, and snipers and drones positioned throughout are capturing at individuals.

A surgeon on the hospital advised Al Jazeera on Sunday that an engineer who tried to repair a blackout on the hospital was shot and left paralysed by a drone. He mentioned he witnessed a household being shot at and injured whereas making an attempt to depart by way of an exit that the Israeli army had mentioned civilians might take.

“We can hardly treat the patients within the hospital and are in the middle of the warzone. There are continuous air strikes, and the drones are hovering within the hospital area,” Dr Ahmad Mokhallalati mentioned.

The facility’s director, Mohammed Abu Salmiya, advised Al Jazeera on Saturday that two premature babies have died after an electrical energy failure on the neonatal intensive care unit, and 37 extra infants are liable to imminent loss of life.

Deeply worrisome and scary: @WHO has misplaced contact with its focal factors in Al-Shifa Hospital in #Gaza, amid horrifying stories of the hospital going through repeated assaults.

There are stories that a few of those that fled the hospital have been shot at, wounded, or killed.

The… https://t.co/buhccOjRqF

— Tedros Adhanom Ghebreyesus (@DrTedros) November 12, 2023

On Sunday, the Palestine Red Crescent Society mentioned Al-Quds Hospital was now not operational attributable to a scarcity of gas and an influence outage.

The World Health Organization (WHO) mentioned early on Sunday that it had misplaced communication with its contacts on the hospital and confirmed receiving stories of individuals being killed whereas making an attempt to flee.

Is wherever protected?

For weeks, the UN and worldwide rights teams have warned that Palestinians in Gaza, particularly essentially the most weak, have no place safe to turn to.

@PalestineRCS proclaims Al-Quds Hospital out of service and now not operational.

🚨✋The cessation of companies is as a result of depletion of accessible gas and energy outage.

🛑 PRCS holds the worldwide group and signatories of the Fourth Geneva Convention accountable… pic.twitter.com/SPg69Zv7GH

— PRCS (@PalestineRCS) November 12, 2023

UN shelters haven’t been spared both, and the organisation has mentioned as of Friday, 66 internally displaced individuals have been killed and 588 have been injured whereas staying in UN shelters.

“Hundreds of thousands of people who remain in the north are struggling to get the essentials for their survival. Consumption of water from unsafe sources raises serious concerns about dehydration and waterborne diseases,” the UN mentioned.

It famous that hospitals are explicitly entitled to particular safety below worldwide humanitarian legislation.