On the Ground in Gaza

TGR has been on the ground in Gaza since November 2023.

By Lara Kajs
Dispatches from the Field—The Genocide Report
Washington, DC—16 September 2024

The conflict in Gaza has generated unprecedented civilian suffering, with widespread destruction of infrastructure, severe displacement, and systematic deprivation of essential resources. Understanding the situation requires analyzing both the military actions and the resulting humanitarian crisis.

On 7 October 2023, Hamas and allied armed groups attacked Israeli communities, resulting in over 1,100 deaths and 254 abductions. Israel’s military response has devastated Gaza, leaving more than 41,000 Palestinians dead over eleven months. TGR teams have been on the ground since November 2023, documenting the destruction and humanitarian impact.

Indiscriminate Attacks

Israeli military operations have repeatedly struck civilian infrastructure across Gaza, including hospitals, schools, and areas designated as humanitarian safe zones. The explosion at Al-Ahli Arab Hospital resulted in mass civilian casualties and left one of the few remaining medical facilities in northern Gaza operating at severely reduced capacity.

Al Shifa Hospital, Gaza’s largest medical complex, was besieged and subsequently destroyed by Israeli forces following allegations of a Hamas presence beneath the facility—claims that have been widely disputed. In the aftermath, bodies were recovered from the grounds surrounding the hospital, including reports of mass graves. Eyewitness accounts describe civilians and medical personnel being shot by Israeli forces.

Schools sheltering displaced civilians have also been struck. In one incident, Israeli missiles hit a UN-run school in the Nuseirat refugee camp, killing and injuring civilians, many of them women and children.

The Al-Mawasi refugee camp, which shelters more than 500,000 displaced people and is designated by Israeli authorities as a humanitarian safe zone, has been subjected to repeated airstrikes. On 13 July, strikes on the camp killed dozens and injured hundreds. Eyewitnesses reported that emergency responders arriving at the scene were subsequently targeted. In a later attack, missiles created deep craters in the sand, burying families beneath their tents. Survivors described digging through debris in search of loved ones. Investigations by UN experts determined that Israel dropped as many as eight 2,000-pound bombs on the camp.

Eight months of bombardment in northern Gaza forced hundreds of thousands into Rafah, with further displacement following ground invasions. Residential areas, safe zones, and essential services have been systematically targeted.

Everywhere you turn, there is evidence of death.” — Chad Thornson, TGR Deputy Director

No Safe Place

The cumulative effect of these operations is the erosion of any meaningful distinction between safe and unsafe areas in Gaza. Locations traditionally protected under international law—including hospitals, schools, and humanitarian zones—have been repeatedly struck.

The scale and intensity of the strikes raise serious legal questions regarding proportionality and distinction. The use of large-yield munitions in densely populated areas, including refugee camps, has resulted in high civilian casualties. The repeated targeting of areas designated as safe zones further undermines civilian protection mechanisms.

More than 90 percent of Gaza’s population—approximately 2.1 million people—has been displaced, many multiple times. Civilians now live in makeshift shelters or among the ruins of destroyed neighborhoods, with no reliable access to safety.

Water and Starvation as Methods of Warfare

Conditions in Gaza reflect the systematic deprivation of essential resources. Water access has been reduced to approximately 4.7 liters per person per day—far below minimum emergency standards. Over-extraction from Gaza’s coastal aquifer has rendered much of the remaining supply undrinkable due to saltwater contamination.

Humanitarian organizations report widespread food insecurity and malnutrition. Aid delivery has been severely restricted, with significant declines following Israeli military operations in Rafah. The resulting conditions have led to warnings of famine.

The use of starvation and deprivation of water as methods of warfare is prohibited under international humanitarian law. The scale of deprivation in Gaza raises serious concerns regarding violations of these prohibitions.

Attacks on Humanitarians

Humanitarian operations in Gaza have been severely disrupted. Aid delivery requires extensive coordination and authorization, yet access has been repeatedly obstructed. Following the escalation of military operations in Rafah, aid delivery dropped sharply and remains insufficient to meet the needs of the population.

Humanitarian personnel have also been directly affected. More than 280 aid workers, including UN staff and members of international organizations, have been killed since the start of the conflict. Reports indicate that some humanitarian convoys and responders have been struck despite coordination efforts.

Under international law, humanitarian workers are protected persons. Attacks on humanitarian personnel and obstruction of aid delivery constitute serious violations and undermine the survival of the civilian population.

International Response

In January 2024, the International Court of Justice found that there is a plausible risk of genocide in Gaza and ordered provisional measures requiring Israel to prevent acts prohibited under the Genocide Convention and to ensure humanitarian access.

Despite these measures, conditions on the ground have continued to deteriorate. International organizations, humanitarian agencies, and independent experts have documented patterns of conduct that raise serious concerns regarding war crimes, crimes against humanity, and acts that may fall within the scope of the Genocide Convention.

Bottom Line

The evidence emerging from Gaza reflects a sustained pattern of conduct in which civilians are bearing the overwhelming burden of the conflict. The scale of destruction, the targeting of protected infrastructure, and the deprivation of essential resources raise serious legal and moral concerns.

Accountability, enforcement of international law, and immediate measures to protect civilians are critical. Without meaningful intervention, the risk of further mass atrocity crimes remains acute.

Atrocity Prevention Lens

The situation in Gaza presents multiple indicators associated with mass atrocity risk, including large-scale attacks on civilians, forced displacement, and the systematic deprivation of basic necessities. The erosion of protected spaces and continued attacks on humanitarian personnel further exacerbate vulnerability. Prevention efforts must prioritize immediate civilian protection, sustained humanitarian access, and enforcement of international legal obligations. The failure to act in the face of these indicators increases the likelihood of continued and escalating harm to the civilian population.

Legal Framework

International Humanitarian Law
The Geneva Conventions require all parties to distinguish between civilians and combatants and to ensure proportionality in attacks. The targeting of hospitals, schools, and humanitarian zones constitutes a violation of these principles.

Prohibition of Starvation as a Method of Warfare
International law prohibits the use of starvation against civilians and requires the facilitation of humanitarian aid. Restrictions on food, water, and essential supplies may constitute violations of these obligations.

Genocide Convention
The Genocide Convention prohibits acts committed with the intent to destroy, in whole or in part, a protected group. The International Court of Justice has determined that there is a plausible risk of such acts occurring in Gaza and has ordered preventive measures.

Accountability Mechanisms
International legal institutions, including the International Court of Justice, play a critical role in assessing violations and enforcing compliance. Continued documentation and investigation are essential to ensuring accountability.

Suggested Citation
Kajs, Lara. “On the Ground in Gaza.” Dispatches from the Field. The Genocide Report, Washington, DC, 16 September 2024.

Photo Credit: TGR Photo – Nuseirat camp 6 June 2024

About TGR
The Genocide Report (TGR) publishes analysis and educational resources on conflict, international law, and atrocity prevention. Its work seeks to bridge academic research, field realities, and public understanding of mass violence and civilian protection.

About the Author
Lara Kajs is the founder and executive director of The Genocide Report, a Washington, DC-based educational nonprofit focused on atrocity prevention and international law. She is the author of several field-based books on conflict, displacement, humanitarian crises, and international humanitarian law, drawing on extensive research and field experience in Yemen, Syria, and Afghanistan. Her writing and public speaking focus on atrocity crimes, forced displacement, the protection of civilians, and the legal frameworks governing armed conflict.