The Gaza war has disproportionately affected children, who make up about 40% of the population of the Gaza Strip. In November 2023, UN Secretary General António Guterres warned that "Gaza is becoming a graveyard for children. Hundreds of girls and boys are reportedly being killed or injured every day." As the war continued, the toll increased steadily, reaching at least 19,424 children by 3 September 2025.
Within the first month of the war, about 700,000 children in Gaza had been displaced. A May 2025 estimate reports that 1.9 million people, roughly 90% of Gaza's population, had been displaced by the war. Many had been uprooted repeatedly, in some cases more than ten times. The collapse of essential services created a humanitarian crisis, as families struggled to access food, clean water, and medical care. The ongoing crisis also impacted routine vaccinations, leaving thousands of children at risk of preventable disease. Additional hardships included inadequate shelter, a lack of adequate winter clothing, and the continuing psychological toll on children's mental health.
As a result of the war, many children had sustained amputations and other permanent disabilities, as well as psychological trauma. Thousands more suffered from dehydration, malnutrition, diseases linked to the lack of clean water such as gastroenteritis, and respiratory diseases.
In January 2024, two months into the war, the UNICEF deputy director described the situation of children in Gaza as the "most horrific" he had ever seen. By August 2025, humanitarian conditions for children were reported to have reached an unprecedented level of severity, affecting every aspect of their rights and well-being. Nutritional conditions had become catastrophic, with an officially confirmed famine in three of Gaza's five governorates. A June 2026 UN Independent International Commission of Inquiry report found that Israel had killed approximately 20,000 children and injured 44,000 more since 7 October 2023. The report documented cases of children being killed by single, precise gunshots from snipers and drones, which it said indicated deliberate targeting rather than incidental harm.
Health
Since 2007, Israel had implemented a strict land and sea blockade that had prevented items such as food and medicine from moving into the Gaza Strip, with the health system struggling before the war.
Ahmed al-Fara, the head of pediatrics at Nasser Medical Complex in Khan Younis, stated due to the lack of water during the war, he was witnessing the "most serious epidemic of gastroenteritis" among children he had ever seen. Catherine M. Russell, the executive director of UNICEF, toured Gaza on 15 November 2023, stating many children were lacking medical care. On 28 December, UNOCHA stated 50 percent of all children in the Gaza Strip were experiencing dehydration, malnutrition, respiratory and skin diseases. Cases of diarrhea in children under the age of five has increased by about 2,000% since 7 October per a UNICEF report. A UN spokesperson indicated that between 7 October 2023 and 4 January 2024, disease had skyrocketed in Gaza with more than 400,000 cases of infectious disease reported, which included about 180,000 people with upper respiratory infections and more than 136,000 cases of diarrhea, with half of cases presenting in children under 5. By July 2024, WHO stated more than 150,000 people had contracted skin infections, with malnourished children most susceptible due to their weakened immune systems.
According to statistics published by the World Health Organization (WHO), in January 2024, only about 30% of medics were still working due to the widespread effects of the war in Gaza. An amputee patient in a southern Gazan hospital stated that medication comes through the crossing into Gaza every four days but its not a guarantee that patients receive medication, and that in some hospitals patients have to pay for medication and food up front. Other medications such as insulin pens were temporarily placed on restricted items to be allowed into Gaza by the Israeli government officials. This caused the UN Humanitarian Coordinator for Palestine Jamie McGoldrick to state; "On the goods that are being prohibited, it’s a full range...Some of it is medical material such as basic drugs and material for treating not just trauma but for chronic illnesses...One example would be most recently the pens that are used for insulin for children" A Canadian doctor returning from two weeks in Gaza stated he had seen the "sickest child I had ever seen in my medical career". By July 2024, children in tent camps were infected with a number of skin diseases.
By the summer of 2025, Gaza's healthcare system had been sharply curtailed, with most hospitals in Gaza damaged or out of service. This makes it impossible to access even basic care and leads to growing obstacles for those in need of specialized treatment and support. The humanitarian consequences fall especially hard on children.
Medical facilities Children's hospitals
In November 2023, reports indicated that medical care at Al-Rantisi and Al-Nasr children's hospitals has nearly come to a halt. Only a small generator provided power to the intensive care and neonatal intensive care units. Al-Rantisi Hospital faced intense attacks and hostilities. Furthermore, Al-Nasr Children's Hospital has once again suffered damage, including vital equipment. Another children's hospital in the northern region has ceased operations due to both damage and a shortage of fuel. Additionally, a specialized maternity hospital is in dire need of fuel to continue functioning.
On 15 February 2024, the United Nations reported that Israel had destroyed its clinic for visually impaired children, stating the "centre was available to all visually impaired children across the Gaza Strip and provided braille machines, canes, [and] visual aids."
Medical evacuations Due to the destruction of Gaza's healthcare system, medical evacuation is necessary for access to specialized treatment unavailable in the Gaza Strip.
Evacuation planning for children with medical concerns such as cancer out of Gaza and to continue treatment began in mid-October 2023, with discussions and negotiations among the United States, Egypt, Israel and Palestinian health officials along with World Health Organization and St. Jude Children's Research Hospital representatives. Many families and officials involved in Gaza have described a difficult process with damage to transportation avenues and communication networks causing many to miss crossing or pick-up times, while others were not allowed to evacuate with their children. After repeated airstrike damage and lack of fuel at least two dozen premature babies were evacuated out of Gaza hospitals to Egypt to continue the specialized care they needed. Those that were evacuated were suffering from life-threatening conditions including dehydration, vomiting, hypothermia and sepsis due to the lack of medicine and fuel. Injured children were also evacuated with Turkey offering treatment and resources to at least two groups of children that were receiving intensive care treatment.
It was reported in early March 2024, that about 300 children had been evacuated to Qatar with the majority being wounded and needing treatment but some being parents or a supporter. Many described the separation from family members as excruciating, with some children being unable to talk to their parents, living with relatives in Gaza or having to monitor and parent younger siblings while their parents care for their injured siblings. On 16 August 2025, the U.S. State Department announced that it had suspended the issuance of visitor visas to people from the Gaza Strip, including children who require urgent medical care.
In January–April 2024, medical evacuations for children from Gaza averaged about 296 per month; by late 2024 the rate had fallen to under one per day. In October 2024, UNICEF said children were dying not only from the violence itself but also because survivors were often unable to leave Gaza for urgent, life-saving treatment. By July/September 2025, an estimated 2,500-4,500 of critically wounded children are waiting for permits to be evacuated for care.
Preventive and systemic care
Hygiene
In December 2023, ActionAid reported that there was little water for washing and some shelters only had one shower for every 700 individuals and one toilet for every 150. UNICEF announced on 7 March 2024 that they were distributing wellbeing kits to adolescent girls in Rafah, who reported being unable to "shower more than once a week. The shelters are crowded with people, and there is little water. It is difficult to maintain personal hygiene".
It was reported in late February 2024 that there were 690,000 menstruating women and children in Gaza, that have limited access to menstrual hygiene supplies. Some women and children have utilized period blocking pills, but those can be hard to find and many are unable to take them for medical reasons. One girl sheltering in a UNRWA school in Maghazi told reporters that she had begun washing used pads to reuse them, while another indicated that due to the stress of the war she had been having her period more often, about twice a month. A mom of five daughters told reporters that they were all utilizing Pampers diapers for their periods, and had to cut the diapers in half due to costs while others have utilized rags, old clothes, towels or corners of tents causing chafing and skin infections.
In June 2024, children suffered from intestinal infections and hepatitis C or A, due to the destruction of Gaza's water supply and sanitation systems.
Vaccinations
Shortly after the 7 October attacks and Israel's retaliation in October 2023, preventable diseases were expected to rise due to disruption in vaccination abilities. Childhood vaccinations had already dropped due to the COVID-19 pandemic, and experts cautioned about the spread of infectious diseases such as COVID-19 and measles that could be contained primarily with vaccinations.
In mid-December 2023, the Gaza Health Ministry stated it had run out of vaccinations for children, which would have catastrophic repercussions. An UNOCHA representative stated the organization was having difficulty delivering childhood vaccines. On 1 January 2024 it was reported by the Palestinian Health Ministry that Israel had allowed and would facilitate the transport of vaccines into Gaza through the Rafa crossing. It was cautioned that the disbursement of the vaccines would be difficult due to displacement and destruction of infrastructure. On 29 January 2024, UNICEF reported that 16,000 children were at risk of missing routine vaccinations.
In July 2024, a polio outbreak occurred in Gaza, marking the first appearance of the virus there in 25 years, and it remains ongoing. In order to contain the polio virus outbreak and limit further transmission, the WHO held two vaccination drives, one in September 2024 that reached 90% of children under 10, and one in February 2025.
Survival and physical conditions Malnutrition
On 3 January 2024, UNICEF chief Catherine M. Russell stated many children in Gaza were facing severe acute malnutrition. On 5 January, UNICEF found 90 percent of children under the age of two were eating two or fewer food groups a day. On 3 February, Hani Mahmoud, an Al Jazeera journalist in Rafah, stated, "We’re seeing children roaming around in Rafah looking for scraps of food." In early January 2024 UNICEF reported that around 90% of children in Gaza under 2 were subjected to severe food poverty, which had jumped from 80% about two weeks prior.