Gaza Health Ministry#Other analysis

{{Short description|Government ministry of Palestine}}

{{About|the institution run by Hamas|the institution run by the Palestinian Authority|Ministry of Health (Palestine)}}

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{{Use dmy dates|date=July 2024}}

{{Infobox government agency

| agency_name = Palestinian Ministry of Health - Gaza

| seal =

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| formed = {{Start date and age|2007}}

| dissolved =

| superseding =

| jurisdiction = Government of Hamas

| employees =

| budget =

| headquarters = Gaza City, Gaza Strip, Palestine

| chief1_name = Medhat Abbas

| chief1_position = Director-General

| chief2_name =

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| website =

| footnotes =

}}

The Gaza Health Ministry (GHM), officially the Palestinian Ministry of Health – Gaza, is responsible for managing healthcare and medical services in the Gaza Strip. The health ministry's casualty reports have received significant attention during the course of the Gaza–Israel conflict. Its numbers have historically been considered reliable by the United Nations, the World Health Organization, and Human Rights Watch. In relation to the Gaza war, two letters published in The Lancet journal did not find evidence of inflation or fabrication of Palestinian casualty numbers. A peer-reviewed analysis published by The Lancet in January 2025 concluded the GHM had undercounted deaths due to traumatic injury by 41% in its reports on the Gaza war, with the total estimated traumatic injury deaths as of October 2024 probably exceeding 70,000 as opposed to the GHM's reported 41,909—59.1% of them being women, children and the elderly.{{Cite journal |last=Jamaluddine |first=Zeina |last2=Abukmail |first2=Hanan |last3=Aly |first3=Sarah |last4=Campbell |first4=Oona M R |last5=Checchi |first5=Francesco |date=January 2025 |title=Traumatic injury mortality in the Gaza Strip from Oct 7, 2023, to June 30, 2024: a capture–recapture analysis |url=https://linkinghub.elsevier.com/retrieve/pii/S0140673624026783 |journal=The Lancet |language=en |doi=10.1016/S0140-6736(24)02678-3|doi-access=free }}

History

The Palestinian territories are served by parallel ministries of health operating in Gaza and the West Bank, overseen by a single government ministry of health based in Ramallah. Following Hamas' takeover of Gaza in 2007, the Hamas government in the Gaza Strip has appointed its own alternate health ministers, but the PA retains power over it, paying salaries and supplying it with medical equipment.

A month-long doctors' strike ensued after Hamas' takeover of Gaza, due to political disputes. The new Gaza government, with Basem Naim as Health Minister, replaced Fatah-affiliated hospital directors and staff with those identifying with Hamas. Jomaa Alsaqqa, a 20-year surgeon at al-Shifa Hospital, lost his job due to his Fatah support and faced arrests and assaults since the Hamas takeover. In response, Naim stated "the hospital managers weren't fired for political reasons: they were fired because of managerial, financial, and moral corruption in the hospitals."{{Cite journal |last=Merav |first=Sarig |date=3 November 2007 |title=Striking medics in Gaza temporarily return to work after talks with Hamas |journal=BMJ (Clinical Research Ed.) |volume=335 |issue=7626 |pages=904–905 |publisher=National Institutes of Health |doi=10.1136/bmj.39384.458935.DB |pmid=17974666 |pmc=2048866 |language=en}} In 2023 officials said the ministry is a mix of recent Hamas hires and older civil servants affiliated with the secular nationalist Fatah party.

The current director-general of the Gaza Health Ministry is Medhat Abbas.{{cite news |last1=Daniel |first1=Ari |title=Doctors in Gaza describe the war's devastating impact on health care — and civilians |url=https://www.npr.org/sections/goatsandsoda/2023/10/13/1203503616/doctors-in-gaza-describe-the-wars-devastating-impact-on-hospitals-and-health-car |access-date=18 October 2023 |publisher=NPR |date=13 October 2023 |archive-date=21 October 2023 |archive-url=https://web.archive.org/web/20231021081756/https://www.npr.org/sections/goatsandsoda/2023/10/13/1203503616/doctors-in-gaza-describe-the-wars-devastating-impact-on-hospitals-and-health-car |url-status=live }}

On 17 November 2023, amid the Israeli invasion of the Gaza Strip, the head of Médecins Sans Frontières in Palestine stated the Gaza Health Ministry had been "decimated", and Gaza's health sector had been "systematically destroyed".{{Cite magazine |last=Chotiner |first=Isaac |date=2023-11-17 |title=The Trauma of Gaza's Doctors |language=en-US |magazine=The New Yorker |url=https://www.newyorker.com/news/q-and-a/the-trauma-of-gazas-doctors |access-date=2023-11-18 |issn=0028-792X |archive-date=30 November 2023 |archive-url=https://web.archive.org/web/20231130094448/https://www.newyorker.com/news/q-and-a/the-trauma-of-gazas-doctors |url-status=live }}

Casualty reports

class="wikitable floatright"

|+ Gaza Health Ministry (GHM) fatality reportage deviation

|+ 2008–2021.{{cite news |author=Isabel Debre |date=26 October 2023 |title=What is Gaza's Ministry of Health and how does it calculate the war's death toll? |url=https://apnews.com/article/israel-hamas-war-gaza-health-ministry-health-death-toll-59470820308b31f1faf73c703400b033 |publisher=Associated Press |access-date=27 October 2023 |archive-date=5 November 2023 |archive-url=https://web.archive.org/web/20231105190553/https://apnews.com/article/israel-hamas-war-gaza-health-ministry-health-death-toll-59470820308b31f1faf73c703400b033 |url-status=live }}

ConflictAccording to GHMAccording to the UNDeviation
Gaza War (2008–2009)1,4401,3854.0%
2014 Gaza War2,3102,2512.6%
2021 Israel–Palestine crisis2602561.6%

As of 26 October 2023, the Gaza Health Ministry (GHM) was the sole official source of data on Palestinian casualties in Gaza during the Gaza war,{{cite news |last=David |first=Folkenflik |title=News outlets backtrack on Gaza blast after relying on Hamas as key source |url=https://www.npr.org/2023/10/24/1208075395/israel-gaza-hospital-strike-media-nyt-apology |publisher=NPR |access-date=26 October 2023 |archive-date=1 December 2023 |archive-url=https://web.archive.org/web/20231201221403/https://www.npr.org/2023/10/24/1208075395/israel-gaza-hospital-strike-media-nyt-apology |url-status=live }} although these numbers are also published by the West Bank-based Palestinian health ministry, which confirms them with its Gaza-based staff. The health ministry's numbers have historically been considered reliable by the United Nations, the World Health Organization, Human Rights Watch.{{Cite news |title=UN says Gaza Health Ministry death tolls in previous wars 'credible' |url=https://www.aljazeera.com/news/2023/10/27/un-says-gaza-health-ministry-death-tolls-in-previous-wars |access-date=2023-10-27 |publisher=Al Jazeera |language=en |archive-date=28 November 2023 |archive-url=https://web.archive.org/web/20231128012817/https://aljazeera.com/news/2023/10/27/un-says-gaza-health-ministry-death-tolls-in-previous-wars |url-status=live }}{{cite news |last=Harb |first=Ali |title=Gaza death toll from health ministry is 'reliable': Rights expert |url=https://www.aljazeera.com/news/liveblog/2023/10/24/israel-hamas-war-live-fuel-shortfall-could-force-un-to-halt-work-in-gaza-2 |publisher=Al Jazeera |access-date=26 October 2023 |quote=Human Rights Watch has been working in the occupied Palestinian territories for three decades. We've covered rounds of escalations and hostilities, and we've always found the numbers from the Ministry of Health to be generally reliable. |archive-date=26 October 2023 |archive-url=https://web.archive.org/web/20231026002522/https://www.aljazeera.com/news/liveblog/2023/10/24/israel-hamas-war-live-fuel-shortfall-could-force-un-to-halt-work-in-gaza-2 |url-status=live }} The United States Department of State cited its numbers in a public report in March 2023.{{cite news |author1=Adam Taylor |title=Why news outlets and the U.N. rely on Gaza Health Ministry for death tolls |url=https://www.washingtonpost.com/world/2023/10/24/gaza-death-toll-palestinian-health-ministry/ |newspaper=The Washington Post |access-date=14 May 2024 |date=24 October 2023 |archive-date=1 December 2023 |archive-url=https://web.archive.org/web/20231201163901/https://www.washingtonpost.com/world/2023/10/24/gaza-death-toll-palestinian-health-ministry/ |url-status=live }}{{cite news |author1=Glenn Kessler |title=Biden's dismissal of the reported Palestinian death toll |url=https://www.washingtonpost.com/politics/2023/11/01/bidens-dismissal-reported-palestinian-death-toll/ |newspaper=Washington Post |access-date=14 May 2024 |archive-url=https://archive.today/20231101174021/https://www.washingtonpost.com/politics/2023/11/01/bidens-dismissal-reported-palestinian-death-toll/ |archive-date=1 November 2023 |date=1 November 2023 |quote=The State Department has regularly cited ministry statistics without caveats in its annual human rights reports. The U.N. Office for the Coordination of Humanitarian Affairs (OCHA), which tracks deaths in the conflict, has found the ministry’s numbers to be reliable after conducting its own investigation.}}

The casualty figures provided by the ministry do not distinguish the difference between civilians and combatants or provide the cause of death. The percentage of civilian deaths is only calculated post-conflict by the UN and various rights groups.

=Methodology=

The sources for the GHM casualty data include death counts from hospitals, media reports (subsequently denied by the ministry) and a publicly available online form which allows families to record deaths.

The GHM released a full list of the people killed at the time since 7 October, a 200-page document with 6,747 identified individuals listing their names, ages, and ID number as well as 281 unidentified victims. Omar Shakir, Israel and Palestine director at Human Rights Watch, said "the numbers coming out of the ministry are not beyond reason", and noted a grey area in differentiating combatants from civilians among the dead, as well as emphasized that immediately released figures may often be different from those ultimately based on recorded data.{{cite news |last1=McGreal |first1=Chris |date=26 October 2023 |title=Can we trust casualty figures from the Hamas-run Gaza health ministry? |url=https://www.theguardian.com/world/2023/oct/26/can-we-trust-casualty-figures-from-the-hamas-run-gaza-health-ministry |access-date=26 October 2023 |work=The Guardian |archive-date=6 November 2023 |archive-url=https://web.archive.org/web/20231106235019/https://www.theguardian.com/world/2023/oct/26/can-we-trust-casualty-figures-from-the-hamas-run-gaza-health-ministry |url-status=live }}

Palestinian political analyst Nour Odeh has asserted the process of issuing death certificates is not done by political figures, but by health professionals, insisting "this process enables families to deal with issues such as inheritance and custody of children whose parents have died."{{Cite magazine |date=2023-10-26 |title=What Experts Say About the Palestinian Death Toll Figures |url=https://time.com/6328885/gaza-death-toll-explainer/ |access-date=2023-10-28 |magazine=Time |language=en |archive-date=28 October 2023 |archive-url=https://web.archive.org/web/20231028005243/https://time.com/6328885/gaza-death-toll-explainer/ |url-status=live }} Director of Kamal Adwan Hospital, Ahmed al-Kahlot, denied that the GHM was unduly influenced by Hamas' control, stating that "Hamas is one of the factions. Some of us are aligned with Fatah, some are independent." and "More than anything, we are medical professionals."

As of February 29th, the Gaza Health Ministry stated that its daily tallies now rely upon "a combination of accurate death counts from hospitals that are still partially operating, and on estimates from media reports to assess deaths in the north of Gaza", but did not "cite or say which sources those are."{{Cite web |last=Batrawy |first=Aya |date=29 February 2024 |orig-date=29 February 2024 |title=Gaza's death toll now exceeds 30,000. Here's why it's an incomplete count |url=https://www.npr.org/2024/02/29/1234159514/gaza-death-toll-30000-palestinians-israel-hamas-war |access-date=12 April 2024 |website=www.npr.org |publisher=National Public Radio |archive-date=13 April 2024 |archive-url=https://web.archive.org/web/20240413081016/https://www.npr.org/2024/02/29/1234159514/gaza-death-toll-30000-palestinians-israel-hamas-war |url-status=live }} On March 31st, it stated that 15,070 fatalities (45.8% of the then total) had been compiled via "reliable media sources" instead of direct reporting.{{Cite web |last=Bermudez |first=Krystal |date=2024-04-09 |title=Hamas-Run Gaza Health Ministry Admits to Flaws in Casualty Data |url=https://www.fdd.org/analysis/2024/04/09/hamas-run-gaza-health-ministry-admits-to-flaws-in-casualty-data/ |access-date=2024-04-12 |website=FDD |language=en |archive-date=18 April 2024 |archive-url=https://web.archive.org/web/20240418220418/https://www.fdd.org/analysis/2024/04/09/hamas-run-gaza-health-ministry-admits-to-flaws-in-casualty-data/ |url-status=live }}{{Cite web |date=31 March 2024 |title=Health Sector Emergency Report |url=https://t.me/MOHMediaGaza/5254 |access-date=2024-04-12 |website=Gaza Health Ministry Telegram |publisher=State of Palestine Health Ministry - Gaza |publication-date=2 April 2024 |archive-date=21 April 2024 |archive-url=https://web.archive.org/web/20240421022034/https://t.me/MOHMediaGaza/5254 |url-status=live }} The Ministry further clarified in reports made on April 1st and April 4th that it had “incomplete data” for 12,263 (later reduced 11,371) of its 33,091 reported fatalities.{{Cite web |date=3 April 2024 |title=Health Sector Emergency Report |url=https://t.me/MOHMediaGaza/5258 |access-date=2024-04-12 |website=Telegram |publisher=Palestinian Ministry of Health (Gaza) |publication-date=1 April 2024 |archive-date=18 April 2024 |archive-url=https://web.archive.org/web/20240418101707/https://t.me/MOHMediaGaza/5258 |url-status=live }}{{Cite web |date=6 April 2024 |title=Health Sector Emergency Report |url=https://t.me/MOHMediaGaza/5271 |access-date=2024-04-12 |website=Telegram |publisher=Palestinian Ministry of Health (Gaza) |publication-date=4 April 2024 |archive-date=16 April 2024 |archive-url=https://web.archive.org/web/20240416205518/https://t.me/MOHMediaGaza/5271 |url-status=live }}

The methodology for the counts was explained in more detail by Zaher al Wahaid in an article in April.{{cite news |last1=van der Merwe |first1=Ben |title=Israel-Hamas war: Gaza's morgue network has effectively collapsed - how are they recording their dead? |url=https://news.sky.com/story/israel-hamas-war-health-system-collapse-in-gaza-leaves-authorities-struggling-to-count-the-dead-13107279 |access-date=18 May 2024 |work=Sky News |publisher=Sky News |date=4 April 2024 |language=en |archive-date=14 May 2024 |archive-url=https://web.archive.org/web/20240514213909/https://news.sky.com/story/israel-hamas-war-health-system-collapse-in-gaza-leaves-authorities-struggling-to-count-the-dead-13107279 |url-status=live }} Only three of the eight hospitals responsible for collating deaths were still contributing data. Reports from journalists and first responders contributed to the number of unidentified bodies in the count of recorded deaths. A new system enables Palestinians to report a death using a computer form or the phone, these are counted as identified bodies; they are subtracted from the number of unidentified bodies and do not contribute to the total recorded deaths. Most of those (55%) identified by the forms are men, Mr al Wahaidi said this is because it is mainly used by widows, who must register the deaths to receive government assistance.

The methodology was expanded on by Zaher Al Wahaidi in August 2024.{{Cite news |first1=Ben |last1=van der Merwe |first2=Josephine |last2=Franks |first3=Aisling |last3=Ní Chúláin |title=Gaza conflict: Thousands remain unidentified as death toll reaches 40,000 |url=https://news.sky.com/story/gaza-conflict-thousands-remain-unidentified-as-death-toll-reaches-40-000-13197287 |access-date=2024-08-24 |website=Sky News |date=15 August 2024 |language=en}}{{Cite web |last=Overton |first=Iain |date=2024-08-29 |title=Inside Gaza's graveyard: uncovering the complexities of casualty recording amidst conflict |url=https://aoav.org.uk/2024/inside-gazas-graveyard-uncovering-the-complexities-of-casualty-recording-amidst-conflict/ |access-date=2024-09-15 |website=AOAV |language=en-US}} He said 'reliable media sources' was a mistranslation, they don't depend on the press. He said all functional hospitals were now reconnected to the database and data no longer needed to be transcribed from notes. It is possible for a family to give details on the online form about whether a body was received by a hospital and since July of these 55% passed through a hospital, 22% were buried without reaching a hospital, and 23% were missing or presumed under the rubble. The database is only updated if the death is confirmed by a judge and was a casualty of the war, and a new death is recorded if the death is confirmed to have not gone through the hospital system. The system had enabled them to cut the number of unidentified deaths from 46% on 31st March to 18% on 6th August.

According to Al Wahaidi, many of the names added to the online form turned out to be inaccurate and were subsequently removed from the published updates.

=Analysis by academic researchers=

Two letters published in The Lancet found that the GHM numbers were plausible and credible: the first was authored by scholars at the London School of Hygiene and Tropical Medicine, and the second by scholars at Johns Hopkins University.{{Cite magazine |date=2024-03-15 |title=The Science Is Clear. Over 30,000 People Have Died in Gaza |url=https://time.com/6909636/gaza-death-toll/ |access-date=2024-04-11 |magazine=TIME |language=en |archive-date=10 April 2024 |archive-url=https://web.archive.org/web/20240410184103/https://time.com/6909636/gaza-death-toll/ |url-status=live }} The Johns Hopkins University letter verified GHM reported deaths by looking at the UNRWA's reported deaths of its staff members.{{cite journal |last1=Huynh |first1=Benjamin Q. |last2=Chin |first2=Elizabeth T. |last3=Spiegel |first3=Paul B. |date=6 December 2023 |title=No evidence of inflated mortality reporting from the Gaza Ministry of Health |url=https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02713-7/fulltext |journal=The Lancet |volume=403 |issue=10421 |pages=23–24 |doi=10.1016/S0140-6736(23)02713-7 |pmid=38070526 |s2cid=265664650 |access-date=12 December 2023 |archive-date=5 February 2024 |archive-url=https://web.archive.org/web/20240205060501/https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02713-7/fulltext |url-status=live }} The UNRWA reported deaths are also publicly available, and independent of the GHM casualty reports. The authors found that the GHM reported death rate (5.3 deaths per 1000) was consistent with data reported by UNRWA (7.8 deaths per 1000, as of 10 November 2023). It also found temporal consistency between the two independent reports.

The London School of Hygiene and Tropical Medicine conducted several analyses on the data and concluded it was "implausible" that GHM engaged in data fabrication.{{Cite journal |last=Jamaluddine |first=Zeina |title=Excess mortality in Gaza: Oct 7–26, 2023 |url=https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02640-5/fulltext |journal=The Lancet |date=2023 |volume=402 |issue=10418 |pages=2189–2190 |doi=10.1016/S0140-6736(23)02640-5 |pmid=38035878 |access-date=11 April 2024 |archive-date=30 January 2024 |archive-url=https://web.archive.org/web/20240130072852/https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02640-5/fulltext |url-status=live }} The authors found that GHM's reported crude mortality rate in the age bracket of 20-59 years was broadly similar to the mortality rate of UNRWA employees and the mortality rate of Gaza's health-care workers (reported by the World Health Organization). The authors also found that the number of buildings reported damaged by the Hamas-run Gaza Ministry of Public Works was consistent with satellite imagery-based estimates conducted by Sky News (both arrived at the figure of 7%). The authors looked at 7,028 reported deaths (7-26 October), and found only one case of a duplicated identification number and one case of implausible age.

In January 2025 a peer-reviewed analysis of deaths due to traumatic injury in the Israel-Hamas war between October 2023 and 30 June 2024 was published in The Lancet. The research was conducted by scholars from the University of Cambridge, Yale University, London School of Hygiene and Tropical Medicine and Nagasaki University. The paper utilized a model with "three-list capture–recapture analysis using data from Palestinian Ministry of Health (MoH) hospital lists, an MoH online survey, and social media obituaries", and estimated over 70,000 deaths from traumatic injuries as of October 2024, with 59.1% of them being women, children and the elderly. It concluded the GHM's count of trauma-related deaths was too low by about 41%. It also noted that its findings "underestimate the full impact of the military operation in Gaza, as they do not account for non-trauma-related deaths resulting from health service disruption, food insecurity, and inadequate water and sanitation."

=Other analyses=

In March 2024 Columbia professor Les Roberts argued that GHM numbers were accurate, citing the two Lancet papers and other data. Professor Michael Spagat of research group Action on Armed Violence (AOAV) stated that the GHM provides very detailed and real-time information about casualties in the war, that far exceeds the quality of reporting from conflicts such as Ukraine.{{cite web |last1=Spagat |first1=Mike |title=Analysis of new death data from Gaza's Health Ministry reveals several concerns |url=https://aoav.org.uk/2024/analysis-of-new-death-data-from-gazas-health-ministry-reveals-several-concerns/ |website=Action on Armed Violence |date=17 April 2024 |access-date=21 April 2024 |archive-date=21 April 2024 |archive-url=https://web.archive.org/web/20240421190416/https://aoav.org.uk/2024/analysis-of-new-death-data-from-gazas-health-ministry-reveals-several-concerns/ |url-status=live }} He did note that this quality has declined over time, due to Israeli attacks on hospitals, and thus the GHM is relying on first responders and media sources. Writing in April 2024, Spagat also noted the deteriorating quality of data with hundreds of duplicate, missing or invalid IDs, accounting for roughly 1/7 of the total. However in September 2024 he said the GHM had improved the quality and accuracy of its data in its latest report.{{Cite web |last=Spagat |first=Michael |date=2024-09-24 |title=Tracking Gaza’s war death toll: Ministry of Health improves accuracy in latest casualty report |url=https://aoav.org.uk/2024/tracking-gazas-war-death-toll-ministry-of-health-improves-accuracy-in-latest-casualty-report/ |access-date=2025-01-11 |website=Action on Armed Violence |language=en-US}}

According to the AP in June 2024, the ministry's public statements regarding the share of women and children continuing to be the majority part of casualties in April 2024 was contradicted by its own detailed data, which suggested a decline in women and children casualties as a share of casualties.{{cite news |title=Takeaways from AP analysis of Gaza Health Ministry's death toll data |url=https://apnews.com/article/israel-palestinians-gaza-deaths-women-children-e258a4c14641978a00dfb957ce348957 |access-date=10 June 2024 |publisher=AP |date=8 June 2024 |archive-date=10 June 2024 |archive-url=https://web.archive.org/web/20240610000931/https://apnews.com/article/israel-palestinians-gaza-deaths-women-children-e258a4c14641978a00dfb957ce348957 |url-status=live }} In October 2024 AOAV published a report based on the GHM's latest data concluding that at least 74% of the at the time 40,717 Gazan fatalities identified by the Ministry were civilians, and that even this is likely to be an underestimate.{{Cite web |last=Cockerill |first=Matthew Ghobrial |date=2024-10-28 |title=Civilian casualties in Gaza: Israel’s claims don’t add up |url=https://aoav.org.uk/2024/casualties-in-gaza-israels-claims-of-50-combatant-deaths-dont-add-up-at-least-74-of-the-dead-are-civilians/ |access-date=2025-01-11 |website=Action on Armed Violence |language=en-US}}

In October 2024 Nature's News Explainer interviewed several researchers about the difficulties in establishing the death toll in Gaza. Some researchers stated that the numbers published by the GHM underestimate casualties, while an independent Israeli researcher said they are probably overestimated. Those saying it is an underestimate referred to those killed remaining under the rubble, and friends and relatives not knowing they have died so not reporting them as deaths, or not wanting to report their deaths. The independent researcher said the figures in the July list from the ministry's hospital morgue system are likely accurate, but the total figures are probably overestimated as it could include missing people or deaths unrelated to the war. Spagat said the ministry's figures are overall "pretty good" as they include detailed information about most of the deaths.{{cite journal |last1=Mallapaty |first1=Smriti |title=Gaza: Why is it so hard to establish the death toll? |journal=Nature |volume=634 |issue=3 October 2024 |page=18 |doi=10.1038/d41586-024-02508-0}}

The analysis of the March 2025 casualty update showed that the ministry removed 3,400 names (including over 1,000 children) that appeared in the earlier lists. According to some researches, this may be due to the intentional manipulation by Hamas.{{cite news |title=Hamas-run health ministry quietly removes thousands from Gaza death toll, researchers find |url=https://uk.news.yahoo.com/hamas-run-health-ministry-quietly-150500960.html|access-date=8 May 2025 |publisher=Euronews |date=3 April 2025}}{{cite news |title=The truth about Israel’s ‘bloodlust’ in Gaza |url=https://www.spectator.co.uk/article/the-truth-about-israels-bloodlust-in-gaza/ |access-date=8 May 2025 |publisher=The Spectator |date=4 April 2025}} Other experts believed that this reflected a normal process of verification.{{cite news |title=Hundreds of names removed from official Gaza war death list |url=https://news.sky.com/story/hundreds-of-names-removed-from-official-gaza-death-list-13341928 |access-date=8 May 2025 |publisher=Sky News |date=5 April 2025}}

=American and Israeli governments=

Historically, the US State Department has relied on the GHM data for its annual human rights reports. For example, it cited GHM numbers in a public report in March 2023. On 26 October 2023, US President Joe Biden stated he had "no confidence" in the casualty numbers being reported.{{cite news |title=Italian minister disputes death toll of Gaza hospital blast |url=https://www.reuters.com/world/middle-east/italy-foreign-minister-questions-death-toll-gaza-hospital-strike-2023-10-24/ |access-date=26 October 2023 |publisher=Reuters |quote=The Gaza health ministry has put the death toll at 471. An Israeli official has said the toll appeared to be 'several dozen'. A U.S. intelligence report estimated the number of those killed to be 'probably at the low end of the 100 to 300 spectrum'. 'We need to avoid the negative impact of propaganda. Because that missile, which was said to have caused 500 deaths – in reality it was around 50 people – and which inflamed Arab masses in big cities, was not however launched by Israel,' Tajani told the Sky TG24 news channel. |archive-date=24 October 2023 |archive-url=https://web.archive.org/web/20231024122559/https://www.reuters.com/world/middle-east/italy-foreign-minister-questions-death-toll-gaza-hospital-strike-2023-10-24/ |url-status=live }}{{cite news |last1=Dobkin |first1=Rachel |title=Biden Accuses Palestinians of Lying About Civilian Death Tolls |url=https://www.newsweek.com/biden-accuses-palestinians-lying-about-civilian-death-tolls-1837971 |access-date=26 October 2023 |website=Newsweek |quote="What they say to me is that I have no notion the Palestinians are telling the truth about how many are killed ... I'm sure innocents have been killed and it's the price of waging a war ... The Israelis should be incredibly careful to be sure that they're focusing on going after the folks that are propagating this war against Israel and it's against their interest when that doesn't happen but I have no confidence in the number that the Palestinians are using." |archive-date=20 November 2023 |archive-url=https://web.archive.org/web/20231120090914/https://www.newsweek.com/biden-accuses-palestinians-lying-about-civilian-death-tolls-1837971 |url-status=live }} Subsequently, National Security Council spokesperson John Kirby asserted that the death toll cannot be taken "at face value". However, the US Assistant Secretary of State for Near Eastern Affairs said that actual death toll could be "even higher" than what the GHM reported.BBC News, How the dead are counted in Gaza, 16 November 2023, https://www.bbc.com/news/world-middle-east-67347201 On 10 November 2023, The Wall Street Journal reported that the US intelligence community has growing confidence that death toll reports from the Gaza Health Ministry are roughly accurate. The article also reported that despite the growing confidence of US officials, they did not have enough information to confirm for sure.{{Cite web |last1=Youssef |first1=Nancy A.|first2=Jared|last2=Malsin|first3=Vivian|last3=Salama |title=U.S. Officials Have Growing Confidence in Death Toll Reports From Gaza |url=https://www.wsj.com/world/middle-east/u-s-officials-have-growing-confidence-in-death-toll-reports-from-gaza-b3b5183a |url-status=live |archive-url=https://archive.today/20231110190922/https://www.wsj.com/world/middle-east/u-s-officials-have-growing-confidence-in-death-toll-reports-from-gaza-b3b5183a |archive-date=2023-11-10 |access-date=2024-01-03 |website=WSJ |language=en-US}}

In January 2024, Israeli news magazine Mekomit reported that Israeli intelligence officials had concluded that Health Ministry casualty reports are generally reliable and are used in briefings to senior officials.{{Cite web |last=אברהם |first=יובל |date=2024-01-24 |title=הצבא בדק ומצא שדיווחי ההרוגים במשרד הבריאות בעזה – מהימנים |url=https://www.mekomit.co.il/%D7%94%D7%A6%D7%91%D7%90-%D7%91%D7%93%D7%A7-%D7%95%D7%9E%D7%A6%D7%90-%D7%A9%D7%93%D7%99%D7%95%D7%95%D7%97%D7%99-%D7%94%D7%94%D7%A8%D7%95%D7%92%D7%99%D7%9D-%D7%91%D7%9E%D7%A9%D7%A8%D7%93-%D7%94%D7%91/ |access-date=2024-03-01 |website=שיחה מקומית |language=he-IL |archive-date=2 March 2024 |archive-url=https://web.archive.org/web/20240302070757/https://www.mekomit.co.il/%D7%94%D7%A6%D7%91%D7%90-%D7%91%D7%93%D7%A7-%D7%95%D7%9E%D7%A6%D7%90-%D7%A9%D7%93%D7%99%D7%95%D7%95%D7%97%D7%99-%D7%94%D7%94%D7%A8%D7%95%D7%92%D7%99%D7%9D-%D7%91%D7%9E%D7%A9%D7%A8%D7%93-%D7%94%D7%91/ |url-status=live }} In follow-up reporting, an unnamed official told Vice News, "The numbers are heavily relied up for official briefings on civilian casualties because with the exception of strikes on high-value targets, where senior officials are briefed on collateral damage, no civilian casualty figures or estimates are collected [by the Israeli military]."{{Cite web |last=Prothero |first=Mitchell |date=2024-01-25 |title=Israeli Intelligence Has Deemed Hamas-Run Health Ministry's Death Toll Figures Generally Accurate |url=https://www.vice.com/en/article/israeli-intelligence-health-ministry-death-toll/ |access-date=2024-03-01 |website=Vice |language=en |archive-date=3 March 2024 |archive-url=https://web.archive.org/web/20240303132219/https://www.vice.com/en/article/y3w4w7/israeli-intelligence-health-ministry-death-toll |url-status=live }}

In June 2024, the U.S. House of Representatives passed an amendment to the annual U.S. State Department appropriations bill that would bar the department from citing casualty figures from the Gaza Health Ministry.{{cite news|url=https://thehill.com/homenews/house/4744241-house-amendment-gaza-death-toll/mlite/?nxs-test=mlite|first=Rick|last=Robertson|title=House votes to ban State Department from citing Gaza Health Ministry death toll statistics|work=The Hill|date=27 June 2024|access-date=30 June 2024|archive-date=30 June 2024|archive-url=https://web.archive.org/web/20240630142333/https://thehill.com/homenews/house/4744241-house-amendment-gaza-death-toll/mlite/?nxs-test=mlite|url-status=live}} Ministry's numbers are, according to The Intercept, likely to be an undercount, as many bodies remain under rubble and so are unaccounted for. The Intercept called the amendment an attempt to conceal Gaza's death toll.{{cite web|url=https://theintercept.com/2024/06/27/congress-gaza-death-toll-democrats/|title=62 Democrats Join 207 Republicans in Vote to Conceal Gaza Death Toll|work=The Intercept|accessdate=4 July 2024|date=27 June 2024|archive-date=3 July 2024|archive-url=https://web.archive.org/web/20240703171548/https://theintercept.com/2024/06/27/congress-gaza-death-toll-democrats/|url-status=live}} The bill has been called by one Democratic staff{{Who|date=August 2024}} as evidence of anti-Palestinian racism in the House, and by US representative Rashida Tlaib as an example of genocide denial.

List of GHM health ministers

{{Incomplete list|date=October 2023}}

class="wikitable"

!#

!Name

!Party

!Time in office

bgcolor=

|1

|Basem Naim

|Hamas

|June 2007 – January 2009

bgcolor=

|2

|Mufiz al-Makhalalati{{Cite web |date=2012-09-02 |title=Hamas announces cabinet reshuffle in Gaza |url=https://www.hurriyetdailynews.com/hamas-announces-cabinet-reshuffle-in-gaza-29198 |access-date=2023-10-29 |website=Hürriyet Daily News |language=en |archive-date=12 October 2017 |archive-url=https://web.archive.org/web/20171012085350/http://www.hurriyetdailynews.com/hamas-announces-cabinet-reshuffle-in-gaza.aspx?pageID=238&nID=29198&NewsCatID=352 |url-status=live }}

|Hamas

|April 2009 – unknown

3

|Medhat Abbas

|Hamas

|2023 – present

See also

References

{{Reflist}}