4 February 2026
OCHA reports that the?recent escalation in strikes?has?had?a?severe?impact?on civilians, including children.
OCHA has received reports of strikes hitting densely populated sites, including a school and several refugee camps. Among those reported killed were children and at least one , who we¡¯re told was struck while attempting to save lives.
In one area east of the Tuffah neighborhood of Gaza city, casualties were reported and some 40 families were displaced, reportedly fleeing tank fire in the vicinity. OCHA indicates that most people had been sheltering in two schools. Ambulance teams attempted to reach the area but were only able to go to a location about one kilometre away, where they received injured people and the bodies of those killed. Humanitarian teams said that some of the displaced were able to return this morning as the situation had calmed.
OCHA reiterates that civilians and civilian infrastructure must always be protected. They must never be targeted or used to shield military activities. Children and medical personnel are afforded additional protection under international humanitarian law.
Meanwhile, the UN and its partners continue to make the most of the limited re-opening of the Rafah crossing and respond to humanitarian needs across the Gaza Strip.
Yesterday, the World Health Organization supported the medical evacuation of 16 more patients, along with 24 of their companions, through Rafah, for treatment not currently available in Gaza. A similar number of returnees was let in last night.
Colleagues from the UN Development Programme received the returnees near the Israeli checkpoint and transported them to Nasser Hospital in Khan Younis, where OCHA and partners have established a humanitarian reception area. There, returnees can meet protection officers, psychologists and medical staff, and receive water, basic nutrition items, and information on humanitarian services.
As of earlier today, medical evacuations of more patients and companions were ongoing, and?further returns are expected tonight.
Correction: the last medical evacuation through Rafah crossing ¨C before the recent re-opening ¨C was in mid-March 2025 and not May 2024, as reported on Monday.
Document Sources: Office for the Coordination of Humanitarian Affairs (OCHA)
Subject: Access and movement, Assistance, Closures/Curfews/Blockades, Gaza Strip, Hospitals, Refugees and displaced persons
Publication Date: 04/02/2026
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