Last June, the US house of Representatives banned the State Department from using death statistics published by the Gaza Ministry of Health. The amendment was supported by most Republicans and many Democrats but the Senate has yet to pass on the legislation. The rationale for the amendment was best expressed by David Adesnik, Senior Fellow and Director of Research at the conservative think-tank, Fund for Defense of Democracies: “It’s a complete abdication of responsibility for the Biden administration to say it trusts the Gaza Health Ministry’s numbers because the UN considers them trustworthy. We’ve seen that the UN puts blind faith in the ministry’s numbers even when they’re completely implausible. As a result of trusting numbers from a Hamas-controlled entity, the Biden administration has become more focused on the restraints it can put on Israeli forces than how it can help accelerate Hamas’s defeat.” Israel has also criticized the Ministry’s statistics. The Anti-Defamation League published this analysis of the Gaza Minitstry of Health:
“ADL calls on all news organizations to properly caveat data and information cited from the Gaza Health Ministry with clear mention that it is controlled by Hamas and that it has shared false and misleading information in the past. Journalists and news organizations must acknowledge when their sources may be unconfirmed or unreliable.”
It turns out that the Gaza Ministry of Health undercounted the casualties (it only counts bodies that are visible, and does not search through destroyed buildings to find bodies that are covered by rubble). The amendment to legislation was According to the Lancet, one of the world’s premier medical journals, the death toll in the war against Gaza has been significantly undercounted. The study was limited to the period 7 October 2023 to 30 June 2024 so it does not include any reported deaths since July. The Lancet study came to this conclusion: “We estimated 64 260 deaths…due to traumatic injury during the study period, suggesting the Palestinian MoH under-reported mortality by 41%.” The Gaza Ministry of Health currently tallies about 47,000 deaths. If the undercounting of 41% holds from the period of 1 July 2025-11 January 2025, then a straight extrapolation would suggest a death total of about 67,000.
The Lancet study only looked at deaths attributed to military action. The report states that “our 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.” It is extraordinarily difficult to make precise estimates of these deaths (called “indirect” deaths in the literature), but the Watson Institute at Brown University has done a solid study. The Center for Strategic and International Studies has also done a report on the long-term effects of such conditions in Gaza.
It is very clear that we lack knowledge of the actual conditions in the Gaza Strip. But we should be extremely wary of attempts to undermine the credibility of sources by parties which have a vested interest in particular conclusions. It appears as if the Gaza Ministry of Health was, and is, the most reliable source in this dispute.
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