âOperation Al-Aqsa Floodâ Day 104: Israelâs unrelenting assault continues â âIf weâre not killed by bombs, we die from the cold, starvation, or diseaseâ

Casualties
- 24,448+ killed* and at least 61,504 wounded in the Gaza Strip.
- 388+ Palestinians killed in the occupied West Bank and East Jerusalem
- Israel revises its estimated October 7 death toll down from 1,400 to 1,147.
- 549 Israeli soldiers killed since October 7, and at least 3,221 injured.**
*This figure was confirmed by Gazaâs Ministry of Health on January 16. Some rights groups put the death toll number at more than 31,000when accounting for those presumed dead.
**This figure is released by the Israeli military.
Key Developments
- Occupied West Bank: Deadly military raid in Tulkarem continues for second day.
- UN: Every single person in Gaza is hungry, and a quarter are facing starvation
- PRCS: Two ambulance workers wounded by Israeli fire in the West Bank while trying to reach victims of air attack in Tulkarem refugee camp.
- U.S. designates Ansar Allah as a âterroristâ group for its attacks on shipping vessels in the Red Sea and Gulf of Aden.
- $15bn needed to rebuild Gazaâs 350,000 homes after the war
- 300% increase in Gaza miscarriages since October 7
- At least 16 Palestinians, including children, killed in an Israeli shelling of a house east of Rafah.
- Medicine and aid entered Gaza for Palestinian civilians and Israeli hostages as per Qatari-mediated deal.
- UNOCHA: Israeli missile strikes UNRWA health clinic in Daraj, in Gaza City.
- Gazaâs telecommunications blackout imposed by Israel enters seventh day.
Hundreds in Gaza killed every day
Every day, the situation in Gaza grows exponentially worse amid Israelâs bombardment and ongoing blockade, leaving the majority of the besieged enclaveâs population displaced with little to no belongings and nowhere safe to run.
In Rafah, southern Gaza, 16 people were killed by Israeli forces on Thursday when the home sheltering them was bombed, reported Al Jazeera, which expects the death toll to rise as more bodies are found in the rubble.
Abu Khaled, a relative of those killed in the attack, told the network, âThey fled their homes in Gaza City to the Bureij refugee camp to Khan Younis before coming to Rafah because they thought it was safer.â
Although the U.S. claims that Israel is beginning to lower the intensity of their attacks on Gaza, Palestinians living in the besieged enclave have noticed no changes in Israelâs bombardment.
âThe strikes have not stopped over the last few hours across the Gaza Strip, despite the fact that Israel says that theyâre moving to a completely new phase with low-intensity bombing,â Al Jazeera correspondent Tareq Abu Azzoum reported from Rafah in southern Gaza.
âWe can see that the death toll and casualties among civilians keeps rising, to reach more than 163 Palestinians killed in the past 24 hours,â Abu Azzoum said Wednesday evening.
âEvery day, hundreds of us are killed,â Abu Khaled added, âIf weâre not killed by the bombs, we die from the cold, or starvation, or from disease.â
According to the UN, every single person in the Gaza Strip is hungry, with a quarter of the population facing starvation. Residents of the besieged enclaves make up 80 percent of the worldâs collective population facing famine or catastrophic hunger.
âIn addition, all children under five â 335,000 of them â are at high risk of severe malnutrition as the risk of famine conditions continues to increase, a whole generation is now in danger of suffering from stunting,â the humanitarian group said.
The UNâs humanitarian agencyâs (OCHA) latest update, which has been limited to Israelâs ongoing telecommunications blackout imposed on the besieged enclave, said that a missile reportedly struck the UNRWA health clinic in Daraj, in Gaza City on Wednesday.
The humanitarian group also reported heavy bombardment in the Khan Younis area for the last two days, targeting residential buildings, a cemetery, and hospitals.
âInitial reports and video footage show that much of the al-Namsawi cemetery was destroyed and graves empty with some corpses reportedly missing,â it said.
âThe people of Gaza have moved from the sheer shock of losing everything â in some cases every member of their family â to a debilitating struggle to stay alive and protect their loved ones,â said UNRWA Commissioner Philippe Lazzarini after his fourth trip to Gaza since October 7.
Amnesty International has said the telecommunications blackout, which has entered its seventh day, has put civilians at risk, hampered the work of rescue services, and complicated aid delivery efforts.
âThese recurrent and life-threatening blackouts must not be normalized. An immediate ceasefire is critical to urgently restore power and connectivity to Gazans,â the group said,adding that the communications blackout is the ninth imposed by Israeli forces since the beginning of the current round of fighting.
âThis has gone on for far too long. There are no winners in these wars. There is endless chaos and growing despair. I call once again for an immediate humanitarian ceasefire to bring some respite,â Lazzarini added.
Healthcare: Still a target
Over 61,000 people have been wounded by Israelâs aggression on Gaza, which has left healthcare workers and humanitarian staff overwhelmed as undersupplied hospitals witness people die in front of them every day.
âIâve seen children full of shrapnel dying on the floor because there are not the supplies in the emergency department, and the healthcare workers ⊠to care for them,â Sean Casey of the World Health Organization said after a visit to several of Gazaâs hospitals.
âDoctors canât find anything to treat their patients, now they just use salt. Even salt is $13 per kilogramme. Can you imagine putting salt on peopleâs wounds to disinfect them?â displaced Palestinian Ibrahim Baraikat told Al Jazeera.
âWeâve reached a critical point. People are dying and they donât even have painkillers.â
To make matters worse, hospitals have been repeatedly targeted by Israelâs military, making it impossible for patients to remain safe as they receive treatment.
On Wednesday, the Jordanian field hospital in the southern city of Khan Younis was badly damaged as a result of Israeli shelling in the vicinity.
Wafa reported that a Palestinian citizen, who was receiving treatment in the ICU, was injured by shrapnel and a bullet during the Israeli attack and that the hospital was subjected to severe material damage as a result of the continuous Israeli bombing.
Despite the damages, the hospital remains adamant that it will continue to operate.
The Jordanian Armed Forces have said they hold Israel fully accountable for the safety of the hospitalâs staff, who are performing their humanitarian role by international laws and norms, added Wafa.
Meanwhile, pregnant women in Gaza are experiencing a 300% increase in miscarriages, which has been caused by the limited medical supplies and access to health centers, putting them at an increased risk of infection, Nour Beydoun, regional adviser on protection and gender in emergencies for humanitarian agency CARE, told Jezebel.
Beydoun added that another reason for the increase is that pregnant women lack proper food and nutrition, resulting in poor fetal health.
Israelâs âdraconianâ measure to restrict dissent
Meanwhile, in Israel, authorities have been cracking down on Palestinians âfor simply expressing their views or opinions on various online platforms, through a variety of measures including censorship, surveillance and arrests,â says 7amleh, The Arab Center for the Advancement of Social Media, as cited by Al Jazeera.
7amleh says since October 7, Israel has introduced âdraconian legislationâ to restrict freedom of expression and criticism of its actions in Gaza.
âThe most notable measures included mass content removals and extensive âshadowbanningâ of users criticizing Israel or posting in support of Palestinians. During Israelâs war on Gaza, these content restrictions and removals soared to unprecedented levels,â it noted.
âUsers of Metaâs platforms, including journalists, activists, media pages, and those simply documenting reality on the ground or posting in support of Palestinian rights, were subject to account banning, content removal, and other restrictive measures,â the group continued.
Israel has also planned to indict Israeli politician Ofer Cassif, a member of the Knesset for the Hadash-Taâal party, on charges of aggravated assault on a police officer that took place in 2022, The Times of Israel reports.
It is unclear why the indictment is proceeding in January 2024, however, it is essential to note that Cassif recently declared his backing for South Africaâs genocide case against Israel at the International Court of Justice (ICJ).
The politician has also been in the spotlight for his comments against members of the government, saying they are âcalling for ethnic cleansing and even actual genocideâ against Palestinians.
U.S. intimidation tactics not working on Yemen
On Wednesday, the U.S. designated Ansar Allah as a âterroristâ group for its attacks on shipping vessels in the Red Sea and Gulf of Aden.
âToday, in response to these continuing threats and attacks, the United States announced the designation of Ansar Allah, also known as the Houthis, as a Specially Designated Global Terrorist,â White House National Security Adviser Jake Sullivan said in a statement on Wednesday afternoon.
The designation comes into effect in 30 days and could be reevaluated if the Yemeni group ceases attacks in the Red Sea and the Gulf of Aden.
âThis designation is more like an insult. Itâs the old glove in the face â slap someone with your glove. Youâre sort of challenging but not really hurting them,â Nabeel Khoury, a former deputy chief of mission at the U.S. embassy in Yemen,told Al Jazeera.
Khoury said Ansar Allah would likely see the move as an âinsultâ and âprovocationâ that could lead to further escalation. He called the Biden administrationâs strategic motivation âbaffling.â
âI think the idea from the Biden administration is this will intimidate and this will stop further widening of the war,â Khoury said. âBut if it has the opposite effect, which I think is more likely, then you are widening the war and opening yourself up and American presence to further attacks. And so the only possible thing I see is negative or potential further escalation.â
Ansar Allah spokesperson Mohammed Abdulsalam told Al Jazeera that the group would not stop its attacks on ships heading to Israel from the Red Sea and the Arabian Sea.
Abdulsalam said the group would ânot back down in its position in support of the Palestinian people,â adding that the U.S. had no power to implement its decision against the Houthis and denied reports that Iran has been supplying arms to the group.
Hours after the U.S. announcement, the Yemeni group targeted a U.S. ship in the Gulf of Aden, achieving âprecise and directâ hits.
âThe Yemeni armed forces reaffirm that the response to the American and British aggression is inevitable, and no aggression will pass without response or punishment,â said Ansar Allah.
The U.S. later launched yet another barrage of missiles at Yemen.
Sullivanâs statement added that the re-designation of Ansar Allah, which comes with harsh sanctions, will not hurt the people of Yemen since the sanctions will include âunprecedentedâ humanitarian carve-outs.
Still, ârights advocates have warned that blacklisting the Houthis would complicate the work of humanitarian organizations operating in areas under the groupâs control. Yemen is enduring one of the worldâs worst humanitarian crises where millions of people are dependent on international aid,â reported Al Jazeera.
Hamas has denounced the U.S. designation of Ansar Allah as a âterroristâ group, describing the Biden administrationâs decision as âpoliticized,â saying that the move shows Washingtonâs âblatant biasâ and aims to protect Israel as it continues its âbarbaric aggression and genocideâ in Gaza.
Over 30 hours of Israeli terror in West Bank city
In the occupied West Bank, Israeli forces have continued their overnight rampages in Palestinian neighborhoods and cities, which often turn deadly and have resulted in dozens of arrests.
The military has wreaked havoc in Tulkarem for two days straight now, demolishing infrastructure, destroying homes, beating and arresting residents, and killing the Palestinian cityâs youth. It is unclear when the deadly raidwill end.
Since the military invasion began, seven Palestinians have been killed by Israeli forces.
The Office of the UNâs High Commissioner for Human Rights (OHCHR) said the killings of Palestinians in the occupied West Bank have raised concerns of âunlawfulâ lethal attacks by the Israeli military.
âUnlawful killings of Palestinians must end,â the OHCHRâs Palestine office said.
âIsrael must ensure a prompt, independent and effective investigationâ of the killings, as âaccording to initial information, both cases raise concerns of unlawful killings,â it continued.
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