Muscat – Médecins Sans Frontières (MSF), also known as Doctors Without Borders, has warned that the humanitarian situation in Gaza remains catastrophic despite a ceasefire that came into effect in October 2025, accusing Israel of continuing military operations and restricting humanitarian aid.

Nine months after the ceasefire took effect on October 10, 2025, MSF said Israeli forces have continued attacks across the Gaza Strip while expanding the areas under their military control. The medical charity said living conditions for Palestinians remain dire and that restrictions on aid deliveries are contributing to preventable deaths.

Dr Javid Abdelmoneim, International President of MSF, said the ceasefire had failed to bring meaningful protection to civilians. “It has been more than 1,000 days since Israel’s genocide in Gaza began, and the collective punishment of Palestinians continues to this day. Amidst a so-called ceasefire, the world has normalised seeing Palestinians being maimed and killed daily in their tents, in hospitals and on the streets,” he said.

“The word ceasefire has lost all meaning. As I write these lines, the number of casualties keeps growing, as does the disinterest towards the catastrophic situation in Gaza, the world’s most striking political failure in recent decades.”

MSF said its medical teams continue to treat patients suffering from the effects of overcrowding, inadequate sanitation and shortages of essential supplies, even though the intensity of the fighting has declined compared with earlier stages of the conflict.

The Israeli military now controls more than 70% of the Gaza Strip, compared with 53% under the October 2025 ceasefire agreement.

Dr Abdelmoneim said Israel’s yellow line, which separates Palestinian and Israeli-controlled areas, continues to shift, exposing civilians to danger. “It keeps expanding and puts anyone who approaches it – often simply trying to reach their shelters, gather firewood or find food – at risk of being shot,” he said.

He added that the shrinking areas available to civilians have forced more than 2mn people into roughly one-third of the territory, creating severe overcrowding and increasing the spread of disease.

“We see the consequences in our clinics: respiratory infections, skin diseases and diarrhoeal illnesses, driven by the lack of clean water and sanitation and the inhumane living conditions,” he said.

According to Gaza’s Health Ministry, at least 1,158 Palestinians have been killed and 3,756 injured in near-daily Israeli attacks since the ceasefire began.

Separately, the Palestinian news agency WAFA reported that a Palestinian woman and her three daughters were killed early on Tuesday after an Israeli air strike hit a house in Gaza City.

The Gaza Health Ministry said that since the war began in October 2023, at least 73,293 Palestinians have been killed and 173,906 injured. It added that about 90% of Gaza’s civilian infrastructure has been damaged or destroyed.

UN condemns intensifying Israeli attacks in Gaza

The United Nations condemned on Tuesday the intense and daily Israeli military attacks in Gaza that it said had killed at least 57 Palestinians, including six children, in the past week.

“Nine months after the announcement of a ceasefire, still, nowhere is safe for Palestinians in Gaza,” UN rights office spokesman Thameen Al Kheetan told reporters in Geneva, decrying that “the Israeli military has intensified its attacks in Gaza in recent days, killing and injuring dozens of Palestinians”.