Since that letter was written, the numbers have risen even more starkly: at least 21,110 Palestinians in Gaza have been killed and over 55,243 other Palestinians have been wounded, many severely [56]. The death toll includes over 7,729 children, [57] not including the 4,700 women and children still missing, and presumed dead under the rubble [58]. Entire multi-generational families have been wiped out completely. Over 355,000 homes equivalent to more than 60 per cent of Gaza’s housing stock in Gaza has been damaged or destroyed [59]. 1.9 million Palestinians — approximately 85 per cent of the total population — have been internally displaced [60]. Many fled the north of the territory to the south, having been ordered to do so by Israel, only to be bombed again in the south, and told to flee once again further south or the south west, where they are reduced to living in makeshift tents in camps with no water, sanitation or other facilities [61]. Israel has bombed, shelled and besieged Gaza’s hospitals, with only 13 out of 36 hospitals partially functional, and no fully functioning hospital left in North Gaza [62]. Gaza’s healthcare system has all but collapsed, with reports of operations, including amputations and caesarean sections, taking place without anaesthetic [63]. A significant proportion of the wounded and sick are unable to access any or adequate care [64]. Contagious and epidemic diseases are rife amongst the displaced Palestinian population, with experts warning of the risk of meningitis, cholera and other outbreaks [65]. The entire population in Gaza is at imminent risk of famine, whereas the proportion of households affected by acute food insecurity is the largest ever recorded according to the Integrated Food Security Phase Classification (‘IPC’) [66]. Experts warn that silent, slow deaths caused by hunger and thirst risk surpassing those violent deaths already caused by Israeli bombs and missiles [67].