Skip to content Skip to footer

Researchers Estimate True Gaza Death Toll at 186,000 or More

The official death toll is currently just over 38,000, but it is impossible for officials to do a full accounting.

People walk past rubble and damaged buildings in the Tuffah district east of Gaza City on July 8, 2024.

Public health experts have estimated that the true death toll in Israel’s genocidal assault on Gaza could be five times higher than the official toll reported by Palestinian officials — a chilling figure that they say is, in fact, a conservative estimate based on historical death tolls in times of conflict.

In a letter published on Friday in prestigious medical journal The Lancet, the researchers said that the current death toll in Gaza could be 186,000 or more. This amounts to roughly 8 percent of Gaza’s population before October.

The experts calculated the figure based on widely-cited UN research determining that, in recent decades, conflicts often see a ratio of between 3 and 15 times the number of “direct deaths,” or deaths caused by direct violence, and indirect deaths, or deaths caused by related factors; in the case of Israel’s genocide, these factors include Israel’s targeted destruction of health, food and sanitation infrastructure and its near-total blockade on humanitarian aid into Gaza.

“Applying a conservative estimate of four indirect deaths per one direct death to the 37,396 deaths reported, it is not implausible to estimate that up to 186,000 or even more deaths could be attributable to the current conflict in Gaza,” the researchers said.

At the lower range of the estimates of indirect deaths, the death toll could be 114,000 Palestinians; at the upper range, Israel’s assault may have killed 570,000 Palestinians so far. The researchers note that the assault will continue to kill Palestinians long after it’s officially supposedly over, due to factors like communicable and non-communicable diseases.

The letter notes that the official death toll they cite is also likely an underestimation, due to the immense difficulty of counting deaths and the thousands of people who are trapped under the rubble and presumed dead. The researchers also note Israel’s responsibility to comply with international law and “take effective measures to prevent the destruction and ensure the preservation of evidence related to allegations of acts.”

Such a large estimate of the death toll is plausible considering that the death toll has been increasing at a steady rate over the past nine months even as factors like Israel’s famine and disease campaign have intensified; figures like the number of Palestinians trapped under the rubble have remained stagnant for months, even as Israel has bombarded more and more buildings each day.

Chillingly, the world may never know the full toll of Israel’s genocide — even direct deaths are essentially impossible to fully account for due to the fact that Israel’s violence and destruction is so widespread.

At the same time, Israel is continuing to escalate its ethnic cleansing and extermination campaign in Gaza, with no signs of stopping. Palestinians have reported that Sunday night was one of the worst nights in the last nine months so far, with heavy bombardments in the last 24 hours killing at least 40 people and injuring 75 more, after Israeli forces killed 54 people in the previous 24 hours, with dozens missing. Israeli forces have once again stepped up their bombardment of Gaza City and northern Gaza, as hundreds of thousands of Palestinians were forced to evacuate last week with nowhere left to go.

Truthout Is Preparing to Meet Trump’s Agenda With Resistance at Every Turn

Dear Truthout Community,

If you feel rage, despondency, confusion and deep fear today, you are not alone. We’re feeling it too. We are heartsick. Facing down Trump’s fascist agenda, we are desperately worried about the most vulnerable people among us, including our loved ones and everyone in the Truthout community, and our minds are racing a million miles a minute to try to map out all that needs to be done.

We must give ourselves space to grieve and feel our fear, feel our rage, and keep in the forefront of our mind the stark truth that millions of real human lives are on the line. And simultaneously, we’ve got to get to work, take stock of our resources, and prepare to throw ourselves full force into the movement.

Journalism is a linchpin of that movement. Even as we are reeling, we’re summoning up all the energy we can to face down what’s coming, because we know that one of the sharpest weapons against fascism is publishing the truth.

There are many terrifying planks to the Trump agenda, and we plan to devote ourselves to reporting thoroughly on each one and, crucially, covering the movements resisting them. We also recognize that Trump is a dire threat to journalism itself, and that we must take this seriously from the outset.

After the election, the four of us sat down to have some hard but necessary conversations about Truthout under a Trump presidency. How would we defend our publication from an avalanche of far right lawsuits that seek to bankrupt us? How would we keep our reporters safe if they need to cover outbreaks of political violence, or if they are targeted by authorities? How will we urgently produce the practical analysis, tools and movement coverage that you need right now — breaking through our normal routines to meet a terrifying moment in ways that best serve you?

It will be a tough, scary four years to produce social justice-driven journalism. We need to deliver news, strategy, liberatory ideas, tools and movement-sparking solutions with a force that we never have had to before. And at the same time, we desperately need to protect our ability to do so.

We know this is such a painful moment and donations may understandably be the last thing on your mind. But we must ask for your support, which is needed in a new and urgent way.

We promise we will kick into an even higher gear to give you truthful news that cuts against the disinformation and vitriol and hate and violence. We promise to publish analyses that will serve the needs of the movements we all rely on to survive the next four years, and even build for the future. We promise to be responsive, to recognize you as members of our community with a vital stake and voice in this work.

Please dig deep if you can, but a donation of any amount will be a truly meaningful and tangible action in this cataclysmic historical moment.

We’re with you. Let’s do all we can to move forward together.

With love, rage, and solidarity,

Maya, Negin, Saima, and Ziggy