25 June 2026

Highlights:

The Gaza Strip

  • Ä¢¹½ÊÓÆµRWA continues to participate in the pest-control campaign led by the WASH Cluster, aiming to prevent the spread of diseases and improve living conditions for displaced communities amid severe overcrowding and deteriorating public health conditions.
  • Ä¢¹½ÊÓÆµRWA is conducting cleaning campaigns, community awareness activities, and targeted pesticide use by trained Ä¢¹½ÊÓÆµRWA personnel, alongside solid waste disposal, and other activities to improve environmental conditions. In total, 264 campaigns to control the spread of disease-carrying animals and pests have already been completed across 371 displacement sites since 7 June, reaching an area where almost 684,000 people reside. Ä¢¹½ÊÓÆµRWA is a main contributor to the campaign, taking part (directly or together with partners) in 335 out of the 352 planned campaigns.
  • On Saturday, 20 June, Ä¢¹½ÊÓÆµRWA schools started registering new first-grade students for the 2026/2027 school year.

Key points:

The Gaza Strip

Fatalities and injuries

  • Between 7 October 2023 and 21 June 2026, according to the Ministry of Health, as reported by??73,035 Palestinians were killed in the Gaza Strip and another 173,368 injured. This includes 1,005 fatalities and 3,157 injuries between the announcement of a ceasefire agreement on 10 October 2025 and 17 June 2026.
  • Ä¢¹½ÊÓÆµRWA has recorded 392 colleagues killed in Gaza since the start of the war (310 Ä¢¹½ÊÓÆµRWA personnel, and 82 persons who were supporting Ä¢¹½ÊÓÆµRWA), up to 23 June.

Health crisis

  • The reported cases of Acute Watery Diarrhoea continued to decrease during the reporting week. Trends will continue to be closely monitored over the coming weeks.
  • Reported cases of ectoparasitic skin diseases, such as scabies, and other communicable skin diseases also declined compared with the previous week, likely reflecting the impact of the large-scale pesticide spraying campaigns conducted by Ä¢¹½ÊÓÆµRWA and partners across camps and displacement sites.

Displacement, site management

  • Ä¢¹½ÊÓÆµRWA continues to monitor the movement of displaced persons and displacement sites. A total of 116 Ä¢¹½ÊÓÆµRWA collective emergency shelters host 76,000 internally displaced persons and are currently considered active.
  • According to??forty-two per cent of sites reported the presence of unaccompanied and separated children, with an estimated total of 7,300 children. Ä¢¹½ÊÓÆµRWA collective shelters reported the highest proportion, accounting for more than 3 per cent of the people living in them, compared to 0.3 per cent at both makeshift sites and non-Ä¢¹½ÊÓÆµRWA collective shelters. This difference likely reflects both the demographic composition of Ä¢¹½ÊÓÆµRWA facilities and the stronger protection, registration, and reporting systems operating within them.

Operational implications and humanitarian response

  • Around 11,000 Palestinian Ä¢¹½ÊÓÆµRWA personnel continue to provide services and assistance to people in Gaza. In the occupied West Bank, Ä¢¹½ÊÓÆµRWA also plays a central role with over 4,000 of the Agency¡¯s Palestinian personnel providing education, health, and other services to Palestine Refugees.
  • All Ä¢¹½ÊÓÆµRWA international staff are prevented from entering the Occupied Palestinian Territory – the Gaza Strip and the West Bank, including East Jerusalem. This follows the implementation of laws passed by the Israeli parliament on 28 October 2024?that purport to prohibit Ä¢¹½ÊÓÆµRWA¡¯s operations in areas that Israel considers its sovereign territory, including occupied East Jerusalem, and seek to bar any contact by Israeli officials with Ä¢¹½ÊÓÆµRWA.?The Israeli authorities have not granted the Agency¡¯s international staff visas or permits to enter the Occupied Palestinian Territory, including Gaza, since the end of January 2025.
  • Since March 2025, the Israeli authorities have been blocking Ä¢¹½ÊÓÆµRWA from directly bringing humanitarian personnel and aid into the Gaza Strip. Despite the huge needs on the ground, Ä¢¹½ÊÓÆµRWA was therefore unable to distribute the aid it had pre-positioned outside Gaza, which included enough food parcels, flour, and shelter supplies for hundreds of thousands of people.

The occupied West Bank, including East Jerusalem

  • According to?, between 7 October 2023 and 21 June 2026, 1,105 Palestinians ¨C at least 242 of them children ¨C were killed in the occupied West Bank, including East Jerusalem. 59 of them have been killed since the beginning of 2026.
  • Early on 17 June, two mosques in villages north of Ramallah were subject to arson attacks and graffiti, purportedly by Israeli settlers. Settler violence continues unabated, with attacks and harassment occurring across the West Bank during this period.
  • Late on 21 June, two Palestinians including a child were shot and killed by Israeli forces in Beit Ummar, in the vicinity of the Karmi Tzur settlement. Two additional Palestinians were injured during a subsequent search operation.

1.1. Humanitarian access and armed conflict-related incidents5

  • From 16 to 22 June, no significant armed incidents impacted Ä¢¹½ÊÓÆµRWA facilities, personnel and persons supporting Ä¢¹½ÊÓÆµRWA¡¯s activities.
  • Since the beginning of the war and up to 18 May,?975*?incidents impacting Ä¢¹½ÊÓÆµRWA premises and the people inside them have been reported.?312*?(or nearly all) Ä¢¹½ÊÓÆµRWA installations have been impacted by armed conflict-related incidents, some of them multiple times. Ä¢¹½ÊÓÆµRWA continues to verify and update the number of casualties caused by these incidents.

*Since the start of the war in October 2023, the latest casualty figures are continuously under review as Ä¢¹½ÊÓÆµRWA gains access to locations that were previously inaccessible and as further verifications occur. The summary figures will be published/updated as information becomes available, noting that these numbers are subject to change once verifications are concluded.


1.2. Ä¢¹½ÊÓÆµRWA Response:

Health and nutrition

  • Ä¢¹½ÊÓÆµRWA has provided over 18.7 million health visits, including 12.7 million medical consultations since the start of the war in the Gaza Strip in October 2023.
  • From 1 to 15 June, Ä¢¹½ÊÓÆµRWA screened 5,302 children aged between six and 59 months at its health centres and medical points, identifying 261 malnourished children.
  • By 14 June, six health centres and four additional Ä¢¹½ÊÓÆµRWA-rented facilities used as temporary health centres were operational in the Gaza Strip. In addition, by that date, Ä¢¹½ÊÓÆµRWA was providing primary health services through 69 mobile medical teams working in 28 medical points inside and outside collective emergency shelters in the Middle Area, Khan Younis, Al Mawasi and Gaza City.
  • From 15 to 21 June, an average of 1,043 Ä¢¹½ÊÓÆµRWA health personnel per day worked in the Agency¡¯s health facilities across the Gaza Strip, providing 65,129 medical consultations in total.
  • Between 15 and 21 June, Ä¢¹½ÊÓÆµRWA health teams provided 7,554 consultations for post-natal and pregnant women at high risk, 3,103 dental and oral health consultations in fixed and mobile clinics, and 2,398 physiotherapy rehabilitation services sessions in health centres and medical points. A total of 9,822 laboratory tests were conducted in Ä¢¹½ÊÓÆµRWA health centres and medical points.
  • From 15 to 21 June, 2,371 vaccination sessions were provided at health centres and medical points. In addition, a total of 1,176 students received routine immunisations through school health services.
  • Ä¢¹½ÊÓÆµRWA¡¯s telemedicine initiative began in March 2024 and has gradually expanded to include other services such as teledentistry, tele-physiotherapy, and telepsychosocial counselling. Currently, following the establishment of the Centralised Telemedicine Centre, the team provides teleconsultations for curative outpatient care, non-communicable diseases, as well as maternal and cardiological consultations.

Mental Health and Psychosocial Support (MHPSS)

  • Ä¢¹½ÊÓÆµRWA remains one of the largest providers of emergency learning and psychosocial support (PSS) services across the Gaza Strip.
  • Between 7 October 2023 and 22 June, Ä¢¹½ÊÓÆµRWA¡¯s social work teams provided services to 276,330 displaced persons, including psychological first aid, PSS services, family and individual activities, and case management. During the same reporting period, services were provided to 4,813 survivors of gender-based violence (GBV) and 7,353 children, including 3,350 unaccompanied children. The teams supported 36,957 persons with disabilities with PSS. Awareness sessions on GBV, child protection, disability inclusion, as well as managing social and psychological stressors, were conducted for 159,188 displaced persons.
  • Ä¢¹½ÊÓÆµRWA health teams, including 49 psychiatrists, psychosocial counsellors and supervisors, continued to provide MHPSS services in Gaza City, the Middle and Khan Younis areas, assisting special cases referred from Ä¢¹½ÊÓÆµRWA health centres and collective emergency shelters. From 15 to 21 June, Ä¢¹½ÊÓÆµRWA teams conducted 3,225 visits in health centres and at health points providing individual consultations, awareness sessions, and support for protection cases.

Learning

  • Ä¢¹½ÊÓÆµRWA provides learning services in the Gaza Strip in Temporary Learning Spaces and through its distance learning initiative.
  • Between 15 to 21 June, 52,150 children (22,058 boys and 30,092 girls), including 971 children with disabilities, took part in learning activities conducted across 687 classrooms in 78 Ä¢¹½ÊÓÆµRWA collective emergency shelters.
  • Ä¢¹½ÊÓÆµRWA also leverages digital tools to provide basic literacy and numeracy activities for over 280,000 children in the Gaza Strip, facilitated by approximately 7,500 teachers using self-learning material developed by Ä¢¹½ÊÓÆµRWA that is hosted on the Agency¡¯s digital learning platform.

Food security

  • From 7 October 2023 until the start of the previous ceasefire on 19 January 2025, Ä¢¹½ÊÓÆµRWA reached over 388,000 families, or nearly 1.9 million people, with two rounds of flour deliveries; at least 374,000 of those families received three rounds. During that ceasefire, which lasted until March 2025, Ä¢¹½ÊÓÆµRWA reached over two million people with critical food assistance.
  • Ä¢¹½ÊÓÆµRWA ran out of food at the end of April 2025. The Agency has been blocked by the Israeli authorities from directly bringing in any humanitarian assistance including food since 2 March 2025.

Water, Sanitation and Hygiene (WASH)

  • Since October 2023, Ä¢¹½ÊÓÆµRWA has carried out emergency WASH activities across the Gaza Strip, at Ä¢¹½ÊÓÆµRWA collective emergency shelters and informal displacement areas. Activities include operating and maintaining water wells and desalination systems and supplying water by truck. In addition, Ä¢¹½ÊÓÆµRWA continues to maintain hygiene in its shelters and sites by distributing cleaning supplies, running community-based solid waste management, water tank disinfection campaigns, and pest control.
  • In 2025, Ä¢¹½ÊÓÆµRWA distributed 970,000 cubic metres of drinking and domestic use water and collected and disposed of 70,000 tonnes of solid waste. Ä¢¹½ÊÓÆµRWA estimates that around 1.7 million people benefitted from the Agency¡¯s water provision and solid waste collection services in 2025.
  • Between 1 and 15 June, Ä¢¹½ÊÓÆµRWA distributed around 70,000 cubic metres of domestic and potable water in various areas and from different sources, reaching over 860,000 displaced people daily.
  • Between 1 and 15 June, Ä¢¹½ÊÓÆµRWA teams collected around 4,500 tonnes of solid waste inside the Agency¡¯s emergency shelters and surrounding areas. More than 850 cleaning campaigns were conducted, benefitting over 1,700,000 displaced persons. Activities included cleaning emergency shelters, cleaning and clearing 600 manholes, as well as water desludging. Ä¢¹½ÊÓÆµRWA teams also conducted over 2,500 hygiene promotion sessions over the same period.