Satellite imagery and UN assessments indicate that about 82 percent of Gaza's structures have been damaged, and more than 74,000 Palestinians have been killed since the war began in October 2023. Destruction has continued under the October 2025 ceasefire, with more than 1,400 deaths since it took effect, and Israel said it killed Izz al-Din al-Beik, Hamas's armed-wing commander in northern Gaza, in a Gaza City strike. Hospitals, meanwhile, report that most imaging equipment is out of service and lab supplies are scarce, forcing doctors to ration diagnostic tests and putting patients with cancer, kidney and heart disease at risk.