
“That’s roughly a girl or a boy killed here every day during a ceasefire,” UNICEF spokesperson James Elder told reporters in Geneva.
“These children are killed from airstrikes, drone strikes, including suicide drones,” he said, speaking from Gaza City. “They’re killed from tank shelling, they’re killed from live ammunition, they’re killed from [remote-controlled] quadcopters.”
Mr. Elder pointed out that more children have also died of hypothermia in the last few days, as harsh winter conditions expose the most vulnerable Gazans.
Sheer cold kills six children
“We’ve now gone to six children who died of hypothermia just this winter,” he said. “I wish I could take a camera and show you 30, 40-kilometre [per hour] winds ripping through tents on the beach. It’s bitterly cold, it’s bitterly wet.”
The UNICEF spokesperson stressed that the ceasefire has allowed “genuine progress” in primary healthcare, with UNICEF and partners setting up the first health clinics in the north of the Strip and expanding immunization services.
But desperately needed medical evacuations of children remain at a standstill.
Mr. Elder noted “no noticeable improvement” both on approvals to get children with life-threatening injuries out of Gaza and in convincing more host countries take in the young patients.
He said that in his latest mission to the enclave, he spoke to many children and families denied evacuation despite completing an arduous, formal process.
These included a nine-year-old with shrapnel lodged in his eye who “will lose sight in an eye, maybe both”, a girl in Al Shifa hospital in Gaza City who “may well die” and another child whose leg needs amputating. “All three of those are absolute candidates for medical evacuation; all three of those have so far been denied,” Mr. Elder explained.
Before war erupted in Gaza following Hamas-led attacks in Israel on 7 October 2023, between 50 and 100 patients were evacuated from the enclave every day, according to the UN World Health Organization (WHO).
In an alert on Tuesday, the agency warned that extensive clearance procedures by the Israeli authorities continue to cause delays to deliveries of medicine and food.
“Some essential medical items are classified as ‘dual-use’ and denied entry,” WHO said in a post on X, in reference to goods that are primarily intended for civilian use but which the Israeli authorities believe could be diverted by Hamas or other militant groups for military purposes.
International NGO ban looms
The UNICEF spokesperson also highlighted the dangers of a recent Israeli ban on international NGOs, which will come into effect in the coming month and mean “blocking life-saving assistance”, he alleged. Mr. Elder also stressed the importance of allowing international media into the enclave, which has not been granted despite the ceasefire.
“There needs to be a lot more pressure on allowing international journalists to come in,” he said. “This is my seventh mission [to Gaza] and every time I see the 360-degree devastation, flattening of homes, my jaw drops.”
“It is absolutely as staggering yesterday as it was the first time I saw it more than two years ago,” he insisted.
Mr. Elder warned that two years of war have “left life for Gaza’s children unimaginably hard,” explaining that “the psychological damage remains untreated, and it’s becoming deeper and harder to heal, the longer this goes on”.
“A ceasefire that slows the bombs is progress, but one that still buries children is not enough,” he concluded.

