JERUSALEM (news agencies) — The proportion of Palestinian women and children being killed in the Israel-Hamas war appears to have declined sharply, an media analysis of Gaza Health Ministry data has found, a trend that both coincides with Israel’s changing battlefield tactics and contradicts the ministry’s own public statements.
The trend is significant because the death rate for women and children is the best available proxy for civilian casualties in one of the 21st century’s most destructive conflicts. In October, when the war began, it was above 60%. For the month of April, it was below 40%. Yet the shift went unnoticed for months by the U.N. and much of the media, and the Hamas-linked Health Ministry has made no effort to set the record straight.
Israel faces heavy international criticism over unprecedented levels of civilian casualties in Gaza and questions about whether it has done enough to prevent them in an 8-month-old war that shows no sign of ending. Two recent airstrikes in Gaza killed dozens of civilians.
The news agencies analysis highlights facts that have been overlooked and could help inform the public debate, said Gabriel Epstein, a research assistant at the Washington Institute for Near East policy who has also studied the Health Ministry data.
The declining impact on women and children — as well as a drop in the overall death rate — are “definitely due to a change in the way the IDF is acting right now,” Epstein said, using an acronym for the Israeli army. “That’s an easy conclusion, but I don’t think it’s been made enough.”
When Israel first responded to Hamas’ Oct. 7 attack, which killed some 1,200 people, it launched an intense aerial bombardment on the densely populated Gaza Strip. Israel said its goal was to destroy Hamas positions, and the barrage cleared the way for tens of thousands of ground troops, backed by tanks and artillery.
The Gaza death toll rose quickly and by the end of October women and people 17 and younger accounted for 64% of the 6,745 killed who were fully identified by the Health Ministry.
After marching across most of Gaza and saying it had achieved many key objectives, Israel then began withdrawing most of its ground forces. It reduced the frequency of aerial bombings and has focused in recent months on smaller drone strikes and limited ground operations.
As the intensity of fighting has scaled back, the death toll has continued to rise, but at a slower rate – and with seemingly fewer civilians caught in the crossfire. In April, women and children made up 38% of the newly and fully identified deaths, the Health Ministry’s most recent data shows.
“Historically, airstrikes (kill) a higher ratio of women and children compared to ground operations,” said Larry Lewis, an expert on the civilian impacts of war at CNA, a nonprofit research group in Washington. The findings of the news agencies analysis “make sense,” he said.
Another sign that Israel softened its bombing campaign: Beginning in January, there was a sharp slowdown in “new damage” to buildings in Gaza, according to Corey Scher, a satellite mapping expert at City University of New York who has monitored buildings damaged or destroyed since the war began.
The Health Ministry announces a new death toll for the war nearly every day. It also has periodically released the underlying data behind this figure, including detailed lists of the dead.
The news agencies’s analysis looked at these lists, which were shared on social media in late October, early January, late March, and the end of April. Each list includes the names of people whose deaths were attributable to the war, along with other identifying details.
The daily death tolls, however, are provided without supporting data. In February, ministry officials said 75% of the dead were women and children – a level that was never confirmed in the detailed reports. And as recently as March, the ministry’s daily reports claimed that 72% of the dead were women and children, even as underlying data clearly showed the percentage was well below that.
Israeli leaders have pointed to such inconsistencies as evidence that the ministry, which is led by medical professionals but reports to Gaza’s Hamas government, is inflating the figures for political gain.
Experts say the reality is more complicated, given the scale of devastation that has overwhelmed and badly damaged Gaza’s hospital system.
Lewis said while the “beleaguered” Health Ministry has come under heavy scrutiny, Israel has yet to provide credible alternative data. He called on Israel to “put out your numbers.”
The true toll in Gaza could have serious repercussions. Two international courts in the Hague are examining accusations that Israel has committed war crimes and genocide against Palestinians – allegations it adamantly denies.
Israel has opened a potentially devastating new phase of the war in the southern Gaza city of Rafah, where an estimated 100,000 civilians remain even after mass evacuations. How Israel mitigates civilian deaths there will be closely watched.
Israeli airstrikes in Rafah last month set off a fire that killed dozens of people, and on Thursday an airstrike on a school-turned-shelter in central Gaza killed at least 33 people, including 12 women and children, local health officials said.






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