DEIR AL-BALAH, Gaza Strip: Twice a week, Mohamed Attiya’s wheelchair rattles over Gaza’s scarred roads so he can visit the machine that is keeping him alive.
The 54-year-old makes the journey from a temporary shelter west of Gaza City to Shifa Hospital in the city’s north. There, he receives dialysis for the kidney failure he was diagnosed with nearly 15 years ago. But the treatment, limited by the war’s destruction and lack of supplies, is not enough to remove all the waste products from his blood.
“It just brings you back from death,” the father of six said.
Many others like him have not made it. They are some of Gaza’s quieter deaths from the war, with no explosion, no debris. But the toll is striking: Over 400 patients, representing around 40 percent of all dialysis cases in the territory, have died during the 18-month conflict because of lack of proper treatment, according to Gaza’s Health Ministry.
That includes 11 patients who have died since the beginning of March, when Israel sealed the territory’s 2 million Palestinians off from all imports, including food, medical supplies and fuel. Israeli officials say the aim is to pressure Hamas to release more hostages after Israel ended their ceasefire.
COGAT, the Israeli military body in charge of coordinating aid, declined to comment on the current blockade. It has said in the past that all medical aid is approved for entry when the crossings are open, and that around 45,400 tons of medical equipment have entered Gaza since the start of the war.
Hardships mount for Gaza patients
Attiya said he needs at least three dialysis sessions every week, at least four hours each time. Now, his two sessions last two or three hours at most.
Israel’s blockade, and its numerous evacuation orders across much of the territory, have challenged his ability to reach regular care.
He has been displaced at least six times since fleeing his home near the northern town of Beit Hanoun in the first weeks of the war. He first stayed in Rafah in the south, then the central city of Deir Al-Balah. When the latest ceasefire took effect in January, he moved again to another school in western Gaza City.
Until recently, Attiya walked to the hospital for dialysis. But he says the limited treatment, and soaring prices for the mineral water he should be drinking, have left him in a wheelchair.
His family wheels him through a Gaza that many find difficult to recognize. Much of the territory has been destroyed.
“There is no transportation. Streets are damaged,” Attiya said. “Life is difficult and expensive.”
He said he now has hallucinations because of the high levels of toxins in his blood.
“The occupation does not care about the suffering or the sick,” he said, referring to Israel and its soldiers.
A health system gutted by war
Six of the seven dialysis centers in Gaza have been destroyed during the war, the World Health Organization said earlier this year, citing the territory’s Health Ministry. The territory had 182 dialysis machines before the war and now has 102. Twenty-seven of them are in northern Gaza, where hundreds of thousands of people rushed home during the two-month ceasefire.
“These equipment shortages are exacerbated by zero stock levels of kidney medications,” the WHO said.
Israel has raided hospitals on several occasions during the war, accusing Hamas of using them for military purposes. Hospital staff deny the allegations and say the raids have gutted the territory’s health care system as it struggles to cope with mass casualties from the war.
The Health Ministry says over 51,000 Palestinians, mostly women and children, have been killed in Israel’s offensive, without saying how many were civilians or combatants. Hamas-led militants killed some 1,200 people, mostly civilians, and abducted 251 in the Oct. 7, 2023 attack that triggered the war.
Officials say hundreds of patients have died
At Shifa Hospital, the head of the nephrology and dialysis department, Dr. Ghazi Al-Yazigi, said at least 417 patients with kidney failure have died in Gaza during the war because of lack of proper treatment.
That’s from among the 1,100 patients when the war began.
Like Attiya, hundreds of dialysis patients across Gaza are now forced to settle for fewer and shorter sessions each week.
“This leads to complications such as increased levels of toxins and fluid accumulation … which could lead to death,” Al-Yazigi said.
Mohamed Kamel of Gaza City is a new dialysis patient at the hospital after being diagnosed with kidney failure during the war and beginning treatment this year.
These days, “I feel no improvement after each session,” he said during one of his weekly visits.
The father of six children said he no longer has access to filtered water to drink, and even basic running water is scarce. Israel last month cut off the electricity supply to Gaza, affecting a desalination plant producing drinking water for part of the arid territory.
Kamel said he has missed many dialysis sessions. Last year, while sheltering in central Gaza, he missed one because of an Israeli bombing in the area. His condition deteriorated, and the next day he was taken by ambulance to Al-Aqsa Martyrs hospital.
“The displacement has had consequences,” Kamel said. “I am tired.”

DUBAI, United Arab Emirates: Yemen’s Houthi rebels launched a missile early Wednesday toward northern Israel, a rare target for the group as a monthlong intense US airstrike campaign continues to target them.
Sirens sounded in Haifa, Krayot and other areas west of the Sea of Galilee, the Israeli military said.
“An interceptor was launched toward the missile, and the missile was most likely successfully intercepted,” the Israeli military said.
Those in the area could here booms in the predawn darkness.
The Houthis did not immediately claim the attack, though it can take them hours or even days to acknowledge their assaults.
American airstrikes, meanwhile, continued targeting the Houthis on Wednesday morning, part of a campaign that began on March 15. The Houthis reported strikes on Hodeida, Marib and Saada governorates. In Marib, the Houthis described a strike hitting telecommunication equipment, which has previously been a target of the Americans.
The US military’s Central Command did not immediately respond to a request for comment.
The US is targeting the Houthis because of the group’s attacks on shipping in the Red Sea, a crucial global trade route, and on Israel. The Houthis are the last militant group in Iran’s self-described “Axis of Resistance” that is capable of regularly attacking Israel.
The new US operation against the Houthis under President Donald Trump is more extensive than attacks on the group were under President Joe Biden, an AP review found. The new campaign started after the rebels threatened to begin targeting “Israeli” ships again over Israel blocking aid from entering the Gaza Strip.
From November 2023 until this January, the Houthis targeted more than 100 merchant vessels with missiles and drones, sinking two of them and killing four sailors. That has greatly reduced the flow of trade through the Red Sea corridor, which typically sees $1 trillion of goods move through it annually. The Houthis also launched attacks targeting American warships without success.
Assessing the toll of the month-old US airstrike campaign has been difficult because the military hasn’t released information about the attacks, including what was targeted and how many people were killed. The Houthis, meanwhile, strictly control access to attacked areas and don’t publish complete information on the strikes, many of which likely have targeted military and security sites.
Last week, a strike on the Ras Isa fuel port killed at least 74 people and wounded 171 others in the deadliest-known attack of the American campaign.