Gaza death tolls: How the health ministry arrives at the numbers, and why they're criticized

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Gaza death tolls: How the health ministry arrives at the numbers, and why they're criticized
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A Palestinian man inspects the damage at al-Ahli hospital, in Gaza City, Wednesday, Oct. 18, 2023. The Hamas-run Health Ministry says an Israeli airstrike caused the explosion that killed hundreds at al-Ahli, but the Israeli military says it was a misfired Palestinian rocket.

| CBC News LoadedThe Gaza-based Ministry of Health has produced a comprehensive report listing every Palestinian killed in the war with Israel so far. The ministry has come under criticism after the controversial aftermath of an Oct. 17 hospital explosion, but its tallies of deaths in past hostilities have often been reliable.

On Thursday, the ministry released a 212-page report listing every Palestinian killed in the war so far, including names, ID numbers, ages and gender. A copy of the report shared with the Associated Press names 6,747 Palestinians and says an additional 281 bodies have not yet been identified. The list did not provide a breakdown by location.

A controversy over the death toll from an Oct. 17 explosion al-Ahli Arab Hospital, and who caused the blast, brought the issue to the fore even as the United Nations and other international institutions and experts say the Gaza ministry has long made a good-faith effort to account for the dead under the most difficult conditions.

Hospital administrators say they keep records of every wounded person occupying a bed and every dead body arriving at a morgue. They enter this data into a computerized system shared with Health Ministry spokesperson Ashraf al-Qidra at an office at Shifa Hospital in Gaza City, as well as some of his colleagues. According to screenshots hospital directors sent to the Associated Press, the system looks like a colour-coded spreadsheet divided into categories: name, ID number, date of hospital entry, type of injury, condition.

Gaza's Health Ministry stands by the 471 figure. When asked about conflicting accounts, authorities emphasize the difficulties of their work and vigorously deny any fabrication.

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