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"To speak of 3 million years of human life erased is to confront the true scale of this atrocity—generations of children, parents, and families wiped out," said the head of a US advocacy group.
As Israeli forces continued to violate a fragile ceasefire agreement with Hamas, killing more people in the Gaza Strip on Monday, the largest Muslim civil rights group in the United States renewed calls for cutting off military aid to Israel, citing a new study in The Lancet.
"This new Lancet study offers more evidence of the catastrophic human cost of Israel's genocidal campaign against the Palestinian people," Council on American-Islamic Relations (CAIR) national executive director Nihad Awad said in a statement.
The correspondence published Friday by the famed British medical journal was submitted by Colorado State University professor Sammy Zahran, an expert in health economics, and Dr. Ghassan Abu-Sittah, a British Palestinian surgeon teaching at the American University of Beirut in Lebanon.
Zahran and Abu-Sittah provided an estimate of the number of years of life lost, based on an official death toll list published by the Gaza Ministry of Health at the end of July, which included the age and sex of 60,199 Palestinians. They noted that the list is "restricted to deaths linked explicitly to actions by the Israeli military, excluding indirect deaths resulting from the ruin of infrastructure and medical facilities, restriction of food and water, and the loss of medical personnel that support life."
The pair calculated life expectancies in the state of Palestine—Gaza and the West Bank, including East Jerusalem—by sex for all ages, using mortality and population data from the United Nations Department of Economic and Social Affairs for 2022. They estimated that a total of 3,082,363 life-years were lost in Gaza as a result of the Israeli assault since October 7, 2023.
"We find that most life-years lost are among civilians, even under the relaxed definition of a supposed combatant involving all men and boys of possible conscription age (15–44 years)," the paper states. "More than 1 million life-years involving children under the age of 15 years... have been lost."
CAIR's Awad said, "To speak of 3 million years of human life erased is to confront the true scale of this atrocity—generations of children, parents, and families wiped out. It is a deliberate effort to destroy a people."
Israel faces a genocide case at the International Court of Justice over its conduct in Gaza, and the International Criminal Court last year issued arrest warrants for Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant.
"The United States and the international community must end their complicity by halting all military aid to Israel and supporting full accountability for these crimes under international law," Awad argued.
A report published last month by the Quincy Institute for Responsible Statecraft and the Costs of War Project at Brown University found that the Biden and Trump administrations provided at least $21.7 billion in military aid to Israel since the start of the war.
Federal law prohibits the US government from providing security assistance to foreign military units credibly accused of human rights abuses. The Washington Post last week reported on a classified State Department document detailing "many hundreds" of alleged violations by Israeli forces in Gaza that are expected to take "multiple years" to review.
With President Donald Trump seeking a Nobel Peace Prize, the US helped negotiate the current ceasefire, which began on October 10, after over two years of devastating retaliation for the Hamas-led attack on southern Israel. The head of Gaza's Government Media Office said Monday that Israeli forces have committed at least 194 violations of the agreement.
As of Sunday, the ministry's death count was at 68,865, with at least 170,670 people wounded. Previously published research, including multiple studies in The Lancet, has concluded that the official tally is likely a significant undercount.
One researcher called the projections "an impending disaster" for low-income nations.
An ominous new study in the Lancet medical journal projects that deaths from cancer will surge over the next two-and-a-half decades, with lower-income countries set to be the hardest hit.
The study, which was released on Wednesday, estimates that there will be 18.6 million cancer deaths and 30.5 million cancer cases in 2030. The estimated number of cancer deaths would represent a nearly 75% increase from the estimated 10.4 million cancer deaths in 2023.
The study explains that the forecasted death increases "are greater in low-income and middle-income countries" than in wealthy nations, and that most of the projected increases are likely to come from an older population, not a rise in the lethality of cancer overall.
All the same, the study warns that the total increase in cancer cases and deaths will put a strain on global health systems.
"Effectively and sustainably addressing cancer burden globally will require comprehensive national and international efforts that consider health systems and context in the development and implementation of cancer-control strategies across the continuum of prevention, diagnosis, and treatment," the study says.
Meghnath Dhimal, chief research officer at the Nepal Health Research Council, who worked on the study, told Euronews that the projections showed "an impending disaster" for low-income nations. Dhimal also said that these nations needed to do more to improve their citizens' access to cancer screenings and treatments to prevent their systems from potentially being overwhelmed.
"There are cost-effective interventions for cancer in countries at all stages of development," he said.
Dr. Theo Vos, a researcher at the Institute for Health Metrics and Evaluation who helped author the study, told Euronews that the incidence of cancer could be significantly reduced by lowering tobacco use, unsafe sex, obesity, and high blood sugar, among other factors.
"There are tremendous opportunities for countries to target these risk factors, potentially preventing cases of cancer and saving lives," Vos explained.
The peer-reviewed analysis estimates that Israel's assault on Gaza killed 64,260 people between October 7, 2023 and June 30, 2024—a figure significantly higher than the one reported by the enclave's health ministry.
A peer-reviewed analysis published in The Lancet on Thursday found that the official Gaza death toll reported by the enclave's Ministry of Health between October 7, 2023 and June 30, 2024 was likely a 41% undercount, a finding that underscores the devastation wrought by Israel's assault on the Palestinian territory and the difficulties of collecting accurate data amid relentless bombing.
During the period examined by the new study, Gaza's health ministry (MoH) reported that 37,877 people had been killed in Israeli attacks. But the Lancet analysis estimates that the death toll during that period was 64,260, with women, children, and the elderly accounting for nearly 60% of the deaths for which details were available.
That count only includes "deaths due to traumatic injury," leaving out deaths from starvation, cold, and disease.
To reach their estimate, the authors of the new study "composed three lists from successive MoH-collected hospital morgue data, an MoH online survey, and obituaries published on public social media pages" and "manually scraped information from open-source social media platforms, including specific obituary pages for Gaza shaheed, martyrs of Gaza, and The Palestinian Information Center to create our third capture-recapture list."
"These pages are widely used obituary spaces where relatives and friends inform their networks about deaths, offer condolences and prayers, and honor people known as martyrs (those killed in war)," the authors write. "The platforms span multiple social media channels, including X (formerly Twitter), Instagram, Facebook, WhatsApp, and Telegram. Throughout the study period, these pages were updated periodically and consistently, providing a comprehensive source of information on casualties. Obituaries typically included names, age at death, and date and location of death, and were often accompanied by photographs and personal stories. We translated English posts into Arabic to match names across lists and excluded deaths attributed to non-traumatic injuries."
The group of authors—which includes academics from the United Kingdom, the United States, and Japan—said the findings "show an exceptionally high mortality rate in the Gaza Strip during the period studied" and highlight "the urgent need for interventions to prevent further loss of life and illuminate important patterns in the conduct of the war."
Establishing an accurate count of the number of people killed in Israel's 15-month assault on the Gaza Strip, which began in the wake of a deadly Hamas-led attack, has been made extremely difficult by the Israeli military's incessant bombing and destruction of the enclave's medical infrastructure. There are also tens of thousands of people believed to be missing under the ruins of Gaza homes and buildings.
The Lancet study notes that "the escalation of Israeli military ground operations and attacks on healthcare facilities severely disrupted" Gaza officials' data-collection efforts. Prior to October 7, 2023, the MoH "had achieved good accuracy in mortality documentation, with underreporting estimated at 13%," the new analysis notes, and its figures were widely considered reliable.
But since Israel launched its catastrophic response to the Hamas-led attack, U.S. lawmakers and leaders who have backed Israel's assault—including President Joe Biden—have openly cast doubt on the ministry's data. Currently, the MoH estimates that more than 46,000 Palestinians have been killed since October 7, 2023.
Last month, the U.S. Congress approved a sprawling military policy bill that included a provision barring the Pentagon from publicly citing as "authoritative" death toll figures from Gaza's health ministry. Biden signed the measure into law on December 23.
"This is an alarming erasure of the suffering of the Palestinian people, ignoring the human toll of ongoing violence," Rep. Ilhan Omar (D-Minn.), who voted against the legislation, told The Intercept following House passage of the measure.