As Israel’s military escalates its attacks on Lebanon, it has continued its relentless bombardment of the Gaza Strip, where almost a year of war has now wiped 902 entire Palestinian families off the civil registry.

There are another 1,300 families where only one family member has survived. The official death toll in Gaza has reached nearly 41,800, but that is believed to be a vast undercount.

Gaza-based journalist Akram al-Satarri says one year into Israel’s war, the medical and humanitarian crisis remains unchanged. He describes some of the horrific injuries suffered by Palestinians, including many children, that have resulted in mass amputation of limbs, and says people are in a constant struggle for shelter and safety.

“The suffering is continuous, and now the war in Lebanon is adding further burdens on the Palestinians and is giving more space for the Israeli forces to continue the bombardment in different areas,” says al-Satarri.