Deadly Blows and Setbacks Deepened Hezbollah’s Crisis During War with Israel

Hezbollah supporters watch a televised speech delivered by Hezbollah Secretary-General Hassan Nasrallah in Dahieh in November 2019. (AFP)
Hezbollah supporters watch a televised speech delivered by Hezbollah Secretary-General Hassan Nasrallah in Dahieh in November 2019. (AFP)
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Deadly Blows and Setbacks Deepened Hezbollah’s Crisis During War with Israel

Hezbollah supporters watch a televised speech delivered by Hezbollah Secretary-General Hassan Nasrallah in Dahieh in November 2019. (AFP)
Hezbollah supporters watch a televised speech delivered by Hezbollah Secretary-General Hassan Nasrallah in Dahieh in November 2019. (AFP)

Months before his assassination, former Hezbollah Secretary-General Hassan Nasrallah believed that the “support war” his party had launched against Israel in October 2023 in support of Gaza would remain within the limits of the “rules of engagement”. He believed that Iran would not allow four decades of “Islamic resistance” in Lebanon to fall easy prey to the enemy.

However, a series of wrong calculations prevented the party from taking decisive decisions during the conflict, which by September 2024 had turned into an all-out war.

This report reveals how Israel’s assassination of major Hezbollah leaderships effectively cut off Nasrallah from knowing every detail of what was happening on the ground. Field leaders appointed to replace the slain ones did not have enough information. Others have speculated that the party’s problem did not lie in the commanders, but in the loss of rocket launcher operators, who were a “rare commodity” in the party and the war.

Asharq Al-Awsat interviewed a number of Lebanese and Iraqi figures, who were in touch with the Hezbollah leadership in 2024, for this report to help fill in some gaps in the various narratives that have emerged related to the buildup to Nasrallah’s assassination in September 2024.

Lebanese authorities say 3,768 people were killed and over 15,000 injured in the war, while Israeli figures have said that Hezbollah lost around 2,500 members in over 12,000 strikes.

War within limits

In the first weeks of the war, Hezbollah was convinced that the “rules of engagement” on the ground would remain in place and that it would not turn into an all-out war, revealed a Lebanese figure who was in close contact with party military commanders.

Speaking to Asharq Al-Awsat on condition of anonymity, he stated that Nasrallah would tell meetings with influential party officials that the war would be limited to border skirmishes with Israel, as had happened in the past.

One leading Hezbollah member said the party believed that Iran would be able to “set the deterrence in the war and reach a ceasefire through maneuvering in its negotiations” with the West, added the Lebanese figure.

“The party was waiting on Iran to restore balance in the war that was tipped in Israel’s favor and to eventually reach a ceasefire without major losses,” he went on to say.

Iranian officials, led by Supreme Leader Ali Khamenei, have always said that Tehran would not abandon its allies. Nasrallah himself had always credited Iran with supporting his party financially and with weapons.

Three commanders

Speaking to Asharq Al-Awsat from his residence in Beirut’s southern suburbs, a Lebanese Shiite cleric said Hezbollah was slow in realizing that it was headed towards all-out war with Israel.

The cleric, who earned his religious studies in Iraq’s al-Najaf, lost four members of his family during the war.

Nasrallah, he added, lost key commanders who were his eyes and ears on the field.

Whenever Israel killed a field commander, it was as if Nasrallah “lost an eye that helped him see clearly. He was obsessed with following up on field developments” and Israel was taking these tools away from him, he revealed.

The greatest blows to Nasrallah were the losses of commanders Taleb Abdullah, Ibrahim Akeel, and Wissam al-Taweel.

Taweel was a prominent commander in the party’s al-Radwan unit. Israel killed him on January 8, 2024. Abdullah was responsible for Hezbollah’s operations in the central sector of the border with Israel and stretching to the Litani river. Israel killed him on June 11, 2024, in what the cleric said was the harshest blow to Nasrallah. Akeel was commander of Hezbollah’s military council. Israel killed him on September 20, 2024.

In the end, Nasrallah lost these three commanders and a state of chaos ensued in the operation rooms. “Other commanders on the field complained of how decisions were being improvised because members were acting out of alarm and suspicion instead of discipline,” said Lebanese sources.

Despite these major losses during a period of eight months, Nasrallah and his entourage continued to think inside the box and within the rules of engagement, still ruling out that an all-out war would happen.

Lebanese journalist Ali al-Amin said Nasrallah believed that the party was still capable of militarily deterring Israel and preventing a comprehensive war. He was ultimately wrong.

(From left to right) Slain Hezbollah commanders Ibrahim Akeel, Wissam al-Taweel and Taleb Abdullah.

Secrecy

Hezbollah’s problem lies in Hezbollah itself and how its commanders operate.

Lebanese sources explained that the field commanders killed between January and November 2024 were part of a disconnected chain of command, in that they were not a whole that relayed expertise and information smoothly.

The sources explained further: “When a commander is killed, his replacement does not have access to his predecessor’s field information and details, which are held in secrecy. This was one of Nasrallah’s problems in dealing with the war.”

More interviews with Asharq Al-Awsat revealed that each commander built his own network of relations, methods and information based on his own personal experience as an individual. When he is killed, this network dies with him, along with information about weapons caches or field plans.

At one point, Israeli drones hovering over a Hezbollah unit would have more information about the party than the newly appointed commander, said the cleric.

Israel’s infiltration

Nasrallah first started having doubts that Israel had breached Hezbollah after the assassination of Saleh al-Arouri, former Hamas deputy politburo chief, on January 2, 2024. Wissam al-Taweel was killed that same month.

The cleric said Nasrallah had not expected these assassinations and notably kept silent after they happened.

Later, he chose defense instead of offense, said Al-Amin. He revealed that field commanders had urgently requested a meeting with Nasrallah to call on him to launch an all-out war, because Israel was hunting down their members. Nasrallah adamantly refused.

Instead, the party became more isolated and began having deep doubts. The cleric explained that this is how Shiite movements in particular behave. They isolate themselves for internal reflection.

Security sources said that at the same time, Hezbollah reviewed its communications networks in the hopes of finding the Israeli breach.

A prominent Shiite figure, who has been in contact with Hezbollah since 2015, told Asharq Al-Awsat that the channels of communication with the party changed several times as more and more assassinations took place in Lebanon.

“We would come in contact with a new person every time we needed something from Dahieh (Beirut’s southern suburbs and a Hezbollah stronghold),” he added.

In August 2024, the Iranians asked Iraqi factions to support Hezbollah in its war. The Iraqi leader said they were instructed to make media statements that they were ready to go to war. A month later, Iraq’s Kataib Sayyid al-Shuhada faction said it would send 100,000 fighters to the Lebanese borders, but none did.

Pager operation

The party grew more anxious to uncover how Israel had breached it. Then came the devastating pager operation in September.

The attack isolated leaders from each other and their field networks. Communications within the party were almost dead and at some point, the remaining leaderships even gave up trying to find out where the breach was from.

Following the attack, field units did not hear anything for days from their commanders, revealed the cleric. It took the command a long time to resume contacts.

During that time, a military commander asked Nasrallah if the rules of engagement still stood. Nasrallah did not give a definitive answer, which was unusual for him, according to information obtained by Asharq Al-Awsat.

Nasrallah realized that he was now in an open war that he did not want, but it was already too late, revealed sources from leading officials who had attended important meetings.

Political science professor Ali Mohammed Ahmed tried to explain why Hezbollah refused to change its course of action. He said that maintaining the rules of engagement would ultimately not fall in Israel’s favor.

But what really tipped the war in its favor was its superior technology that Hezbollah had not taken into account.

Despite major losses during a period of eight months, Nasrallah and his entourage continued to think inside the box. (AFP)

The final scene

On the day of his assassination on September 27, Nasrallah headed to Dahieh with deputy Quds Force commander in Lebanon Abbas Nilforoushan. We will never know what they discussed. They headed to an underground Hezbollah compound and soon after Israel pounded the site with tons of bunker buster bombs.

Tons of questions were raised the day after in Dahieh and everywhere.

Looking at photos of his slain relatives, the Lebanese cleric said: “It took Hezbollah supporters a long time to recover from the shock. When they did, they asked, ‘who let down whom? The party or Iran? The resistance or Wilayet al-Faqih?’”

Ahmed said Hezbollah operated in a single basic way: it could not quit a war imposed on it, and so, it fought on.

Al-Amin stressed that Nasrallah would never have opened the “support front” without backing from Iran and his conviction that Israel would take into account threats from Tehran’s proxies in Lebanon, Iraq and Yemen.

However, the successive military and security setbacks led to a state of disarray and Nasrallah effectively cut the connection between Iran and Hezbollah, he added. Eventually, both sides realized that they had fallen into a trap.

Ahmed underlined one important development that took place early on during the war. Israel killed the strategic rocket launcher operators. The operators are a “rare commodity” and difficult to replace.

Hezbollah’s problem did not lie in its loss of field commanders, but the rocket operators, he said.

When the party launched hundreds of rockets at Israel a day before the ceasefire took effect, “we realized that it succeeded in replacing the slain operators,” he added.

“No one let down anyone. The problem lies in both Iran and Hezbollah and how they seemingly could not move on from the October 7, 2023 attack. Time was moving, but they were not,” he stated.

Iraqi researcher Akeel Abbas explained that the party and Iran did not grasp the extent of the major change that was taking place, even after Israeli Prime Minister Benjamin Netanyahu said that October 7 was like his country’s September 11.

“Everyone understood that the old rules no longer stood and that new ones were being imposed by force,” he told Asharq Al-Awsat.

“Iran was incapable of keeping pace with the major changes Israel was creating. It needed more time to prepare for such a largescale confrontation,” he remarked.



Strait of Hormuz Blockade Step by Step: What Do We Know?

A view of Iranian-flagged cargo ship M/V Touska as the US Navy Arleigh Burke-class Aegis guided missile destroyer USS Spruance conducts its interception in a location given as the north Arabian Sea, in this screen capture from a video released April 19, 2026. (CENTCOM/Handout via Reuters)
A view of Iranian-flagged cargo ship M/V Touska as the US Navy Arleigh Burke-class Aegis guided missile destroyer USS Spruance conducts its interception in a location given as the north Arabian Sea, in this screen capture from a video released April 19, 2026. (CENTCOM/Handout via Reuters)
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Strait of Hormuz Blockade Step by Step: What Do We Know?

A view of Iranian-flagged cargo ship M/V Touska as the US Navy Arleigh Burke-class Aegis guided missile destroyer USS Spruance conducts its interception in a location given as the north Arabian Sea, in this screen capture from a video released April 19, 2026. (CENTCOM/Handout via Reuters)
A view of Iranian-flagged cargo ship M/V Touska as the US Navy Arleigh Burke-class Aegis guided missile destroyer USS Spruance conducts its interception in a location given as the north Arabian Sea, in this screen capture from a video released April 19, 2026. (CENTCOM/Handout via Reuters)

Shipping traffic through the Strait of Hormuz remained mostly at a standstill on Monday, with just three vessels crossing the vital waterway, according to Kpler, a maritime data firm.

On Sunday, a US Navy destroyer attacked and seized an Iranian-flagged cargo ship that US President Donald Trump said had tried to evade the US blockade on ships traveling to and from Iranian ports.

In a separate incident, the United Kingdom Maritime Trade Operations center, which is administered by Britain’s Royal Navy, said that two vessels had been hit while trying to cross the Strait of Hormuz, according to a notice published on Saturday.

In one instance, gun ships operated by Iran’s Revolutionary Guards Corps fired at a tanker without radio warning, the British organization said. In the second incident, a container ship was hit by “an unknown projectile” that damaged some of the containers.

On Tuesday, the US military said it had seized an Iran-linked tanker in international waters, in what appears to be the latest move to enforce a blockade as the ceasefire deadline looms.

The US military said it had boarded the tanker Tifani “without incident.”

The ship, capable of carrying 2 million barrels of crude, last reported its position on Tuesday morning near Sri Lanka in the Indian Ocean, according to MarineTraffic tracking data. It was close to fully loaded and had signaled Singapore as its destination.

A two-week ceasefire between the US and Iran is set to expire early Wednesday.

Latest developments

The US Navy has turned back 27 ships trying to enter or exit Iranian ports since an American blockade outside the contested Strait of Hormuz began about a week ago, the military’s Central Command said on Monday.

On Sunday, a Navy destroyer disabled and seized the Touska, an Iranian cargo ship, in the Gulf of Oman after it tried to evade the blockade. It was the first time a vessel was reported to have tried to evade the US-imposed blockade on any ship entering or exiting Iranian ports since it took effect last week.

The guided-missile destroyer Spruance, one of more than a dozen Navy warships enforcing the US blockade, ordered the vessel’s crew to evacuate its engine room.

The Spruance then fired several rounds from its Mk-45 gun into the ship’s propulsion system as it steamed toward the port of Bandar Abbas in Iran, Central Command said in a statement that included a video of the firing.

American officials will determine what to do with the disabled vessel once the search is completed, a US military official said on Monday, speaking on the condition of anonymity to discuss operational matters, according to the New York Times. One option would be to tow the stricken ship to Oman, independent specialists said. An alternative would be to let the Touska steam to an Iranian port, if it can.

A spokesman for Iran’s military reiterated a threat on Monday to “take the necessary action against the US military” in response to the ship’s seizure, Iran’s state broadcaster reported.

How is the US imposing the blockade?

According to CENTCOM, more than 10,000 US personnel, including sailors, marines, and airmen, are participating in the operation, supported by over a dozen warships and dozens of aircraft. The effort spans key waterways surrounding Iran, including the Arabian Gulf and the Gulf of Oman.

The US blockade on Iranian ports does not have a defined geographic boundary, and the United States can interdict vessels almost anywhere in international waters until they arrive at their final port.

Analysts say modern technology allows blockade enforcement at great distances.

Can ships evade the blockade?

Maritime intelligence experts say that more ships in and around the Strait of Hormuz seem to be adopting “spoofing” tactics to avoid detection.

Under international maritime law, most large commercial vessels travel with a transponder that automatically transmits the ship’s name, location, route and other identifying information. That includes a nine-digit number with a country code, which serves as a digital fingerprint for a ship.

The tactics were used by Russian “shadow fleet” vessels evading sanctions related to the invasion of Ukraine in 2022.

When a ship is engaged in spoofing, its captain can type in a false origin or destination or can pretend to be piloting another ship altogether. Vessels can also temporarily turn off their transponders, seeming to disappear in one place and reappear in another.

The strait is “a contested information environment,” said Erik Bethel, a partner at Mare Liberum, a maritime technology venture capital fund.

Still, whatever ruses they employ, vessels going to and from Iran may get only so far. It is difficult to pass between the open ocean and a waterway as narrow as the Strait of Hormuz without being detected.

“My expectation is that the US Navy can sit out in the Gulf of Oman,” said Ami Daniel, the chief executive of Windward, a maritime intelligence data provider. “I don’t think there’s a way to breach the blockade.”

What are the US and Iranian strategies?

The US blockade sets up a significant test in the Iran war: Which side can endure more economic pain?

Instead of directing missiles and bombs, Trump is trying to choke off Iran’s oil exports, which make up just about all of the government’s revenue.

Some experts questioned whether the US blockade would work.

“Iran is already hurting, and they have shown that they are willing to take more than a couple of hits,” said Ahmet Kasim Han, a professor of international relations at TED University in Ankara, Türkiye.

Iran’s strategy appears to be using its leverage over global energy markets, where Tehran has discovered new powers that can cause pain in the US economy through spikes in the price of gasoline and other staples.

Why is the strait so important?

The Strait of Hormuz is a strategic waterway connecting the Gulf to the Gulf of Oman and the Indian Ocean. It is the only sea route for moving oil, natural gas and other cargo out of the Gulf. Iran’s coastline runs along the entire route.

At the strait’s narrowest and most vulnerable point — between Iran to the north and the Musandam Peninsula of Oman to the south — the navigable channel is about two miles wide each for inbound and outbound traffic, according to the International Energy Agency.

The legal status of the strait is complex. It lies within the territorial waters of Iran and Oman, but under international law it is treated as an international waterway where ships are generally guaranteed passage.

Iran has signed but not ratified that framework and has disputed the extent of those rights.

Before the war, about 20% of global oil and liquid natural gas passed through the strait. Most of the fossil fuels are bound for Asia, especially China, India, Japan and South Korea.

Other large vessels also use the strait, including car carriers and container ships.

Crucial industrial goods traveling through Hormuz include helium from Qatar, fertilizer from Oman and Saudi Arabia, and plastic feedstocks from Saudi Arabia and Emirati petrochemical plants.

How does Iran control the strait?

Iran’s military can threaten shipping traffic throughout the Strait of Hormuz, even though much of its navy has been destroyed by US and Israeli strikes.

The United States and Israel launched their war against Iran on the argument that if Iran one day got a nuclear weapon, it would have the ultimate deterrent against future attacks.

It turns out that Iran already has a deterrent: geography.

“The Iranians have thought a lot about how to utilize the geography to their benefit,” said Caitlin Talmadge, a professor at the Massachusetts Institute of Technology who studies Gulf security.

*The New York Times


US-Iran Talks Test Power Balances in Tehran as National Security Council Comes to the Forefront

Qalibaf (L) at a meeting of the regime's Expediency Discernment Council, with Supreme National Security Council secretary Mohammad Bagher Zolghadr. (Qalibaf’s official site)
Qalibaf (L) at a meeting of the regime's Expediency Discernment Council, with Supreme National Security Council secretary Mohammad Bagher Zolghadr. (Qalibaf’s official site)
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US-Iran Talks Test Power Balances in Tehran as National Security Council Comes to the Forefront

Qalibaf (L) at a meeting of the regime's Expediency Discernment Council, with Supreme National Security Council secretary Mohammad Bagher Zolghadr. (Qalibaf’s official site)
Qalibaf (L) at a meeting of the regime's Expediency Discernment Council, with Supreme National Security Council secretary Mohammad Bagher Zolghadr. (Qalibaf’s official site)

After US-Israeli bombardment eliminated Iran’s supreme leader and much of its top echelons, the country’s leadership didn’t fall apart — but negotiations to end the war offer a new test.

For decades, the supreme leader successfully managed several powerful factions, bringing to heel those who challenged his authority while listening to rival opinions. It’s now unclear who wields that kind of authority over the collection of civilian figures and powerful generals from the Revolutionary Guard who appear to be in charge.

They have found unity — for now — by taking a tough line. But disagreements over how much to concede in negotiations with the United States could reveal fault lines, as Pakistani mediators try to host a new round of talks this week, according to The Associated Press.

Who is in charge?

In the past, Supreme Leader Ali Khamenei was able to impose his will on the country's disparate power centers. After Israeli strikes killed him on the first day of the war, his son Mojtaba Khamenei succeeded him.

But doubts continue to swirl over the younger Khamenei’s role after reports he was wounded in the strikes. Still in hiding, he has not appeared in public since becoming supreme leader and how he gives orders to top leaders is a mystery.

At the center of power now is a politburo-like body known as the Supreme National Security Council, which includes Iran’s top civilian and military officials. Mohammad Bagher Qalibaf, the parliament speaker and a veteran insider with strong contacts on all sides, has emerged as its face and the chief negotiator with the US.

The late Khamenei began giving more authority to the council before his death, but the war has consolidated its power.

The council contains a range of political opinions and often acute rivalries. A political rival of Qalibaf and uncompromising opponent of the US, Saeed Jalili, represents the supreme leader on the council, while the body’s nominal head is reformist President Masoud Pezeshkian.

Hard-liner members include the Guard’s new chief commander, Ahmad Vahidi, and the council’s new secretary, Mohammad Bagher Zolghadr, also a commander in the Guard.

But Israel’s strategy of eliminating top leaders points to a misreading of how the Iranian regime works, experts say.

Iran’s leadership survived “precisely because there are multiple power centers with overlapping authorities,” said Ali Vaez, Iran director at the International Crisis Group. “Factionalism is just built into the DNA of this system.”

But since the war, the Guard’s growing clout on the council has also stoked speculation that a fundamental change could be coming.

Negotiations with the US will stress test the power structure

The council now faces potentially divisive questions over how far to go to reach a deal with the US, which is demanding Iran make major concessions aimed at ensuring it is never able to develop a nuclear weapon. Iran has long insisted its program is peaceful while saying it has the right to uranium enrichment.

In an interview with Iranian state TV on Sunday, Qalibaf said Iran wants a comprehensive accord that brings “a lasting peace” where the US no longer attacks the country.

“This dangerous loop needs to be cut,” he said. The US has twice launched strikes on Iran during high-level negotiations: once in the 12-day war in June, then again in the current conflict.

Council members have projected confidence that Iran holds the upper hand now, particularly because its grip on the Strait of Hormuz — a crucial passage for the world’s oil — enables it to drive up fuel prices, thus threatening the global economy and exerting political pressure on US President Donald Trump back home.

Senior officials have insisted they can hold out for assurances that Iran won’t be attacked again — even risking the war reigniting — because they believe Iran can endure the pain longer than the United States and its allies.

But ultimately, the leadership’s priority remains its own survival. The war and the US blockade, which is threatening Iran’s oil trade, are tightening the screws on the country’s cratering economy.

Economic hardship has fueled waves of unrest over the past two decades, including protests in January that openly called for the regime’s overthrow. A deal with the West lifting sanctions could help it keep its grip at home.

Signs of disagreement

Events over the weekend surrounding the Strait of Hormuz gave an indication of serious differences over how much to concede in negotiations. Engagement with Washington has long divided Iran’s top ranks, despite a shared deep mistrust of the US.

On Friday, Foreign Minister Abbas Araghchi announced in a posting on X that Iran was opening the strait to commercial traffic as part of the ceasefire agreement with the US. Hours later, Trump proclaimed that the US would continue its blockade to keep pressure on Iran to reach a deal over its nuclear program.

On Saturday morning, Iran’s military announced that it was reclosing the strait in retaliation for the blockade.

Some Iranian media criticized Araghchi, suggesting his post created the impression Iran was showing weakness and revealing the differing positions behind the scenes. A report by the Tasnim news agency, seen as close to the Guard, said the position on the strait should have come from the National Security Council itself.

Araghchi’s office pushed back, saying the Foreign Ministry “does not take any action without coordinating with higher-level institutions.”

In his interview Sunday, Qalibaf tried to paper over any divisions, emphasizing that everyone in the leadership was on the same page on Iran’s strategy in US talks.

A possible bridge builder

The 64-year-old Qalibaf is best positioned to bridge divides among Iran’s factions.

Qalibaf is a former general in the Guard and national police chief and kept close to the Guard throughout his long political career. As Tehran’s mayor from 2005 to 2017, Qalibaf gained a reputation as a pragmatist able to get things done, like overhauling an ailing public transport system, even as he faced major corruption and human rights abuse allegations.

Ali Rabie, a well-known reformist and an assistant to the president, wrote last week in a newspaper editorial that Qalibaf was “the representative of the country and the regime.”

At the same time, Qalibaf is close to the Khamenei family both hailing from the area of the eastern city of Mashhad, said Mohsen Sazegara, one of the founders of the Revolutionary Guard in the 1980s who is now an opposition figure living in the US.

During his father’s rule, Mojtaba Khamenei backed Qalibaf’s several unsuccessful attempts to run for president.

Qalibaf is also close to the senior Guard figures who stepped in to replace those killed by Israel and who are widely seen as holding the key to any future agreement with the US. His cross-factional backing could enable him to ensure support at home for a deal against blowback from ideologues who will resist compromise.


Rats, Fleas Plague Gaza’s Displaced as Temperatures Rise

Garbage litters the ground next to makeshift shelters housing displaced Palestinians in Gaza City on April 20, 2026. (AFP)
Garbage litters the ground next to makeshift shelters housing displaced Palestinians in Gaza City on April 20, 2026. (AFP)
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Rats, Fleas Plague Gaza’s Displaced as Temperatures Rise

Garbage litters the ground next to makeshift shelters housing displaced Palestinians in Gaza City on April 20, 2026. (AFP)
Garbage litters the ground next to makeshift shelters housing displaced Palestinians in Gaza City on April 20, 2026. (AFP)

As springtime temperatures rise in Gaza, a surge in rats, fleas and other pests has compounded the misery of hundreds of thousands of displaced people still living in tents after more than two years of war.

With meager shelter and almost no sanitation, Palestinians told AFP the vermin are invading their makeshift homes, biting children and contaminating food, in what aid agencies warned was a growing public health threat.

"My children have been bitten. One of my sons was even bitten on the nose," said Muhammad al-Raqab, a displaced Palestinian man living in a tent near the southern city of Khan Younis.

"I am unable to sleep through the night because I must constantly watch over the children," the 32-year-old construction worker, originally from Bani Shueila, told AFP.

With shelters erected directly on soft sand by the Mediterranean Sea, rodents can easily burrow under tent walls and wreck havoc inside, where people have established makeshift pantries and kitchens.

"The rodents have eaten through my tent," Raqab said.

Nearly all of Gaza's population was displaced by Israeli evacuation orders and airstrikes during the war with Hamas that began after the group's attack on Israel in October 2023.

According to the UN, 1.7 million of Gaza's 2.2 million inhabitants still live in displacement camps, unable to return home or to areas that remain under Israeli military control despite a ceasefire that began in October 2025.

In these camps, "living conditions are characterized by vermin and parasite infestations", the UN's Office for the Coordination of Humanitarian Action (OCHA) said after field visits in March.

Hani al-Flait, head of pediatrics at Al-Aqsa Hospital in central Gaza, told AFP his team encounters skin infections such as scabies daily.

- 'Flooded with sewage' -

"The severity of these skin infections has been exacerbated by the fact that these children and their families are living in harsh conditions that lack basic public sanitation, as well as a complete absence of safe water," he told AFP.

Sabreen Abu Taybeh, whose son has been suffering from a rash, blamed the conditions in the camp.

"We are living in tents and schools flooded with sewage," she told AFP, showing the rash covering her son's upper body.

"I have taken him to doctors and hospitals, but they are not helping with anything. As you see, the rash remains."

"The summer season has brought us rodents and fleas," Ghalia Abu Selmi told AFP after discovering mice had gnawed through clothes she had prepared for her daughter's upcoming wedding.

"Fleas have caused skin allergies not only for children but for adults as well," she said, sorting through garments riddled with holes inside the tent she now calls home in Khan Younis.

The 53-year-old said her family has been displaced 20 times since October 2023 and has yet to return to their home in the town of Abasan al-Kabira near the Israeli border.

Despite the ceasefire, Israel continues to control all access points into Gaza, with tight inspections and frequent rejections of aid deliveries, according to NGOs and the UN.

This has caused shortages in everything from medicine and fuel, to clothing and food.

Airstrikes and firefights between Israel's military and what it says are Hamas fighters still occur near-daily.

According to the territory's health ministry, which operates under Hamas authority, at least 777 people have been killed by Israel's military since the start of the ceasefire.

The military says five of its soldiers have also been killed in Gaza over the same period.