More than 75,000 people were killed in the first 16 months of the two-year war in Gaza, at least 25,000 more than the death toll announced by local authorities at the time, according to a study published on Wednesday in the Lancet medical journal.

The research also found that reporting by the Gaza health ministry about the proportion of women, children and elderly people among those killed was accurate.

A total of 42,200 women, children and elderly people died between 7 October 2023, when Hamas launched a surprise attack into Israel that prompted a devastating Israeli offensive into Gaza, and 5 January 2025, the study found. These deaths comprised 56% of violent deaths in Gaza.

β€œThe combined evidence suggests that, as of 5 January 2025, 3-4% of the population of the Gaza

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