It is the morning after. While the ink has dried on Trump’s 20 point “peace plan,” it has become brutally clear that the nightmare for Gazans is far from over.

Yes, the return of Palestinian and Israeli captives has been an occasion for genuine joy and celebration. Yes, Israel has ended its relentless genocidal bombing of Gaza. Yes, Palestinians are returning en masse to their homes. But this nightmare is far from over.

Israel is by no means finished. Despite the plan’s requirement that “Israeli forces will withdraw to (an) agreed-upon line,” the military has restricted Palestinians’ access to 70% of Gaza, either by declaring large areas as no-go zones or by issuing forced displacement orders, according to the UN Office for the Coordination of Humanitarian Affairs. The Gazan health ministry reported that since Saturday – the first full day of the ceasefire – Israel has already killed 23 Palestinians and wounded 122.

Israel is also ramping up its support of rival Gazan militias to increase the violence on the ground. On October 12, one such group tortured and murdered the beloved Palestinian journalist Saleh Al-Jaafrawi. As Al-Jazeera reporter Eman Murtaja recently wrote: “The message of Saleh’s assassination is clear: Anyone who continues to critically report on what is going on in Gaza, on Israel’s continuing destructive presence and the betrayal of its allies on the ground will be captured, tortured and killed.”

Meanwhile as Gazans continue to stream back to their homes, it has become tragically apparent that the overwhelming majority of them have no homes to return to. Scores of buildings have been reduced to rubble. Palestinians are arriving home to unlivable, broken shards of concrete, many of which still entomb dead loved ones. At the same time Israel’s forced starvation of Gazans continues to claim lives. As of October 12, at least 463 people, including 157 children, have died from starvation as Israel continues to block aid from entering the Gaza Strip. Nearly one in four children suffers from severe acute malnutrition.

It is difficult to overstate the depths of the annihilation that Israel has inflicted on Gaza over the past two years. As journalist Branko Marcetic has rightly termed it, “Israel’s Gaza war is one of history’s worst crimes”:

What we have watched, what we are continuing to watch, is the obliteration of a society of two million people. Every facet of modern civilization, as well as the most elementary things needed for even a state of basic subsistence for a human community, has been deliberately and almost completely destroyed by the Israeli military in Gaza. And now we are watching the gradual but accelerating mass die-off of the people who once lived there, through a combination of starvation, disease, and murder.

Though the political elites are rapturously describing a neo-liberal, neo-colonial post-war Gaza coastal resort, the hard truth is that the Gaza Strip is now a toxic moonscape and mass graveyard. According to the UN Environment Programme (UNEP), Israel’s relentless bombardment of populated areas has contaminated soil and groundwater for the long term, both through the bombardment of munitions and hazardous materials (such as asbestos, industrial chemicals and fuel) that have been released into the surrounding air, soil and groundwater from collapsed buildings. As of July 2024, UNEP estimated that Israel’s bombing had left 40 million tons of debris and hazardous material in Gaza, with much of the rubble containing human remains. It has been estimated that clearing this war rubble will take 15 years and could cost up to 40 to 50 billion dollars.

In addition to the toxicity of the environment, there also remains enormous amounts of unexploded ordnance throughout the Gaza Strip. An estimated 70,000 tons of explosives have been dropped on Gaza since October 2023 – the equivalent of roughly six Hiroshima bombings on an area less than half the size of Hiroshima but with six times its population. This past January, the UN Mine Action Service (UNMAS) estimated that between 5% and 10% of the munitions fired on Gaza have not yet exploded. According to the UNMAS, it could take 14 years to clear Gaza of all unexploded ordnance.

As I noted above, Israel is still restricting food aid from entering Gaza. According to the World Health Programme, over half a million people in the Gaza Strip are still facing catastrophic conditions characterized by starvation, destitution and death. Over 1 million more are facing emergency levels of food insecurity. Acute malnutrition is projected to continue worsening rapidly, with at least 132,000 children aged under 5 at risk of death through to June 2026. 

But even if food supplies were let in by Israel tomorrow, food alone will not save the starving population of Gaza. Starving people cannot simply become healthier by feeding themselves. A condition known as “refeeding syndrome” occurs when starving people who are desperate for food are simply given food supplies. Rapid eating can be catastrophic to the heart, lungs, nerves, and blood, resulting in arrhythmias, respiratory failure, and death. In order to nurse the malnourished back to health, a skilled, multidisciplinary team and routine laboratory testing are required. It has been estimated that without medical specialists and infrastructure accompanying aid, thousands will possibly die from refeeding syndrome.

In addition to starvation, deadly infectious diseases continue to spiral out of control in Gaza. The WHO has warned that the challenge of life-saving medicines reaching Palestinians in Gaza is currently dire:

Whether meningitis… diarrhea, respiratory illnesses, we’re talking about a mammoth amount of work,” Hanan Balkhy, regional director for the United Nations’ health body, told AFP in Cairo. A ceasefire deal between Israel and Hamas has raised hopes of life-saving aid and healthcare finally reaching Palestinians in Gaza after two years of war, but Balkhy warned the challenges are “unimaginable.” 

In this week’s Torah portion, Parashat Bereshit, we read that after Cain kills Abel, God exclaims, “Your brother’s blood cries out to me from the ground!” This is not the first time we will read that bloodshed literally pollutes the earth – and that this pollution must be expiated and atoned for.

Israel – and those who have aided and abetted its genocidal onslaught – has polluted the ground of Gaza in a myriad of ways, and the blood of its people continues to cry out to us even now. We cannot delude ourselves into thinking a ceasefire brokered by craven politicians and real estate oligarchs has ended the genocide. Now more than ever, we must respond to the voice that cries out to us from the ground of Gaza.