We can expect an unprecedented surge of COVID-19 in Gaza in the coming weeks and a severely damaged health care system and exhausted health care workers unable to cope adequately. Prior to the bombing, 99% of the COVID-19 virus circulating in Palestine was from the highly contagious British Variant B.1.1.7. An estimated 5% of Palestinians in the West Bank and Gaza had been vaccinated and mask use during Ramadan was lax. The positivity rate for coronavirus in Gaza was around 30% three weeks ago.