Gaza (QNN)- As the ceasefire in Gaza enters its second month, Israeli forces have continued to violate the truce that took effect in early October, carrying out bombings, demolishing homes, killing civilians, and severely restricting the delivery of aid across the Palestinian enclave. Here’s what happened since the start of the ceasefire in October 10: Israeli Ceasefire Violations At least 241 Palestinians have been killed, including over 100 children, and 619 wounded in repeated Israeli attacks across the Gaza Strip, the Palestinian Health Ministry confirmed on Sunday. As of October 28, Israeli forces had conducted 52 shootings and 55 shellings across Gaza, the Office reported. October 28 and the morning of October 29 were the bloodiest since the ceasefire began, with over 109 people killed in just 12 hours. Among the victims were 52 children, 23 women, four elderly people, and seven people with disabilities, the Office noted. The Ministry confirmed that 69,176 have been killed and 170,690 others injured in the genocide in Gaza which began in October 7, 2023. Health officials and the Gaza Office confirmed that Israeli forces have killed dozens of Palestinian civilians, justifying the killings by saying they were approaching the so-called “yellow line”, a non-physical demarcation line separating the Israeli occupation forces from certain areas of Gaza, while maintaining control over approximately 50% of the enclave. The Israeli forces directly open fire on any Palestinians crossing this “yellow line” or even approaching, without prior warning. Palestinians returning to their destroyed homes amid the ceasefire have been attacked by the Israeli forces near the line, the Office said. On October 17, in one of the deadliest single violations of the ceasefire, an Israeli tank shell was fired by Israeli forces at a civilian vehicle carrying the Abu Shaaban family in the Zeitoun neighbourhood in Gaza City, according to Gaza’s civil defense. Seven children and three women were among those killed when the Israeli military fired on the vehicle as the family attempted to reach their home to inspect it after unknowingly crossing the yellow line. “What happened confirms that the occupation is still thirsty for blood, and insists on committing crimes against innocent civilians,” civil defense spokesperson Mahmoud Basal said in a statement. Nouran Mohamed, a nurse at Al-Aqsa Hospital in central Gaza, told Quds News Network (QNN) that “almost every day, the hospital receives casualties from Israeli attacks.” “It’s a ceasefire in name only,” she added. Israel’s violations included crimes of direct gunfire against civilians, deliberate shelling and targeting, and the arrest of a number of civilians, reflecting the occupation’s continued policy of aggression despite the declared end of the war, noted the Office. Weaponizing Aid The Gaza’s Government Media Office said on Thursday since the start of the ceasefire, only 28 percent of the agreed-upon number of aid trucks have been allowed to enter, totalling 4,453 vehicles, far below the promised 15,600, amounting to 171 trucks per day. “These limited quantities fall far below the minimum humanitarian threshold,” the Office said, calling for the immediate entry of at least 600 trucks daily to provide essential supplies such as food, medicine, fuel, and cooking gas. The Office also accused Israel of “engineered starvation,” saying Israel has banned more than 350 basic food items, including eggs, meat, cheese, vegetables, and nutritional supplements, while permitting low-value products such as soft drinks, chocolate, and crisps sold at inflated prices. “This proves that the occupation is deliberately implementing a policy of food manipulation as a weapon against civilians,” the Office said. The UN and its partners have been able to get 37,000 metric tonnes of aid, mostly food, into Gaza since the October 10 ceasefire, but much more is needed, UN spokesperson Farhan Haq told reporters on Friday. “Despite significant progress on the humanitarian scale-up, people’s urgent needs are still immense, with impediments not being lifted quickly enough since the ceasefire,” Haq said, citing reports from the UN’s humanitarian service, OCHA. Haq was critical that entry of humanitarian supplies into Gaza continues to be limited to only two crossings – the al-Karara (also known as Kissufim) and Karem Abu Salem (Kerem Shalom) crossings. There is no direct access to northern Gaza from Israel or to southern Gaza from Egypt, while NGO staff are being denied access, he said. The UN’s World Food Programme stressed all crossing points into the Gaza Strip should be opened to flood the famine-hit territory with aid, adding that no reason was given for why the northern crossings with Israel remained closed. Chris Gunness, the former spokesperson for UNRWA, the Palestinian refugee agency, said Israel is committing a war crime by blocking aid to Gaza. Speaking to Al Jazeera, Gunness noted that tens of thousands of Palestinians – mainly children – remain at risk of malnutrition. He also said that if Israel doesn’t meet its obligation “to flood the Gaza Strip with humanitarian aid”, then third-party countries must act. “Israel has made it clear that it wants to commit a genocide against the Palestinians, it wants to ethnically cleanse them, and it wants to starve them,” he said. The Norwegian Refugee Council confirmed that only 100 aid trucks are entering Gaza daily through the UN system as the NGO and other humanitarian organisations are “effectively barred” from bringing in desperately needed assistance. “There may be aid coming in through governments like [the UAE and Egypt] that we don’t have oversight over, but we know the amount of aid that is entering is wholly insufficient for the tremendous amount of need in Gaza after two years of bombardment and destruction,” communication adviser Shaina Low told Al Jazeera. “We have about $4m worth of aid sitting in warehouses in Egypt waiting to be deployed,” including shelter and hygiene supplies that will be critical for the approaching winter, she added. “But each time we apply with the Israelis, we get rejected.” Low said even basic tents are a rare commodity for hundreds of thousands of displaced people in war-battered Gaza. “Many people do not even have tents,” she said. “The people who have tents in Gaza are the ones who are lucky.” “We’re just calling for the entry of emergency shelter supplies like tents, like tarpaulins … which will provide the minimal amount of shelter for the winter,” said Low. “We haven’t even been able to prepare or plan for the long term.” The World Food Programme said last week only half the needed amount of food is coming in. Abeer Etefa, senior spokesperson for WFP, described the situation as a "race against time". "We need full access. We need everything to be moving fast," she said. "The winter months are coming. People are still suffering from hunger, and the needs are overwhelming." "We're coming into winter soon - rainwater and possible floods, as well as potential diseases because of the hundreds of tons of garbage near populated areas," said Amjad al-Shawa, head of the Palestinian agencies that liaise with the UN. He said only 25-30% of the amount of aid expected into Gaza had entered so far. "The living conditions are unimaginable," noted Low of the Norwegian Refugee Council. The NRC estimates that 1.5 million people need shelter in Gaza but large volumes of tents, tarpaulins and related aid are still waiting to come in, awaiting Israeli approvals, Low said. Dr. Ismail Al-Thawabta, director of the Government Media Office in Gaza, told Quds News Network (QNN) that the items allowed into the Strip are often highly processed, high-calorie foods with low nutritional value. Basic staples such as fresh vegetables, fruits, eggs, dairy, meat, grains, and legumes remain restricted. “These foods do not improve food security or public health. Instead, they deepen hunger and chronic malnutrition,” Dr. Al Thawabta said. He emphasized that children, women, and the elderly are the most affected. He described the policy as a form of “systematic starvation,” using food as a tool of political and humanitarian pressure. He added that these actions violate international humanitarian law and the Geneva Conventions, which prohibit depriving civilians of essential food and medicine. Dr. Al-Thawabta noted that the content of the trucks matters more than the number. Most contained non-essential goods like coffee, soft drinks, chocolate, and dry snacks. Critical items such as medicines, fuel, construction materials, and health supplies were severely restricted. Only 115 fuel trucks entered during this period, just 10% of the required 1,100. Only four trucks carried medical supplies. “The Israeli policy selectively allows goods that do not support life or health, while blocking essential items. The market may appear active, but in reality, the blockade continues to suffocate civilians and intensify the humanitarian crisis,” Dr. Al-Thawabta said. A continuing lack of fuel, including cooking gas, is also hampering nutrition efforts, and over 60% of Gazans are cooking using burning waste and wood, said OCHA, adding to health risks. Last week, the Gaza Petroleum and Gas Authority confirmed that Israel has been blocking the entry of cooking gas trucks. From November 3 to 5, not a single gas truck was allowed in, and in the days before that, only two or three trucks entered daily, it added. The recent ceasefire includes a term requiring Israel to allow humanitarian aid to enter Gaza. Despite this, essential goods still face heavy delays. Residents report that the blockade continues to limit life-saving food and supplies. Last August, the Integrated Food Phase Classification (IPC) officially announced that Gaza is subjected to an Israeli-made famine. By the end of last month, the total number of deaths from malnutrition in Gaza had risen to 447, including 147 children. What About Prisoner Exchange Deal? Hamas has returned all 20 remaining living captives and bodies of 24 of the 28 deceased captives. Israel has released about 2,000 Palestinians, including 250 political prisoners who were serving lengthy or life sentences, and 1,718 Palestinians who were abducted by Israeli forces from Gaza during the war. The freed Palestinians said they were beaten and humiliated, describing the Israeli prisons they were held in as “slaughterhouses”. Abdallah Abu Rafe described his release as a “great feeling”. “We were in a slaughterhouse, not a prison. Unfortunately, we were in a slaughterhouse called the Ofer prison. Many young men are still there. The situation in the Israeli prisons is very difficult. There are no mattresses. They always take the mattresses away. The food situation is difficult. Things are difficult there,” he said. Bodies of Palestinians have also been returned, with Israeli occupation handing over 15 for each deceased Israeli returned in recent exchanges. So far, Israel has released the bodies of 300 Palestinians, showing signs of torture and field execution. Palestinian officials have said they have struggled with identification due to the decomposition of the bodies and the lack of necessary equipment in the enclave. Brirish-Palestinian surgeon Dr. Ghassan Abu Sittah said the bodies returned by Israel appear “highly indicative of organ harvesting.” “The bodies show clearly surgically removed lungs, heart, kidneys and liver – done in a professional, surgical way, using sharp bone saws, causing zero damage to surrounding tissues.”