đź§µWidely cited letter in @lancet ridiculously implies total Gaza fatalities could be 186,000. Close review shows this short piece is based on junk research citing unreliable sources, gross misrepresentations, errors & omissions. This is a bad look for Lancet. Analysis: 1/
Piece starts by citing Hamas number of 37,396 fatalities citing UN OCHA – but negligently omitting that OCHA takes these numbers from Hamas. To back this number authors claim the figures are “accepted as accurate by Israeli intelligence services” – but this claim is false. 2/
Authors cite as only evidence a Vice article citing a Mekomit article claiming unnamed Israeli “intelligence sources” found Hamas numbers reliable. Author's admit “Israeli authorities” reject Hamas numbers, yet still rely on a fringe news item based on unidentified sources. 3/
Next paragraph of letter is filled with falsehoods. First, Gaza Health Ministry did not augment body counts from “reliable media sources” but unnamed media including social media, none of which can be called “reliable.” Real int’l media has almost zero presence inside Gaza. 4/
Next, there is zero evidence that some Gazan “first responders” are counting bodies in addition to “Gaza Health Ministry,” this concept is made up by the authors. In fact, deaths are “augmented” by a Google Form open to anyone, which the authors omit. 5/ sehatty.ps/moh-registrati…
The shoddy research of the "correspondence" is highlighted when authors claim UN estimated 35% of Gaza had been “destroyed” – but the UN study the authors cite says only 12% "destroyed." Did authors bother to review the original source? (35% refers to destroyed & damaged). 6/
Now to preposterous claim: "it is not implausible" that 186,000+ deaths "could be attributable" to conflict in Gaza, based on authors' "research" that “conservatively” there are 4 indirect deaths per direct death, so 37,400 x 5 =187,000. Where does this concept come from? 7/
Source is Global Burden of Armed Conflict document published by group called the “Geneva Declaration”; but concept of "indirect deaths" is a post-conflict event due to the breakdown in services, lack of food; NOT part of the active phase of the war, see below from p. 53. 8/
Thus implying that in Gaza today perhaps 4x indirect deaths may have already happened is a gross & deliberate misrepresentation of "indirect deaths" as explained in Global Burden of Armed Violence. This is specifically a number that can only be assessed in post-war future. 9/
We again see shoddiness of research, as citation for Global Burden of Armed Violence is strangely to "UN Office of Drugs and Crime" that links to the 2008 World Drug Report. I found the actual document elsewhere; note Geneva Declaration is not a UN entity as endnote implies. 10/
Authors also deliberately omit IDF estimate of 17,000 combatants killed while arguing Hamas number is accurate, falsely claiming Israel agrees. Amazingly, in assessing total casualties, many concepts & statistics are discussed, but this it somehow irrelevant to authors. 11/
Authors inflate war fatalities using misrepresented & unreliable evidence, argue that Hamas numbers are fact, omit IDF numbers of combatants killed & ignore key statistics like civilian/combatant ratios & IPC data on starvation mortality (almost zero). Junk in Junk out. 12/
In Dec 23 Lancet published another letter claiming Hamas numbers were accurate (now you know how to get published in Lancet) using UNRWA workers killed as a proxy. But if this correlation is true, then today Hamas has overstated fatalities by 14,000. END
@martinmckee did not like being exposed for fraudulent research
@martinmckee Now @martinmckee is explaining that the 186,000 fatality figure is "purely illustrative" which means it's serving as an example, not meant to be real. So why so vague in the article?
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đź§µHamas & PIJ's own martyr notices exposed the broad militarization of Gaza's healthcare system. Dozens of purported "healthcare workers" have been identified as military commanders and operatives using hospitals as command centers. This ongoing thread documents the evidence.
1. Ibrahim Abdul Raouf Saleh Al-Farra
NURSE at Nasser Hospital
Hamas Group Commander
ID 803469477, age 31
Killed 10/20/23 - Strike on his home, Khan Younes
(Image shown in prior post, another one below)
2. Mohamed Ramadan Saber Qashqash
NURSE at Shifa Hospital
Hamas fighter
ID 407716422, age 22
Killed 02/25/2024 - Strike on his home, Beit Lahia
đź§µHours of Hamas martyr videos reveal Hamas' core battle strategy: fighters roaming Gaza in regular clothes, often unarmed, to blend into the civilian population. That tactic explains IDF errors such as tragic killing of 3 hostages and incidents in no-go zones. A PHOTO ESSAY:
Men in polo shits prepared IEDs, went in & out of tunnels, fired rockets, entered apartments with PRE-POSITIONS weapons (important) to fire at IDF forces – then when killed always listed as civilians. Every photo shown here is from combat action in Gaza filmed by Hamas. 2/
Thousands of Gaza buildings were booby-trapped – among the most common activity seen by Hamas operatives dressed in t-shirts and sandals. Which is a main reason why every place urban combat took place was destroyed. 3/
🧵Hamas confirmed today that military commander Ibrahim Al-Farra was a NURSE at NASSER HOSPITAL—where many Israeli hostages said they were detained. Al-Farra is now the FOURTH confirmed commander "medical staff" who worked at Nasser Hospital. Are you noticing a pattern? 1/
Ahmed Majid Ahmed Salah (ID# 803612217, age 33) was a also nurse at Nasser Hospital, working in the emergency room, who was killed by the IDF in July 2025. He was a commander in the Khan Younes Brigade. 2/
Salem Juma Ishaq Sharab was was ALSO a nurse at Nasser Hospital. 3/
🧵Hamas regularly used child soldiers in Gaza—like 12-year-old Khalil Al-Dhaifi, killed in Al-Shati area on Sept 26, 2025. Khalil (ID# 434373940) is one of several Al-Dhaifi family combatants killed in the war and one of 1,000s of Hamas & PIJ child soldiers in Gaza. Details: 1/
Khalil appears on final Hamas MoH fatality list issued Feb 2026. Several Al-Dhaifi relatives were combatants e.g. Moman Al-Dhaifi (seen in recent Hamas martyr video). Family posts show the 12-yr-old with an AK-47; earlier images prove he used guns from an early age. 2/
Social media posts available upon request. The “Genocide in Gaza” site lists Khalil and his death details but crops out the weapon, as all entries are presented as civilians. 3/ gigaza.org/martyrs/%d8%ae…
🧵Hamas & PIJ’s own martyr notices now shatter claims that IDF airstrikes on homes in Gaza, many in 2023, were indiscriminate or targeted low-level fighters. Of 2,000 killed Gaza combatants identified so far, 157 were commanders killed where they were based—their homes. Details:
The first name on the list is Hamas Company Commander Shadi Awni Toutah. According to Gazan websites documenting fatalities, he was killed in an airstrike on his family home on the same day of the 10/7 attack. This was a highly targeted attack by the IDF. 2/
The second name on the list is PIJ Platoon Commander Bilal Abu Khousa who was killed in his family home on Oct 8, 2023 in Deir Al-Balah according to Gazan documentation. He was lauded as a martyr in social media but not revealed as a combatant until PIJ did so in May 2026. 3/
🧵Hamas confirmed Basil Ibrahim, son of NGO Adameer president Mustafa Ibrahim, was a commander killed in Jun 2024. Adameer is US-sanctioned as a Hamas front acting as a sham NGO. Mustafa failed to mention his son’s Hamas role in public interviews mourning his death. Detail: 1/
Hamas posted a martyr video recently that outed Basil Ibrahim, corroborated by social media posts with Basil in the military. His tombstone laud him as a "mujahid." (Thanks to @JoeTruzman with assistance confirming identity and Hamas militant status.) 2/
Like all Hamas operatives indoctrinated in genocidal Jew hate, Basil willingly left his 3 children to pursue the murder and kidnapping of Jews. His father in Adameer did not mention that this was Basil's choice when lamenting the impact of his death on his grandchildren. 3/