This appendix complements the letter sent to President Joseph R. Biden, Vice President Kamala D. Harris, and others on October 2, 2024 by 99 American healthcare workers who have served in the Gaza Strip since October 7, 2023.

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In total it is likely that 62,413 people have died of starvation and its compilations in Gaza from October 7, 2023 to September 30, 2024. Most of these will have been young children.

As long as aid agencies and public health experts are denied entry to Gaza the true
numbers cannot be known. However, if these estimates are accurate they will approximately match the projected estimates of 85,750 total (direct and indirect) excess deaths in Gaza by August 2024 under the epidemics and military escalation scenarios published by a joint project from Johns Hopkins Center for Humanitarian Health and the London School of Hygiene and Tropical Medicine. This is the population-adjusted equivalent of 13.3 million deaths and 26.6 million injuries in the United States.