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Gaza’s 2.3 million residents are struggling to find clean, safe water — and some are drinking brackish water from wells, raising new health concerns in a Palestinian territory that’s under siege from Israel.

“Gaza is running dry,” UNRWA, the U.N. agency for Palestinian refugees, 

, as conditions deteriorate ahead of an expected Israeli ground invasion.

Electricity is dangerously scarce: Israel shut off supply to Gaza’s main grid 

, and as hospitals cope with thousands of wounded people, fuel for generators is running low.

Israel began a bombardment of Gaza more than a week ago, after Palestinian militants killed at least 1,300 people in a surprise attack on Israel that also included hostage-taking. Since then, Israel has killed more than 2,700 Palestinians, according to the Palestinian Health Ministry.

Secretary of State Antony Blinken landed back in Israel on Monday after a visit last week, reiterating U.S. pledges of support for Israel — while also calling for aid and supplies to be allowed to enter Gaza. New rocket attacks briefly sent Blinken into a bunker.

Here’s a rundown of where things stand right now:

Hospitals in Gaza, which have been inundated with roughly 9,000 people wounded in Israeli attacks, only have enough fuel to keep their generators running through Monday night, the 

U.N. Office for the Coordination of Humanitarian Affairs said

Losing electricity would plunge the hospitals into a new crisis as life support and other systems are shut down — even as more of the injured and dead continue to be brought in.

“The shutdown of backup generators would place the lives of thousands of patients at risk,” OCHA said.

Doctors Without Borders says hospitals have also run out of painkillers. It says the wounded, many of them children, are left screaming in pain.

At least 1,000 Palestinians remain missing; many of that number are presumed dead, buried in rubble.

“The specter of death is hanging over Gaza,” said OCHA chief Martin Griffiths.

Emergency water and fuel are blocked from Gaza

At Gaza’s southern border, trucks loaded with fuel, water and other humanitarian supplies are waiting to cross over from Egypt through the Rafah crossing to bring some relief to the besieged area.

The border closed on Tuesday because of Israel’s airstrikes on the Gaza side. Israel says there's no cease-fire deal in place to open the crossing; the U.S. says it’s working on it.

“Rafah will be open,” Blinken said on Sunday, as he visited Egypt on his way to Israel.

“We’re putting in place — with the United Nations, with Egypt, with Israel, with others — the mechanism by which to get the assistance in and to get it to the people who need it,” he said.

Even if the crossing does reopen, it’s an open question as to how the aid would be distributed. Roads leading to Rafah's crossing have been destroyed, posing a serious challenge to any efforts to distribute fuel and water.

One reason the U.S. wants the border to open is so that some 500 to 600 Americans, including those of Palestinian origin, and other foreign nationals, can leave Gaza. But Egypt says that if the border crossing opens for people to exit, it must also remain open to allow aid to reach Gazans from Egypt’s side.

On Monday, Blinken met with Israeli President Isaac Herzog to reiterate U.S. support for Israel’s right to defend itself from Hamas’ terrorism. He reaffirmed U.S. commitment to provide Israel with the assistance it needs to protect its citizens.

The U.S has already sent a warship to the eastern Mediterranean — a measure it says is aimed at deterrence. It has also sent to Israel “small diameter bombs” and is sending more ammunition and interceptor missiles for Israel’s Iron Dome, which intercepts most Hamas rockets that are fired at Israel.

Israel has repeatedly told more than 1 million Palestinians to leave their homes in northern Gaza and head south, setting a mass evacuation in motion that lacks essential supports and has no clearly defined destination.

Israel says it will not stop its attacks until it has completely destroyed Hamas. “Every Hamas member is a dead man,” Prime Minister Benjamin Netanyahu 

The Israeli military dropped leaflets from the sky, telling people in northern Gaza to leave their homes. Many of the hundreds of thousands who did so traveled by foot, walking for miles. Mothers were seen carrying their babies as they headed south, with no guarantee of safety at the other end of their trek.

Those left behind included people wounded in Israel’s bombardment, as well as those who are disabled or elderly, or were simply unable to find transportation to take them out of the north.

 Hamas is “responsible for the humanitarian consequences” of the violence and chaos that followed last weekend’s attack and the ensuing evacuation order.

Sirens sounded in Tel Aviv and Jerusalem on Monday, warning of new rounds of rocket attacks. The alarms briefly sent 

 at the Knesset, where parliament was beginning its winter session.

Rockets also forced Blinken to move to a bunker for about five minutes.

In Israel, families are holding funerals and grieving — and some are also waiting for DNA confirmation of whether their loved ones are among the bodies found in southern Israel in communities known as kibbutzim that were overrun by the militants. The dead include 30 U.S. citizens.

Other families are waiting to hear whether their missing loved ones were taken hostage. Israel's military said on Monday that 199 hostages are being held in Gaza — far higher than previous estimates.

Militants in the Gaza Strip say some 17 hostages, among them foreigners, have been killed in Israeli airstrikes.

In northern Israel, people who live within about a mile of the border with Lebanon are now under evacuation orders. The 

 the residents will be moved into “state-funded guesthouses.”

The evacuation order covers 28 communities, according to the IDF.

Americans who want to leave Israel are doing so on planes and boats, in a slow and uncertain process. The State Department says flights are leaving from Ben Gurion International Airport on Monday and Tuesday.

And on Sunday, U.S. nationals and their immediate relatives were 

 to the seaport in Haifa for a chance to board a U.S.-organized evacuation ship leaving Israel, bound for Crete. Crowds of people 

, and officials reportedly told some to come back another time.

Aid agencies portray dire circumstances in Gaza

“People are going through the most difficult times of their history in Gaza,” Hisham Mhanna, a spokesperson for the International Committee of the Red Cross, told NPR from southern Gaza. 

Mhanna said there are thousands of people who have been left without any shelter, not even a blanket or mattress. Physicians have been working at their limits since the violence escalated, he said.

“Some of the doctors actually received casualties, which turned out to be members of their own families, dead and injured,” he said. “Despite all that, they continue to serve and they continue to save people's lives.”

A quarter of a million people have moved to shelters in Gaza over the past 24 hours, according to the UNRWA, which says most of those people are seeking refuge in schools where “clean water has actually run out.”

Most of its shelters in Gaza have run out of clean water, and others are on daily rations, the UNRWA said. Shops have run out of bottled water, and people’s water tanks have emptied. Some families in Gaza are now drinking contaminated water.

The U.N. agency says 14 of its staff members are confirmed to have been killed, adding that the actual number is likely higher.

Aya Batrawy reported from Jerusalem; Bill Chappell is based in Washington, D.C.

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Aya Batrawy

“Gaza is running dry,” and families are turning to unsafe water, the U.N. agency for Palestinian refugees said on Monday. The crisis comes as masses of people try to flee northern Gaza.

Israel-Hamas war: Water is scarce in Gaza, and rockets force Blinken into a bunker

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