Mass Displacement and Restricted Evacuation RoutesThe Israeli army estimates that about 480,000 people have left Gaza City since late August. Nivin Ahmed, 50, described walking more than 15 kilometers with seven family members after leaving Gaza City. Rising Civilian TollOn Friday, Gaza hospitals reported at least 22 people killed across the territory, including 11 in Gaza City. “Our life has become nothing but explosions and danger,” said Sami Baroud, 35, speaking from western Gaza City. OutlookWith Gaza City under siege, evacuation routes narrowing, and diplomacy faltering, the humanitarian crisis shows little sign of easing.