Philippe Lazzarini, head of UNRWA, warns that Israel's classification of 250,000 Gazans as "terrorists or supporters" signals preparations for "large-scale massacres," targeting civilians unable to flee. Leaked Israeli military data reveals over 80 percent of the 66,225 Palestinians killed since October 2023 are civilians, including 20,000 children, amid intensified bombardment and blockade. WHO reports 42,000 severe injuries—including amputations, spinal cord damage, and burns—while Gaza's health system nears total collapse, exacerbated by malnutrition and sealed aid routes. Lazzarini condemns global inaction as "complicity" in genocide, despite UN ceasefire resolutions, while aid agencies suspend operations due to Israeli siege tactics.