A Palestinian family’s makeshift shelter built on the ruins of their destroyed home in Beit Lahia, northern Gaza. Palestine, 2025. © Nour Alsaqqa/MSF
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Palestine: Israeli displacement orders in Gaza are psychological warfare

Israeli forces are using last-minute displacement orders as part of their campaign of ethnic cleansing in Gaza

Israeli forces continue to systematically use last-minute displacement orders as a violent tool, turning the Gaza Strip into hell on earth for Palestinians. Incessant bombing, a near-total blockade of aid and displacement orders are moving and trapping hundreds of thousands of people into ever-shrinking spaces. The constant state of alert and unpredictability of displacement orders have devastating consequences on people’s mental health, says Doctors Without Borders/Médecins Sans Frontières (MSF). The forced displacement of people through displacement orders must end. 

“Israeli forces are destroying all means of life for Palestinians in Gaza through psychological and physical warfare,” says Claire Manera, MSF emergency coordinator. Forced displacements are part of the Israeli forces and authorities’ campaign of ethnic cleansing of the Palestinian people. They have nowhere else to go.”

“I don’t know what to answer when colleagues ask me where they can go with their children in the middle of the night. We are running out of options to stay alive.”

Omar Alsaqqa, MSF logistic manager

Fleeing with nowhere to go

Since the start of the war, Palestinians have been forced to evacuate repeatedly, many fleeing for their lives multiple times, as experienced by a number of MSF staff. With 31 displacement orders issued since Israel broke the ceasefire on March 18, the relentless forced displacements have trapped Palestinians in an endless cycle of suffering. On May 19, a single large-scale displacement order in Khan Younis covered 22 per cent of the Strip, affecting more than 70 MSF staff members, while another one on May 26 covered 40 per cent of central and southern Gaza. 

“Our colleagues are desperate,” says Omar Alsaqqa, MSF logistic manager. “There are no tents left and no space for people to set up. I don’t know what to answer when colleagues ask me where they can go with their children in the middle of the night. We are running out of options to stay alive.”

“The Israeli army is coming,” reads a displacement order leaflet that also quotes a verse from the Quran: “Then We revealed to Moses, (commanding him): “Strike the sea with your rod.” « Palestine, 2025. © MSF

Unpredictable and last-minute orders create an impossible situation

These displacement orders and established no-go military zones now cover around 80 per cent of Gaza, and not a single area of Gaza has been spared from attacks. On May 26, MSF teams treated 17 patients following an attack very close to the MSF-supported Khan Younis healthcare centre in central Gaza, an where people are supposed to move. People evacuate areas only to be bombed again in their new “safe refuge.” About 600,000 people have been displaced again since March 18. 

“I woke up my children and told them we were just going out for a little bit. They started crying. They grabbed their bags. I was terrified but tried to act calm, even though my heart was pounding with fear,” says Asmaa Abu Asaker, MSF liaison officer, after a displacement order was issued in her neighbourhood.

“This time I don’t want to pack. No bags, no papers, nothing… Maybe my mindset is wrong, but I just cannot mentally process the idea of leaving home again.”

Sabreen Al-Massani, MSF psychotherapist

These orders are unpredictable and come with ridiculously short deadlines, putting people in an impossible situation. People receive leaflets, social media posts or a phone call about an imminent attack, leaving them limited time to collect their belongings and seek shelter. The very act of forcing people to repeatedly flee, often in the middle of the night, without having anywhere to go and at risk of their lives, is not only having a physical impact, but causes an immense psychological toll. 

“This time I don’t want to pack. No bags, no papers, nothing. I don’t know why, maybe my mindset is wrong, but I just cannot mentally process the idea of leaving home again,” says Sabreen Al-Massani, an MSF psychotherapist who has been displaced multiple times. “A whole new struggle started, no flour and food supplies. I used to have my own life, [going from] house to work, work to house, normal life. Suddenly, I had to live with unknown people in a harsh environment, without access to basic necessities, chasing after water, phone charging. Then came another evacuation: our whole area was hit.”

A leaflet reading, “Rafah is only the beginning.” Once a place of refuge, Rafah has since been reduced to rubble since it was invaded by Israeli forces in May 2024. Palestine, 2025. © MSF

While displacement orders are forcing Palestinians to be cramped in ever-shrinking areas, Israeli forces also regularly attack without issuing displacement orders. On April 9, more than 20 people were killed in a strike that targeted a residential block of seven buildings in Gaza City. Among those killed were the families of two MSF staff members who were at work when the strike occurred and later learned their loved ones had been buried under the rubble. 

“We are in a constant state of alert; we can receive a notification to flee at any time. We cannot sleep at night thinking we might be the next,” says Al-Massani, describing how the displacement orders are severely affecting Palestinians’ mental health and state of anxiety.  

MSF calls on Israeli forces to immediately halt the forced displacement of people and ongoing campaign of ethnic cleansing of Palestinians in Gaza. We also call on Israel’s allies to halt their support and complicity.