This assessment indicates that the solid waste management system in Gaza has collapsed. There is no access to the major landfills, and waste accumulates at more than 140 temporary dumping sites which causes serious health and environmental risks, including a spike in diarrheal illness and in acute respiratory infections. Nearly 1 million cases of acute respiratory infections, 575,000 cases of acute watery diarrhea, and more than 100,000 cases of jaundice have been recorded since 7 October. The real number is likely far higher. The collapse of solid waste management requires an urgent response. UNDP conducted this assessment (June 2024) in order to design an effective strategy as part of the UN response.