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Tiers of graves are stacked deep underground in a bloated Gaza cemetery, where Sa’di Baraka spends his days hacking at the earth, making room for more dead.

“Sometimes we make graves on top of graves,” he said.

Baraka and his solemn corps of volunteer gravediggers in the Deir al-Balah cemetery start at sunrise, digging new trenches or reopening existing ones. The dead can sometimes come from kilometers (miles) away, stretches of Gaza where burial grounds are destroyed or unreachable.

The cemetery is 70 years old. A quarter of its graves are new.

The death toll in Gaza since the beginning of the 10-month-old Israel-Hamas war has passed 40,000, according to the Health Ministry in the Hamas-run territory. The count does not distinguish civilians from militants.

They fill morgues and overflow cemeteries. Families, fleeing repeatedly to escape offensives, bury their dead wherever possible: in backyards and parking lots, beneath staircases and along roadsides, according to witness accounts and video footage. Others lie under rubble, their families unsure they will ever be counted.

A steady drumbeat of death since October has claimed nearly 2% of Gaza’s prewar population. Health officials and civil defense workers say the true toll could be thousands more, including bodies under rubble that the United Nations says weighs 40 million tons.

“It seems,” Palestinian author Yousri Alghoul wrote for the Institute for Palestine Studies, “that Gaza’s fate is to become one large cemetery, with its streets, parks, and homes, where the living are merely dead awaiting their turn.”

Israel began striking Gaza after Hamas-led militants stormed across the Israeli border on Oct. 7, killing about 1,200 people and taking some 250 others hostage. Israel seeks Hamas’ destruction and claims it confines its attacks to militants. It blames Hamas for civilian deaths, saying the militants operate from residential neighborhoods laced with tunnels. The fighting has killed 329 Israeli soldiers.

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