Former Reuters regional bureau chief Luke Baker said that the Ministry's death tolls are no longer trustworthy and "any health official stepping out of line and not giving the death tolls that Hamas wants reported to journalists risks serious consequences."[6] Yet, other sources argue that Gaza's Health Ministry also includes officials from the secular Fatah party and independents.[7]
Italian Foreign Minister Antonio Tajani, without citing specific evidence, later accused the Ministry of spreading "propaganda",[5] while US President Joe Biden stated he had "no confidence" in the casualty numbers being reported.[8][9] When asked what evidence supported Biden's comments, the White House referred to subsequent comments made by National Security Council spokesperson John Kirby, who asserted that the death toll cannot be taken "at face value", and that the "Gaza Ministry of Health is just a front for Hamas."[10]
In response to these accusations, the Gaza Health Ministry released a full list of the people killed at the time since October 7, a 200-page document with 6,747 identified individuals listing their names, ages, and ID number as well as 281 unidentified victims. Commentators pointed out that Gaza Health Ministry's numbers have historically been considered reliable by the United Nations, the World Health Organization, Human Rights Watch, and the United States Department of State.[11][12][13] Omar Shakir, Israel and Palestine director at Human Rights Watch, said "the numbers coming out of the ministry are not beyond reason", and noted a grey area in differentiating combatants from civilians among the dead, as well as emphasized that immediately released figures may often be different from those ultimately based on recorded data.[14]
Palestinian political analyst Nour Odeh has asserted the process of issuing death certificates is not done by political figures, but by health professionals, insisting "this process enables families to deal with issues such as inheritance and custody of children whose parents have died."[10]