Palestinian students play during an entertaining day at their school run by the United Nations Relief and Works Agency (UNRWA), in Gaza city, on November 18, 2019. Matthias Schmale, director of UNRWA operations in Gaza, expressed “we have to recognise and address the psychological effects, the fear and the lasting trauma such escalations leave on the population which saw 34 Palestinians killed, including eight children and three women, as well as 111 wounded, including 51 children and 11 women. Photo by Ashraf Amra