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There was a Lancet study a while back that said the real number of deaths is likely five times the official number. Now that specific study doesn't have to be 100% correct, but it's a plain fact that the official number is a severe understatement, for two reasons:
First, the official number is the number of dead bodies the Gaza Health Ministry physically counted. It's the number ofphysically confirmed deaths. That's why they could release those lists of dead people, but it also means that anyone whose body wasn't taken to a hospital (say, someone starved in the middle of nowhere or died under rubble) won't be counted. This makes the GHM number the minimum possible number of deaths, not any kind of estimate trying to make up for blind spots.
Second, the Gazan healthcare system collapsed months ago. Most if not all hospitals got Al Shifa'd, and the ones working don't have gas, electricity or any supplies. This is why the number plateaued (plateau'd???) several months ago. There's nobody to count the dead, so because of the system I explained above the number is going up.
So anyway, what you're seeing in the article isn't that. It's an estimate trying to make up for the dead who aren't included in the 40000 the GHM counted. That's the reason it's so high.