The violence is taking many shapes, from Israeli warplanes to Hamas rockets and mobs of Jewish or Palestinian citizens torching cars and beating people.
Palestinian health officials say at least 30 people have been killed in Gaza, including 10 children. Three Israelis have been killed by rockets fired by Palestinian militants.
Vaccines have yet to arrive. Residents, fearing loss of income, continue to work while infected. And medical professionals including one of Gaza's few remaining heart surgeons have died from COVID-19.
Israel aims to vaccinate 25% of its citizens by end of January but the country has not provided any to the Israeli-occupied West Bank and Gaza, which are scrambling for shots.
Even before President Trump's peace deal comes to light, an informal arrangement between Israeli and Hamas leaders eased some restrictions on travel and trade out of Gaza.
Dr. Amir Khalil has led rescue operations and created sanctuaries around the world for 20 years. In April, he embarked on his biggest mission: saving animals from a struggling zoo in the Gaza Strip.
Gaza has been off-limits to tourists since Hamas took over in 2007. A veteran Palestinian tour guide leads NPR to see the sites, including a palace, a mosque and a bathhouse.