Become a Member
Opinion

The Lancet’s dubious Gaza casualty figures and the BBC’s selective scepticism

The corporation treats a report in a notoriously biased journal as settled fact but doubts Iranians counting their own dead

February 19, 2026 14:00
Screenshot 2026-02-19 at 13.55.55.png
Lyse Doucet in Tehran (Image: BBC)
3 min read

Here we go again. In July 2024 the Lancet published a claim by three academics that the death toll in Gaza could be up to 186,000. That figure was, as the academics behind it themselves revealed, was effectively plucked out of thin air. It was reached by taking the 37,396 figure supplied at the time by the Hamas Ministry of Health – itself hardly an impartial source – and concluding that it was “not implausible” to estimate that the figure could end up being 186,000 deaths at some point in the future.

That “not implausible” conclusion was reached by a method that would be amusing, were it not a matter of life and death. The academics took 37,396 and simply multiplied it by five – an entirely arbitrary multiplier. Why five and not four? Why not 6.4? Why not 87.3? Why not 32? The entire calculation was worthless. But the Lancet chose to give it huge publicity, and it took on a life as fact. Zarah Sultana – of course – wrote: “The Lancet – the most prestigious medical journal in the world – conservatively estimates that the death toll in Gaza could be 186,000 or more. That’s 8% of the population”. The “Gaza Genocide” entry on Wikipedia still cites the figure.

That the Lancet chose to publish the claim was no surprise. For a journal of medicine, it has a long history of bias and tendentious smears when it comes to Israel. In July 2014, for example, while Hamas rocket’s rained down on Israel, The Lancet published an “Open letter for the people in Gaza”, in which Israeli academics were labelled “complicit” in “war crimes” because they were academics working in Israel. In response, hundreds of other academics, including many British physicians, signed a letter in response accusing the Lancet of “numerous vicious and deliberately inflammatory falsehoods, omissions and abusive dishonesty, which have no place in any responsible publication.”

Four years later the Lancet ran an article by one of the signatories of the 2014 “open letter”, arguing that Palestinian terrorism against Israeli civilians was justified: “Palestinians militarily occupied by Israel are enduring chronic exposure to Israeli violence (including threats to their survival) and are rightfully resisting oppression and injustice.”

To get more from opinion, click here to sign up for our free Editor's Picks newsletter.