In January 2008, the Centre on Housing Rights and Evictions (COHRE) released a position paper examining the impact of the sanctions and blockade on the human right to water and sanitation in Gaza. Since that time the humanitarian situation in Gaza has continued to deteriorate at an alarming rate. Predictions made in COHRE's position paper of January 2008 have since been realised. This report updates and revises the January 2008 position paper reflecting the severity of the crisis in Gaza's water and sanitation sector as it currently stands in light of a number of recent significant developments.