A group of 45 American doctors and nurses who have been working in Gaza since October have written a letter to US President Joe Biden, First Lady Jill Biden and Vice President Kamala Harris recounting “the massive human toll from Israel’s attack” on the territory, Al Jazeera reports.

The multi-faith, multiethnic group said their experience in the warzone made them “uniquely positioned” to comment as the US considered its continued support for Israel’s war on Gaza.

“It is likely that the death toll from this conflict is already greater than 92,000, an astonishing 4.2% of Gaza’s population,” they write, adding that every signatory to the joint letter had treated Palestinian children who “must have been deliberately” targeted for attack.

“Every one of us on a daily basis treated pre-teen children who were shot in the head and chest,” they wrote.

With a few exceptions, “everyone in Gaza is sick, injured, or both”, they added.