There's also the fun fact that despite similar bombings, the death toll seems to have stopped going up after Israel did their best to destroy every major hospital and health infrastructure in the country. It's entirely possible they've lost the ability to effectively count the dead and this isn't the current number, it's the last known good number. A country not being able to count it's dead in a war should only happen because the other side is controlling the hospitals and thus responsible for those reports. So yeah, the next time someone questions if they can even count the dead remind them of Israel repeatedly targeting their healthcare system.