Heavy fighting rages around Gaza’s biggest hospital as Israel raids it for a second day

Explosions and shootings shook the Gaza Strip’s biggest hospital and surrounding neighborhoods as Israeli forces stormed through the facility for a second day Tuesday. The military said it had killed 50 Hamas militants in the hospital, but it could not be independently confirmed that the dead were combatants.

The raid was a new blow to the Shifa medical complex, which had only partially resumed operations after a destructive Israeli raid in November. Thousands of Palestinian patients, medical staff and displaced people were trapped inside the sprawling complex on Tuesday, March 19, 2024, as heavy fighting between troops and Hamas fighters raged in nearby districts.

“It’s very hard right now. There’s heavy bombardment in the area of Shifa, and buildings are being hit. The sound of tank and artillery fire is continuous,” Emy Shaheen, who lives near the hospital, said in a voice message with repeated booms of shelling audible in the background. She said a large fire had been raging for hours near the hospital.

The Israeli military said it raided Shifa early Monday, March18, because Hamas fighters had grouped in the hospital and were directing attacks from inside.

The claim could not be confirmed, and the Hamas media office said all those killed in the assault were civilians. But the surge in fighting in Gaza City underscored Hamas’ continued presence in northern Gaza months after Israeli ground troops claimed they largely had control over the area.

Israel launched its offensive in Gaza vowing to destroy Hamas after the group’s Oct. 7 attack on southern Israel. More than 31,800 Palestinians have been killed in the bombardment and offensive since. Much of northern Gaza has been leveled, and an international authority on hunger crises warned on Monday that 70% of the people there were experiencing catastrophic hunger and that famine was imminent.

The mayhem in the north came as Israeli Prime Minister Benjamin Netanyahu repeated his determination to invade Gaza’s southernmost town, Rafah – one of the last major towns not targeted by a ground assault.

Biden’s call to Netanyahu

A day earlier, in their first phone call in a month, U.S. President Joe Biden urged Mr. Netanyahu not to carry out a Rafah operation, urging “an alternative approach” to more precisely target Hamas fighters there.

The United States, Israel’s closest ally, has expressed concern over attacking Rafah because some 1.4 million people from across Gaza have crowded into the area. U.N. officials have warned of a massive death toll and the potential collapse of the humanitarian aid effort if troops moved into Rafah.

Mr. Netanyahu agreed to send a team of Israeli officials to Washington to discuss Rafah with Biden administration officials.

But on Tuesday, he told a parliamentary committee that while he would listen to U.S. proposals “out of respect” to Biden, “we are determined to complete the elimination of these (Hamas) battalions in Rafah, and there is no way to do this without a ground incursion.”

Airstrikes in Rafah overnight destroyed an apartment and several houses, killing at least 15 people, including six women and children, hospital officials said.

The army last raided Shifa Hospital in November after claiming that Hamas maintained an elaborate command center within and beneath the facility. The military revealed a tunnel leading to some underground rooms, as well as weapons it said were found inside the hospital. However, the evidence fell short of the earlier claims, and critics accused the army of recklessly endangering the lives of civilians.

The hospital, which is the heart of Gaza’s health system, was severely damaged in the assault and has only been able to resume limited operations since. Gaza officials say some 30,000 displaced people were taking refuge in the compound when the new Israeli assault began.

The raid came before dawn Monday when tanks surrounded the facility and troops stormed into multiple buildings.

The military on Tuesday said two of its soldiers had been killed in the operation. It said Tuesday that 300 suspects were detained, including dozens it accused of being fighters from Hamas and the smaller Palestinian militant group Islamic Jihad. Some patients were evacuated to nearby Ahli Hospital, said Mahmoud Bassal, civil defense spokesperson.

Abdel-Hady Sayed, who has been sheltering in the Shifa hospital, said troops had rounded up dozens in the hospital’s yard, blindfolding, handcuffing, and ordering them to strip their clothes before some were taken away.

He said those inside, especially men, were afraid to follow Israeli calls to evacuate the hospital. “They tell you to get out, it’s a safe corridor and once they see you they arrest you,” he said. “All are afraid here. The world should do something to stop them.”

The military has identified one person killed in the raid — Faiq Mabhouh, a senior officer in Gaza’s police force, which is under the Hamas-led government but distinct from the militant group’s armed fighting wing. The military said he was hiding in Shifa with weapons, but the Gaza government said he was in charge of protecting aid distribution in the north.

The raid prompted heavy fighting for blocks around Shifa. Hamas’ military wing said it struck two Israeli armored vehicles and a group of soldiers with rockets in the vicinity of the hospital.

Emergency services received multiple calls for help from people whose buildings had been bombed in the streets around Shifa, but rescue teams could not go to the scene because of the fighting, Bassal said.

Kareem al-Shawwa, a Palestinian living about a kilometer (less than a mile) from the hospital, said the past 24 hours had been “terrifying,” with explosions and heavy exchanges of fire. He said Israeli troops had told residents to evacuate the area, but he and his family were too afraid of getting arrested or caught in the fighting to leave their home.

Israel accuses Hamas of using hospitals and other civilian facilities to shield its fighters, and the Israeli military has raided several hospitals since the start of the war.

The Gaza Health Ministry said Monday that at least 31,726 Palestinians have been killed in Israel’s offensive. The ministry doesn’t differentiate between civilians and combatants in its count, but it says women and children make up two-thirds of the dead.

Palestinian militants killed some 1,200 people in Hamas’ Oct. 7 attack into southern Israel that triggered the war and took another 250 people hostage. Hamas is still believed to be holding about 100 captives, as well as the remains of 30 others, after most of the rest were freed during a cease-fire last year.

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Israeli Defence Minister resists pressure to halt Gaza offensive, says campaign will ‘take time’

Israel’s Defence Minister on Monday, December 11, 2023, pushed back against international calls to wrap up the country’s military offensive in the Gaza Strip, saying the current phase of the operation against the Hamas militant group will “take time.

Yoav Gallant, a member of Israel’s three-man war cabinet, remained unswayed by a growing chorus of criticism over the widespread damage and heavy civilian death toll caused by the two-month military campaign. The U.N. secretary-general and leading Arab states have called for an immediate cease-fire. The United States has urged Israel to reduce civilian casualties, though it has provided unwavering diplomatic and military support.

Israel launched the campaign after Hamas militants stormed across its southern border on Oct. 7, killing some 1,200 people and kidnapping about 240 others.

Two months of airstrikes, coupled with a fierce ground invasion, have resulted in the deaths of over 17,000 Palestinians, according to health officials in the Hamas-run territory. They do not give a breakdown between civilians and combatants but say that roughly two-thirds of the dead have been women and minors. Nearly 85% of the territory’s 2.3 million people have been driven from their homes.

In a briefing, Mr. Gallant refused to commit to any firm deadlines, but he signaled that the current phase, characterized by heavy ground fighting backed up by air power, could stretch on for weeks and that further military activity could continue for months.

“We are going to defend ourselves. I am fighting for Israel’s future,” he said.

Mr. Gallant said the next phase would be lower-intensity fighting against “pockets of resistance” and would require Israeli troops to maintain their freedom of operation. “That’s a sign the next phase has begun,” he said.

Mr. Gallant spoke as Israeli forces battled militants in and around the southern city of Khan Younis, where the military opened a new line of attack last week. Battles were also still underway in parts of Gaza City and the urban Jabaliya refugee camp in northern Gaza, where large areas have been reduced to rubble and many thousands of civilians are still trapped by the fighting.

Israel has pledged to keep fighting until it removes Hamas from power, dismantles its military capabilities and gets back all of the hostages. It says Hamas still has 117 hostages and the remains of 20 people who died in captivity or during the initial attack. More than 100 captives were freed last month during a weeklong truce.

Mr. Gallant keeps a framed picture on the desk of his spacious office with pictures of all the children taken hostage. All but two are marked with small hearts, signaling their release from captivity.

In central Gaza, an Israeli airstrike overnight flattened a residential building where some 80 people were staying in the Maghazi refugee camp, residents said.

Ahmed al-Qarah, a neighbor who was digging through the rubble for survivors, said he knew of only six people who made it out. “The rest are under the building,” he said. At a nearby hospital, family members sobbed over the bodies of several of the dead from the strike.

In Khan Younis, Radwa Abu Frayeh saw heavy Israeli strikes overnight around the European Hospital, where the U.N. humanitarian office says tens of thousands of people have sought shelter. She said one strike hit a home close to hers late Sunday.

“The building shook,” she said. “We thought it was the end and we would die.”

Mr. Gallant blamed Hamas for the heavy civilian death toll, saying that the militant group maintains a network of tunnels underneath schools, streets and hospitals.

He claimed that Israel has inflicted heavy damage on Hamas, killing half of the group’s battalion commanders and destroying many tunnels, command centers and weapons facilities.

Israeli officials have said some 7,000 Hamas militants — roughly one-quarter of the group’s fighting force — have been killed throughout the war and that 500 militants have been detained in Gaza the past month. The claims could not be independently verified. Israel says 104 of its soldiers have been killed in the Gaza ground offensive.

The result, he said, is that in the northern Gaza Strip, Hamas has been reduced to “islands of resistance” acting on the whims of local commanders.

In southern Gaza, he said the situation is different. “They are still organized militarily,” he said.

Mr. Gallant also said Israel has recovered “hundreds of terabytes” of information about Hamas from computers its troops have seized.

Despite the reported battlefield setbacks, Hamas on Monday fired a barrage of rockets that set off sirens in Tel Aviv, where Mr. Gallant’s office and Israeli military headquarters are located.

One person was lightly wounded, according to the Magen David Adom rescue service. Israel’s Channel 12 television broadcast footage of a cratered road and damage to cars and buildings in a suburb.

The U.N. humanitarian office, known as OCHA, described a harrowing journey through the battle zone in northern Gaza by a U.N. and Red Crescent convoy over the weekend that made the first delivery of medical supplies to the north in more than a week. It said an ambulance and U.N. truck were hit by gunfire on the way to Al-Ahly Hospital to drop off the supplies.

Hundreds trapped

The convoy then evacuated 19 patients but was delayed for inspections by Israeli forces on the way south. OCHA said one patient died, and a paramedic was detained for hours, interrogated and reportedly beaten.

The fighting in Jabaliya has trapped hundreds of staff, patients and displaced people inside hospitals, most of which are unable to function.

Two staff members were killed over the weekend by clashes outside Al-Awda Hospital, OCHA said. Shelling and live ammunition hit Al-Yemen Al-Saeed Hospital, killing an unknown number of displaced people sheltering inside, it said. It did not say which side was behind the fire.

With Israel allowing little aid into Gaza and the U.N. largely unable to distribute it amid the fighting, Palestinians face severe shortages of food, water and other basic goods.

Israel said it will start conducting inspections of aid trucks Tuesday at its Kerem Shalom crossing, a step meant to increase the amount of relief entering Gaza. Currently, Israel’s Nitzana crossing is the only inspection point in operation. All trucks then enter from Egypt through the Rafah crossing. Aid workers, however, say they are largely unable to distribute aid beyond the Rafah area because of the fighting elsewhere.

Israel has urged people to flee to what it says are safe areas in the south. The fighting in and around Khan Younis has pushed tens of thousands toward the town of Rafah and other areas along the border with Egypt.

Still, airstrikes have continued even in areas to which Palestinians are told to flee.

A strike in Rafah early Monday heavily damaged a residential building, killing at least nine people, all but one of them women, according to Associated Press reporters who saw the bodies at the hospital.

The aid group Doctors Without Borders said people in the south are also falling ill as they pack into crowded shelters or sleep in tents in open areas.

Nicholas Papachrysostomou, the group’s emergency coordinator in Gaza, said “every other patient” at a clinic in Rafah has a respiratory infection after prolonged exposure to cold and rain. In shelters where hundreds share a single toilet, diarrhea is widespread, particularly among children, he said.

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