Israel battles militants in Gaza’s main cities, with civilians trapped in the fighting

Israeli forces battled Palestinian militants in Gaza’s two largest cities on December 11, with civilians still trapped in the fighting even after hundreds of thousands have fled to other parts of the besieged territory.

Israel has pledged to keep fighting until it removes Hamas from power, dismantles its military capabilities and returns all of the hostages taken by militants during Hamas’ October 7 surprise attack into Israel that ignited the war.

The U.S. has provided unwavering diplomatic and military support for the campaign, even as it has urged Israel to minimize civilian casualties and further mass displacement. The war has killed thousands of Palestinian civilians and driven nearly 85% of the territory’s 2.3 million people from their homes.

Residents said there was heavy fighting in and around the southern city of Khan Younis, where Israeli ground forces opened a new line of attack last week, and battles were still underway in parts of Gaza City and the urban Jabaliya refugee camp in northern Gaza, where large areas have been reduced to rubble.

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.

Several of the dead were brought to a nearby hospital, where their loved ones could be seen sobbing and holding funeral prayers.

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 hit a home close to hers late Sunday.

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

Hussein al-Sayyed, who fled Gaza City earlier in the war with his three daughters, is staying in a three-story home in the city with around 70 others. He said they have been rationing food for days. “I don’t know where to go,” he said. “No place is safe.”

Hamas is believed to have suffered heavy losses, but on Monday it fired a barrage of rockets that set off sirens in Tel Aviv. One person was lightly wounded, according to the Magen David Adom rescue service, and Channel 12 broadcast footage of a cratered road and damage to cars and buildings in a suburb.

With very little aid allowed into Gaza, Palestinians face severe shortages of food, water and other basic goods. Some openly worry that Palestinians will be forced out of the territory altogether in a repeat of the mass exodus from what is now Israel during the 1948 war surrounding its creation. That gave rise to built-up and seemingly permanent refugee camps like Jabaliya and Maghazi.

“Expect public order to completely break down soon, and an even worse situation could unfold including epidemic diseases and increased pressure for mass displacement into Egypt,” U.N. Secretary-General Antonio Guterres told a forum in Qatar on Sunday.

Eylon Levy, an Israeli government spokesman, called allegations that Israeli intends to drive people en masse from Gaza “outrageous and false.” But other Israeli officials have discussed such a scenario, raising alarm in Egypt and other Arab countries that refuse to accept any refugees.

At the same time, it’s not clear when or if Palestinians would be allowed to return to Gaza City and much of the north — home to some 1.2 million before the war — where entire neighborhoods have been flattened.

Palestinians in Lebanon and the Israeli-occupied West Bank observed a general strike on Monday called by activists to demand a cease-fire, after the U.S. vetoed a United Nations Security Council resolution calling for one on Friday. A similar, nonbinding vote is planned in the General Assembly on Tuesday.

Israel says it tries to avoid harming civilians and blames their deaths on Hamas, saying it endangers residents by fighting in dense areas and positioning military infrastructure — including weapons, tunnels and rocket launchers — in or near civilian buildings.

The military said five soldiers were killed in a battle in southern Gaza on Sunday, after militants fired at them from a school and set off an explosive device. It said the troops, backed by aircraft and tanks, returned fire and killed the militants.

Forces operating in Jabaliya found a truck full of long-range rockets near a school, and a rifle, two rocket-propelled grenade launchers and explosives in a home, the army said.

Israel has urged people to flee to what it says are safe areas in the south — and 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. But Israel has continued to strike alleged militant targets throughout the territory.

Associated Press reporters saw nine bodies brought to a local hospital on Monday after an airstrike hit a home in Rafah overnight.

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, MSF 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 some shelters, 600 people share a single toilet. We are already seeing many cases of diarrhea. Often children are the worst affected,” he said.

With the war in its third month, the Palestinian death toll in Gaza has surpassed 17,900, the majority women and children, according to the Health Ministry in the Hamas-controlled territory. The ministry does not differentiate between civilian and combatant deaths.

Some 1,300 people have died on the Israeli side, mostly civilians killed during the Oct. 7 attack, in which Hamas and other militants also captured more than 240 people, including babies, women and older adults. More than 100 captives were released during a weeklong cease-fire late last month in exchanges for women and minors held in Israeli prisons.

Israel says Hamas still has 117 hostages and the remains of 20 people who died in captivity or during the initial attack. The Israeli toll includes 104 soldiers who have died since the start of the Gaza ground offensive in late October.

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United Nations warns Gaza blockade could force it to sharply cut relief operations as bombings rise

The United Nations agency for Palestinian refugees warned on October 25 that without immediate deliveries of fuel it will soon have to sharply cut back relief operations across the Gaza Strip, which has been blockaded and hit by devastating Israeli airstrikes since Hamas militants launched an attack on Israel more than two weeks ago.

The warning came as hospitals in Gaza struggled to treat masses of wounded with dwindling resources, and health officials in the Hamas-ruled territory said the death toll was soaring as Israeli jets continued striking the territory overnight into Wednesday.

The Israeli military said its strikes had killed militants and destroyed tunnels, command centres, weapons storehouses and other military targets, which it has accused Hamas of hiding among Gaza’s civilian population. Gaza-based militants have been launching unrelenting rocket barrages into Israel since the conflict started.

The Hamas-run Gaza Health Ministry said the airstrikes killed at least 704 people between Monday and Tuesday, mostly women and children. The Associated Press could not independently verify the death tolls cited by Hamas, which says it tallies figures from hospital directors.

The death toll was unprecedented in the decades-long Israeli-Palestinian conflict. Even greater loss of life could come when Israel launches an expected ground offensive aimed at crushing Hamas militants.

In Washington, White House National Security Council spokesman John Kirby told reporters the U.S. could not verify the one-day death toll. “The Ministry of Health is run by Hamas, and I think that all needs to be factored into anything that they put out publicly.”

Israel said on Tuesday it had launched 400 airstrikes over the past day, an increase from the 320 strikes the day before. The U.N. says about 1.4 million of Gaza’s 2.3 million residents are now internally displaced, with almost 6,00,000 crowded into U.N. shelters.

Gaza’s residents have been running out of food, water and medicine since Israel sealed off the territory following the attack on southern Israel by Hamas, which is sworn to Israel’s destruction.

In recent days, Israel allowed a small number of trucks filled with aid to come over the border with Egypt but barred deliveries of fuel — needed to power hospital generators — to keep it out of Hamas’ hands.

The U.N. said it had managed to deliver some of the aid in recent days to hospitals treating the wounded. But the U.N. agency for Palestinian refugees, the largest provider of humanitarian services in Gaza, said it was running out of fuel.

Officials said they were forced to reduce their operations as they rationed what little fuel they had.

“Without fuel our trucks cannot go around to further places in the strip for distribution,” said Lily Esposito, a spokesperson for the agency. “We will have to make decisions on what activities we keep or not with little fuel.”

Meanwhile, more than half of Gaza’s primary healthcare facilities, and roughly a third of its hospitals, have stopped functioning, the World Health Organization said.

Overwhelmed hospital staff struggled to triage cases as constant waves of wounded were brought in. The Health Ministry said many wounded are laid on the ground without even simple medical aid and others wait for days for surgeries because there are so many critical cases.

The Health Ministry says more than 5,700 Palestinians have been killed in the war, including some 2,300 minors. The figure includes the disputed toll from an explosion at a hospital last week.

The fighting has killed more than 1,400 people in Israel — mostly civilians slain during the initial Hamas attack, according to the Israeli government. Hamas is also holding some 222 people that it captured and brought back to Gaza.

The conflict threatened to spread across the region, as Israeli airstrikes hit Syrian military sites in the south on Wednesday, killing eight soldiers and wounding seven, according to Syria’s state-run SANA news agency.

The Israeli military said in a post on X, formerly known as Twitter, its jets had struck Syrian military infrastructure and mortar systems in response to rocket launches from Syria.

Israel has launched several strikes on Syria in recent days, including strikes that put the Damascus and Aleppo airports out of service, in an apparent attempt to prevent arms shipments from Iran to militant groups, including Lebanon’s Hezbollah. Israel has been fighting the Iranian-backed group Hezbollah across the Lebanese border in recent weeks.

Hezbollah leader Hassan Nasrallah met on Wednesday with top Hamas and Palestinian Islamic Jihad officials in their first reported meeting since the war started. Such a meeting could signal coordination between the groups, as Hezbollah officials warned Israel against launching a ground offensive in Gaza.

Israeli military spokesman Rear Adm. Daniel Hagari said Iran was helping Hamas, with intelligence and by “whipping up incitement against Israel across the world.” He said Iranian proxies were also operating against Israel from Iraq, Yemen and Lebanon. Fighting also erupted in the West Bank, which has seen a major spike in violence.

Islamic Jihad militants said they fought with Israeli forces in Jenin overnight. The Palestinian Health Ministry in the West Bank said Israel killed four Palestinians in Jenin, including a 15-year-old, and two others in other towns. That brought the total number of those killed in the occupied West Bank since October 7 to 102.

Across central and south Gaza, where Israel told civilians to take shelter, there were multiple scenes of rescuers pulling the dead and wounded out of large piles of rubble from collapsed buildings. Graphic photos and video shot by the AP showed rescuers unearthing bodies of children from multiple ruins.

A father knelt on the floor of the Al-Aqsa Hospital in Deir Al-Balah next to the bodies of three lifeless children cocooned in bloodied sheets. Later, at the nearby morgue, workers prayed over 24 dead wrapped in body bags, several of them the size of small children.

“Buildings that collapsed on residents killed dozens at a time in several cases, witnesses said. Two families lost 47 members in a levelled home in Rafah,” the Health Ministry said.

In Gaza City, at least 19 people were killed when an airstrike hit the house of the Bahloul family, according to survivors, who said dozens more remained buried. The legs of a dead woman and another person, both still half buried, dangled out of the wreckage where workers dug through the dirt, concrete and rebar.

Israeli Foreign Minister Eli Cohen told the U.N. Security Council on Tuesday that the proportionate response to the October 7 attack is “a total destruction” of the militants. “It is not only Israel’s right to destroy Hamas. It’s our duty,” he said.

On Wednesday, Israel’s U.N. ambassador, Gilad Erdan, said his country will stop issuing visas to U.N. personnel after U.N. Secretary-General Antonio Guterres said that Hamas’ attack “did not happen in a vacuum.” It was unclear what the action, if followed through with, would mean for U.N. aid personnel working in Gaza and the West Bank.

“It’s time to teach them a lesson,” Erdan told Army Radio, accusing the U.N. chief of justifying a slaughter.

The U.N. chief told the Security Council on Tuesday that “the Palestinian people have been subjected to 56 years of suffocating occupation.” Mr. Guterres also said “the grievances of the Palestinian people cannot justify the appalling attacks by Hamas. And those appalling attacks cannot justify the collective punishment of the Palestinian people.”

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