Battles force Palestinians out of hospitals in Gaza, leaving patients, babies and medics stranded

Battles around hospitals forced thousands of Palestinians to flee from some of the last shelters in northern Gaza, stranding critically wounded patients, including newborns, and their caregivers with dwindling supplies and no electricity, health officials said on Monday.

The Israeli military has urged Palestinians to flee south on foot through what it calls safe corridors. But its purported drive to separate civilians from Hamas militants has come at a heavy cost, with more than two-thirds of the territory’s population of 2.3 million having already fled their homes.

Thousands fled Gaza’s Shifa Hospital over the weekend as Israeli troops encircled it, but hundreds of patients and displaced people remained, according to officials. Shifa “is not functioning as a hospital anymore,” World Health Organization Director-General Tedros Adhanom Ghebreyesus said. A second Gaza City hospital faces evacuations after running out of fuel.

Both sides have seized on the plight of hospitals, particularly Shifa’s, as a symbol of the larger war, now in its sixth week. The fighting was triggered by Hamas’ October 7 surprise attack into Israel, and Israel’s response has brought unseen levels of death and destruction to Gaza.

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For Palestinians, Shifa evokes the suffering of civilians. For weeks, staff running low on supplies have performed surgery there on war-wounded patients, including children, without anesthesia. Up until days ago, tens of thousands of people driven from their homes by airstrikes lived in and around the complex, hoping it would be safe.

Israel says Hamas shields itself among civilians, and that the hospital, Gaza’s largest, is a prime example. It says the militants have a command center in and beneath the medical compound. Israel has released maps and diagrams showing what it says are bunkers and other Hamas installations in and around Shifa, but has not provided any evidence.

Israeli officials recently released photos and footage showing what they described as the opening of a tunnel next to another hospital, as well as gunmen firing from inside the building. They also have shared footage of militants operating in residential neighborhoods and positioning rockets and weapons near schools, hospitals and mosques.

Both Hamas and Shifa hospital staff deny the Israeli allegations.

After power went out for Shifa’s incubators, the Health Ministry in Hamas-ruled Gaza released a photo it says shows about a dozen premature babies wrapped in blankets together on a bed to keep them at a proper temperature. Otherwise, “they immediately die,” said ministry spokesman Medhat Abbas, who added that four of the babies had been delivered by cesarean section after their mothers died.

The Palestinians accuse Israel of firing recklessly toward hospitals, while Israel accuses Hamas of using the hospitals for cover. On Monday, Israel released a video showing what it said was a militant carrying an RPG launcher in front of Al-Quds hospital, the facility that ran out of fuel and was forced to shut down Sunday. An Israeli tank was stationed nearby.

Also read | Israeli strikes hit near several hospitals as the military pushes deeper into Gaza City

Preparations are being made to evacuate some 6,000 patients, medics and displaced people from Al-Quds, according to the Palestinian Red Crescent, which operates the facility.

After the exodus of people from Shifa over the weekend, about 650 patients and 500 staff remain in the hospital, along with around 2,500 displaced Palestinians sheltering inside the complex, said Mohammed Zaqout, the director of hospitals in Gaza.

The Health Ministry said 32 patients, including three babies, have died since Shifa’s emergency generator ran out of fuel Saturday. It said 36 babies, as well as other patients, are at risk of dying because life-saving equipment can’t function.

Medical Aid for Palestinians, a U.K.-based charity that has supported Shifa’s neonatal intensive care unit, said transferring critically ill infants is complex. “With ambulances unable to reach the hospital … and no hospital with capacity to receive them, there is no indication of how this can be done safely,” CEO Melanie Ward said. She said the only option was to pause the fighting and allow in fuel.

The military said it placed 300 liters (79 gallons) of fuel several blocks from the hospital, but Hamas militants prevented staff from reaching it. The Health Ministry disputed that, saying Israel refused its request that the Red Crescent bring them the fuel rather than staff venturing out to retrieve it. The fuel would have provided less than an hour of electricity, it said.

The U.S. has pushed for temporary pauses to allow wider distribution of badly needed aid. Israel has agreed only to daily windows during which civilians can flee northern Gaza along two main roads. It continues to strike what it says are militant targets across the territory, often killing women and children.

Tens of thousands of people remain in the north.

Saib Abu Hashish said he has been trapped on the ground floor of his family home along with 27 others in Gaza City, and they haven’t left the house in three days and are running out of food and water. He said their neighbors attempted to escape the area Sunday, but Israeli forces fired on them.

“We want to leave but we can’t because of the bombing,” he said by phone. “If we survive the bombing, we will die from hunger.”

Those who make it south face a host of other difficulties. U.N.-run shelters are overflowing, and the lack of fuel has paralyzed water treatment systems, leaving taps dry and sending sewage into the streets. Israel has barred the import of fuel for generators.

As of last Friday, more than 11,000 Palestinians, two-thirds of them women and minors, have been killed since the war began, according to the Health Ministry in Gaza, which does not differentiate between civilian and militant deaths. About 2,700 people have been reported missing.

Health officials have not updated the toll, citing the difficulty of collecting information.

At least 1,200 people have died on the Israeli side, mostly civilians killed in the initial Hamas attack. Palestinian militants are holding nearly 240 hostages seized in the raid, including men, women, children and older adults. The military says 44 soldiers have been killed in ground operations in Gaza.

About 250,000 Israelis have evacuated from communities near Gaza, where Palestinian militants still fire barrages of rockets, and along the northern border, where Israel and Lebanon’s Hezbollah militant group repeatedly trade fire, including on Monday.

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Israeli troops carry out an hour-long ground raid into Gaza before an expected wider incursion

Israeli troops and tanks launched an hourslong ground raid into northern Gaza overnight into Thursday, the military said, striking several militant targets in order to “prepare the battlefield” before a widely expected ground invasion after more than two weeks of devastating airstrikes.

The raid came after the U.N. warned that’s it’s on the verge of running out of fuel in the Gaza Strip, forcing it to sharply curtail relief efforts in the territory, which has also been under a complete siege since Hamas’ bloody rampage across southern Israel ignited the war earlier this month.

The rising death toll in Gaza, which soared past 7,000 on Thursday, according to Palestinian officials, is unprecedented in the decades-long Israeli-Palestinian conflict. Even greater loss of life could come if Israel launches an expected ground offensive aimed at crushing Hamas, which has ruled Gaza since 2007 and survived four previous wars with Israel.

The Health Ministry in Hamas-ruled Gaza said Wednesday that more than 750 people were killed over the past 24 hours, higher than the 704 killed the previous day. The Associated Press couldn’t independently verify the death toll, and the ministry doesn’t distinguish between civilians and combatants.

On Wednesday, the wife, son, daughter and grandson of Wael Dahdouh, a veteran Al-Jazeera correspondent in Gaza, were killed in an Israeli strike. The Qatar-based network showed footage of his grief upon entering a hospital and seeing his dead son. Dahdouh and other mourners attended the funerals on Thursday wearing the blue flak jackets used by reporters in the Palestinian territories.

The Israeli military says it only strikes militant targets and accuses Hamas of operating among civilians in densely-populated Gaza. Palestinian militants have fired rocket barrages into Israel since the war began.

Israel has vowed to crush Hamas’ capacity to govern Gaza or threaten it again, while also saying it doesn’t want to reoccupy the territory from which it withdrew soldiers and settlers in 2005. That could prove a daunting challenge, since Hamas is deeply rooted in Palestinian society, with political and charity organizations as well as a formidable armed wing.

Benny Gantz, a retired general and a member of Israel’s war Cabinet, said any possible ground offensive would be only “one stage in a long-term process that includes security, political and social aspects that will take years.”

“The campaign will soon ramp up with greater force,” he added.

During the overnight raid, soldiers killed fighters and destroyed militant infrastructure and anti-tank missile launching positions, the military said. It said that no Israelis were wounded. There was no immediate confirmation of any Palestinian casualties.

Israeli Rear Adm. Daniel Hagari, a military spokesman, said the limited incursion was “part of our preparations for the next stages of the war.”

Israel also said it had also carried out around 250 airstrikes across Gaza in the last 24 hours, targeting tunnel shafts, rocket launchers and other militant infrastructure.

The Gaza Health Ministry says more than 7,000 Palestinians have been killed in the war — a figure that includes the disputed toll from an explosion at a hospital. That is more than three times the number of Palestinians killed in the six-week-long Gaza war in 2014. The ministry’s toll includes more than 2,900 minors and more than 1,500 women.

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 also holds at least 224 hostages in Gaza.

The warning by the U.N. agency for Palestinian refugees, UNRWA, over depleting fuel supplies raised alarm that the humanitarian crisis could quickly worsen.

Gaza’s population has also been running out of food, water and medicine. About 1.4 million of Gaza’s 2.3 million residents have fled their homes, with nearly half of them crowded into U.N. shelters. Hundreds of thousands remain in northern Gaza, despite Israel ordering them to evacuate to the south, saying those who remain might be considered “accomplices” of Hamas.

In recent days, Israel has let more than 60 trucks with aid enter from Egypt, which aid workers say is insufficient and only a tiny fraction of what was being brought in before the war. Israel is still barring deliveries of fuel — needed to power generators — saying it believes that Hamas will take it.

An official with the International Committee of the Red Cross said that it hopes to bring in eight trucks filled with vital medical supplies.

“This is a small amount of what is required, a drop in the ocean,” said William Schomburg, head of the sub-delegation in Gaza. “We are trying to establish a pipeline.”

UNRWA has been sharing its own fuel supplies so that trucks can distribute aid, bakeries can feed people in shelters, water can be desalinated, and hospitals can keep incubators, life support machines and other vital equipment working. If it continues doing all of that, fuel will run out by Thursday, so the agency is deciding how to ration its supply, UNRWA spokeswoman Tamara Alrifai told The Associated Press.

“Do we give (it) for the incubators or the bakeries?” she said. “It is an excruciating decision.”

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

At Gaza City’s al-Shifa Hospital, the lack of medicine and clean water have led to “alarming” infection rates, the group Doctors Without Borders said. Amputations are often required to prevent infection from spreading in the wounded, it said.

One surgeon with the group described amputating half the foot of a 9-year-old boy with only “slight sedation” on a hallway floor as his mother and sister watched.

The conflict has also threatened to spread across the region. The Israeli military said Wednesday it struck military sites in Syria in response to rocket launches from the country. Syrian state media said that eight soldiers were killed and seven others were wounded.

Israel has also been exchanging near daily fire with Iranian-backed Hezbollah across the Lebanese border.

Israeli airstrikes and drone attacks early Thursday caused fires in open land in the southern Lebanon border town of Aita al Shaab, where clashes have intensified, Lebanon’s state-run news agency said. It reported strikes late Wednesday on towns in the Tyre district, saying a mattress factory was hit.

Hamas’ surprise attack on Oct. 7 in southern Israel stunned the country with its brutality, its unprecedented toll and the failure of intelligence agencies to know it was coming. Israeli Prime Minister Benjamin Netanyahu said in a speech Wednesday night that he will be held accountable, but only after Hamas was defeated.

“We will get to the bottom of what happened,” he said. “This debacle will be investigated. Everyone will have to give answers, including me.”

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Israel hits Gaza with airstrikes after rockets intercepted

Two rockets were fired from Gaza early Friday and Israel responded with airstrikes on the territory, further escalating tensions. Israeli forces on Thursday killed nine Palestinians — including at least seven militants and a 61-year-old woman — in the deadliest single incident in the occupied West Bank in two decades, Palestinian officials said.

The Israeli military said both rockets were intercepted by its Iron Dome missile defense system. It was the first such attack from the militant Hamas-ruled territory since Prime Minister Benjamin Netanyahu returned to power at the head of a far-right government that has pledged a tough line against Palestinian militancy.

There were no immediate reports of casualties from the Israeli airstrikes.

The raid in the Jenin refugee camp and the rocket fire increases the risk of a major flare-up in Israeli-Palestinian fighting and casts a shadow on U.S. Secretary of State Antony Blinken’s expected trip to the region next week.

Raising the stakes, the Palestinian Authority said it would halt the ties that its security forces maintain with Israel in a shared effort to contain Islamic militants. Previous threats have been short-lived, in part because of the benefits the authority enjoys from the relationship and also due to U.S. and Israeli pressure to maintain it.

The PA already has limited control over scattered enclaves in the West Bank, and almost none over militant strongholds like the Jenin camp. But the announcement could pave the way for Israel to step up operations it says are needed to prevent attacks.

Hamas, the Islamic militant group that controls Gaza, had earlier threatened revenge for the raid. Violent escalations in the West Bank have previously triggered retaliatory rocket fire from the Gaza Strip, which in turn has brought Israeli airstrikes down on the isolated and impoverished territory.

The Israeli strikes early Friday targeted training sites for Palestinian militant groups, the military said. Witnesses and local media reported that Israeli drones fired two missiles at a militant base in central Gaza Strip. The drone strikes usually serve as a warning for larger airstrikes by fighter jets.

On Thursday, Israeli forces went on heightened alert as Palestinians filled the streets across the West Bank, chanting in solidarity with Jenin. President Mahmoud Abbas declared three days of mourning, and in the refugee camp, residents dug a mass grave for the dead.

PA spokesman Nabil Abu Rudeineh said Abbas had decided to cut security coordination in “light of the repeated aggression against our people, and the undermining of signed agreements,” referring to commitments from the Oslo peace process in the 1990s. He also said the Palestinians planned to file complaints with the U.N. Security Council, International Criminal Court and other international bodies.

The PA last cut security coordination with Israel in 2020, over Netanyahu’s drive to annex the occupied West Bank, which would make a future Palestinian state all but impossible. But six months later, the PA resumed cooperation, signaling the financial importance of the relationship and the Palestinians’ relief at the election of President Joe Biden.

Barbara Leaf, the top U.S. diplomat for the Middle East, said the administration was deeply concerned about the situation and that civilian casualties reported in Jenin were “quite regrettable.” But she also said the Palestinian announcement to suspend security ties was a mistake.

“Obviously, we don’t think this is the right step to take at this moment,” she told reporters, saying the Palestinian vow to bring the matter to the U.N. and the International Criminal Court was problematic.

“We want to see them move back in the other direction,” she said, adding: “They need to engage with each other.”

There have been no serious peace talks between Israel and the Palestinians in well over a decade.

Thursday’s gun battle that left nine dead and 20 wounded erupted when Israel’s military conducted a rare daytime operation in the Jenin camp that it said was meant to prevent an imminent attack on Israelis. The camp, where the Palestinian Islamic Jihad militant group has a major foothold, has been a focus of near-nightly Israeli arrest raids.

Hamas’ armed wing claimed four of the dead as members, while Islamic Jihad said three others belonged to the group. An earlier statement from the Al-Aqsa Martyrs’ Brigade, a militia loosely affiliated with Abbas’ secular Fatah party, claimed one of the dead was a fighter named Izz al-Din Salahat, but it was unclear if he was among those seven militants.

The Palestinian Health Ministry identified the 61-year-old woman killed as Magda Obaid, and the Israeli military said it was looking into reports of her death.

The Israeli military circulated aerial video it said was taken during the battle, showing what appeared to be Palestinians on rooftops hurling stones and firebombs on Israeli forces below. At least one Palestinian can be seen opening fire from a rooftop.

Later in the day, Israeli forces fatally shot a 22-year-old and wounded two others, the Palestinian Health Ministry said, as Palestinians confronted Israeli troops north of Jerusalem to protest Thursday’s raid. Israel’s paramilitary Border Police said they opened fire on Palestinians who launched fireworks at them from close range.

Tensions have soared since Israel stepped up raids in the West Bank last spring, following a series of Palestinian attacks.

Israel’s new national security minister, far-right politician Itamar Ben-Gvir, who seeks to grant legal immunity to Israeli soldiers who shoot Palestinians, posted a video of himself beaming triumphantly and congratulating security forces.

The raid left a trail of destruction in Jenin. A two-story building, apparently the operation’s target, was a charred wreck. The military said it entered the building to detonate explosives.

Palestinian Health Minister May Al-Kaila said paramedics struggled to reach the wounded during the fighting, while Akram Rajoub, the governor of Jenin, said the military prevented emergency workers from evacuating them.

Both accused the military of firing tear gas at the pediatric ward of a hospital, causing children to choke. Video at the hospital showed women carrying children into a corridor.

The military said forces closed roads to aid the operation, which may have complicated rescue efforts, and that tear gas had likely wafted into the hospital from nearby clashes.

The Israeli rights group B’Tselem said Thursday marked the single bloodiest West Bank incursion since 2002, at the height of an intense wave of violence known as the Second Intifada, or Palestinian uprising, which left scars still visible in Jenin.

“We ask that the international community help the Palestinians against this extremist right-wing government and protect our citizens,” said Rajoub, the Jenin governor.

U.N. Middle East envoy Tor Wennesland said he was “deeply alarmed and saddened” by the violence. Condemnations came from the Organization of Islamic Cooperation and Turkey, which recently reestablished full diplomatic ties with Israel, as well as from neighboring Jordan.

Saudi Arabia criticized the raid, saying it rejected the “serious violations of international law by the Israeli occupation forces.” Qatar, Kuwait and Oman added condemnations.

Tensions over West Bank violence have spilled into Gaza before.

“The response of the resistance to what happened today in Jenin camp will not be delayed,” top Hamas official Saleh Arouri warned on Thursday, hours before the rockets were launched.

The Islamic Jihad branch in the coastal enclave has repeatedly fought against Israel, most recently in a fierce three-day clash last summer that killed dozens of Palestinians and disrupted the lives of hundreds of thousands of Israelis.

Nearly 150 Palestinians were killed in the West Bank and east Jerusalem last year, making 2022 the deadliest in those territories since 2004, according to B’Tselem. So far this year, 30 Palestinians have been killed.

Israel says most of the dead were militants. But youths protesting the incursions and others not involved in the confrontations also have been killed. So far this year, not including Thursday, one-third of the Palestinians killed by Israeli troops or civilians had ties to armed groups.

Last year, 30 people were killed in Palestinian attacks against Israelis.

Israel says its raids are meant to dismantle militant networks and thwart attacks. The Palestinians say they further entrench Israel’s 55-year, open-ended occupation of the West Bank, which Israel captured along with east Jerusalem and the Gaza Strip in the 1967 Mideast war. The Palestinians claim those territories for their hoped-for state.

Israel has established dozens of settlements in the West Bank that now house 5,00,000 people. The Palestinians and much of the international community view settlements as illegal and an obstacle to peace, even as talks to end the conflict have been moribund for over a decade.

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