Israel-Hamas war live: fighting traps patients and medics in Gaza’s largest hospital | Israel-Hamas war

Fighting traps patients and medics in Gaza’s largest hospital

Patients and medics remain trapped in Gaza’s main hospital after days of fighting between Israeli troops and Hamas, as aid agencies warn that critically ill patients and babies are at risk of death due to lack of fuel and dwindling supplies of food and water.

Israel says Hamas’ headquarters are underneath the hospital, a charge Hamas and doctors at the facility have denied.

The Palestinian health ministry in the West Bank town of Ramallah on Monday said that at least nine patients and six children had died at al-Shifa hospital, formerly the cornerstone of Gaza’s health system, as a result of the fuel shortages and department closures after the hospital was encircled by Israeli forces.

“We have no generators as those need fuel to run. There is no food, no water, no electricity and no fuel in Shifa and we are here dealing with casualties,” Munir al-Boursh, a doctor who is also a Palestinian health ministry undersecretary, speaking from inside Dar al-Shifa hospital.

“We can’t manage this huge number of cases. If people come, we can’t do anything for them.”

Newborns taken off incubators in Gaza’s Al Shifa hospital after power outage on Sunday. Photograph: Obtained By Reuters/Reuters

He said the facility had intended to dig a mass grave until Israeli tanks and snipers encircled the the complex on Friday, making movement around it impossible.

“There are 110 dead bodies in front of the hospital, some in the refrigerator which isn’t functioning, and some just in the open space in front of the emergency unit. This could become a source of disease,” he said.

Key events

There are conflicting reports still about events overnight in Tulkarm, where Israeli forces have killed several Palestinians. [See 6.09 GMT]

The Israeli army and police said their forces, sent in to detain suspected militants, came under fire and killed several Palestinian gunmen in the skirmish that followed.

An Israeli airstrike hit a group of Palestinians who shot and threw a bomb at the group, an army and police statement claimed. The Palestinian news agency Wafa said the airstrike was carried out by a drone and killed three people.

Reuters reports that there was no word of any Israeli casualties and no Palestinian armed faction said it had lost members in the incident. Medics and local media put the death toll at seven.

AFP is reporting that a journalist inside al-Shifa hospital who has been working with them has said that the stench of decomposing bodies was everywhere in the facility, but night-time fighting and airstrikes from Monday into Tuesday had been less intense than previous nights.

Rushdi Abualouf reports for the BBC from inside Gaza that he has spoken to someone inside al-Shifa hospital this morning. He writes:

He said the tense situation around the hospital remains the same, and that he heard a few explosions and exchanges of fire overnight.

He also told me tanks are surrounding the hospital from all directions and that access in and out of the hospital is impossible.

Even moving from one building to another inside the hospital compound itself is a big risk, as he described it to me.

He said people have died in the hospital because there is no electricity, no water and not enough medicine.

My colleague Patrick Wintour has flagged up a comment piece in the Wall Street Journal, in which two senior Israeli figures suggest that third-party countries should be taking Palestinians out of Gaza as refugees.

Danny Danon of Likud, former ambassador to the UN, and Ram Ben Barak of Yesh Atid, ex deputy director of the Mossad, in Wall Street Journal call for a voluntary transfer of parts of the population from the Gaza Strip to countries that agree to accept them.
They write “Even if…

— Patrick Wintour (@patrickwintour) November 14, 2023

Al Jazeera reports that al-Shifa hospital director Mohammad Abu Salmiya has said the hospital has been forced to bury 179 people, including babies and patients who died in the intensive care unit, “in a mass grave” in the complex.

The claim has not been independently verified.

Israel’s military claims in a message posted to its Telegram channel that “the IDF Aerial Defense Array intercepted a suspicious target that was identified off the coast of the city of Acre”, which is located in north-west Israel.

Another 200,000 people have fled northern Gaza since 5 November, the UN humanitarian office said on Tuesday.

AP reports that the humanitarian office, known as OCHA, says only one hospital in the north of the Gaza Strip is capable of receiving patients. All the others are no longer able to function and mostly serve as shelters from the fighting.

In all, about 1.5 million Palestinians, more than two-thirds of Gaza’s population, have fled their homes. UN-run shelters in the south are severely overcrowded, with an average of one toilet for 160 people.

Internally displaced people are seen at a temporary shelter in the southern Gaza Strip city of Khan Younis.
Internally displaced people are seen at a temporary shelter in the southern Gaza Strip city of Khan Younis. Photograph: Xinhua/Shutterstock

Mélanie Joly, Canada’s foreign minister, has said overnight that 346 Canadians and their immediate families have so far been able to leave the Gaza Strip via the Rafah border crossing into Egypt.

The Rafah border crossing is the only place Palestinians can exit the Gaza Strip that is not controlled by Israel.

In a statement Joly added that it was “not acceptable” that the UN was warning that work supporting Palestinians would end in 48 hours due to a fuel shortage. “Civilians must be protected,” she said, adding that “enough food, fuel and water must get into Gaza so that their life-saving work can continue”.

She reiterated Canada’s call for Hamas to release all the hostages it seized during its 7 October attack inside Israel’s borders.

Ben Jamal, the director of the Palestinian Solidarity Campaign in the UK, has used an appearance on Sky News to call for an immediate ceasefire in Gaza, accusing Israel of causing a “humanitarian catastrophe”.

He told viewers:

We need an immediate ceasefire. If we are going to stop the humanitarian catastrophe that Israel is causing, then we need to stop the bombing. There is an imminent threat to the hospitals. More than a third of the hospitals in Gaza are already out of commission because of attacks.

Israel has repeatedly claimed that Hamas uses hospitals as control and command centres, which the group has denied.

Israel’s military has said that it again will open a corridor for people to move south within the Gaza Strip from 9am (7am GMT) to 4pm, and will also pause hostilities for a limited period of time between 10am and 2pm “in the neighbourhoods of al-Daraj and al-Tuffah”.

The message implores residents of Gaza “Please, for your safety, join the hundreds of thousands of residents who have moved south in recent days,” adding: “Residents of Gaza, do not surrender to Hamas, which has lost control over the northern Gaza Strip area and is trying to do everything it can to prevent you from moving south and protect yourselves.”

It specifically warns Palestinians that there is heavy fighting near the beach in the south of the strip.

#عاجل يا سكان غزة، وخاصة سكان شمال القطاع أودّ إخطاركم بالرسائل التالية:

🔴 أولاً، يظل الممرّ الآمن مفتوحاً اليوم ما بين التاسعة صباحاً (09:00) والرابعة عصراً (16:00) لأغراض إنسانية عبر محور صلاح الدين باتجاه المنطقة الواقعة إلى الجنوب من وادي غزة. والرجاء، حفاظاً على سلامتكم،… pic.twitter.com/bYj5P8D4fa

— افيخاي ادرعي (@AvichayAdraee) November 14, 2023

Israel has continued to launch airstrikes on the south of the Gaza Strip, with a reported 13 people killed this morning in the city of Khan Younis.

Al Jazeera is reporting that 13 people have been killed by an Israeli airstrike in Khan Younis, which is located in the south of the Gaza Strip, and is one of the areas that Palestinians have been ordered to evacuate to by the Israeli military.

In its latest operational update on the Telegram messaging service, the Israel Defense Forces claims to have struck 200 targets in the past 24 hours. It wrote:

During ground operations, IDF troops uncovered a terror tunnel shaft located in a mosque in the Gaza Strip. Following the guidance of ground troops, IDF fighter jets and helicopters struck a terrorist cell that launched anti-tank missiles at the soldiers.

Over the past day, the Israeli air force struck 200 terror targets, including terrorist operatives, weapon production sites, anti-tank missile launchers and operational command centers.

Overnight, Israeli naval soldiers struck a military camp used by Hamas’ naval forces for training and weapons storage.

The claims have not been independently verified.

It has become increasingly difficult to contact people in Gaza, particularly in the north where Gaza City and al-Shifa hospital are located. On Monday morning, the aid group Doctors Without Borders (MDF) said they had managed to contact one doctor, an MSF surgeon, at al-Shifa by phone. He told them:

We don’t have electricity. There’s no water in the hospital.

There’s no food. People will die in a few hours without functioning ventilators. In front of the main gate, there are many bodies, there are also injured patients, we can’t bring them inside.

When we sent the ambulance to bring the patients, a few metres away, they attacked the ambulance. There are injured people around the hospital, they are looking for medical care, we can’t bring them inside.

There’s also a sniper who attacked patients, they have gunshot wounds, we operated on three of them. The situation is very bad, it is inhuman. It’s a closed area, no one knows about us.

We don’t have an internet connection, you managed to call me now, maybe you’ll try 10 times before you can reach me again. The medical team agreed to leave the hospital only if patients are evacuated first: we don’t want to leave our patients.

There are 600 inpatients, 37 babies, someone who needs an ICU, we can’t leave them. We need a guarantee that there is a safe corridor because we saw some people trying to leave Al-Shifa, they killed them, they bombed them, the sniper killed them.

🔴Update:

MSF surgeon in Al-Shifa
recorded at 8:10 AM local time on 13 November 2023#Gaza #AlShifa this morning, we were able to speak to a member of MSF staff still inside Al Shifa hospital in Gaza city.

“We don’t have electricity. There’s no water in the hospital.

— MSF International (@MSF) November 13, 2023

Israel and Hamas, and their supporters, have increasingly been waging their war online and misinformation is circulating widely. The Associated Press news agency has been looking at some of the claims and delving in to the facts behind them – here’s one such example.

CLAIM: A video shows a makeup artist applying dirt and fake blood to a young girl on a stretcher, proving that people in Gaza are faking injuries in the latest Israel-Hamas war.

THE FACTS: The video is behind-the-scenes footage from a short film made in Lebanon, and was not made to mislead people, the director confirmed to the Associated Press.

In recent weeks, social media users have repeatedly misrepresented videos to falsely accuse Palestinians of being “crisis actors” in the war, as part of a conspiracy theory dubbed “Pallywood”.

In the latest example, people are sharing a clip that begins with a child who appears to be wounded being treated on a stretcher as protesters wave Palestinian flags. As the video goes on, however, a makeup artist can be seen applying makeup to the girl to depict blood and wounds, and the child smiles at the camera.

The video was shared on multiple social media platforms including X, formerly known as Twitter, claiming it shows how Palestinians “fake injuries”.

“The Palestinians are fooling the international media and public opinion. DON’T FALL FOR IT,” reads one post on X, which garnered more than 10,000 likes. “Pallywood gets busted again.”

However, the video is actually behind-the-scenes footage of a short film. The director, Mahmoud Ramzi, first uploaded the actual film, “The Reality,” to his Instagram account on 28 October. The movie is clearly not intended to look like real footage of the conflict.

Ramzi confirmed to the Associated Press that the short film was shot in Lebanon and said it was to show the “pain that Gaza’s people endured”.

“It was not filmed to mislead people or to fabricate any truth, because what’s happening in Gaza don’t need any form of fabrication, the videos are all over the media,” Ramzi wrote in an Instagram message.

A photographer in Gaza, Belal Khaled, has taken these images of relatives mourning for those killed in an Israeli attack on the al-Sharafi family’s apartment in Khan Younis, in the southern Gaza Strip, on Monday.

Relatives of the victims of an Israeli attack on the al-Sharafi family apartment mourn in Khan Younis, Gaza on Monday.
Photograph: Belal Khaled/Anadolu/Getty Images
Relatives of the victims of an Israeli attack on the al-Sharafi family apartment mourn in Khan Younis, Gaza on Monday.
Photograph: Belal Khaled/Anadolu/Getty Images
Relatives of the victims of an Israeli attack on the al-Sharafi family apartment mourn in Khan Younis, Gaza on Monday.
Photograph: Belal Khaled/Anadolu/Getty Images
Relatives of the victims of an Israeli attack on the al-Sharafi family apartment mourn in Khan Younis, Gaza on Monday.
Photograph: Belal Khaled/Anadolu/Getty Images
Relatives of the victims of an Israeli attack on the al-Sharafi family apartment mourn in Khan Younis, Gaza on Monday.
Photograph: Anadolu Agency/Anadolu/Getty Images

Vivian Silver, a Canadian-Israeli peace activist believed to have been among the hostages taken by Hamas into Gaza on 7 October, was in fact killed in the initial attack, her family has told Canada’s CBC News.

Silver’s son Yonatan Zeigen confirmed to the broadcaster that his mother’s remains had been among those found at kibbutz Be’eri, where she lived, but had only now been identified.

Israeli-Canadian Vivian Silver, pictured here on a posted held by a protester in Jerusalem, was initially thought to have been kidnapped by Palestinian militants on 7 October.
Israeli-Canadian Vivian Silver, pictured here on a posted held by a protester in Jerusalem, was initially thought to have been kidnapped by Palestinian militants on 7 October. Photograph: Ahmad Gharabli/AFP/Getty Images

At least 120 other men, women and children were killed in the community of about 1,100 people located just kilometres from the Israel-Gaza border.

Many of the bodies found after the Hamas attack were badly burned or damaged and experts including forensic anthropologists have faced the difficult and lengthy process of trying to identify them. Some of them may never be identified, they have warned.

Five Palestinians killed in West Bank clashes, Israeli drone strike

At least three Palestinians have been killed in an Israeli drone strike in the occupied West Bank, the Palestinians’ official news agency Wafa has reported, citing a hospital in the western city of Tulkarm.

Another two Palestinians were shot dead by Israeli troops during earlier clashes at a refugee camp in the city, Reuters reports citing Wafa.

AFP reported that five men, aged 21 to 29, had been killed during an Israeli military operation in Tulkarm, also citing a hospital director. It was not immediately clear if the five dead reported by AFP were the same as those reported by Wafa and Reuters.

AFP wrote:

Witnesses reported violent confrontations in the area and a massive deployment of Israeli soldiers seeking to make arrests.

The Israeli army confirmed to AFP that an operation had taken place in the same part of the occupied West Bank, but it did not give a reason or comment on any Palestinian casualties.

On Thursday, the Palestinian health ministry said that 14 people were killed in an Israeli operation in the city of Jenin – the highest West Bank death toll from a single raid since at least 2005, according to United Nations records.

Israel has occupied the West Bank since the 1967 Arab-Israeli war and its troops regularly launch raids across the Palestinian territory.

At least 180 Palestinians and three Israelis have been killed across the West Bank since October 7, according to officials on both sides.

Relatives of Issa al-Qadi, a 66-year-old Palestinian man who was shot dead reportedly while driving his taxi during a military operation by Israeli forces on Monday at his funeral in Hebron in the occupied West Bank.
Relatives of Issa al-Qadi, a 66-year-old Palestinian man who was shot dead reportedly while driving his taxi during a military operation by Israeli forces on Monday at his funeral in Hebron in the occupied West Bank. Photograph: Hazem Bader/AFP/Getty Images

Fighting traps patients and medics in Gaza’s largest hospital

Patients and medics remain trapped in Gaza’s main hospital after days of fighting between Israeli troops and Hamas, as aid agencies warn that critically ill patients and babies are at risk of death due to lack of fuel and dwindling supplies of food and water.

Israel says Hamas’ headquarters are underneath the hospital, a charge Hamas and doctors at the facility have denied.

The Palestinian health ministry in the West Bank town of Ramallah on Monday said that at least nine patients and six children had died at al-Shifa hospital, formerly the cornerstone of Gaza’s health system, as a result of the fuel shortages and department closures after the hospital was encircled by Israeli forces.

“We have no generators as those need fuel to run. There is no food, no water, no electricity and no fuel in Shifa and we are here dealing with casualties,” Munir al-Boursh, a doctor who is also a Palestinian health ministry undersecretary, speaking from inside Dar al-Shifa hospital.

“We can’t manage this huge number of cases. If people come, we can’t do anything for them.”

Newborns taken off incubators in Gaza's Al Shifa hospital after power outage on Sunday.
Newborns taken off incubators in Gaza’s Al Shifa hospital after power outage on Sunday. Photograph: Obtained By Reuters/Reuters

He said the facility had intended to dig a mass grave until Israeli tanks and snipers encircled the the complex on Friday, making movement around it impossible.

“There are 110 dead bodies in front of the hospital, some in the refrigerator which isn’t functioning, and some just in the open space in front of the emergency unit. This could become a source of disease,” he said.

Opening summary

Hello and welcome to the Guardian’s live coverage of the Israel-Hamas war with me, Helen Livingstone.

Medics and critically injured patients in Gaza’s main hospital remain trapped with no fuel and dwindling supplies of food and water while fighting between the Israeli military and Hamas militants rages outside.

Israeli tanks have taken up positions outside al-Shifa hospital, Gaza City’s main medical centre, which Israel says sits atop tunnels housing a headquarters for Hamas fighters who are using patients as shields. Hamas denies the Israeli claim.

The situation inside the hospital has become increasingly desperate, aid agencies have said. “There is continuous shooting and bombing around,” Nidal Abuhadrous, the head of neurosurgery at al-Shifa, said in a text message sent to the organisation Medical Aid for Palestinians.

Doctors at the facility say there are also bodies decomposing outside which they are unable to bury.

Meanwhile at least three Palestinians have been killed in an Israeli drone strike in the occupied West Bank, the Palestinians’ official news agency Wafa has reported, citing a hospital in the western city of Tulkarm.

Israeli troops shot dead two other Palestinians during earlier clashes in a refugee camp in the city, Wafa reported according to Reuters.

Tensions have been escalating in the West Bank since the 7 October Hamas attack on Israel. Activists say moves to drive Palestinians and Bedouins from their land have accelerated since the attack. At least 180 Palestinians and three Israelis have been killed across the West Bank since 7 October, according to officials on both sides.

Here are the most recent developments:

  • The Israeli military has reached the gates of Gaza’s largest hospital as hundreds of patients, including dozens of babies, remained trapped inside. Thousands of people have fled al-Shifa hospital in Gaza City, but health officials said the remaining patients were dying due to energy shortages. At least 32 patients, including three premature babies, had died in the past three days, Gaza’s Hamas-run health ministry said.

  • At least 11,240 Palestinians have been killed, including 4,630 children and 3,130 women in Gaza by the Israeli military since 7 October, the health ministry said on Monday. About 1,200 Israelis have died in the conflict, most on 7 October.

  • Joe Biden has said al-Shifa “must be protected” and called for “less intrusive action” by Israeli forces. “It is my hope and expectation that there will be less intrusive action,” the US president said on Monday.

  • All of the hospitals in northern Gaza are “out of service” amid fuel shortages and intense combat, the health ministry in the besieged territory said on Monday. Two major hospitals in northern Gaza – al-Shifa and al-Quds – have closed to new patients due to Israeli airstrikes and heavy fighting around both facilities as medical staff were left without oxygen, medical supplies or fuel to power incubators.

  • The director of the UN agency for Palestinian refugees, UNRWA has warned that the group’s aid operations in Gaza will be shut down in the next 48 hours unless fuel is allowed into the besieged territory. UNRWA commissioner-general Philippe Lazzarini said the agency’s fuel depot in Gaza had run dry and would no longer be able to resupply hospitals, remove sewage and provide drinking water.

  • UNRWA said that one of its schools in northern Gaza and a building designated as a residence for UN international staff in the Rafah area were directly hit by strikes. It did not say who was responsible for the strikes. The UN agency also said it had received “extremely concerning” reports that Israeli security forces had entered one UNRWA school and two UNRWA health centres in the Gaza Strip with tanks and used them for military operations. Earlier, it said one of its buildings in Rafah had been struck by Israel’s navy. Rafah is in the south of the Gaza Strip, within the area Israel has insisted Palestinians move to.

  • Trucks transporting desperately needed aid through the Rafah crossing from Egypt could stop operations on Tuesday due to a lack of fuel. “Humanitarian ceasefire, fuel supplies – all of these should be happening now. We are running out of time before really facing major disaster,” Andrea De Domenico, the head of the UN humanitarian affairs office in the occupied Palestinian territory, told journalists on Monday.

  • Israel claims it has uncovered a Hamas operations centre beneath the Rantisi children’s hospital in Gaza City, and evidence suggesting that hostages taken on 7 October were held there. Separately, CNN reported that “a US official with knowledge of American intelligence” said that Hamas had “a command node” under the al-Shifa hospital in Gaza City.

  • At least three Palestinians have been killed and 20 others injured after an Israeli airstrike hit Bani Suheila, a town east of Khan Younis in the Gaza Strip, health officials said on Monday.

  • The armed wing of Hamas says it discussed with Qatari mediators the release up to 70 women and children hostages in Gaza in exchange for a five-day Israeli ceasefire. Israel has rejected any possibility of a ceasefire until the release of all 240 of the hostages.

  • UN workers observed a minute’s silence on Monday for the more than 100 colleagues killed in Gaza since the Israel-Hamas war began last month, marking the deadliest conflict ever for UN workers. At least 101 employees of the UNRWA have been killed since 7 October.

  • Israel’s foreign minister, Eli Cohen, has acknowledged the growing international pressure for a ceasefire. He also estimated that Israel has a “diplomatic window” of two to three weeks before pressure on the country seriously begins to increase, local media reported.

  • Indonesia’s president, Joko Widodo, has urged Joe Biden to do more to stop the “atrocities” in Gaza and help bring about a ceasefire. Widodo, the leader of the world’s most populous Muslim-majority nation, held talks with the US president on Monday at the White House.

  • The EU’s humanitarian aid chief called on Monday for “meaningful” pauses in the fighting and urgent deliveries of fuel to keep hospitals working in the territory. The EU’s 27 countries issued a statement on Sunday saying hospitals “must be protected” and condemning Hamas for using the medical facilities and civilians as “human shields”.

  • One hundred US government officials from the state department and international development agency have signed an internal memo criticising the White House for “disregarding the lives of Palestinians” and for showing an “unwillingness to de-escalate” in the Israel-Hamas war.

  • The archbishop of Canterbury has called for a ceasefire in the war between Israel and Hamas, saying the scale of civilian deaths and humanitarian catastrophe in Gaza cannot be “morally justified”.

  • The EU’s foreign policy chief Josep Borrell has set out proposals for how Gaza should be run after the war between Israel and Hamas. EU foreign ministers are also looking at a Cypriot proposal to open up a maritime corridor for urgent humanitarian aid for Gaza.

  • Tony Blair, the former British prime minister, has let it be known that he is available if needed to help in an effort to end the growing crisis in Israel and Palestine. His office, however, denied a report in the Israeli press that he had already been offered a specific job.

Reference

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