Patients, staff and displaced leave on foot as Israel orders Gaza’s Al-Shifa hospital evacuated

Tents and shelters used by displaced Palestinians stand at the yard of Al Shifa hospital during the Israeli ground operation around the hospital, in Gaza City. (REUTERS/File)
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Updated 18 November 2023
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Patients, staff and displaced leave on foot as Israel orders Gaza’s Al-Shifa hospital evacuated

  • At least 450 patients who were unable to move continue to stay at Al-Shifa Hospital
  • Israel says Hamas operates a base underneath Al-Shifa, a charge the group denies

GAZA CITY: Hundreds of people fled on foot Saturday after Israel’s army ordered the evacuation of Gaza’s main hospital where more than 2,000 patients, medics and displaced people were trapped by the war between Israel and Hamas.

An AFP journalist witnessed the movement, on a road leading south, but health officials in the Hamas-ruled territory said 450 patients unable to be moved remained at Al-Shifa hospital. The facility has become the focus of the war that is entering its seventh week after Hamas’s October 7 attacks on southern Israel.
Israel has been pressing military operations inside the hospital, searching for the Hamas operations center it says lies under the sprawling complex — a charge Hamas denies.
Israel has vowed to destroy Hamas in response to the October 7 attacks which Israeli officials say killed about 1,200 people, most of them civilians, and saw about 240 people taken hostage.
The army’s air and ground campaign has since killed 12,000 people, including 5,000 children, according to the Hamas government which has ruled Gaza since 2007.
In Gaza City on Saturday morning, Israeli troops ordered over loudspeakers the evacuation of the Al-Shifa hospital “in the next hour,” an AFP journalist at the scene reported.
They called the hospital’s director, Mohammed Abu Salmiya, to instruct him to ensure “the evacuation of patients, wounded, the displaced and medical staff, and that they should move on foot toward the seafront,” he told AFP.
Israel has come under mounting pressure to back up its allegations that Hamas is using hospitals as command centers, a charge denied by Hamas, an Islamist movement with an armed wing. Al-Shifa hospital has also rejected the allegation.

The United Nations estimated 2,300 patients, staff and displaced Palestinians were sheltering at Al-Shifa before Israeli troops entered the facility on Wednesday.

Evacuation order

Israel has told Palestinians to move from the north of Gaza for their safety, but deadly air strikes continue to hit central and southern areas of the narrow coastal territory.
“They said the south was safer, so we moved,” Azhar Al-Rifi told AFP.
But her family was caught in another strike that killed seven relatives, including her five-year-old nephew.
Nada Abu Hiya, aged eight, said she suffered the third bombing of the war at the Nuseirat refugee camp on Friday.
“There are bombings everywhere,” she said. “My grandmother is dead, my mother is dead, my grandfather is dead, my uncle is dead, they destroyed our house. Our neighbors’ house is also destroyed and they are all dead.”
Israel has imposed a siege on Gaza, allowing just a trickle of aid in from Egypt but barring most shipments of fuel over concerns Hamas could divert supplies for military purposes.
A first consignment of fuel entered Gaza after Israel’s war cabinet bowed to pressure from its ally the United States and agreed to allow two diesel tankers a day into the Palestinian territory.
“We took that decision to prevent the spread of epidemics,” Israel’s national security adviser Tzachi Hanegbi said.

Fuel shortage

A two-day blackout caused by fuel shortages ended after a first delivery arrived from Egypt late Friday, but UN officials continued to plead for a ceasefire, warning no part of Gaza is safe.
A senior US official said Washington had exerted huge pressure on Israel for weeks to allow fuel in.
The UN agency for Palestinian refugees (UNRWA) said 70 percent of residents have no access to clean water in south Gaza, where raw sewage has begun to flow on the streets.
Under the deal, 140,000 liters (37,000 gallons) of fuel would be allowed in every 48 hours, of which 20,000 liters will be earmarked for generators to restore the phone network, the US official said.
A communications blackout hampered aid deliveries, UNRWA said. Humanitarian chief Martin Griffiths told the UN General Assembly that fuel supplies to the agency so far were “a fraction of what is needed to meet the minimum of our humanitarian responsibilities.”
The Hamas health ministry said 24 patients had died in 48 hours due to the lack of fuel for generators.
In the latest bloodshed, a strike on a residential building in the southern city of Hamad killed 26 people, the director of the Nasser hospital in Khan Yunis said.
“I was asleep and we were surprised by the strike. At least 20 bombs were dropped,” Imed Al-Mubasher, 45, told AFP.
His wife Sabrin Mussa said: “All of a sudden, the house caught fire. I found myself with gravel in my mouth and I immediately looked for my husband and daughters.
“I saw human remains everywhere,” and screamed for help, she said.
The Israeli military has yet to respond to a request for comment.

Targeting hospitals

Israel has come under scrutiny for targeting hospitals in northern Gaza, but says the facilities are being used by Hamas — a claim rejected by the group and medical staff.
The military says it has found rifles, ammunition, explosives and the entrance to a tunnel shaft at the hospital complex, claims that cannot be independently verified.
Israeli Prime Minister Benjamin Netanyahu has said, without providing details, that there were “strong indications” hostages may have been held at the Shifa facility.
Israel has not recovered hostages at the hospital but said it found the bodies of two kidnapped women not far away.
The remains of kidnapped woman soldier Noa Marciano, 19, were found at “a structure adjacent to Al-Shifa hospital” on Friday, a day after the body of 65-year-old Yehudit Weiss was recovered.
Those held hostage range from infants to octogenarians, and there has been little information on their fate despite ongoing negotiations mediated by Qatar and Egypt to secure releases.
In Gaza, more than 1.5 million people have been internally displaced, and Israel’s blockade has left civilians facing the “immediate possibility of starvation,” according to World Food Programme head Cindy McCain.
More than half of Gaza’s hospitals are no longer functional due to combat, damage or shortages, and people are waiting four to six hours for half the normal portion of bread.


Palestinians attempt to use Gaza’s Rafah Border crossing amidst delays

Updated 58 min 22 sec ago
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Palestinians attempt to use Gaza’s Rafah Border crossing amidst delays

  • The Rafah Crossing opened to a few Palestinians in each direction last week, after Israel retrieved the body of the last hostage held in Gaza and several American officials visited Israel to press for the opening

CAIRO: Palestinians on both sides of the crossing between Gaza and Egypt, which opened last week for the first time since 2024, were making their way to the border on Sunday in hopes of crossing, one of the main requirements for the US-backed ceasefire. The opening comes as Prime Minister Benjamin Netanyahu is expected to travel to Washington this week, though the major subject of discussion will be Iran, his office said.
The Rafah Crossing opened to a few Palestinians in each direction last week, after Israel retrieved the body of the last hostage held in Gaza and several American officials visited Israel to press for the opening. Over the first four days of the crossing’s opening, just 36 Palestinians requiring medical care were allowed to leave for Egypt, plus 62 companions, according to United Nations data.
Palestinian officials say nearly 20,000 people in Gaza are seeking to leave for medical care that they say is not available in the war-shattered territory. The few who have succeeded in crossing described delays and allegations of mistreatment by Israeli forces and other groups involved in the crossing, including and an Israeli-backed Palestinian armed group, Abu Shabab.
A group of Palestinian patients and wounded gathered Sunday morning in the courtyard of a Red Crescent hospital in Gaza’s southern city of Khan Younis, before making their way to the Rafah crossing with Egypt for treatment abroad, family members told The Associated Press.
Amjad Abu Jedian, who was injured in the war, was scheduled to leave Gaza for medical treatment on the first day of the crossing’s reopening, but only five patients were allowed to travel that day, his mother, Raja Abu Jedian, said. Abu Jedian was shot by an Israeli sniper while he was building traditional bathrooms in the central Bureij refugee camp in July 2024, she said.
On Saturday, his family received a call from the World Health Organization notifying them that he is included in the group that will travel on Sunday, she said.
“We want them to take care of the patients (during their evacuation),” she said. “We want the Israeli military not to burden them.”
The Israeli defense branch that oversees the operation of the crossing did not immediately confirm the opening.
A group of Palestinians also arrived Sunday morning at the Egyptian side of the Rafah crossing border to return to the Gaza Strip, Egypt’s state-run Al-Qahera News satellite television reported.
Palestinians who returned to Gaza in the first few days of the crossing’s operation described hours of delays and invasive searches by Israeli authorities and an Israeli-backed Palestinian armed group, Abu Shabab. A European Union mission and Palestinian officials run the border crossing, and Israel has its screening facility some distance away.
The crossing was reopened on Feb. 2 as part of a fragile ceasefire deal that stopped the war between Israel and Hamas. Amid confusion around the reopening, the Rafah crossing was closed Friday and Saturday.
The Rafah crossing, an essential lifeline for Palestinians in Gaza, was the only crossing not controlled by Israel prior to the war. Israel seized the Palestinian side of Rafah in May 2024, though traffic through the crossing was heavily restricted even before that.
Restrictions negotiated by Israeli, Egyptian, Palestinian and international officials meant that only 50 people would be allowed to return to Gaza each day and 50 medical patients — along with two companions for each — would be allowed to leave, but far fewer people than expected have crossed in both directions.