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

A child walks along the coastal highway with other displaced Palestinians fleeing from the area in the vicinity of Gaza City’s Al-Shifa hospital. (AFP)
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Updated 19 March 2024
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Heavy fighting rages around Gaza’s biggest hospital as Israel raids it for a second day

  • The raid was a new blow to the Shifa medical complex
  • Thousands of Palestinian patients, medical staff and displaced people were trapped inside the sprawling complex Tuesday, as heavy fighting between troops and Hamas fighters raged

RAFAH, Gaza Strip: 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 Tuesday, as heavy fighting between troops and Hamas fighters raged in nearby districts. Details were scarce, with communications from inside the hospital nearly impossible.
“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 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 percent of 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.
A day earlier, in their first phone call in a month, US President Joe Biden urged 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. UN officials have warned of a massive death toll and the potential collapse of the humanitarian aid effort if troops moved into Rafah.
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 US 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.
NEW SHIFA SIEGE
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 troops on Monday killed 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, said Mahmoud Bassal, civil defense spokesperson.
Kareem Al-Shawwa, a Palestinian living about a kilometer 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 caught in the fighting to leave their home.
“Either we’re forced to evacuate and they (Israeli soldiers) will detain men, or we’ll die,” he said, referring to the military’s mass roundups of men from among people evacuating.
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 ceasefire last year.


ICRC officials to meet UK Foreign Office over plan for Palestinian detainees

Updated 6 sec ago
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ICRC officials to meet UK Foreign Office over plan for Palestinian detainees

  • David Cameron reportedly negotiated deal with Israel’s government to allow two British legal observers and Israeli judge to visit some prisoners

LONDON: Officials from the International Committee of the Red Cross will hold talks with the UK Foreign Office over concerns about British plans to visit Palestinian detainees in Israeli jails.

Foreign Secretary David Cameron has reportedly negotiated a deal with Israel’s government to allow two British legal observers and an Israeli judge to visit some prisoners being held in Israeli prisons amid reports of “inhumane treatment,” The Guardian reported on Thursday.

In an interview with the BBC at the weekend, Cameron said he had spoken to Israeli Prime Minister Benjamin Netanyahu about the issue.

“It’s not all bleak ... I said it (the lack of access to detainees) was not good enough, that we needed to have a proper independent system for inspecting and regulating, and the Israelis have announced they are now doing that,” he said.

Netanyahu’s government has blocked ICRC staff from having any access to Palestinian detainees since the Hamas-led attack on Oct. 7. It has said the block will remain until Hamas allows access to Israeli hostages taken during the attack.

Critics say this stance could constitute a breach of the Geneva Conventions, with the ICRC having made repeated requests to both sides in the conflict to allow access to all those detained, as set out in the conventions.

Observers have also raised concerns that the UK plan will “weaken the rule of law” and could set a “dangerous precedent” for how detainees are treated in other conflict zones, The Guardian report added.

The ICRC’s director for the Middle East region, Fabrizio Carboni, is in London to hold talks with Foreign Office officials.

In a statement to The Guardian, the aid organization said Palestinian detainees must be treated as protected persons with access to the ICRC, as proscribed under the Geneva rules.

The statement added: “We have seen the reports of a government of Israel decision to allow observers to visit some places of detention. The ICRC remains hopeful that suitable steps are taken that could protect the health and welfare of detainees, which remains paramount. We reiterate our readiness to resume our mandated detention activities.”

Arab News columnist and director of the Council for Arab-British Understanding, Chris Doyle, said the Foreign Office plan risked establishing a system that bypassed the ICRC and internationally accepted regulations.

“There is no transparency about Cameron’s alternative … I very much doubt that two Foreign Office-appointed lawyers in the company of a judge from the occupying power are going to have the expertise of the ICRC, but will instead be taken around sanitised prisons,” he said.

“What has happened to the thousands of Palestinians taken from Gaza to Israel is a huge issue. (Neither) we nor their families know where they are, whether they are combatants or children, or why in some cases they are being stripped to their underpants. We have heard nothing from the UK government about this,” he added.

During a week-long truce between Hamas and Israeli forces in November, the ICRC played an active role in facilitating the swap of 105 Israeli hostages held by Hamas and 240 Palestinian prisoners from Israeli jails.


Residents cower as fighting picks up in Sudan’s Al-Fashir

Updated 21 min 47 sec ago
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Residents cower as fighting picks up in Sudan’s Al-Fashir

CAIRO/DUBAI: Residents are fleeing missile fire and sheltering without food and water amid escalating fighting in the Sudanese city of Al-Fashir, witnesses and aid workers said, adding to fears of an all-out battle.
The city is the Sudanese army’s last stronghold in the western Darfur region. Its capture would be a major boost for the rival Rapid Support Forces (RSF) as regional and international powers try to push the sides to negotiate an end to a 13-month war.
Locals and aid workers fear the clashes could also lead to a new round of bloodletting after ethnically-driven violence blamed on the RSF and its allies elsewhere in Darfur last year.
Many of Al-Fashir’s 1.6 million residents arrived during the violence between Arabs and non-Arabs that killed hundreds of thousands of people in the early-2000s. The RSF’s origins lie in the Arab janjaweed militias accused of ethnic cleansing and genocide then.
In recent weeks the RSF has almost surrounded Al-Fashir, capital of North Darfur state, while soldiers from the army and allied non-Arab armed groups fill the city.
In a sign of mounting ethnic tensions, Mini Minnawi, head of one of the groups, said on X he had made a wide call for fighters to come and defend Al-Fashir, in response to what he said was a similar call by the RSF.
Al-Fashir residents report snipers, stray missiles and army air strikes causing fires in the east and north of the city. Many civilians have taken up arms.
“The situation in the city has been difficult the past few days. Missiles from both sides are falling inside neighborhoods and homes, and getting to hospitals is dangerous,” said 38-year-old resident Hussein Adam.
Medical aid agency MSF said on Thursday that the city’s South Hospital had seen 489 casualties since May 10, including 64 deaths, though it said the real toll was far higher.
Another hospital it supports, which saw 27 people killed last weekend, was forced to shut down after an army air strike 50 meters away, MSF said.
The RSF and army blame each other for the violence.
On Wednesday, the United States imposed sanctions on two top RSF commanders, including the force’s head of operations, for the attacks on Al-Fashir.
“We are prepared to take further action against those who actively escalate this war – including any offensive actions on El Fasher – create barriers to humanitarian access, or commit atrocities,” US ambassador to the United Nations Linda Thomas-Greenfield posted on X.
Experts have raised warnings of impending famine in the displacement camps that dot Al-Fashir. The city also suffers from water shortages, network outages, and high prices.
In one of those camps, Abu Shouk in the north of the city, nine people were killed by stray missiles, camp leaders said on Sunday.
Residents say displaced people from eastern neighborhoods are sheltering under trees and in open squares.
“Most families have moved west, women and children with nothing to eat or drink,” said resident Mohamed Jamal, a volunteer with the local emergency response room.
The army has so far insisted that international aid delivered via Chad for other parts of Darfur pass through Al-Fashir, something that the escalating violence prevents.
Carl Skau, Chief Operating Officer of the World Food Programme, said the agency had trucks ready in the Chadian border town of Tina, but they needed to be able to move soon.
“The window is closing, the rains are coming and we need action in the next couple of weeks,” he told Reuters after a trip to Port Sudan where he tried to negotiate with the army for better access this week.
The UN’s World Food Programme expects more people are being driven to the brink of starvation in other parts of Sudan worst affected by the war including the capital Khartoum, El Gezira state and the Kordofan regions.
“We really need to step up a concerted effort to avoid an even worse catastrophe,” Skau said.


US military says aid pier anchored to Gaza beach

Updated 24 min 46 sec ago
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US military says aid pier anchored to Gaza beach

  • The US Central Command said the pier was “successfully affixed to the beach in Gaza” with around 500 tons of aid expected to enter the Palestinian territory in the coming days
  • “It’s a pretty substantial amount, and it’s spread out over multiple ships right now,” Vice Admiral Brad Cooper, deputy CENTCOM commander, told reporters

JERUSALEM: US troops on Thursday anchored a long-awaited temporary pier aimed at ramping up emergency aid to a beach in the war-ravaged Gaza Strip, the US military and Israel said.
The US Central Command said the pier was “successfully affixed to the beach in Gaza” with around 500 tons of aid expected to enter the Palestinian territory in the coming days.
“It’s a pretty substantial amount, and it’s spread out over multiple ships right now,” Vice Admiral Brad Cooper, deputy CENTCOM commander, told reporters in Washington.
Israel’s military also said in a statement that the connection was “successfully completed.”
But Farhan Haq, a spokesman for UN Secretary-General Antonio Guterres, said negotiations remained ongoing on distribution of the aid — particularly on the safety of workers.
“We are finalizing our operational plans to make sure that we’re ready to handle it once the floating dock is properly functioning, while ensuring the safety of our staff,” he said.
The Gaza war has been devastating for aid workers. The UN agency for Palestinian refugees, UNRWA, which Israel accuses of bias, has alone lost 188 Gaza staff, according to UN figures.
Asked about the concerns, State Department spokesman Vedant Patel said the United States was working with the United Nations on practicalities but added: “From our point of view, we believe that this is ready to go and for aid to start flowing as soon as possible.”
US President Joe Biden announced the emergency pier in March to address the humanitarian crisis in Gaza, where the United Nations has warned of famine with virtually the entire population of 2.4 million displaced by the Israeli military action in response to the October 7 Hamas attack.
Built at a cost of at least $320 million, the project is extraordinary in that such massive humanitarian efforts by the United States are usually in response to actions by hostile countries, not a US ally.
The humanitarian assistance is being screened in Cyprus and loaded by truck. Once on land, it will “move quickly,” being offloaded from the coast into Gaza within hours, Cooper said, adding that “thousands of tons of aid are in the pipeline.”
He said that around 1,000 US soldiers and sailors were involved in the operation but that they would not take part in delivery, which will be led by the UN.
The war began after Hamas’s October 7 attack on southern Israel, which resulted in the deaths of more than 1,170 people, mostly civilians, according to an AFP tally of Israeli official figures.
Israel’s military retaliation has killed at least 35,272 people, also mostly civilians, according to the health ministry in the Hamas-run Gaza Strip.
The UN has argued that opening up land crossing points and allowing more trucks convoys into Gaza is the only way to stem the spiralling humanitarian crisis.
But the primary crossing into Gaza, on the territory’s border with Egypt, has been closed for days.
Israeli troops took over the Palestinian side of the crossing last week as the military threatened a wider assault on the southern city, defying warnings from the United States and others over the fate of some 1.4 million civilians who had been sheltering there.
“Of course we’re thankful to the US for all the work they’ve done in creating the floating dock. However, getting aid to people in need into and across Gaza cannot and should not depend on a floating dock far from where needs are most acute,” Haq said.
Cyprus, the Mediterranean island nation that is the departure point for aid on the planned maritime corridor, said US ship James A. Loux left Wednesday, carrying relief supplies and technical equipment.
Government spokesman Konstantinos Letymbiotis said that “new departures are expected, transporting humanitarian aid including food items, medical supplies, hygiene and temporary shelter.”
Britain, meanwhile, said its initial contribution of nearly 100 tons of “shelter coverage kits” figured in the first shipment.
The pier will begin with facilitating the delivery of around 90 truckloads of international aid into Gaza each day, before volumes are scaled up to 150 truckloads daily, a British statement said.


‘Our supplies will not last,’ warns doctor at trauma center

Updated 31 min 42 sec ago
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‘Our supplies will not last,’ warns doctor at trauma center

JERUSALEM: At a field hospital that has become one of Gaza’s leading trauma centers, a doctor who has worked in a dozen war zones described the situation as the most “catastrophic” he had ever seen.
“It is devastating,” said Javed Ali, the head of International Medical Corps’ emergency response in Gaza.
Speaking this week from a field hospital northwest of the areas of Rafah ordered evacuated by Israel, he said the situation around the far southern city was “dire.”
The hospital, in the coastal area of Al-Mawasi, which Israel has designated a “humanitarian zone,” has swelled in a matter of months into a more than 150-bed facility made up of numerous white tents and shipping containers.
Since the first evacuation orders for Rafah were issued on May 6, ahead of a long-feared ground invasion of the southernmost part of Gaza, nearly half of the 1.4 million people who had been sheltering there have left, according to UN agencies.
“There has been a massive population movement,” Ali said, adding that most had avoided Al-Mawasi, which was already dramatically overcrowded, heading instead for the war-scarred city of Khan Younis, a battleground until last month.
Those arriving were “exhausted, they are scared, they don’t have resources,” Ali said, adding that many patients were asking for “money, support ... so they can move their families to safety.”
Gaza’s bloodiest war began with Hamas’s unprecedented Oct. 7 attack on Israel.
Israel’s retaliatory offensive has killed more than 35,000 people in Gaza, mostly civilians, according to the territory’s Health Ministry.
While the number of people sheltering in Al-Mawasi’s sea of tents may not have grown much in recent weeks, the pressure on the field hospital there certainly has.
With access to hospitals in Rafah largely cut off, the facility has seen the number of daily visits to its emergency department balloon from around 110 to close to 300, Ali said, describing “polytrauma cases with broken bones in every part of the body.”
The situation has been exacerbated by last week’s temporary closure of two major aid crossings into Rafah, which disrupted the supply of medicines and fuel for hospital generators.
Ali said the field hospital “saw this coming” and prepared surplus stocks but had not predicted the surging number of patients.
“It’s getting totally out of hand,” he said. “Our supplies will not last.”
He said the field hospital already saw shortages of “very critical items.”
It had, for instance, run out of “all pediatric formulations of antibiotics and painkillers” at a time when around 20 children were recovering from surgery.
Ali said the biggest worry was “space,” with major surgeries doubling from the previous average of around 25 a day.
There has also been a dramatic rise in the workload of the maternity ward, which has gone from around 10 deliveries a day to about 25, along with up to eight C-sections.
With expectant mothers unable to access the specialist maternity hospital in Rafah, there has also been a “massive increase in the number of complicated pregnancies,” he said.
Ali, who during a 15-year career has worked in war zones from Afghanistan and Sudan to Nigeria and Ukraine, said the situation in Gaza was “far more catastrophic.”
“The immense number of trauma cases, the lack of resources, the interrupted supply chain ... It’s something that I’ve never seen.”
In most wars, men account for the majority of gunshot and shrapnel wounds, but in Gaza the number of women and children injured “is very, very high,” Ali said, describing young children “with shattered limbs.”
With only a third of Gaza’s 36 pre-war hospitals even partially functional, according to the UN, and with displaced people often stuck far from health facilities “access has become extremely compromised.”
Ali said the field hospital in Al-Mawasi has grown to be the “main trauma referral center” in southern Gaza, “and we are working in a tent.”


US destroys 4 Houthi drones in Yemen

Updated 57 min 51 sec ago
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US destroys 4 Houthi drones in Yemen

  • CENTCOM: These actions are taken to protect freedom of navigation and make international waters safer and more secure for US, coalition, and merchant vessels
  • Prime minister accuses militia of trying to bankrupt the government by attacking oil terminals

AL-MUKALLA: The US Central Command said on Thursday morning, Yemen time, that its forces had destroyed four drones in an area controlled by the Houthi militia, thwarting a strike on ships in international commercial waterways.

“These actions are taken to protect freedom of navigation and make international waters safer and more secure for US, coalition, and merchant vessels,” CENTCOM said in a statement.

This is the latest round of US military operations against sites in Yemen under Houthi control to pre-emptively destroy drones and missiles before they can be used against commercial and navy ships in the Red Sea, Bab Al-Mandab Strait and Gulf of Aden.

The CENTCOM announcement came as Houthi officials reaffirmed their warnings to expand their assaults on ships if Israel did not halt its war in the Gaza Strip. 

Mahdi Al-Mashat, leader of the militia’s Supreme Political Council, said that they will launch attacks on ships during the fourth phase of their campaign in support of Palestine, which involves targeting ships in the Mediterranean until Israel ends the war and the blockade of Gaza.

“We have decisive, bold, and difficult choices if the aggression against our people in Gaza continues,” Al-Mashat said, according to the Houthi-run Saba news agency.

The militia’s leader, Abdul Malik Al-Houthi, said on Thursday that his forces had fired 211 missiles at Israel and carried out more than 100 attacks on US warships in the Red Sea since the start of their campaign in November.

He urged Iraqis to join them in their operations to support the Palestinian people.

“Companies that transport goods to the Israeli enemy will have their ships attacked anywhere within reach of the Yemeni army's capabilities,” Al-Houthi said. 

Since November, the Houthis have destroyed one commercial ship, captured another, and launched hundreds of ballistic missiles and drones at commercial ships and warships along international shipping lanes near Yemen, mostly in the Red Sea.

The Houthis say the attacks are intended to compel Israel to halt its blockade of Gaza, and have targeted US and UK ships because both countries attacked Yemen.

Yemeni government officials accuse the Houthis of leveraging Yemen’s widespread anger over Israel’s war in Gaza to shore up their dwindling popular support, recruit new fighters, and justify continuing military operations throughout Yemen. 

Speaking to leaders at the Arab summit in Bahrain on Thursday, Rashad Al-Alimi, head of Yemen’s internationally recognized Presidential Leadership Council, branded the Houthis as a “rogue” force that poses a significant danger to regional and international security.

He accused the Houthis of killing more than 500,000 Yemenis, displacing four million more, torching hundreds of homes and mosques, besieging towns, seizing Yemeni property, and generating the world’s greatest humanitarian catastrophe.

“The Yemen war, which was instigated a decade ago by Iran-backed militia, will continue to be one of the biggest challenges to Arab nations and their people’s interests,” Al-Alimi said.

At the same time, Yemen’s Prime Minister Ahmed Awadh bin Mubarak accused the Houthis of attempting to bankrupt his government by attacking oil terminals in the government-controlled provinces of Hadramout and Shabwa, preventing traders from importing goods through Aden ports, while banning the import of gas from the central city of Marib. 

He said that the Houthis’ efforts, which he described as an economic war, had cost the Yemeni government 3.3 trillion Yemeni riyals ($13.2 billion) in lost income since October 2022. 

“The Houthis are using all of their cards, including the economic war, to accomplish political goals,” bin Mubarak said in an interview with the national TV on Wednesday.