In Gaza hospital, patients cling to MSF as Israel orders it out

Palestinians transport a body after an Israeli strike, according to medics, at Nasser Hospital, in Khan Younis, in the southern Gaza Strip. (AFP)
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Updated 11 January 2026
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In Gaza hospital, patients cling to MSF as Israel orders it out

  • Last month, Israel announced it would prevent 37 aid organizations, including MSF, from operating in Gaza from March 1 for failing to provide detailed information on their Palestinian staff

KHAN YUNIS: At a hospital in Gaza, wards are filled with patients fearing they will be left without care if Doctors Without Borders (MSF) is forced out under an Israeli ban due to take effect in March.
Last month, Israel announced it would prevent 37 aid organizations, including MSF, from operating in Gaza from March 1 for failing to provide detailed information on their Palestinian staff.
“They stood by us throughout the war,” said 10-year-old Adam Asfour, his left arm pinned with metal rods after he was wounded by shrapnel in a bombing in September.
“When I heard it was possible they would stop providing services, it made me very sad,” he added from his bed at Gaza’s Nasser Hospital.
Israel’s Ministry of Diaspora Affairs and Combating Antisemitism, which oversees NGO registrations, has accused two MSF employees of links to Palestinian militant groups Hamas and Islamic Jihad, allegations MSF vehemently denies.
The ministry’s decision triggered international condemnation, with aid groups warning it would severely disrupt food and medical supplies to Gaza, where relief items are already scarce after more than two years of war.
Inside the packed Nasser Hospital in southern Gaza, one of the few medical facilities still functioning in the territory, MSF staff were still tending to children with burns, shrapnel wounds and chronic illnesses, an AFP journalist reported.
But their presence may end soon.
The prospect was unthinkable for Fayrouz Barhoum, whose grandson is being treated at the facility.
“Say bye to the lady, blow her a kiss,” she told her 18-month-old grandson, Joud, as MSF official Claire Nicolet left the room.
Joud’s head was wrapped in bandages covering burns on his cheek after boiling water spilled on him when strong winds battered the family’s makeshift shelter.
“At first his condition was very serious, but then it improved considerably,” Barhoum said.
“The scarring on his face has largely diminished. We need continuity of care,” she said.

- ‘We will continue working’ -

AFP spoke with patients and relatives at Nasser Hospital, all of whom expressed the same fear: that without MSF, there would be nowhere left to turn.
MSF says it currently provides at least 20 percent of hospital beds in Gaza and operates around 20 health centers.
In 2025 alone, it carried out more than 800,000 medical consultations and over 10,000 deliveries.
“It’s almost impossible to find an organization that will come here and be able to replace all what we are doing currently in Gaza,” Nicolet told AFP, noting that MSF not only provides medical care but also distributes drinking water to a population worn down by a prolonged war.
“So this is not really realistic.”
Since the start of the war in October 2023, triggered by Hamas’s deadly attack on southern Israel, Israeli officials and the military have repeatedly accused Hamas of using Gaza’s medical facilities as command centers.
Many have been damaged by two years of bombardments or overcrowded by casualties, while electricity, water and fuel supplies remain unreliable.
Aid groups warn that without international support, critical services such as emergency care, maternal health, and paediatric treatment could collapse entirely, leaving hundreds of thousands of residents without basic medical care.
Humanitarian sources say at least three international NGO employees whose files were rejected by Israeli authorities have already been prevented from entering Gaza through the Kerem Shalom crossing.
“For now, we will continue working as long as we can,” said Kelsie Meaden, an MSF logistics manager at Nasser Hospital, adding that constraints were already mounting.
“We can’t have any more international staff enter into Gaza, as well as supplies... we will run into shortages.”


Israeli troops kill Palestinians for crossing a vague ceasefire line that’s sometimes unmarked

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Israeli troops kill Palestinians for crossing a vague ceasefire line that’s sometimes unmarked

  • Israeli soldiers direct near-daily fire at anyone who crosses or even lingers near it
  • The yellow line is still unmarked in certain places
CAIRO: A dividing line, at times invisible, can mean life or death for Palestinians in Gaza.
Those sheltering near the territory’s “yellow line” that the Israeli military withdrew to as part of the October ceasefire say they live in fear as Israeli soldiers direct near-daily fire at anyone who crosses or even lingers near it.
Of the 447 Palestinians killed between the ceasefire taking effect and Tuesday, at least 77 were killed by Israeli gunfire near the line, including 62 who crossed it, according to the Gaza Health Ministry. Among them were teenagers and young children, The Associated Press found.
And although the military has placed some yellow barrels and concrete barriers delineating the limits of the Palestinian zone, the line is still unmarked in certain places and in others was laid nearly half a kilometer deeper than what was agreed to in the ceasefire deal, expanding the part of Gaza that Israel controls, according to Palestinians and mapping experts.
“We stay away from the barrels. No one dares to get close” said Gaza City resident Ahmed Abu Jahal, noting that the markers are less than 100 meters from his house — instead of the roughly 500 meters outlined in a map put out by the Israeli military.
As of Tuesday, the military had acknowledged killing 57 people around the yellow line, saying most were militants. It said its troops are complying with the rules of engagement in order to counter militant groups, and are informing Palestinians of the line’s location and marking it on the ground to “reduce friction and prevent misunderstandings.”
Easy to get lost
Under the ceasefire, Israel withdrew its troops to a buffer zone that is up to 7 kilometers deep and includes most of Gaza’s arable land, its elevated points and all of its border crossings. That hems more than 2 million Palestinians into a strip along the coastline and central Gaza.
People of all ages, some already dead, have been showing up almost daily at the emergency room of Gaza City’s Al-Ahli hospital with bullet wounds from straying near the line, said hospital director Fadel Naeem.
Amid the vast destruction in Gaza, the demarcation line often isn’t easy to detect, Naeem said. He recounted picking his way through undamaged paths during a recent visit to the southern city of Khan Younis. He didn’t notice he was almost across the line until locals shouted at him to turn back, he said.
The Israeli military said most of the people it has killed crossing the line posed a threat to its troops. According to a military official who spoke on the condition of anonymity in line with military rules, troops issue audible warnings and then fire warning shots whenever someone crosses the line. Many civilians retreat when warning shots are fired, though some have been killed, the official acknowledged.
Killed while playing near the line
Zaher Shamia, 17, lived with his grandfather in a tent 300 meters from the line in northern Gaza’s Jabaliya refugee camp. On Dec. 10, he was playing with his cousin and some friends near the line, according to video he took before his death.
Suddenly, shots rang out and the video stopped. Soldiers approaching the line with an armored bulldozer had fired on the teens, hitting Zaher, said a witness.
A neighbor eventually found Zaher’s body, which had been crushed by the bulldozer, said Zaher’s grandfather, Kamal Al-Beih: “We only recognized him from his head.”
Two doctors, Mohamed Abu Selmiya and Rami Mhanna, confirmed that the teen had been killed by gunshots and then run over by a bulldozer. The military official said he was aware that Shamia was a civilian and that the military was looking into it.
Maram Atta said that on Dec. 7, her 3-year-old daughter, Ahed Al-Bayouk, was playing with siblings outside of their tent, which was near the yellow line along Gaza’s southern coast. Atta was preparing lentils when she heard aircraft overhead, then shots.
A stray projectile whizzed close to her and struck Ahed, who was dead before they reached the clinic.
“I lost my daughter to what they keep calling a ‘ceasefire’” said Atta, crying. “What ceasefire are they talking about?”
A military official denied the killing.
Deadly ambiguity
The line’s exact location is ambiguous, differing on maps put out by the Israeli military and the White House.
Neither matches the line troops appear to be marking on the ground, according to Palestinians and geolocation specialists.
Chris Osiek, an open source intelligence analyst and consultant, has geolocated a number of yellow blocks based on social media videos. He found at least four urban areas where troops set the blocks several hundred meters deeper into Gaza than the military map-specified yellow line.
“This is basically what you get when you simply let Trump make an image and post it on Truth Social and let the IDF make their own,” he said, using the acronym for the military. “If it’s not a proper system, with coordinates that make it easy for people to navigate where it is, then you leave the ambiguity free for the IDF to interpret the yellow line how they basically want.”
The military official dismissed such criticism, saying any deviations from the map amount to just a few meters. But to Palestinians hemmed in by widespread destruction and displacement, every few meters lost is another house that can’t be sheltered in — another they doubt will ever be returned.
‘The line is getting very close’
Under the ceasefire, Israeli forces are only supposed to remain at the yellow line until a fuller withdrawal, though the agreement doesn’t give a timeline for that. With the next steps in the deal lagging and troops digging into positions on the Israeli side, though, Palestinians wonder if they are witnessing a permanent land takeover.
In December, Israel’s defense minister described the yellow line as “a new border line — serving as a forward defensive line for our communities and a line of operational activity.”
The military has continued leveling buildings inside the Israeli-held zone, turning already damaged neighborhoods to moonscapes. Almost all of the city of Rafah, on Gaza’s border with Egypt, has been razed over the past year. The army says this is necessary to destroy tunnels and prepare the area for reconstruction.
In some places, demolitions since the ceasefire have encroached beyond the official yellow line. Since November, troops have leveled a swath of Gaza City’s Tuffah neighborhood extending some 300 meters outside the Israeli-held zone, according to Oct. 14 and Dec. 18 satellite photos provided by Planet Labs.
Abu Jahal moved back to his damaged house in Tuffah at the ceasefire’s start. He said he frequently saw new yellow barrels appear and the military forcing out anyone living on its side of the markers.
On Jan. 7, Israeli fire hit a house near him, and the residents had to evacuate, he said. Abu Jahal said his family — including his wife, their child, and seven other relatives — may also have to leave soon.
“The line is getting very close,” he said.