Hundreds of people stranded in Gaza's biggest hospital were enduring "inhuman" conditions on Monday while heavy fighting raged around them, a doctor said as the Hamas-run health ministry reported a rising patient death toll.
Israel argues its Hamas enemies built their military headquarters under the Al-Shifa hospital complex -- a charge Hamas denies -- while UN agencies and doctors in the facility warned a lack of generator fuel was claiming lives, including infants.
Witnesses reported intense air strikes, with tanks and armoured vehicles just meters from the gate of the sprawling Al-Shifa compound at the heart of Gaza City, now an urban war zone.
"The situation is very bad, it is inhuman," a surgeon with Doctors Without Borders (MSF), the medical charity group, wrote on social media.
"We don't have electricity. There's no water in the hospital," added the doctor, who was not named.
The Hamas government's deputy health minister Youssef Abu Rish said the death toll inside Al-Shifa rose to 27 adult intensive care patients and seven babies since the weekend as the facility suffered fuel shortages.
Gaza has been reliant on generators for more than a month after Israel cut off power supplies following the October 7 attack and the besieged territory's only power plant ran out of fuel.
A lack of fuel was also hitting the UN agency for Palestinian refugees UNRWA. The group's Gaza chief Thomas White said operations "will grind to a halt in the next 48 hours as no fuel is allowed to enter" the territory.
The World Health Organization in the Palestinian territories said early Monday that at least 2,300 people -- patients, health workers and people fleeing fighting -- were inside the crippled Al-Shifa facility.
MUST READ: Gaza's deputy Health Minister Youssef Abu Rish from Al Shifa Hospital:
— Suribelle (@Syribelle) November 13, 2023
We have repeatedly called for the need to secure our patients during evacuation
Patients are forced to leave despite their injuries
We have become unable to count the numbers of…
The Israeli army pushed on with their campaign, determined to destroy the movement whose gunmen it says killed at least 1,200 people, mostly civilians, and took about 240 hostages in the country's worst ever attack when they stormed across the militarised border from Gaza.
Israel said 44 of its troops have been killed in its Gaza ground operation.
But Israel is facing intense international pressure to minimise civilian suffering amid its massive air and ground operations that Hamas authorities say have killed 11,180 people, including 4,609 children.
Israel's top diplomat, as quoted by his spokesman, said the nation has "two or three weeks until international pressure really steps up."
Foreign Minister Eli Cohen added that Israel is working to "broaden the window of legitimacy, and the fighting will carry on for as long as necessary."
Fear of regional conflict
The Israel Defense Forces on Monday reported more heavy fighting and again stressed its claim that Hamas was hiding in civilian infrastructure.
"IDF troops are continuing to conduct raids... targeting terrorist infrastructure located in central governmental institutions in the heart of the civilian population, including schools, universities, mosques and residences of terrorists," it said.
Teams of Israeli troops ran between jagged ruins in Gaza while air strikes shown on grainy military-released video shattered buildings.
Israel's Prime Minister Benjamin Netanyahu has said Hamas must first release the hostages before any ceasefire would be considered, but he told US media on Sunday that "there could be" a potential deal.
Israelis are stunned by the October 7 attack and worried for the fate of the captives, whose families plan to deliver a letter at the UN headquarters in Jerusalem seeking action.
The war in Gaza has also spurred concerns of a wider regional conflict.
At least eight pro-Iran fighters were killed in US strikes on eastern Syria, a war monitor said, in response to attacks on American forces.
It was the third time in less than three weeks that the US military has targeted locations in Syria, amid a spike in attacks on American forces in the Middle East linked to the Israel-Hamas war.
International concern
International attention has focused on the plight of Palestinians, and protests have been held worldwide in solidarity with the 2.4 million under bombardment and near-total siege for more than five weeks.
About 980 trucks carrying humanitarian aid have been let into Gaza since October 21, according to the UN humanitarian agency.
Before the war, 500 trucks entered every day, it said.
Palestinian prime minister Mohammad Shtayyeh called on the European Union and the United Nations to "parachute aid" into Gaza.
Fuel is a crucial need, especially for hospital generators, but Israel has been concerned that any fuel deliveries could be diverted to Hamas militants.
Palestinians in Gaza's south have been forced to adapt to the lack of basic resources.
"People are using now (traditional) ovens in order to cook. What else can they do?" said a woman, who asked not to be named, making the ovens in southern Khan Yunis.
Almost 1.6 million people -- about two-thirds of Gaza's population -- have been internally displaced since October 7, according to UNRWA.
Some people were being allowed to leave the besieged territory via the Egypt-controlled Rafah crossing and on Monday more than 550 foreigners passport holders and nine wounded Palestinians wounded and companions crossed.
Israel's military said it would observe a "self-evacuation corridor" Monday, allowing people to move from Al-Shifa southward, but admitted the area was still the scene of "intense battles".
The area of fighting "currently includes the area surrounding the Al-Shifa hospital but not the hospital itself", an IDF spokesperson told AFP.
The Israeli army also said its ground soldiers had hand-delivered 300 litres (80 gallons) of fuel near the hospital "for urgent medical purposes".
Al-Shifa director Abu Salmiya said he told Israeli authorities he needed far more -- at least 8,000 litres to run the main generators and "save hundreds of patients and wounded, but they refused".
AFP was unable to independently verify his account or Israel's claim that Hamas forbade the hospital from taking the fuel.
UPDATES FROM DAY 39 OF THE WAR
Palestine Red Crescent refutes Israeli claim of fighter at al-Quds hospital
The medical organisation responded to a video posted by Israel’s military today claiming to show a fighter firing an rocket propelled grenade launcher from al-Quds hospital in Gaza City.
The Palestine Red Crescent Society said it “sees these claims as a blatant attempt to incite further targeting and besieging of the hospital, constituting a clear violation of international humanitarian law”.
Health officials and Hamas workers have repeatedly rejected Israel’s claims that fighters are operating from within medical facilities in Gaza.
The @PalestineRCS strongly condemns the false claims by the occupying forces about armed individuals launching projectiles from inside Al-Quds Hospital. The PRCS sees these claims as a blatant attempt to incite further targeting and besieging of the hospital, constituting a… pic.twitter.com/uyILwaM7jq
— PRCS (@PalestineRCS) November 13, 2023
Israel faces diplomatic pressure
Israel is facing mounting international pressure over the human cost of its war with Gaza's Hamas rulers but is working to expand its "window of legitimacy", its top diplomat.
"We have two or three weeks until international pressure really steps up but the foreign ministry is working to broaden the window of legitimacy, and the fighting will carry on for as long as necessary," Foreign Minister Eli Cohen said, as quoted by his spokesman.
?The Palestinians accuse Israel of firing recklessly toward hospitals, while Israel accuses Hamas of using the hospitals for cover
The Palestine Red Crescent Society said that an attempt to reach Al-Quds Hospital from Khan Younis in order to evacuate patients has been abandoned due to “continuing shelling and shooting”.
Thunberg, wearing the Palestinian black and white scarf, had urged "ceasefire now" at a climate protest on Sunday in Amsterdam, before being interrupted by a man who sought to snatch the microphone from her, saying he had come for a climate protest, not for her other views
Her statements in Amsterdam marked "the end of Greta Thunberg as a climate activist," said Volker Becker, the president of the German-Israel Society DIG, adding that "from now: Israel hater is the main job" for the Swedish activist
France's religious representatives, Rector of Paris' Grand Mosque Chems-eddine Hafiz, left, Grand Rabbi of France Haim Korsia, third from left, President of the French conference of bishops Eric de Moulins-Beaufort, center left, President of the Protestant Federation of France (FPF) Christian Krieger, center right, President of the Consistoire central israelite de France' Elie Korchia, second from right, and President of the French Council of the Muslim Faith (CFCM) Mohammed Moussaoui, right, addresses media after a meeting with France's President Emmanuel Macron at the Elysee Palace, Monday, Nov. 13, 2023. President Macron meets with religious leaders as he tries to calm tensions related to Israel-Hamas war. (Photo | AP)
The chanting took place on the widely-used line 3 that runs through the heart of the French capital
They are aged between 13-17 and are being investigated on suspicion of justifying terror and provoking racial hatred, prosecutors said
Over 1,250 anti-Semitic attacks have been recorded in France, according to authorities, since the start of the war
Front row, from left, Chief Rabbi of France Haim Korsia, Bishop of Nanterre monseigneur Matthieu Rouge, Former French President Nicolas Sarkozy, President of the French National Assembly Yael Braun-Pivet, French Senate President Gerard Larcher, French Prime Minister Elisabeth Borne, Former French President Francois Hollande, flanked by cabinet ministers of the French government and former prime-ministers pose for a photograph with a banner which reads "For the Republic, against anti-Semitism" on the front steps of the Assemblee Nationale parliament building in Paris ahead of a demonstration against anti-Semitism in Paris, Sunday, Nov. 12, 2023. (Photo | AFP)
Over the past three weeks, and after close coordination with the Govt of Israel - UNRWA was able to access a bulk reservoir of fuel in Gaza on the border with Egypt
— Thomas White (@TomWhiteGaza) November 13, 2023
This reservoir is now empty.
Absolutely massive rally for Gaza in Cape Town, South Africa today. Against genocide, against apartheid, and for a free Palestine.pic.twitter.com/RCxqrXD06y
— Stop Cop City (@JoshuaPHilll) November 11, 2023
WE MADE HISTORY!
— Leanne M. (@LeanneMohamad) November 11, 2023
Today London saw the BIGGEST Palestine march in British history and Britain’s largest protest since 2003.
The people say: CEASEFIRE NOW pic.twitter.com/In2ctRp4I8
.@WHO has managed to get in touch with health professionals at the Al-Shifa hospital in #Gaza.
— Tedros Adhanom Ghebreyesus (@DrTedros) November 12, 2023
The situation is dire and perilous.
It's been 3 days without electricity, without water and with very poor internet which has severely impacted our ability to provide essential…
“In the last 24 hours, the IDF delivered 300 liters of fuel to the Shifa Hospital's doorstep, yet the fuel remains untouched after Hamas threatened hospital staff.”
— Israel Defense Forces (@IDF) November 13, 2023
The IDF is doing everything it can to mitigate harm to Gazan civilians and increase humanitarian aid. Our war is… pic.twitter.com/Z1maLsnwBQ
“I wish to sleep.
— United Nations (@UN) November 12, 2023
I wish to play.”
– Taha longs for normalcy after being forced to take shelter in a school in Gaza.@UNICEF is calling for an immediate ceasefire, unrestricted humanitarian access & the release of all abducted children.pic.twitter.com/nODt7gIaFm
The Al-Shifa facility in Gaza City has become a focal point in the war as hundreds of patients were trapped and thousands of people sought shelter around Gaza's largest hospital on Monday. This comes as Israeli troops and Hamas fighters were engaged in "violent fighting" near the compound.
The sounds of small arms fire and aerial bombardments were echoing across the sprawling complex, amid reports that the infirm -- including children -- were dying for lack of basic provisions.
The World Health Organization (WHO) and other UN agencies said as many as 3,000 patients and staff are sheltering inside without adequate fuel, water or food.
Doctors reported two incubated babies died after power was cut in the neonatal unit and a man had died when his ventilator shut down.
WHO director Tedros Adhanom Ghebreyesus, after making contact with on-the-ground staff, described the situation inside as "dire and perilous."