Israeli Offensive in Hard-Hit Northern Gaza Kills Dozens and Threatens Hospitals

A Palestinian man carries the body of a child who was killed in an Israeli strike, amid the Israel-Hamas conflict, at Al-Aqsa Martyrs Hospital in Deir Al-Balah in the central Gaza Strip, October 9, 2024. REUTERS/Ramadan Abed
A Palestinian man carries the body of a child who was killed in an Israeli strike, amid the Israel-Hamas conflict, at Al-Aqsa Martyrs Hospital in Deir Al-Balah in the central Gaza Strip, October 9, 2024. REUTERS/Ramadan Abed
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Israeli Offensive in Hard-Hit Northern Gaza Kills Dozens and Threatens Hospitals

A Palestinian man carries the body of a child who was killed in an Israeli strike, amid the Israel-Hamas conflict, at Al-Aqsa Martyrs Hospital in Deir Al-Balah in the central Gaza Strip, October 9, 2024. REUTERS/Ramadan Abed
A Palestinian man carries the body of a child who was killed in an Israeli strike, amid the Israel-Hamas conflict, at Al-Aqsa Martyrs Hospital in Deir Al-Balah in the central Gaza Strip, October 9, 2024. REUTERS/Ramadan Abed

A large-scale Israeli operation in northern Gaza has killed dozens of people and threatens to shut down three hospitals over a year into the war with Hamas, Palestinian officials and residents said Wednesday.

The continuing cycle of destruction and death in Gaza, unleashed by Hamas’ Oct. 7, 2023, attack on southern Israel, comes as Israel expands a weeklong ground offensive against Hezbollah in Lebanon and considers a major retaliatory strike on Iran following Iran's Oct. 1 missile barrage against Israel.

Against the backdrop of fighting, Israeli Prime Minister Benjamin Netanyahu and US President Joe Biden held their first call in seven weeks Wednesday, Netanyahu’s office said.

Israel has been discussing how to respond to the Iranian missile attack, which the United States helped fend off. Biden has said he would not support a retaliatory strike on sites related to Tehran’s nuclear program.

In northern Gaza, there was heavy fighting in Jabaliya, where Israeli forces have carried out several major operations over the course of the war and then returned as fighters regroup. The entire north, including Gaza City, has suffered heavy destruction and has been largely isolated by Israeli forces since late last year.

A rocket fired from Lebanon killed two people in the northern Israeli town of Kiryat Shmona, and another six were stabbed and wounded in the city of Hadera Wednesday. Police said the attacker was "neutralized," and later clarified he had been arrested.

Hezbollah claimed the strike on Kiryat Shmona, saying it targeted "a gathering of enemy forces." Ofir Yehezkeli, the town's acting mayor, said the two killed were a couple walking their dogs.

Residents of Jabaliya, an urban refugee camp dating back to the 1948 war surrounding Israel's creation, said thousands of people have been trapped in their homes since the operation began Sunday, as Israeli jets and drones buzz overhead and troops battle fighters in the streets.

"It’s like hell. We can’t get out," said Mohamed Awda, who lives with his parents and six siblings. He said there were three bodies in the street outside his home that could not be retrieved because of the fighting.

"The quadcopters are everywhere, and they fire at anyone. You can’t even open the window," he told The Associated Press by phone, speaking over the sound of explosions.

Dozens have been killed and survivors fear displacement Gaza's Health Ministry said it recovered 40 bodies from Jabaliya from Sunday until Tuesday, and another 14 from communities farther north. There are likely more bodies under rubble and in areas that can't be accessed, it said.

An airstrike in Jabaliya early Wednesday killed at least nine people, including two women and two children, according to Al-Ahly Hospital, which received the bodies. Strikes in central Gaza killed another nine people, including three children, according to Al-Aqsa Martyrs Hospital in Deir al-Balah.

Kamal Adwan hospital director Dr. Hossam Abu Safiya, said an Israeli strike on tents sheltering displaced Palestinians near the Yemen Saeed hospital in Jabaliya had killed at least 16 people and wounded another 17. The casualties were taken to the Kamal Adwan hospital.

Jabaliya residents fear Israel aims to depopulate the north and turn it into a closed military zone or a Jewish settlement. Israel has blocked all roads except for the main highway leading south from Jabaliya, according to residents.

The UN agency for Palestinian refugees said it was evacuating seven schools being used as shelters and that only two of eight water wells in the camp are still functioning.

"We are concerned about the displacement to the south," Ahmed Qamar, who lives in Jabaliya with his wife, children and parents, said in a text message. "People here say clearly that they will die here in northern Gaza and won’t go to southern Gaza."

Hospitals are under threat Fadel Naeem, the director of Al-Ahly Hospital in Gaza City, said it had received dozens of wounded people and bodies from the north. "We declared a state of emergency, suspended scheduled surgeries, and discharged patients whose conditions are stable," he told AP in a text message.

Israel’s offensive has gutted Gaza’s health sector, forcing most of its hospitals to shut down and leaving the rest only partially functioning.

Naeem said three hospitals farther north — Kamal Adwan, Awda and the Indonesian Hospital - have become almost inaccessible because of the fighting. The Gaza Health Ministry says the Israeli army has ordered all three to evacuate staff and patients. Meanwhile, no humanitarian aid has entered the north since Oct. 1, according to UN data.

Israel's authority coordinating humanitarian affairs in Palestinian territories said Israel "has not halted the entry or coordination of humanitarian aid entering from its territory into the northern Gaza Strip."

Israeli military spokesman Rear Adm. Daniel Hagari said Tuesday that Israeli forces were operating in Jabaliya to "prevent Hamas' regrouping efforts" and had killed around 100 fighters, without providing evidence. Israel says it only targets fighters and blames civilian deaths on Hamas because it fights in residential areas.

Israel ordered the wholesale evacuation of northern Gaza, including Gaza City, in the opening weeks of the war, but hundreds of thousands of people are believed to have remained there. Israel reiterated those instructions over the weekend, telling people to flee south to a humanitarian zone where hundreds of thousands are already crammed into squalid tent camps.

The war began just over a year ago, when Hamas-led fighters stormed into southern Israel, killing some 1,200 people, mostly civilians, and abducting around 250. They still hold around 100 hostages, a third of whom are believed to be dead.

Israel's offensive has killed over 42,000 Palestinians, according to the Gaza Health Ministry, which does not say how many were fighters. It has said women and children make up over half of the dead. The offensive has also caused staggering destruction across the territory and displaced around 90% of the population of 2.3 million people, often multiple times.

Israeli Prime Minister Benjamin Netanyahu has vowed to keep fighting until "total victory" over Hamas and the return of all hostages.

On Tuesday, he said Lebanon would meet the same fate as Gaza if its people did not rise up against Hezbollah, which began firing rockets into Israel after the initial Hamas attack. That set in motion a cycle of escalation that ignited a full-scale war last month.

An Israeli strike killed four people and wounded another 10 at a hotel sheltering displaced people in the southern Lebanese town of Wardaniyeh on Wednesday, Lebanon's Health Ministry said.

An Associated Press reporter in a nearby town heard two sonic booms from Israeli jets before the strike. Plumes of smoke rose from the building after the explosion.

In recent weeks Israel has waged a heavy air campaign across large parts of Lebanon, targeting what it says are Hezbollah rocket launchers and other militant sites. A series of strikes killed Hezbollah leader Hassan Nasrallah and most of his top commanders.

The Israeli military said Wednesday that Hezbollah has fired more than 12,000 rockets, missiles and drones at Israel in the past year.



As Flooding Becomes a Yearly Disaster in South Sudan, Thousands Survive on the Edge of a Canal

Children ride in a small canoe around the area where they live in Jonglei state, South Sudan. (Photo: AP)
Children ride in a small canoe around the area where they live in Jonglei state, South Sudan. (Photo: AP)
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As Flooding Becomes a Yearly Disaster in South Sudan, Thousands Survive on the Edge of a Canal

Children ride in a small canoe around the area where they live in Jonglei state, South Sudan. (Photo: AP)
Children ride in a small canoe around the area where they live in Jonglei state, South Sudan. (Photo: AP)

Long-horned cattle wade through flooded lands and climb a slope along a canal that has become a refuge for displaced families in South Sudan. Smoke from burning dung rises near homes of mud and grass where thousands of people now live after floods swept away their village.
“Too much suffering,” said Bichiok Hoth Chuiny, a woman in her 70s. She supported herself with a stick as she walked in the newly established community of Pajiek in Jonglei state north of the capital, Juba, The Associated Press said.
For the first time in decades, the flooding had forced her to flee. Her efforts to protect her home by building dykes failed. Her former village of Gorwai is now a swamp.
“I had to be dragged in a canoe up to here,” Chuiny said. An AP journalist was the first to visit the community.
Such flooding is becoming a yearly disaster in South Sudan, which the World Bank has described as “the world’s most vulnerable country to climate change and also the one most lacking in coping capacity."
More than 379,000 people have been displaced by flooding this year, according to the UN humanitarian agency.
Seasonal flooding has long been part of the lifestyle of pastoral communities around the Sudd, the largest wetlands in Africa, in the Nile River floodplain. But since the 1960s the swamp has kept growing, submerging villages, ruining farmland and killing livestock.
“The Dinka, Nuer and Murle communities of Jonglei are losing the ability to keep cattle and do farming in that region the way they used to,” said Daniel Akech Thiong, a senior analyst with the International Crisis Group.
South Sudan is poorly equipped to adjust. Independent since 2011, the country plunged into civil war in 2013. Despite a peace deal in 2018, the government has failed to address numerous crises. Some 2.4 million people remain internally displaced by conflict and flooding.
The latest overflowing of the Nile has been blamed on factors including the opening of dams upstream in Uganda after Lake Victoria rose to its highest levels in five years.
The century-old Jonglei Canal, which was never completed, has become a refuge for many.
“We don’t know up to where this flooding would have pushed us if the canal was not there,” said Peter Kuach Gatchang, the paramount chief of Pajiek. He was already raising a small garden of pumpkins and eggplants in his new home.
The 340-kilometer (211-mile) Jonglei Canal was first imagined in the early 1900s by Anglo-Egyptian colonial authorities to increase the Nile’s outflow towards Egypt in the north. But its development was interrupted by the long fight of southern Sudanese against the Sudanese regime in Khartoum that eventually led to the creation of a separate country.
Gatchang said the new community in Pajiek is neglected: "We have no school and no clinic here, and if you stay for a few days, you will see us carrying our patients on stretchers up to Ayod town.”
Ayod, the county headquarters, is reached by a six-hour walk through the waist-high water.
Pajiek also has no mobile network and no government presence. The area is under the control of the Sudan People’s Liberation Movement-in-Opposition, founded by President Salva Kiir’s rival turned Vice President Riek Machar.
Villagers rely on aid. On a recent day, hundreds of women lined up in a nearby field to receive some from the World Food Program.
Nyabuot Reat Kuor walked home with a 50-kilogram (110-pound) bag of sorghum balanced on her head.
“This flooding has destroyed our farm, killed our livestock and displaced us for good," the mother of eight said. “Our old village of Gorwai has become a river.”
When food assistance runs out, she said, they will survive on wild leaves and water lilies from the swamp. Already in recent years, food aid rations have been cut in half as international funding for such crises drops.
More than 69,000 people who have migrated to the Jonglei Canal in Ayod county are registered for food assistance, according to WFP.
“There are no passable roads at this time of the year, and the canal is too low to support boats carrying a lot of food,” said John Kimemia, a WFP airdrop coordinator.
In the neighboring Paguong village that is surrounded by flooded lands, the health center has few supplies. Medics haven’t been paid since June due to an economic crisis that has seen civil servants nationwide go unpaid for more than a year.
South Sudan’s economic woes have deepened with the disruption of oil exports after a major pipeline was damaged in Sudan during that country's ongoing civil war.
“The last time we got drugs was in September. We mobilized the women to carry them on foot from Ayod town,” said Juong Dok Tut, a clinical officer.
Patients, mostly women and children, sat on the ground as they waited to see the doctor. Panic rippled through the group when a thin green snake passed among them. It wasn't poisonous, but many others in the area are. People who venture into the water to fish or collect water lilies are at risk.
Four life-threatening snake bites cases occurred in October, Tut said. “We managed these cases with the antivenom treatments we had, but now they’re over, so we don’t know what to do if it happens again.”