Gazans Say Nowhere to Go as They Prepare for Israeli Assault after Hamas Raid

Smoke billows and debris flies in the air as the night falls on Gaza City during Israeli airstrikes on October 9, 2023. (AFP)
Smoke billows and debris flies in the air as the night falls on Gaza City during Israeli airstrikes on October 9, 2023. (AFP)
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Gazans Say Nowhere to Go as They Prepare for Israeli Assault after Hamas Raid

Smoke billows and debris flies in the air as the night falls on Gaza City during Israeli airstrikes on October 9, 2023. (AFP)
Smoke billows and debris flies in the air as the night falls on Gaza City during Israeli airstrikes on October 9, 2023. (AFP)

As Israel's military sent phone messages telling Palestinians to leave some areas of Gaza after Saturday's deadly Hamas raid, Mohammad Brais did not know where to seek safety from an assault that residents expect to be the worst they have ever faced.

"Where should we go? Where should we go?" the 55-year-old father asked.

He had fled his home near a possible front line to shelter at his shop - only for that to get hit in one of the hundreds of air and artillery strikes already pounding Gaza.

Palestinians are preparing for an offensive of unprecedented scale on the tiny, crowded enclave, exceeding previous bouts of destructive warfare that they fear will leave survivors destitute, without homes, water, electricity, hospitals or food.

The surprise Hamas attack on Saturday caused Israel its bloodiest day in decades as fighters smashed through border defenses and marauded through towns, killing more than 700 people and dragging dozens more into captivity in Gaza.

Israeli Defense Minister Yoav Gallant warned that the price Gaza would pay "will change reality for generations" and Israel was imposing a total blockade with a ban on food and fuel imports as part of a battle against "animals".

By Monday afternoon, Hamas said more than 500 people had been killed, 2,700 wounded and 80,000 displaced in the hundreds of strikes that Israeli warplanes, drones, helicopters and artillery cannon have fired into Gaza.

Gaza has no protected shelters designated for times of war.

At the Jabalia refugee camp in northern Gaza, men clambered on a pancaked building to pull an infant's tiny body from the rubble, carrying it down through the crowd below amid still-smoldering remains of bombed buildings. That air strike left dozens killed and injured, according to the territory's health ministry.

As ambulances arrived at a hospital, workers ran out to haul in stretchers bearing the injured. Inside, a man lay next to the shrouded body of his nephew, hysterical with grief, alternately striking the floor and embracing the corpse as he screamed.

Funeral processions wound down Gaza streets. In Rafah, in the south, men strode behind a body being carried on a bier, Palestinian and Hamas flags raised behind.

At the cemetery a family buried Saad Lubbad, a small boy killed in air strikes. His body, wrapped in white, was passed down to be laid on a patterned cloth before burial.

Food and fuel

The densely populated enclave's 2.3 million residents, many of them refugees descended from people who fled or were expelled from their homes during fighting when Israel was founded in 1948, have endured repeated bouts of war and air strikes before.

They expect this one to be worse.

"It doesn't need much thinking about. Israel suffered the biggest loss in its history so you can imagine what it is going to do," said a resident of Beit Hanoun on Gaza's northeastern border with Israel.

"I took my family out at sunrise and dozens of other families did the same. Many of us got phone calls, audio messages from Israeli security officers telling us to leave because they will operate there," he said.

Families began stockpiling food as soon as Saturday's attack began but fear that despite Hamas assurances supplies will run low.

With Israel cutting off electricity supplies into Gaza, a looming fuel shortage means private generators as well as the enclave's own power station, which is still providing about four hours of energy a day, will struggle to function.

Electricity shortages mean residents cannot recharge phones, so are cut off from news of each other and from events, and are unable to pump water into rooftop tanks.

At night the enclave is plunged into total darkness, punctuated by the blasts of air strikes.

Gaza health ministry officials said hospitals were expected to run out of fuel, needed to power lifesaving equipment, in two weeks.

Many of the tens of thousands who fled their homes are sheltering in UN schools. At one in Gaza City 13-year-old Israa al-Qishawi pointed to the corner of a classroom where she lays her mattress each night alongside 30 other people.

Fear makes her want the toilet every few minutes, she said, but there is no water.

"It is disgusting," she said.

Dressed in green and playing with a hula hoop, she said: "The war came suddenly and we are afraid of it".

Bombardment

Air strikes have damaged and blocked streets, making it harder for ambulances and rescue vehicles to reach bomb sites according to residents and medics. The civil defense said it could not cope with so many bomb sites, and asked for foreign rescue teams to help it save survivors trapped under rubble.

The Beit Hanoun resident said the bombardment of streets seemed like preparation for another Israeli ground offensive, like ones he watched rolling into Gaza from the roof of his house in 2008 and 2014.

Recorded phone messages and social media posts issued by Israel's military warning residents to quit some Gaza areas added to residents' fears.

Despite the danger, the 45-year-old was pleased by Hamas' raid into Israel he said, requesting anonymity for fear of Israeli reprisals.

"We are afraid but still we are proud like never before," he said, adding: "Hamas wiped out entire Israeli army battalions. It crushed them like biscuits."

Standing outside his ruined shop, near wrecked houses where three entire families were killed, Brais said he just hoped for an end to Gaza's endless cycle of destruction.

"Enough. We had enough. I am 55-years-old and I spent those years going from one war into another. My house has been destroyed twice," said Brais. "Everything is gone," he said, looking at the wreckage of his shop.



Iran War Is Latest Blow to Somalia’s Malnourished Children

Fatima Mohamed feed Iqlas Omar Abdi, 1, with nutritious supplementary biscuit at the Daynile hospital as shortages of lifesaving therapeutic foods caused by shipping disruptions due to the Iran war have forced clinics treating severely malnourished children to turn away patients and ration supplies in drought-hit Somalia, in Daynile district of Mogadishu, Somalia April 20, 2026. (Reuters)
Fatima Mohamed feed Iqlas Omar Abdi, 1, with nutritious supplementary biscuit at the Daynile hospital as shortages of lifesaving therapeutic foods caused by shipping disruptions due to the Iran war have forced clinics treating severely malnourished children to turn away patients and ration supplies in drought-hit Somalia, in Daynile district of Mogadishu, Somalia April 20, 2026. (Reuters)
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Iran War Is Latest Blow to Somalia’s Malnourished Children

Fatima Mohamed feed Iqlas Omar Abdi, 1, with nutritious supplementary biscuit at the Daynile hospital as shortages of lifesaving therapeutic foods caused by shipping disruptions due to the Iran war have forced clinics treating severely malnourished children to turn away patients and ration supplies in drought-hit Somalia, in Daynile district of Mogadishu, Somalia April 20, 2026. (Reuters)
Fatima Mohamed feed Iqlas Omar Abdi, 1, with nutritious supplementary biscuit at the Daynile hospital as shortages of lifesaving therapeutic foods caused by shipping disruptions due to the Iran war have forced clinics treating severely malnourished children to turn away patients and ration supplies in drought-hit Somalia, in Daynile district of Mogadishu, Somalia April 20, 2026. (Reuters)

For Somalia's malnourished children, already suffering the twin catastrophes of looming famine and radical cuts in foreign aid, the US-Israeli war on Iran means more than soaring petrol pump prices; it is a matter of life and death.

Shortages of lifesaving therapeutic foods exacerbated by shipping disruptions are forcing clinics to turn away severely malnourished children and ration supplies, Reuters reporting shows.

Almost half a million children under 5 suffer from "severe acute malnutrition" or "wasting", the most life-threatening form of hunger, and the delays are worsening the effect of the aid reductions.

SOMALIA'S CHILDREN RELY ON EVER-SHRINKING FOOD AID

Health workers in Baidoa and Mogadishu say they have had to stretch out meagre stocks of specialized milk and nutrient-dense peanut-based paste vital to saving these children.

"Since the needs are large and we don't have a lot of supplies, we have had to keep reducing the amount we give children," nurse Hassan Yahye Kheyre said.

The 225 cartons of peanut paste remaining at his clinic, which treats more than 1,200 children, will probably be exhausted within two weeks, according to the International Rescue Committee, which supplies the facility.

"If ‌treatment is on-and-off, the ‌children will become very weak, physically and mentally. And it may not be possible to reverse it," ‌Kheyre ⁠added.

The IRC is ⁠one of three aid groups that said transport delays and rising costs linked to the war in Iran were making an already complicated situation worse.

At the clinic in the southwestern city of Baidoa, run by IRC's local partner READO, mother-of-nine Muumino Adan Aamin has been trying to get peanut paste for Ruweido, her 11-month-old daughter.

Ruweido is on a regimen of three sachets a day, but Aamin has been turned away twice because the clinic had run out each time.

Aamin nearly lost her daughter Anisa to hunger when a previous drought pushed Somalia to the brink of famine in 2017. "Just bone and skin," the toddler only survived because of peanut paste, Aamin said.

Nine years on, a new drought has pushed 6.5 million people, or one in three Somalis, ⁠into acute hunger, and aid groups are desperately trying to plug gaps.

An IRC order for peanut ‌paste that would have fed over 1,000 children got stuck two months ago in the ‌Indian port of Mundra, now congested with diverted cargoes unable to dock in the Gulf, said Shukri Abdulkadir, IRC's Somalia coordinator.

After being told that the peanut ‌paste, made in India, would take at least 30 more days to arrive, IRC cancelled the order.

It placed an emergency order for ‌400 cartons from Nairobi and is moving supplies in Mogadishu to Baidoa while awaiting them.

But the increase in freight and manufacturing costs has pushed the price of a single carton to $200 from $55, according to CARE International, whose latest order now buys enough for only 83 children rather than 300.

LIFE-SAVING FOOD AID TAKES LONGER AND COSTS MORE

In 2024, deliveries of therapeutic milk and ready-to-use therapeutic food (RUTF) from Europe to Somalia typically took 30–35 days, increasing to 40–45 days in 2025 as vessels diverted around ‌Africa owing to security threats in the Red Sea.

Since the United States and Israel attacked Iran on February 28 and Iran closed the entrance to the Gulf, a lack of ships ⁠has pushed that out to 55–65 days, ⁠said Mohamed Omar, head of Health and Nutrition at Action Against Hunger (ACF) in Mogadishu.

Meanwhile in Somalia, the IPC global hunger monitor says more than 2 million people are now in the "Emergency" phase, one level before famine.

Admissions of severely malnourished children in January-March to health centers supported by ACF were up 35% from last year.

Staff at Daynile General Hospital, which is treating 360 children for wasting, said on April 20 that they barely had enough supplies for the week.

"Some children's nutritional status has already worsened," said health and nutrition supervisor Xafsa Ali Hassan.

Somalia was not among 17 impoverished nations singled out to receive a share of this year's funds allocated to the UN Office for the Coordination of Humanitarian Affairs (OCHA) by the US, which has made the most drastic cuts among foreign aid donors.

OCHA says more than 200 health facilities have been closed and mobile teams disbanded.

It said in December that over 60,500 severely malnourished children had gone untreated as a result, and that the number could rise to 150,000 if funding gaps persisted.

Then, when the Iran war erupted, domestic fuel prices leapt 150%.

"Somalia is really hard hit by the Iran war because people are still reeling from the impact of the previous drought," said IRC's Abdulkadir. "It's very difficult for people to absorb these shocks."

OCHA has appealed for $852 million from global donors to stave off a full-blown famine.

This is far below the $1.42 billion it requested last year - yet it has still barely received 14% of this amount.


Israel Using Water Access as ‘Weapon’ in Gaza, Says MSF

 Palestinians walk past the rubble of residential buildings destroyed during the two-year Israeli offensive, in Khan Younis, southern Gaza Strip, April 15, 2026. (Reuters)
Palestinians walk past the rubble of residential buildings destroyed during the two-year Israeli offensive, in Khan Younis, southern Gaza Strip, April 15, 2026. (Reuters)
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Israel Using Water Access as ‘Weapon’ in Gaza, Says MSF

 Palestinians walk past the rubble of residential buildings destroyed during the two-year Israeli offensive, in Khan Younis, southern Gaza Strip, April 15, 2026. (Reuters)
Palestinians walk past the rubble of residential buildings destroyed during the two-year Israeli offensive, in Khan Younis, southern Gaza Strip, April 15, 2026. (Reuters)

Israeli authorities are systematically depriving people in Gaza of the water they need to live, Doctors Without Borders warned Tuesday, decrying a campaign of "collective punishment" against Palestinians.

The extensive destruction of civilian water infrastructure in Gaza coupled with obstruction of access constitutes "an integral part of Israel's genocide", said the medical charity, which goes by its French acronym MSF.

In a report entitled "Water as a Weapon", MSF said the "engineered scarcity" was occurring alongside "direct killing of civilians, the devastation of health facilities, (and) the destruction of homes".

Together, this amounted to "the deliberate infliction of destructive and inhumane conditions of life on the Palestinian population in Gaza", warned the report, based on testimonies and data MSF collected in 2024 and 2025.

"Israeli authorities know that without water, life ends," MSF emergency manager Claire San Filippo said in a statement.

"Yet they have deliberately and systematically obliterated water infrastructure in Gaza, whilst consistently blocking water-related supplies from entering."

Despite an October ceasefire that largely halted the Gaza war that began after Hamas's 2023 attack on Israel, the territory remains gripped by daily violence as Israeli strikes continue and both the Israeli military and Hamas accuse each other of breaking the truce.

- 'Engineered' scarcity -

The MSF report pointed to data from the United Nations, European Union and World Bank indicating that Israel had destroyed or damaged nearly 90 percent of water and sanitation infrastructure in Gaza.

"Desalination plants, boreholes, pipelines and sewage systems have been rendered inoperable or inaccessible," it said.

The charity documented several incidents where it clearly identified water trucks and boreholes had been shot at or destroyed.

"Palestinians have been injured and killed simply trying to access water," San Filippo said.

The charity said that besides the local authorities, it was the largest producer and main distributor of drinking water in Gaza.

Last month, it provided more than 5.3 million liters of water each day, which meets the minimum needs of more than 407,000 people, or a fifth of Gaza's population.

However, throughout the war, "Israeli military displacement orders have locked our teams out of areas where we had provided water to hundreds of thousands of people," the MSF statement said.

- 'Perfect storm' -

MSF said a third of its requests to bring in critical water and sanitation supplies, including water desalination units, pumps, water tanks, insect repellent, chlorine and other chemicals to treat water, had "been rejected or left unanswered".

San Filippo also cautioned that the deprivation of water, "combined with dire living conditions, extreme overcrowding, and a collapsed health system, create a perfect storm for the spread of diseases".

MSF called on Israel to "immediately restore water for people at the required levels in Gaza".

It urged Israel's allies to "use their leverage to pressure Israel to stop impeding humanitarian access".


Mladenov Expected in Cairo, Israel to Discuss Gaza Ceasefire

A Palestinian worker breaks up concrete while working on rubble in Khan Younis, southern Gaza Strip, April 19, 2026. (Reuters)
A Palestinian worker breaks up concrete while working on rubble in Khan Younis, southern Gaza Strip, April 19, 2026. (Reuters)
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Mladenov Expected in Cairo, Israel to Discuss Gaza Ceasefire

A Palestinian worker breaks up concrete while working on rubble in Khan Younis, southern Gaza Strip, April 19, 2026. (Reuters)
A Palestinian worker breaks up concrete while working on rubble in Khan Younis, southern Gaza Strip, April 19, 2026. (Reuters)

Nickolay Mladenov, the Board of Peace's lead envoy for Gaza, is expected to arrive in Cairo on Tuesday as part of renewed political efforts to push forward the Gaza ceasefire, revealed sources.

A delegation from the Hamas movement is also expected to visit the Egyptian capital to join other members of the group and representatives of Palestinian factions who have been there for weeks.

Asharq Al-Awsat learned that Mladenov will visit Israel hours after arriving in Cairo. He will address with Israeli officials recent discussions that were held with Hamas. The officials will convey their positions on the new proposals over the ceasefire agreement that were drafted in coordination with mediators, notably Egypt.

In Cairo, Mladenov will meet with Hamas leaders and the mediators as part of consultations to reach a final framework that brings together all parties to implement the ceasefire to ensure that it can move forward to its next phase that includes the disarmament of factions in Gaza

Negotiations have hit a snag over Hamas and other factions’ insistence on Israel fulfilling its first phase commitments related to relief and allowing the entry of trucks into Gaza before they can be demanded to make any commitments on their end.

Israel and the United States, meanwhile, are demanding moving forward towards the most significant part of the second phase: disarmament.

A leading Hamas source told Asharq Al-Awsat that the movement is “open to dealing positively with all proposals, but it is insistent on Israel implementing everything that is demanded of it in the first phase, especially in ceasing its ongoing violations, ensuring the entry of relief and kicking of reconstruction of hospital and school infrastructure.”

The source said that Hamas “does not mind” discussions over its weapons, “but tying the issue to limited humanitarian causes without making clear stances over reconstruction, governance of the enclave and the future of the political path will lead towards the unknown.”

“The situation will remain unchanged as long as there are attempts to impose conditions that the movement and other Gaza factions refuse,” it added.

Israel must implement its commitments to the first phase of the ceasefire, urged the source. Hamas has agreed to discuss the second phase even as Israel carries out its first phase conditions.