Misery Deepens in Gaza’s Rafah as Israeli Troops Press Operation

12 May 2024, Palestinian Territories, Deir al-Balah: Tents for displaced people are crowded west of Deir al-Balah city in the central Gaza Strip after thousands of Palestinians fled Rafah after the Israeli army announced the start of a military operation there. Photo: Saher Alghorra/ZUMA Press Wire/dpa
12 May 2024, Palestinian Territories, Deir al-Balah: Tents for displaced people are crowded west of Deir al-Balah city in the central Gaza Strip after thousands of Palestinians fled Rafah after the Israeli army announced the start of a military operation there. Photo: Saher Alghorra/ZUMA Press Wire/dpa
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Misery Deepens in Gaza’s Rafah as Israeli Troops Press Operation

12 May 2024, Palestinian Territories, Deir al-Balah: Tents for displaced people are crowded west of Deir al-Balah city in the central Gaza Strip after thousands of Palestinians fled Rafah after the Israeli army announced the start of a military operation there. Photo: Saher Alghorra/ZUMA Press Wire/dpa
12 May 2024, Palestinian Territories, Deir al-Balah: Tents for displaced people are crowded west of Deir al-Balah city in the central Gaza Strip after thousands of Palestinians fled Rafah after the Israeli army announced the start of a military operation there. Photo: Saher Alghorra/ZUMA Press Wire/dpa

Aid workers are struggling to distribute dwindling food and other supplies to hundreds of thousands of Palestinians displaced by what Israel says is a limited operation in Rafah, as the two main crossings near the southern Gaza city remain closed.

The United Nations' agency for Palestinian refugees said 360,000 Palestinians have fled Rafah over the past week, out of 1.3 million who were sheltering there before the operation began, most of whom had already fled fighting elsewhere over the course of the seven-month war between Israel and Hamas.

Israel has portrayed Rafah as the last stronghold of the armed group, brushing off warnings from the United States and other allies that any major operation there would be catastrophic for civilians. Hamas has meanwhile regrouped in some of the most devastated parts of Gaza that Israel had previously claimed to have cleared with heavy bombardment and ground operations.

Thirty-eight trucks of flour arrived through the Western Erez Crossing, a second access point to northern Gaza, Abeer Etefa, a spokeswoman for the UN’s World Food Program, said Monday. Israel had announced the opening of the crossing on Sunday.

But no food has entered the two main crossings in southern Gaza for the past week.

The Rafah crossing into Egypt has been closed since Israeli troops seized it a week ago. Fighting in Rafah city has made it impossible for aid groups to access the nearby Kerem Shalom crossing with Israel, though Israel says it is allowing supply trucks to enter from its side.

For the past week, the Israeli military has intensified bombardment and other operations in Rafah, while ordering the population to evacuate from parts of the city. Israel insists it is a limited operation focused on rooting out tunnels and other militant infrastructure along the border with Egypt.

Israeli forces were also battling Palestinian militants in Zeitoun and the urban Jabaliya refugee camp in northern Gaza, areas where the army had launched major operations earlier in the war.

Etefa said WFP is distributing food from its remaining stocks in the areas of Khan Younis and Deir al-Balah further north to which many of those escaping Rafah have fled. Inside Rafah, only two organizations partnering with WFP were still able to distribute food, and no bakeries were operating in the city.

"The majority of distributions have stopped due to the evacuation orders, displacement, and running out of food," she said. "The situation is becoming increasingly unsustainable."

Almost the entire population of Gaza relies on humanitarian groups’ distribution of food and other supplies to survive. Amid Israeli restrictions and obstacles to aid distribution from violence, some 1.1 million Palestinians in Gaza face catastrophic levels of hunger, on the brink of starvation, and a "full-blown famine" is taking place in the north, according to the UN.

The director of the Kuwait Hospital, one of the last functioning medical centers in Rafah, said medical staff and residents living near the facility have been told to evacuate. Sohaib al-Hams warned that any evacuation of the hospital itself would have "catastrophic consequences."

Israel has also ordered new evacuations in northern Gaza, even after hundreds of thousands of people fled in the opening weeks of the war.

Mahmoud Shalabi, the senior program manager for Medical Aid for Palestinians, a UK-based charity, said he was recently ordered to relocate from Beit Lahiya in the far north to Gaza City.

"I have left my house several times now, along with my parents, who are both older than 70, my three children and my wife," he said. "The journey of terror and displacement is beyond words."

The war began when Hamas and other fighters stormed into southern Israel on Oct. 7, killing around 1,200 people, mostly civilians, and taking another 250 hostage. Militants still hold about 100 captives and the remains of more than 30 after most of the rest were released during a ceasefire last year.

Israel’s offensive has killed more than 35,000 Palestinians, mostly women and children, according to Gaza’s Health Ministry, which doesn’t distinguish between civilians and combatants in its figures. Israel says it has killed over 13,000 militants, without providing evidence.

Israel marked an especially somber Memorial Day on Monday, with ceremonies across the country commemorating fallen soldiers, including the more than 600 killed since Oct. 7, most in the initial attack.

During the day’s opening ceremony at Mount Herzl cemetery on the outskirts of Jerusalem, Israeli Prime Minister Benjamin Netanyahu vowed once again to defeat Hamas.

"We are determined to win this struggle. We exacted and will exact a high price from the enemy for their criminal acts. We will realize the goals of victory and at the center of them the return of all our hostages home," he said.

At 11:00 A.M. on Monday, sirens announced two minutes of silence, and a formation of four fighter planes flew over Jerusalem and the surrounding areas.

Protesters and hecklers interrupted some of the ceremonies, reflecting growing discontent with the country's leaders that has brought thousands of protesters into the streets in recent months. Critics blame Netanyahu for the security and intelligence failures that allowed the attack to happen and for the failure to reach a deal with Hamas to release the hostages.

Months of internationally mediated talks over a ceasefire and hostage release ground to an apparent standstill last week after Israel launched its incursion into Rafah. Israel has refused Hamas' central demand for an end to the war and the withdrawal of its forces from the territory, saying that doing so would allow the group to regain control and launch more Oct. 7-style attacks.

Netanyahu has vowed to continue the offensive until Israel dismantles Hamas' military and governing capabilities and returns all the hostages, goals that remain out of reach even after one of the deadliest and most destructive military onslaughts in recent history.

US President Joe Biden's administration, which has provided crucial military and diplomatic support for the offensive, has expressed growing impatience, saying it won't supply offensive arms for a full-scale Rafah assault.

Secretary of State Antony Blinken warned Sunday that Israel could face an "enduring insurgency" if it doesn't come up with a realistic plan for postwar governance in Gaza. Israel has rejected US proposals for the Palestinian Authority to govern Gaza with help from Arab states because those plans depend on progress toward the establishment of a Palestinian state, which Netanyahu opposes.



Gaza Hospital Shut after Israeli Raid, Director Held

Hussam Abu Safiya, director of Kamal Adwan hospital, shows the damage inside the hospital, during the ongoing Israeli military operation, amid Israel-Hamas conflict, in Beit Lahiya, in the northern Gaza Strip, December 18, 2024. REUTERS/Stringer
Hussam Abu Safiya, director of Kamal Adwan hospital, shows the damage inside the hospital, during the ongoing Israeli military operation, amid Israel-Hamas conflict, in Beit Lahiya, in the northern Gaza Strip, December 18, 2024. REUTERS/Stringer
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Gaza Hospital Shut after Israeli Raid, Director Held

Hussam Abu Safiya, director of Kamal Adwan hospital, shows the damage inside the hospital, during the ongoing Israeli military operation, amid Israel-Hamas conflict, in Beit Lahiya, in the northern Gaza Strip, December 18, 2024. REUTERS/Stringer
Hussam Abu Safiya, director of Kamal Adwan hospital, shows the damage inside the hospital, during the ongoing Israeli military operation, amid Israel-Hamas conflict, in Beit Lahiya, in the northern Gaza Strip, December 18, 2024. REUTERS/Stringer

An Israeli military raid targeting Hamas militants has forced a major hospital in northern Gaza out of service and led to the detention of its director, the WHO and health officials said Saturday.
The assault on Kamal Adwan Hospital has rendered the facility "useless", further worsening Gaza's severe health crisis, the Palestinian territory's health officials said.
"This morning's raid on Kamal Adwan Hospital has put this last major health facility in north Gaza out of service. Initial reports indicate that some key departments were severely burnt and destroyed during the raid," the World Health Organization said overnight on X, referring to the Israeli operation that began in the early hours of Friday.
The WHO said 60 health workers and 25 patients in critical condition, including some on ventilators, reportedly remain in the hospital, AFP reported.
Patients in moderate to severe condition were forced to evacuate to the destroyed, non-functioning Indonesian Hospital, the UN health agency said, adding it was "deeply concerned for their safety".
Hamas-run Gaza's health ministry reported that Israeli forces detained Kamal Adwan Hospital's director, Hossam Abu Safiyeh, along with several medical staff members.
Gaza's civil defense agency said Abu Safiyeh was held alongside its north Gaza chief, Ahmed Hassan al-Kahlout.
The Israeli military did not comment on the detentions.
Ammar al-Barsh, a resident of Jabalia where the military has focused its assault in recent weeks, said the raid on Kamal Adwan and its environs had left dozens of homes in the area in ruins.
"The situation is catastrophic, there is no medical service, no ambulances and no civil defense in the north," Barsh, 50, told AFP.
The army "continues to raid the Kamal Adwan Hospital and the surrounding houses, and we hear gunfire from Israeli drones and artillery shelling", he added.
'Heinous crime'
In the days leading up to the raid, Abu Safiyeh had repeatedly warned about the hospital's precarious situation, accusing Israeli forces of targeting the facility.
On Monday, he issued a statement accusing Israel of targeting the hospital "with the intent to kill and forcibly displace the people inside".
On Thursday, Abu Safiyeh said five staff members of the hospital had been killed in an Israeli strike near the facility.
Since October 6, Israel has intensified its land and air offensive in northern Gaza, saying its goal is to prevent Hamas militants from regrouping.
The military said Friday that it was acting on intelligence regarding "terrorist infrastructure and operatives" in the hospital's vicinity.
Before initiating the latest operation near the hospital, the military said its troops had "facilitated the secure evacuation of civilians, patients, and medical personnel".
Hamas has denied claims its operatives were present at the hospital, accusing Israeli forces of storming it on Friday.
"The enemy's lies about the hospital aim to justify the heinous crime committed by the occupation army today, involving the evacuation and burning of all hospital departments as part of a plan for extermination and forced displacement," Hamas said in a statement.
Gaza's health ministry had earlier quoted Abu Safiyeh reporting that the military had "set on fire all surgery departments of the hospital".
Abu Safiyeh said the military had also "evacuated the entire medical staff and displaced people".
"There are a large number of injuries among the medical team."
'Death sentence'
Iran, which backs Hamas, "strongly condemned the brutal attack", with a foreign ministry statement calling it "the latest example of war crimes, crimes against humanity, (and) gross violations of international law and norms".
The Israeli military has regularly accused Hamas of using hospitals as command and control centers for attacks against its forces throughout the war.
Hamas has denied the accusations.
The WHO reiterated its call for a ceasefire.
"This raid on Kamal Adwan Hospital comes after escalating restrictions on access for WHO and partners, and repeated attacks on or near the facility since early October," the WHO said.
"Such hostilities and the raids are undoing all our efforts and support to keep the facility minimal functional. The systematic dismantling of the health system in Gaza is a death sentence for tens of thousands of Palestinians in need of health care."
Meanwhile, Hamas's media center reported "massive Israeli air and artillery strikes in Beit Hanoun", in northern Gaza .
The Israeli military says it has killed hundreds of militants since the stepped-up assault in northern Gaza began on October 6, while rescuers in the area say thousands of civilians have died in the sweeping offensive.
Gaza civil defense also reported that in a separate Israeli strike in central Gaza at least nine Palestinians were killed on Saturday.
The Gaza war was triggered by the Hamas-led October 7 attack on Israel last year, which resulted in 1,208 deaths, mostly civilians, according to an AFP tally of Israeli official figures.
Israel's retaliatory military campaign has killed at least 45,436 people in Gaza, a majority of them civilians, according to figures from the Hamas-run territory's health ministry that the UN considers reliable.