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Emily Linendoll
Press Officer
Direct: 212-763-5764
Mobile: 646-206-9387
E-mail: emily.linendoll@msf.org
WASHINGTON - July 21 - Since the beginning of Operation Protective Edge in the Gaza Strip, the majority of the dead and wounded in Gaza are civilians and medical workers are also coming under fire, the international medical humanitarian organization Medecins Sans Frontieres (MSF) said today.
WASHINGTON - July 21 - Since the beginning of Operation Protective Edge in the Gaza Strip, the majority of the dead and wounded in Gaza are civilians and medical workers are also coming under fire, the international medical humanitarian organization Medecins Sans Frontieres (MSF) said today.
Heavy overnight shelling
Women and children comprised most of the wounded people arriving on Sunday morning in the emergency room in Al Shifa Hospital in Gaza City, where MSF is working, following heavy shelling overnight and in the morning in the city's Ash Shuja'iyeh neighborhood. MSF personnel witnessed hundreds of people fleeing the area. MSF calls on Israel to stop bombing civilians trapped in the sealed-off Gaza strip, and to respect the safety of medical workers and health facilities.
"Shelling and air strikes are not only intense but are also unpredictable, which makes it very difficult for MSF and other medical workers to move and provide much needed emergency care," said Nicolas Palarus, MSF field coordinator in Gaza.
Hundreds of civilians wounded
Two brothers, eight and four, were among the hundreds of civilians wounded overnight in Ash Shuja'iyeh. They lay side by side in Al Shifa's intensive burn care unit, suffering severe burns from a missile strike on their house.
It was only at dawn that people began to flee the area by foot or in packed vehicles, and when wounded people were able to reach the hospital either by ambulance or on their own.
'Half of the severe cases died within minutes'
"In the emergency resuscitation room, half of the severe cases died within minutes, and half required emergency surgery," said Audrey Landmann, MSF medical coordinator in Gaza.
At the hospital, MSF also witnessed two paramedics who had died and two others who were injured while trying to retrieve wounded from Ash Shuja'iyeh. Separately this morning, a clearly identified MSF vehicle escaped an air strike 300 metres away. Israeli authorities had earlier guaranteed secure movements for MSF from the Erez border crossing to Gaza City, so that an incoming surgical team could be picked up. "Medical workers and facilities must be respected, and shooting should not occur at or near ambulances and hospitals," said Palarus.
Number of victims increasing exponentially
Since Israel launched its ground offensive the number of victims is increasing exponentially. "While official claims that the objective of the ground offensive is to destroy tunnels into Israel, what we see on the ground is that bombing is indiscriminate and that those who die are civilians," said Palarus.
Three families of MSF staff members are sheltering at MSF's post-operative clinic in in Gaza City. "They have nowhere else to go and crossing the border does not seem a realistic option," said Palarus. "United Nations shelters are now overcrowded and hygiene conditions are extremely worrying."
In response to the emergency, MSF is supporting Al Shifa Hospital in Gaza City with a full surgical team, medical equipment and emergency supplies, and has donated two emergency stocks to the Central Drug Store in the south and north of Gaza. The MSF post-operative clinic in Gaza City is running at 10 to 30 percent of its capacity because the intensity of the bombing impedes patients from accessing the facility. Regular MSF activities in Nasser Hospital in Khan Yunis have been interrupted by the conflict. MSF has been working in Gaza for more than 10 years, providing medical, surgical and psychological services. It also responded to the 2009 and 2012 emergencies in Gaza.
Doctors Without Borders/Medecins Sans Frontieres (MSF) is an international medical humanitarian organization created by doctors and journalists in France in 1971. MSF's work is based on the humanitarian principles of medical ethics and impartiality. The organization is committed to bringing quality medical care to people caught in crisis regardless of race, religion, or political affiliation. MSF operates independently of any political, military, or religious agendas.
"With this lawsuit, California and our sister states are fighting for free and fair markets, not rigged markets," said Attorney General Rob Bonta. "America has no kings in government or our economy.”
In filing an antitrust lawsuit against Paramount Skydance over its proposed $111 billion acquisition of Warner Bros. Discovery, 12 state attorneys general on Monday deployed a legal tactic successfully used in 2022 to block another megamerger pushed by book publisher Simon & Schuster.
States including California, New York, Colorado, and Washington argued in the lawsuit that should the merger be approved, just one massive corporation would control more than 30% of anticipated top-grossing blockbuster films with large budgets and audiences, while just four distributors—Paramount, Disney, Universal, and Sony—would control more than 90% of those films.
In 2022, the US Department of Justice (DOJ) argued successfully that Simon & Schuster's proposed acquisition of Penguin Random House would harm competition among book publishers as they vied for the rights to books anticipated to be bestsellers.
California Attorney General Rob Bonta, who is leading the coalition of states in the biggest legal challenge against the merger thus far, said that "the unlawful merger of these two entertainment behemoths would lead to higher prices, lower quality, and less content for film and television, harming movie theaters, basic cable distributors, and ultimately, audiences on every sofa and movie theater seat in the US."
The lawsuit also argues that after the proposed merger, just three distribution companies would control 75% of wide-release theatrical films and 27% of the market in licensing for basic cable television channels.
The merger, said the attorneys general in the US District Court for the Northern District of California, would violate Section 7 of the Clayton Act, which bars business mergers and acquisitions that substantially lessen competition or create a monopoly.
"In this country, no one is above the law," said Bonta. "With this lawsuit, California and our sister states are fighting for free and fair markets, not rigged markets. America has no kings in government or our economy.”
New York Mayor Zohran Mamadani expressed pride that his state was fighting the deal, which he said "is not a merger that serves the public."
The media advocacy group Free Press emphasized that along with reducing competition among film distribution companies, the merger would create a "media colossus" that would also include control over CBS—taken over by Skydance Media CEO David Ellison last year after his company merged with Paramount—and CNN.
The merger would give tech mogul Larry Ellison and his family—allies of President Donald Trump's administration—"the power to shape public discourse at the president’s direction in exchange for the administration’s regulatory approval," said Free Press. "That’s why administration officials like Secretary of Defense Pete Hegseth have openly rooted for the Ellisons to obtain CNN, based on their documented promises to make 'sweeping changes' to the network to please Trump."
Following the Ellisons' takeover of CBS, the leadership of newly appointed right-wing editor-in-chief Bari Weiss has been condemned by First Amendment advocates as Weiss has sought to remake CBS News—spiking a "60 Minutes" segment on Trump's mass deportations and firing the leadership of the flagship investigative news show.
“President Trump and his cronies want to rush this anti-competitive deal through because David Ellison has demonstrated time and again that he will leverage his control of his media empire to silence Trump’s critics and amplify MAGA propaganda," said Free Press co-CEO Jessica González, thanking the state attorneys general for their legal challenge. "That’s corruption, plain and simple. Any merger of this scale would diminish creativity and diversity in entertainment, weaken journalists’ ability to hold those in power accountable, and further endanger our democracy."
"This is especially true when the Ellisons are in charge," said González. "To win approval for their takeover of CBS News, the Ellisons promised to gut hard-hitting reporting across the network—and have gleefully followed through. And they’ll do the same to undermine editorial independence at CNN if they gain control of the global news network."
Although Paramount's proposed merger has already been approved by 20 countries and regions globally, and Trump's DOJ claimed the creation of an even larger media empire was "not likely to harm competition or American consumer,” regulators in the United Kingdom and the European Union have leaned toward looking more closely at the deal. The lawsuit, said González, "means that this corrupt merger is far from a done deal."
"While the administration won’t take a stand against the president’s billionaire cronies, we can still stop the Ellisons’ power grab," said González. "While Paramount is flaunting its corruption and toasting Trump officials, we’re standing with the workers and artists at the heart of the news and entertainment industries—and with the American people, who deserve a diverse and independent media system that works on their behalf, and against the self-interest of greedy billionaires and unethical politicians.”
The lawsuit also followed a series of town halls held in Los Angeles, New York, and Atlanta by the American Economic Liberties Project, titled "Main Street vs. the Merger." Anti-monopoly advocates heard from entertainment workers, small business owners, and others who would be impacted by the Paramount-Warner Bros. deal.
Comedian Adam Conover warned at one town hall that the merger would lead to higher streaming prices, and writers and other media workers shared fears that the deal would lead to mass layoffs.
"I spent the last month meeting with the workers and business owners who’d be hit with this deal,” said Alvaro Bedoya, senior adviser at American Economic Liberties Project, on Monday. “The rich guys who run Paramount can say what they want, but the people who actually work for them know that this will kill jobs and screw over the small businesses that are the lifeblood of this industry. I hope the states win and win fast, because these people need it.”
Lawsuits challenging mergers typically take at least several months and up to a year to be decided by a judge, and the states are asking the companies to freeze the proposed merger deal—which was set to close in the third quarter of 2026—which the case is being adjudicated. California also said it would seek a temporary restraining order if the companies did not agree to pause the deal.
Paramount has agreed to pay Warner Bros. Discovery shareholders $650 million for each quarter the deal isn't finalized, starting in October.
“This illegal merger would mean layoffs for artists and workers, higher prices for consumers, and the death of Hollywood,” said Matt Stoller, research director at American Economic Liberties Project. “State enforcers have done the right thing in seeking to block it. It is time to stop oligarchs from strip-mining our culture and selling America off for parts. Blocking this megamerger is the first step in doing so.”
Just weeks after Trump's secretary of state admitted that "no country is allowed to charge tolls or fees on an international waterway," the president demanded 20%, far higher than the 1-2% sought by Iran.
The Iranian foreign minister on Monday mocked President Donald Trump's announcement that he was renewing the US blockade of Iran and that he expected a 20% fee from commercial vessels for "guarding" the key waterway.
"POTUS is absolutely right," the minister, Seyed Abbas Araghchi, wrote on social media. "Whoever provides secure and safe passage of commercial vessels through the Strait of Hormuz should be compensated for this service."
"Iran has always been the GUARDIAN of the Strait and will remain so FOREVER," he added. "20% is of course too much. We will be fair."
Trump had called in to "Fox & Friends" on Monday. He said on-air that the United States would be "the guardian angel of the strait" and "we're gonna get paid for guarding it."
Later Monday morning, he had written on Truth Social that "the U.S.A. will be, from this point forward, known as ‘THE GUARDIAN OF THE HORMUZ STRAIT,’ but as such, and as a matter of FAIRNESS, will be reimbursed, at the rate of 20% on all cargo shipped, for any and all costs necessary to do the job of providing safety and security to this very volatile section of the World."
Critics and experts have highlighted that Trump's 20% toll is far higher than the 1-2% sought by Iran, and warned that Trump had perhaps unintentionally bolstered Iran's case for imposing its own fee on ships in the strait.
Others have pointed out that US Secretary of State Marco Rubio told journalists just a few weeks ago that "no country is allowed to charge tolls or fees on an international waterway. That's existing international law. That's the way it is in international waterways all over the world, and that's the way we expect it'll be here. So I don't think we have anybody to convince around here in that regard. I think all the countries in this region would agree with us."
"Is the secretary of state worried because he knows US personnel committed war crimes in Iran?"
US Secretary of State Marco Rubio on Monday announced what he characterized as a "campaign to dismantle" the International Criminal Court, the Hague-based tribunal tasked with investigating and charging individuals with war crimes and other violations.
In a video posted to social media, Rubio accused the international court of "waging a war against our country—not with bullets or missiles, but with statutes, compacts, and the force of so-called international law." The top American diplomat threatened that the US "will teach the ICC the full meaning of American resolve."
The US State Department said in a statement that Rubio's new campaign against the ICC would "feature a whole-of-government response to systematically disable" the court's "ability to operate, target American servicemen or officials, or otherwise threaten American sovereignty." The US is not party to the Rome Statute, the 1998 treaty that established the ICC.
US President Donald Trump and his subordinates, who have been accused of myriad violations of international law, have adopted an increasingly aggressive posture toward the ICC since taking power last January.
In a February 6, 2025 executive order, Trump declared "a national emergency to address" the purported "threat" posed by the ICC and announced sanctions against court officials, including its judges. The president's order cited the ICC's "investigations concerning personnel of the United States and certain of its allies, including Israel," which is also not party to the Rome Statute.
In November 2024, the ICC issued arrest warrants against Israeli Prime Minister Benjamin Netanyahu and his former defense minister, Yoav Gallant, for alleged war crimes committed in the Gaza Strip.
Rubio warned in an op-ed in The Wall Street Journal on Monday that US officials accused of international crimes could be next to face ICC action.
"Border Patrol agents working to remove violent criminals from our country, US Marines risking their lives to restore order in the Western Hemisphere, federal prosecutors working to dismantle terror networks plotting attacks on the American homeland—all would face the constant risk of persecution for the 'crime' of defending our country," Rubio wrote. "Using all the tools at our government’s disposal, working beside every ally with whom we can make common cause, we will dismantle the ICC—brick by brick, if necessary."
Raed Jarrar, advocacy director of the human rights group Democracy for the Arab World Now (DAWN), said in response to Rubio's op-ed that "when the world’s most powerful country aims to dismantle the world’s only permanent international court, it sends the message that the powerful are above the law."
"It is not the ICC that Rubio is dismantling brick by brick, but the rules-based international order that grew out of the ashes of World War II,” said Jarrar. "Rubio’s attack doesn't just underscore US hypocrisy, but undermines access to justice across the globe, from Ukraine to Sudan and could amount to obstruction of justice, a crime under the Rome Statute in and of itself."
In his op-ed, Rubio pointed to DAWN's call earlier this year for Iran and other Middle East nations to grant the ICC jurisdiction to investigate apparent war crimes committed during the conflict launched in late February by Trump and Netanyahu.
Omar Shakir, DAWN's executive director, said Monday that Rubio mischaracterized the group's call as focusing solely on actions by US personnel. That move, said Shakir, "begs the question: Is the secretary of state worried because he knows US personnel committed war crimes in Iran?"
Under Rubio's plan, the State Department is threatening to impose "increased sanctions against the ICC and affiliated organizations," hit court personnel with "visa revocations and travel bans," and pressure other nations that aren't party to the Rome Statute to "leverage their diplomatic networks to take similar actions alongside" the Trump administration.
Kenneth Roth, the former executive director of Human Rights Watch who has demanded international accountability for the Trump administration over its illegal assault on Iran, wrote Monday that Rubio "can't even make an honest case for attacking the International Criminal Court."
"He makes it sound like the ICC acts out of the blue anywhere it wants when in fact it acts only against crimes committed on the territory of states that have invited it," Roth wrote. "He never explains why the United States should be able to commit crimes on the territory of those states with impunity, contrary to the desire of their sovereign governments for an international backstop to reinforce justice for such crimes."