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"How is it possible that, in this small hospital, four children are lying here with gunshot wounds to the head—all admitted within the past 48 hours?" said one US trauma surgeon.
International medical professionals who volunteered in Gaza hospitals said they treated more than 100 Palestinian children who were shot in the head or chest by Israeli forces in what appears to be a pattern of deliberate targeting, according to an investigation published Saturday by a Dutch newspaper.
De Volkskrant interviewed 17 doctors and a nurse from the Australia, Canada, the Netherlands, United Kingdom, and United States who worked in six hospitals and four clinics in Gaza since October 2023. Fifteen of the 17 doctors described treating 114 children under the age of 15 who had a single bullet wound to the head or chest.
Former Royal Netherlands Army Commander Lt. Gen. Mart de Kruif told de Volkskrant's Maud Effting and Willem Feenstra that such wounds mean that the victims were all but certainly shot on purpose.
"Just think about how small the head is compared to the rest of the body," he said. "If you’re seeing a high number of gunshot wounds to the chest area and the head, that’s not collateral damage—that’s deliberate targeting.”
Dr. Mimi Syed, a US emergency physician who volunteered for two four-week rotations at Nasser Hospital in Khan Younis and al-Aqsa Martyrs Government Hospital in Deir al-Balah, described one 4-year-old victim, a girl named Mira.
“They said she’d been shot by a quadcopter [drone] while walking around in the humanitarian zone declared by Israel," Syed told de Volkskrant. "I was told to just let her die by my colleagues. The assessment was, unfortunately, that there wasn’t much we could do. But she was still moving a little bit. She was very young. A little girl. I just couldn’t look away. There was something in her face that struck me. So I took a chance.”
Working with colleagues, Syed saved Mira. Seeing so many similar injuries, she thought: "I have to document this. I realized—these are war crimes.”
Syed documented 18 children with single-shot wounds to the head or chest.
Mira, a Palestinian girl from Gaza, survived a single gunshot wound to her head. (Photo: Dr. Mimi Syed via de Volkskrant)
Dr. Feroze Sidhwa, a 43-year-old California trauma surgeon, described his first day volunteering at European Hospital in Gaza in March 2024. Sidhwa—who has previously described seeing children as young as 3 years old being deliberately targeted in numerous interviews and his own writing—told de Volkskrant that he saw four boys under age 10 with identical head wounds within 48 hours of his arrival.
"I thought: What the hell?" he said. "How is it possible that, in this small hospital, four children are lying here with gunshot wounds to the head—all admitted within the past 48 hours?"
Over the following 13 days, Sidhwa saw nine more children with similar single gunshot wounds to the head and chest by Israel Defense Forces (IDF) soldiers, who pride themselves on being some of the world's best-trained marksmen. Israel and the US have frequently described the IDF as the "most moral army" in the world.
"I started to wonder if my hospital was near some crazy sniper," he said. "Or a drone team killing children just for fun."
Numerous previous investigations have documented IDF soldiers deliberate targeting of Palestinian children in Gaza. In July, the BBC examined the cases of more than 160 Palestinian children who were shot by IDF troops in Gaza and found that in 95 cases, the child was shot in the head or chest.
"Some of the cases we looked at like children were allegedly shot while fleeing battle zones, but many others were shot while playing outside their tents in humanitarian zones and some in areas the IDF themselves had marked as evacuation corridors," BBC noted.
IDF officials deny that Israeli troops deliberately target children and have even claimed that Hamas may be shooting them in a new iteration of the age-old blood libel against Jews. Israeli and US officials have also claimed that hundreds of Palestinians have starved to death in Gaza not because of Israel's near-total blockade on humanitarian relief but because Hamas is stealing the aid—even as IDF officers have refuted the theft allegations.
Israeli troops have admitted to being ordered to shoot to kill "anyone who enters" a so-called "kill zone" in central Gaza, including children.
Other IDF whistleblowers have described orders to open fire on Gazan civilians including children with live bullets and artillery at aid distribution centers.
“We’re killing their wives, their children, their cats, their dogs," one IDF officer said earlier this year. "We’re destroying their houses and pissing on their graves.”
One IDF soldier even boasted online about how "fun" it is to kill Palestinian children, while another is heard saying in a video uploaded to social media that “we are looking for babies, but there are no babies left"—so instead "I killed a girl that was 12."
Yet another IDF soldier proudly claimed: “I just went to Gaza, and there were two little girls playing football. So, what did I do? I took my weapon and shot them in the head.”
Operating under loosened rules of engagement that effectively permit the killing of an unlimited number of civilians when targeting even a single low-ranking Hamas member, Israeli troops have killed more than 20,000 Palestinian children and disabled over 21,000 others in Gaza since October 2023, according to Gaza officials, United Nations agencies, and international humanitarian groups.
The use of artificial intelligence to rapidly select targets, as well as dropping fragmentation, incendiary, and 1,000- and 2,000-pound bombs—many supplied by the US—has exacerbated the civilian casualty crisis and contributed to an unprecedented surge in amputations, often performed without anesthesia.
So many wounded Gazan children have also been orphaned that medical professionals have coined a grim new acronym to describe them: WCNSF—wounded child, no surviving family.
According to Gaza and United Nations officials, more than 1,500 medical professionals have also been killed in Gaza since October 2023, many of them while working, including the paramedics who were killed while trying to rescue Hind Rajab, a 5-year-old girl massacred along with six relatives while trying to flee to safety last year.
Hundreds of thousands of Palestinian children are also being deliberately starved in a US-backed Israeli war of conquest and occupation that is increasingly viewed by the world as genocidal, and that has left at least 238,500 Gazans dead, maimed, or missing. Last week, former IDF Chief of Staff Herzi Halevi acknowledged that Israel has killed or wounded 10% of Gaza's pre-war population of approximately 2.2 million.
Early in the war, the United Nations Children’s Fund (UNICEF) called Gaza “the world’s most dangerous place to be a child.” Last year, United Nations Secretary-General António Guterres for the first time added Israel to his so-called “List of Shame” of countries that kill and injure children during wars and other armed conflicts.
"International silence in the face of attacks on humanitarian teams not only equates to a death sentence for Palestinians in Gaza but also poses a direct threat to humanitarian work everywhere."
The Palestine Red Crescent Society is demanding an independent international investigation into what it called Israel's recent "deliberate killing" of 15 Palestinian first responders, including eight PRCS paramedics in southern Gaza, after video found on a phone buried with one of their bodies showed Israel lied about the incident and autopsies found that the men had been shot with "intent to kill."
"Accountability should not require video evidence. It should not take global outrage for the truth to be acknowledged," PRCS spokesperson Nebal Farsakh said in a video published Wednesday. This, after PRCS issued a statement Monday accusing Israel of a "massacre" and a "full-fledged war crime" that "reflects a dangerous pattern of repeated violation of international humanitarian law."
Citing the Geneva Conventions, PRCS called for "an independent international investigation and for all perpetrators to be held accountable," adding that "international silence in the face of attacks on humanitarian teams not only equates to a death sentence for Palestinians in Gaza but also poses a direct threat to humanitarian work everywhere."
On March 30, PRCS said it had recovered the bodies of 15 Palestinian first responders from a mass grave, including eight Red Crescent emergency medical team members, six Civil Defense personnel, and one United Nations worker. The first responders were killed by Israeli forces on March 23 while traveling "on duty" in five ambulances, a fire truck, and a U.N. vehicle in the al-Hashashin area of southern Gaza. One PRCS medic is still missing after apparently being taken prisoner by Israeli troops.
The Gaza Health Ministry said that "some of these bodies were bound and shot in the chest" before being "buried in a deep hole to prevent their identification." The vehicles in their convoy were destroyed and buried along with the victims in what officials said was an unsuccessful attempt to conceal the massacre.
PRCS spokesperson Mahmoud Basal told Drop Site News that one of the victims was "beheaded," and that "the least harmed among them had at least 20 bullets fired at him."
Israel Defense Forces spokesperson Col. Nadav Shoshani claimed troops opened fire in response to unknown vehicles "advancing suspiciously toward IDF troops without headlights or emergency signals."
Shoshani further contended that nine of the first responders were "terrorists from Hamas and the Islamic Jihad"—an accusation often made by Israeli officials against many of the thousands of medical professionals, humanitarian workers, and journalists killed or wounded by the IDF.
However, video found on the cellphone of 23-year-old Rifaat Radwan, one of the slain medics, revealed that the ambulances and fire truck were not only clearly marked but also had their emergency lights flashing when they were attacked.
Israeli troops can be heard in the video firing on the convoy and getting closer. Realizing he was about to die, Radwan said: "Forgive me, mother. This is the path I chose—to help people."
Speaking to Middle East Eye, Radwan's mother called the killing of her son and the other first responders "something horrific, beyond comprehension" and "a crime against humanity."
Radwan's video forced the IDF to admit that its version of events was "mistaken." British Tunisian journalist Soumaya Ghannoushi wrote that the slain medic's "voice from beyond the grave destroyed Israel's lie."
There was also the testimony of survivor Munther Abed, a 27-year-old longtime PRCS volunteer, who told Drop Site News that the first responders "were directly and deliberately shot at" by IDF troops.
"The car is clearly marked with 'Palestinian Red Crescent Society 101,'" he said. "The car's number was clear and the crews' uniform was clear, so why were we directly shot at?"
🚨Report: The sole survivor of the paramedics Israeli massacre in Rafah, Munther Abed, recounts the moments when his colleagues were executed before his eyes and how he survived the Israeli attack that targeted Red Crescent and Civil Defense ambulances on March 23, killing 15… pic.twitter.com/3cvTDPOGJw
— Gaza Notifications (@gazanotice) April 3, 2025
Abed says he was kidnapped and tortured by IDF soldiers, and that he saw Assad al-Nassara, the missing medic, in Israeli custody.
"This is not the first violation and there have been many violations before," Abed said. "Where is our protection according to international humanitarian law?"
At least 30 PRCS workers and volunteers have been killed by Israeli forces since Israel launched the war in response to the Hamas-led October 7, 2023 attack. Such killings rarely make international headlines but sometimes do, like when two medics were fatally shot while trying to rescue Hind Rajab, a mortally wounded 6-year-old girl trapped in a car surrounded by dead relatives following an IDF attack in January 2024.
As Ghannoushi noted: "Palestinian medics say their uniforms don't protect them; they mark them for death. Symbols once sacred—the Red Crescent vest, the white coat, surgical scrubs—are now treated as targets."
"In Gaza, medicine is rebellion, and compassion is treason," she added. "To heal is to defy extermination."
The first responders' massacre has received widespread international media coverage, and even the staunchly pro-Zionist U.S. corporate media pressed Israeli officials for answers. Fox News chief foreign affairs correspondent Trey Yingst appeared skeptical of Israel's assertion that the slain first responders were terrorists: "Asked multiple times for evidence to support that claim, none was provided," he said during one report.
Jonathan Whittall, who heads the United Nations Office for the Coordination of Humanitarian Affairs in Palestine, angrily rejected Israel's claim, saying the first responders were executed "one by one."
"We're digging them out with uniforms, with their gloves on," he said last week. "They were here to save lives. Instead, they ended up in a mass grave."
Whittall called the killings "very emblematic of the point we've reached in Gaza."
"What is happening here is defying—it defies decency, it defies humanity, it defies the law," he added. "It is a war without limits."
The U.S.-backed war—for which Israel is facing a genocide case at the International Court of Justice—continued for the 551st day on Wednesday, with scores of Palestinians reportedly killed by IDF airstrikes and shelling across Gaza. A strike on a multistory residential building in the Shejaiyya neighborhood east of Gaza City killed at least 29 people including eight children, according to local medical officials. More than 60 others were wounded in the strike and two dozen other people are missing beneath the rubble.
The IDF—which after the October 7 attack explicitly allowed an unlimited number of civilians to be killed in strikes targeting even one Hamas member, no matter how lowly his rank—claimed it bombed the homes in a bid to eliminate a "senior Hamas terrorist."
The Gaza Health Ministry said Wednesday that Israeli forces have killed 1,482 Palestinians in Gaza since unilaterally breaking a January cease-fire on March 18. This figure includes more than 320 children, according to the United Nations Children's Fund. The ministry said that at least 50,846 Palestinians have been killed, and more than 115,700 have been wounded, since October 2023. Upward of 14,000 others are missing and feared dead and buried beneath the rubble of bombed-out buildings.
Nearly all of Gaza's more than 2 million people have been forcibly displaced—often multiple times—and have suffered widespread and sometimes deadly
starvation and illness fueled by Israel's "complete siege" of the coastal enclave.
"Israel must immediately stop its unprecedented wanton destruction of healthcare facilities in Gaza," the head of the inquiry stressed.
For the second time this year, a United Nations commission tasked with investigating Israel's conduct during its yearlong invasion and blockade of Gaza has found that the U.S.-armed Israeli military is committing crimes against humanity against Palestinians.
The Independent International Commission of Inquiry on the Occupied Palestinian Territory released a report Thursday detailing how "Israel has perpetrated a concerted policy to destroy Gaza's healthcare system as part of a broader assault on Gaza, committing war crimes and the crime against humanity of extermination with relentless and deliberate attacks on medical personnel and facilities."
"The commission also investigated the treatment of Palestinian detainees in Israel and of Israeli and foreign hostages in Gaza since October 7, 2023 and concluded that Israel and Palestinian armed groups are responsible for torture and sexual and gender-based violence," the Office of the U.N. High Commissioner for Human Rights (OHCHR) said in a summary of the report.
The report cites the U.N. World Health Organization's findings that Israel carried out 498 attacks on healthcare facilities in the Gaza Strip between October 7, 2023—when Hamas launched the deadliest-ever attack on Israel—and July 30, 2024.
"A total of 747 persons were killed directly in those attacks, and 969 others were injured, and 110 facilities were affected," the publication states. The report calls the attacks "widespread and systematic."
The commission continued:
Israeli security forces carried out air strikes against hospitals, causing considerable damage to buildings and surroundings, as well as multiple casualties; surrounded and besieged hospital premises; prevented the entry of goods and medical equipment and exit/entry of civilians; issued evacuation orders but prevented safe evacuations; and raided hospitals, arresting hospital staff and patients. Israeli security forces also obstructed access by humanitarian agencies.
"Israel must immediately stop its unprecedented wanton destruction of healthcare facilities in Gaza," said commission chair Navi Pillay. "By targeting healthcare facilities, Israel is targeting the right to health itself with significant long-term detrimental effects on the civilian population. Children in particular have borne the brunt of these attacks, suffering both directly and indirectly from the collapse of the health system."
OHCHR said that "attacks on medical facilities in Gaza, particularly those devoted to pediatric and neonatal care, have led to incalculable suffering of child patients, including newborns."
"In continuing these attacks, Israel has violated children's right to life, denied children access to basic healthcare, and deliberately inflicted conditions of life resulting in the destruction of generations of Palestinian children and, potentially, the Palestinian people as a group," the agency added.
The commission's inquiry found that as of July 15, "113 ambulances had been attacked and at least 61 had been damaged," including vehicles used by the U.N., International Committee of the Red Cross (ICRC), the Palestine Red Crescent Society (PRCS), and other organizations.
"Access was also reduced owing to closure of areas by Israeli security forces, [and] delays in coordination of safe routes, checkpoints, searches, or destruction of roads," the report notes.
The commission investigated the January 29 attack that killed 6-year-old Hind Rajab and six of her relatives, as well as two paramedics who had Israeli permission to attempt to rescue them.
"They were attacked while trying to evacuate in their car," the report said of the family. "The ambulance, carrying two paramedics, Yousef Zeino and Ahmed al-Madhoun, was dispatched after its route had been coordinated with Israeli security forces. It was hit by a tank shell at a distance of some 50 meters from the family's car."
"Hind was still alive at the time that the ambulance was dispatched," the publication noted. "The presence of Israeli security forces in the area prevented access. As a result, the family members' bodies could not be retrieved from their bullet-ridden car until 12 days after the incident."
Israel Defense Forces officials have repeatedly claimed that no IDF troops were in the area at the time of the attack. Multiple journalistic investigations, including one published Tuesday by Sky News, showed that Israeli tank and machine gun fire killed the family and paramedics.
The new report's authors also noted that "hundreds of medical personnel, including three hospital directors and the head of an orthopedic department, as well as patients and journalists were arrested by Israeli security forces" during raids on Gaza medical facilities.
"Reportedly, 128 health workers remain detained by Israeli authorities as of July 15, including four PRCS staff members," the publication states.
"The institutionalized mistreatment of Palestinian detainees, a longstanding characteristic of the occupation, took place under direct orders from the Israeli minister in charge of the prison system, Itamar Ben-Gvir, and was fueled by Israeli government statements inciting violence and retribution," said OHCHR.
The commission report also detailed crimes committed by Hamas and other Palestinian armed groups against Israelis on and after October 7, 2023, when more than 1,100 Israelis and others were killed—at least some by so-called "friendly fire" and under the fratricidal Hannibal Directive—and over 240 people abducted.
Hostages "were mistreated to inflict physical pain and severe mental suffering, including physical violence, abuse, sexual violence, forced isolation, limited access to hygiene facilities, water and food, threats and humiliation," OHCHR said. "Hamas and other Palestinian armed groups committed the war crimes of torture, inhuman or cruel treatment, and the crimes against humanity of enforced disappearance and other inhumane acts causing great suffering or serious injury."
In June, the same U.N. commission found Israel's far-right government responsible for a range of war crimes and crimes against humanity in the Gaza Strip, including "extermination, torture, forcible transfer, and the use of starvation as a weapon of warfare."
Over the course of its 370-day assault on Gaza, Israeli forces have killed at least 42,010 Palestinians in the coastal enclave—most of them women and children—and wounded more than 97,700 others, according to the Gaza Ministry of Health and international agencies.
At least 10,000 Palestinians are missing and believed to be dead and buried beneath the rubble of hundreds of thousands of bombed buildings. Israel's "complete siege" of Gaza has forcibly displaced more than 90% of Gaza's 2.3 million people, and has contributed to the starvation and sickening of hundreds of thousands of Gazans.
Israel is on trial for genocide at the U.N. International Court of Justice. Meanwhile, International Criminal Court Prosecutor Karim Khan is seeking arrest warrants for Israeli Prime Minister Benjamin Netanyahu, Israeli Defense Minister Yoav Gallant, and three Hamas leaders—at least one of whom, political chief Ismail Haniyeh, has been assassinated—for alleged war crimes and crimes against humanity, including extermination.