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"Once again we repeat: Patients, health workers, and hospitals must be protected. The aid blockade must be lifted. Cease-fire," the WHO chief said.
Israeli forces bombed the last fully functioning hospital in northern Gaza early Sunday morning, killing at least three people, including a 12-year-old boy.
The missile attack on al-Ahli Hospital in Gaza City is the latest in what has been described as Israel's "campaign of genocide" to systematically attack Gaza's healthcare infrastructure, which has damaged 33 out of Gaza's 36 hospitals.
The Episcopal Diocese of Jerusalem, which manages al-Ahli hospital, said in a statement Sunday that it condemned the attack "in the strongest possible terms."
"The Diocese of Jerusalem is appalled at the bombing of the hospital now for the fifth time since the beginning of the war in 2023—and this time on the morning of Palm Sunday and the beginning of Holy Week," the diocese said. "We call upon all governments and people of goodwill to intervene to stop all kinds of attacks on medical and humanitarian institutions. We pray and call for the end of this horrific war and the suffering of so many."
According to the diocese, patients and health workers were only given 20 minutes to evacuate before two missiles struck, destroying the hospital's genetic laboratory and damaging the pharmacy, emergency department, and the neighboring St. Philip’s church.
"We are in complete shock," Dr. Yousef Al-Haddad, a physiotherapy specialist at the hospital, told Medical Aid for Palestinians (MAP). "As I speak to you, I'm surrounded by piles of rubble and destruction. The laboratory was the only one in Gaza that provided a range of tests unavailable in any other hospital—and now it's been entirely lost. Emergency and reception services were shared between the al-Ahli Hospital and al-Shifa Hospital, with our hospital taking the lead as it was the only hospital equipped with a CT scanner. Now, following last night's attack, these services have entirely ceased. This will undoubtedly increase the pressure on al-Shifa Hospital, which is already operating with a smaller capacity."
In the rushed evacuation, critically ill patients had to be moved into the streets in the cold. While no one died in blast itself, the hurried evacuation resulted in three deaths, including that of a 12-year-old boy who was being treated for a head injury.
"He was on oxygen, as were the two other patients, and the family basically walked with them to a nearby hospital, a very small facility with no capacity for the number of patients heading their way," Razan al-Nahhas, an emergency doctor who had previously worked at the hospital, toldAl Jazeera. "And they [the patients] arrived dead."
A Red Crescent doctor toldMiddle East Eye that finding space for the evacuated patients could be difficult.
"All the hospitals are overcrowded and are unprepared for providing full medical services, this will surely reflect on the health of the wounded, the patients and it could result in the loss of their lives, the loss of their body parts, or could cause long-term disability," he said.
"Faith leaders in our nation and worldwide must speak out against the war of extermination being waged by Israel using the support of the U.S. government and with American taxpayer dollars."
World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus wrote on social media that 50 patients had been moved to other hospitals, while 40 were too ill or injured to relocate.
"Hospitals are protected under international humanitarian law," Gheybreyesus continued. "Attacks on healthcare must stop. Once again we repeat: Patients, health workers, and hospitals must be protected. The aid blockade must be lifted. Cease-fire."
MAP called on the international community "to take immediate action to protect Gaza's hospitals and medical personnel."
"There must be an immediate and permanent cease-fire, an end to all arms transfers to Israel, and full accountability for repeated violations of international law, including the deliberate targeting of hospitals," the group wrote. "Israel must be held to its legal obligation to repair the destruction it has caused to Gaza's health infrastructure and allow unimpeded humanitarian access in line with the orders of the International Court of Justice."
Al-Ahli Hospital first grabbed international attention early in the war, when a bombing in October 2023 killed hundreds of people. At the time, Israel denied that it had launched the attack. However, since then, it has attacked the hospital four times including on Sunday.
Religious groups also condemned the timing of the attack on Palm Sunday, a sacred celebration for Christians in Palestine and around the world.
The Higher Presidential Committee for Church Affairs in Palestine said, "The attack, carried out on Palm Sunday, one of the holiest days in the Christian calendar, constitutes a grave violation of religious sanctity and fundamental principles of international humanitarian law."
"The far-right Israeli government has shown time and again it is willing to violate religious norms, whether targeting Palestinian Christians or Muslims, in its genocidal campaign against the Palestinian people," the Council on American-Islamic Relations said in a statement. "Faith leaders in our nation and worldwide must speak out against the war of extermination being waged by Israel using the support of the U.S. government and with American taxpayer dollars. We call on the Trump administration to similarly condemn this attack."
Israel, for its part, said that the hospital was targeted because it was a "command and control" center for the militant group Hamas, according to Middle East Eye. However, it did not provide any evidence.
The hospital bombing was only one of several attacks carried out by Israel in Gaza on Sunday, which together killed at least 21 people, The Associated Press reported.
It also followed Israel's claim on Saturday that it had succeeded in isolating Rafah in the south from the rest of the Gaza Strip, according to Al Jazeera. Israel had promised to cordon off the city earlier in the week.
As of Sunday, the Gaza's Health Ministry said that Israel's assault on Gaza since October 7, 2023 had killed at least 50,944 Palestinians and injured 116,156. More than 1,500 of those deaths have occurred since Israel ended a tentative cease-fire on March 18.
"The Israeli military's denial of water and electricity left sick and wounded people to die, while soldiers mistreated and forcibly displaced patients and health workers, and damaged and destroyed hospitals."
As the Israel Defense Forces continued a devastating assault on the Gaza Strip Thursday, a U.S.-based rights group said that the IDF "caused deaths and unnecessary suffering of Palestinian patients while occupying hospitals" there over the past 18 months, "amounting to war crimes."
"International humanitarian law provides that hospitals and their staff may not be deliberately attacked," states the new Human Rights Watch (HRW) report. "Parties to the conflict must at all times respect and protect hospitals and take all feasible precautions to minimize harm to patients, staff, and facilities during the hostilities."
Like previous publications exposing the IDF's systematic destruction of the Gaza health system, the HRW report lays out how Israeli forces who occupied hospitals neglected their legal obligations and instead "severely interfered with the treatment" of injured and sick Palestinians, including by denying doctors' pleas to bring in supplies and blocking access to facilities and ambulances, "leading to the deaths of wounded and chronically ill patients."
HRW interviewed patients and healthcare workers present for Israeli takeovers of al-Shifa medical complex in Gaza City, Kamal Adwan Hospital in Beit Lahia, and the Nasser facility in Khan Younis. According to witnesses, the IDF "denied electricity, water, food, and medicines to patients; shot civilians; mistreated health workers; and deliberately destroyed medical facilities and equipment. Unlawful forced evacuations put patients at grave risk and left desperately needed hospitals nonfunctional."
In the section on Israeli activities at al-Shifa in November 2023, HRW reported that "Ridana Zukhra, 25, said she left al-Shifa with her children, brother, and cousin when Israeli forces ordered people to evacuate. Despite holding white flags, a tank fired at the group, badly wounding her daughter, Ghazal, 5, whose leg had to be amputated."
The report also shares accounts from the hospital five months later:
Dr. Badr B., 28, who asked not to use his real name for his protection, said that electricity at the hospital was cut off at about 2:00 am on March 18. Israeli forces broadcast a message that no one could leave, he said, and they shot and wounded four healthcare workers near the entrance. A doctor told the BBC that two patients on life support died because of the electricity cut.
Israeli forces seized the complex with "military vehicles, snipers, quadcopters [drones], soldiers, everything," Dr. B. said. Israeli forces ordered the 72 healthcare workers left at the hospital to transfer about 180 patients from the third and fourth floors of the ICU in the specialized surgeries building to the ground floor and warned they would "start shooting at these floors" within two hours. Dr. B. said that they began "shooting as we were evacuating the last group, three [patients] on crutches and the rest in wheelchairs." Staff then transferred patients to the hospital's reception building.
HRW also detailed Israel's December 2023 assault on Kamal Adwan and the February 2024 raid at Nasser, "when 850 patients and up to 10,000 displaced people were sheltering there."
According to the publication:
Duaa D., who asked that her real name not be used for her protection, said her son Mohammed, 20, was a kidney patient in Nasser hospital at the time, where there was no fresh food, clean water, or medicine for Mohammed's hypertension. Her two younger children, sheltering in a tent in the hospital courtyard, went sleepless with fear. Mohammed said he could barely walk and had lost almost half his body weight due to vomiting and diarrhea, that the water was contaminated, and that he could not digest the canned food due to his chronic illnesses.
On February 13, Duaa saw Jamal Abu al-Ola, 25, who had been sheltering in the hospital, in a white hazmat suit with his hands bound. NBC and other media reported that Israeli forces had detained and beaten him and ordered him to warn the hospital to evacuate, threatening to kill him and others if he did not return. Duaa said al-Ola shared the warning and left the hospital, but soon after was carried back in and "shot, with a fountain of blood pouring." Witnesses told news media that Israeli forces shot and killed him near the hospital entrance.
Duaa told HRW that she saw a large number of bodies on the ground and recalled an "unbearable" smell. "We saw cats and dogs eating bodies," she said. "Once a dog brought a human hand and gave it to its puppies."
Bill Van Esveld, associate children's rights director at HRW, demanded accountability for Israeli troops' well-documented war crimes.
"Israeli forces repeatedly demonstrated deadly cruelty against Palestinian patients in hospitals that they seized," Van Esveld said. "The Israeli military's denial of water and electricity left sick and wounded people to die, while soldiers mistreated and forcibly displaced patients and health workers, and damaged and destroyed hospitals."
"The Israeli military's occupation of Gaza's hospitals has transformed sites for healing and recovery into centers of death and mistreatment," he added. "Those responsible for these horrific abuses, including senior officials, should be held to account."
The report was published just days after Israel fully abandoned a cease-fire that took effect in January. Gaza Ministry of Health spokesperson Khalil Al-Dakran toldAnadolu Agency on Thursday that "the bodies of 710 people were transferred to hospitals since Tuesday, in addition to over 900 others injured."
Al-Dakran said that 70% of the injured were women and children, and "many of the injured died due to the lack of urgent medical care amid an Israeli blockade on Gaza, which causes a severe shortage of essential equipment and medicine."
Since the Hamas-led October 2023 attack on Israel, the IDF has slaughtered at least tens of thousands of Palestinians—leading to an ongoing genocide case at the International Court of Justice. The International Criminal Court has also issued arrest warrants for Israeli Prime Minister Benjamin Netanyahu and his former defense minister, Yoav Gallant.
The recent raid on Kamal Adwan Hospital in northern Gaza reflects a "pattern of attacks" on healthcare facilities across the enclave, said the United Nations.
As rights advocates and family members demanded that Israel release Dr. Hussam Abu Safiya, the director of the destroyed Kamal Adwan Hospital in northern Gaza, the United Nations human rights office said Israeli attacks on healthcare infrastructure across Gaza for over a year raise "serious concerns" about the country's compliance with international law.
The "appalling destruction" of Kamal Adwan Hospital and the surrounding area is hardly an anomaly, said the Office of the High Commissioner for Human Rights (OHCHR) in a new report, and instead reflects a "pattern of attacks" that started in November 2023 when Israel launched its first military operation against al-Shifa Medical Complex.
Months later, a second raid left al-Shifa in "complete ruin" by April 1, and officials reported that after the Israel Defense Forces (IDF) withdrew they found three mass graves containing 80 corpses, including some "with catheters and cannulas still attached, suggesting they had been patients."
"As if the relentless bombing and the dire humanitarian situation in Gaza were not enough, the one sanctuary where Palestinians should have felt safe in fact became a death trap," said U.N. High Commissioner for Human Rights Volker Türk. "The protection of hospitals during warfare is paramount and must be respected by all sides, at all times."
The OHCHR's report documents attacks on hospitals between October 12, 2023 and June 30, 2024, before Kamal Adwan was destroyed in recent days.
Over that period, the IDF launched at least 136 strikes on at least 27 hospitals and 12 other medical facilities—killing and injuring patients and medical staff as well as other civilians and "causing significant damage, if not complete destruction of civilian infrastructure."
More than 500 medical professionals were killed in Gaza during the period covered by the report, according to the Palestinian Ministry of Health.
The OHCHR noted that the U.S.-backed IDF has apparently used MK 83 munitions in at least one airstrike on a hospital—one that was waged on January 10 on al-Aqsa Martyrs Hospital in Deir al-Balah. MK 83 munitions are 1,000-pound bombs that have wide-area effects and are manufactured in the U.S., which has supplied Israel with at least $12.5 billion in military aid since October 7, 2023, and sends more than $3 billion per year to the IDF.
At least 12 people were reportedly killed in the al-Aqsa attack, which the OHCHR said raised "serious concerns of an indiscriminate attack."
The report noted that Israel has frequently claimed that Gaza hospitals are used by Hamas, but said that "insufficient information has so far been made available to substantiate these allegations, which have remained vague and broad, and in some cases appear contradicted by publicly available information."
OHCHR emphasized that even in "exceptional circumstances when medical personnel, ambulances, and hospitals lose their special protection because they fulfill the strict criteria to be considered military objectives," militaries must still observe international humanitarian law when attacking medical infrastructure.
"Intentionally directing attacks against hospitals and places where the sick and wounded are treated, provided they are not military objectives; intentionally directing attacks against the civilian population as such, or against individual civilians not taking direct part in hostilities, including the launching of an indiscriminate attack resulting in death or injury to civilians; and intentionally launching disproportionate attacks, are also war crimes," reads the report.
The report comes days after Israeli raids on Kamal Adwan Hospital left northern Gaza—where the IDF has been conducting a ground offensive for nearly three months—without any operating medical facilities. Israel has confirmed that Abu Safiya was detained for questioning, prompting outcry from medical professionals and rights groups across the globe.
Gaza Health Ministry Director General Muneer Alboursh said Tuesday that Abu Safiya is one of 450 medical personnel who have been detained by Israel and said the doctor is being held in Israel's Sde Teiman prison, where Israel is accused of torturing healthcare workers.
Türk demanded "independent, thorough, and transparent investigations" of all Israeli attacks on hospitals and medical workers, "and full accountability for all violations of international humanitarian and human rights law which have taken place."
"It must also be a priority for Israel, as the occupying power, to ensure and facilitate access to adequate healthcare for the Palestinian population," he said, "and for future recovery and reconstruction efforts to prioritize the restoration of the medical capacity which has been destroyed over the last 14 months of intense conflict."