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"In just four weeks, thousands have lost their lives, including first responders and humanitarian workers," said the world-renowned aid group. "Hundreds of thousands have been uprooted."
Nearly a full month into US President Donald Trump's illegal war of choice in Iran, the International Committee of the Red Cross issued a statement Thursday expressing horror at the humanitarian catastrophe the deadly conflict has unleashed across the Middle East, with millions of civilians trapped in the crossfire.
"One month of hostilities has upended the lives of millions and sent shockwaves far beyond the region at a scale and speed that threatens to overwhelm the humanitarian response," said the world-renowned organization, a three-time winner of the Nobel Peace Prize. "In just four weeks, thousands have lost their lives, including first responders and humanitarian workers. Hundreds of thousands have been uprooted. Essential infrastructure critical for the supply of energy, water, and health care has been damaged or destroyed. The use of heavy explosive weapons with wide area impact in urban settings has caused suffering and fear."
The war, said the organization, is "eroding the foundations of civilian life in the Middle East."
Without naming any countries in particular, the ICRC condemned "the way hostilities have been waged" with no "respect for the rules of war" that the humanitarian group helped establish and works to uphold.
"At a time of escalating needs and tightening humanitarian budgets, the ICRC and other organizations are being forced to adapt to disrupted supply chains that are undermining their operations," the group said Thursday. "Meanwhile, several countries already burdened by humanitarian crises must now also contend with rising fuel prices and increasing operational costs.
"Respect for the rules of war reduces the consequences for civilians, especially during military operations," the organization added. "All parties, regardless of the side they are on, are bound by international humanitarian law (IHL), and all states have an obligation to respect and ensure respect for IHL, even if their adversary does not."
"Those who survive the bombardment are waking up to a dire humanitarian reality. We are seeing families fleeing with only the clothes on their backs."
The Red Cross statement came as aid groups and human rights organizations assessed the state of the US-Israeli war on Iran—and the Iranian government's retaliatory attacks on Gulf nations—one month after Trump and Israeli Prime Minister Benjamin Netanyahu announced the joint military assault, and as fears of an imminent US ground invasion of Iran mount.
Human Rights Watch said in a statement delivered to the United Nations Human Rights Council on Friday that it is "alarmed by attacks on civilians and civilian infrastructure across the conflict, including schools and hospitals, and other harms to children including as a result of mass displacement."
Save the Children estimated that one in every five kids in Lebanon has been forced to flee their home since Israel intensified its aerial and ground assault on southern Lebanon in conjunction with the war on Iran.
“No child should have to run for their life in the middle of the night. Yet in Lebanon today, it’s happening to family after family - children fleeing, terrified,” Inger Ashing, the group's chief executive officer, said Friday. "Lebanon’s children are being pushed past their limits. They are exhausted, traumatized, and losing the very foundations of childhood. The world cannot look away—we need action, and we need it now."
Marcoluigi Corsi, the UN Children's Fund representative in Lebanon, said Friday that "the human cost of this escalation is shocking."
"Those who survive the bombardment are waking up to a dire humanitarian reality. We are seeing families fleeing with only the clothes on their backs, forced to move multiple times within days as repeated displacement orders are issued," said Corsi. “Meanwhile, essential civilian infrastructure—including hospitals, schools, bridges, and water and sanitation systems—upon which children depend to carry on with their lives have been consistently attacked, damaged, or destroyed."
In Iran, more than 1,900 people—including women and children—have been killed by US-Israeli attacks, and at least 20,000 have been injured, according to the latest estimate from the Iranian Red Crescent Society.
"The humanitarian situation is rapidly deteriorating," Maria Martinez, head of the International Federation of Red Cross and Red Crescent Societies, warned on Friday.
"We cannot continue to watch what is happening," said Mirjana Spoljaric. "It's surpassing any acceptable legal, moral, and humane standard."
The president of one of the world's top humanitarian groups said in an interview Wednesday that nearly 20 months after Israel began its relentless assault on Gaza, the international community is watching "a type of warfare... that deprives civilians of their dignity entirely."
Jeremy Bowen, international editor for BBC News, asked International Committee of the Red Cross (ICRC) president Mirjana Spoljaric about comments she made last month when she visited Gaza, several weeks into Israel's total blockade on humanitarian aid, and declared that the enclave had been transformed into "hell on Earth."
"Has anything changed?" asked Bowen.
"It has become worse," replied Spoljaric. "Humanity is failing in Gaza... We cannot continue to watch what is happening. It's surpassing any acceptable legal, moral, and humane standard."
Spoljaric's latest remarks came a week after the U.S.- and Israel-backed Gaza Humanitarian Foundation (GHF) began its aid operations, with proponents claiming the private company staffed by U.S. security contractors would save the lives of Gaza residents who have faced increasing starvation and malnutrition since the current blockade began in March—while ensuring Hamas did not steal or divert the aid. The United Nations has said there is no evidence Hamas has systematically diverted relief from civilians.
Fears about the GHF's plan—expressed by aid organizations, the U.N., and the former executive director who resigned the day before operations began—have been proven correct since the group opened its distribution sites in southern Gaza last week. At least 27 Palestinians were killed Tuesday at one of the aid sites when the Israel Defense Forces opened fire—yet another incident of the IDF killing of people trying to obtain aid.
The ICRC said its field hospital in Rafah received "a mass casualty influx of 184 patients" early on Tuesday morning.
"This includes nineteen cases who were declared dead upon arrival and eight more who died due to their wounds shortly after," said the group. "The majority of cases suffered gunshot wounds. Again, all responsive patients said they were trying to reach an assistance distribution site."
Mohamed Zidan, the husband of a woman named Reem al-Akhras who was killed in Tuesday's mass shooting, said the GHF operation was "not humanitarian aid—it's a trap."
"She went to bring us some food, and this is what happened to her," her son Zain Zidan told Al Jazeera.
Journalist Rania Khalek condemned corporate news outlets for their reports of "conflicting accounts" as Israel said that the IDF fired only at "several suspects moving toward them."
"Outrageous," said Khalek. "The Israelis are proven liars, their narrative should not be given any legitimacy. CNN continues to cover for genocide, shameful."
Israeli forces also opened fire at one of the sites on Sunday, killing 20 people and wounding hundreds who had walked an average of 9.3 miles to the distribution hub, hoping to carry home food boxes weighing about 44 pounds, with enough food to last about three days before they would need to make the trek—and avoid IDF soldiers stationed at the sites—again.
On Wednesday, the GHF said its four distribution sites would be closed for the day to improve "organization and efficiency," while the IDF warned Palestinians to stay away from the sites and the roads leading to them, saying they had been designated "combat zones."
U.N. Secretary-General António Guterres demanded an independent inquiry into the killing of Palestinians at food distribution sites.
"It is unacceptable that Palestinians are risking their lives for food," Guterres said.
Gaza's Health Ministry reported Wednesday that at least 94 Palestinians had been killed and 440 had been wounded in Israel's attacks across the enclave in the past 24 hours.
In her interview with the BBC, Spoljaric said that the destruction of more than 90% of Gaza's housing units, the risk of famine for the entire population, and the forced displacement of 90% of Palestinians in the enclave represent "a people being entirely stripped of its human dignity."
"There is no excuse for depriving children of their access to food, health, and security," said Spoljaric. "There are rules in the conduct of hostilities that every party to every conflict has to respect."
Spoljaric called on international leaders to take all available actions to stop "a type of warfare that shows utmost disrespect for civilians."
"Today we are in it," she said. "Today we can reverse it. We can save lives today."
Few U.S. officials have called for an end to the government's support for the IDF, and the U.S. continues to repeat Israel's claim that it is acting in self-defense and targeting Hamas rather than civilians.
Several European leaders in recent weeks have harshly criticized Israel's intensified military campaign in Gaza and its humanitarian aid blockade, with German Foreign Minister Johann Wadephul suggesting the country could soon impose arms export sanctions.
"It's important to act now," said Spoljaric. "State leaders are under an obligation to act."
"Anything other than sustained peace and at-scale emergency aid will mean catastrophe for the children of Gaza," said a UNICEF spokesperson.
Israel resumed its assault on the Gaza Strip Friday morning just minutes after the pause with Hamas officially expired, ending a fragile seven-day truce that created conditions for the release of hundreds of Israeli and Palestinian captives and allowed additional—but still inadequate—humanitarian aid to enter the besieged territory.
Gaza's health ministry said that Israel's post-pause airstrikes killed more than 30 people and wounded dozens more, hitting a multi-story residential building and other civilian infrastructure in the southern part of the strip, where many Gazans sought refuge as Israeli forces targeted the north in earlier stages of its attack.
The Associated Press reported that Israeli forces "dropped leaflets over parts of southern Gaza urging people to leave their homes, suggesting it was preparing to widen its offensive."
"The Israeli military also released a map carving up the Gaza Strip into hundreds of numbered parcels, and asked residents to learn the number associated with their location in case of an eventual evacuation," AP added. "It said the map would eventually be interactive, but it was not immediately clear how Palestinians would be updated on their designated parcel numbers and calls for evacuation."
Robert Mardini, director general of the International Committee of the Red Cross, told Agence France-Presse that the resumption of bombing drags Gazans "back to the nightmarish situation they were in before the truce took place," with millions of people in desperate need of food, medicine, clean water, and sanitary living conditions.
"People are at a breaking point, hospitals are at a breaking point, the whole Gaza Strip is in a very precarious state," said Mardini. "There is nowhere safe to go for civilians. We have seen in the hospitals where our teams have been working, that over the past days, hundreds of severely injured people have arrived. The influx of severely wounded outpaced the real capacity of hospitals to absorb and treat the wounded, so there is a massive challenge."
James Elder, spokesperson for the United Nations International Children's Emergency Fund (UNICEF), warned Friday that "the humanitarian situation in Gaza is so perilous that anything other than sustained peace and at-scale emergency aid will mean catastrophe for the children of Gaza."
"To accept the sacrifice of the children in Gaza is humanity giving up," said Elder. "This is our last chance, before we delve into seeking to explain yet another utterly avoidable tragedy."
Israeli Prime Minister Benjamin Netanyahu, who is clinging to his job amid plummeting approval ratings, had pledged to continue assailing Gaza following the end of the truce, which marked the first pause in fighting since the war began in the wake of a Hamas-led attack on southern Israel in early October.
The Financial Times reported Friday that Israel's government is preparing for a war that "will stretch for a year or more, with the most intensive phase of the ground offensive continuing into early 2024."
"The multi-phase strategy envisages Israeli forces, who are garrisoned inside north Gaza, making an imminent push deep into the south of the besieged Palestinian enclave," FT reported, citing unnamed sources familiar with the planning. "The goals include killing the three top Hamas leaders—Yahya Sinwar, Mohammed Deif, and Marwan Issa—while securing 'a decisive' military victory against the group's 24 battalions and underground tunnel network and destroying its 'governing capability in Gaza.'"
An investigation published Thursday by +972 Magazine and Local Call found that Israeli forces have used "expanded authorization for bombing non-military targets" and "the loosening of constraints regarding expected civilian casualties," as well as "an artificial intelligence system to generate more potential targets than ever," to wage its devastating war on Gaza, killing more than 14,500 people in less than two months and displacing 70% of the territory's population.
In one case that anonymous Israeli sources described to the two outlets, Israel's military command "knowingly approved the killing of hundreds of Palestinian civilians in an attempt to assassinate a single top Hamas military commander."
"Another reason for the large number of targets, and the extensive harm to civilian life in Gaza, is the widespread use of a system called 'Habsora' ('The Gospel'), which is largely built on artificial intelligence and can 'generate' targets almost automatically at a rate that far exceeds what was previously possible," +972 and Local Call found. "This AI system, as described by a former intelligence officer, essentially facilitates a 'mass assassination factory.'"
U.S. Secretary of State Antony Blinken reportedly urged Israel to do more to protect civilians in Gaza during a meeting with the nation's leaders on Thursday, but the Israeli government has repeatedly brushed aside public and private concerns expressed by the Biden administration, which continues to provide unconditional support for the assault.
"Blinken suggested that his call for protecting Palestinian civilians had reached receptive ears, at least in general terms," The New York Times reported. "He did not cite any specific commitments by Israel, however."