Israeli military raids Gaza's Al-Shifa Hospital complex, hundreds of patients remain trapped inside

The Israeli military said it was carrying out a raid on Wednesday against Hamas militants in the Al-Shifa Hospital complex, having urged them to surrender with thousands of Palestinian civilians still sheltering inside Gaza Strip's biggest hospital.

Less than an hour earlier, at about1 a.m. local time, a spokesperson for the Hamas-run Health Ministry in Gaza said Israel had told officials in the enclave that it would raid the complex "in the coming minutes."

Dr. Munir al-Bursh, director general of the Gaza Health Ministry, told Al Jazeera television that Israeli forces had raided the western side of the medical complex. "There are big explosions and dust entered the areas where we are. We believe an explosion occurred inside the hospital," al-Bursh said.

Global calls for a humanitarian ceasefire have mounted in recent days, and the fate of Al-Shifaa sprawling complex of buildings and courtyards afew hundred metresfrom Gaza City's small fishing port has become a focus of international alarm because of worsening conditions in the facility, where thousands of patients, medical staff and displaced people have been trapped during the Israeli assault on Gaza in the past five weeks.

Israel has said that Hamas has a command centreunderneath Al-Shifa and uses the hospital and tunnels beneath it to conceal military operations and to hold hostages, which Hamas denies.

In a statement, the Israel Defence Forces (IDF) said: "Based on intelligence information and an operational necessity, IDF forces are carrying out a precise and targeted operation against Hamas in a specified area in the Al-Shifa Hospital."

The military said: "The IDF forces include medical teams and Arabic speakers, who have undergone specified training to prepare for this complex and sensitive environment, with the intent that no harm is caused to the civilians."

WATCH | Israel says video showsHamas bunker under Gaza hospital:

Israel says video from under a Gaza hospital shows a Hamas bunker

7 months ago

Duration 3:03

Israel's forces have reached Gaza's largest hospital, where hundreds of patients and civilians are believed to be sheltering inside. Israel says Hamas is using them as human shields, and it produced images of what appears to be an underground bunker discovered under another hospital.

U.S. gave Israel 'green light,' Hamas says

The U.S. said on Tuesday that its own intelligence supported Israel'sconclusions thatHamas has operated out of hospitals in Gaza.

But aWhite House spokespersonsaid Tuesday night that the administrationdoes not support striking a hospital from the air and does not want to see a firefight in a hospital.

"We do not support striking a hospital from the air and we don't want to see a firefight in a hospital where innocent people, helpless people, sick people trying to get medical care they deserve are caught in the crossfire," said a spokesperson for the White House National Security Council, who did not wish to be named.

"Hospitals and patients must be protected," the spokesperson said.

Hamas, Gaza's ruling Islamist group, denies fighters are present at the facilityand says 650 patients and 5,000 to 7,000 other displaced civilians remaintrapped inside the hospital grounds, under constant fire from snipers and drones. It says 40 patients have died in recent days, including three premature babies whose incubators were shut down when power went out.

The group said on Tuesday that it holds the White House partially responsible for Israel's raid, saying the "adoption of the false narrative" thatHamas is using the hospital for military purposes was a "green light" for the IDF to carry out the operation.

Israel has sworn to destroy Hamas in retaliation for the militants' cross-border assault into Israel on Oct 7. Israel says Hamas killed 1,200 people in the rampage and took more than 240 hostage.

Israeli forces have waged fierce street battles against Hamas fighters over the past 10 days before advancing into the centre of Gaza City and surrounding Al-Shifa.

'Dramatic loss of life'

Medical staff have said the hospital is barely functioning due to Israeli attacks and a lack of fuel to power generators.

Officials say 36babies are left from the neo-natal ward after three died. Without fuel for generators to power incubators, the babies were being kept as warm as possible, lined up eight to a bed.

Palestinians trapped in the hospital dug a mass grave on Tuesday to bury patients who died, and no plan was in place to evacuate babies despite Israel announcing an offer to send portable incubators, Ashraf Al-Qidra, Gaza's Health Ministry spokesperson, said.

WATCH |Al-Shifa doctor fears for patients, premature babies:

Doctor at Gaza's Al-Shifa Hospital fears for patients, including premature babies

7 months ago

Duration 11:50

Dr. Marwan Abusada, a leading surgeon at Al-Shifa Hospital in Gaza City, describes a dire situation where patients, including premature babies, face serious and growing risks.

Al-Qidra said there were about 100 bodies decomposing inside and no way to get them out.

United Nations Secretary General Antonio Guterres was deeply disturbed by the "dramatic loss of life" in the hospitals, his spokesperson said. "In the name of humanity, the secretary general calls for an immediate humanitarian ceasefire," the spokespersontold reporters.

Medical officials in Hamas-run Gaza say more than 11,000 people are confirmed dead from Israeli strikes, about40 per centof them children, and countless others are trapped under rubble.

Abouttwo-thirds of Gaza's 2.3 million people have been made homeless, unable to escape the territory where food, fuel, fresh water and medical supplies are running out.

Questions of international law

Israel's move toward Al-Shifa hospital has raised questions about how it would interpret international laws on protection of medical facilities and the thousands of displaced people sheltering there, UNhuman rights officials have said.

Hospitals are protected buildings under international humanitarian law. But allegations that Al-Shifa is also being used for military purposes complicated the situation because that would also breach international law, UNofficials have said.

Medical units that are used for acts harmful to the enemy and which have ignored a warning to stop doing solose their special protection under international law.

Israel said in its statement on Wednesday that it had given Gaza authorities 12 hours to cease military activities within the hospital. "Unfortunately, it did not," the military statement said.

In an interview before the raid, Omar Shakir, Israel and Palestine director for Human Rights Watch, said that even if Hamas was proven to be using hospitals to conduct military operations, international law required that effective warnings be given before attacks.

This meant people there needed a safe place to go and a safe way to get there, Shakir said.

Trudeau calls for 'maximum restraint'

Five weeks after Israel swore to destroy Hamas in retaliation for the militant group'scross-border assault, the fate of Al-Shifa has become a focus of international alarm because of worsening conditions in the facility.

On Tuesday, Canadian Prime Minister Justin Trudeau described the "human tragedy" unfolding in Gaza, especially at Al-Shifa, "heart-wrenching" and called on Israel to act with "maximum restraint."

"Theprice of justice cannot be the continued suffering of all Palestinian civilians," Trudeau, who previously stated Israel has the right to defend itself after the Oct. 7 attack, said on Tuesday.

WATCH |Trudeau says killing of innocents in Gaza must stop:

Trudeau says killing of innocents in Gaza must stop

7 months ago

Duration 2:50

Israel must use 'maximum restraint' to protect civilian life as it wages war on Hamas in the Gaza Strip, Prime Minister Justin Trudeau said Tuesday, saying 'the price of justice cannot be the continued suffering of all Palestinian civilians.' He also said Hamas must stop using civilians as human shields, and that all hostages taken from Israel must be released immediately and unconditionally.

He saidthe violence must urgently stopso Palestinians can get access to life-saving medical services, food, fuel and water;so hostages can be released; and so Canadians and other foreign nationals can escape.

Israeli Prime Minister BenjaminNetanyahu, in a Tuesday social media post directed at Trudeau, blamedHamasfor putting civilians in harm's way.

"It isHamasnot Israel that should be held accountable for committing a double war crime targeting civilians while hiding behind civilians,"Netanyahusaid on X, the platform previous known as Twitter.

U.S. supports Israel's human shield claim

The U.S. government on Tuesday said the evidence it has seen supports Israel's assertion that the hospital sits atop a Hamas hub.

It said Hamas and Palestinian Islamic Jihad use hospitals, including Al-Shifa, to conceal tunnels, run military operations, hold hostagesand possibly store weapons.

Yet White House spokesperson John Kirby also said that doesn't mean the hospital can be attacked indiscriminately.

"To be clear, we do not support striking a hospital from the air," he told reporters.

"And we do not want to see a firefight in a hospital where innocent people, helpless people, sick people, are simply trying to get the medical care that they deserve.... Hospitals and patients must be protected."

Kirby said this underscores the challenge Israel has of uprooting an armed group embedded in civilian infrastructure.

Hamas, which has controlled the coastal enclave since 2007, has built a tunnel city stretching beneath Gaza for hundreds of kilometres, up to 80 metresdeep in parts.

Violence flares in West Bank

In the occupied West Bank, a separate Palestinian enclave not controlled by Hamas, Palestinian Authority Health Minister Mai al-Kaila said Israel was "committing a new crime against humanity, medical staff and patients by besieging" Al-ShifaHospital.

"We hold the occupation forces fully responsible for the lives of the medical staff, patients and displaced people in Al-Shifa," al-Kaila said in a statement.

Earlier on Tuesday, Israeli forces killed at least eight Palestinians in theWest Bank, seven of them in clashes during a raid in the town of Tulkarm near the boundary with Israel, Palestinian medics and local media said.

The Israeli army and police said their forces, sent into Tulkarm to detain suspected militants, came under fire and killed several Palestinian gunmen in the ensuing skirmish. An Israeli airstrike hit a group of Palestinians who shot and threw a bomb at the group, an army and police statement said.