'Crime Against Humanity': UN Inquiry Details Israeli 'Extermination' of Gaza Healthcare

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.