Israel's Takeovers of Gaza Hospitals Amount to 'War Crimes,' Says Human Rights Watch

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.