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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."
"It is unacceptable for the world to remain silent and unable to protect the healthcare system," said Gaza's Ministry of Health.
Israeli forces have encircled and attacked three barely functioning hospitals in northern Gaza with growing intensity over the past week, endangering the lives of patients receiving treatment inside the facilities—including premature babies—and medical workers.
Dr. Husam Abu Safiya, the director of Kamal Adwan Hospital, said in a video statement over the weekend that the Israeli military had surrounded the facility and that "bullets had penetrated the intensive care unit, the maternity department, and the specialized surgery department."
"The nursery, maternity, and all departments of the hospital are being targeted by the occupation forces with all types of weapons, including sniper fire, tank shells, and quadcopters," said Abu Safiya, who noted that the hospital was still treating more than 80 patients.
Al Jazeera reported late Monday that a video recorded by eyewitnesses "shows robots in the vicinity of the hospital leaving behind an explosive device."
"We were told by the person who filmed that video that there were at least four other robots in the vicinity of the hospital," the outlet added. "Another video shows everyone in one corridor of the hospital, in the middle of the building, away from the windows and balconies and the rooms that are looking over the streets where these explosive devices are planted."
Israeli authorities have ordered the evacuation of Kamal Adwan as well as Indonesian Hospital and al-Awda Hospital, but medical personnel and patients inside the facilities fear for their lives as there's nowhere safe to go.
Gaza's Ministry of Health said in a Telegram post that Israel's military has targeted Kamal Adwan in recent days with "explosives and tank fire."
"We hold the world accountable for what is happening to us and demand that they take responsibility for our suffering," the ministry said. "It is unacceptable for the world to remain silent and unable to protect the healthcare system. We are being attacked in plain sight, with the entire world watching, yet no one intervenes in the face of this barbarity."
Since the Hamas-led October 7, 2023 attack, Israeli forces have waged what one United Nations expert described as an "unrelenting war" on Gaza's already-strained healthcare system, invading and destroying hospitals and other medical infrastructure while choking off necessary supplies.
An Oxfam report published Monday found that just 12 trucks were able to distribute aid in northern Gaza over the past two and a half months due to Israel's siege and incessant military attacks. Oxfam noted that between early October and mid-December, only 11 medical evacuation and assessment missions were approved for Kamal Adwan, and "one could not reach the hospital due to military activity and the rest all faced impediments along the way."
“The situation in Gaza is apocalyptic and people are trapped, unable to find any kind of safety," said Sally Abi-Khalil, Oxfam's Middle East and North Africa director. "The absolute desperation of having no food or shelter for your family in the biting cold of winter. It is abhorrent that despite international law being so publicly violated by Israel and starvation being used relentlessly as a weapon of war, world leaders continue to do nothing."
"Every day that passes without a cease-fire," Abi-Khalil added, "is a death sentence for hundreds more civilians."
Efforts to evacuate the three hospitals in northern Gaza have been hindered by ongoing Israeli military attacks as well as a lack of ambulances, according to the Palestinian Centre for Human Rights (PCHR). The group said it lost contact with Kamal Adwan Hospital early Sunday "following a harrowing night of relentless shelling, gunfire, and explosive robots targeting nearby buildings."
"PCHR stresses the urgent need for immediate action to protect patients and medical personnel and to ensure the ongoing operation of the hospital in an area where thousands of residents and IDPs face bombardment, starvation, and deprivation of healthcare and humanitarian services," the organization said in a statement.
The group added that "Israel's ongoing military assault and atrocities and its disregard for calls to end the genocide in Gaza are emboldened by the perpetual impunity granted by the U.S. and some Western allies, alongside these nations' complicity in the serious violations committed against the Palestinian people through continuously arming Israel with weapons, ammunition, and political support."
"We demand international protection for hospitals, patients, and medical staff," said the Gaza Ministry of Health.
The death toll from Israel's 14-month assault on the Gaza Strip hit at least 44,758 on Monday, with 50 people killed in the past 24 hours alone, as Israeli forces bombed refugee camps, a flour distribution line, and a hospital, according to reporters and officials in the Palestinian enclave.
The Gaza Ministry of Health said a bombing at the Indonesian Hospital north of Gaza City wounded six patients—who are now among more than 106,000 Palestinians injured since Israel began its retaliation for last year's Hamas-led attack.
"We demand international protection for hospitals, patients, and medical staff," the ministry said in a statement reported by The Associated Press—which noted that Israel Defense Forces (IDF) claimed Sunday evening it was unaware of any attack on the hospital "in the last three to four hours."
A nurse shared footage from the hospital with Drop Site News, which circulated the material on social media:
According toAl Jazeera, "Overnight, an Israeli attack in the southern city of Rafah also killed 10 people while they had lined up to buy flour."
Israel, which faces a genocide case at the International Court of Justice, has been accused of starving Gaza's 2.3 million residents by refusing to allow enough humanitarian aid into the besieged enclave.
Reporting from central Deir al-Balah, Al Jazeera's Hani Mahmoud said that at least three people were killed in a Monday morning attack on the Jabalia refugee camp in the north that Israeli bombing and the ongoing blockade have "turned into a graveyard."
The victims "were trying to leave their home in search of food in the vicinity of their neighborhood when they were targeted by a drone," the journalist said. "They were killed right away. Their bodies are still in the street and nobody has the ability to get to the bombed site and remove the bodies from the street."
The IDF announced that three soldiers were killed and 12 others were wounded Monday in fighting in Jabalia.
Mahmoud, the journalist, also said Monday that bodies were piling up outside al-Aqsa Martyrs Hospital after an Israeli bombing at the Bureij refugee camp.
"The agony keeps on unfolding here at al-Aqsa Hospital, where survivors and relatives showed up early this morning to collect the bodies from the morgue of the hospital," he said. "At some point, the morgue of the hospital was packed with the bodies and there was not enough room for more bodies."
Citing the Palestinian news agency Wafa, Middle East Eyereported that "two children lost their lives, and others were injured on Monday, during Israeli shelling of al-Maghazi camp in the central Gaza Strip."
The updates followed a Hamas delegation led by Khalil al-Hayya leaving Cairo Sunday evening after meeting with Egypt's general intelligence chief, Maj. Gen. Hassan Rashad, to discuss a potential cease-fire in Gaza.
Israeli media reported Sunday that unnamed political sources claimed Hamas and Israel are close to reaching a "small" deal that would involve a two-month cease-fire; the release of prisoners who are elderly, women, wounded, and sick; and the IDF's withdrawal from parts of Gaza.
Neither Hamas nor mediators Egypt and Qatar have commented on the reporting—which came over a week into an Israeli cease-fire with the Lebanese group Hezbollah that Israel has repeatedly violated since it took effect late last month.
In neighboring Syria, the government of President Bashar al-Assad collapsed over the weekend as he fled and rebels took control of the capital. Israel seized more of the country's Golan Heights, which it has illegally occupied for decades, and the United States—which arms the IDF—launched airstrikes on over 75 Islamic State targets in Syria.