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"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."
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.
"This is a first step, but we need to continue to demand justice for Mahmoud," said Khalil's wife. "His unlawful and unjust detention cannot stand."
A federal judge on Wednesday ruled that the case of Mahmoud Khalil, a permanent U.S. resident arrested earlier this month and slated for deportation by immigration authorities over his pro-Palestine activism, should be heard in New Jersey—not Louisiana as sought by the Trump administration—and reaffirmed an order blocking his expulsion from the country pending the outcome of his legal challenge.
Judge Jesse Furman of the U.S. District Court for the Southern District of New York found that since Khalil was detained by the Department of Homeland Security (DHS) in New Jersey when he lodged a legal challenge to his detention, his case should be transferred to the Garden State. Last week, Furman—an appointee of former President Barack Obama—issued and then
extended an order temporarily barring Khalil's deportation.
"This is a first step, but we need to continue to demand justice for Mahmoud," Khalil's wife, Noor Abdalla, who is eight months pregnant, said in response to Wednesday's ruling. "His unlawful and unjust detention cannot stand. We will not stop fighting until he is home with me."
Khalil, an Algerian citizen of Palestinian descent, last year finished his graduate studies at Columbia University, where he helped lead campus protests against Israel's annihilation of Gaza. He was arrested at his New York home by plainclothes DHS officers on March 8 before being transferred to New Jersey and then Louisiana.
Accused of no crime and widely considered a political prisoner, Khalil was targeted following U.S. President Donald Trump's issuance of an executive order authorizing the deportation of noncitizen students and others who take part in pro-Palestine demonstrations. The Trump administration has also invoked the Immigration and Nationality Act of 1952, which empowers the secretary of state to expel noncitizens whose presence in the United States is deemed detrimental to U.S. foreign policy interests.
Samah Sisay, a staff attorney at the Center for Constitutional Rights and a member of Khalil's legal team, said Wednesday that "the government transferred Mr. Khalil to a remote private prison in Louisiana hours after his arrest and the filing of his original habeas petition—an intentional and retaliatory attempt to silence his speech in support of Palestinian rights and interfere with the jurisdiction of the New York and New Jersey courts."
"Mr. Khalil should be free and home with his wife awaiting the birth of their first child, and we will continue to do everything possible to make that happen," Sisay added.
ACLU senior staff attorney Brett Max Kaufman, who also represents Khalil, said that "this is just the beginning, but it is a moment to celebrate."
"The court's ruling sends a critical message to courts across the country, who are sure to face similar unprecedented challenges to their authority in the days that come, that the judiciary must not shy from its constitutional role," he continued. "And no judicial role is more important than acting as a check on executive abuses the Trump administration has made the defining feature of its first 60 days."
"After this first step, we will eagerly and aggressively seek to get Mahmoud out, bring him home, and then defend his and others' right to speak freely about Palestine or any other issue without fear of detention and deportation," Kaufman added.
Another lawyer for Khalil, Amy Greer, said: "We are ready to fight just as hard for Mr. Khalil in the district of New Jersey. He was taken by plainclothes federal agents, transferred in the middle of the night across state lines, and has been detained for over a week now, all because of his advocacy for Palestinian freedom. We will not stop working until Mr. Khalil is home with his wife."
Democracy defenders have warned that Khalil's arrest—which sparked protests across the nation—is a blatant violation of constitutionally protected free speech rights and a sign of advancing authoritarianism. Trump vowed last week that Khalil was "the first arrest of many to come."
On Tuesday, Khalil released a
letter calling himself a "political prisoner." He called his arrest and detention "a direct consequence of exercising my right to free speech as I advocated for a free Palestine and an end to the genocide in Gaza," and "part of a broader strategy to suppress dissent" from which no one is immune.
"Under international law, states have a duty to investigate and prosecute war crimes, yet these obligations have been systematically neglected," one of the initiative's founders lamented.
Lawyers from half a dozen countries on Tuesday launched a coalition dedicated to bringing Israelis and dual nationals accused of war crimes in Palestine to justice.
The U.K.-based International Center of Justice for Palestinians (ICJP) hosted a launch event in London for the new initiative, called Global 195. ICJP said lawyers will "pursue Israeli war crimes suspects across the world" via arrest warrant applications and the initiation of legal proceedings including private prosecutions against implicated members and veterans of the Israel Defense Forces (IDF), as well as "figures spanning the entire Israeli military and political chain of command, from senior policymakers to operational personnel, who are directly or indirectly responsible for violations of international law."
Participants include attorneys from Bosnia and Herzegovina, Canada, Malaysia, Norway, Turkey, and the United Kingdom, where "advanced preparations have already been made to pursue legal action against British citizens suspected of joining the IDF or committing war crimes in Gaza and the West Bank."
For the past 18 months, ICJP has been collecting evidence as part of its Justice for Gaza campaign, including 135 eyewitness testimonies backed by open-source intelligence. Documented violations of international law include indiscriminate and disproportionate bombing of civilians, attacks on designated "safe zones,"s airstrikes targeting refugee camps, use of starvation as a weapon of war, and forced displacement.
"The obstruction of international legal institutions in pursuing individuals responsible for war crimes in Palestine, coupled with the failure of national police forces to fulfill their obligations under humanitarian law and universal jurisdiction principles, has allowed impunity for Israeli suspected war criminals to persist," ICJP director Tayab Ali said in a statement.
"Under international law, states have a duty to investigate and prosecute war crimes, yet these obligations have been systematically neglected," Ali added. "The launch of Global 195 is a necessary legal intervention to remedy this failure. By activating domestic legal mechanisms across multiple jurisdictions, we are ensuring that those responsible for war crimes and crimes against humanity committed in Gaza are subject to legal accountability and no longer have anywhere to hide."
Huseyin Disli, vice president of the Worldwide Lawyers Association, noted that "no domestic court has issued arrest warrants for Israeli genocide war criminals, exposing the failure of the international legal order" and called the global legal community "incoherent in its goals."
Israel is currently the subject of an International Court of Justice genocide case filed by South Africa, and Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant are fugitives from the International Criminal Court, which last November issued arrest warrants over alleged war crimes and crimes against humanity in Gaza. However, key nations including the United States—which has not ratified the Rome Statute upon which the ICC is based—have ignored the warrants, and last month the Trump administration imposed sanctions on the tribunal.
Since October 2023, Israeli forces have killed or wounded more than 175,000 Palestinians in Gaza, including people who are missing and presumed dead and buried beneath rubble, according to the Gaza Health Ministry. On Tuesday, Israel unilaterally abandoned an eight-week cease-fire and resumed its assault on Gaza, killing more than 400 people including at least 174 children in airstrikes that wiped out entire families.
United Nations experts, international jurists, human rights groups, and others have found that Israel is committing genocide in Gaza, as well as crimes including indiscriminate and disproportionate killing of civilians, extrajudicial killing, torture, sexual violence including rape, use of starvation as a weapon of war, and forced displacement.
The launch of Global 195 follows the establishment last September of the
Hind Rajab Foundation, a Belgium-based legal group that pursues arrest warrants for alleged Israeli war criminals traveling abroad. The organization is named after a 6-year-old Palestinian girl who was killed—along with six relatives—by Israeli forces in January 2024 while trying to flee to safety in a car. Two paramedics who tried to rescue her were also killed.