ICJ rules Israel must stop Rafah operation, what’s next? | Gaza News

The International Court of Justice called on Israel to end its operation in Rafah, the southernmost town in Gaza.

Over the last two weeks, Israel has reduced entire neighbourhoods in Rafah to rubble and forcefully displaced hundreds of thousands of people.

Israel says it needs to move into Rafah to complete its mission of defeating Hamas. However, the ICJ ruled that Israel’s war aims effectively violate the rights of Palestinians under the Genocide Convention.

Here’s all you need to know about the ICJ’s new orders.

What was the ICJ ruling on South Africa’s case against Israel?

According to the court, Israel must stop its offensive on Rafah.

The court was not convinced that Israel had taken sufficient measures to protect civilian life and voted – 13 judges to two – that Israel must take effective measures to enable any UN-backed commission of inquiry to enter Gaza and probe genocide allegations.

The court also reaffirmed its previous January 26 ruling that Israel must scale up aid to Palestinians in Gaza.

“The ICJ is essentially saying: OK, enough,” said Alonso Gurmendi, an international law scholar at King’s College, London.  “It is a pretty substantial order … it [reflects] a loss of patience [with Israel] in my opinion.”

Director-General of South Africa’s Department of International Relations and Cooperation Zane Dangor and South African Ambassador to the Netherlands Vusimuzi Madonsela at the ICJ where South Africa requests new emergency measures over Israel’s attacks on Rafah, The Hague, Netherlands, May 16, 2024 [Yves Herman/Reuters]

What was South Africa’s complaint against Israel?

South Africa initially filed an emergency request for Israel to end its offensive on Rafah, but then broadened its request for a full ceasefire in Gaza.

Will this stop Israel’s attack on Rafah?

Minutes after the ruling came in, reports emerged of Israeli air raids in Rafah.

For now, Israel’s Prime Minister Benjamin Netanyahu has not made a formal statement. But analysts believe that Israel will continue to violate the ICJ’s order.

Legal scholars and analysts said Israel refused compliance with earlier ICJ provisional measures on January 26. The ICJ had called on Israel to scale up aid to protect the rights of Palestinians under the genocide convention.

Gurmendi added that the new provisional measure compounds the pressure on Western states that arm Israel.

“How can you justify selling weapons for Israel to use in Rafah? I don’t think you can. I think it is legally impossible,” he said. “So while this [ICJ order] won’t stop the operation in Rafah itself, it builds pressure on the idea that it is OK to just keep selling weapons to Israel.”

What else did the ICJ say?

It ordered Israel to open the Rafah crossing for unhindered provision of aid.

“The order is [legally] binding on Israel. Previous [ICJ] orders [to scale up aid] have already put states on notice that there is an imminent risk of genocide and therefore their duty – under the genocide convention –  to prevent that has already been triggered,” said Heidi Matthews, a legal scholar at York University in Toronto.

“Obviously, some folks will be disappointed that there wasn’t a full ceasefire order. This is still a big move, but it’s not a full ceasefire move,” she added.

Any reaction from Palestine or Palestinian groups?

Hamas welcomed the ICJ rulings. It said in a statement that Israel continues to commit massacres in the Gaza Strip. The group added that it expects the court to eventually issue an order for Israel to stop its war on the entire besieged strip.

“What is happening in Jabalia and other governorates of the Strip is no less criminal and dangerous than what is happening in Rafah.”

“We call on the international community and the United Nations to pressure the occupation to immediately comply with this decision and to seriously and genuinely proceed in translating all UN resolutions that force the Zionist occupation army to stop the genocide it has been committing against our people for more than seven months.”

How did Israel respond?

The response from Israeli officials has been largely defiant.

Many officials repeated prior accusations that the court was aiding “terrorists.”

Finance Minister Bezalel Smotrich wrote on X, formerly Twitter, that Israel was in a “war for its existence,” adding that stopping the invasion of Rafah was akin to demanding Israel “cease to exist”.

He warned that stopping the assault meant the “enemy will reach the beds of our children and women throughout the country.” He then tweeted that “history will judge who stood by the Nazis of Hamas and ISIS [ISIL].”

Will the ICJ be able to enforce Friday’s ruling?

They have no enforcement power in the UN system. Enforcement relies on members of the court to uphold their obligations under international law and on the UN Security Council.

How does this court hearing differ from the last one?

Both hearings aimed to secure an end to Israel’s devastating war on Gaza. Experts told Al Jazeera that the ICJ’s new orders intensify pressure on Israel and allied states to protect Palestinians and end its war on Gaza, which has killed more than 35,000 people and made the enclave effectively uninhabitable.

Israel's Finance Minister and leader of the Religious Zionist Party Bezalel Smotrich.
Israel’s Finance Minister and leader of the Religious Zionist Party Bezalel Smotrich [Gil Cohen Magen/AFP]

What’s next?

ICJ orders are legally binding. However, the court’s ruling will now be discussed at the UN Security Council, where states can decide to take united action to enforce the court’s orders. Security Council resolutions are also legally binding.

However, the US has a veto, which it has historically used to shield Israel from the consequences of violating international law.

On April 18, the US vetoed a proposed resolution that would have made Palestine the 194th UN member.

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El-Sisi and Biden agree to send aid to Gaza via Karem Abu Salem crossing | Israel-Palestine conflict News

Egyptian President Abdel Fattah el-Sisi has agreed in a phone call with his United States counterpart, Joe Biden, to allow United Nations aid through the Karem Abu Salem border crossing (known in Israel as Kerem Shalom) to the bombarded and besieged Gaza Strip, the White House says.

“President Biden welcomed the commitment from President el-Sisi to permit the flow of UN-provided humanitarian assistance” through the crossing, it said in a readout of the call, adding: “This will help save lives.”

The aid will be sent to Gaza via the crossing – located where the borders of Egypt, Israel and Gaza come together – until legal mechanisms are in place to reopen the crucial Rafah border crossing from the Palestinian side, the Egyptian presidency said.

The agreement resulted from “the difficult humanitarian situation of the Palestinians in the Gaza Strip, the lack of means of life in the Strip, and the lack of fuel needed for hospitals and bakeries,” the statement said

The move was also confirmed by the Palestinian Authority presidency, according to the Wafa news agency.

According to the White House statement, Biden expressed “his full commitment to support efforts to reopen the Rafah crossing with arrangements acceptable to both Egypt and Israel”. The statement said he agreed to send a senior team to Cairo next week for further talks.

Israeli forces seized the Palestinian side of the Rafah border crossing with Egypt on May 6, shortly after it launched a widely criticised ground and aerial offensive in the area where tens of thousands of displaced families had sought shelter.

The resulting closure has created a backlog of aid in Egypt, where some of the food aid has begun to rot.

Al Jazeera’s Kimberly Halkett, reporting from Washington, DC, said it is “not entirely a big surprise” that the opening of the crossing has been secured.

“What has been happening is, behind the scenes for a number of weeks now, we’ve been told there have been talks taking place between Israel, Egypt and US officials to get some sort of a deal to try and get some sort of opening to facilitate aid to come in,” Halkett said.

“The goal actually, from a United States standpoint, is to try and get a neutral third party … to try and take control of the Rafah crossing – and that seems to be where the stumbling block is,” Halkett added.

Aid agencies and rights groups, including several UN bodies, have warned that dwindling supplies in Gaza will result in a famine and will further worsen an already dire humanitarian crisis.

Before the closure of the Rafah crossing, supplies of humanitarian aid and much needed fuel were trickling into the territory. Shortages have caused multiple hospitals to cease operations and have affected much of Gaza’s north, where famine has taken hold in some ravaged areas.

Earlier on Friday, the UN Office for the Coordination of Humanitarian Affairs (OCHA) warned that access to the Gaza Strip is extremely limited with fewer than 1,000 truckloads of humanitarian assistance entering the enclave since May 7, the day Israel’s Rafah offensive began.

“There are a lot of doorways into Gaza. … Whether by land or by sea, we don’t control those doorways, but we want them all to be open,” UN spokesperson Stephane Dujarric said on Thursday.

The announcement on Friday came as the International Court of Justice (ICJ) ordered Israel to stop its military offensive in Rafah and open the border crossing for aid.

“The humanitarian situation is now to be characterised as disastrous,” the ICJ, also known as the World Court, said on Friday. It also demanded access to Gaza for war crimes investigators.

More than a million Palestinians have fled Rafah in recent weeks as Israeli forces pressed deeper into Gaza’s southern-most city. People displaced by fighting lack shelter, food, water and other essentials for survival, the UN says.

Gaza’s Ministry of Health said 35,857 Palestinians have now been killed and 80,293 injured in the Israeli assault on the enclave since October 7. The war began after Hamas-led attacks on southern Israel killed 1,139 people.

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Worms, insects infest Gaza bound food stuck rotting in Egyptian sun | Gaza

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Worms and insects are eating up shipments of food originally meant for the people of Gaza. The trucks carrying them have been stuck on the Egyptian side of the border for weeks after Israel closed the Rafah border crossing in early May.

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Rights groups demand Biden halt Israel arms transfers after ICJ ruling | Gaza News

Rights groups have renewed calls for US President Joe Biden to halt weapons transfers to Israel, after the United Nations’ top court ordered the Israeli government to immediately halt its ground offensive in the southern Gaza city of Rafah and allow aid into the area.

The United States has faced months of pressure to suspend military assistance to Israel as the Palestinian death toll in the Gaza Strip rose steadily and a humanitarian crisis deepened across the besieged enclave.

Biden himself has publicly opposed Israel’s offensive in Rafah – where the majority of Gaza’s displaced residents had gathered – and his administration suspended one shipment of weapons to Israel over its concerns.

Yet despite saying in early May that he would withhold more weapons if the country went ahead with a large-scale operation in Rafah, Biden has largely backed away from using such leverage as Israeli leaders rejected Washington’s warnings.

On Friday, Sarah Leah Whitson, executive director of Democracy for the Arab World Now (DAWN), said the International Court of Justice’s order “leaves no ambiguity about what should follow: an arms embargo on Israel”.

“Continued US arms transfers to Israel would constitute deliberate defiance of the Court’s orders and make our government complicit in genocide,” she said in a statement.

Citing the “immense risk” to Palestinians in Gaza, the ICJ said Israel must “immediately halt its military offensive, and any other action in the Rafah Governorate, which may inflict on the Palestinian group in Gaza conditions of life that could bring about its physical destruction in whole or in part”.

Friday’s order did not offer a final determination on whether Israel is committing genocide in Gaza, as alleged by South Africa, which brought the case before the international tribunal.

Still, the court’s provisional ruling “opens up the possibility for relief” for the people of Rafah, said Balkees Jarrah, associate director of the international justice programme at Human Rights Watch (HRW).

“But only if governments use their leverage, including through arms embargoes and targeted sanctions, to force Israel to urgently enforce the court’s measures,” Jarrah said.

Rights observers also noted that the ruling creates a foundation for the UN Security Council to take more resolute action against Israel.

The US – one of five members on the council with veto power – has repeatedly shielded Israel from Security Council action since the Gaza war began in early October.

Michael Schaeffer Omer-Man, director of Israel-Palestine research at DAWN, said the ICJ’s ruling should push the US to “support any UNSC actions to enforce the Court’s order”, or risk appearing “again before the entire world as the guarantor of Israeli impunity”.

Nihad Awad, national executive director of the Council on American Islamic Relations, also urged Biden to honour the ICJ’s ruling “by immediately ending all military assistance to Israel’s genocide”.

“Israel is clearly attempting to make Gaza uninhabitable. It must be stopped from completing this monstrous goal,” Awad said in a statement.

Bipartisan Israel support

Israel continues to enjoy widespread support among senior Biden administration officials, including the US president himself, as well as lawmakers from both major parties.

Still, a growing number of legislators in Washington, DC, have demanded a clearer accounting of whether Israel is using American weapons in Gaza in violation of US and international law.

Israel’s bombardment of Gaza has killed more than 35,500 Palestinians, most of them women and children, while its siege on the coastal territory has led to dire shortages of humanitarian aid and pushed Palestinians to the brink of starvation.

“The whole world is taking action to stop the genocide of Palestinians, including the International Court of Justice,” US Congresswoman Rashida Tlaib, a member of Biden’s Democratic Party, wrote on X on Friday.

“Where is President Biden’s ‘red line’?” she said.

Earlier this month, the US Department of State released a report that found it was “reasonable to assess” that Israeli forces had used US weapons in violation of international humanitarian law in Gaza.

But the department said that did not necessarily disprove Israel’s “overall commitment” to those standards, and the report concluded that the US could continue to send weapons to Israel.

The Biden administration did not immediately comment on the ICJ’s order on Friday, or on renewed calls to suspend weapons transfers to Israel.

James Bays, Al Jazeera’s diplomatic editor, said the court’s ruling creates a predicament for the US government, however, since it is in line with Biden’s recent positions.

“The Biden administration has repeatedly said the Rafah crossing needs to be opened. The Biden administration has repeatedly said it didn’t want a Rafah offensive,” Bays noted.

“So the court is simply backing up entirely what the US administration has been saying,” he said. “It’s going to be very, very hard for the Biden administration to say that this is in some way biased.”

Prominent Republican lawmakers swiftly condemned the ICJ’s order on Friday, however, with some calling on Biden to reject efforts to get Israel to abide by the decision.

“The ICJ is blinded by anti-Israel bias,” Steve Scalise, the second-ranking Republican in the House of Representatives, wrote on social media. “Biden must commit to vetoing any UN Security Council resolution that would enforce this outrageous decision.”

US Senator Lindsey Graham also said the “ICJ can go to hell”.

“It is long past time to stand up to these so-called international justice organizations associated with the UN. Their anti-Israel bias is overwhelming,” he wrote on X. “This will and should be ignored by Israel.”

Graham is among several US lawmakers who have urged the Biden administration to impose sanctions against the International Criminal Court (ICC) after the court’s top prosecutor this week requested arrest warrants for senior Israeli leaders over alleged war crimes in Gaza.

Biden called the prosecutor’s move “outrageous” while Secretary of State Antony Blinken suggested that the administration would be willing to work with members of Congress on legislation to penalise the international tribunal.



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UN Security Council passes motion denouncing attacks on aid workers | United Nations News

The United Nations Security Council has passed a resolution denouncing attacks on UN staff and aid workers in conflict zones as record numbers of UN personnel have been killed in Israel’s war on the Gaza Strip.

The resolution, which calls on all countries to protect humanitarian workers in accordance with international law, passed on Friday with 14 votes in favour, zero against and one abstention.

“This resolution [sends] a strong message,” said Pascale Baeriswyl, the UN ambassador for Switzerland, which put forward the measure.

“This resolution reaffirms state responsibility and that of parties to conflict to respect and protect the civilian population and, more particularly, to respect and protect these men and women who every day work alongside those affected by armed conflicts,” Baeriswyl told the council.

The resolution passed amid threats and attacks against humanitarian workers in conflict zones around the world, including in Sudan and Ukraine.

But since October, the Gaza Strip has seen an unprecedented death toll among UN personnel and other aid workers.

More than 190 UN staff have been killed in the Israeli war on Gaza, according to the latest figures from the global body, sparking widespread concern and calls for a permanent ceasefire in the besieged Palestinian enclave.

Robert Wood, the United States deputy ambassador to the UN, said on Friday that “harm to workers of great courage who are risking their lives to help Palestinian civilians [in Gaza] is unacceptable”.

Wood condemned the Palestinian group Hamas for taking captives from Israel and holding them in the coastal enclave and said Israel must do “much more to prevent the death and harm of aid workers and UN personnel”.

“We insist that all attacks on humanitarian personnel in Gaza, regardless of whether against local or international staff, be investigated thoroughly, and there must be full and public accountability for those responsible for any wrongdoing,” he said.

Washington faces calls to do much more to help reach a ceasefire in Gaza, however, including by conditioning military and diplomatic support to Israel.

But US President Joe Biden’s administration continues to provide staunch backing to its top Middle East ally. Since October, the country has vetoed three separate efforts at the Security Council to secure a ceasefire.

Al Jazeera’s diplomatic editor James Bays noted that Friday’s resolution was passed shortly after the International Court of Justice (ICJ) – the top UN court – ordered Israel to immediately halt its military offensive on the southern Gaza city of Rafah.

Wood was asked on his way into the Security Council about the ICJ’s ruling, Bays said, but the US envoy did not have an immediate response.

“The ruling of the International Court of Justice matches very much what the US has been asking for,” Bays reported.

“But it’s a strong, binding international law ruling, and it puts Israel in a hard place – and diplomatically, in the end when it’s come to it, the US has had Israel’s back at every twist and turn since October 7.”

Meanwhile, the International Committee of the Red Cross (ICRC) welcomed the passage of the Security Council resolution on Friday.

The motion, the ICRC said in a statement, serves as “a clear reminder of the absolute necessity and obligation for all parties of armed conflicts to respect and protect humanitarian personnel, their premises and assets”.

“Just as the civilian population is paying an increasingly unbearable price in today’s conflicts, so too are humanitarian personnel, who face daily risks such as verbal threats and intimidation, disappearance, serious injury, and death,” the committee said.

“The unacceptably high price paid by humanitarian personnel must stop, and it is only the vigorous application in practice of this resolution that will make a difference on the ground.”



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Patients in Gaza’s Al-Aqsa Hospital at ‘risk of death’ amid fuel shortages | Israel-Palestine conflict News

Severe fuel shortages have caused power outages at Al-Aqsa Martyrs Hospital in central Gaza, with hospital officials warning that many sick and wounded patients face certain death if supplies needed to run medical equipment and generators are not replenished.

Early on Friday, the hospital in Deir el-Balah received 15,000 litres (4,000 gallons) of fuel but that will only last a few more days, Al Jazeera’s reporters in Gaza said. Overnight, the shortage forced medical workers to work in an almost pitch-dark environment, with doctors using the light from their mobile phones while tending to premature babies.

“We have hundreds of patients including the injured and those that are diagnosed with kidney failure and need electricity for their dialysis treatment,” Iyad al-Jabri, Al-Aqsa’s medical director, said in a statement on Friday.

“All the patients will be condemned to death. Especially those in the ICU, the incubators and those relying on dialysis treatment,” he added.

The hospital requires more than 4,000 litres (1,000 gallons) of fuel each day to continue operations and care for patients. Al-Jabri said any help they can offer patients “will stop completely” without any fuel.

“We are calling on international organisations to send 50,000 litres [13,200 gallons] of fuel before there is an imminent crisis here,” he added.

Israel’s months-long siege of Gaza has either destroyed or left most hospitals out of service. Those that have remained open, including Al-Aqsa, are barely functioning with supplies of medicine and fuel almost running out amid an overflow of patients.

Israel’s destruction of Gaza’s healthcare system, as well as its denial of treatment for Palestinian patients, are considered war crimes according to legal experts and human rights groups. On Friday the International Court of Justice will make a ruling on Israel’s military offensive in Rafah after South Africa approached the court to order Israel to stop.

At Al-Aqsa, hospital spokesman Khalil al-Deqran told Al Jazeera that the medical staff there have resorted to manually operating some equipment to be able to treat patients.

“This crisis is all over the place. We suffer a lot because of this crisis,” al-Deqran said.

“This will lead to the death of so many sick and wounded people,” he said, adding that some patients are being attended to on the hospital floor due to lack of space and overcrowding.

Al Jazeera’s Tareq Abu Azzoum, reporting outside Al-Aqsa Hospital, described the situation as “getting dire” by the day.

Other hospitals targeted

While Al-Aqsa turned dark overnight, other hospitals in northern Gaza are also facing more severe threats due to Israeli bombardment.

Abu Azzoum reported that Kamal Adwan Hospital was twice hit by Israeli artillery overnight, while al-Awda Hospital was hit at least once. Both hospitals have been repeatedly hit by Israeli forces over the last few months.

“We’ve been hearing from medics in al-Awda Hospital that Israeli soldiers have been destroying everything, including hospital doors, as they use loudspeakers to order patients and their families to flee,” he said.

Some medics refused to leave until the Israeli military brought ambulances that could help patients in critical condition get to the western side of Gaza City, or at least to a place where they could get proper medical treatment.

Israeli forces have also reportedly targeted other areas in northern Gaza, hitting both al-Faluja area of Jabalia camp and the nearby al-Fakhoura area.

At least two people were also reported killed in az-Zawadya area of central Gaza.

Further south, the Israeli military is inching closer to the outskirts of the Shaboura area of the Rafah refugee camp, where rocket and artillery fire can be heard, according to Palestinian news agency Wafa.

Israeli military vehicles had also made their way towards Rafah’s densely populated Yibna area in the west.

Right outside Rafah, Israeli quadcopters are said to be hovering over the European Gaza Hospital, the largest operating hospital in southern Gaza.

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Israeli forces kill dozens of Palestinians in strikes across Gaza Strip | Gaza News

Israeli forces have killed at least 50 Palestinians in aerial and ground bombardments across the Gaza Strip and battled in close combat with Hamas-led fighters in the southern city of Rafah, health officials and the armed wing of Hamas say.

Israeli tanks advanced in Rafah’s southeast, edged towards the city’s western district of Yibna and continued to operate in three eastern suburbs, residents said on Thursday.

“The occupation [Israeli forces] is trying to move farther to the west. They are on the edge of Yibna, which is densely populated. They didn’t invade it yet,” one resident told the Reuters news agency, asking not to be named.

“We hear explosions, and we see black smoke coming up from the areas where the army has invaded. It was another very difficult night,” he said.

Palestinians inspect the damage after an Israeli airstrike in Rafah in the southern Gaza Strip [Eyad Al-Baba/AFP]

Simultaneous Israeli assaults on the northern and southern edges of Gaza this month have caused a new exodus of hundreds of thousands of Palestinians fleeing their homes and have cut off the main access routes for aid, raising the risk of famine.

The international community, including Israel’s closest ally, the United States, warned it against launching a ground assault on Rafah without a credible plan to protect civilians. It has been widely criticised for its operations in the city, including from the US, but Israel says it must move in against several battalions of Hamas fighters there.

The United Nations Relief and Works Agency for Palestine Refugees, the main aid agency operating in Gaza, estimated as of Monday that more than 800,000 people had fled Rafah since Israel began targeting the city in early May.

Suze van Meegan, the Norwegian Refugee Council’s emergency response leader in Gaza, said many civilians were still stuck there.

“The city of Rafah is now comprised of three entirely different worlds: the east is an archetypal war zone, the middle is a ghost town, and the west is a congested mass of people living in deplorable conditions,” she said in a statement.

‘Desperation and hunger will spread’

In parallel, Israeli forces stepped up a ground offensive in northern Gaza’s Jabalia refugee camp, where the military has razed several residential areas. It has also struck the nearby town of Beit Hanoon. Israel previously declared major operations over in these areas months ago but says it has had to return to prevent Hamas from regrouping there.

At least 12 Palestinians were killed in an air strike on a store belonging to the welfare ministry east of Deir el-Balah in the central Gaza Strip, Wafa, the official Palestinian news agency, reported.

Gaza’s Civil Defence agency said two predawn air strikes killed 26 people, including 15 children, in Gaza City.

Civil Defence spokesman Mahmud Bassal said one strike hit a family’s house, killing 16 people, in the al-Daraj area and another killed 10 people inside a mosque compound.

A separate Israeli attack on a house in central Gaza’s Nuseirat refugee camp killed eight more people.

A senior security official, Diaa Aldeen Al-Shurafa, was killed in an Israeli strike as he toured residential districts of Gaza City, the Gaza Ministry of Interior said.

Israel has imposed severe restrictions on deliveries of water, food, medicines and fuel, forcing several hospitals across Gaza to shut down.

On Thursday, the Ministry of Health said “minutes” of fuel remained to power generators at Al-Aqsa Martyrs Hospital in Deir el-Balah, adding that the care of 1,300 patients would soon cease.

Palestinian women identify the dead at Al-Aqsa Martyrs Hospital in Deir el-Balah after an Israeli bombardment overnight [AFP]

The UN Office for the Coordination of Humanitarian Affairs has warned “if aid does not begin to enter Gaza in massive quantities, desperation and hunger will spread,” UN spokesman Stephane Dujarric told reporters.

He highlighted the closure of the Rafah crossing and limited functionality of the Karem Abu Salem (Kerem Shalom) crossing in southern Gaza as having “choked off the flow of life-saving supplies”. The UN previously said it cannot distribute food in southern Gaza any more due to the danger.

Dujarric said Gaza’s hospitals lack fuel and medicine because of the continued closure of the Rafah crossing. It has been closed since Israeli forces seized the Palestinian side of the crucial transportation route on May 6.

Meanwhile, the Israeli military said three soldiers were killed in fighting on Wednesday, raising the number of those killed since ground operations in Gaza began on October 20 to 286 soldiers.

More than 35,800 Palestinians have been killed in Israel’s war on Gaza since October 7, according to Palestinian health officials.

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Medics in Gaza risking their lives to save people hurt by Israel’s war | Gaza

Izedine Lulu was besieged in Gaza’s al-Shifa Hospital when he heard that Israel had bombed his family home in November.

His brothers, sisters and father had all been killed.

The 21-year-old medic could not go to find their bodies because al-Shifa was surrounded by Israeli tanks and snipers.

He could only tend to his patients, alive and dead.

“Eight patients in the [intensive care unit] died before my very eyes,” Lulu told Al Jazeera. “It was the first time I had ever buried people on the hospital’s [premises].”

“There is no support for medics in Gaza, but I think it’s our duty to keep working.

“We need to stay in the hospitals,” said Lulu, who is now working at al-Ahli Hospital.

Coming home

Lulu is one of hundreds of Palestinian and foreign medics trapped in a warzone after Israel took control of the Rafah crossing between Gaza and Egypt earlier this month, the only way out of the besieged enclave.

The foreign volunteers came to Gaza to help civilians during what United Nations experts have described as a genocide. Many of those with Western nationalities have recently been evacuated by their embassies following the end of their missions, yet new volunteers have been unable to enter Gaza.

Lulu, 21, is one of dozens of Palestinian medics working to save lives in Gaza [Courtesy of Izedine Lulu]

The loss of foreign medics has further gutted the few hospitals still standing in Gaza, all of which are grappling with catastrophic shortages of medicines and medical supplies that are needed to treat the mounting casualties.

Israel has killed or injured 100,000 people – men, women and children – following the Hamas-led attack on southern Israel on October 7, in which 1,139 people were killed and 250 were taken captive.

Since then, Israel has completely destroyed 23 out of 36 hospitals and killed 493 health workers, according to the World Health Organization (WHO) and Gaza Health Ministry, respectively. The former also said that there was a “systematic dismantling of healthcare” in Gaza as a result of Israel’s war.

The acute danger has prompted qualified health professionals to flee Gaza, compelling doctors to come from abroad to help the medics who stayed behind.

Mosab Nasser, who left Gaza nearly 30 years ago to study medicine, is one of those who returned.

He came back in April as the CEO of Fajr Scientific, a non-profit that dispatches volunteer surgeons to conflict zones.

Nasser and his team of 17 surgeons were working in the European Gaza Hospital in Khan Younis where they saw some of the most horrific war casualties.

“We have seen mothers, fathers and children with broken bones and broken skulls,” Nasser told Al Jazeera. “In some cases, we can’t determine if the victim is a male or female after they were crushed or hit.”

After Israel captured and closed the crossing between Gaza and Egypt, Nasser and his team were stuck for several days.

Most of his team – United States and United Kingdom nationals – eventually managed to leave through Gazas’s Karem Abu Salam (Kerem Shalom) crossing after coordinating with their embassies. As a US citizen, Nasser also left.

However, his team was forced to leave two members behind, one Egyptian and one Omani doctor who are still in Gaza as their countries were unable to secure their evacuation. They are now waiting for the WHO to organise their departure.

With the majority of the team’s departure, the European Hospital now has hardly any surgeons left. Nasser said that most qualified Palestinian health workers had fled to the coastal area of al-Mawasi after Israel began its military operation in Rafah, a town that borders Egypt and where 1.4 million Palestinians from all over Gaza had sought refuge.

Nasser predicts that the hospital will be overwhelmed with casualties if Israel expands its operations. The only other major hospital in Khan Younis was Nasser Hospital, which has been out of service since Israel attacked it in February.

Injured Palestinians are brought to the Kuwaiti Hospital after Israeli strikes in Rafah on May 20, 2024 [Mahmoud Bassam/Anadolu via Getty Images]

In April, a mass grave of more than 300 bodies was uncovered there. Men, women, children and medics were among the victims – some were found naked with their hands tied.

“We know it will be tough leaving the people of Gaza and the [Palestinian hospital] staff to face the crisis alone,” Nasser said, just days before evacuating.

Children losing their sight

Mohammed Tawfeeq, an Egyptian eye surgeon with a different volunteer mission in Gaza is still stuck in the European Hospital.

Matter-of-factly, he spoke of the countless children he has seen who have lost their eyesight from war injuries.

“About 50 percent of our patients are children,” he told Al Jazeera.

Unlike other Gaza hospitals, the European Hospital, which has foreign volunteers working in it, has relatively stable electricity and more medications such as anaesthetics.

However, the staff is overburdened.

Tawfeeq sees about 80 patients a day and does not know how the hospital will cope once he evacuates. The hospital may have to rely on healthcare workers to perform complicated surgeries despite being untrained and ill-equipped.

Lulu has that dilemma. He was in his fifth year of medical school before the war, yet he is now treating blast and bullet wounds without basic medical supplies in the north of Gaza.

He told Al Jazeera he recently had to operate on a boy whose face was disfigured from an explosion. The hospital had no electricity or anaesthesia.

“The boy was crying as I was trying to restructure his face for three hours,” Lulu said. “We had to use the light from our phones to see [in the dark].”

Hospital attacks

Foreign doctors feel “relatively safe” since the WHO shared the coordinates of the European Hospital with the Israeli army.

But Palestinian medics do not.

Since October 7, the Israeli army has conducted more than 400 attacks on Palestinian health facilities and personnel in Gaza. In addition, about 118 medics have disappeared into the labyrinth of Israel’s shadowy detention centres, according to the WHO.

Medical student Deema Estez, 21, spoke with resignation about a young boy who came in with a brain haemorrhage to the hospital where she was volunteering.

There were no doctors there to help him when he arrived.

Deema Estez operates on a patient during Gaza’s war. She says she has amputated the limbs of countless children [Courtesy of Deema Estez]

He was forced to wait for hours with his mother and father, until someone was available. Estez later learned that he died.

She also spoke about the countless times she has amputated children’s limbs, sometimes removing “more than half their body”.

Despite the trauma and danger, Estez refuses to leave Gaza, for now.

The killing and arrest of medics means there is an acute shortage of medical staff, with medical students like Estez having to fill the gap.

She joined a medical team in northern Gaza during Ramadan, after convincing her parents that it was her duty to help. Estez says her colleagues are overburdened with fear while trying to save lives.

“Just last week, Israeli forces were firing artillery near the hospital entrance,” she told Al Jazeera.

Israel has recently attacked a nearby hospital, al-Awda, in Jabalia camp. Israeli troops have reportedly surrounded the facility and prevented ambulances from leaving, according to Wafa Palestinian News Agency.

Estez warns that if Israel kills any more doctors, it will compound the burden on Gaza’s crippled health sector.

“[F]or now, I’m going to stay and help my people,” she said.

“I realise it is dangerous. At any moment, we could be targeted.”

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Protesters assail US top diplomat over Israel’s war on Gaza | Israel War on Gaza News

Secretary of State Antony Blinken was repeatedly interrupted by protesters condemning the US policy towards ally Israel and its war on Gaza as he testified before United States Senate committees.

At the hearing on Tuesday before the Senate Foreign Relations Committee, Blinken flinched from a protester who approached him from behind, waving a sign that said “criminal”, before security officers carried her out of the room.

The chairmen of the Senate Foreign Relations and Senate Appropriations committees halted the hearings at least six times while Blinken was delivering his opening statements as demonstrators stood up to shout their opposition to the administration’s position and accused him of being a “war criminal” and being responsible for a “genocide” against the Palestinian people.

Several silent protesters held up their hands, stained with red paint or dye, behind Blinken during his appearances.

Demonstrations against Israel’s war on Gaza have become a feature of congressional appearances by Biden administration officials. When Blinken and Secretary of Defense Lloyd Austin testified on October 31 about President Joe Biden’s request for security assistance for Ukraine and Israel, protesters repeatedly interrupted them.

Protests in support of Gaza have intensified across the US, including on college campuses where there have been hundreds of arrests.

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Gaza war: What does victory look like for the US and Israel? | Israel War on Gaza News

Washington, DC – Each day, the images emerging from Gaza remain largely the same: Israeli bombs killing civilians. Palestinians fleeing their homes and makeshift shelters. Hamas targetting Israeli forces and posting the footage online.

After nearly 230 days of fighting, experts say Israel’s war in Gaza shows no sign of ending soon. So what is Israel trying to achieve? And do its objectives align with those of its closest ally, the United States?

Israel has said it is seeking an “absolute victory” over Hamas, as it continues to receive billions of dollars in unconditional military aid from the US.

But the country has faced criticism, including from allies, for its apparent lack of a long-term strategy in Gaza, beyond unleashing firepower on the Palestinian enclave.

To some experts, though, the destruction and killings are part of the objective. They say Israeli Prime Minister Benjamin Netanyahu is willing to wage an endless war to stay in power while deepening Palestinian suffering.

And while the US government has said it seeks to end the conflict, Washington is fuelling the Israeli plans by maintaining its “ironclad” support for Israel, analysts say.

“What Israel is looking to achieve is simply erasure and expulsion. That’s what they want here. And they’ve been blunt about this,” said Osamah Khalil, a history professor at Syracuse University.

‘A status quo’

Palestinian rights advocates fear that the war on Gaza is slowly becoming the status quo — another lengthy chapter of pain and dispossession in Palestine’s history.

While Netanyahu has said Israel has “no intention of permanently occupying Gaza or displacing its civilian population”, high-level members of his government have suggested otherwise.

Some far-right Israeli ministers have openly called for displacing Palestinians from Gaza. Other officials have urged the “voluntary migration” of the territory’s residents. And last year, the newspaper Israel Hayom reported that Netanyahu tapped one of his aides to work on a plan to “thin out” the population in Gaza.

Egypt — the only country that borders Gaza other than Israel — has vehemently opposed the mass displacement of Palestinians, which experts point out would amount to ethnic cleansing.

But Khalil said Israel’s plans for the mass displacement of Palestinians have not changed. If anything, the ongoing offensive in the southern Gaza city of Rafah has heightened the prospect, given that many residents sheltering there have already fled bloodshed and bombing in the north.

And if the Israeli government fails to expel the Palestinians, Khalil believes it will instead try to contain most of Gaza’s population in small areas, preventing them from returning home and subjecting them to bombing, surveillance, starvation and disease.

Adam Shapiro, a political analyst, offered a similar assessment. “Israel is really trying to make any semblance of life impossible in Gaza,” he told Al Jazeera. “The goal is basically to just make it impossible for people to continue living there and to compel them to leave.”

Shapiro added that Israel has managed to level large parts of Gaza, starve its population and kill more than 35,000 people without facing considerable international pressure to end the war.

“It’s a status quo that seems to be sustainable for lots of actors for a pretty long period of time,” he said.

Matthew Duss, the executive vice president at the Center for International Policy, a US-based think tank, also said the conflict risks turning into a protracted one.

He added that Israel’s lack of strategy in Gaza could have “catastrophic” consequences for Palestinians, the US and Israel itself.

“You have a war of vengeance being carried out by a state that has the full backing of the global superpower who protects it from any consequences,” Duss told Al Jazeera.

US vision for Gaza

In the US, meanwhile, the administration of President Joe Biden has articulated a complex vision for the war and its outcome.

Washington says it backs Israel’s push to eliminate Hamas’s military capabilities. It is also seeking a ceasefire deal that would see a temporary halt in the fighting, the release of Israeli captives and a surge in humanitarian aid to Gaza.

At the same time, Biden officials have pursued an agreement to establish diplomatic relations between Saudi Arabia and Israel, which they say would boost the prospects of a two-state solution to the Israeli-Palestinian conflict.

As for Gaza, the US says the territory should ultimately be under the governance of a “reformed” Palestinian Authority (PA).

That US plan faces a mountain of hurdles, however. Netanyahu has repeatedly rejected the prospect of establishing a Palestinian state. Israeli leaders also oppose the return of the PA to Gaza.

Even Israeli war cabinet minister Benny Gantz, who is seen as Netanyahu’s strongest domestic political rival, recently said that neither Hamas nor PA President Mahmoud Abbas can rule Gaza after the war.

As for the so-called normalisation push to build ties between Saudi Arabia and Israel, Duss said it was “strategically misguided”.

“The fact that they are still pressing this just reveals a confounding obsession with this kind of agreement as a way to bring something good out of this whole catastrophe,” Duss said.

Defeating Hamas

More immediately, it is unclear how Washington foresees a permanent end to the ongoing violence in Gaza while backing the goal of a total defeat of Hamas — an objective US officials are starting to acknowledge may be unachievable.

“Sometimes, when we listen closely to Israeli leaders, they talk about mostly the idea of some sort of sweeping victory on the battlefield, total victory,” Deputy Secretary of State Kurt Campbell told CNN last week. “I don’t think we believe that that is likely or possible.”

With a military victory for Israel looking increasingly unrealistic, Duss said insisting on eradicating Hamas before ending the war is a “nonsensical position”.

Israel said it dismantled Hamas’s “military infrastructure” in northern Gaza in January, but months later, its military is once again bombing neighbourhoods and clashing with Palestinian fighters in the Jabalia refugee camp and parts of Gaza City in the north.

Khalil, the history professor, said that, since the beginning of the war in October, Israel has shifted its position on what needs to be done to eliminate Hamas in an effort to prolong and expand the war.

For example, Israel first argued that Hamas’s headquarters was located at al-Shifa Hospital in Gaza City — an allegation that proved to be false, despite being backed by US officials.

Now, Khalil said Israel has changed its stance, asserting instead that “Hamas is actually located in Rafah. All their guys are in Rafah.”

But, he added, Israel still has to justify restricting access to the north.

“Why can’t we let Palestinians go back to northern Gaza? Because Hamas is still there. We have to do ‘mop-up operations’,” Khalil said, mimicking Israeli officials.

He added that Israel is ultimately setting the stage for an open-ended war.

The day after

As the war rages, US and Israeli officials have been openly discussing what may come after the fighting ends.

Netanyahu wants the Israeli military to exercise indefinite control over Gaza — a possibility his own Defence Minister Yoav Gallant rejected last week, calling instead for a Palestinian entity to replace Hamas’s governance.

But what entity might fill that void? Experts doubt the PA’s ability to assert control over Gaza.

In 2006, for instance, the PA lost a bruising legislative election to Hamas, and the following year, tensions erupted into violence between the two groups. Hamas routed the forces of Fatah — the faction that dominates the PA — in days and ultimately took control of Gaza.

Questions also remain over what the US push for a “reformed” PA means. President Abbas — elected to a four-year term in 2005 — is now 88 years old. Notably, Washington has not called for an election to determine new leadership for the PA.

“Bringing Fatah back or the PA back on the back of an Israeli tank will absolutely not work. That’s obvious,” Duss said. “You need some kind of local Gaza leadership that is willing to do this. And given the fact that we understand that Hamas will continue to have a presence in Gaza, it will require some measure of buy-in from Hamas.”

But the US and Israel have ruled out involving Hamas in any discussions about Gaza’s future.

Last week, Gantz suggested de-militarising Gaza and forming an international coalition with “American, European, Arab and Palestinian elements” to oversee its civil affairs.

That plan has its own set of hurdles, including getting foreign countries to agree to participate in governing Gaza.

Khalil said that even if Israel succeeds in going after all of Hamas’s battalions, the remaining Palestinian fighters will stay active.

“This is a fantasy that you’re going to insert a NATO peacekeeping force,” he said. “And then what happens when the first roadside bomb goes off?”

The bottom line, Shapiro said, is that Israel is focused on the destruction of Gaza, not its future, and the US is fully backing the war regardless of its stated plans.

“I don’t know that anybody has a real idea about what governance in Gaza could look like in the aftermath of this.”

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