‘Operation Al-Aqsa Flood’ Day 45: Israeli military besieges the last functioning hospital in northern Gaza 

Casualties 

  • Gaza: 12,012 killed*, including 4,900 children, and 32,300 wounded
  • West Bank and East Jerusalem: 216 Palestinians killed
  • Israel revises its estimated October 7 death toll down from 1,400 to 1,200

*This figure covers the casualties from October 7 to November 16. Due to breakdowns in communication networks within the Gaza Strip (particularly in northern Gaza), the Gaza Ministry of Health has not been able to regularly update its casualty numbers.

Key Developments 

  • Among US voters ages 18 to 34, 70 percent disapprove of how Biden is handling Israel’s war on Gaza, according to a poll by⁦ NBC News
  • 21-year-old Palestinian shot dead by Israeli forces in Hebron and denied medical care until he bled out, according to Wafa news.
  • Israeli forces have put the Indonesian Hospital, the last remaining hospital in northern Gaza, under siege. 
  • About 250 critically injured Palestinians are still stuck inside al-Shifa Hospital, unable to leave due to their conditions with no access to food, water, or medical supplies. 
  • According to state-run media, twenty-nine of the original 39 prenatal babies in al-Shifa Hospital reached Egypt successfully. At least eight babies died before they could be evacuated. 
  • Palestinian political prisoners are facing severe punitive measures, including shutting down electricity inside cells from 6 pm to 6 am, canceling all lawyer and family visits, stopping doctor checkups, and more, according to the Palestinian Authority Commission for Prisoners.
  • As of November 19, The Committee to Protect Journalists (CPJ) confirmed 48 journalists and media workers have died since October 7, including 43 Palestinian, 4 Israeli, and 1 Lebanese.
  • Egypt believes Israel’s policy of blocking aid from entering Gaza is aimed at systematically pushing Palestinians to leave the Strip under the weight of bombardment and siege.

North Gaza Hospitals become ‘circle of death’

Israel’s attacks on Gaza’s healthcare system have only intensified as the death toll mounts and tens of thousands of wounded people require medical care as Israel’s bombardment continues across the besieged enclave.

Following the Israeli military destruction of Al Shifa Hospital, rendering it entirely out of service, Israeli forces are now surrounding the only remaining hospital providing basic medical care in the north of the Gaza Strip, targeting it with artillery shelling. 

On Monday morning, the Indonesian Hospital was put under siege by the Israeli military. At least 12 people have been killed in the attacks so far according to the Palestinian Ministry of Health who describe the siege as a “circle of death.”

Al Jazeera reported that almost 6,000 people are seeking shelter in the complex, including 100 medical workers and about 700 patients. 

In anticipation of the siege, Israel began ramping up its attacks on the area, bombing the vicinity of the hospital in the early hours of Monday, where fires broke out as a result of the continuous strikes. 

Following the fire, around dawn, Al Jazeera reported that Israeli forces surrounded the Hospital, continuing to bomb its vicinity. 

Israeli forces are shooting at anybody who tries to leave the Hospital, where over 6,000 people, including staff, patients, and those taking shelter, reported Al Jazeera. 

Within a few hours, dozens of armored military vehicles surrounded the Indonesian Hospital, accompanied by snipers on the roofs of buildings nearby, preventing ambulances from reaching and transporting the wounded, reported Wafa News

Health Ministry spokesperson Ashraf al-Qudra described the situation as catastrophic while speaking to Al Jazeera, drawing parallels to the attack on al-Shifa hospital, which began with a days-long military siege followed by violent army raids inside the medical complex. 

A source inside the Indonesian Hospital told Al Jazeera the central operation room has been damaged and is no longer available for surgeries.

Al-Qudra says, despite everything, the medical staff are insistent on remaining in the Hospital to treat the wounded.  

Dr Sarbini Abdul Murad, the head of the Indonesian charity the Medical Emergency Rescue Committee (MER-C), is calling on Israel to withdraw their troops from the Hospital.

“This is an inhumane attack that should be condemned because this is a place that must be protected,” he told Al Jazeera, “We ask Israel not to turn hospitals into war zones.”

“We ask Israel to withdraw its troops from around the Indonesia Hospital so that it can be a safe place for citizens seeking medical assistance.”

Meanwhile, approximately 250 critically injured Palestinians are still stuck inside al-Shifa Hospital, unable to leave due to their conditions despite Israeli orders to evacuate; their fate is still unknown as there is no food, water, or medical supplies reaching the Hospital. 

It is unclear how they can be evacuated as there are not enough ambulances to transport them, reports Al Jazeera. 

Of the thirty-nine premature babies in al-Shifa Hospital that were taken out of their incubators due to power outages, thirty-one survived Israel’s attacks and were successfully transported to the neonatal intensive care unit at Al-Helal Al-Emirati Maternity Hospital in southern Gaza, according to the World Health Organisation (WHO). 

WHO’s update reported that the evacuation mission on Sunday was “high risk, due to the active combat taking place in close proximity to the hospital.”

The statement added that all thirty-one babies are fighting severe infections due to the “impossibility” of infection control at al-Shifa Hospital. Eleven are in critical condition.

Egypt’s state-run media says twenty-nine of the thirty-one babies reached the country successfully on Monday afternoon. However, it is unclear why the remaining two babies did not arrive. 

Mohamed Zaqout, the director of Gaza hospitals, explained the babies had not been in “suitable conditions for them to stay alive,” saying they suffer from dehydration, vomiting, hypothermia, and some had sepsis because they haven’t had access to medication.

“Sadly, none of the infants were accompanied by family members, as the Ministry of Health has only limited information, and is not currently able to find close family members.”

The Palestinian Red Crescent Society says the lack of fuel has adversely affected the lives of 9,000 displaced people seeking refuge in al-Amal Hospital in Khan Younis, southern Gaza, including access to clean water. 

Ibrahim Fraihat, associate professor at the Doha Institute, highlighted a concerning pattern emerging from Israel’s attacks on civilian facilities.  

“We started with the al-Ahli Baptist Hospital. It was bombed, there was an outcry over this and Israel denied it. But then there was another attack and received with [no] reaction from the international community because they got used to it. Now, Israel is bombing hospitals and is not even giving an explanation,” he told Al Jazeera.

Mounting calls for ceasefire

Human Rights organizations are continuing to call for a ceasefire, which Israel has repeatedly ignored as its military continues slaughtering countless civilians, burying thousands in the rubble as they target civilian infrastructure, including homes, schools, hospitals, refugee camps, and shelters. 

Commissioner-General Philippe Lazzarini of the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) said in a statement that the number of facilities hit and civilians killed cannot just be “collateral damage.”  

Since October 7, Israel has directly hit 17 of UNRWA’s facilities in Gaza.

“Once again, shelters meant to provide safety and protection to civilians have been hit, killing many people, including children. These acts not only blatantly contravene the rules of war, they also show a total disregard for humanity,” Lazzarini said.

UN human rights chief Volker Turk called for a ceasefire in Gaza on Sunday, “the pain, dread, and fear etched on the faces of children, women, and men is too much to bear,” he said in a statement, stressing “nowhere is safe in Gaza.”

“How much more violence, bloodshed, and misery will it take before people come to their senses? How many more civilians will be killed?”  

“This must stop. Humanity must come first. A ceasefire – on Humanitarian and human rights grounds – is desperately needed. Now,” Turk continued. 

The UN special rapporteur on the occupied Palestinian territories, Francesca Albanese, has described Israel’s attacks on UN shelters in Gaza as “painful to see.”

“Especially as they shelter mostly women & children who are left with nowhere to go,” adding that governments “must call for a ceasefire now and ensure its respect.”

Journalists have also been among those targeted by Israel; most recently, journalist and head of the board of the Press House Palestine, Belal Jadallah, was killed on Sunday. 

As of November 19, The Committee to Protect Journalists (CPJ) confirmed 48 journalists and media workers have died since October 7, including 43 Palestinian, 4 Israeli, and 1 Lebanese.

“CPJ emphasizes that journalists are civilians … and must not be targeted by warring parties,” said Sherif Mansour, CPJ’s Middle East and North Africa program coordinator. 

The organization clarifies they are also investigating numerous unconfirmed reports of other journalists being killed, missing, detained, hurt, or threatened and of damage to media offices and journalists’ homes.

Hamas and Israel Deal: ‘Nothing is agreed until everything is agreed’

As Israel’s war on Gaza continues and regional tensions rise, Qatar has been working as an intermediary on a deal between Hamas and Israel. 

The tentative deal is for Hamas to exchange 50 captives in return for a three-day pause in Israel’s attacks to allow for the entry and distribution of emergency aid to civilians in the besieged enclave, reported the Reuters news agency. 

Similarly, the Washington Post reported that a tentative agreement was reached to free the women and children captives in exchange for the temporary ceasefire. 

However, nothing has been confirmed or finalized. 

The negotiations are “very complicated, very sensitive,” however they are progressing, reporter Reuters, citing a White House Official. 

“The challenges that remain in the negotiations are very minor compared to the bigger challenges. They are more logistical; they are more practical,” Sheikh Mohammed bin Abdulrahman Al Thani of Qatar told a joint press conference with the EU’s foreign policy chief Josep Borrell.

Israeli Ambassador to the United States Michael Herzog said that Israel is hopeful a significant number of hostages could be released by Hamas “in the coming days” on ABC’s ‘This week.’ 

However, “nothing is agreed until everything is agreed. Sensitive negotiations like this can fall apart at the last minute,” White House deputy national security adviser Jon Finer cautioned. 

Thus far, Israel has denied all calls for a permanent ceasefire and has refused various offers from Hamas to release the hostages, including prisoner exchanges. 

Yemen’s Houthi rebels seize a cargo ship

On Sunday, the Israeli military reported Yemen’s Houthi rebels seized a cargo ship in the southern Red Sea as it sailed from Turkey to India, describing the move as “a very grave incident on a global level,” adding that it was not an Israeli ship and no Israelis were on board. 

However, according to Al Jazeera, the shipping company is partially owned by an Israeli businessman, adding that due to the situation in Gaza, the Houthi rebels have stated they plan to target more Israeli ships in the southern Red Sea.

“This ship seizure risks escalating because now you’re inviting the Israelis to respond. They’re also putting the United States in a tough spot because it’s the guarantor for the security of the maritime route across the Red Sea. Right now, the Houthis are saying, ‘We are serious, and we mean business’,” Baraa Shiban, a political commentator on Yemen, told Al Jazeera. 

The US National Security Council said, “The Houthi’s seizure of the vessel Galaxy Leader in the Red Sea is a flagrant violation of international law. We demand the immediate release of the ship and its crew. We will consult with our UN partners for the appropriate next steps,” cited by Al Jazeera. 

Although the US has intensified its military presence in Middle Eastern seas, including shooting down missiles fired from Yemen towards southern Israel, since October 7 “to assist with the defense of Israel,” they were not able to prevent the recent incident. 

While Israel has described the seizure of the vessel as an “Iranian act of terrorism,” Iran has denied having any involvement in the ship seizure by Yemen’s Houthi rebels. 

“We have said multiple times that resistance groups in the region act independently and spontaneously based on their interests and that of their people,” Iran’s Foreign Ministry spokesperson, Nasser Kanaani, said at a news conference.

Japan says it is “communicating with Israel … in addition to directly approaching the Houthis,” hoping to pressure the Yemeni rebels to release the seized ship.

“We are also urging Saudi Arabia, Oman, Iran and other countries concerned to strongly urge the Houthis for the early release of the vessel and crew members,” Foreign Minister Yoko Kamikawa said.

More international leaders weigh in

Many International leaders are growing more concerned as Israel’s war on Gaza continues.

With no end in sight, China is stepping up their role in the international conflict. Beijing is willing to help “restore peace in the Middle East,” China’s Foreign Minister Wang Yi told a visiting delegation of Muslim officials on Monday. 

“Let us work together to quickly cool down the situation in Gaza and restore peace in the Middle East as soon as possible,” Wang said to officials from Saudi Arabia, Jordan, Egypt, Indonesia, and Palestine visiting China on a tour calling for an end to the war on Gaza and the delivery of more humanitarian aid into the territory.

Sameh Shoukry, Egypt’s Foreign Ministry spokesperson, is opposed to the displacement of Palestinians from the Gaza Strip, believing it will threaten peace, security, and stability in the region, which will have ripple effects across the world. 

Shoukry added that Israel’s policy of blocking aid from entering Gaza is systematically aimed at pushing Palestinians to leave the Strip under the weight of bombardment and siege.

“Egypt is making every effort to bring aid into the Gaza Strip through the Rafah crossing, but Israel’s policy of obstructing the entry of aid is a systematic policy aimed at pushing the Palestinians to leave the Strip under the weight of bombing and siege,” Shoukry said during a meeting with the Chinese foreign minister in Beijing.

“The US has shot itself in the foot by throwing all of its weight behind Israel’s side, and by doing so, it has diminished its role as a credible third-party intervener,” Ibrahim Fraihat of the Doha Institute for Graduate Studies told Al Jazeera as leaders from the Arab and Muslim world were welcoming into Beijing as China steps up its international role. 

“They [Chinese authorities] are very interested in this role – they have strong ties with Israel, they have the trust of the Palestinians and weight in the international system,” he added, referring to China’s veto power at the UN Security Council.

Iranian top diplomat Hossein Amirabdollahian has called on Russia to play a more active role in securing peace. 

Amirabdollahian accused the US of inflaming the war during a phone call with Russia’s Minister of Foreign Affairs, Sergey Lavrov. The two diplomats stressed the need for a ceasefire and urgent assistance to the civilian population.

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