Crisis at Gaza hospitals 'extremely dire' as health officials accuse Israel of hostility

The latest:

• Hospital director says 3 premature babies died after fuel ran out.
• Israel says fuelgiven to hospital; staff says amount not enough for 1 hour of power.
• More than 230 people with connections to Canada able to flee Gaza on Sunday.

Health officials and people trapped inside Gaza's largest hospital rejected Israel's claims that it was helping babies and others evacuate Sunday, saying fighting continued just outside the facility where incubators lay idle with no electricity and critical supplies were running out.

Israeli Prime Minister Benjamin Netanyahu has dismissed urgent international calls for a ceasefire unless it includes the release of all the nearly 240 hostages captured by Hamas in the Oct. 7 rampage that triggered the war.

A day after Netanyahu said Israel was bringing its "full force" with the aim of ending Hamas's 16-year rule in Gaza, residents reported heavy airstrikes and shelling, including around Al-Shifa Hospital. Israel, without providing evidence, has accused Hamas of concealing a command post inside and under the compound, allegations denied by Hamas and hospital staff.

Muhammad Abu Salmiya, Al-Shifa Hospital's director, said on Sunday thatconstant fighting couldbe heard around the complex, but he didn't see any Hamas fighters or Israeli forces.

WATCH |Al-Shifa hospital runs out of fuel, power:

Gaza's Al-Shifa hospital runs out of fuel, power

7 months ago

Duration 3:29

The situation at Gaza's largest hospital, Al-Shifa, is dire after the hospital ran out of fuel and power, making it difficult to tend to the 500 patients inside, the head of the department of plastic surgery at the facility told CBC News.

"The situation is very critical, very bad," he told CBC's Briar Stewart. "We are now without water, without electricity. Three neonatal [unit]babies have died, yesterday two and one today."

The hospital's last generator ran out of fuel Saturday, leading to the deaths of three premature babies and four other patients, according to the Hamas-run Health Ministry. It said another 36 babies are at risk of dying.

Israel's military asserted it placed 300 litresof fuel near Shifa overnight for an emergency generator for incubators for premature babies and coordinated the delivery with hospital officials. "Sadly, they haven't taken the fuel yet," spokesperson Lt. Col. Richard Hecht said. He said if this fuel doesn't work, they will seek "other solutions for the babies."

Aspokesperson for theHealth Ministry, Ashraf al-Qidra, told Al Jazeera that "someone contacted the director and said they have 200 litres of fuel. These 200 litres give less than an hour to run the generator... This is a mockery towards the patients and children."

Speaking to CNN, Netanyahu asserted that "100 or so" people had been evacuated from Shifa and that Israel had created safe corridors.

But Health Ministry Undersecretary Munir al-Boursh said Israeli snipers have deployed around Shifa, firing at any movement inside the compound. He said airstrikes had destroyed several homes next to the hospital, killing three people, including a doctor.

"There are wounded in the house, and we can't reach them," he told Al Jazeera. "We can't stick our heads out of the window."

The military said troops would assist in moving babies on Sunday. But Medical Aid for Palestinians, a U.K.-based charity that has supported Shifa's neonatal intensive care unit for years, questioned that.

"The transfer of critically ill neonates is a complex and technical process," CEO Melanie Ward said in a statement. "With ambulances unable to reach the hospital ... and no hospital with capacity to receive them, there is no indication of how this can be done safely."

The only safe option is for Israel to stop its assault and allow fuel to reach the hospital, Ward said.

The Health Ministry said there are still 1,500 patients at Shifa, along with 1,500 medical personnel and between 15,000 and 20,000 people seeking shelter.

WATCH |Inside al-Shifa hospital after an airstrike:

Inside al-Shifa hospital after an airstrike

7 months ago

Duration 0:43

Video from the United Nations shows wounded people being rushed into treatment Thursday following an airstrike in the Al-Yarmouk/Al-Jalaa neighborhood of Gaza City. NOTE: This has been updated for clarity about where the strike happened

The Palestinian Red Crescent rescue service said another Gaza City hospital, Al-Quds, is "no longer operational" because it has run out of fuel with 6,000 people trapped there. Gaza's sole power plant was forced to shut down a month ago, and Israel has barred fuel imports, saying Hamas would use them for military purposes.

One woman fleeing northern Gaza, Fedaa Shangan, said she'd had a caesarean section at Al-Quds: "The wound is still fresh." She said the Israeli army near the hospital "did not care about the presence of patients, children, women and the elderly. They did not care about anyone."

Alarm was growing. "We do not want to see a firefight in a hospital where innocent people, helpless people, people seeking medical care are caught in the crossfire," President Joe Biden's national security adviser, Jake Sullivan, told ABC's This Week.

"Decisive international action is needed now to secure an immediate humanitarian ceasefire and prevent further loss of life" amid attacks on health care, the U.N. regional directors of the World Health Organization and others said in a statement, adding that more than half of Gaza's hospitals are closed.

Muhammed Zaqout, director of hospitals in Gaza, said the Health Ministry has been unable to update the death toll since Friday as medics are unable to reach areas hit by Israeli bombardment. "The situation is extremely dire," he said.

About 2.3 million Palestinians remain trapped in the besieged territory.

Netanyahu has said the responsibility for any harm to civilians lies with Hamas. Israel has long accused the group, which operates in dense residential neighbourhoods, of using civilians as human shields.

More Canadians able to leave Gaza

The U.S. has pushed for temporary pauses that would allow for wider distribution of badly needed aid to civilians in the besieged territory.

But Israel has only agreed to brief daily periods during which civilians can flee the area of ground combat in northern Gaza and head south on foot along two main roads. Israel continues to strike what it says are militant targets across southern Gaza, often killing women and children.

Dozens of wounded people, including children, were brought to a hospital in Khan Younis after an Israeli airstrike demolished a building in the southern town. Hospital officials said at least 13 were killed.

The war has displaced over two-thirds of Gaza's population, with most fleeing south. Egypt has allowed hundreds of foreign passport holders and medical patients to exit through its Rafah crossing, as well as the entry of a small amount of humanitarian aid.

Global Affairs Canada said 232 citizens, permanent residents and eligible family members crossed into Egypt on Sunday.

Evacuations through the border crossing, the only entry point to Gaza not controlled by Israel, were suspended for a third time on Friday after issues around transporting injured Palestinians from northern Gaza. It reopened Sunday.

WATCH | Canadian fled Gaza with his kids but had to leave hisparents behind:

'Im saving my daughters but leaving my parents behind,' says Canadian who fled Gaza

7 months ago

Duration 7:23

Rosemary Barton speaks with Mohammed-sharif Alghusain who fled Gaza to Montreal this weekend. Alghusain says he feels guilty about leaving his parents behind, but couldn't risk his seven-year-old diabetic daughter's health in the war-torn strip. "There's no hospitals ... there's no place to go to," he said.

Dalia Salim, of London, Ont., was able to leave Gaza on Sunday through the crossing. She told The Canadian Press that her father was able to cross with her uncle, who is a U.S. citizen.

"I'm so relieved, I have the biggest weight lifted off my shoulders," Salim said in a phone interview. "I'm still hurting for my people and my country ... but on a personal level, I'm just really glad that my dad is safe."

A total of 107 people with connections to Canada managed to leave Gaza via the Rafah crossing on Tuesday and Thursday.

More than 11,000 Palestinians, two-thirds of them women and minors, have been killed since the war began, according to the Hamas-run Health Ministry, which does not differentiate between civilian and militant deaths. About 2,700 people have been reported missing and are thought to be trapped or dead under the rubble.

At least 1,200 people have been killed on the Israeli side, mostly civilians killed in the initial Hamas attack,butofficials say 46Israeli soldiers have been killed in Gaza since the ground offensive began on Oct. 27

About 250,000 Israelis have been forced to evacuate from communities near Gaza, where Palestinian militants are still firing barrages of rockets, and along the northern border with Lebanon, where Israeli forces and Hezbollah militants have traded fire repeatedly.

WATCH | More people with Canadian ties leave Gaza:

More than 230 people with Canadian ties left Gaza Sunday

7 months ago

Duration 2:37

More than 230 people with Canadian ties made it through the Rafah border crossing from Gaza into Egypt Sunday, Canadian officials said. It's the largest contingent yet, but many more are still waiting to get out.