Thousands could die if supplies run out, warn Gaza hospitals

Medics in Gaza warned on Sunday that thousands could die as hospitals packed with wounded people run desperately low on fuel and basic supplies. Palestinians in the besieged coastal enclave struggled to find food, water and safety ahead of an expected Israeli ground offensive in the war sparked by Hamas' deadly attack.

Israeli forces, supported by a growing deployment of US warships in the region, positioned themselves along Gaza’s border and drilled for what Israel said would be a broad campaign to dismantle the militant group. A week of blistering airstrikes have demolished entire neighbourhoods but failed to stem militant rocket fire into Israel.

The Gaza Health Ministry said 2,329 Palestinians have been killed since the fighting erupted, more than in the 2014 Gaza war, which lasted over six weeks. That makes this the deadliest of the five Gaza wars for both sides. More than 1,300 Israelis have been killed, the vast majority of them civilians killed in Hamas' October 7 assault. This is the deadliest war for Israel since the 1973 conflict with Egypt and Syria.

Hospitals are expected to run out of generator fuel within two days, according to the U.N., which said that that would endanger the lives of thousands of patients. Gaza’s sole power plant shut down for lack of fuel after Israel completely sealed off the 40-km territory following the Hamas attack.

In Nasser Hospital, in the southern town of Khan Younis, intensive care rooms are packed with wounded patients, most of them children under the age of 3. Hundreds of people with severe blast injuries have come to the hospital, where fuel is expected to run out by Monday, said Dr. Mohammed Qandeel, a consultant at the critical care complex.

There are 35 patients in the ICU who require ventilators and another 60 on dialysis. If fuel runs out, “it means the whole health system will be shut down,” he said, as children moaned in pain in the background. “All these patients are in danger of death if the electricity is cut off."

Dr. Hussam Abu Safiya, the head of pediatrics at the Kamal Adwan Hospital in northern Gaza, said it did not evacuate despite Israeli orders. There are seven newborns in the ICU hooked up to ventilators, he said. “We cannot evacuate, that would mean death for them and other patients under our care.”

Patients keep arriving with severed limbs, severe burns and other life-threatening injuries. “It’s frightening," he said.

The Shifa hospital in Gaza City, the territory's largest, said it would bury 100 bodies in a mass grave as an emergency measure after its morgue overflowed, with relatives unable to bury their loved ones. Tens of thousands of people seeking safety have gathered in the hospital compound.

Gaza was already in a humanitarian crisis due to a growing shortage of water and medical supplies caused by the Israeli siege. With some bakeries closing, residents said they were unable to buy bread. Israel has also cut off water, forcing many to rely on brackish wells.

Israel has ordered more than 1 million Palestinians — almost half the territory’s population — to move south. The military says it is trying to clear away civilians ahead of a major campaign against Hamas in the north, where it says the militants have extensive networks of tunnels, bunkers and rocket launchers. Hamas urged people to stay in their homes.

The U.N. and aid groups say the mass exodus within Gaza, along with Israel’s complete siege, will cause untold human suffering. The World Health Organization said the evacuation “could be tantamount to a death sentence” for the more than 2,000 patients in northern hospitals.

The military said Sunday that it would not target a single route south between 10 a.m. to 1 p.m., again urging Palestinians to leave the north en masse. The military offered two corridors and a longer window the day before. It says hundreds of thousands have already fled south.

The U.N. agency for Palestinian refugees says an estimated 1 million people have been displaced in Gaza in a single week.

The U.S. has been trying to broker a deal to reopen Egypt’s Rafah crossing with Gaza to allow Americans and other foreigners to leave and humanitarian aid amassed on the Egyptian side to be brought in. The crossing, which was closed because of airstrikes early in the war, has yet to reopen.

Israel has said the siege will only be lifted when the captives are returned.

Hundreds of relatives of the estimated 150 people captured by Hamas in Israel and taken to Gaza gathered outside the Israeli Defense Ministry in Tel Aviv late Saturday, demanding their release.

Hamas spokesperson Jihad Taha told The Associated Press in Beirut that Israel “does not dare to fight a ground battle," because of the captives. He alluded to the possible entry of Hezbollah and other regional players in the battle should Israel launch a ground invasion but declined to say whether they had made any concrete commitments.