‘Deep concern’ for patients and staff at Gaza’s al-Aqsa hospital

Doctors from the UK who have been working at what they say is the only functioning hospital in the central Gaza Strip have told the BBC of their “deep concern” for patients and staff remaining there – as fighting between the Israeli military and Hamas has reportedly intensified in nearby areas.

Deborah Harrington, an obstetrician who has been working at al-Aqsa Martyrs Hospital in Deir al-Balah with the British charity Medical Aid for Palestinians (MAP), said the fighting meant there has been “a real decrease” in the number of staff able to work at the facility over the past two weeks.

At the same time, she said some 600 to 700 patients were still being treated inside the hospital daily, and that hundreds of displaced people were sheltering there or in the immediate vicinity.

“Without any functioning or sufficient healthcare staff, it will be an unmitigated disaster for those people living in Middle Gaza,” another member of the team, surgeon Nick Maynard, told the BBC.

When asked about the reports, the Israel Defense Forces (IDF) told the BBC: “The forces closest to there are 1.5km (0.9 miles) away and there is no activity there.”

Hospitals are specifically protected under international humanitarian law. Any military operation around hospitals must take steps to spare patients, medical staff and other civilians inside them.

On Sunday, MAP and the International Rescue Committee (IRC) announced that their staff had been “forced to withdraw and cease activities” as a result of what they called “increasing Israeli military activity around the al-Aqsa Hospital”.

The head of the World Health Organization (WHO), Dr Tedros Adhanom Ghebreyesus, also said it had “received troubling reports of increasing hostilities and ongoing evacuation orders near the vital al-Aqsa hospital… which according to the facility’s director forced over 600 patients and most health workers to leave”.

He stated that al-Aqsa was “the most important hospital remaining in Gaza’s Middle Area and must remain functional, and protected, to deliver its lifesaving services”.

“Further erosion of its functionality cannot be permitted – doing so in the face of such trauma, injury and humanitarian suffering would be a moral and medical outrage,” he warned.

Speaking to the BBC from Cairo airport, Mr Maynard, a senior surgeon and clinical lead with MAP who worked at al-Aqsa’s surgical unit for two weeks, said he and his team were told to evacuate from Gaza last Friday.

“I was operating on a serious blast injury during the day, and at about 15:00 I finished in theatres to come out to find that there had been an attack on the intensive care unit (ICU).” He added: “We were told we had to leave.”

Two other doctors said they had been told of an incident at the ICU, and had later seen pictures shared on social media of a bullet embedded into the ICU building’s wall – but none of them witnessed the incident themselves.

The BBC was not able to verify the reports. Asked about the incident specifically, the IDF said it was “not aware of an air strike regarding the incident in question”.

Another doctor placed at al-Aqsa with MAP, James Smith, told the BBC that he had heard gunfire on several days.

“It’s worth stressing that the sound would travel, so it was maybe 1km or 2km (0.6-1.2 miles) away,” he said, adding that it could occasionally be heard from the hospital courtyard.

Shelling was reported in the vicinity of the hospital on Tuesday, the UN said.

The Hamas-run health ministry in Gaza also reported that 57 dead and 65 injured people had been brought to al-Aqsa hospital over the previous 24 hours but provided no further details.

And on Wednesday, the Palestine Red Crescent Society (PRCS) said six people had been killed in an Israeli strike that targeted an ambulance on the outskirts of Deir al-Balah. Four of those killed were PRCS team members while the two others were in the ambulance at the time, it added.

The official Palestinian news agency Wafa reported that the strike was in the vicinity of al-Aqsa hospital and that a journalist was also among the dead. The BBC has asked the IDF for comment.

The BBC has verified footage posted on social media in recent days, in which plumes of smoke and the sound of gunshots can be heard in the surrounding area – though we could not verify where the shots were coming from and who was firing.

Pictures posted on social media also showed leaflets apparently dropped by the IDF, which warned residents of several neighbourhoods to the north that they were now in a “dangerous combat zone” and called on them to urgently evacuate for their own safety. They did not include the area directly…