Israel-Hamas War

Hamas and Israel trade blame after blast kills hundreds at Gaza hospital ahead of Biden visit to region

Photos from al-Ahli Hospital showed fire engulfing the hospital halls, shattered glass and body parts scattered across the area

NBC Universal, Inc. Israeli Prime Minister Benjamin Netanyahu declared war against Hamas after the Palestinian militant group launched a surprise attack on Israel, which the IDF says left more than 1,400 dead and thousands injured.

A massive blast rocked a Gaza City hospital packed with wounded and other Palestinians seeking shelter Tuesday, killing hundreds of people, the Hamas-run Health Ministry said. Hamas blamed an Israeli airstrike, while the Israeli military said the hospital was hit by a rocket misfired by Palestinian militants.

The Gaza Health Ministry said at least 500 people were killed. Video that The Associated Press confirmed was from the hospital showed fire engulfing the building and the hospital's grounds strewn with torn bodies, many of them young children. Around them in the grass were blankets, school backpacks and other belongings.

Outrage over what many believed was an Israeli strike flared across the region, a day before President Joe Biden was due to arrive to show support for Israel and try to prevent the war from spreading. The carnage unfolded as the U.S. tried to convince Israel to allow the delivery of supplies to desperate civilians, aid groups and hospitals in the tiny Gaza Strip, which has been under a complete siege since Hamas' deadly rampage in southern Israel last week.

Hamas called Tuesday’s hospital blast “a horrific massacre,” saying it was caused by an Israeli strike.

The Israeli military blamed Islamic Jihad, a smaller, more radical Palestinian militant group that often cooperates with Hamas in their shared struggle against Israel. The military said Islamic Jihad militants had fired a barrage of rockets near the hospital at the time and that “intelligence from multiple sources" indicated it was "responsible for the failed rocket launch that hit the hospital.”

About 2,000 U.S. troops have been put on prepare-to-deploy orders for possible support to Israel.

Hundreds of Palestinians had taken refuge in al-Ahli and other hospitals in Gaza City in past days, hoping they would be spared bombardment after Israel ordered all residents of the city and surrounding areas to evacuate to the southern Gaza Strip.

Ambulances and private cars rushed some 350 casualties from the al-Ahli blast to Gaza City’s main hospital, al-Shifa, which was already overwhelmed with wounded from other strikes, said its director, Mohammed Abu Selmia. The wounded were laid onto bloody floors, screaming in pain.

“We are squeezing five beds into a single tiny room. We need equipment, we need medicine, we need beds, we need anesthesia, we need everything,” Abu Selmia said, warning that the fuel supply for the hospital’s generators will run out Wednesday. “I think Gaza’s medical sector will collapse within hours.”

Before the al-Alhi Hospital deaths, Israeli strikes on Gaza killed at least 2,778 people and wounded 9,700, according to the Gaza Health Ministry. Nearly two-thirds of those killed were children, a ministry official said. Another 1,200 people across Gaza are believed to be buried under the rubble, alive or dead, health authorities said.

Hamas' Oct. 7 attack in southern Israel killed more than 1,400 people, mostly civilians, and took some 200 captive into Gaza. Hamas militants in Gaza have launched rockets every day since, aiming at cities across Israel.

In protest over the purported airstrike, Palestinian President Mahmoud Abbas canceled his participation in a meeting with Biden, Jordan’s King Abdullah II and Egypt’s president set for Wednesday in Amman, Jordan to discuss the war. Abbas’ Palestinian Authority runs parts of the West Bank.

Michael Mistretta with Fellowship of Israel Related Ministries explained what providing on-the-ground support in Israel has been like. “How do we help those that have lost loved ones?”

Later, Jordan’s foreign minister told state-run television that Jordan had canceled the summit, saying that the war between Israel and Hamas was “pushing the region to the brink.” He said the meeting would be postponed.

The comments emerged as Biden boarded the plane for his Mideast trip. Reporters shouted questions at him about the Jordan summit, but Biden did not answer.

Hundreds of Palestinians flooded the streets of major West Bank cities including Ramallah, the seat of the Palestinian Authority, where protesters hurled stones at Palestinian security forces who fired back with stun grenades. Others threw stones at Israeli checkpoints, where soldiers killed one Palestinian, West Bank authorities said. Hundreds of people joined protests that erupted in Beirut and Amman, where an angry crowd gathered outside the Israeli Embassy.

Biden’s visit in part aims to prevent the war from sparking a broader regional conflict. Violence flared Tuesday along Israel’s border with Lebanon, where Iranian-backed Hezbollah militants operate and where Israel has evacuated nearby towns.

With tens of thousands of troops massed along the border, Israel has been expected to launch a ground invasion into Gaza, but its plans remained uncertain.

“We are preparing for the next stages of war,” military spokesman Lt. Col. Richard Hecht said. “We haven’t said what they will be. Everybody’s talking about a ground offensive. It might be something different.”

Israel’s commitment to expand its settlements has created hostility among Palestinians.

Throughout the day Tuesday, airstrikes killed dozens of civilians and at least one senior Hamas figure in the southern half of the Gaza Strip, where the Israeli military told fleeing Palestinians to go. An Associated Press reporter saw around 50 bodies brought to Nasser Hospital after strikes in the southern city of Khan Younis.

An airstrike in Deir al Balah reduced a house to rubble, killing a man and 11 women and children inside and in a neighboring house, some of whom had evacuated from Gaza City. Witnesses said there was no warning before the strike.

Shelling from Israeli tanks hit a U.N. school in central Gaza where 4,000 Palestinians had taken refuge, killing six people and wounding dozens, the United Nations Palestinian refugee agency said. At least 24 U.N. installations have been hit the past week, killing at least 14 members of the agency’s staff.

The Israeli military said it was targeting Hamas hideouts, infrastructure and command centers.

A barrage of strikes crashed into the Bureij refugee camp in central Gaza, leveling an entire block of homes and causing dozens of casualties among families inside, residents said. Among those killed was one of Hamas’ top military commanders, Ayman Nofal, the group’s military wing said — the highest-profile militant known to have been killed so far in the war.

Nofal, formerly the intelligence chief of Hamas’ armed wing, was in charge of Hamas militant activities in the central Gaza Strip, including coordinating activities with other militant groups.

Israeli Prime Minister Benjamin Netanyahu sought to put the blame on Hamas for Israel’s retaliatory attacks and the rising civilian casualties in Gaza. “Not only is it targeting and murdering civilians with unprecedented savagery, it’s hiding behind civilians,” he said.

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In Gaza City, Israeli airstrikes also hit the house of Hamas’ top political official, Ismail Haniyeh, killing at least 14 people. Haniyeh is based in Doha, Qatar, but his family lives in Gaza City. The Hamas media office did not immediately identify those killed.

With Israel barring entry of water, fuel and food into Gaza since Hamas’ brutal attack last week, U.S. Secretary of State Antony Blinken secured an agreement with Netanyahu to discuss creation of a mechanism for delivering aid to the territory’s 2.3 million people. U.S. officials said the gain might appear modest, but stressed that it was a significant step forward.

Still, as of late Tuesday, there was no deal in place. A top Israeli official said his country was demanding guarantees that Hamas militants would not seize any aid deliveries. Tzahi Hanegbi, head of Israel’s National Security Council, suggested entry of aid also depended on the return of hostages held by Hamas.

“The return of the hostages, which is sacred in our eyes, is a key component in any humanitarian efforts,” he told reporters, without elaborating.

More than 1 million Palestinians have fled their homes — roughly half of Gaza's population — and 60% are now in the approximately 14-kilometer (8-mile) long area south of the evacuation zone, the U.N. said.

Aid workers warned that the territory was near complete collapse. Hospitals were on the verge of losing electricity, threatening the lives of thousands of patients, and hundreds of thousands of people searched for bread and water.

The U.N. agency for Palestinians said more than 400,000 displaced people are crowded into schools and other facilities in the south with little food or water.

Israel opened a water line into the south for three hours that benefited only 14 percent of Gaza’s population, the U.N. said.

At the Rafah crossing, Gaza’s only connection to Egypt, truckloads of aid were waiting to enter. The World Food Program said that it had more than 300 tons of food waiting to cross into Gaza. Civilians with foreign citizenship — many of them Palestinians with dual nationalities — also waited in Rafah, desperate to get out.

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Palestinians stand next to a crater caused by an explosion from an Israeli airstrike in Khan Yunis in the southern of Gaza Strip, on Oct. 16, 2023.
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A man reacts as he watches rescuers and civilians remove the rubble of a home destroyed following an Israeli attack on the town of Deir Al-Balah, in the central Gaza Strip, on Oct. 15, 2023.
Gil Cohen-Magen/AFP via Getty Images
Israeli troops prepare weapons and armed vehicles near the southern city of Ashkelon on Oct. 15, 2023.
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Members of the Bedouin community inspect vehicles destroyed in a rocket attack allegedly fired from the Gaza Strip in the village of Arara in the Negev Desert, on Oct. 14, 2023.
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A Palestinian man uses a fire extinguisher to douse a fire following an Israeli strike, in Khan Yunis in the southern Gaza Strip on Oct. 14, 2023.
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Palestinians with their belongings leave Gaza City as they flee from their homes following the Israeli army’s warning on Oct. 13, 2023.
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A Palestinian child watches as smoke billows on the horizon after an Israeli air strike in Gaza City on Oct. 13, 2023.
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Israeli army tanks and vehicles deploy along the border with the Gaza Strip in southern Israel on Oct. 13, 2023.
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A woman comforts injured Palestinian girls waiting at the hospital to be checked, as battles between Israel and the Hamas movement continue for the sixth consecutive day, in the city of Rafah, in the southern Gaza Strip on Oct. 12, 2023.
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An Israeli soldier patrols near Kibbutz Beeri in southern Israel on Oct. 12, 2023, close to the place where 270 revellers were killed by militants during the Supernova music festival on Oct. 7.
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A Palestinian man with a child reacts outside al-Shifa hospital in Gaza City on Oct. 12, 2023 as raging battles between Israel and the Hamas movement continue for the sixth consecutive day.
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This picture taken on Oct. 11, 2023 shows an aerial view of buildings destroyed by Israeli air strikes in the Jabalia camp for Palestinian refugees in Gaza City.
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Israeli troops search the scene of a Palestinian militant attack in the Israeli kibbutz of Kfar Aza on the border with the Gaza Strip on Oct. 11, 2023.
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People duck for cover upon hearing sirens warning of incoming fire in the southern Israeli city of Ashkelon on Oct. 11, 2023.
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Smoke billows after a strike by Israel on the port of Gaza City on Oct. 10, 2023.
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Palestinians inspect the destruction from Israeli airstrikes in Gaza City’s al-Rimal neighbourhood early on October 10, 2023.
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A Palestinian man sits in front of a charred building as a fire rages through its interior, following Israeli airstrikes in Gaza City’s al-Rimal district on Oct. 10, 2023.
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Israeli soldiers patrol an area in Kfar Aza, south of Israel bordering Gaza Strip, on Oct. 10, 2023.
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Lightning strikes as smoke billows following an Israeli airstrike in Gaza City on Oct. 9, 2023.
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An aerial picture shows the site of the weekend attack on the Supernova desert music festival by Palestinian militants near Kibbutz Reim in the Negev desert in southern Israel on Oct. 10, 2023.
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An Israeli soldier rests his head on an artillery gun barrel of an armored vehicle as Israeli soldiers take positions near the border with Gaza in southern Israel on Oct. 9, 2023.
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A member of the Palestinian civil defense carries a wounded boy rescued from the rubble of the Tattari family home, destroyed in an Israeli airstrike on Gaza City on Oct. 9, 2023.
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Palestinians search for survivors after an Israeli airstrike on buildings in the refugee camp of Jabalia in the Gaza Strip on Oct. 9, 2023.
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Israeli army soldiers are positioned with their Merkava tanks near the border with the Gaza Strip in southern Israel on Oct. 9, 2023.
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A Palestinian points to the Ahmed Yassin mosque, which was levelled by Israeli airstrikes, in Gaza City early on Oct. 9, 2023.
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Palestinians evacuate the area following an Israeli airstrike on the Sousi mosque in Gaza City on Oct. 9, 2023.
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A Palestinian demonstrator throws rocks towards Israeli soldiers in the city of Ramallah in the occupied West Bank on Oct. 8, 2023.
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A missile explodes in Gaza City during an Israeli air strike on Oct. 8, 2023.
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A man walks past an Israeli police station in Sderot after it was damaged during battles to dislodge Hamas militants who were stationed inside, on Oct. 8, 2023.
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Rockets fired by Palestinian militants from Gaza City are intercepted by the Israeli Iron Dome defense missile system in the early hours of Oct. 8, 2023.
Tsafrir Abayov/AP
Israeli police officers evacuate a family from a site hit by a rocket fired from the Gaza Strip, in Ashkelon, southern Israel, Saturday, Oct. 7, 2023.
Fatima Shbair/AP
Rockets are fired toward Israel from Gaza, Saturday, Oct. 7, 2023.
Ohad Zwigenberg/AP
Cars are on fire after they were hit by rockets from the Gaza Strip in Ashkelon, Israel, on Saturday, Oct. 7, 2023.
Yousef Masoud/AP
Palestinians wave their national flag and celebrate by a destroyed Israeli tank at the Gaza Strip fence east of Khan Younis southern Saturday, Oct. 7, 2023.
Tsafrir Abayov/AP
Israeli firefighters extinguish fire after a rocket fired from the Gaza Strip hit a house in Ashkelon, southern Israel, Saturday, Oct. 7, 2023.
Tsafrir Abayov/AP
Israeli firefighters extinguish fire after a rocket fired from the Gaza Strip hit a parking lot in Ashkelon, southern Israel, Saturday, Oct. 7, 2023.
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A young boy walks amid the rubble of a building destroyed by Israeli air strikes in Gaza City on Oct. 7, 2023.
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Israeli soldiers deploy in an area where civilians were killed in the southern city of Sderot on October 7, 2023.
Hassan Eslaiah/AP
Palestinians walk away from the kibbutz of Kfar Azza, Israel, near the fence with the Gaza strip on Saturday, Oct. 7, 2023.
Tsafrir Abayov/AP
Cars burn after a rocket fired from the Gaza Strip hit a parking lot and a residential building in Ashkelon, southern Israel, Saturday, Oct. 7, 2023.
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Palestinian militants fire missiles at Israel in Gaza on October 7, 2023.
Ohad Zwigenberg/AP
Israeli soldiers head south near Ashkelon, Israel, Israel, on Saturday, Oct. 7, 2023.
Ohad Zwigenberg/AP
Smoke rises from an area near a power plant outside Ashkelon, Israel, on Saturday, Oct. 7, 2023.
Tsafrir Abayov/AP
Police officers evacuate a woman and a child from a site hit by a rocket fired from the Gaza Strip, in Ashkelon, southern Israel, Saturday, Oct. 7, 2023.
Ohad Zwigenberg/AP
A rocket from the Gaza Strip struck a street in Ashkelon, Israel, on Saturday, Oct. 7, 2023.
Tsafrir Abayov/AP
Israeli security forces take cover during rocket attack siren warning as rocket fired from the Gaza Strip, in Ashkelon, southern Israel, Saturday, Oct. 7, 2023.
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Palestinians take down the fence on the Israel-Gaza border and enter Israel on Oct. 7, 2023.
Ohad Zwigenberg/AP
Residents look at damage after a rocket attack from the Gaza Strip in Ashkelon, Israel, on Saturday, Oct. 7, 2023.

Kullab reported from Baghdad. Nessman reported from Jerusalem. Lee reported from Amman. Associated Press journalists Amy Teibel in Jerusalem; Abby Sewell in Beirut; Samy Magdy and Jack Jeffrey in Cairo; and Ashraf Sweilam in el-Arish, Egypt contributed to this report.

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