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Israeli troops battle militants across north Gaza, which has been without power or water for weeks

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DEIR AL-BALAH (GAZA STRIP), Nov 21: Israeli troops battled Palestinian militants in an urban
refugee camp and outside the gates of a nearby hospital on Tuesday as the army expanded
operations across northern Gaza, where residents have been without electricity, water or access to
humanitarian aid for weeks.
The front line of the war, now in its seventh week, has shifted to the Jabaliya camp, a dense warren
of concrete buildings near Gaza City that houses refugees from the 1948 war surrounding Israel’s
creation and their descendants.
Israel has been bombarding the area for weeks, and the military said Hamas fighters have regrouped
there and in other eastern districts after being pushed out of much of Gaza City.
Fighting has also intensified outside the Indonesian Hospital on the outskirts of Jabaliya, where a
strike killed 12 people on Monday. Health officials said on Tuesday that hundreds of patients and
displaced people are trapped inside with dwindling supplies after some 200 were evacuated the day
The war sparked by Hamas’ surprise October 7 attack into Israel has exacted a heavy toll on
Palestinian civilians, particularly those who remain in the north after Israel repeatedly called on
people to flee south.
It’s unclear how many people remain in the north, but the UN agency for Palestinian refugees
estimates that some 160,000 people are still in its shelters there, even though it is no longer able to
provide services. Some 1.7 million Palestinians, about three fourths of Gaza’s population, have fled
their homes.
Hundreds of thousands of displaced people have packed into UN-run schools and other facilities
across southern Gaza. As the shelters have overflowed, people have been forced to sleep on the
streets outside, with little shelter from winter rains that have hit the region in recent days.
Across Gaza, there are shortages of food, water and fuel for generators to power basic
infrastructure. There has been a territory-wide blackout since Israel cut off fuel imports at the start
of the war.
Israel continues to strike what it says are militant targets across Gaza, including in the southern
evacuation zone, often killing women and children, and officials have said it may soon expand its
operations in the south.
Tens of thousands of Palestinians in the north had sheltered in hospitals, but those have steadily
been emptied out as the fighting has reached their gates, and most are no longer operational.
Marwan Abdallah, a medical worker at the Indonesian Hospital near Jabaliya, said heavy fighting
prevented ambulances from bringing wounded people in.
Munir al-Boursh, a senior Health Ministry official who said he was inside the hospital, told Al-Jazeera
television by phone that Israeli forces had besieged it, forcing health workers to bury 50 bodies in
the courtyard. “The situation is unimaginable,” he said. “We are trapped inside the hospital.”
There was no immediate comment from the military.
Palestinian officials said an Israeli shell struck the hospital on Monday, killing 12 people. Israel
denied shelling the hospital, but said its troops returned fire on militants who targeted them from
Some 200 wounded patients and their companions were evacuated from the hospital to southern
Gaza on Monday, but up to 600 wounded people and some 2,000 displaced Palestinians remain
stranded there, according to Gaza’s Health Ministry.
A similar standoff has played out in recent days at Shifa Hospital, Gaza’s largest, where over 250
patients and medical workers are stranded after the evacuation of 31 premature babies.
Israel has provided some evidence in recent days of a militant presence at Shifa, where its troops
have been operating since last week. But it has yet to substantiate its claims that Hamas had a major
command centre beneath the facility, allegations denied by Hamas and hospital staff.

Michael Ryan, a senior World Health Organisation official, said Monday that care for complex
medical cases – including most cancer and kidney dialysis patients – is no longer available in Gaza
and that remaining hospitals would likely be overwhelmed by some 5,500 births expected in the
next month.
“The hospital situation – the primary health care system situation – in Gaza is catastrophic," he said.
In the north, “it is the worst you can imagine.”
More than 12,700 Palestinians have been killed in Gaza, according to the Palestinian Health Ministry
in the West Bank. Officials there say another 4,000 are missing. Their counts do not differentiate
between civilians and combatants. Israel says it has killed thousands of militants.
The Palestinian Health Ministry bases its count on information gathered by its counterpart in Hamas-
ruled Gaza, which has been unable to fully update casualty figures for more than 10 days because of
the breakdown in services and communications in the north.
About 1,200 people have been killed on the Israeli side, mainly civilians during the October 7 attack,
in which Hamas dragged some 240 captives back into Gaza. The military says 68 Israeli soldiers have
been killed in Gaza ground operations.
The military said forces are “preparing the battlefield” in the area of Jabaliya. It said they struck
three tunnel shafts where fighters were hiding and destroyed rocket launchers. Footage released by
the military shows Israeli soldiers patrolling on foot as gunfire echoes around them.
Residents said there had been heavy fighting as Israeli forces tried to advance under the cover of
airstrikes. “The (Israeli) occupation is trying to besiege the camp,” said Hamza Abu Mansour, a
university student. “They are facing stiff resistance.”
It was not possible to independently confirm details of the fighting.
Military footage from other areas in the north in recent days has shown widespread destruction,
with nearly every building appearing to be damaged or destroyed.
Israel, the United States and Qatar, which mediates with Hamas, have been negotiating for weeks
over a hostage release that would be paired with a temporary cease-fire and the entry of more
humanitarian aid.
Izzat Rishq, a senior Hamas official, said Tuesday that an agreement could be reached “in the coming
hours” in which Hamas would release captives and Israel would release Palestinian prisoners.
Hamas leader in exile Ismail Haniyeh also said they were close to a deal, but similar predictions in
recent weeks have proven premature.
Israel’s three-member war Cabinet met with representatives of the hostages’ families on Monday
evening. Prime Minister Benjamin Netanyahu told families the government considers the release of
hostages and the defeat of Hamas to be equally important, according to a family member who
Udi Goren, whose cousin Tal Chaimi is in captivity in Gaza, said that was “incredibly disappointing"
for the families, as Israel has said it could take months to dismantle the militant group. (AP)

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