Al-Ahli Hospital massacre in Gaza: Medical staff speak out

"Following the conclusion of a surgical procedure, I heard the unmistakable sound of a missile, swiftly followed by a powerful explosion that resulted in the ceiling of the operating room collapsing."

Protesters, holding banners in support of Palestinians, take part in a vigil outside Downing Street, in London, on October 18, 2023, in tribute of the victims of Gaza hospital strike.
Protesters, holding banners in support of Palestinians, take part in a vigil outside Downing Street, in London, on October 18, 2023, in tribute of the victims of Gaza hospital strike.

Al-Ahli Hospital massacre in Gaza: Medical staff speak out

On the evening of October 17, without warning, a missile landed in the courtyard of Al-Ahli Arab Hospital (commonly known as Al-Mamadani) in the old town of central Gaza.

The resulting massacre claimed 471 lives and left over a thousand wounded (as of numbers reported on October 19).

Most victims had been displaced from their homes in the east of the city; they had evacuated their residences out of fear of Israeli bombardment.

Days before the attack, the Israeli army and its spokespeople issued several warnings to residents in eastern neighbourhoods, both through official channels and direct communication. They implored them to leave the Shuja’iya, Zeitoun, Tuffah, and Daraj neighbourhoods.

A smoke plume erupts during Israeli bombardment in Rafah in the southern of Gaza Strip on October 19, 2023.

Amidst heavy (and ongoing) Israeli bombardment targeting all the areas in the Gaza Strip, residents turned to the hospital as their only option for safe shelter.

Al-Ahli is one of the oldest hospitals in the Gaza Strip, founded over 100 years ago by the Missionary Church Society, an affiliate of the Church of England. From 1954 to 1982, the Southern Baptist denomination oversaw the hospital as a medical mission.

In the 1980s, the hospital returned under the management of the Anglican Church. During the recent Operation Al-Aqsa Flood, which commenced on October 7, the hospital helped provide crucial medical services and first aid to the injured.

Warning shells

Dr Yusuf Abu Al-Rish, the Deputy Minister of Health in Gaza, confirmed that the Israeli army had fired two warning shells in the vicinity a day before the Al-Ahli Hospital massacre.

In a press conference organised by the ministry shortly after the attack, Abu Al-Rish said the hospital's management promptly contacted the Archbishop of the Evangelical Church in Britain, informing him of the warning shells.

Read more: Gaza hospital massacre galvanises Turkish support for Palestinians

Acting swiftly, the archbishop informed relevant international bodies. He also reassured the hospital, urging its administration to persist in its vital work despite challenging circumstances.

Abu Al-Rish added that Dr Ghassan Abu Sitta, the World Health Organisation’s representative in the Gaza Strip, had voiced concerns to Israeli authorities over the fact that there was no prior warning before the hospital’s vicinity was hit with two shells.

Israeli officials responded by stating that such attempts had been made over the phone, but no response was received. Consequently, they resorted to warning shells. Israeli officials further questioned why the hospital had not been evacuated immediately.

Al-Ahli is one of the oldest hospitals in the Gaza Strip, founded over 100 years ago. On the evening of October 17, without warning, a missile landed in its courtyard. The resulting massacre claimed 471 lives and left over a thousand wounded.

'Lifeless children'

Abu Sitta, a surgeon at Al Ahli Hospital, recalled the harrowing incident to Al Majalla.

"Following the conclusion of a surgical procedure, I heard the unmistakable sound of a missile, swiftly followed by a powerful explosion that resulted in the ceiling of the operating room collapsing," he said.

The doctor hurried outside, discovering a distressing scene of "lifeless children and others with severed limbs, as well as injuries from shrapnel and burns."

He witnessed several bodies, including those of children and women, stacked atop one another. Some were so torn apart that identification became nearly impossible.

Abu Sitta confirmed that dozens of displaced civilians were in the courtyard of Al-Ahli Hospital before the explosion. On the morning of the incident, he observed several citizens heading to the hospital, believing it to be a safe haven.

"Now, all of them have tragically become victims of an undeniable war crime," he said.

Total blockade

The Israeli government, under earlier directives issued by Defense Minister Yoav Galant, had earlier enforced a stringent blockade on the Gaza Strip.

This applied to electricity and water supplies, along with a ban on the entry of medical supplies, food, and even relief aid for the population.

This collective punishment was imposed in response to an incursion by Palestinian faction fighters into the eastern borders, and the killing and capture of hundreds of Israeli soldiers and settlers in settlements adjacent to the separation wall with Gaza.

Before the Al-Ahli Hospital massacre, the Israeli occupation had issued warnings to several hospitals, directing them to evacuate.

Before the Al-Ahli Hospital massacre, the Israeli occupation had issued warnings to several hospitals, directing them to evacuate. 

These institutions included Abu Yusuf Al-Najjar Hospital, Kuwaiti Hospital in Rafah, the Indonesian Hospital (which had been previously targeted), and the Nasser Medical Complex, where an ambulance had been struck.

Al-Ahli Hospital received several warnings and threats. However, doctors reiterated that they had to continue to treat their wounded.

The bombing ultimately rendered the hospital non-operational.

Global outrage

Mere hours later, the Israeli army vehemently denied any involvement with the strike.

Perhaps they realised the enormity of the crime, which provoked widespread outrage. Thousands, if not millions, mobilised in streets across Arab and Western cities and capitals, demanding international accountability for Israel's actions, while showing solidarity with the Palestinians in the besieged Gaza Strip.

HENRY NICHOLLS / AFP
People take part in a 'March For Palestine', in London on October 21, 2023, to "demand an end to the war on Gaza".

Meanwhile, the Israeli army accused Palestinian factions, specifically the Al-Quds Brigades, the military wing of the Islamic Jihad Movement, of being behind the bombing.

According to their claims, one of the rockets launched by the Al-Quds Brigades landed in the hospital courtyard.

However, this allegation contradicts videos that show when the rocket struck the hospital.

The targeting of Al-Ahli Hospital, a designated protected area under international law, international humanitarian law, and the Geneva Convention on War, is an alarming addition to a series of incidents where hospitals, schools, international facilities, and even civilian homes have been targeted.

The targeting of Al-Ahli Hospital, a designated protected area under international law, international humanitarian law, and the Geneva Convention on War, is alarming.

By law, these places are not valid military targets.

Palestinian writer and political analyst Dr Hussam Al-Dajani told Al Majalla that the actions of the Israeli government and its military, particularly concerning protected institutions, "cannot occur without Western approval."

He pointed to statements made by US President Joe Biden in the past two weeks, where Biden reiterated his moral and military backing for Israel and its "right to defend itself".

REUTERS/Evelyn Hockstein/File Photo
US President Joe Biden is welcomed by Israeli Prime Minister Benjamin Netanyahu in Tel Aviv, on October 18, 2023.

Al-Dajani added that Israel won't stop committing war crimes without "a response from the global populace, which puts pressure on Western nations (and their interests) to halt the bloodshed."

"It is imperative for everyone to address the root problem, which is the occupation imposed on the Palestinians for over 70 years," said Al-Dajani.

Critical shortages

In recent days, the Ministry of Health in Gaza has warned of critical shortages in medical supplies, medications, and healthcare personnel, particularly specialists proficient in conducting intricate surgical procedures.

An orthopaedic surgeon at the Nasser Medical Complex told Al Majalla that they are now undertaking provisional procedures with the aim of ensuring patient survival.

However, some of the injured require complex surgeries that cannot be carried out due to time constraints and a lack of resources. The situation is exacerbated by a constant influx of casualties, which has surpassed the capacity of all hospitals in Gaza.

In the most recent update on Wednesday evening, the Ministry of Health disclosed a rise in the death toll to 3,478, as well as 12,065 people who have sustained diverse injuries.

Meanwhile, more causalities are being recorded every day, including victims of the Al-Ahli Hospital massacre.

Kerolos Salah / AFP
Egyptian aid workers celebrate as a truck crosses back into Egypt through the Rafah border crossing with the Gaza Strip on October 21, 2023.

Egypt stipulated that, in order for it to allow foreign nationals to exit Gaza, aid trucks (which had been waiting at the Rafah crossing for days) would have to be let inside.

In the most recent development on Saturday, a small convoy of 20 aid trucks (out of about 200, which were stationed outside) was allowed inside the Strip, when the Rafah border was briefly opened.

This marked the first allowance of humanitarian aid into Gaza in more than two weeks since the bloodshed began.

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