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Hospitals in Gaza, long considered protected civilian institutions under international humanitarian law, have become direct targets of sustained military action. Al-Awda Hospital, one of the few remaining functioning facilities in northern Gaza, has been struck repeatedly over the past several months. Despite its location inside an evacuation zone declared by the Israel Defense Forces (IDF), the hospital has remained in operation due to the sheer volume of patients needing urgent care.
However, it is now under siege, surrounded by ongoing combat and inaccessible for evacuation or resupply. The hospital has suffered extensive damage, including the destruction of its emergency room, the desalination plant that supplied water, and medical storage units holding vital equipment and medicine. This has effectively crippled its ability to function. The staff, many of whom have been injured in recent strikes, continue to treat patients while trapped inside, unable to flee or receive external support.
The wider healthcare infrastructure in Gaza is nearing total collapse. Out of 158 healthcare facilities, only a small fraction remain operational, and most are functioning only partially. These few surviving centers are overwhelmed and critically under-equipped. Ongoing strikes, coupled with a months-long blockade on fuel and medical supplies, have shut down generators, destroyed equipment, and made sterilization impossible. Surgeons are reportedly operating without anesthesia.
Life-saving machines are turning off due to power failures. Premature babies are dying in incubators, and patients who might have survived under normal circumstances are succumbing to infection, blood loss, or untreated trauma. The health system, once stretched, is now shattered. Hospitals can no longer offer reliable care, and healthcare workers face the impossible task of choosing who receives limited treatment and who must be turned away.
The situation for medical personnel and their patients is becoming more desperate with each passing hour. Healthcare workers, many of whom have been on duty without rest or proper shelter for weeks, are now essentially living in the hospitals they serve—often in the very buildings under direct threat. They are surrounded by destruction, short on food and clean water, and completely cut off from the outside world. The lack of safe corridors means that evacuating patients is nearly impossible.
Attempts to move critically ill individuals have frequently resulted in casualties due to ongoing airstrikes or blocked roads. Inside hospitals, corridors, staircases, and makeshift shelters have become temporary wards. There is no privacy, no sanitation, and no peace. Many patients are left untreated due to the total lack of medication or staff capacity. Those in need of surgery or intensive care often die while waiting, as doctors make life-and-death decisions with limited tools and no backup.
Although international aid convoys have been allowed limited access in recent days, the scale of need inside Gaza far outweighs what is being delivered. The majority of aid is stalled at border crossings or fails to reach the most affected areas due to security concerns and infrastructure damage.
Humanitarian agencies have expressed serious concern about their ability to operate within the territory, with several refusing to participate in new, controversial aid distribution models that do not follow traditional humanitarian protocols. As a result, hospitals are receiving almost no external support. Fuel for generators is virtually gone.
Clean water is limited. Surgical supplies, pain medication, antibiotics, and even bandages are in dangerously short supply. In this environment, even minor injuries can become fatal. Children suffering from dehydration, pregnant women in labor, and the elderly with chronic conditions are among the most vulnerable, and they are dying—not because help is unavailable in the world, but because it cannot reach them.
The siege of Gaza’s hospitals marks one of the darkest chapters in the region’s ongoing conflict. What was once a strained but functioning healthcare network has now been decimated. Facilities are bombed, staff are wounded or killed, and patients have nowhere left to go. The continued targeting of hospitals, whether by direct strikes or by denying them fuel and supplies, is rapidly erasing the distinction between combat zones and humanitarian space.
If no immediate international intervention occurs—through protected medical corridors, large-scale aid entry, and a halt to strikes on healthcare facilities—then Gaza’s medical system will not simply be in crisis. It will cease to exist. And the thousands of patients trapped inside will pay the ultimate price.
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