Israeli forces approach key Gaza hospital; what will they do?

GAZA/GENEVA - Israel’s military is closing in on central Gaza City and its main Al Shifa Hospital, where Israel claims Hamas fighters have a command centre.

It has raised questions about how Israel will interpret international laws on protection of medical facilities and the thousands of displaced people sheltering there.

Israel has not outlined its possible plans for the hospital.

But it said its top priority is dismantling Hamas’ command infrastructure.

Combat engineers are using explosives to destroy tunnels in the group’s vast underground network, Israel says.

Any Israeli attempt to seize Al Shifa, where video Reuters obtained this week showed medics scrambling to treat an influx of injured people, would risk heavy civilian losses and could trigger an international outcry.

Deadly air strikes on refugee camps, a medical convoy and near hospitals have already prompted fierce arguments among some of Israel’s key western allies over its military’s adherence to international law.

Israel’s stated objective is to destroy Hamas, which it says killed some 1,400 people and kidnapped 240 others

during its Oct 7 attack on Israeli towns

.

Health authorities in the Hamas-run Gaza Strip say Israel’s bombardment has killed around 10,800 Palestinians.

On Thursday, residents of Gaza City saw Israeli tanks about 1.2km from Al Shifa Hospital, the biggest medical facility in the Gaza Strip.

Israel’s military spokesperson has produced photographs, diagrams and audio recordings he says show Hamas is using Al Shifa to hide command posts and entry points into an extensive tunnel network under Gaza.

“Hamas terrorists operate inside and under Shifa hospital and other hospitals in Gaza,” the spokesperson, Rear Admiral Daniel Hagari, said in October.

Hamas, health authorities and Al Shifa directors have denied that the group is concealing military infrastructure in or under the hospital complex.

They have said they would welcome international inspection of the facility.

International law

On Nov 4, Israel

targeted an ambulance outside the hospital entrance

.

It said the vehicle was carrying Hamas fighters and added it would show evidence for that, though it has yet to do so.

Medics said the ambulance was trying to evacuate injured patients, and the blast killed 15 people.

“We know that hospitals are protected buildings under international humanitarian law,” said UN human rights spokesperson Liz Throssell.

The situation was complicated by allegations that hospitals were also being used for military purposes, she said, something that would also breach international law.

Medical units used for acts harmful to the enemy, and which have ignored a warning to stop doing so, lose their special protection, she said.

However, “regardless of the actions of one side, so for example using hospitals for military purposes, the other side must comply with international humanitarian rules on the conduct of hostilities”, she added.

International Criminal Court prosecutor Karim Khan said in an Oct 30 statement on attacks on protected sites such as hospitals that Israel would “need to demonstrate the proper application of the principles of distinction, precaution and of proportionality”.

Although protection under international law could be lost, he said, “the burden of proving that the protective status is lost rests with those who fire the gun, the missile or the rocket in question”. REUTERS