Notes From a Hospital Bed

By Dr Birsen Gaskell 

A piercing alarm wailing through the corridors of the hospital for the third time this evening. I swiftly climb down the stairs to the emergency room four floors down. A crushing dread fills my chest, as the wailing of the alarm signals a mass casualty is expected. I push through the crowd piling up in the ER: “Tafadal … tafadal (please go ahead).” A child drops a torn bag spilling pieces of bony flesh. A man shrieks, the meat is a small shredded arm, ashen fingers hanging loosely attached.

The child struggles to put the shredded arm back into the bag, he looks around for help. He sweeps the amputated arm aside, away from the passing crowd. His gaze falls on me just a moment. I quiver at the calm of his face. I search for tears, anger, fear, something recognizable in his eyes but the void there like a black hole sucks me in. Child, when did you stop being a child? He will later keep peering through the ajar ER door to see if the relative or friend whose torn off arm was shoved into a bag is still alive.

The resuscitation room is quickly filled with the smoke of burned flesh. Five bodies and some missing body parts are thrown onto the stretchers. The rest are taken to the next room, a plain room with another five stretchers. I scan the room, all the bodies seem limp, unconscious. I start with one by feeling for a pulse; a teenager, burned extensively with shrapnel wounds all over her chest and face. Her long curly hair seem to be still burning slowly. No pulse. I move to the next.

A toddler again with shrapnel wounds all over his bony little body. His arms and feet burned. He has an open skull, eye sockets blackened. He has a feeble pulse but he won’t make it. I move to the next one. Another burned child with a missing arm and crushed pelvis. A doctor is putting a chest drain on each side of his little chest. Chest drains are an easy call in the ER, the majority of patients have them as most blast injuries blow the chest cavity up with air sweeping from outside crushing the lungs down. The only way to get the lungs up again is putting tubes through the chest to deflate the air around the lungs. Sterility is no concern, chest drains are put in in a flash. I let the team carry on.

The next one is another child. I see shrapnel entries on his face, blast injuries on his bare feet. He’s unconscious but has a pulse. “Lazim oksijen (oxygen needed),” I shout. My voice is swallowed in the cacophony of the ER. I grab a nurse by the elbow, demanding oxygen. He goes out to fetch an oxygen cylinder but comes back empty handed. I scan the child with ultrasound. He has blood in his abdomen and around his lungs. A local doctor is with me now. Most doctors speak excellent English. I give my findings, we agree to send him to computer tomography (CT) to check for brain injury. We can’t treat patients with head injuries in this hospital. The only neurosurgical team is based in the European Gaza Hospital in southern Khan Yunis. Without adequate airway support, the child soon is ushered to the CT.


After a week here I’m used to hearing explosions

The fifth casualty is also a child. He is already intubated by the team but still bleeding from his crushed, half-amputated arm. The cloth wrapped round his arm as a tourniquet is soaked in blood. He has penetrating crushing injuries in his genitals and pelvis, his leg twisted. He is covered with so much blood, it’s difficult to inspect his injuries. With such severe injuries he’s unlikely to survive but there’s talk of moving him to an operating theater in order to stop his bleeding. I agree. We scoop him to a theater with no monitoring. His relatives grab the stretcher outside, carrying him swiftly. I rush to the stairs to alert the team in the theater. Before I reach the first landing, a shuddering blast fills my ears, shaking the windows and doors. The waves of the blast push me against the wall like a gale. I halt. That was close! But I quickly realize not close enough for me to stop. After a week here I’m used to hearing explosions, blasts, bombs in the background, some strong enough to shake the entire hospital building.

I soon find out the airstrike was just outside the main hospital gate. A tent with a Press sign was hit, setting off fire that soon will engulf the other tents around it. I now expect another wave of casualties. “Some have to be treated on the floor as the ER is pretty full now,” I think, then my thoughts shift to the child in the theater. I continue climbing the stairs. After a two-hour battle amputating his arm, exploring his abdomen and pelvis, and fixing his broken leg temporarily that painted the whole theater with blood, he makes it to the intensive care unit only to die the next day with organ failures. The mortality rate in the ICU is very high as well as in other parts of the hospital. Far too many patients with far too few resources, hardly any antibiotics or other meds, premature discharges to welcome new admissions, the hospital is often the last stop for the injured.

It is now 2 am. I feel a migraine kicking in, think I must drink some water but the taps aren’t safe to drink from. I must go to our accommodation room for a drink but I head towards the ER instead. The crowd outside the resuscitation room is bigger now. The cacophony is louder. It’s chaos in the ER, with some patients lying on the floor. I smell the familiar burned flesh. There’s ongoing cardiopulmonary resuscitation on a child whose body is covered with soot mixed with blood. The CPR is short lived, he’s dead. I watch his lifeless face, his eyes half open. I secretly feel relieved for him knowing he will no longer wake up to the sounds of explosions as he has been for the past nearly 600 days, no longer spending the day hungry and thirsty, no longer having to be displaced yet again from his makeshift tent or ruins of his city, no longer feel freezing cold overnight or scorching hot during summer days, no longer will miss his old school, his friends, his family, some of whom died or are thought to be dead. I stroke his dirty bare feet, think: “Now you’re safe little man, no one can hurt you.” Just then another crushing airstrike booms all around us! The lights go off.

Bombardment of Gaza never stops

The fourth floor of the main hospital building where the ICU unit is located in the middle is the designated assembly point for our team in case of a direct airstrike. I manage to climb the stairs to the assembly point with my cellphone flashlight. By the time I reach the assembly point the generator kicks in, the lights are back on. I don’t see anyone else from the team other than the usual traffic that never stops in and out of the ICU. I rush to the accommodation area, and we’re all fine. The strike was just outside the walls of the hospital’s east side.

We watch the massive smoke clouds billowing up right across the balcony of the accommodation. Dr. Osama instructs the team to stay in the accommodation for the time being, away from the balcony and windows. Ambulance sirens remain loud for hours to come. I lie down with a blooming migraine but can’t sleep as we spend the rest of the night with low-flying supersonic jets hovering the air above. Drones humming loudly as usual in between the sounds of jets. The bombardment of Gaza never stops.

I hear Rachael say: “Hold on.” Someone knocks on the door impatiently. “It’s for you,” says Rachael, seeing me raised in bed. What time is it? “Still very early” she says. I’m needed in theaters urgently. Anesthetic nurses are overwhelmed with no anesthetist around. My migraine is here to stay. I gobble up some painkillers and leave. Inside the theater room there’s so much blood on the floor, it swashes and ripples around every time I walk over. It’s a young girl with her chest cavity open. I see her heart fibrillating. “Lazim kalb compression (heart compression needed).” She doesn’t make it. The most efficient workers here are the cleaners. After returning from the bathroom, I see the operating room already clean and ready for the next case.

“Ahmad, where is Dr. Fayez?” I ask the anesthetic nurse. “In his office, he’s not well.” I find him having tea on a broken office chair. He offers me tea. I know that there’s no point in saying no as the hospitality of Palestinians always wins out. He turns on the mini plastic kettle behind him and pulls out some loose tea from the drawer of his table. “Feeling okay?” I ask. He doesn’t hear me as the kettle makes a buzz and vibrates violently. “You know what I really really miss, Doctor Birsen?”

He leaves me in suspense, brewing the tea in the kettle. “I miss drinking tea with sugar. Really miss tea with sugar so much. I don’t find sugar in the market anymore.” I nod. “You feeling okay?” “Better now … When we have a bad night I always get chest pain.” I say: “Ohh … shall we check you over?” He responds “It’s not new, doctor, I’m diabetic, hypertensive. Every time I hear a big explosion I get chest pain. I worry not about myself, but about my boys. They can’t survive without me.” He turns his face as his voice cracks. He wipes his eyes. Dr. Fayez has six boys. Touch between the genders is not customary here. But I put my hand on his shoulder for few seconds as he weeps quietly.

“They haven’t been out for the last 18 months. We don’t let them out to play, they’re always inside.” Their home took a hit by an airstrike on the neighboring house that knocked down part of their house down too. They survived with minor injuries. Since then they’ve been displaced five times. Now they live with other relatives in a damaged building with no windows. He was in Nasser Hospital when the neighborhood was invaded by ground troops.

When the staff and patients were led outside, he came very close to being abducted at a checkpoint. He told me: “I saw a toddler left alone screaming. I couldn’t leave him. I picked him and carried him with me. He kept screaming all the way to the checkpoint, IDF (Israeli army) soldiers who were pointing guns at us got annoyed by this. They let me through when most of the staff got held off and taken away. This small child saved my life.” I say: “You rest, Dr. Fayez, I’ll take over today.”


Many martyrs found in the ground

It’s going to be a long day. I desperately need my morning coffee. Our housekeeper Jamal makes coffee for me with the little coffee mocha I brought with me. I give half to him. We sip our coffee as we look out over the balcony. Several smoke clouds hang over the Rafah area. The air is very thick with the pollution of constant explosions. We watch the kids collecting garbage in the desolate ground of the hospital building.

The skeletons of ambulances, furniture, and hospital equipment and what’s left of them is scattered around. Some buried partially. Following the ground invasion almost a year ago, the Israeli army damaged and burned down the properties of the hospital. Children rummage around the hospital grounds every morning collecting anything they can find useful for burning fire. Every morning, when they should have been in school, they roam around the ruins of city to collect what’s left of it.

Jamal points to the hospital ground, says: “We found many shuhada (martyrs) in the ground.” He is talking about the mass graveyards that were dug out after the Israeli army withdrew from the area. The same evening on the same balcony, Jamal speaks in Arabic as my Jordanian colleague translates with a trembling voice. In December 2023, Jamal got trapped in Northern Gaza under a complete siege, constant bombardment, and a strict curfew lasting a month.

His neighborhood was reduced to ruins with decaying dead bodies scattered around. He saw his brother and his family home hit by a rocket and later made many attempts to save and retrieve their bodies. But with quadcopters hovering around, he couldn’t make it out. A week later from his windows he sees dogs eating human flesh, one of which he knows is his brother’s lifeless body. Jamal rubs his fists between his legs, says “Alhamdulillah” (praise be to God), and leaves us in silence.

Dr Birsen Gaskell, an anesthesia specialist, is a volunteer doctor for Doctors Without Borders. She visited the Nasser Hospital in Khan Younis, Gaza in April 2025.

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The Doctor Who Lost Her Nine Children

Dr Alaa Al Najar’s world was simply turned upside down on that Friday morning when she heard the horrors.

One minute she had a family, in another they were all gone. She went hysterical, and understandably so, when she realized the batch of dead brought into the Al Nasser Hospital Complex where all her children. 

That morning her husband Dr Hamdi Al Najjar brought her to hospital to start her morning shift and he went back to the house on the southern edge of Khan Younis.

Their world came to an end in an instant after he entered his house and when suddenly an Israeli missile appeared and struck the building, destroying the house and set it ablaze with its occupants.

There wasn’t anytime for anybody to evacuate.  Nine of their 10 children were burned to death. As they were brought to hospital they were in a charred state, barely unrecognizable. The mother had only left an hour or so earlier. 

Her oldest, Adam, was 12-years-old and the youngest was  a baby of 7-months, next was a two-year-old toddler and a three-year-old. The baby and one of the toddlers remain under under the rubble of the house that suddenly crackled under the fire and thumped into the ground.

Shock. Dr Alaa, a pediatrician, knew of their death once they were taken out of the ambulance into the gurneys. Unbelievable, horror, a world that suddenly caved in. Adam, the eldest, and his father, Dr Al Najjar, were immediately taken to the ICU fighting for their lives.

Later, the Israeli army admitted that Friday morning they struck 100 different locations in Gaza with intense strikes. The killing of the family made much social media news of more strikes at different civilians and residential homes in Gaza.

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Israel Intensifies Genocidal Campaign in Gaza

Israel has intensified its genocidal campaign in Gaza through one of the most extensive and lethal assaults since the beginning of its offensive, committing massacres and adopting a scorched-earth policy involving the total destruction of remaining neighbourhoods and infrastructure. 

This approach follows a pattern sustained for over 19 months, characterised by mass killings, starvation, and the systematic destruction of all means of survival, with the deliberate targeting of Palestinian civilians in their homes, shelters, and vital facilities, all aimed at erasing Palestinian society in Gaza and eliminating any prospect of its return or reconstruction.

In recent days, Israeli occupation forces have escalated their assault across various areas of the Gaza Strip, carrying out systematic destruction of what remains of homes and civilian infrastructure, and committing mass killings of the population. This forms part of a policy designed to destroy all aspects of life, depopulate the area, and prevent the continued existence of its residents— a prelude to the imposition of a colonial reality by force, based on the erasure of the indigenous population and the de facto annexation of the territory to Israel, in grave violation of international law, including the prohibition on annexing land by force.

Euro-Med Monitor’s field team documented the killing of more than 115 Palestinians in the northern Gaza governorate alone in less than 12 hours since dawn on Friday. The casualties followed Israeli airstrikes on at least 10 residential homes in Tel al-Zaatar (Jabalia) and Al-Salatin neighbourhood (Beit Lahia).

These homes were completely destroyed with residents inside, resulting in the deaths of dozens of civilians, including women and children, in what amounts to a series of mass killings reflecting an escalating pattern of systematic violence against civilians in the Strip.

More than half of the victims remain trapped beneath the rubble, as rescue and civil defence teams are unable to reach them due to the lack of resources and equipment. Meanwhile, dozens of bodies and wounded individuals have overwhelmed the corridors of the Indonesian Hospital and Al-Awda Hospital, highlighting the complete collapse of Gaza’s healthcare system.

Limited incursions by Israeli ground forces were reported from two directions, north of Beit Lahia and east of Jabalia, under heavy artillery and air cover. There is growing concern that these ground operations could expand, placing hundreds of thousands of civilians, already living in tents under continuous bombardment, hunger, and daily violence, at even greater risk.

In addition, Israeli artillery targeted Palestinian civilians as they attempted to flee and search for shelter following repeated waves of bombardment. These attacks resulted in the killing of 10 people in the Al-Dur al-Gharbi area of Beit Lahia, and 8 more in the Azbet Abd Rabbo area of Jabalia.

Over the past two days, Israeli forces have systematically destroyed a large number of partially damaged residential buildings in northern Gaza, in what appears to be a continuation of a broad campaign to obliterate entire urban areas, specifically targeting civilian population centres.

In recent days, the Israeli army has adopted a scorched-earth policy east of Khan Younis, while continuing its destruction of entire neighbourhoods in Rafah. Civilian Israeli contractors have also taken part in this effort, reflecting a deliberate intent to erase the city from the map.

These developments represent the practical implementation of Israeli Prime Minister Benjamin Netanyahu’s recent statements, in which he declared: “We will continue destroying Gaza’s homes until the Palestinians have no shelter left, and nothing remains but for them to leave. The only problem is finding countries willing to take them.”

This statement constitutes a clear admission from Israel’s highest political authority of an intent to uproot an entire population, an intent now being realised on the ground through the systematic destruction of all means of survival.

The recent massacres, particularly in Khan Younis and northern Gaza, mark a dangerous escalation in the targeting of civilians. Israel is deploying overwhelming and indiscriminate firepower without justification or the presence of active combat, strongly indicating that civilians themselves are the direct targets— a grave violation of international law.

The widespread destruction policy carried out by Israel cannot be classified as serving any legitimate military objective. Rather, it constitutes part of a deliberate and systematic approach to genocide, aimed at dismantling Palestinian society in Gaza,physically and demographically, by stripping it of the means to survive, eliminating it entirely, and preventing any future return.

The international community must act urgently to stop this ongoing genocide, initiate serious investigations into the crimes committed, and take effective measures to ensure the protection of civilians and bring an end to the culture of impunity that has emboldened Israel to commit grave violations without accountability.

The international community must impose economic, diplomatic, and military sanctions on Israel for its systematic and grave violations of international law. This includes banning the export of weapons or dual-use items to Israel, prohibiting the purchase of such items from it, halting all forms of political, financial, and military support and cooperation, freezing the financial assets of officials involved in crimes against Palestinians, imposing travel bans on them, and suspending trade privileges and bilateral agreements that grant Israel economic advantages enabling it to continue committing crimes against the Palestinian people.

States must also launch criminal investigations into Israeli and international companies involved in supplying the Israeli military with weapons and heavy equipment used in carrying out acts of genocide. This includes bulldozers, surveillance systems, and spyware used to track and target civilians. Public and private investments in these companies must be withdrawn, and the companies themselves must be blacklisted nationally and internationally.

States with universal jurisdiction laws must issue arrest warrants for Israeli political and military officials implicated in the crime of genocide and initiate legal proceedings — even in absentia — under their international legal obligations to prosecute such crimes and combat impunity.

An independent international mechanism must be established to preserve evidence related to the crime of genocide in Gaza. This body should document and safeguard digital evidence, satellite imagery, and testimonies from victims and survivors for use before international judicial bodies, particularly the International Criminal Court (ICC).

The ICC must expedite its investigations and issue arrest warrants for Israeli officials responsible for international crimes committed in the Gaza Strip. It must acknowledge and treat Israel’s actions as acts of genocide without equivocation. Member states of the Rome Statute must be reminded of their legal obligations to fully cooperate with the Court, ensure the enforcement of its arrest warrants, bring the perpetrators to international justice, and end the cycle of impunity.

EuroMed Human Rights Monitor

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Israel Kills Journalist No. 2015 in Gaza

The Israeli army early on Tuesday killed a Palestinian journalist while receiving medical treatment in a hospital in Khan Younis, the southern Gaza Strip.

In a statement, the Gaza-based Government Media Office mourned journalist Hassan Eslaih, and said Israel assassinated him while receiving medical treatment in the Nasser hospital after he had survived a previous assassination attempt.

It added that Eslaih’s assassination brings the toll of Palestinian journalists killed by Israel since the start of its genocide in Gaza in October 2023 to 215.

The statement strongly condemned the Israeli “systemic targeting of journalists,” urging the International Federation of Journalists, the Arab Journalists Union, and all press organizations worldwide to condemn Israeli crimes and prosecute it before international courts.

The Palestinian Health Ministry, for its part, condemned the Israeli crime of bombing the Nasser hospital in Khan Younis and killing two people who were receiving medical treatment.

Late Monday, the Israeli army resumed its attacks on the Gaza Strip, following a temporary lull so the Palestinian group Hamas could release Israeli American soldier Edan Alexander, following an agreement between Hamas and the US administration.

Nearly 52,900 Palestinians have been killed in Gaza in a brutal Israeli onslaught since October 2023, most of them women and children.

The International Criminal Court issued arrest warrants last November for Israeli Prime Minister Benjamin Netanyahu and his former Defense Minister Yoav Gallant for war crimes and crimes against humanity in Gaza.

Israel also faces a genocide case at the International Court of Justice for its war on the enclave.

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Israeli Style: Wiping Out Entire Families in Gaza

 The sharp escalation in Israel’s targeting of civilians in the Gaza Strip is deeply alarming. Entire families, including women and children, are being killed at horrific rates, as the international community fails to stop the nearly 19-month-long genocide.

While Israeli Prime Minister Benjamin Netanyahu denied to the media that Israel was targeting civilians, military aircraft continued to carry out airstrikes that deliberately killed women and children in the Gaza Strip. These horrific crimes are no longer the exception to the rule; rather, the recurring pattern of such atrocities demonstrates a systematic Israeli policy defying all international laws and norms.

In just one week — between 20 and 26 April — Israel killed 345 Palestinians and injured 770 others, according to field data indicating that at least 94% of the victims were civilians. Children (51%), women (16%), and the elderly (8%) together accounted for 75% of those killed. Among the remaining victims (adult males), field verification confirmed that at least 63 of 81 worked in civilian jobs or independent professions unrelated to any militant or organizational activity, further reinforcing the predominantly civilian nature of the casualties.

There is no evidence indicating that the adult male victims, for whom detailed data was unavailable at the time of this publication, were involved in hostilities or associated with militant activities. Israel has provided no credible proof to the contrary. As such, the general legal presumption of the victims’ civilian status applies in this situation, granting those targeted full protection under international humanitarian law, with the burden on Israel to prove otherwise.

The unprecedented rise in civilian casualties coincides with Netanyahu’s continued false statements denying the targeting of civilians, which is a blatant attempt to mislead international public opinion and cover up Israeli crimes on the ground. Meanwhile, extensive field evidence, live testimonies, photographs, and direct documentation all confirm that womenand children make up the largest proportion of victims, and that the enclave’s remaining buildings, infrastructure, and shelters are being systematically and intensively bombarded. The intention of the ongoing targeting is unquestionably to kill civilians and destroy the foundations of Palestinian life, accelerating their gradual uprooting from their land.

Over the past few weeks, Euro-Med Monitor’s field team has documented repeated instances of entire families being wiped out, as well as the deliberate targeting of specific families in a pattern suggesting a clear intent to annihilate them. The Israeli government’s continued fostering of false narratives, alongside the escalation of these crimes, reaffirms its systematic policy of covering up violations and protecting perpetrators. Israel and its allies are operating within a framework of complete impunity aimed at undermining justice, and are inadvertently revealing to the world the biased foundations of international law.

Civilian lives, including those of children and women, are not collateral damage to be overlooked; these are real people with personal stories, deliberately and systematically killed without the Israeli acknowledgement of any legal or even moral obligations. Protecting civilian lives and holding those responsible accountable is a legal and moral duty the international community must not evade.

Israeli aircraft bombed a house in Khan Yunis, in the southern Gaza Strip, on 28 April at dawn. The strike killed 12 members of the Kaware’ family, including Zainab al-Majayda and her six children. One of al-Majayda’s brothers had been killed by Israel three months earlier.

The Israeli army has recently intensified its use of suicide drones to target the tents and homes of displaced people. These drones are equipped with advanced surveillance cameras and guidance systems, enabling the precise, real-time tracking of targets. This technology, which allows operators to monitor a target up until the last moment and decide whether to strike or refrain, eliminates any margin for error or randomness. It confirms that this type of targeting is being carried out knowingly and deliberately, in clear violation of the rules for civilian protection under international humanitarian law.

In another recent attack, the Israeli army used a suicide drone to target a tent housing displaced people in the al-Mawasi area of Khan Yunis at approximately 1:50 a.m. on Friday 25 April. The attack wiped out an entire family: Ibrahim Khalil Abu Taima (33), his pregnant wife, Hanadi Shaaban Abu Taima (29), and the couple’s three children, Samira (9), Azem (6), and Raafat (4). On the evening of the same day, Israeli jets bombed the home of the Al-Amour family, nearly wiping them out entirely. The couple and their nine children—including three boys and four girls—were killed, with only one child surviving the massacre.

Following the documentation of several attacks by this type of drone, it has become clear that most of the victims have been children, women, and unarmed civilians. This further demonstrates that Israel is deliberately targeting and killing Palestinian civilians en masse as part of the ongoing genocide in the Gaza Strip.

Israel’s deliberate targeting of simple shelters—including makeshift tents and half-destroyed homes—with heavy bombs or suicide drones and without any justified military necessity, reveals a systematic policy aimed at causing the highest possible number of civilian casualties and instilling terror among the Palestinian population. These actions are explicitly prohibited under international law.

Most of Israel’s attacks, which strike purely civilian sites, are not followed by any official attempt to justify the targeting. In some cases, Israeli military sources will claim a member of an armed Palestinian faction was the target. Such flimsy pretexts neither justify the enormous number of civilian deaths nor reflect the scale of the human and material losses caused by theongoing attacks, however.

Israel routinely repeats the same claim whenever international public opinion rises against its crimes, asserting it was targeting “militants” to justify its attacks on civilians without providing concrete, verifiable evidence or allowing any independent party to verify these claims.

Furthermore, the internal investigations Israel announces after committing certain crimes have lacked independence and seriousness. These investigations are obviously not intended to hold perpetrators accountable or achieve justice, and serve mainly to provide formal cover for the soldiers and officers involved. In the rare instances where punitive measures are taken, they are limited to minor administrative actions that in no way reflect the gravity of the crimes committed or the severity of the violations.

Israel’s claims, in and of themselves, do not absolve it of its responsibilities under international law, including the duty to conduct effective investigations, hold perpetrators accountable, and provide redress to victims. Euro-Med Monitor strongly condemns the automatic acceptance of unsubstantiated Israeli allegations, as silent complicity effectively grants Israel a license to continue targeting civilians under a false legal cover, thus undermining the substance and effectiveness of the international legal system.

Even if a combatant were assumed to be present or passing through an area, this would not justify these brutal massacres nor absolve Israel of its obligations under international law and international humanitarian law. Israel remains fully bound to uphold the principles of humanity, distinction, military necessity, proportionality, and precaution. To ensure the minimum possible loss of civilian life and injury, these obligations must be respected during the planning and execution of any military operation, including taking precautions in the choice of methods and means of warfare, without exception.

Israeli massacres against Palestinians have become a familiar sight, met with near-total silence despite the genocide essentially being livestreamed across the globe. It’s as if the killing of Palestinian civilians—openly committed by Israel and its allies without fear of legal or moral consequences—has become an implicitly accepted reality within the international system.

International indifference to this pattern of crimes is not merely a moral failure but a grave breach of the legal obligations of states and the international community. It transforms the mass killing of Palestinians from criminal acts into policies carried out openly before the entire world. Silence in the face of these crimes constitutes a clear failure to fulfil the legal duty to prevent genocide and punish its perpetrators, as mandated by the 1948 Convention on the Prevention and Punishment of the Crime of Genocide.

The Israeli killing methodology reflects a clear policy aimed at eliminating Palestinian civilians across the Gaza Strip, spreading panic, depriving them of shelter or stability, forcing repeated displacements, and subjecting them to deadly living conditions. All of this is compounded by ongoing Israeli bombardment across the Strip, including attacks on areas designated as humanitarian zones, and the targeting of shelters, even those located within UNRWA facilities.

All states, individually and collectively, must fulfill their legal responsibilities by taking urgent action to stop the genocide in the Gaza Strip, through implementing effective measures to protect Palestinian civilians, ensuring Israel’s compliance with international law and the decisions of the International Court of Justice; and holding Israel accountable for its crimes against the Palestinians. The International Criminal Court must reissue arrest warrants for the Israeli Prime Minister and Minister of Defence at the earliest opportunity, in accordance with the principle that there is no immunity for international crimes.

The international community must also impose economic, diplomatic, and military sanctions on Israel for its systematic and grave violations of international law. These sanctions should include an arms embargo; an end to all political, financial, and military support; freezing the assets of officials involved in crimes against Palestinians; imposing travel bans; and suspending trade privileges and bilateral agreements that provide Israel with economic benefits that enable its continued crimes.

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