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Smoke rises during an Israeli raid at Al Shifa hospital and the area around it, amid the ongoing conflict between Israel and the Palestinian Islamist group Hamas, in Gaza City, on March 21.Dawoud Abu Alkas/Reuters

Israeli forces and Palestinian fighters battled in close combat around Gaza’s Al Shifa Hospital on Thursday, where the armed wings of Hamas and Islamic Jihad said they attacked Israeli soldiers and tanks with rockets and mortar fire

The Israeli army said it continued to operate around the hospital complex in Gaza City after storming it more than a week ago. Its forces had killed around 200 gunmen since the start of the operation “while preventing harm to civilians, patients, medical teams, and medical equipment”, it said.

Gaza’s health ministry said wounded people and patients were being held inside an administration building in Al Shifa that was not equipped to provide them with healthcare. Five patients had died since the Israeli raid began due to shortages of food, water and medical care, the Hamas-run ministry said.

Al Shifa, the Gaza Strip’s biggest hospital before the war, had been one of the few healthcare facilities even partially operational in north Gaza before the latest fighting. It had also been housing displaced civilians.

Unverified footage on social media showed its surgery unit blackened by flames and nearby apartments on fire or destroyed.

The armed wings of the Hamas and Islamic Jihad militant groups said in a statement they “bombed, with a barrage of mortar shells, gatherings of Israeli soldiers in the vicinity of the Al-Shifa Complex” in a joint operation.

Islamic Jihad targeted an Israeli tank with an anti-tank rocket outside the hospital, it said in another statement. The Israeli military said militants fired at its troops from inside and outside the ER building.

Israel says it is targeting Hamas militants who use civilian buildings, including apartment blocks and hospitals, for cover. Hamas denies doing so.

At least 32,552 Palestinians have been killed and 74,980 wounded in Israel’s military offensive in the Gaza Strip since Oct. 7, the territory’s health ministry said on Thursday.

Thousands more dead are believed to be buried under rubble and over 80% of Gaza’s 2.3 million population is displaced, many at risk of famine.

The war erupted after Hamas militants broke through the border and rampaged through communities in southern Israel, killing 1,200 people and abducting 253 hostages according to Israeli tallies.

World Court orders Israel to open more land crossings for aid into Gaza

Israeli forces continued to blockade Al-Amal and Nasser hospitals in Khan Younis, while several other areas in the southern Gaza city came under Israeli fire, residents said.

The Palestinian Red Crescent said seven people working for the organisation arrested in a raid on Al-Amal hospital on Feb. 9 had been released after 47 days in Israeli prisons.

Among them was the director of ambulance and emergency services in the Gaza Strip, Mohammed Abu Musabeh. Eight members of the association were still being detained, it said in a statement.

Israel said soldiers from its Commando Brigade had arrested dozens of Palestinian militants in the Al-Amal area and discovered explosives and dozens of Kalashnikov-type weapons.

The World Health Organization said Al-Amal Hospital had ceased to function due to fighting, leaving just 10 of 36 hospitals in the Gaza Strip partially operational.

“Once more, WHO demands an immediate end to attacks on hospitals in Gaza, and calls for protection of health staff, patients, and civilians,” WHO Director-General Tedros Adhanom Ghebreyesus wrote on X on Thursday.

In Rafah, where over a million people have been sheltering, health officials said an Israeli airstrike on a house killed eight people and wounded others.

Israel says it plans a ground offensive into Rafah, where it believes most Hamas fighters are now sheltering. Its closest ally and main arms supplier the United States opposes such an assault, arguing it would cause too much harm to civilians who have sought refuge there.

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