Israel-Gaza updates: Biden speaks with Netanyahu about hostages, Gaza aid

The hostages are two elderly women who are both Israeli nationals.

ByABC NEWS
Last Updated: October 18, 2023, 3:14 PM EDT

Thousands of people have died and thousands more were injured after the militant group Hamas launched an unprecedented surprise attack on Israel on Oct. 7 and Israel retaliated with a bombing campaign and total siege of the neighboring Gaza Strip, leaving the region on the verge of all-out war.

At least 1,400 people have died and 4,629 others have been injured in Israel, according to Israeli authorities. In Gaza, 5,087 people have died and 15,273 have been wounded, according to the Palestinian Health Authority.

Aid workers and officials fear that Israel's call for an evacuation of the northern part of Gaza is precipitating a humanitarian disaster as electricity and other supplies have been cut off in preparation for what appears to be an imminent ground offensive.

Humanitarian groups have urged Israel to call off the evacuation and agree to a cease-fire, even as the country has asserted a right to defend itself -- a right the United States endorses.

Click here for previous updates.

Latest headlines:

Here's how the news is developing. All times Eastern.
Oct 18, 2023, 3:14 PM EDT

Archbishop calls hospital blast a 'crime against humanity'

Archbishop Hosam Naoum, primate of the Episcopal Church of Jerusalem and the Middle East, called Tuesday's explosion at the Al Ahli Baptist Hospital a "crime against humanity."

It's the oldest hospital in Gaza and the only Christian-led hospital in the area.

"The hospital itself is a sanctuary for people and what happened there is a crime ... a massacre," he said.

The blast killed at least 471 and injured another 314 people, according to the Palestinian Health Ministry.

A satellite image taken on Oct. 18, 2023, of the Al Ahli hospital in Gaza (lower left), and the aftermath of the explosion that took place the day prior.
2023 Maxar Technologies

Israel and Hamas have traded blame for the hospital explosion with the Israeli military claiming it was a result of a "failed rocket launch by the Islamic Jihad terrorist organization," while Hamas has said it was the result of an Israeli airstrike. Two U.S. officials told ABC News the Pentagon independently concluded the blast was likely caused by an errant Palestinian Islamic Jihad rocket that fell short of its target.

On the questions surrounding who bombed the hospital, the archbishop said, "What we know is what we saw on TV” and that the victims are "people of the church, not military."

"We hope that … people will come to conclusion that enough with this war, and enough with the lives that have been lost on every side," he said.

PHOTO: Palestinians check the place of the explosion at Al Ahli hospital, in Gaza City, Oct. 18, 2023.
Palestinians check the place of the explosion at Al Ahli hospital, in Gaza City, Oct. 18, 2023. The Hamas-run Health Ministry says an Israeli airstrike caused the explosion that killed hundreds at the hospital, but the Israeli military says it was a misfired Palestinian rocket.
Abed Khaled/AP

-ABC News' Emmanuelle Saliba

Oct 18, 2023, 2:36 PM EDT

US vetoes UN Security Council resolution calling for 'humanitarian pauses' in Gaza

The U.S. on Wednesday vetoed a U.N. Security Council resolution calling for “humanitarian pauses” to deliver lifesaving aid to millions in Gaza, with U.S. Ambassador Linda Thomas-Greenfield saying the "resolution did not mention Israel's right of self-defense."

Ido the husband of Israeli-French citizen Celine Ben David Nagar, killed during last week's attack by Hamas militants into Israel, is comforted during her funeral in Holon, south of Tel Aviv on October 17, 2023.
Gil Cohen-magen/AFP via Getty Images

Meanwhile, Israeli and Palestinian officials both chastised the U.N. at the meeting.

Israel called it a "disgrace" that the U.N. has not condemned Hamas.

"It is really unfathomable! You cannot unite even on that basic thing," Israel Ambassador Gilad Erdan said. "Instead, the council is fixated only on humanitarian corridors and aid. These are important and noble causes, but they are certainly not a solution to prevent Hamas' next atrocious massacre."

The Palestinian ambassador said failure to demand a cease-fire is opening a Pandora's box of risk for the world.

"The events of the last 10 days may shape the next 10 years in our region and beyond. What happens next is decisive," Palestinian Ambassador to the U.N. Riyad Mansour said. "Anyone thinks this is a situation under control for which you can plan and implement they are making false and irresponsible assumptions. This is the kind of war where you will know how it starts and have no clue how it ends."

The growing escalation in the region greatens the risk for a larger conflict.
The growing escalation in the region greatens the risk for a larger conflict.

-ABC News' Brian Hartman

Oct 18, 2023, 2:25 PM EDT

70% of Gaza victims are children, women, the elderly

Of the more than 3,000 killed and 12,000 injured in Gaza, 70% are children, women and the elderly, said Dr. Ashraf al-Qudra, a spokesman for the Health Ministry in Gaza.

A Palestinian girl, wounded in Israeli strikes, lies on a bed at a hospital in Khan Younis in the southern Gaza strip, Oct. 16, 2023.
Ahmed Zakot/Reuters

A woman reacts as people gather at the site of the Ahli Arab hospital in central Gaza, Oct. 18, 2023.
AFP via Getty Images

He said the Ministry of Health has received about 1,300 reports of missing people under the rubble, including 600 children. He said the ministry believes there are some survivors in the rubble.

Tuesday marked the largest single-day death toll in Gaza's history, he said, attributed to the explosion at the Al Ahli Baptist Hospital that killed at least 471. The blast injured another 314 people, including 28 patients who are in critical condition, he said.

Israel and Hamas have traded blame for the hospital explosion with the Israeli military claiming it was a result of a "failed rocket launch by the Islamic Jihad terrorist organization," while Hamas has said it was the result of an Israeli airstrike. Two U.S. officials told ABC News the Pentagon independently concluded the blast was likely caused by an errant Palestinian Islamic Jihad rocket that fell short of its target.

At least 500 civilians are dead after an explosion at a hospital in Gaza that was sheltering thousands of Palestinians.
At least 500 civilians are dead after an explosion at a hospital in Gaza that was sheltering thousands of Palestinians.

Oct 18, 2023, 2:18 PM EDT

Palestinian activist: 'US launching war on Palestinians'

Hundreds of protesters took to a square in the West Bank, calling for Hamas to take over and for more rockets to hit Tel Aviv.

Among them was Palestinian activist Jamal Juma, who told ABC News he supports increased fighting and doesn't believe that Hamas committed atrocities in Israel.

Despite the thousands of dead in Gaza and Israel tightening its security across the West Bank, Juma said the Oct. 7 Hamas attack gave many Palestinians hope, because, he said, the battle lines are now clearly drawn.

He said there's as much anger at the Palestinian Authority and the U.S. as Israel.

"It’s so clear the anger of the people against the PA -- in the middle of the massacres against Gaza, and [Palestinian Authority President Mahmoud] Abbas wanted to go meet [President Joe] Biden in Jordan … it’s so clear to Palestinians that what’s launching war against the Palestinians is not Israel, it’s [the] United States of America," he said. "They mobilized the world against the Palestinians. We do not differentiate at all between Israel and the U.S."

-ABC News' Matt Gutman and Becky Perlow

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