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 23, 2023, 4:29 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 19, 2023, 6:34 PM EDT

US believes Gaza hospital death toll lower than initial estimates

U.S. intelligence agencies believe the death toll from the al-Ahli Hospital explosion is between 100 and 300 people, and likely on the lower end of that range, although the estimates are preliminary, a U.S. official told ABC News.

The estimate was included in an unclassified U.S. intelligence assessment on Wednesday evening, the official said.

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

The Palestinian Ministry of Health initially said at least 500 people had died in the explosion at the hospital, but later updated their estimate to 471.

The Ministry of Health, which is run by Hamas, also said 314 others were injured, including 28 who remain in critical condition.

The New York Times first reported the existence of Wednesday evening’s intelligence estimate.

-ABC News' Ben Gittleson and Cindy Smith

Oct 19, 2023, 4:15 PM EDT

Navy ship shoots down cruise missiles potentially heading to targets in Israel

The USS Carney, a Navy destroyer in the Red Sea, shot down multiple missiles launched by Iranian-backed Houthis in Yemen on Thursday, officials said.

The land attack cruise missiles and drones were sent by Houthis forces in Yemen.
5:40

3 missiles, 8 drones shot down by US Navy Destroyer in Yemen

The land attack cruise missiles and drones were sent by Houthis forces in Yemen.
ABCNews.com

"We cannot say for certain what these missiles and drones were targeting but they were launched from Yemen heading north along the Red Sea potentially to targets in Israel," a Pentagon spokesman said.

Read more here.

Oct 19, 2023, 4:07 PM EDT

Rafah gate negotiations ongoing, no promise Americans can leave Gaza if it's opened: State Department

There are some signs of progress toward moving aid into Gaza, but negotiations to open the Rafah border crossing remain ongoing, State Department spokesperson Matt Miller said Thursday.

Miller also did not guarantee that moving aid to Gaza would necessarily mean Americans who want to leave could leave.

"If Rafah gate is open to allow humanitarian aid to go in, we will be trying to get out to the American citizens who are in Gaza who want to leave," he said.

Aid convoy trucks wait at the Rafah border crossing for clearance to enter Gaza on Oct. 19, 2023 in North Sinai, Egypt.
Mahmoud Khaled/Getty Images

Miller also noted there's a concern that Hamas would seize the humanitarian aid.

"There is not an Israeli military force in Gaza, there's not a U.N. peacekeeping force in Gaza. The people with guns inside Gaza are Hamas, and so Hamas may try to divert this assistance and keep it from getting to the civilians who it is intended for," Miller said. "We think that's a legitimate concern."

The non-profit organization "Save the Children" is calling for an immediate ceasefire in the conflict between Hamas and Israel.
3:48

Humanitarian Jason Lee on the importance of aid to the people of Gaza

The non-profit organization "Save the Children" is calling for an immediate ceasefire in the conflict between Hamas and Israel.
ABCNews.com

-ABC News' Shannon Crawford

Oct 19, 2023, 3:23 PM EDT

Eligible Israelis can apply for visa-free travel for short-term visits to US, DHS announces

Starting Thursday, eligible Israeli citizens and nationals can begin applying for visa-free travel for short-term visits to the U.S. through Customs and Border Protection's Electronic System for Travel Authorization, the Department of Homeland Security announced.

Israel's designation in the U.S. Visa Waiver Program was announced last month and will allow eligible travelers to come to the U.S. for tourism or business for up to 90 days without first obtaining a visa, DHS said.

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