Israel-Gaza-Lebanon live updates: 20 dead in Israeli strike on school, ministry says

A Doctors Without Borders staffer has been killed in northern Gaza, the organization announced Monday.

Nasser Hamdi Abdelatif Al Shalfouh, 31, was struck by shrapnel Tuesday and died of injuries to his legs and chest two days later, according to the organization.

He is survived by his wife and two children.

In a statement, Doctors Without Borders condemned Israeli forces for having "systematically dismantled the health system in Gaza, impeding access to life-saving care for people."

"He was unable to receive the necessary level of care due to the hospital’s lack of capacity and an overwhelming number of patients in the facility," the organization said of Al Shalfouh.

Al Shalfouh joined Doctors Without Borders as a driver in March 2023, but had not been able to work for them recently as operations have been impacted by the war, the group said.

He is the seventh Doctors Without Borders staffer to be killed in Gaza since the war began, the organization added.

"We are horrified by the killing of our colleague which we strongly condemn and call yet again for the respect and protection of civilians,” the NGO said. “In this tragic moment, our thoughts are with his family and all colleagues mourning his death."

American citizens in Lebanon "are strongly encouraged to depart now," the U.S. Embassy in Beirut said in a new alert Monday.

The embassy has been urging Americans to depart Lebanon via commercial flights in recent weeks. Monday's warning was the starkest yet.

The embassy noted it had helped add thousands of extra seats to commercial flights to help Americans leave amid the escalating conflict between Israel and Hezbollah.

"Much of this capacity has gone unused," Monday's alert said. "Please understand that these additional flights will not continue indefinitely."

"U.S. citizens who choose not to depart at this time should prepare contingency plans should the situation deteriorate further," the embassy said.

"These alternative plans should not rely on the U.S. government for assisted departure or evacuation," the notice read.

The embassy has been warning citizens not to travel to Lebanon since July.

Eighteen people were killed and four wounded in an airstrike in the town of Aitou in northern Lebanon on Monday, the Lebanese Red Cross wrote on X.Seven Red Cross teams were dispatched to the area in the Zgharta district, the organization said. "Our teams are working to provide first aid and evacuate the wounded," it added.

-ABC News' Ghazi Balkiz and Guy Davies

Hezbollah issued 38 statements claiming cross-border attacks into Israel on Sunday -- the highest tally since renewed fighting began on Oct. 8, 2023, per ABC News' count.

The attacks included the drone strike on an Israel Defense Forces training base in northern Israel, which killed four soldiers and injured 55.

Hezbollah has expanded its attacks into Israel despite the IDF's monthslong campaign of targeted killings of top commanders and airstrikes on Hezbollah military facilities and weapons caches.

-ABC News' Ghazi Balkiz and Guy Davies