Israel-Gaza updates: IDF says it exposed Hamas tunnel under Shifa Hospital

World Health Organization officials visited the hospital in Gaza on Saturday.

Thousands of people have died and thousands more have been injured since 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.

Click here for updates from previous days.


What we know about the conflict

The latest outbreak of war between Israel and Hamas, the Palestinian militant group that governs the Gaza Strip, has passed the four-month mark.

In the Gaza Strip, at least 30,228 people have been killed and 71,377 others have been wounded by Israeli forces since Oct. 7, according to Gaza's Hamas-controlled Ministry of Health.

In Israel, at least 1,200 people have been killed and 6,900 others have been injured by Hamas and other Palestinian militants since Oct. 7, according to the Israel Defense Forces.

There has also been a surge in violence in the Israeli-occupied West Bank. Israeli forces have killed at least 395 people in the territory since Oct. 7, according to the Palestinian Ministry of Health.

The ongoing war began after Hamas-led militants launched an unprecedented incursion into southern Israel from neighboring Gaza via land, sea and air. Scores of people were killed while more than 200 others were taken hostage, according to Israeli authorities. The Israeli military subsequently launched retaliatory airstrikes followed by a ground invasion of Gaza, a 140-square-mile territory where more than 2 million Palestinians have lived under a blockade imposed by Israel and supported by Egypt since Hamas came to power in 2007. Gaza, unlike Israel, has no air raid sirens or bomb shelters.


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IDF says it's carrying out 'targeted operation' in Al-Shifa Hospital

The Israel Defense Forces said they are carrying out a "precise and targeted operation against Hamas" in an area in the Al-Shifa Hospital.

"The IDF forces include medical teams and Arabic speakers, who have undergone specified training to prepare for this complex and sensitive environment, with the intent that no harm is caused to the civilians being used by Hamas as human shields," IDF said in a statement.

IDF called upon Hamas militants in the hospital to surrender.

The operation comes after IDF called for military activities in the hospital to "cease within 12 hours," IDF said, adding: "Unfortunately, it did not."


IDF says it will storm Al-Shifa Hospital soon, Gaza Health Ministry says

The Israel Defense Forces have informed the Gaza Health Ministry that they will storm the Al-Shifa Hospital in several minutes, Dr. Ashraf al Qadra, spokesman of the Hamas-run Gaza Health Ministry, said on Al-Jazeera TV.

The IDF did not immediately respond to multiple requests for comment on the report.

-ABC News' Nasser Atta


State Department grappling with dissent over US handling of conflict: Sources

State Department employees have sent multiple internal communications in recent days expressing concerns over the administration’s approach to the Israel-Hamas war, including at least one dissent cable, sources familiar with the matter told ABC News.

The dissent channel is a system that allows diplomats to confidentially register their opposition to specific policies with department leadership, but employees can also formally express their disagreement to high-level officials through other avenues.

State Department spokesperson Matt Miller confirmed Tuesday that Secretary of State Antony Blinken sent a department-wide email on Monday where he noted the tensions and different views among employees.

"He did address in that email...all the issues underlying our policy and made clear people understood what our policy is, just as he has done in meetings he’s had with a number of employees in the department," Miller told reporters.

-ABC News' Shannon Crawford


Nearly 1,000 Americans and family members still possibly waiting to leave Gaza: State Department

State Department spokesperson Matthew Miller said Tuesday that just under 1,000 Americans and their family members may be waiting to leave Gaza, as hundreds have left so far through the Rafah border crossing.

"There are now over 600 American citizens and lawful permanent residents and their family members who have departed Gaza through Rafah gate," Miller said during a briefing. "There are a little under 1,000 that we know of that are left now whose departure we hope to facilitate over the coming days should they wish to depart."

The number of eligible individuals who may be looking to leave the enclave is higher than previously anticipated, based on previous State Department figures. Before the Rafah gate opened to outbound traffic, Secretary of State Antony Blinken said some 400 Americans and roughly 600 of their eligible family members were in contact with the department about leaving Gaza.

-ABC News' Shannon K. Crawford


Al-Shifa doctors describe hospital evacuation

Patients and doctors evacuated the Al-Shifa hospital on Saturday, after the Hamas-run Gaza Health Ministry claimed Israel forced them to leave. The IDF released a statement denying it ordered the evacuation, but in a Friday briefing another spokesperson said the IDF was urging anyone left in Al-Shifa hospital to leave and that it hoped it would take place in the "next few hours."

Doctors described their exodus from the hospital to ABC News, with Dr. Ahmed Mokhallalati -- who is still in the hospital -- saying "all critical ICU patients have died. The situation is terrifying."

"Today early in morning people were forcefully evacuated from the hospital, with absolutely no plan of evacuation of the patients and the medical staff. Most of the civilians together with most of the staff left the hospital," Mokhallalati said.

Mokhallalati said there are around 300 patients, who cannot move, and less than 50 medical staff still in the hospital.

"There are still 33 premature babies in the hospital -- one baby died yesterday, and two babies were taken by their parents to evacuate with them. There is only one neonatologist and one nurse with them," he added. The Israelis have provided only three transport incubators for 33 babies. So, if they tell us 'you have to evacuate now,' I have no idea how to evacuate them."

Dr. Adnan Al-Barash, head of the orthopedic department at Al-Shifa Hospital, told ABC News that the "Israeli army forced us to leave the hospital at gunpoint."

"The path for us to walk was set out among the tanks, we had elderly, wounded… The scene was very tragic and sad," Al-Barash said.

"We went out between the tanks, and we could not get the wounded out on the broken roads and we could not move wheelchairs for the wounded," he added.

-ABC News' Dragana Jovanovic and Zoe Magee