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Israel-Gaza live updates: 3 premature babies die at Al-Shifa Hospital, doctor says
The hospital has been treating thousands of wounded people.
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.
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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.
Kirby discusses 'delicate negotiating process' for pause in Gaza
National Security Council spokesman John Kirby said there are about 500 to 600 Americans and family members remaining in Gaza.
Asked if the lack of humanitarian pauses is a factor in why hundreds of Americans remain in Gaza, Kirby said it’s among the many "complicating factors."
Kirby would not confirm Axios' report that President Joe Biden is asking Israeli Prime Minister Benjamin Netanyahu for a three-day pause to allow progress in releasing more hostages, but Kirby said that discussions are ongoing with Israel, noting that there have been pauses in the past.
Kirby said they are trying to get an agreement "for as many pauses as might be necessary to get all of them out," but called it a "delicate negotiating process," and laid out some of the options that are being floated.
"What we're talking about here is temporary, fixed in time, short duration, hours to days, depends on the need. And then also localized in terms of the map," he explained. "So it would be an agreement that for a set period of time [in a set area] there will be a pause in the fighting. That doesn't mean that there won't be or couldn't be fighting outside that zone during that same period of time. So all of that has to get factored in and I have no doubt that on the Israeli side, as they look at each proposal, they'll think about the impact, potential impact, on their military operations on the ground or in the air."
-ABC News' Justin Ryan Gomez
No 'proof of life' for hostages: White House
Over one month since Hamas took more than 200 people hostage in Israel, National Security Council spokesman John Kirby said the administration is still "not aware of any specific proof of life."
"We don't have any indication to the contrary, that they aren't still alive. And so, we're certainly operating under that assumption," he said.
"We don't have a perfect picture about where everybody is, what condition they're in, or how they're being held," Kirby continued. "We cannot rule out the possibility that other groups than Hamas may have hostages that they're holding."
-ABC News' Justin Ryan Gomez
UN high commissioner for human rights: Hamas, Israel both committed war crimes
United Nations High Commissioner for Human Rights Volker Turk said both Hamas and Israel have committed war crimes since Oct. 7.
"The atrocities perpetrated by Palestinian armed groups on 7 October were heinous, they were war crimes -- as is the continued holding of hostages," Turk said.
"The collective punishment by Israel of Palestinian civilians is also a war crime, as is unlawful forcible evacuation of civilians," he added.
UN secretary-general: Something 'clearly wrong' with Israel's military operation
United Nations Secretary-General Antonio Guterres told the Reuters NEXT conference that there's something "clearly wrong" with the Israeli military's operations when looking at the number of civilians killed in Gaza.
"There are violations by Hamas when they have human shields. But when one looks at the number of civilians that were killed with the [Israeli] military operations, there is something that is clearly wrong," Guterres said.
More than 4,000 children have died in Gaza since Oct. 7, according to the Hamas-run Gaza Health Ministry.
Guterres added that it hurts the world's public opinion of Israel "to see every day the terrible image of the dramatic humanitarian needs of the Palestinian people."
Israel accuses Hamas of using hospital as shield for underground complex
The Israeli military on Monday accused Hamas militants of building "a whole tunnel system under" Sheikh Hamad Hospital in Gaza.
The practice of using hospitals as civilian shields has been "absolutely normal" for the militants, IDF spokesperson Jonathan Conricus said.
"Why it is this important? Because hospitals and other humanitarian facilities are supposed to enjoy special protections," Conricus said in a morning briefing. "But what Hamas is doing is that they've violating that special protection and using it for combat purposes."
More than 500 people have died in at least 102 strikes near or on health care facilities since Oct. 7, the World Health Organization said on Sunday.
"Over half of health attacks and over a half of hospitals damaged were in Gaza City," WHO officials said on social media. "Health care is #NotATarget."
During Monday's briefing, Conricus shared an IDF video that he said demonstrated there were Hamas tunnels under the hospital. He also shared several photos that he said dated back to at least 2010, when the hospital was being constructed. The groundwork for the Hamas tunnels was put in place at that time, he said. ABC News was not immediately able to verify the claims.
In a photo said to be from 2023, rocket-launching sites could be seen along the outskirts of the facility, Conricus said. He presented another photo of what he said was the opening of a Hamas tunnel on the grounds.
"We know that underneath this entire complex, there's an entire Hamas infrastructure underground," Conricus said. "And it is absolutely normal. This is how Hamas operates all around the Gaza Strip."
-ABC News' Kevin Shalvey