Israeli authorities have vowed to pressure Hamas to release the remaining 59 hostages, 24 believed to be alive, and accept proposed new ceasefire terms.

Director of Al-Ahli Hospital, Dr. Fadel Naim, said they were warned of the attack before it was struck. In a post on X, he wrote that the emergency room, pharmacy and surrounding buildings were severely damaged, impacting more than 100 patients and dozens of medical staff.

The health ministry said the strike destroyed the ward for outpatients and laboratories and damaged the emergency ward.

Medical facilities often come under fire in wars, but combatants usually depict such incidents as accidental or exceptional, since hospitals enjoy special protection under international law.

In its 18-month campaign in Gaza, Israel has stood out by carrying out an open campaign on hospitals, besieging and raiding them, some several times, as well as hitting multiple others in strikes while accusing Hamas of using them as cover for its fighters.

Last month Israel struck Nasser Hospital in Khan Younis city, the largest in southern Gaza, killing two people and wounding others and causing a large fire, the territory's health ministry said. The facility was overwhelmed with dead and wounded when Israel ended the ceasefire with a surprise wave of airstrikes.

The war started after Hamas killed 1,200 people during its Oct. 7, 2023, attack, mostly civilians, and took 250 people captive, many of whom have been freed in ceasefire deals.

More than 50,000 Palestinians in Gaza have so far been killed in Israel's retaliatory offensive, according to the health ministry there, which does not differentiate between combatants and civilians in its count but says more than half of the dead are women and children.

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