On October 14, 2023: The Israeli military ordered the director of the Kamal Adwan Hospital, Ahmad al-Kahlout, to evacuate the hospital[8].
On October 23, 2023: Occupation forces bombed a house located next to the hospital[9].
On November 5, 2023: The Ministry of Health launched an appeal for fuel to the hospital[10].
On November 7, 2023: Occupation forces bombed the vicinity of the Indonesian and Kamal Adwan hospitals, both located in the North Gaza Governorate, causing casualties and damage to the hospitals' buildings and equipment [11].
On November 22, 2023: Occupation enforced power cuts martyring three children, including an infant in an incubator at the hospital. Occupation forces also bombed the vicinity of the hospital, reportedly martyring dozens[12].
On November 26, 2023: The hospital faced tremendous pressure, with medical supplies and staff urgently needed, especially in the areas of obstetrics, pediatrics, neonatal care, surgery, and orthopedics. The condition of 80 patients required immediate transfer to a better-equipped facility in the south to ensure their survival[13].
On November 27, 2023: The hospital, one of five partially functioning hospitals in the north, urgently needed medical supplies and staff in the obstetrics, pediatrics, neonatal care, surgery and orthopedics departments[14].
On November 28 and 29, 2023: UNOCHA reported that a number of hospitals in the north were not evacuating the sick and wounded to hospitals in the south[15].
On December 4, 2023: Occupation forces bombed the gate of the hospital, martyring at least four people and injuring at least nine. Medical sources also reported that more than 35 bodies in and outside of the hospital, could not be buried due to the intensity of the Israeli airstrikes[16].
On December 4 and 5, 2023: Occupation forces bombed the vicinity of the Kamal Adwan Hospital, causing an unknown number of casualties, as ground battles between Israeli forces and Palestinian resistance were ongoing nearby. More than 10,000 displaced people were sheltering in and around the hospital, unable to leave because of the fighting[17].
On December 5, 2023: Occupation tanks shelled the hospital, rendering it out of service[18].
On December 6, 2023: The Ministry of Health evacuated most patients and medical staff from the hospital. The hospital is largely non-functional and has stopped receiving new patients, due to heavy fighting in its vicinity, exacerbated by the lack of basic medical supplies, water, food and fuel. 20 patients remained in the facility and could not be evacuated[19].
On December 8, 2023: Occupation forces surrounded the hospital, and snipers climbed the buildings surrounding the hospital, firing heavily in the direction of the courtyards and patients' rooms. The Ministry of Health stated that medical staff and the wounded were without water, food or treatment[20].
On December 8 and 9, 2023: Occupation forces continued the siege of the hospital[21].
On December 11, 2023: As the hospital siege continued, the maternity ward was bombed by occupation forces, martyring two mothers and wounding several people. Around 3,000 displaced people remained trapped in the facility awaiting evacuation, facing severe shortages of water, food and electricity[22].
On December 12, 2023: Occupation forces stormed the hospital, arresting its director, Dr. Ahmad al-Kahlout, and all medical staff. Everyone was interrogated and some tortured inside the emergency department and al-Kahlout and more than 70 medical staff were abducted to an unknown destination. The occupation forces shoot at some of those released, injuring five people. 65 wounded and 12 sick children in pediatric care remained at the hospital without electricity, water, or food [23][24].
On December 13, 2023: Occupation forces accompanied by tanks stormed the hospital again, with reports of mass arrests and ill-treatment of those they detained. Occupation forces released five doctors and all female workers they had detained the day before. The director Dr. al-Kahlout and 70 other medical staff members were still held in an unknown location outside the hospital. The World Health Organization (WHO) called for the "protection of all persons inside the hospital." [25].
On December 14, 2023: For the third day in a row, Occupation forces accompanied by tanks stormed the hospital, turning it into a military barracks. The Ministry of Health announced that occupation forces force all 2,500 displaced people to leave, and evacuate the remaining injured and medical staff to the hospital yard. The ministry also reported that the occupation army prevented medical staff from providing care to 12 infants in intensive care and 10 injured people in the emergency department, resulting in the death of two patients [26].
On December 16, 2023: Occupation forces withdrew from the hospital after four days of siege. According to initial reports and video footage published by the media, an Israeli military bulldozer flattened the tents of a number of displaced people outside the hospital, killing and injuring an unconfirmed number of people, and 90 people were detained by the occupation army [27].
On December 23, 2023: CNN published testimonies from staff and patients from Kamal Adwan Hospital that occupation soldiers bulldozed and crushed the bodies of the dead, and allowed dogs to maul the corpses[28].
On January 12, 2024: The Palestinian Red Crescent Society (PRCS), in coordination with the International Committee of the Red Cross, transferred some 28 injured people and their companions from al-Shifa Hospital, the Kamal Adwan Hospital, and the PRCS medical point in Jabalia to southern Gaza [29].
On January 19, 2024: UNOCHA announced that the hospital had partially resumed operations in mid-January 2024, and reported that the hospital continued to face many challenges, such as the shortage of medical staff, including specialized surgeons, neurosurgeons, and staff working in intensive care units, in addition to shortage of medical supplies [30].
On February 27, 2024: The Ministry of Health announced that there was a number of critical cases of infants at the Kamal Adwan Hospital as a result of starvation and dehydration. UNOCHA also reported the death of two children at the hospital as a result of dehydration and malnutrition [31][32].
On February 28, 2024: The director of the hospital, Dr. Hussam Abu Safiya, announced the spread of hepatitis C among children [33]. The hospital administration also announced that it was out of service due to lack of fuel. Hamas noted in a press release that many patients had died due to lack of medical care, and four children had died due to starvation and dehydration[34].
On February 29, 2024: Director Dr. Abu Safiya, told an Anadolu reporter that “seven children died in the hospital in the northern Gaza Strip due to malnutrition,” bringing the number of deaths in the past three days to 13[35].
On March 3, 2024: UNOCHA reported that the nutrition crisis was deteriorating in northern Gaza. The Ministry of Health also reported that 15 children had died of malnutrition and dehydration at the hospital, and that six other infants were suffering from acute malnutrition [36].
On March 5, 2024: The UN Human Rights Council reported that 15 children died of starvation at the hospital, and that fears were growing that the numbers were even higher at other hospitals. As the threat of famine persisted, all 335,000 children under the age of five were at high risk of acute malnutrition, with at least 90% of children under the age of five suffering from one or more infectious diseases and 70% suffering from diarrhea[37].
On April 1, 2024: The WHO stated that the hospital received at least 15 malnourished children every day[38].
On April 5, 2024: A WHO mission to Kamal Adwan Hospital to deliver medical supplies encountered significant delays and the driver of the supply truck was detained. Ultimately, the mission was canceled, as the delays left little time to complete the mission [39].
On April 22, 2024: The Palestinian Information Center quoted the WHO as saying that for the second time in a week, the occupation forces prevented relief missions from delivering fuel and medical supplies to the hospital[40].
On May 1, 2024: According to local media, drones were seen in the vicinity of the hospital flying at low altitude[40].
On May 3, 2024: The WHO announced that its staff had transferred four patients from Kamal Adwan Hospital to the European Gaza Hospital in Khan Younis, and that its staff had established a new acute malnutrition center at Kamal Adwan Hospital[42].
On May 12, 2024: Occupation forces targeted the house of Director Dr. Abu Safiya[43].
On May 17, 2024: Occupation forces targeted the vicinity of the hospital with artillery[44].
On May 18, 2024: Occupation forces continued to target the vicinity of the hospital with warplanes, artillery and drones. The occupation forces also targeted a residential square with warplanes, which resulted in the martyrdom of 28 Palestinians, including 10 women and 10 children. The hospital had received 40 martyrs since the morning. Director Dr. Abu Safiya appealed for fuel and medical supplies in light of the hospital's overcrowding due to the ongoing military operation of the occupation forces in Jabalia refugee camp[45-50].
On May 19, 2024: Occupation vehicles advanced to the vicinity of the hospital and targeted its surroundings with firearms and artillery. The Civil Defense announced that the hospital was out of service, although it continued to receive the injured and wounded[51-52].
On May 20, 2024: Local media outlets announced that a baby girl had died in the incubation department of the hospital after her oxygen machine stopped working[53].
On May 21, 2024: Occupation forces partially besieged the hospital after targeting the northern gate, while tanks advanced from its eastern side, and occupation snipers targeted anyone who tried to approach the hospital[54]. Director Dr. Abu Safiya stated that the occupation forces targeted the gate of the emergency department with missiles[55]. Later in the day, the hospital was evacuated from patients and medical staff under heavy fire, and the WHO announced that occupation forces targeted the hospital 4 times during the day and that 20 medical staff and 13 patients were trapped inside of the hospital[56-59].
On May 22, 2024: The WHO announced that all patients and medical staff had been evacuated, while local media outlets reported that part of the medical staff resumed their work at the hospital in a limited and gradual manner amid the siege and continuous shelling[60-61].
On May 24, 2024: Occupation vehicles advanced towards the hospital and continued to besiege a number of medical staff and patients inside the hospital in conjunction with the continued targeting of the hospital with artillery and shooting at anyone who moved in its vicinity. The hospital was completely out of service[62-63].
On May 28, 2024: Occupation forces fired in the vicinity of Kamal Adwan Hospital, martyring 6 people. Occupation forces also conducted airstrikes on one of the hospital's buildings, destroying the power generators in it[64-65].
On June 4, 2024: Kamal Adwan Hospital Director Dr. Hussam Abu Safiya announced that occupation forces had put the hospital out of service and destroyed the roads leading to it, leading medical personnel to put it back into operation at the bare minimum level[66].
On June 14, 2024: Hospital director Dr. Hussam Abu Safiya reported that healthcare workers at the hospital recorded symptoms of malnutrition among over 200 children[67].
On June 14, 2024: Al Jazeera news network conveyed reports by Israeli media sources that Dr. Iyad Rantisi, head of the maternity department at Kamal Adwan Hospital, was martyred in an Israeli interrogation center a week after his arrest in November 2023[68].
On June 30, 2024: Assistant deputy minister Dr. Maher Shamieh announced the arrival of an Arab medical delegation to Kamal Adwan Hospital[69].
On July 7, 2024: Director Dr. Abu Safiya warned that the hospital's services were threatened to stop due to the lack of fuel, and announced the suspension of dialysis services, noting that the lack of fuel had previously caused the disconnection of ventilators from children, which led to their death[70]. Al Jazeera also reported that the hospital had established a malnutrition department in light of the worsening famine in the northern Gaza Strip[71].
On July 24, 2024: WHO crews were able to deliver 48,000 liters of fuel to the Kamal Adwan and Indonesian hospitals[72].
On August 5, 2024: The WHO announced the restoration of and added capacity to 166 beds at the Kamal Adwan Hospital [73]. UNOCHA reported that the trauma center at the hospital admitted a record 25 cases of severe acute malnutrition (SAM) with medical complications, compared to 27 cases in May and June combined[74].
On August 6, 2024: A pediatrician at the Kamal Adwan Hospital, Saher Nasr, told the Euro-Mediterranean Human Rights team that malnutrition and weak immunity have caused an increase in cases of illness among children in northern Gaza in recent days. Nasr added: “Many skin diseases spread among children during the war, most of which we did not record previous cases of."[75]
On August 11, 2024: Health Cluster partners delivered infection prevention and control (IPC) and water, sanitation and hygiene (WASH) supplies to the Kamal Adwan Hospital[76].
On August 18, 2024: The hospital’s director stated that the hospital may be out of service within the next 24 hours due to the lack of fuel and medical supplies[77-78].
On August 21, 2024: The hospital’s administration again appealed for emergency fuel[79].
On August 23, 2024: Local media circulated a video showing sections of the hospital out of service[80].
On August 24, 2024: The Kamal Adwan Hospital opened the Martyr Salah al-Din Ahmad Dialysis Department, in cooperation with the Palestinian Knights Emergency Association and the Weakness Fund Foundation - Indonesia[81-82].
On August 29, 2024: The hospital announced on its Facebook page that it continued to provide medical services despite the lack of fuel and resources[83].
On August 30, 2024: The hospital's director of nursing, Eid Sabah, told the Qatar News Agency that an increase in polio cases was suspected. He explained that one sample was sent abroad for testing in cooperation with the WHO. He also pointed to the spread of malnutrition cases among children, as the hospital's reception department received about 300 cases daily[84]. The hospital announced that delivery cases had been transferred to Al-Awda Hospital until September 22, 2024, and that staff were continuing services related to case follow-up, examinations, and television imaging in the malnutrition department, due to renovation and maintenance work in the obstetrics and gynecology department[85].
On August 31, 2024: Maintenance and restoration work began at Kamal Adwan Hospital, with the implementation and support of the Al-Weeam Charity Association[86].
On September 5, 2024: Occupation forces targeted a gathering of displaced people in the vicinity of the hospital[87].
On September 8, 2024: Occupation warplanes bombed a house belonging to the Morsi family in the Al-Alami area in the vicinity of the Kamal Adwan Hospital, killing the deputy director of the Civil Defense in northern Gaza, Colonel Mohammed Morsi, along with five members of his family, and injuring others[88].
On September 9, 2024: The hospital’s administration warned that the hospital would be out of service within 48 hours due to the occupation forces preventing the entry of fuel[89].
On October 7, 2024: Occupation forces targeted the gate of the hospital with smoke shells[90-91].
On October 8, 2024: Occupation forces shelled the vicinity of the hospital with artillery. Dr. Hussam Abu Safiya, director of Kamal Adwan Hospital, reported that all hospitals in the north are under siege, and that the occupation forces ordered the hospitals to evacuate within 24 hours, fired at the administration office, and demanded the evacuation of medical staff from the hospital. Media outlets reported that occupation drones were flying at low levels in the vicinity of the hospital, firing at citizens. Abu Safiya also stated that the hospital's medical staff will continue to provide services. He added that the hospital is suffering from fuel shortages and difficulties in transporting patients. A Jordanian medical delegation present at the hospital was informed of the need to evacuate. The occupation forces also arrested paramedic Mahmoud Zaqout, an escort on duty, despite coordinations[92-98].
On October 9, 2024: Occupation artillery shelled the vicinity of the hospital. Local media outlets reported that the occupation forces targeted medical staff with artillery while they were evacuating the hospital[99-100].
On October 10, 2024: Kamal Adwan Hospital director Dr. Hussam Abu Safiya announced that the intensive care department at the hospital was overcrowded. He stated that the hospital was threatened to go out of service because the occupation forces prevented the entry of an aid and fuel convoy. Occupation warplanes and drones also targeted the vicinity of the hospital, causing damage to parts of the hospital. [101-104].
On October 11, 2024: The Ministry of Health appealed for fuel for hospitals in northern Gaza[105].
On October 12, 2024: WHO teams were able to transfer 19 critical cases from the Kamal Adwan Hospital to al-Shifa Hospital in Gaza City and deliver 15,000 liters of fuel to the Kamal Adwan Hospital. The hospital received at least 50-70 new cases per day, according to the WHO[106].
The hospital became the primary hospital for the wounded in northern Gaza despite the continued evacuation orders, and the Ministry of Health launched an appeal to demand the entry of medicines, medical supplies and food into the hospital.[107-108].
On October 15, 2024: Occupation drones fired at houses in the vicinity of the hospital, which had become the primary hospital for the wounded in northern Gaza[109].
On October 17, 2024: Occupation forces bombed the vicinity of the hospital [110].
On October 19, 2024: Occupation forces bombed the hospital’s yard and targeted an ambulance belonging to Al-Awda Hospital that was transporting patients to the Kamal Adwan Hospital. The Ministry of Health stated that the occupation forces continue to besiege Kamal Adwan Hospital, and that they targeted the entrance to the hospital's laboratory, which resulted in the martyrdom of a citizen and a number of injuries [111-113].
On October 20, 2024: Occupation forces shelled the vicinity of the Kamal Adwan Hospital, and targeted the hospital's water tanks and electricity network. The occupation forces also prevented aid and medical supplies from reaching the hospital [111][114][115].
On October 21, 2024: Kamal Adwan Hospital director Dr. Hussam Abu Safiya reported that blood units at the hospital had almost run out and that healthcare workers were running out of food. Healthcare workers had also been unable to tend to the wounded in the streets. The World Health Organization transferred 14 patients from Kamal Adwan Hospital to al-Shifa Hospital in Gaza City. The World Health Organization reported that the hospital continued to be partially functional amidst difficulties in meeting people’s needs due to the ongoing assault on northern Gaza. The Ministry of Health in Gaza conveyed footage documenting the disastrous conditions from inside Kamal Adwan Hospital as the siege on northern Gaza entered its 17th day[114-115].
On October 22, 2024: Occupation forces shelled Kamal Adwan Hospital, inflicting damage on the hospital gate. The World Health Organization reported that 95 patients remained in the hospital, including 15 in intensive care. The organization also stated that the shelling of the roads leading to the hospital disrupted access to it, that patients and ambulance crews are unable to reach it, and the organization warned that the hospital is on the verge of being out of service. Hospital director Dr. Hussam Abu Safiya said that the occupation forces targeted the hospital's gate with direct artillery shelling, while the hospital continues to be indiscriminately targeted by drones from several directions. Abu Safiya added that the medical staff no longer could count the martyrs and the wounded, and that the hospital suffers from a shortage of medical staff. He also reported that the occupation forces targeted a group of families who tried to leave the hospital after they complied with the evacuation orders, and the medical staff could not reach them, addeding that the medical staff will not leave the hospital and will continue to provide services despite the lack of fuel and medical supplies, and appealing to international organizations to intervene before the hospital turns into a mass grave [115-118].
On October 23, 2024: Occupation forces targeted houses in the vicinity of the hospital, closed all roads leading to the hospital, and imposed a siege on it. An occupation drone targeted Dr. Muhammad Ghanem and nurse Muhammad Salman, which resulted in their martyrdom. The occupation forces also arrested a number of medical staff while they were working outside the hospital [119-122].
On October 24, 2024: Occupation forces continued to target and besiege the Kamal Adwan Hospital, firing at the upper floors of the hospital, which includes the pediatric intensive care unit. Al Jazeera documented the arrival of the occupation forces' vehicles and their siege of the hospital. The WHO managed to transfer 23 patients to Al-Shifa Hospital in Gaza City, and the organization delivered 180 units of blood and medical supplies to more than 5,000 patients [123-126].
On October 25, 2024: Occupation forces stormed Kamal Adwan Hospital under heavy artillery fire cover, women and men were separated in the hospital yard, women were allowed to leave the hospital towards Gaza City, men were forced to undress, and some were subjected to interrogation and arrest. Hospital director Dr. Hussam Abu Safiya said that the occupation forces surrounded the hospital and demanded through loudspeakers that patients come down to the hospital yard. The Ministry of Health announced that the occupation forces detained hundreds of patients, medical staff, and displaced people in the hospital after storming it, and opened fire inside various departments, and arrested and interrogated all the young men present in the hospital. A health official also reported that the occupation forces subjected Dr. Hussam Abu Safiya to interrogation and forced him to go to the square to meet the commander of the invading force. Occupation forces also shelled the main oxygen station in the hospital, resulting in the martyrdom of two children, and destroyed three ambulances and a transport vehicle to hinder transportation operations, in addition to destroying the solar panel electricity generation system. WHO director-general Tedros Adhanom Ghebreyesus announced that contact had been lost with the Kamal Adwan Hospital, when a WHO delegation visited the hospital and gave assurances that the occupation army would not storm the hospital, but as soon as the delegation left, the occupation vehicles advanced and raided it [126-130].
On October 26, 2024: Occupation forces withdrew from the Kamal Adwan Hospital by a distance not exceeding 300 meters, leaving massive destruction in the hospital and its surroundings, and only three doctors remained in the hospital after the arrest and deportation of the medical staff. Occupation forces also bulldozed the walls of the hospital and the tents of the displaced people, threw shells in its yards, burned houses in its vicinity, and destroyed medicines in the hospital. They also shot and killed the son of the hospital’s director Dr. Hussam Abu Safiya [131-135].
On October 28, 2024: The Ministry of Health stated that the occupation forces arrested and deported all the medical staff at Kamal Adwan Hospital, leaving only one doctor. Local media outlets published photos of the rooms used by the occupation army to interrogate medical staff, IDPs, and patients at the Kamal Adwan Hospital during its raid[136-137].
on October 29, 2024: The hospital’s director Dr. Hussam Abu Safiya stated that there were more than 150 wounded people in the hospital that the medical staff could not provide them with medical services other than first aid, and indicated that there are no medical staff in the hospital, ambulances are out of service, and the health system in northern Gaza has collapsed [138-139].
On October 31, 2024: Occupation forces bombed the third floor of the hospital, targeting the stock of medicines that the hospital had received 5 days earlier[140-141].
