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Non-functional
Kamal Adwan Hospital
Facility Type
Central Medical Complex
Ownership type
Government sector
Governorates / District
North Gaza
Address
Beit Lahia – Al Salam neighborhood, area 7
Founding Year
2002
Facility director
Ahmed Al-Kahlot
Beds Capacity
118
Description (About the Facility)

The Kamal Adwan Hospital is a public governmental hospital affiliated with the Palestinian Ministry of Health and the General Directorate of Military Medical Services, located in the Beit Lahia Project neighborhood in the North Gaza Governorate. The hospital was opened in 2002 as part of an emergency plan to deal with the wounded of the al-Aqsa Intifada. Prior to 2002 it was a clinic called the Beit Lahiya Project Clinic[1].

Like many hospitals in the Gaza Strip, it was established as a small hospital to cope with the repeated incursions of the occupation forces into the governorates, the separation of some governorates from others, and the difficulty of transportation and referrals. Therefore, it was established based on a contingency plan to ensure the reception and treatment of the wounded in all governorates.

The Kamal Adwan Hospital is the most centralized hospital in the North Gaza governorate, serving more than 400,000 people in multiple departments, including pediatrics, obstetrics, gynecology and nursery. According to a Ministry of Interior and National Security report from September 2023, the Kamal Adwan Hospital received a total of 10,520 patients, the laboratory department conducted 18,772 laboratory tests for 4,233 cases, and the radiology department provided 1,150 radiology services to 1,092 cases. The report also showed that the physiotherapy department provided 1,206 medical sessions to 702 patients, the pharmacy department dispensed 2,092 prescriptions, and the ambulance department conducted 264 ambulance services. The report indicated that the surgical hospital performed 208 surgeries, and the number of deliveries at the complex reached 369 cases[2].

The hospital has three main buildings, the old departments building, the new building, and the side buildings. The old departments building consists of two floors of an estimated 731 square meters per floor. The ground floor contains multiple departments, such as the men's internal medicine department, laboratory, and radiology. The radiology department has a basic x-ray machine and an ultrasound machine, while the upper floor contains the operating department, the women’s department, and the men's surgery department. The new building consists of three floors, the ground floor includes the general reception and outpatient clinics (neurology clinic, diabetes clinic, heart clinic, liver clinic, and chest clinic), the first floor contains an expansion section and offices for doctors and public relations, and the second floor contains the intensive care department and the pediatric department. The side buildings have a kitchen, engineering and maintenance areas, medical archives, administration offices, and the pharmacy.

Development:

In 2013: The Kamal Adwan Hospital saw an increase in the number of beds, bringing the total number of beds to 108, including 24 beds in the pediatric department.

In 2016: The Military Medical Services Command provided equipment in the pediatric nursery and expanded the obstetrics and gynecology hospital to increase capacity for civilian insurance cases. In addition, a new department was opened in the pediatric hospital[3].

In 2017: The hospital’s management upgraded the pediatric hospital, which included the re-equipping of the pediatric specialty hospital. The administration also improved and expanded the reception and emergency department by increasing the number of reception beds, increasing the number of medical examination rooms, and equipping a special room to follow up on critical cases. The department also organized several scientific and medical courses and lectures to develop the efficiency of the medical staff[4].

In 2023: The hospital’s reception departments were opened after they were renovated and rehabilitated, with funding from the Rahma Worldwide Foundation. The same organization had previously upgraded the intensive care department[5].

Funding Details
The hospital is affiliated with the Palestinian Ministry of Health, which is the main body responsible for the provision of health services and has the mandate.
Effect of siege (2007 - 2023)

In 2007: The Gaza Strip suffered from a severe shortage of medicines, medical supplies, and medical equipment, and the blockade policies prevented the operation of most diagnostic laboratories. The closure of crossings during the Gaza blockade prevented patients their right to travel abroad to receive treatment.

In 2017: The director of the Kamal Adwan Hospital, Dr. Ahmad al-Kahlout, noted that the hospital faced a significant shortage of up to 50% of its core medical staff, explaining that they tried to cover this shortage by employing volunteers and hiring temporary workers. Al-Kahlout said that the Ministry of Health had promised to provide doctors, midwives, and nurses to cover the maternity, pediatric and nursery departments, but this did not happen, noting that the nursery department was closed due to the lack of medical staff. The head of the pediatric department at the hospital, Hussam Abu Safiya, confirmed that the complex was suffering from a shortage of medical staff due to the addition of new departments and an increase in the number of patients. Other challenges faced by the specialized staff included the fact that about 70% of them had reached retirement age, a lack of sufficient budget allocation, and a lack of availability of all medical specialties in the governorate[6][7].

During the 2023 genocide war: Medical staff faced obstacles from the crowdedness of the hospital, as displaced people would enter the hospital to charge their personal phones and to fill up water.

narrative during this war

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 22, 2023: It was reported that more than 60 people had been martyred and nearly 1,000 injured at the hospital.

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 26, 2023: Medical and nursing staff located in the Gaza and North Gaza governorates were asked to join the work of the Kamal Adwan Hospital.

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].

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." [24].

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 [25].

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 [26].

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[27].

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 [28].

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 [29].

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 [30][31].

On February 28, 2024: The director of the hospital, Dr. Hussam Abu Safiya, announced the spread of hepatitis C among children [32]. 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[33].

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[34].

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 [35].

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[36]. 

On April 1, 2024: The WHO stated that the hospital received at least 15 malnourished children every day[37]. 

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 [38]. 

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[39].

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[41]. 

On May 12, 2024: Occupation forces targeted the house of Director Dr. Abu Safiya[42]. 

On May 17, 2024: Occupation forces targeted the vicinity of the hospital with artillery[43]. 

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[44][45][46][47][48][49].

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[50][51]. 

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[52].

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[53]. Director Dr. Abu Safiya stated that the occupation forces targeted the gate of the emergency department with missiles[54]. 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[55][56][57][58].

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[59][60].

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[61][62].

On May 25, 2024: Local media outlets reported that occupation forces partially withdrew from the vicinity of the hospital and that ambulances were able to reach the hospital. Later in the day the occupation vehicles returned to the vicinity of the hospital and resumed the siege[63][64].

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[65]. Al Jazeera also reported that the hospital had established a malnutrition department in light of the worsening famine in the northern Gaza Strip[66].

On July 24, 2024: WHO crews were able to deliver 48,000 liters of fuel to the Kamal Adwan and Indonesian hospitals[67].

On August 5, 2024: The WHO announced the restoration of and added capacity to 166 beds at the Kamal Adwan Hospital [68]. 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[69].

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."[70]

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[71].

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[72][73]. 

On August 21, 2024: The hospital’s administration again appealed for emergency fuel[74].

On August 23, 2024: Local media circulated a video showing sections of the hospital out of service[75].

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[76][77].

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[78].

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[79]. 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[80].

On August 31, 2024: Maintenance and restoration work began at Kamal Adwan Hospital, with the implementation and support of the Al-Wayam Charity Association[81].

On September 5, 2024: Occupation forces targeted a gathering of displaced people in the vicinity of the hospital[82][83]. 

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[84].

The main targeting and assaults During the genocide

Related testimonies

Related testimonies

صحفي فلسطيني - صحفي فلسطيني
شهادة صحفي من داخل مستشفى كمال عدوان مع استمرار التوغل البري في جباليا
- وسائل التواصل الإجتماعي
خالد حمودة - استشاري الجراحة العامة
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- وسائل التواصل الإجتماعي
عماد دردونة - طبيب أطفال في مستشفى كمال عدوان
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- منظمة الصحة العالمية
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