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Palestine’s Last Remaining Hospital Under Siege

Kamal Adwan Hospital Faces Unrelenting Bombardment
Palestine has been reduced to a single, operational hospital. Kamal Adwan Hospital, once just one among many healthcare facilities in the region, now stands as Gaza’s last remaining medical center. Its corridors are crowded beyond measure; doctors and nurses strain under impossible workloads; and patients, clinging to the faint hope of survival, have no other place to go.
According to international law—including the Geneva Conventions—hospitals and medical staff must be protected and spared from attacks under any circumstances. Yet, since the onset of this conflict, Israel has bombed and targeted hospitals across the Gaza Strip, arguing that Hamas fighters are hidden within or beneath these facilities. To date, there has been minimal evidence presented to support these claims.
The Human Toll
The reality on the ground is grim. The people coming into Kamal Adwan Hospital are already living in what many describe as a daily nightmare—where electricity is scarce, clean water is hard to find, and fear of airstrikes looms at every corner. Patients arrive in critical condition, often having sustained injuries from relentless bombings, with nowhere else to seek life-saving care. Now, as the hospital itself comes under repeated bombardment, the situation has gone from dire to catastrophic.
New Wave of Attacks
Within the past 24 hours (December 22, 2024), Israeli forces have continued to bomb Kamal Adwan Hospital and issued orders for its evacuation. According to Dr. Hussam Abu Safiya, Director of Kamal Adwan, such an evacuation is next to impossible given the severity of patients’ conditions and the shortage of ambulances. These patients, many on life support or requiring critical interventions, cannot simply be uprooted from their beds and transported elsewhere without grave risks to their lives.
Reports also indicate that Israeli forces have targeted the hospital’s vicinity, including fuel tanks crucial for keeping generators—and thus vital medical equipment—running. Every explosion brings the hospital closer to losing electricity, plunging operating rooms and intensive care units into darkness and chaos.
The “Generals Plan”
Nearly three months ago, Israeli forces launched what Palestinian rights groups and local media refer to as the “Generals Plan”—a sweeping military operation concentrated in Gaza, specifically targeting the areas of Beit Lahiya, Beit Hanoun, and the adjacent Jabalia camp. The plan entails systematic bombardments, forced evacuations, and the establishment of “buffer zones” to depopulate large sections of northern Gaza. Human rights advocates argue this strategy constitutes an attempt at ethnic cleansing, aimed at ridding the region of its Palestinian residents.
Israeli officials have not publicly acknowledged the existence of a formal “Generals Plan.” However, international observers and NGOs like Human Rights Watch have noted an escalation in tactics consistent with forcible displacement, including the targeting of essential infrastructure such as hospitals, water facilities, and power generators. Violating international law and humanitarian principles that protect civilians and medical facilities during armed conflicts.

Echoes of the Past
The current assault on Kamal Adwan recalls the earlier tragedy in March 2024, when Al-Shifa Hospital in Gaza was attacked. That night, widely regarded as one of the most harrowing episodes in this protracted conflict, saw doctors, nurses, and vulnerable patients sheltering in place with no possibility of safe evacuation. Scenes of burned corridors and destroyed operating rooms underscored the vulnerability of healthcare workers and the people under their care.
A Call for Protection
Healthcare facilities are supposed to be sanctuaries, governed by international law and humanitarian principles that demand their protection regardless of who controls the territory. Yet, repeated strikes on hospitals leave the injured and chronically ill at the mercy of ground forces and air raids.
With Kamal Adwan Hospital standing as Gaza’s last functioning medical facility, its protection is a matter of life and death for thousands of Palestinians. As bombs continue to fall, the capacity to provide even the most basic care deteriorates by the hour. Doctors and nurses, already mentally and physically exhausted, face the added terror of each day’s shelling and fear for the lives of their patients.
Without immediate international intervention and a clear commitment to uphold humanitarian principles, the prognosis for Kamal Adwan Hospital—and the people relying on it—is bleak. The pleas of its director and staff have so far gone unheeded, and the horror of the Al-Shifa Hospital attack earlier this year casts a dark shadow on what could happen next.
Disclaimer:
All information in this article is based on reports from local medical authorities, eyewitness accounts, and available media sources as of December 22, 2024.
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