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Israel has claimed responsibility for an attack on an ambulance outside Gaza City's Al-Shifa Hospital, the largest medical facility in the enclave, which witnesses say killed and wounded dozens of people.
At least 15 people were killed and 50 others wounded, the Hamas-run health authorities said Friday.
Footage from the scene showed at least a dozen bloodied casualties strewn across the ground near an ambulance.
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There appears to be some shrapnel damage to at least one of the cars on the scene.
Israel said it had targeted the ambulance because it was being used by Hamas, according to a statement from the Israel Defense Forces (IDF).
"An IDF aircraft struck an ambulance that was identified by forces as being used by a Hamas terrorist cell in close proximity to their position in the battle zone," it wrote.
"A number of Hamas terrorist operatives were killed in the strike… We have information which demonstrates that Hamas' method of operation is to transfer terror operatives and weapons in ambulances," the statement said.
A spokesperson for the Palestinian Ministry of Health in Gaza, who was at Al-Shifa Hospital, said that Israel was responsible for the attack.
Dr. Ashraf Al-Qidra said that authorities had organised a medical convoy from the hospital and had informed the International Committee of the Red Cross (ICRC) about the move.
He said the convoy was travelling to the Rafah Crossing – the border in the south of the besieged enclave has been seen as the last hope for Gazans to escape as Israel's bombs rain down on the strip.
"When the ambulances moved towards the south, the occupation [Israel] targeted the ambulances in multiple locations, including on the gate of Al-Shifa medical compound," he said.
"The Israeli occupation targeted intentionally those ambulances."
The ICRC confirmed to CNN it received a request to accompany the convoy prior to it leaving.
"We acknowledge having received the request from Gaza MoH to accompany the convoy evacuating the wounded from the northern part of Gaza," an ICRC spokesperson told CNN.
Besieged hospitals
Al-Shifa Hospital has increasingly found itself part of the frontline as Israel last week claimed that the facility is the site of a significant Hamas command and control center.
It is located in one of the most densely populated areas on earth, the Gaza Strip, which is being pounded and encircled by the Israeli military.
Calls for a ceasefire by Hamas, aid organisations, and much of the global community have been rejected categorically by Israel's government, which has vowed to wipe out Hamas after its terror attack last month, which massacred more than 1400 Israelis, most of them civilians.
In Gaza, the civilian casualties have continued to rise as Israel strikes large residential neighbourhoods, schools, and some areas immediately around hospitals, in what it says are military target strikes.
More than 9100 people have been killed in Israeli attacks is the Strip since October 7, according to the latest figures from the Palestinian Ministry of Health in Ramallah, which drew from sources in the Hamas-controlled enclave.
The bombardment has overwhelmed Gaza's medical institutions, now struggling to run amid dwindling supplies and fuel.
Medical staff at Al-Shifa are exhausted, and low fuel stocks have plunged wards into darkness, cutting off basic functions like oxygen generation.
Only one operating theater, the emergency department, and the intensive care unit (ICU) continue to function, Dr. Yousef Abu Al-Rish, director of the hospitals in Gaza, said in a video obtained by CNN.
Doctors at Al Shifa told CNN they are seeing children with the majority of their body and faces burned, missing limbs and other "catastrophic injuries," said Dr. Tanya Haj-Hassan, a pediatric intensive care and humanitarian doctor with the aid group Doctors Without Borders, also known as Médecins Sans Frontières.
Doctors are also having to treat patients with limited pain control as they are "running out of anaesthetic drugs." she told CNN.
"We do not have enough antibiotics to treat wound infections, we don't have enough dressings."
