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Gaza’s hospitals have been a flashpoint of fighting, claims and counterclaims.

Tens of thousands of people sought shelter in medical facilities after being driven from their homes by the risk of airstrikes.

But many have fled elsewhere as hospitals ran out of fuel and power and the fighting circled closer.

Al Shifa, the largest hospital in Gaza, is now surrounded by Israeli troops as gunfire and explosions rage around it.

The hospital’s last generator ran out of fuel at the weekend, leading to the deaths of at least 32 patients, including three babies, according to the Hamas-run Gaza health ministry.

Al Quds hospital is also now also closed to new patients. The Red Cross tried to evacuate about 6,000 people from the hospital but said its convoy had to turn back because of shelling and fighting.

Hospitals have protected status in wartime – but there are caveats to when this applies.

Here Sky News looks at what the rules are, and what both sides are saying.

Follow Israel-Gaza latest: Communications in Gaza could fail in two days

What are the rules on the protection of hospitals?

The International Criminal Court’s Rome Statute states it is a war crime for combatants to “intentionally direct attacks against… hospitals and places where the sick and wounded are collected, provided they are not military objectives”.

Under international humanitarian law (IHL) hospitals have protected status during war.

This means they cannot be attacked or otherwise prevented from performing their medical functions, according to the International Committee of the Red Cross (ICRC).

However, hospitals can lose those protections if they are used in a way that is harmful to the enemy – this includes being used to hide fighters or store weapons, the ICRC said.

But this does not give the other party free licence to attack, ICRC legal officer Cordula Droege said.

A warning must be given – first to stop the misuse of the hospital and then to allow evacuation of staff and patients if the misuse continues.

Any attack must be proportionate, Ms Droege added. If harm to civilians from an attack is disproportionate to the military objective, it is illegal under international law.

Also, using hospitals for military purposes is a violation of international humanitarian law, according to Amnesty International.

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What status do hospitals have in war? Sky military analyst Sean Bell explains

What does Israel say?

Israel claims Hamas uses hospitals for military purposes – but has not provided verified visual evidence of this.

It says Hamas has built a vast underground command complex centre below al Shifa hospital, connected by tunnels.

Israel also claims hundreds of Hamas fighters sought shelter at al Shifa after the 7 October attack.

The IDF released footage on Monday of a children’s hospital that its forces entered over the weekend, showing weapons it said it found inside, as well as rooms in the basement where it believes Hamas was holding hostages.

“Hamas uses hospitals as an instrument of war,” said Israel’s chief military spokesman Rear Admiral Daniel Hagari from a room at the Rantisi Children’s Hospital where explosive vests, grenades and RPGs were displayed on the floor.

Israel also accuses Hamas of using ambulances to carry fighters, using this as justification for a strike on an ambulance convoy that officials in the Hamas-run health ministry said killed and injured scores of people.

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Ambulance convoy hit by airstrike

What does Hamas say?

Both Hamas and al Shifa hospital staff deny Israeli allegations militants are operating a command centre from within its grounds.

Ghazi Hamad, a senior Hamas official, rejected the Israeli claims about al Shifa as “false and misleading propaganda”.

“The occupying forces have no evidence to prove it,” he said. “We have never used civilians as human shields because it goes against our religion, morality and principles.”

In a statement on its Telegram channel, Hamas said the video of Rantisi hospital showed “fabricated scenes that misled public opinion”, adding that it was a “failed attempt” by Israel to justify the targeting of hospitals.

At al Shifa, spokesperson for the health ministry Ashraf al Qidra said Israeli snipers and drones were firing into the hospital, making it impossible for medics and patients to move around.

Israel said the east side of the hospital was a safe passage for people to leave al Shifa, but people who tried to leave said Israeli forces had fired at evacuees and that it was too dangerous to move the most vulnerable patients.

The World Health Organisation said there was “no safe passage out of the hospital”.

Goudhat Samy al Madhoun, a healthcare worker, told the AP news agency that about 50 people left on Monday and were fired at several times, wounding one man who had to be left behind.

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This photo released by Dr. Marawan Abu Saada shows prematurely born Palestinian babies in Shifa Hospital in Gaza City on Sunday, Nov. 12, 2023. Gaza's Shifa Hospital has become the focus of a days-long stalemate in Israel's war against Hamas.(Dr. Marawan Abu Saada via AP)
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Premature babies share a bed at Shifa hospital. Pic: Dr Marawan Abu Saada via AP

What has the international response been?

The international NGO Human Rights Watch has called for the attacks on “medical facilities, personnel, and transport” to be investigated as war crimes.

Israel’s claims about Hamas activity in hospitals are contested, Human Rights Watch said.

“Human Rights Watch has not been able to corroborate them, nor seen any information that would justify attacks on Gaza hospitals,” it said.

It added that Israel’s general evacuation warning to hospitals in northern Gaza was “not an effective warning” because it did not account for the safety needs of patients and medical staff.

The 27 European Union nations have jointly condemned Hamas for what they described as the use of hospitals and civilians as “human shields”.

US president Joe Biden said hospitals “must be protected” as he called for “less intrusive action” in relation to hospitals.

Insecurity Insight collects data on attacks on healthcare in Israel and Gaza. Its data – which it notes is not complete – from 7 October to 5 November records 219 incidents of violence against or obstruction of access to healthcare facilities in Gaza and 10 in Israel.

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Hamas says it will not disarm unless an independent Palestinian state is established as Israeli fire kills 18 in Gaza

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Hamas says it will not disarm unless an independent Palestinian state is established as Israeli fire kills 18 in Gaza

Hamas has said it will not disarm unless an independent Palestinian state is established with Jerusalem as its capital.

The militant group said it was issuing a statement “in response to media reports quoting US envoy Steve Witkoff, claiming [Hamas] has shown willingness to disarm”.

It continued: “We reaffirm that resistance and its arms are a legitimate national and legal right as long as the occupation continues.

“This right is recognised by international laws and norms, and it cannot be relinquished except through the full restoration of our national rights – first and foremost, the establishment of an independent, fully sovereign Palestinian state with Jerusalem as its capital.”

Hamas also condemned Mr Witkoff’s visit to an aid distribution centre in Gaza on Friday as “nothing more than a premeditated staged show”.

Donald Trump’s Middle East envoy Mr Witkoff and Mike Huckabee, the US ambassador to Israel, visited a centre run by the controversial Gaza Humanitarian Foundation (GHF).

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Trump envoy Witkoff visits Gaza

Hamas said the trip was “designed to mislead public opinion, polish the image of the occupation, and provide it with political cover for its starvation campaign and continued systematic killing of defenceless children and civilians in the Gaza Strip”.

Mr Witkoff said he spent “over five hours in Gaza”. In a post on X on Friday, he said: “The purpose of the visit was to give [President Trump] a clear understanding of the humanitarian situation and help craft a plan to deliver food and medical aid to the people of Gaza.”

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Gaza health officials have said 18 people, including eight who were trying to access food, were killed by Israeli fire on Saturday.

Witness Yahia Youssef told Reuters news agency he helped carry three people wounded by gunshots and saw others lying on the ground near a food distribution centre.

In response to questions about several eyewitness accounts of violence at one of its facilities, GHF said “nothing [happened] at or near our sites”.

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The US- and Israel-backed GHF has been marred by controversy and fatal shootings ever since it was set up earlier this year.

According to the United Nations’ human rights office, at least 859 people have been killed “in the vicinity” of GHF aid sites since late May.

The war in Gaza began when Hamas-led militants killed around 1,200 people, mostly civilians, in an attack on Israel on 7 October 2023 and abducted 251 others. Of those, they still hold around 50, with 20 believed to be alive, after most of the others were released in ceasefires or other deals.

Israel’s retaliatory offensive has killed more than 60,000 Palestinians, according to Gaza’s Hamas-run health ministry, which does not differentiate between militants and civilians in its count.

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North Korea’s opened its doors to Russian tourists. So… how was their holiday?

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North Korea's opened its doors to Russian tourists. So... how was their holiday?

The world’s most secretive state is a mystery for billions of people – but not Anastasiya Samsonova.

She has returned from a week’s holiday in North Korea.

“We saw nothing terrible there, there is no danger there,” the 33-year-old HR manager tells me.

“Frankly speaking, we really liked it.”

She was part of a group of 15 Russian tourists who were the first foreign visitors to a new seaside resort, which was opened to great fanfare by North Korea’s leader Kim Jong Un in June.

Her holiday snaps show a white sand beach, shimmering seas and high-rise hotels. But something’s missing – people.

Russian tourist Anastasiya Samsonova at the Wonsan-Kalma beach resort in North Korea. Pic: Anastasiya Samsonova
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Anastasiya Samsonova at the Wonsan-Kalma beach resort in North Korea. Pic: Anastasiya Samsonova

There are rows of sun loungers, but not a soul sitting on them. A glittering banquet hall that’s devoid of diners.

That’s because, when it comes to international tourists, the Wonsan-Kalma resort is currently only open to Russians.

“The hotel was absolutely new,” Anastasiya enthuses, unfussed by the absence of others.

“Everything was done very beautifully, a good interior … very developed infrastructure.”

Russian tourist Anastasiya Samsonova enjoying a meal on a train in North Korea. Pic: Anastasiya Samsonova
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Pic: Anastasiya Samsonova

But why not Turkey? Or Thailand?

I gently suggest that people in Britain might be shocked at the idea of a summer break in a country better known for famines and forced labour than parasols and pina coladas.

“We were interested in seeing how people live there,” Anastasiya explains.

“There were a lot of prejudices about what you can and can’t do in North Korea, how you can behave. But actually, we felt absolutely free.”

Russian tourist Anastasiya Samsonova reading a North Korean newspaper. Pic: Anastasiya Samsonova
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Pic: Anastasiya Samsonova

Anastasiya is one of a growing number of Russians who are choosing to visit their reclusive neighbour as the two allies continue to forge closer ties following the Kremlin’s invasion of Ukraine.

Last year, North Korean troops supplied military support in Russia’s Kursk region, and now there is economic cooperation too.

North Korean produce, including apples and beer, has started appearing on supermarket shelves in Russia’s far east.

And last month, Moscow launched direct passenger flights to Pyongyang for the first time in decades.

North Korean apples on sale in Russia. Pic: Danil Biryukov / DVHAB.RU
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Pic: Danil Biryukov / DVHAB.RU

But can this hermit nation really become a holiday hotspot?

The Moscow office of the Vostok Intur travel agency believes so. The company runs twice-weekly tours there, and I’m being given the hard sell.

“North Korea is an amazing country, unlike any other in the world,” director Irina Kobeleva gushes, before listing some unusual highlights.

“It is a country where you will not see any advertising on the streets. And it is very clean – even the asphalt is washed.”

She shows me the brochures, which present a glossy paradise. There are images of towering monuments, pristine golf greens and immaculate ski slopes. But again, no people.

Irina Kobeleva, director of Vostok Intur travel's Moscow office
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‘There is a huge growing demand among young people,’ Irina Kobeleva says

Ms Kobeleva insists the company’s tours are increasingly popular, with 400 bookings a month.

“Our tourists are mostly older people who want to return to the USSR,” she says, “because there is a feeling that the real North Korea is very similar to what was once in the Soviet Union.

“But at the same time, there is a huge growing demand among young people.”

Sure enough, while we’re chatting, two customers walk in to book trips. The first is Pavel, a young blogger who likes to “collect” countries. North Korea will be number 89.

“The country has opened its doors to us, so I’m taking this chance,” he tells me when I ask why he wants to go.

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For pensioner Tatiana, the reason is sentimental.

“My husband wanted to go there, but now he’s gone. So I want his wish to come true,” she says.

It’ll certainly cost them. One week’s trip that takes in Pyongyang, a circus and the new beach resort, costs roughly £1,500 without flights.

At that price, I suspect most tourists will be content for this secretive state to remain hidden.

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US trade war: The state of play as Trump signs order imposing new tariffs – but there are more delays

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US trade war: The state of play as Trump signs order imposing new tariffs - but there are more delays

Donald Trump’s trade war has been difficult to keep up with, to put it mildly.

For all the threats and bluster of the US election campaign last year to the on-off implementation of trade tariffs – and more threats – since he returned to the White House in January, the president‘s protectionist agenda has been haphazard.

Trading partners, export-focused firms, customs agents and even his own trade team have had a lot on their plates as deadlines were imposed – and then retracted – and the tariff numbers tinkered.

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While the UK was the first country to secure a truce of sorts, described as a “deal”, the vast majority of nations have failed to secure any agreement.

Deal or no deal, no country is on better trading terms with the United States than it was when Trump 2.0 began.

Here, we examine what nations and blocs are on the hook for, and the potential consequences, as Mr Trump’s suspended “reciprocal” tariffs prepare to take effect. That will now not happen until 7 August.

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Why was 1 August such an important date?

To understand the present day, we must first wind the clock back to early April.

Then, Mr Trump proudly showed off a board in the White House Rose Garden containing a list of countries and the tariffs they would immediately face in retaliation for the rates they impose on US-made goods. He called it “liberation day”.

The tariff numbers were big and financial markets took fright.

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What does the UK-US trade deal involve?

Just days later, the president announced a 90-day pause in those rates for all countries except China, to allow for negotiations.

The initial deadline of 9 July was then extended again to 1 August. Late on 31 July, Mr Trump signed the executive order but said that the tariff rates would not kick in for seven additional days to allow for the orders to be fully communicated.

Since April, only eight countries or trading blocs have agreed “deals” to limit the reciprocal tariffs and – in some cases – sectoral tariffs already in place.

Who has agreed a deal over the past 120 days?

The UK, Japan, Indonesia, the European Union and South Korea are among the eight to be facing lower rates than had been threatened back in April.

China has not really done a deal but it is no longer facing punitive tariffs above 100%.

Its decision to retaliate against US levies prompted a truce level to be agreed between the pair, pending further talks.

There’s a backlash against the EU over its deal, with many national leaders accusing the European Commission of giving in too easily. A broad 15% rate is to apply, down from the threatened 30%, while the bloc has also committed to US investment and to pay for US-produced natural gas.

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Millions of EU jobs were in firing line

Where does the UK stand?

We’ve already mentioned that the UK was the first to avert the worst of what was threatened.

While a 10% baseline tariff covers the vast majority of the goods we send to the US, aerospace products are exempt.

Our steel sector has not been subjected to Trump’s 50% tariffs and has been facing down a 25% rate. The government announced on Thursday that it would not apply under the terms of a quota system.

UK car exports were on a 25% rate until the end of June when the deal agreed in May took that down to 10% under a similar quota arrangement that exempts the first 100,000 cars from a levy.

Who has not done a deal?

Canada is among the big names facing a 35% baseline tariff rate. That is up from 25% and covers all goods not subject to a US-Mexico-Canada trade agreement that involves rules of origin.

America is its biggest export market and it has long been in Trump’s sights.

Mexico, another country deeply ingrained in the US supply chain, is facing a 30% rate but has been given an extra 90 days to secure a deal.

Brazil is facing a 50% rate. For India, it’s 25%.

What are the consequences?

This is where it all gets a bit woolly – for good reasons.

The trade war is unprecedented in scale, given the global nature of modern business.

It takes time for official statistics to catch up, especially when tariff rates chop and change so much.

Any duties on exports to the United States are a threat to company sales and economic growth alike – in both the US and the rest of the world. Many carmakers, for example, have refused to offer guidance on their outlooks for revenue and profits.

Apple warned on Thursday night that US tariffs would add $1.1bn of costs in the three months to September alone.

Barriers to business are never good but the International Monetary Fund earlier this week raised its forecast for global economic growth this year from 2.8% to 3%.

Some of that increase can be explained by the deals involving major economies, including Japan, the EU and UK.

US growth figures have been skewed by the rush to beat import tariffs but the most recent employment data has signalled a significant slowdown in hiring, with a tick upwards in the jobless rate.

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The big risk ahead?

It’s the prospect of another self-inflicted wound.

The elephant in the room is inflation. Countries imposing duties on their imports force the recipient of those goods to foot the additional bill. Do the buyers swallow it or pass it on?

The latest US data contained strong evidence that tariff charges were now making their way down the country’s supply chains, threatening to squeeze American consumers in the months ahead.

It’s why the US central bank has been refusing demands from Mr Trump to cut interest rates. You don’t slow the pace of price rises by making borrowing costs cheaper.

A prolonged period of higher inflation would not go down well with US businesses or voters. It’s why financial markets have followed a recent trend known as TACO, helping stock markets remain at record levels.

The belief is that Trump always chickens out. He may have to back down if inflation takes off.

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