Now, only a few doctors remain to care for hundreds of patients and in desperate conditions. The wounded lie on thin mattresses wherever there is space.
Image: Iodine and other debris on the floor of the Kamal Adwan hospital
There is the occasional cry or groan of pain, but mostly people are silent, dazed, numb to this catastrophic war.
Surgical gloves, pools of blood and iodine and medicine packets lie scattered on the surgery floors.
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Soiled gowns and blankets piled in heaps on the edges of corridors. The storeroom has been left ransacked.
“Everything we ever built, they burnt to the ground,” Dr Hussam Abu Safiya, the hospital director, told Sky News.
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“They set our hearts on fire. They set our hearts on fire at this hospital. They killed my son.”
He is one of only two doctors remaining at the hospital.
“The conditions are overall catastrophic. The specialities we provide are currently non-existent,” he said.
“Honestly there is nothing we can provide. The health care system has collapsed. Israeli forces left us in terrible condition after they pulled out. We cannot even describe what we saw.”
Image: The systems at the hospital have collapsed, says its director
The IDF has now withdrawn.
It claims the hospital was being used as a Hamas base and has published video showing weapons found at the site, although workers insist there was no presence of Hamas there.
In a statement on Monday, it said it has helped facilitate the “relocation of 88 patients, caregivers and staff” in recent weeks.
It added that two fuel trucks with 30,000 litres of fuel had been allowed to enter the hospital compound.
Image: The IDF raided the hospital last week and says it found weapons inside
Outside, the never-ending buzz of Israeli drones continues in the skies overhead and a few people wander through the besieged wasteland.
Rescue workers say they haven’t been able to reach many areas and Gazans claim little or no aid has reached them. Israel is still preventing international journalists from entering Gaza.
Image: Ruined vehicles lie in the devastated streets around the hospital
What hasn’t been buried under the rubble has fled elsewhere – Israel has ordered everyone to leave.
Many have, but thousands are reportedly still there, either unable or unwilling to leave.
The cost of staying, the price of defiance, however, is the risk of death.
Israel had “no other choice” but to attack Iran because it was proceeding “dramatically” towards a nuclear bomb, Israeli President Isaac Herzog has claimed.
He also suggested the Israeli war cabinet was discussing Iran’s Supreme Leader, Ayatollah Ali Khamenei, amid reports that President Donald Trump vetoed a plan to kill him.
It comes as Israel and Iran continue to fire missiles at each other after Israel launched an unprecedented strike on Iran’s nuclear and military capabilities.
Tehran has long denied that its nuclear program has been attempting to obtain a nuclear weapon.
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0:58
Sky’s Yalda Hakim interrupted by air raid sirens
Mr Herzog was asked why Israel attacked Iran when it did.
“When you take such decisions of historic magnitude and proportions, you have to analyse all facets and all facts,” he replied.
“The truth of the matter is there was no other choice.”
Image: Isaac Herzog speaks to Yalda Hakim
He claimed Iran was proceeding “dramatically” towards the bomb, both in terms of the enrichment of uranium and, “clandestinely”, the armament part of the process.
“I’ve always been very crystal clear with regards to a nuclear capability of our enemies – it has to be removed at once.”
Mr Herzog added: “We have to remove the Iranian nuclear program because we see the negotiating process as being futile because they are lying whilst talking to us.
“They are lying whilst talking to the United States and other allies.”
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He also suggested the Israeli war cabinet was discussing Iran’s Supreme Leader Ayatollah Ali Khamenei, after reports Mr Trump vetoed an Israeli plan to kill him.
“Let’s just remember that the Supreme Leader of Iran has for years called for the annihilation of Israel.”
Iran’s response to Israeli attacks on its nuclear facilities is “self-defence” and a “matter of principle”, the Iranian ambassador to the UK has told Sky News.
Speaking exclusively to The World With Yalda Hakim, Seyed Ali Mousavi said the “barbaric Israeli regime” is “violating international law” – describing Israel’s actions in recent days as “an act of aggression against the Iranian people”.
The conflict between Israel and Iran – once played out in a series of proxy wars – has escalated in the past three days.
Image: Sky’s Yalda Hakim spoke to Iran’s ambassador to the UK, Seyed Ali Mousavi
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1:42
Israel-Iran: How the conflict escalated
On Friday morning, explosions hit Tehran as Israel carried out a major attack on its top army leaders, nuclear sites, and nuclear scientists.
Iran threatened “severe punishment” and quickly retaliated with a wave of missiles.
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0:18
Missile aftermath in Israel
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0:31
Israeli missile hits warehouse in Iranian city
When questioned about whether Iran could continue fighting Israel, the Iranian ambassador told Yalda Hakim that “it is a matter of principle”.
He said: “This is about self-defence, there is no doubt about it.
“We are a responsible member state of the UN and we do all activities according to our international obligations.
“Any activities are only in the framework of self-defence.”
Image: Damage from an Iranian missile attack to a building in Bat Yam, Israel. Pic: Reuters
Image: Explosions over Jerusalem on Sunday
He added that his country would “do our best to preserve our territorial integrity”, and that “with the help of God”, Iran will “materialise endeavours concretely against our enemy – the Israeli regime”.
Mr Mousavi also told Hakim that Iran’s nuclear activities are “monitored”, and that recent comments by the International Atomic Energy Agency (IAEA) were “politically motivated”.
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0:58
Missiles have also been seen over Tel Aviv
The UN nuclear watchdog’s board of governors found Iran was not complying with its nuclear obligations for the first time in 20 years.
Iran said it has “always adhered” to the safeguarding obligations laid down by the watchdog.
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15:10
Iranian ambassador reacts to strikes – full interview
Announcing Operation Rising Lion on Friday, Israeli Prime Minister Benjamin Netanyahu claimed Iran had recently taken steps to weaponise enriched uranium, which could be used to make nuclear weapons.
But Mr Mousavi stressed that Iran’s “peaceful activities” at its “nuclear fields” were only for the “generation of electricity, and other peaceful” things.
Iran was due to continue its round of negotiations with the US in Muscat – however, this was cancelled, given recent tensions.
The government is warning people not to travel to Israel under any circumstances, as the country’s missile exchange with Iran shows no sign of abating.
On Friday, the Foreign Office warned against “all but essential travel” to most of Israel.
The areas around Gaza, the West Bank and the Golan Heights were already classed as red zones, with warnings to avoid travel to these areas.
But the government has now updated the warning for the remainder of the country to red.
This puts Israel on the same level as Iran, and the change of advice is also likely to impact travel insurance.
However, with Israel’s airspace closed, it is unlikely many people will be attempting the journey, and Israel’s national airline El Al has announced it is cancelling flights to and from many European cities, as well as Tokyo and Moscow, until 23 June.
The change in travel advice comes after a second night of ballistic missile barrages from Iran following Israel’s attack in the early hours of Friday morning.
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1:43
An eight-storey residential building in Tel Aviv was hit by a missile last night.
On Sunday morning, Israel’s health ministry said 12 people had been killed over the past day, taking the total since Friday to 15. It also said 385 people had arrived at hospital with injuries overnight.
Iran has not provided a total number of deaths or overall casualties, but has claimed dozens have been killed.
Iran’s health minister has said most of those injured and killed in Israeli strikes were civilians. According to comments carried by news agency IRNA, he said the majority were women and children.
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18:00
The chancellor said UK forces could “potentially” be used to help defend Israel.
The UK government is sending military assets, including fighter jets, to the Middle East.
While the prime minister would not confirm to reporters that UK forces could be used to defend Israel from future Iranian attacks, the chancellor told Sky News earlier that the government is “not ruling anything out”.
Speaking to Sky’s Sunday Morning With Trevor Phillips, Rachel Reeves said sending military assets to the Middle East “does not mean that we are at war”, and emphasised that “we have not been involved in these strikes or this conflict”.
“But we do have important assets in the region,” she continued. “And it is right that we send jets to protect them. And that’s what we’ve done. It’s a precautionary move, and at the same time, we are urging de-escalation.”
Pushed on the question of what the UK would do if Israel asked for support with its operations, the chancellor replied: “I’m not going to rule anything out at this stage. It’s a fast-moving situation, a very volatile situation. But we don’t want to see escalation.”