As a famous orthopaedic surgeon, Dr Adnan Al-Bursh spent much of his career fixing broken limbs and broken bodies at Gaza’s Al-Shifa Hospital.
One of the best-trained doctors in the enclave, a photo showing him covered in blood in Al-Shifa’s operating theatre went viral in 2018.
When war broke out last October, he worked around the clock. Pictures stored on his mobile phone show him standing in a hole, swinging a blunt-edged shovel as the hospital descended into crisis.
It had run out of fuel, food and basic pain relief and there was no more space to store dead bodies. Dressed in hospital scrubs, Dr Al-Bursh and his colleagues dug mass graves as the sound of explosions rang out behind the hospital’s walls.
Soon after the outbreak of the conflict, the surgeon, along with his wife Yasmin, realised that their world had changed forever.
“Adnan was needed every time there was a war,” she recalled. “So, I told him, ‘get ready, there will be lots of operations, they will need your help’. He went to hospital to receive the injured and stayed for 24 hours. He did not stop.”
Image: Dr Adnan Al-Bursh’s wife and children
Dr Al-Bursh spent his days in the operating room and slept in the staff room at night.
He also kept a diary of sorts with his mobile phone, documenting the increasingly desperate scenes unfolding around him.
“Despite the pain, we are steadfast,” he said as he filmed the scene in a crowded operating theatre.
Image: Dr Al-Bursh and others in the staff room
Israel said the foundations of Al-Shifa were laced with tunnels where Hamas operated a ‘command-and-control centre’, something Hamas denies.
As Israeli troops advanced towards the facility, Dr Al-Bursh captured the mood inside. Another video found on his mobile phone shows a colleague in the staffroom recalling a painful conversation with his wife.
“I remember that she only asked one thing of me, what do you think it was? That request was ‘just let me see you smile’.
“Smile. It’s the first thing I want to do after this war, if God saves us.”
Image: Tens of thousands of people had to evacuate the hospital
By mid-November, Al-Shifa was under siege by Israeli troops.
A week later, patients, staff and some 50,000 displaced residents sheltering in the compound were ordered to evacuate.
Dr Al-Bursh captured the scene of long columns of people walking towards southern Gaza.
But the surgeon did not follow them. Instead, he went northeast to another facility – the Indonesian Hospital – still operating in northern Gaza. What he found on his arrival horrified him.
“I was shocked by the size of the catastrophe here,” he said in a video. “There are injured people who have been waiting for their operations for more than ten days. [Their] wounds were severely infected.”
On 20 November 2023, the Indonesian Hospital was surrounded by Israeli tanks and later that evening, projectiles were fired into the second floor. At least 12 people were killed.
Dr Al-Bursh survived with minor scrapes but the front entrance of the facility was torn apart. “The destruction is everywhere,” he said in another video.
A spokesman for the IDF denied that Israeli forces were responsible.
By early December 2023, Dr Al-Bursh had moved to a small hospital, also in the north, called Al-Awda.
A series of pictures, posted on the hospital’s social media page, show him examining patients with fatigue etched on his face.
These are the last known images taken of the surgeon.
Image: These are the last known images taken of the surgeon at Al-Awda hospital
Image: The last images were released on hospital social media
The Israeli military surrounded the hospital on 5 December, and the staff were worried about what the soldiers would do.
Dr Al-Bursh worked at Al-Awda alongside a friend and colleague, Dr Mohammad Obeid.
Eventually, the hospital’s director told them that they would have to leave the building.
“[The director] told us that the [Israeli army] have full data of all males aged between 14 and 65 at Awda hospital,” Dr Obeid said, tearfully. “They told him that if all men do not come down… they will destroy the Awda Hospital with all the women and children in it.”
We put this allegation to the IDF but they did not respond.
The men filed out of the hospital and five, including Dr Al-Bursh, were taken away.
“A soldier came up to us and called out Dr Adnan’s name, who was sitting next to me… I felt he was in a very difficult situation. The occupation soldier took him and the treatment was very rough.”
Image: The Israeli military base, Sde Teiman, where Dr Al-Bursh was taken. Pic: Breaking the Silence
In a brief statement, the Israel Defence Forces (IDF) confirmed to Sky News that Dr Al-Bursh was detained by its personnel. On 19 December 2023, it says the surgeon was taken to an Israeli military base called Sde Teiman, which has been used for processing detainees since the early part of the war.
Allegations of physical, mental and sexual abuse are rife. A former camp inmate, Dr Khalid Hamouda, believes many of the prisoners at Sde Teiman were medical professionals.
“In the camp where I was, there were about 100 prisoners. I think at least a quarter of them were involved in healthcare. Some of them were doctors, nurses and technicians.”
Dr Hamouda was put to work by the guards at the base as their helper or ‘shawish’, and remembers being told to fetch Dr Al-Bursh at the gate. When he collected him, his fellow doctor said he had been badly beaten and felt pain all over his body.
“He thought he may have broken ribs,” Dr Hamouda said. “He was unable to even go to the toilet alone.”
Image: Israeli soldiers stand outside Ofer military prison near Jerusalem. Pic: AP
The IDF told Sky News that after Dr Al-Bursh was processed, he left Sde Teiman on 20 December and became the “responsibility” of the Israeli Prison Service.
In April, the surgeon was taken to an incarceration facility near Jerusalem called Ofer Prison.
He died shortly after his arrival. News of the surgeon’s death was announced in a statement from two Palestinian prisoner support associations at the beginning of May. The Israelis offered no explanation or cause of death.
Sky News has spoken to people who claim to have witnessed the moments before Dr Al-Bursh’s death.
A prisoner, who says he previously knew Dr Al-Bursh in Gaza, provided details in a deposition to lawyers from the Israeli human rights organisation HaMoked.
“In mid-April 2024, Dr Adnan Al-Bursh arrived at Section 23 in Ofer Prison. The prison guards brought Dr Adnan Al-Bursh into the section in a deplorable state. He had clearly been assaulted with injuries around his body. He was naked in the lower part of his body.
“The prison guards threw him in the middle of the yard and left him there. Dr Adnan Al-Bursh was unable to stand up. One of the prisoners helped him and accompanied him to one of the rooms. A few minutes later, prisoners were heard screaming from the room they went into, declaring Dr Adnan Al-Bursh (was dead).”
Image: Dr Al-Bursh treating a young patient earlier in the war
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While some people might suggest that Dr Adnan Al-Bursh was a terrorist, Daqqa said: “If you want to formally answer this question, he was not charged until now. And many of these detainees are not charged from Gaza.”
In a statement to Sky News, a spokesman for the Israel Prison Service said: “IPS is a law enforcement organisation that operates according to the provisions of the law and under the supervision of the state comptroller and many other official critiques.
“All prisoners are detained according to the law. All basic rights required are fully applied by professionally trained prison guards.
“We are not aware of the claims you described and as far as we know, no such events have occurred under IPS responsibility. Nonetheless, prisoners and detainees have the right to file a complaint that will be fully examined and addressed by official authorities.”
Image: Dr Al-Bursh’s family paid tribute to him
Sky News was told by colleagues and Dr Al-Bursh’s wife Yasmin that he was in good physical condition before his arrest.
“He was the light of my life and I lost him,” Yasmin said.
Dr Al-Bursh was prepared to risk his life to save others. This story is one of a countless number, now buried under the immovable weight of Gaza’s recent past.
But Dr Al-Bursh lived and lost his life in a manner that demands acknowledgement, his friends and family members say.
Image: An Israeli attack in Tehran, Iran, ahead of the ceasefire. Pic: Majid Asgaripour/WANA via Reuters
Without such preparations, and sometimes even with them, ceasefires will tend to be breached – perhaps by accident, perhaps because one side does not exercise full control over its own forces, perhaps as a result of false alarms, or even because a third party – a guerrilla group or a militia, say – choose that moment to launch an attack of their own.
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1:23
Timeline of Israel-Iran conflict so far
The important question is whether a ceasefire breach is just random and unfortunate, or else deliberate and systemic – where someone is actively trying to break it.
Either way, ceasefires have to be politically reinforced all the time if they are to hold.
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0:45
Furious Trump lashes out at Israel and Iran
All sides may need to rededicate themselves to it at regular intervals, mainly because, as genuine enemies, they won’t trust each other and will remain naturally suspicious at every twitch and utterance from the other side.
This is where an external power like the United States plays a critical part.
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If enemies like Israel and Iran naturally distrust each other and need little incentive to “hit back” in some way at every provocation, it will take US pressure to make them abide by a ceasefire that may be breaking down.
Appeals to good nature are hardly relevant in this respect. An external arbiter has to make the continuance of a ceasefire a matter of hard national interest to both sides.
And that often requires as much bullying as persuasion. It may be true that “blessed are the peacemakers”.
Volodymyr Zelenskyy has given a wide-ranging interview to Sky News in which he was asked about the prospect of Russia attacking NATO, whether he would cede land as part of a peace deal and how to force Vladimir Putin to the negotiating table.
“We believe that, starting from 2030, Putin can have significantly greater capabilities,” he said. “Today, Ukraine is holding him up, he has no time to drill the army.”
But while Mr Zelenskyy conceded his ambition to join NATO “isn’t possible now”, he asserted long term “NATO needs Ukrainians”.
US support ‘may be reduced’
Asked about his views on the Israel-Iran conflict, and the impact of a wider Middle East war on Ukraine, Mr Zelenskyy accepted the “political focus is changing”.
“This means that aid from partners, above all from the United States, may be reduced,” he said.
“He [Putin] will increase strikes against us to use this opportunity, to use the fact that America’s focus is changing over to the Middle East.”
On the subject of Mr Putin’s close relationship with Iran, which has supplied Russia with attack drones, Mr Zelenskyy said: “The Russians will feel the advantage on the battlefield and it will be difficult for us.”
Image: Ukraine’s president Volodymyr Zelenskyy speaking to Mark Austin
Trump and Putin ‘will never be friends’
Mr Zelenskyy was sceptical about Mr Putin’s relationship with Donald Trump.
“I truly don’t know what relationship Trump has with Putin… but I am confident that President Trump understands that Ukrainians are allies to America, and the real existential enemy of America is Russia.
“They may be short-term partners, but they will never be friends.”
On his relationship with Mr Trump, Mr Zelenskyy was asked about whether he felt bullied by the US president during their spat in the Oval Office.
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“I believe I conducted myself honestly. I really wanted America to be a strong partner… and to be honest, I was counting on that,” he said.
In a sign of potential frustration, the Ukrainian president added: “Indeed, there were things that don’t bring us closer to ending the war. There were some media… standing around us… talking about some small things like my suit. It’s not the main thing.”
Mr Zelenskyy was clear he supported both a ceasefire and peace talks, adding that he would enter negotiations to understand “if real compromises are possible and if there is a real way to end the war”.
But he avoided directly saying whether he would be willing to surrender four annexed regions of Ukraine, as part of any peace deal.
“I don’t believe that he [Putin] is interested in these four regions. He wants to occupy Ukraine. Putin wants more,” he said.
“Putin is counting on a slow occupation of Ukraine, the reduction in European support and America standing back from this war completely… plus the removal of sanctions.
“But I think the strategy should be as follows: Pressure on Putin with political sanctions, with long-range weapons… to force him to the negotiating table.”
Russia ‘using UK tech for missiles’
On Monday, Mr Zelenskyy met Sir Keir Starmer and agreed to share battlefield technology, boosting Ukraine’s drone production, which Mr Zelenskyy described as a “strong step forward”.
But he also spoke about the failure to limit Russia’s access to crucial technology being used in military hardware.
He said “components for missiles and drones” from countries “including the UK” were being used by Russian companies who were not subject to sanctions.
“It is vitally important for us, and we’re handing these lists [of Russian companies] over to our partners and asking them to apply sanctions. Otherwise, the Russians will have missiles,” he added.
At least 25 people have been killed after Israeli forces opened fire towards people waiting for aid trucks in Gaza, according to witnesses and hospitals.
The Awda hospital in the Nuseirat refugee camp, which received the victims, said the Palestinians were waiting for the trucks on a road south of Wadi Gaza.
Witnesses told the Associated Press (AP) news agency Israeli forces opened fire as people were advancing to be close to the approaching trucks.
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2:46
Israeli ambassador challenged on Gaza deaths
The Awda hospital said another 146 Palestinians were wounded. Among them were 62 in a critical condition, who were transferred to other hospitals in central Gaza, it added.
In the central town of Deir al-Balah, the Al Aqsa Martyrs hospital said it received the bodies of six people who were killed in the same incident.
“It was a massacre,” one witness, Ahmed Halawa, said.
He said tanks and drones fired at people, “even as we were fleeing – many people were either martyred or wounded”.
Another witness, Hossam Abu Shahada, said drones were flying over the area, watching the crowds. Then there was gunfire from tanks and drones, leaving a “chaotic and bloody” scene as people attempted to escape.
He said he saw at least three people lying on the ground motionless and many others wounded as he fled.
The Israeli military did not immediately comment on the reports.
Philippe Lazzarini, the head of the UN’s Palestinian refugee agency, described the aid delivery mechanism in Gaza as “an abomination that humiliates and degrades desperate people”.
He added: “It is a death trap, costing more lives than it saves.”
A spokesperson for the UN’s Human Rights Office said: “The weaponisation of food for civilians, in addition to restricting or preventing their access to life-sustaining services, constitutes a war crime and, under certain circumstances, may constitute elements of other crimes under international law.”
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Around 56,000 Palestinians have been killed during the Israel-Hamas war in Gaza, according to the territory’s Hamas-run health ministry. The ministry says more than half of the dead were women and children, but does not distinguish between civilians and militants in its count.
The war began after Hamas attacked Israel on 7 October 2023, when militants stormed across the border and killed around 1,200 people, mostly civilians, and took another 251 hostages. Most of the hostages have been released in ceasefire agreements.