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.
Israel has begun a pause in fighting in three areas of Gaza to address the worsening humanitarian situation.
The IDF said it would halt fighting in three areas, Muwasi, Deir al-Balah and Gaza City, from 10am to 8pm local time until further notice, beginning today.
In a statement, the IDF said it would also establish secure routes to help the UN and aid agencies deliver food and other supplies.
Image: Palestinians carry aid supplies. Pic: Reuters
Israel’s announcement of what it calls a “tactical pause” in fighting comes after it resumed airdrops of aid into Gaza.
While the IDF reiterated claims there is “no starvation” in Gaza, it said the airdrops would include “seven pallets of aid containing flour, sugar and canned food to be provided by international organisations”.
Reports suggest aid has already been dropped into Gaza, with some injured after fighting broke out.
He told Sky News: “This month, up to now, 1,000 children or 1,000 people have died of starvation. I’m really not interested in what either of these sides are saying.”
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On Saturday, reports referencing US government data said there was no evidence Hamashad stolen aid from UN agencies.
The IDF’s international spokesperson, Lieutenant Colonel Nadav Shoshani, described such reports as “fake news” and said Hamas thefts have been “well documented”.
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3:49
Malnourished girl: ‘The war changed me’
Airdrops ‘expensive and inefficient’
It comes as the Hamas-run health ministry in Gaza said as of Saturday, 127 people have died from malnutrition-related causes, including 85 children.
They include a five-month-old girl who weighed less than when she was born, with a doctor at Nasser Hospital describing it as a case of “severe, severe starvation”.
Health workers have also been weakened by hunger, with some putting themselves on IV drips so they can keep treating badly malnourished patients.
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2:10
Aid waiting to be distributed in Gaza
On Friday, Israel said it would allow foreign countries to airdrop aid into Gaza – but the UN Relief and Works Agency (UNRWA) has warned this will not reverse “deepening starvation”.
UNRWA head Philippe Lazzarini described the method as “expensive” and “inefficient”, adding: “It is a distraction and screensmoke. A manmade hunger can only be addressed by political will.
“Lift the siege, open the gates and guarantee safe movements and dignified access to people in need.”
UNRWA has the equivalent of 6,000 trucks in Jordan and Egypt waiting for permission to enter Gaza, he added.
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1:17
PM says UK will help drop aid to Gaza
MSF, also known as Doctors Without Borders, warned on Friday that 25% of young children and pregnant women in Gaza are now malnourished, and said the lack of food and water on the ground was “unconscionable”.
The UN also estimates Israeli forces have killed more than 1,000 people seeking food, the majority near the militarised distribution sites of the US-backed aid distribution scheme run by the Gaza Humanitarian Foundation.
In a statement on Friday, the IDF had said it “categorically rejects the claims of intentional harm to civilians”, and reports of incidents at aid distribution sites were “under examination”.
The Gaza Humanitarian Foundation (GHF) has also previously disputed these deaths were connected with its organisation’s operations, with director Johnnie Moore telling Sky News: “We just want to feed Gazans. That’s the only thing that we want to do.”
Bob Geldof has accused the Israeli authorities of “lying” about starvation in Gaza – after Israel’s government spokesperson claimed there was “no famine caused by Israel”.
Earlier this week, David Mencer claimed that Hamas “starves its own people” while on The News Hour with Mark Austin, denying that Israel was responsible for mass hunger in Gaza.
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11:30
Israel challenged on starvation in Gaza
Sir Trevor asked the Live Aid organiser: “The Israeli view is that there is no famine caused by Israel, there’s a manmade shortage, but it’s been engineered by Hamas.
“I guess the Israelis would say we don’t see much criticism from your side of Hamas.”
In response, Geldof said “that’s a false equivalence” and “the Israeli authorities are lying”.
The singer then added: “They’re lying. [Benjamin] Netanyahu lies, is a liar. The IDF are lying. They’re dangling food in front of starving, panicked, exhausted mothers.
“And while they arrive to accept the tiny amount of food that this sort of set up pantomime outfit, the Gaza Humanitarian Front, I would call it, as they dangle it, then they’re shot wantonly.
“This month, up to now, 1,000 children or 1,000 people have died of starvation. I’m really not interested in what either of these sides are saying.”
He added: “If the newsfeeds and social feeds weren’t so censored in Israel, I imagine that the Israeli people would not permit what has been done in their name.”
Asked about the UK government’s reaction, Geldof said it was “not enough”.
“This is a distraction thing about ‘let’s recognise the state ‘ – absolutely, it should have been done ages ago, but it’s not going to make any material difference,” he said, referring to calls for Sir Keir Starmer to recognise Palestine as a state.
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7:41
Gaza: ‘This is man-made starvation’
In the Sky News interview earlier this week, Mr Mencer added: “This suffering exists because Hamas made it so. Here are the facts. Aid is flowing, through the Gaza Humanitarian Foundation. Millions of meals are being delivered directly to civilians.”
He also claimed that, since May, more than 4,400 aid trucks had entered Gaza carrying supplies.
It comes after MSF, also known as Doctors Without Borders, warned 25% of young children and pregnant women in Gaza are now malnourished.
The charity said Israel’s “deliberate use of starvation as a weapon” has reached unprecedented levels, and said that at one of its clinics in Gaza City, rates of severe malnutrition in children under five have trebled over the past two weeks.
MSF then described the lack of food and water on the ground “unconscionable”.
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2:10
Aid waiting to be distributed in Gaza
In a statement to Sky News, an Israeli security official said that “despite the false claims that are being spread, the State of Israel does not limit the number of humanitarian aid trucks entering the Gaza Strip”.
It then blamed other groups for issues delivering aid. They said: “Over the past month, we have witnessed a significant decline in the collection of aid from the crossings into the Gaza Strip by international aid organisations.
“The delays in collection by the UN and international organisations harm the situation and the food security of Gaza’s residents.”
The IDF also told Sky News: “The IDF allows the American civilian organisation (GHF) to distribute aid to Gaza residents independently, and operates in proximity to the new distribution zones to enable the distribution alongside the continuation of IDF operational activities in the Gaza Strip.
“Following incidents in which harm to civilians who arrived at distribution facilities was reported, thorough examinations were conducted in the Southern Command and instructions were issued to forces in the field following lessons learned.
“The aforementioned incidents are under review by the competent authorities in the IDF.”
Yehuda searches through a downstairs room looking for a plastic bag containing the most precious of objects.
It’s a small, blackened Rubik’s Cube that belongs to Yehuda’s son Nimrod – one of 20 living Israeli hostages still being held by the terrorist group Hamas in Gaza.
“He likes PlayStation and Rubik’s Cube,” says Nimrod’s mother, Vicky.
“They found the Rubik’s Cube in the tank. It was complete but a little bit dark and they brought it back to us.”
Image: Vicky Cohen
We spoke to Nimrod’s parents Yehuda and Vicky about the emotional rollercoaster hostage families in Israel are going through – as hope rises and fades of a ceasefire agreement with Hamas.
“I still have hope that maybe I will see Nimrod again,” says Vicky.
“It almost breaks my heart because I still had expectation,” she says – in spite of the latest failure to find resolution in talks between Israel and Hamas in Doha.
“But I still have hope that maybe something good will happen,” she says.
“We heard our prime minister [Benjamin Netanyahu] say visiting Washington and meeting Trump was very successful – and heard members of the coalition talking about our prime minister eventually understanding he needs to end the war. But until now nothing.”
The delegation coming back to Israel doesn’t mean a total collapse of ceasefire talks, but US envoy Steve Witkoff said the response to the latest ceasefire proposals by Hamas showed “a lack of desire”.
And so the rollercoaster of emotion for the hostage families continues.
Nimrod’s father Yehuda Cohen said: “Of course it’s a disappointment but it’s not the first one. A long time ago I learned not to get my expectations up so the disappointment won’t be too deep.
“The solution is very simple – I’ve got it on my shirt – ceasefire and hostage deal. Meaning the only way to get all the hostages is ending the war.”
Image: Nimrod’s father Yehuda
Yehuda shows us Nimrod’s bedroom at the family home. It’s exactly as it was when Nimrod left to return to his army duties a few days before the October 7 attacks.
Except in a corner, there’s a box of uniforms and personal possessions, including a wallet which Nimrod had left at his army outpost – all returned to the family by the IDF.
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Image: The IDF handed Nimrod’s parents a box of his possessions left at his army outpost
It’s just like the bedroom of any other teenager – Nimrod was 19 when he was kidnapped. But two birthdays have passed since then. Nimrod is 21 now – a milestone spent in captivity a few weeks ago.
It’s believed there are 20 living Israeli hostages in Gaza – all male – and that Hamas is holding the bodies of 27 more hostages who have been killed.
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3:10
Starvation in Gaza continues
But even if a deal is agreed, the first phase is expected to secure the release of only half of the living hostages – and Nimrod’s parents say their son, as a soldier, is not likely to be one of the 10.
Yehuda says: “A partial deal means that the probability my son will be on that list is close to zero. So he’s going to be one of the last ones to be released, and that’s why we have to fight.”