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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.

Read more:
Gaza surgeon gives harrowing account of child amputation
Palestinians stream onto Gaza highway as Israeli forces strike near hospitals

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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Amsterdam: Police move in after pro-Palestinian protesters occupy university buildings

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Amsterdam: Police move in after pro-Palestinian protesters occupy university buildings

Police in Amsterdam have moved in to end a pro-Palestinian protest after demonstrators occupied university buildings.

Footage from the Dutch capital showed a line of police in riot gear holding back demonstrators, some of whom could be seen making peace signs with their hands while others held signs.

Students could be heard chanting: “We are peaceful, what are you?” and “shame on you” in local media footage.

Earlier, a protest group said it had occupied university buildings in Amsterdam as well as in the cities of Groningen and Eindhoven.

In a post on social media site X, Amsterdam police said the university had filed a report against the protesters for acts of vandalism.

Amsterdam protests
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Police officers and pro-Palestinian protesters in Amsterdam

A spokesperson for the University of Amsterdam said protesters had occupied what is known as the ABC building, causing some “destruction”.

It estimated that around a thousand students and employees had taken part in a “national walkout” during which they walked out of a lecture hall at 11 o’clock and gathered on the Roeterseiland campus.

Read more:
Tents at universities symbolise a fault line between students

The university said it had advised people not affiliated with the protest to leave the building.

Amsterdam

Students in the US and Europe have been holding mostly peaceful demonstrations calling for an immediate permanent ceasefire in Gaza and for schools to cut financial ties with companies they say are profiting from the oppression of Palestinians.

Dutch students have been protesting since last Monday and had previously clashed with police as they used railings and furniture to build barricades in the city.

While in the UK, students at Cambridge and Oxford have set up encampments outside King’s College the Pitt Rivers Museum respectively.

Pic: Ramon van Flymen/EPA-EFE/Shutterstock

UvA employees and students stage a walk-out in Amsterdam, Netherlands - 13 May 2024
Students and employees of the University of Amsterdam (UvA) hold a walk-out on the Roeterseiland campus, where the police previously broke up a student protest, in Amsterdam, The Netherlands, 13 May 2024.
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Pic: Ramon van Flymen/EPA-EFE/Shutterstock


Kendall Gardner, a Jewish student at Oxford University, told Sky News last week that she was “really inspired by the events that have been happening across the world”.

“The US started a global chain of student activism for Palestine,” she said.

“We have six demands for this protest – the top line is to demand closure of all university-wide financial assets that benefit Israel.

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Georgia: ‘We will not give up’ – protesters and police in tense standoff on streets of Tbilisi

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Georgia: 'We will not give up' - protesters and police in tense standoff on streets of Tbilisi

Tens of thousands of Georgians have taken to the streets in Tbilisi – protesting against a proposed law threatening press and civic freedoms.

The “foreign agents” bill has sparked a political crisis amid concerns it is modelled on laws used by Vladimir Putin to crack down on the media in Russia – and if passed, would make it harder for Georgia to join the EU.

Sky’s international affairs editor Dominic Waghorn is in Tbilisi:

Pic: Reuters
Image:
Pic: Reuters

The Georgian security forces moved in shortly after dawn this morning. Phalanxes of masked men sweeping through streets and parks outside parliament.

They kettled protesters with force. We were caught in the crush as they squeezed the crowd.

A woman screamed as she was pinned to a post by the press of people.

Crowds had ringed the parliament building all night – intent on stopping MPs from voting on laws that demonstrators believe put Georgia on the path to dictatorship, and back in the embrace of Moscow.

“They want to drag us back to autocracy, to the country they occupied us for too many years,” one protester told Sky News.

Pic: Reuters
Image:
Pic: Reuters

The police succeeded in clearing one entrance to parliament.

Flank after flank of interior ministry security forces backed by helmeted riot police and water cannon trucks are now in a tense standoff with a multi-coloured sea of protesters on the corner of the parliament building.

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Why are Georgians protesting over ‘Russian law’?

The blue and green colours of Ukraine and the European Union jostle with the reds and white of Georgia’s national colours.

The protesters have been peaceful, but the police have not. They have unleashed snatch squads barrelling into the crowd.

Thousands protest in Georgia against 'foreign agents' bill
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Demonstrators in Tbilisi

Sky News witnessed masked security forces seizing one man and raining blows on his unprotected head.

The protesters have failed in their effort to cut off parliament from MPs, but their numbers are swelling.

“We will not give up,” one woman told us.

“We cannot allow them to take our freedom.”

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The government was forced to shelve the law last year in the face of bitter opposition but the Georgian Dream ruling party, regarded by many as pro-Russian, is determined to see it passed.

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Russian defence minister and long-time Putin ally Sergei Shoigu to be replaced

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Russian defence minister and long-time Putin ally Sergei Shoigu to be replaced

Russia’s defence minister is set to be replaced, more than two years into the war in Ukraine.

Russian President Vladimir Putin has proposed replacing his long-time ally, Sergei Shoigu, with civilian and former deputy prime minister Andrei Belousov, who specialises in economics.

Mr Shoigu, who has served as defence minister since 2012, will take up a role as head of the national security council and have responsibilities for the military-industrial complex, the Kremlin said.

Ukraine war latest: Putin reshuffle points to ‘serious instability’

In his new role, Mr Shoigu will replace Nikolai Patrushev, whose new job will be announced soon, according to the Kremlin.

Mr Putin’s press secretary Dmitriy Peskov said the president decided the ministry of defence should be headed by a civilian to be “open to innovation and advanced ideas”.

The shuffle could also be seen as an attempt by Mr Putin to scrutinise defence spending after a Shoigu ally, deputy defence minister Timur Ivanov, was accused by state prosecutors of taking a bribe.

But the changes make sense, Mr Peskov claims, because Russia is approaching a situation like the Soviet Union in the mid-1980s, when the military and law enforcement authorities accounted for 7.4% of spending.

Andrei Belousov. Pic: Reuters
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Andrei Belousov. Pic: Reuters

Former MI6 intelligence officer, Christopher Steele, who ran the Russia desk between 2006 and 2009, told Sky News he takes Mr Peskov’s words “with a pinch of salt”.

“It seems to me that probably the reason he’s chosen Belousov is because he’s not really any kind of player in the system or any sort of threat to Putin,” he added.

He also said Mr Patrushev’s appointment may hint at instability “right underneath him in the top leadership”.

“It was clear to most of us Russia-watchers for some time that Patrushev was lining up his son, Dmitry, who’s the current agriculture minister, to be Putin’s successor as president,” he said.

“And there have been some indications that there’s been some serious instability at the top in Russia in recent months… so I think that this really is a very significant move by Putin.”

Sergei Shoigu. Pic: Reuters
Image:
Sergei Shoigu. Pic: Reuters

Commenting on Mr Shoigu’s removal, the UK’s defence minister Grant Shapps said he leaves with a “disastrous legacy”.

“Sergei Shoigu has overseen over 355,000 casualties among his own soldiers and mass civilian suffering with an illegal campaign in Ukraine,” he said.

“Russia needs a defence minister who would undo that disastrous legacy and end the invasion – but all they’ll get is another of Putin’s puppets.”

A huge surprise – but what do these changes mean for Putin?

This has come as a huge surprise. Not one, but two key figures in Russia’s military leadership structure sacked simultaneously.

It suggests there’s a lot more going on inside the Kremlin than meets the eye.

Shoigu is a very close Putin ally and has been for years. So why replace him?

Clearly Putin is unhappy with the direction of the war. This coincides with Russia’s attempt to open up a new front in the Kharkiv region of Ukraine. New directions and new leadership – Putin’s ringing the changes.

Shoigu’s successor speaks volumes. Andrei Belousov is an economist, a technocrat. He’s not an obvious choice to run the military, but this underlines where Putin’s concerns are right now – “how much longer can I afford the war?”.

Russia’s entire economy is geared towards the military right now. He wants to ensure it’s operating as efficiently as possible, so his war can continue.

Shoigu moves to the security council, where he’ll replace Patrushev. Technically it’s a more important role, but in reality it’s a demotion.

More importantly, by replacing Patrushev, it gives Putin more command over a powerful body within Russia’s leadership structure.

The security council was seen by some as a pseudo shadow cabinet. He’ll now have an ally in post, albeit a disgruntled one.

Finally, to me, this speaks to Putin’s confidence right now. The start of the new presidential term, he’s clearly emboldened. But it also screams instability.

Parliament’s approval of the new appointments are all but guaranteed, as there is virtually no opposition.

By law, the government in Russia had to resign just before Mr Putin was sworn in as president for another six-year term on Tuesday.

Read more:
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As Western weapons trickle through, Putin seizes chance to hit Kharkiv

Analysts have said he is looking to project an image of stability and satisfaction with his team’s progress, with Mikhail Mishustin remaining in post as prime minister on Friday.

As he continues to confirm his top team, Mr Putin has also proposed Sergei Lavrov remain as foreign minister.

Valery Gerasimov, the chief of Russia’s general staff, will remain in his position as well.

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