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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.”

SPARKS GAZA FEATURE - DR AB - Wife and kids
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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.

SPARKS GAZA FEATURE - DR AB - Staff room
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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.”

SPARKS GAZA FEATURE - DR AB - Evacuation
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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.

SPARKS GAZA FEATURE - DR AB - Last pic
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These are the last known images taken of the surgeon at Al-Awda hospital

SPARKS GAZA FEATURE - DR AB - Last pic 1
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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.”

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SPARKS GAZA FEATURE - DR AB - SDE TEIMAN
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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.”

Israeli soldiers stand outside Ofer military prison near Jerusalem on Friday, Nov. 24, 2023. Friday marks the start of a four-day cease-fire in the Israel-Hamas war, during which the Gaza militants pledged to release 50 hostages in exchange for 150 Palestinians imprisoned by Israel. (AP Photo/Mahmoud Illean)
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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).”

SPARKS GAZA FEATURE - DR AB
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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.”

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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.

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At least 11 killed in Israeli strikes on central Beirut, Lebanese authorities say

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At least 11 killed in Israeli strikes on central Beirut, Lebanese authorities say

At least 11 people have been killed and 63 injured in an Israeli strike on central Beirut, Lebanese authorities have said.

Lebanon‘s health ministry said the death toll could rise as emergency workers dug through the rubble looking for survivors. DNA tests are being used to identify the victims, the ministry added.

State-run National News Agency (NNA) said the attack “completely destroyed” an eight-storey residential building in the Basta neighbourhood early on Saturday.

Footage broadcast by Lebanon’s Al Jadeed station also showed at least one destroyed building and several others badly damaged around it.

The central Basta neighbourhood in Beirut, where four people were killed in an Israeli airstrike
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The central Basta neighbourhood in Beirut, where four people were killed in an Israeli airstrike

Map of Lebanon and Israel

The Israeli military did not warn residents to evacuate before the attack – the fourth targeting the centre this week.

At least four bombs were dropped in the attack, security sources told Reuters news agency.

The blasts happened at about 4am (2am UK time).

A seperate drone strike in the southern port cuty of Tyre this morning killed one person and injured another, according to the NNA.

The blasts came after a day of bombardment of Beirut’s southern suburbs and Tyre. The Israeli military had issued evacuation notices prior to those strikes.

Pic: AP
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Pic: AP

Israel has killed several Hezbollah leaders in air strikes on the capital’s southern suburbs.

Heavy fighting between Israel and Hezbollah is ongoing in southern Lebanon, as Israeli forces push deeper into the country since launching a major offensive in September.

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US envoy Amos Hochstein was in the region this week to try to end more than 13 months of fighting between Israel and Hezbollah, ignited last October by the war in Gaza.

Mr Hochstein indicated progress had been made after meetings in Beirut on Tuesday and Wednesday, before going to meet Israeli Prime Minister Benjamin Netanyahu and defence minister Israel Katz.

According to the Lebanese health ministry, Israel has killed more than 3,500 people in Lebanon and wounded more than 15,000.

It has displaced about 1.2 million people – a quarter of Lebanon’s population – while Israel says about 90 soldiers and nearly 50 civilians have been killed in northern Israel.

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Vladimir Putin vows to increase production of Russia’s ‘unstoppable’ missile – as NATO and Ukraine to hold talks

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Vladimir Putin vows to increase production of Russia's 'unstoppable' missile - as NATO and Ukraine to hold talks

President Vladimir Putin has said Russia will ramp up the production of a new, hypersonic ballistic missile.

In a nationally-televised speech, Mr Putin said the intermediate-range Oreshnik missile was used in an attack on Ukrainian city Dnipro in retaliation for Ukraine’s use of US and British missiles capable of striking deeper into Russian territory.

Referring to the Oreshnik, the Russian president said: “No one in the world has such weapons.

“Sooner or later other leading countries will also get them. We are aware that they are under development.”

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Putin’s warning to the West

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He added: “We have this system now. And this is important.”

Detailing the missile’s alleged capabilities, Mr Putin claimed it is so powerful that using several fitted with conventional warheads in one attack could be as devastating as a strike with nuclear weapons.

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General Sergei Karakayev, head of Russia’s strategic missile forces, said the Oreshnik could reach targets across Europe and be fitted with either nuclear or conventional warheads – while Mr Putin alleged Western air defence systems will not be able to stop the missiles.

Mr Putin said of the Oreshnik: “There is no countermeasure to such a missile, no means of intercepting it, in the world today. And I will emphasise once again that we will continue testing this newest system. It is necessary to establish serial production.”

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Testing the Oreshnik will happen “in combat, depending on the situation and the character of security threats created for Russia“, the president added, stating there is “a stockpile of such systems ready for use”.

NATO and Ukraine are expected to hold emergency talks on Tuesday.

Meanwhile Ukraine’s parliament cancelled a session as security was tightened following the strike on Dnipro, a central city with a population of around one million. No fatalities were reported.

EU leaders condemn Russia’s ‘heinous attacks’

Numerous EU leaders have addressed Russia’s escalation of the conflict with Poland’s Prime Minister Donald Tusk saying the war is “entering a decisive phase [and] taking on very dramatic dimensions”.

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Russia’s new missile – what does it mean?

Speaking in Kyiv, Czech foreign minister Jan Lipavsky called Moscow’s strike an “escalatory step and an attempt of the Russian dictator to scare the population of Ukraine and to scare the population of Europe”.

At a news conference, Mr Lipavsky gave his full support for delivering the additional air defence systems needed to protect Ukrainian civilians from the “heinous attacks”.

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Absence of defensive shield should ring very loud alarm bells as UK faces Russian threats

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Absence of defensive shield should ring very loud alarm bells as UK faces Russian threats

Facing the threat of an attack from Russia, Sir Keir Starmer has finally revealed he will “set out the path” to raise defence spending to 2.5% of national income in the spring.

But merely offering a timeframe to reveal an even-further-off-in-the-future date for when expenditure will increase to a level most analysts agree is still woefully short of what is required is hardly the most convincing display of deterrence and overwhelming strength.

What the prime minister should perhaps instead be doing is making very clear to Vladimir Putin – with new NATO-wide military exercises and the immediate hardening of UK defences – that his government is prepared for any Russian strike and the devastating cost to Moscow would be so astronomical as to make even the thought of hitting a UK target utter madness.

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Russia’s missiles ‘ready to be used’

A failure to relay back to the Kremlin a genuinely resilient and tough message, raises the risk that the Russian president will increasingly regard Britain as vulnerable – despite the UK being a nuclear power and a member of the NATO alliance.

It should come as a surprise to no one that Mr Putin has ramped up the rhetoric against Britain and the United States in the wake of both countries allowing Ukraine to fire their missiles inside Russia in the past few days.

In a series of blunt messages, he first lowered the threshold for the use of nuclear weapons, then fired what he has described as a new kind of intermediate-range, “unstoppable” missile and finally warned that he has lots more of them, signalling that British and American military sites could be targets.

The warning clearly means UK military bases and warships, at home and overseas, are at higher risk.

More on Keir Starmer

Yet there is little evidence that anything is being done to ramp up protection around them or signal publicly back to Russia in a meaningful way that such a move would not be wise.

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Sky News military analyst Sean Bell explains in more detail how ballistic missiles are used in conflict

Read more from Sky News:
What are storm shadow missiles?
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Asked whether any changes have been made to put the UK military on a higher state of alert, a Ministry of Defence spokesperson said: “There has been no recent change to our general security posture across our bases in the UK or overseas.

“We constantly monitor the threats we face and our armed forces remain ready to protect the UK’s interests at home and abroad.”

There is also the inescapable – and well-known – fact that the UK lacks the ability to defend itself from large-scale missile attacks after decades of defence cuts.

It is a problem for all European NATO countries, but as Britain is the one that is being directly threatened by Moscow, then this absence of any kind of defensive shield should really be ringing very loud alarm bells.

The Russian leader has put his country on a war footing in the wake of his full-scale invasion of Ukraine.

Defence spending in Russia is set to rise by a quarter next year to 6.3% of GDP – the highest level since the Cold War.

UK military chiefs and the defence minister point to the cost to Russia – in terms of the number of soldiers killed and injured in Ukraine and the burden of the war on the economy – as a sign that the Kremlin is struggling.

But that is surely only regarding the data through a peacetime lens, rather than reflecting on the fact that Russia appears willing and able to absorb the cost and still keep fighting.

Unless the UK and its NATO allies wake up to the need to put their countries on some kind of war footing too, then their ability to counter Russian aggression and deter threats may be lost.

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