Hamas released a statement after the blast calling it a “crime of genocide” as it blamed it on Israel.
The militant group said: “The horrific massacre carried out by the Zionist occupation in the Gaza City’s al Ahli hospital which left hundreds of casualties, most of them displaced families, patients, children and women, is a crime of genocide that once again reveals the ugly face of this criminal enemy and its fascist and terrorist government.”
What has Israel said?
Israel has denied it was responsible for the blast, claiming the Palestinian Islamic Jihad (PIJ) militant group hit it with a misfired rocket launched from Gaza at 6.59pm local time.
Overnight, the IDF posted a video allegedly showing a rocket failing and falling on to Gaza at the same time the al Ahli hospital was hit.
In a news conference on Wednesday morning, IDF spokesperson Rear Admiral Daniel Hagari said the army determined there were no air force, ground or naval attacks in the area at the time of the blast.
He also said there was no direct hit on the hospital. Instead, he said, a PIJ rocket hit the car park and ignited vehicles.
Israel claimed the craters caused by Israeli munitions were not present at the hospital and released images it said backs this up.
Videos and stills of the damage geolocated by Sky News match the location shared by the IDF.
Sky News has been unable to verify the claims the damage does not match the craters an Israeli missile would have caused.
Audio released by Israel purportedly shows two Hamas militants discussing the incident and saying the missile belongs to the PIJ and was fired from a cemetery behind the hospital.
Sky News cannot independently verify this audio from Israel.
Image: Radar image Israel claims shows the paths of PIJ rockets passing over the hospital at the time of the explosion. Pic: Israel Defence Forces
The PIJ, a smaller militant group in the Gaza Strip, said it had no involvement in the blast and that Israel was responsible.
Strike ‘probably’ an accident from within Gaza – analyst
Defence analyst Michael Clarke told Sky News the balance of probability points to Israeli claims being true – that the PIJ misfired a rocket.
When pressed, he put the probability at 60-70%.
The Iron Dome system allows Israel to track rockets headed toward Israel, which makes IDF’s assertion that it knows missiles were fired from behind the hospital “plausible”.
The keys to certainty are whatever missile fragments remain on hospital grounds, he said. These can provide 95% certainty as to where the missile came from – but they are under Hamas’s control, he said.
“I would expect Hamas to produce some sort of Israeli missile at some point derived from somewhere and say ‘this is the missile that hit the hospital’, and that may or may not be true.”
US independent assessment finds PIJ likely caused blast
The US has an independent assessment that it was a PIJ rocket that misfired and hit the hospital, two senior officials have told our US partner network NBC News.
This would match what Israel has said caused the blast.
The assessment was based on “analysis of overhead imagery, intercepts and open source information”, White House National Security Council spokesperson Adrienne Watson told NBC News.
Please use Chrome browser for a more accessible video player
0:26
Moment Gaza hospital explodes
Can rockets misfire?
Middle East correspondent Alistair Bunkallsaid, without making a judgement on the hospital strike, that rockets launched by Hamas and the Palestinian Islamic Jihad have been known to “misfire and they do land short”.
Do militant groups have rockets that can cause this damage?
Bunkall went on: “People are pointing out that when Hamas or Islamic Jihad rockets hit parts of southern Israel, they never really make the sort of damage that we saw at the hospital last night.”
The IDF spokesman, Rear Admiral Daniel Hagari, was asked about this during Wednesday morning’s news conference – and said the scale of the destruction was caused by a misfired rocket from PIJ landing in a car park, and cars subsequently exploding.
Ibrahim al Naqa, a doctor at the hospital, told Reuters: “This place created a safe haven for women and children, those who escaped the Israeli bombing.”
The IDF has admitted to mistakenly identifying a convoy of aid workers as a threat – following the emergence of a video which proved their ambulances were clearly marked when Israeli troops opened fire on them.
The bodies of 15 aid workers – including eight medics working for the Palestine Red Crescent Society (PRCS) – were found in a “mass grave” after the incident, according to the head of the UN Office for Coordination of Humanitarian Affairs Jonathan Whittall.
The Israeli military originally claimed an investigation found the vehicles did not have any headlights or emergency signals and were therefore targeted as they looked “suspicious”.
But video footage obtained by the PRCS, and verified by Sky News, showed the ambulances and a fire vehicle clearly marked with flashing red lights.
In a briefing from the IDF, they said the ambulances arrived in the Tel Sultan neighbourhood in Rafah shortly after a Hamas police vehicle drove through.
Image: Palestinians mourning the medics after their bodies were recovered. Pic: Reuters
An IDF surveillance aircraft was watching the movement of the ambulances and notified troops on the ground. The IDF said it will not be releasing that footage.
When the ambulances arrived, the soldiers opened fire, thinking the medics were a threat, according to the IDF.
The soldiers were surprised by the convoy stopping on the road and several people getting out quickly and running, the IDF claimed, adding the soldiers were unaware the suspects were in fact unarmed medics.
An Israeli military official would not say how far away troops were when they fired on the vehicles.
The IDF acknowledged that its statement claiming that the ambulances had their lights off was incorrect, and was based on the testimony from the soldiers in the incident.
The newly emerged video footage showed that the ambulances were clearly identifiable and had their lights on, the IDF said.
The IDF added that there will be a re-investigation to look into this discrepancy.
Image: The clip is filmed through a vehicle windscreen – with three red light vehicles visible in front
Addressing the fact the aid workers’ bodies were buried in a mass grave, the IDF said in its briefing this is an approved and regular practice to prevent wild dogs and other animals from eating the corpses.
The IDF could not explain why the ambulances were also buried.
The IDF said six of the 15 people killed were linked to Hamas, but revealed no detail to support the claim.
Please use Chrome browser for a more accessible video player
1:22
Bodies of aid workers found in Gaza
The newly emerged footage of the incident was discovered on a phone belonging to one of the workers who was killed, PRCS president Dr Younis Al Khatib said.
“His phone was found with his body and he recorded the whole event,” he said. “His last words before being shot, ‘Forgive me, mom. I just wanted to help people. I wanted to save lives’.”
Sky News used an aftermath video and satellite imagery to verify the location and timing of the newly emerged footage of the incident.
Please use Chrome browser for a more accessible video player
2:43
Aid worker attacks increasing
It was filmed on 23 March north of Rafah and shows a convoy of marked ambulances and a fire-fighting vehicle travelling south along a road towards the city centre. All the vehicles visible in the convoy have their flashing lights on.
The footage was filmed early in the morning, with a satellite image seen by Sky News taken at 9.48am local time on the same day showing a group of vehicles bunched together off the road.
Ukrainian President Volodymyr Zelenskyy has hit out at the US over its “weak” response to lethal Russian attacks on his hometown on Friday.
President Zelenskyy posted a lengthy and emotional statement on X about Russia’s strikes on Kryvyi Rih, which killed 19 people.
Meanwhile Ukrainian drones hit an explosives factory in Russia’s Samara region in an overnight strike, a member of Ukraine’s SBU security service told Reuters.
In his post, President Zelenskyy accused the United States of being “afraid” to name-check Russia in its comment on the attack.
“Unfortunately, the reaction of the American Embassy is unpleasantly surprising: such a strong country, such a strong people – and such a weak reaction,” he wrote on X.
“They are even afraid to say the word “Russian” when talking about the missile that killed children.”
America’s ambassador to Ukraine Bridget Brink had written on X: “Horrified that tonight a ballistic missile struck near a playground and restaurant in Kryvyi Rih.
“More than 50 people injured and 16 killed, including 6 children. This is why the war must end.”
Please use Chrome browser for a more accessible video player
5:49
Strike on Zelenskyy’s home city
President Zelenskyy went on in his post to say: “Yes, the war must end. But in order to end it, we must not be afraid to call a spade a spade.
“We must not be afraid to put pressure on the only one who continues this war and ignores all the world’s proposals to end it. We must put pressure on Russia, which chooses to kill children instead of a ceasefire.”
Grandmother ‘burned to death in her home’
Oleksandr Vilkul, head of the city’s defense council, said the missile attack, followed by a drone attack, had killed 19 people, including nine children.
“The Iskander-M missile strike with cluster munitions at the children’s playground in the residential area, to make the shrapnel fly further apart, killed 18 people.
“One grandmother was burnt to death in her house after Shahed’s direct hit.”
Russia’s defence ministry said it had struck a military gathering in a restaurant – an assertion rebutted by the Ukrainian military as misinformation.
“The missile hit right on the street – around ordinary houses, a playground, shops, a restaurant,” President Zelenskyy wrote.
Mr Zelenskyy also detailed the child victims of the attack including “Konstantin, who will be 16 forever” and “Arina, who will also be 7 forever”.
The UK’s chief of the defence staff Sir Tony Radakin said he had met the Ukrainian leader on Friday, along with French armed forces leader General Thierry Burkhard.
“Britain and France are coming together & Europe is stepping up in a way that is real & substantial, with 200 planners from 30 nations working to strengthen Ukraine’s long term security,” Sir Tony wrote.
Global financial markets gave a clear vote of no-confidence in President Trump’s economic policy.
The damage it will do is obvious: costs for companies will rise, hitting their earnings.
The consequences will ripple throughout the global economy, with economists now raising their expectations for a recession, not only in the US, but across the world.