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One-third of hospitals in Gaza and nearly two-thirds of primary health care clinics have had to shut due to damage or lack of fuel, the United Nations (UN) has said.

The UN agency for Palestinian refugees (UNRWA) warned it would have to halt operations on Wednesday night due to dwindling fuel supplies.

A lack of resources and masses of wounded have made hospital treatment difficult as Israeli jets continue to strike the territory, where 2.3 million people live.

Israel-Gaza latest: Lebanon and Syria warned of ‘damning strikes’

Tom White, director of the UNRWA, said the “main concern” is that Gaza will run out of fuel.

“We really need to find a solution to the fuel situation, otherwise our aid operation will come to a stop. People will not have access to clean drinking water and hospitals will be closing,” he told CNN.

“Even if convoys come into Gaza, we won’t have the fuel in our trucks to collect and distribute that aid.”

Following a blockade of aid, Israel has allowed a small number of trucks to cross the border from Egypt into Gaza but continued to bar fuel – needed to power hospital generators – to prevent Hamas from seizing it.

Another 20 trucks crossed the Rafah border late on Tuesday, but UN agencies said more than 20 times as much was needed for the population, who depended on aid even in peacetime.

Wounded Palestinians receive treatment at the al-Shifa hospital, following Israeli airstrikes on Gaza City, central Gaza Strip, Monday, Oct. 23, 2023. (AP Photo/Abed Khaled)
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Wounded Palestinians receive treatment at the al Shifa hospital. Pic: AP

Khan Yunis: A'worker observes the medical aid sent by the World Health Organization (WHO)
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Medical aid sent by the World Health Organization. Pic: AP

Pope Francis, who said he is “always thinking about the grave situation in Palestine and Israel”, has renewed his calls for help to reach those in need.

“I encourage the release of hostages and the entry of humanitarian aid into Gaza,” he said during his weekly audience on Wednesday.

On Friday, he is expected to lead special prayers for peace in St Peter’s Basilica, in what he said would be a “day of fasting, prayers and penance”.

Pope Francis looks on, on the day of the weekly general audience in Saint Peter's Square at the Vatican, October 25, 2023. REUTERS/Guglielmo Mangiapane
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Pope Francis said he thinks about the situation in the Middle East every day

It follows international calls, led by the US and Russia, for a pause in fighting to allow aid into Gaza.

Washington argued for short pauses to allow aid in, while Russia wants a wider truce.

So far, Israel has resisted both, arguing that Hamas would only take advantage and create new threats to its civilians.

Read more:
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US spies believe hospital blast ’caused by rocket from Gaza’

Palestinians inspect the rubble of a building following overnight Israeli air strikes on the Rafah refugee camp
Pic:DPA/AP
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Palestinians inspect the rubble of a building following overnight Israeli air strikes. Pic: AP

In addition to a lack of fuel, doctors have warned patients are showing signs of disease caused by overcrowding and poor sanitation.

Wounded individuals are laid on the ground without even simple medical aid, while others wait for days for surgery because there are so many critical cases, the Hamas-run health ministry said.

A total of 704 Palestinians, including 305 children, were killed on Tuesday, the health ministry added.

This is the highest number reported in a single day since the conflict began nearly three weeks ago, according to the UN Office for the Coordination of Humanitarian Affairs.

The UN also says more than 5,000 people have been killed in Gaza since 7 October.

The bodies of Israelis killed in an Hamas militant attack are gathered in refrigerated containers for identification at a military base in Ramla, Israel, on Tuesday Oct. 24, 2023. Official said the 784 bodies have been identitified so far. Israeli officials say More than 1,400 people were killed and over 200 taken captive in Gaza, in the multi-front attack by the Hamas militant group on Oct. 7. (AP Photo/Petros Giannakouris)
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The bodies of Israelis killed are gathered in refrigerated containers. Pic: AP

In Israel, more than 1,400 people have been killed due to the conflict – mostly civilians murdered during the initial Hamas attack, according to the Israeli government.

Hamas is also holding more than 200 people hostage that it captured and brought back to Gaza.

Four people have been released so far, including a mother and a daughter with dual US and Israeli nationality, and two Israeli civilian women.

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Defiance in Tehran as Khamenei makes appearance

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Defiance in Tehran as Khamenei makes appearance

They rose to their feet in ecstatic surprise, shouting “heydar, heydar” – a Shia victory chant.

This was the first public appearance of their supreme leader since Israel began attacking their country.

He emerged during evening prayers in his private compound. He said nothing but looked stern and resolute as he waved to the crowd.

He has spent the last weeks sequestered in a bunker, it is assumed, for his safety following numerous death threats from Israel and the US.

His re-emergence suggests a return to normality and a sense of defiance that we have witnessed here on the streets of Tehran too.

Earlier, we had filmed as men in black marched through the streets of the capital to the sound of mournful chants and the slow beat of drums, whipping their backs with metal flails.

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Defiance on streets of Tehran

This weekend they mark the Shia festival of Ashura as they have for 14 centuries. But this year has poignant significance for Iranians far more than most.

The devout remember the betrayal and death of Imam Hussein as if it happened yesterday. We filmed men and women weeping as they worshipped at the Imamzadeh Saleh Shrine in northern Tehran.

The armies of the Caliph Yazid killed the grandson of the Prophet Muhammad in the seventh-century Battle of Karbala.

Shiite Muslims mark the anniversary every year and reflect on the virtue it celebrates, of resistance against oppression and injustice.

But more so than ever in the wake of Israel and America’s attacks on their country.

The story is one of prevailing over adversity and deception. A sense of betrayal is keenly felt here among people and officials.

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Many Iranians believe they were lured into pursuing diplomacy as part of a ruse by the US.

Iran believed it was making diplomatic progress in talks with America it hoped could lead to a deal. Then Israel launched its attacks and, instead of condemning them, the US joined in.

Death to Israel chants resounded outside the mosque in skies which were filled for 12 days with the sounds of Israeli jets. There is a renewed sense of defiance here.

One man told us: “The lesson to be learned from Hussein is not to give in to oppression even if it is the most powerful force in the world.”

A woman was dismissive about the US president. “I don’t think about Trump, nobody likes him. He always wants to attack too many countries.”

Pictures on billboards nearby draw a line between Imam Hussein’s story and current events. The seventh-century imam on horseback alongside images of modern missiles and drones from the present day.

Other huge signs remember the dead. Iran says almost 1,000 people were killed in the strikes, many of them women and children.

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Officially Iran is projecting defiance but not closing the door to diplomacy.

Government spokeswoman Dr Fatemeh Mohajerani told Sky News that Israel should not even think about attacking again.

“We are very strong in defence and as state officials have announced, this time Israel will receive an even stronger response compared to previous times,” she said.

“We hope that Israel will not make such a mistake.”

But there is also a hint of conciliation: Senior Iranian officials have told Sky News that back-channel efforts are under way to explore new talks with the US.

Israel had hoped its attacks could topple the Iranian leadership. That proved unfounded, the government is in control here.

For many Iranians, it seems quite the opposite happened – the 12-day war has brought them closer together.

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‘Nobody likes Trump’: Sky News finds defiance on the streets of Tehran

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'Nobody likes Trump': Sky News finds defiance on the streets of Tehran

To the sound of mournful chants and the slow beat of drums, they march, whipping their backs with metal flails.

It is an ancient ceremony going back almost 14 centuries – the Shia commemoration of Ashura.

But this year in particular has poignant significance for Iranians.

The devout remember the betrayal and death of the Imam Hussein as if it happened yesterday.

The Shia commemoration of Ashura in Tehran, 2025
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Iranians gather ahead of Ashura

The Shia commemoration of Ashura in Tehran, 2025

We filmed men and women weep as they worshipped at the Imamzadeh Saleh Shrine in northern Tehran.

The grandson of the Prophet Muhammad was killed by the armies of the Caliph Yazid in the seventh century Battle of Karbala.

More on Iran

Shia Muslims mark the anniversary every year and reflect on the virtue it celebrates – of resistance against oppression and injustice. But more so than ever this year, in the wake of Israel and America’s attacks on their country.

The story is one of prevailing over adversity and deception. A sense of betrayal is keenly felt here by people and officials.

The Shia commemoration of Ashura in Tehran, 2025
Image:
Men and women weeped as they worshipped at the Imamzadeh Saleh Shrine

Many Iranians believe they were lured into pursuing diplomacy as part of a ruse by the US.

Iran believed it was making diplomatic progress in talks with America, which it hoped could lead to a deal. Then Israel launched its attacks and, instead of condemning them, the US joined in.

“Death to Israel” chants resounded outside the mosque in skies that for 12 days were filled with the sounds of Israeli jets.

There is a renewed sense of defiance here.

One man told us: “The lesson to be learned from Hussein is not to give in to oppression, even if it is the most powerful force in the world.”

I don't think about Trump. Nobody likes him," one woman tells Sky News
Image:
‘I don’t think about Trump. Nobody likes him,’ one woman tells Sky News

A woman was dismissive about the US president.

“I don’t think about Trump. Nobody likes him. He always wants to attack too many countries.”

Pictures on billboards nearby link Imam Hussein’s story and current events. They show the seventh century imam on horseback alongside images of modern missiles and drones from the present day.

The Shia commemoration of Ashura
The billboard illustrates the 7th century imam on horseback alongside missiles and drones from the present day

Other huge signs remember the dead. Iran says almost 1,000 people were killed in the strikes, many of them women and children.

Officially Iran is projecting defiance, but not closing the door to diplomacy.

Government spokeswoman Dr Fatemeh Mohajerani told Sky News that Israel should not even think about attacking again.

“We are very strong in defence, and as state officials have announced, this time Israel will receive an even stronger response compared to previous times. We hope that Israel will not make such a mistake.”

Government spokeswoman Dr Fatemeh Mohajerani told Sky News that Israel should not even think about attacking again
Image:
Dr Fatemeh Mohajerani said it would be a mistake for Israel to attack again

But there is also a hint of conciliation. Senior Iranian officials have told Sky News back-channel efforts are under way to explore new talks with the US.

Israel had hoped its attacks could topple the Iranian leadership. Those hopes proved unfounded. The government is in control here.

For many Iranians it seems quite the opposite happened – the 12-day war has brought them closer together.

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Two security workers injured after grenades thrown at aid site, Gaza Humanitarian Foundation says

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Two security workers injured after grenades thrown at aid site, Gaza Humanitarian Foundation says

Two American security workers in Gaza were injured after grenades were thrown during food distribution in Khan Younis, the Gaza Humanitarian Foundation (GHF) has said.

In a statement, the US and Israeli-backed aid group said a targeted terrorist attack was carried out at one of its sites in southern Gaza on Saturday morning.

The two Americans injured “are receiving medical treatment and are in stable condition,” it said, adding that the delivery of aid was “otherwise successful” and that “no local aid workers or civilians were harmed”.

GHF didn’t say exactly when the incident happened but claimed Hamas was behind the attack, adding: “GHF has repeatedly warned of credible threats from Hamas, including explicit plans to target American personnel, Palestinian aid workers, and the civilians who rely on our sites for food.

“Today’s attack tragically affirms those warnings.”

Later, the aid group posted a picture on social media, which it said showed “fragments of a grenade packed with ball bearings” that was used in the attack.

Asked by Sky’s US partner network, NBC News, whether the two injured individuals were responsible for handing out aid or were responsible for providing security, GHF said they were “American security workers” and “two American veterans.”

More on Gaza

The aid group did not provide specific evidence that Hamas was behind the attack.

The US and Israeli-backed group has been primarily responsible for aid distribution since Israel lifted its 11-week blockade of the Gaza Strip in May.

Read more:
Hamas gives ‘positive’ response to ceasefire proposal
Outcry as Israeli strike hits school
94 killed in Israeli strikes in Gaza, health staff say

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It comes after Sky News analysis showed GHF aid distributions are associated with a significant increase in deaths in Gaza.

According to Gaza’s health ministry, 600 Palestinians have been killed while seeking aid from GHF sites as of 3 July, which charities and the UN have branded “death traps”.

Meanwhile, the Associated Press has reported that Israeli-backed American contractors guarding GHF aid centres in Gaza are using live ammunition and stun grenades.

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Contractors allege colleagues ‘fired on Palestinians’

GHF has vehemently denied the accusations, adding that it investigated AP’s allegations and found them to be “categorically false”.

Israel’s military added that it fires only warning shots and is investigating reports of civilian harm.

It denies deliberately shooting at any innocent civilians and says it’s examining how to reduce “friction with the population” in the areas surrounding the distribution centres.

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