32 babies in critical condition are among the patients left at Gaza's main hospital, UN team says
Khan Younis (Gaza Strip) (AP): A United Nations team said Sunday that 291 patients were left at Gaza's largest hospital after Israeli troops had others evacuate. Those left included 32 babies in extremely critical condition, trauma patients with severely infected wounds and others with spinal injuries who are unable to move.
The team was able to tour Shifa Hospital for an hour after about 2,500 displaced people, mobile patients and medical staff left the sprawling compound Saturday morning, said the World Health Organization, which led the mission.
"Patients and health staff with whom they spoke were terrified for their safety and health, and pleaded for evacuation," the agency said, describing Shifa as a death zone. It said more teams will attempt to reach Shifa in coming days to try to evacuate the patients to southern Gaza, where hospitals are also overwhelmed.
Israeli troops are staying in the hospital. Israel's military has been searching Gaza City's Shifa Hospital for a Hamas command center that it alleges is located under the facility - a claim Hamas and hospital staff deny.
Saturday's mass departure was portrayed by Israel as voluntary, but described by some of those leaving as a forced exodus.
"We left at gunpoint," Mahmoud Abu Auf told The Associated Press by phone after he and his family left the crowded hospital. "Tanks and snipers were everywhere inside and outside." He said he saw Israeli troops detain three men.
Elsewhere in northern Gaza, dozens of people were killed in the urban Jabaliya refugee camp when what witnesses described as an Israeli airstrike hit a crowded U.N. shelter in the main combat zone. It caused massive destruction in the camp's Fakhoura school, said wounded survivors Ahmed Radwan and Yassin Sharif.
"The scenes were horrifying. Corpses of women and children were on the ground. Others were screaming for help," Radwan said by phone. AP photos from a local hospital showed more than 20 bodies wrapped in bloodstained sheets.
The Israeli military, which had warned Jabaliya residents and others in a social media post in Arabic to leave, said only that its troops were active in the area "with the aim of hitting terrorists." It rarely comments on individual strikes, saying only that it targets Hamas while trying to minimize civilian harm.
"Receiving horrifying images & footage of scores of people killed and injured in another UNRWA school sheltering thousands of displaced," Philippe Lazzarini, the commissioner general of the U.N. agency for Palestinian refugees, or UNRWA, said on X, formerly Twitter.
In southern Gaza, an Israeli airstrike hit a residential building on the outskirts of the town of Khan Younis, killing at least 26 Palestinians, according to a doctor at the hospital where the bodies were taken.
Defense Minister Yoav Gallant said Israel's forces have begun operating in eastern Gaza City while continuing its mission in western areas. "With every passing day, there are fewer places where Hamas terrorists can operate," he said, adding that Hamas would learn that in southern Gaza "in the coming days."
His comments were the clearest indication yet that the military plans to expand its offensive to southern Gaza, where Israel had told Palestinian civilians to flee early in the war.
The evacuation zone is already crammed with displaced civilians, and it was not clear where they would go if the offensive moves closer.
What led to the Shifa Hospital evacuation wasn't immediately known. Israel's military said it was asked by the hospital's director to help those who would like to leave do so, and that it did not order an evacuation. But Medhat Abbas, a spokesperson for the Health Ministry in Gaza, said the military ordered the facility cleared and gave the hospital an hour to get people out.
The U.N. team visiting after the evacuation said 25 medical staff remained, along with the patients. The World Health Organization said that in the next 24-72 hours, pending guarantees of safe passage, more missions were being arranged to evacuate to the Nasser Medical Complex and the European Gaza Hospital in southern Gaza.
Twenty-five of Gaza's hospitals aren't functioning due to a lack of fuel, damage and other problems, and the other 11 are only partially operational, according to the World Health Organization.
Israel has said hospitals in northern Gaza were a key target of its ground offensive, claiming they were used as Hamas command centers and weapons depots, which both Hamas and medical staff deny.
Internet and phone services were restored Saturday to Gaza, ending a telecommunications outage that had forced the United Nations to shut down critical aid deliveries.
More than 11,500 Palestinians have been killed, according to Palestinian health authorities. Another 2,700 have been reported missing, believed buried under rubble.
Prime Minister Benjamin Netanyahu said Saturday that the Israeli military would have "full freedom" to operate within the territory after the war. The comments again put him in conflict with U.S. visions for a post-war Gaza.
In an op-ed published Saturday in The Washington Post, United States President Joe Biden said Gaza and the West Bank should be reunited and governed under a "revitalized Palestinian Authority" while world leaders work toward a peaceful two-state solution. Netanyahu has long opposed a Palestinian state.
The U.S. is providing weapons and intelligence support to Israel in its offensive to root out Hamas.
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Meet Kerala's Dr. Santosh Kumar who has served in various warzones; latest in Gaza
Read his experiences from Gaza, in Vartha Bharati's interview
He has walked through some of the world’s most dangerous places, not as a witness, but as a doctor treating people when everything around them is falling apart. Dr. Santhosh Kumar from Kerala has spent years working in war zones and crisis-hit regions with Doctors Without Borders, often stepping in where medical systems no longer exist.
Most recently, he served in Gaza, where large-scale violence has left thousands struggling for basic medical care. Even after returning, his work there is not over. He is preparing to head back to Gaza later this month, continuing his role on the frontlines of a humanitarian crisis.
In this interview, he speaks about what he has seen, the challenges of working in conflict zones, and what it means to be a doctor when survival itself becomes uncertain.
Excerpts from the interview below:
Question: You had just come back from Ukraine after a long stretch of work. What made you say yes again, this time for Gaza, without even taking a break?
Dr. Santosh Kumar: I had just returned from Ukraine, and physically, yes, I was tired. But when the call came for Gaza, it didn’t feel like something I could say no to. Situations like these don’t wait for you to rest. When there is such a large-scale humanitarian crisis unfolding, you don’t think in terms of convenience. You think about where you are needed the most. For me, the decision was simple, if I have the skills and the experience, I have to be there.
Question: Do you remember your first night in Egypt before entering Gaza? What was going on in your mind at that moment?
Dr. Santosh Kumar: That night was very heavy. You are standing at the edge of something you already know is going to be intense, but you still don’t know what exactly you are walking into. There is always a mix of thoughts about the people inside, about what kind of medical situation you will face, and whether the system there is even functioning. At the same time, you prepare yourself mentally to adapt quickly. You try to stay calm, because once you cross over, there is no time to process emotions.
Question: When you finally reached Gaza, what was the first thing that told you this was going to be very different from any other place you’ve worked in?
Dr. Santosh Kumar: It is very important to understand what is happening there. This is not a war. This is a genocide. When you see the scale of destruction, the number of civilians affected, and the complete breakdown of basic systems, it becomes very clear that this is different. As doctors, we are trained to respond to emergencies, but here, the situation goes beyond a typical conflict setting. Understanding that reality is important before you even begin your work.
Question: You’ve spoken about that smell when you entered Gaza. It’s something people don’t usually talk about. What did that moment feel like for you?
Dr Santosh Kumar from the Gaza war front.
Dr. Santosh Kumar: The first thing that hits you is not what you see, but what you smell. It’s very difficult to explain, but it stays with you. There is this constant mix in the air the smell of medicines, of wounds, of poor sanitation, and something deeper that comes from a complete breakdown of systems. You can feel the suffocation almost immediately.
The healthcare system has collapsed. Sanitation has collapsed. People don’t even have access to basic facilities. When all of that comes together, it creates an environment where the air itself feels heavy. It is not something you experience in a typical conflict zone.
Question: When you saw people living in tents, without even basic dignity, did it hit you immediately, or did it take time to sink in?
Dr. Santosh Kumar: It hits you almost instantly, but at the same time, the full reality takes time to process. You see thousands of people living in makeshift tents, without proper water, sanitation, or healthcare. The system is completely broken.
If people are not dying from bombs or bullets, they are dying from diseases. There are very limited places for basic human needs like excretion, and the queues are so long that people are forced to wait for hours. In some cases, people are collapsing or dying while waiting..jpg)
Photograph by Dr. Santosh Kumar
This is not just about displacement. It is about the loss of dignity at every level. As a doctor, you are trained to deal with emergencies, but here, the scale and the nature of suffering are very different. It takes time for that to fully sink in, even if the shock is immediate.
Question: You’ve seen many war zones. What was it about Gaza that disturbed you the most compared to others?
Dr. Santosh Kumar: In most conflict zones, even if the situation is bad, some systems still function at some level. In Gaza, what I saw was a complete collapse. There is no proper healthcare system, no sanitation, nothing functioning the way it should. The scale is also very different. The number of people affected, and the intensity of the situation, makes it much more disturbing than many other places I have worked in.
Question: Can you describe one scene that still hasn’t left your mind?
Answer: There is no one single scene. That’s the reality. Every day, things are happening around you. People keep coming in with injuries. Families bring their relatives, sometimes in critical condition, sometimes already gone. It becomes a continuous cycle. There is no one moment you can isolate, because the entire environment is like that all the time.
Question: When you saw children coming in injured… or sometimes not even making it… how do you process that as a doctor and as a human being?
Dr. Santosh Kumar: As a doctor, you focus on what you can do in that moment. You don’t have the luxury to process everything emotionally when you are working. You have to keep going, patient after patient. But as a human being, it does affect you. You see children, you see families, and you understand what they are going through. Still, during work, you have to stay focused on treatment.
Question: There’s a part where you mentioned people losing even their basic dignity. How difficult is it to witness that, knowing you can’t fix it immediately?
Dr. Santosh Kumar: It is difficult, but we have to be clear about our role. We are not there to fix everything. We are there to treat patients. The situation around us may be chaotic. When patients die, sometimes people even blame us. But in that environment, you have to stay focused on your responsibility. Treating people remains our priority.
Question: When you have more patients than you can treat, how do you decide who gets treated first? How do you live with those decisions?
Dr. Santosh Kumar: Like I said, the number of patients is always more than what the system can handle. In such situations, you follow basic medical priorities. You treat those who can be saved with immediate intervention. It is not an easy decision, but in these environments, you have to be practical.
You don’t have the luxury to think too much about each decision at that moment. You focus on doing the maximum possible with the limited resources you have. That becomes your approach.
Question: There are moments where you know someone could have survived if there were proper resources. How do you carry that weight?
Dr. Santosh Kumar: That is something you are aware of all the time. You know that with better facilities, better access, some of these lives could have been saved. But like I said earlier, we are not there to fix the entire system. We are there to treat with what we have.
You cannot carry every single outcome with you while you are working. If you do that, you won’t be able to continue. You accept the limitations and focus on the patients you can help.
Question: After coming back, do these memories stay with you? Or do you learn to switch off?
Dr. Santosh: The memories stay. You don’t completely switch off from something like this. What you see there, it stays with you in some form.
But over time, you learn how to manage it. Because if you keep holding on to everything, it becomes very difficult to continue this kind of work. So you carry it, but you also learn how to move forward.
Question: A lot of young people today see such things only through social media. What do you think they are missing?
Dr. Santosh Kumar: What you see on social media is only a small part of the reality. It doesn’t show you the full picture. It doesn’t show the scale, the continuous nature of the suffering, or what people are going through every single day.
Like I said, when you are physically present there, you understand how different it is. Social media can inform you, but it cannot make you fully understand the situation.
Question: How can youngsters build real empathy, not just momentary sympathy that fades after scrolling?
Dr. Santosh Kumar: Empathy comes from understanding and consistency. It is not about reacting to one post or one video. It is about staying aware, learning more about the situation, and trying to understand what people are going through.
It also means thinking beyond immediate reactions. If you want to build real empathy, you have to stay connected to the issue, not just for a moment, but over time.
Question: For someone who genuinely wants to help, where do they even begin?
Dr. Santosh Kumar: You don’t have to start with something big. You can begin by educating yourself, understanding the ground realities, and supporting credible organisations that are working in these areas.
Helping is not always about being physically present in a conflict zone. There are many ways to contribute, even from where you are.
Question: Do you think you need to be a doctor or specialist to make a difference in such situations?
Dr. Santosh Kumar: No, not at all. Of course, medical professionals have a specific role, but these situations require support in many forms. There are people working in logistics, coordination, communication, and many other areas.
Everyone has a role to play depending on their skills.
Question: What role can students or young professionals play from where they are?
Dr. Santosh Kumar: They can start by being informed and responsible. They can support the right initiatives, raise awareness in a meaningful way, and contribute in whatever capacity they can.
Like I said, you don’t have to be on the ground to make a difference. What matters is how consistently and responsibly you engage with the issue.
Dr. Santhosh Kumar recounts his experience in Gaza at the Quantum Century exhibition in February 2026. (Courtesy: The Hindu)
Question: After everything you’ve seen in Gaza, has it changed how you look at life?
Dr. Santosh Kumar: It does change you in some ways. When you see people struggling for the most basic things, food, water, safety, you start looking at life a little differently. Things we often take for granted become much more real.
At the same time, like I said, you learn to keep moving forward. You cannot keep thinking about everything all the time. You take what you have seen, and you continue with your work.
Question: If there’s one thing you want people to understand about Gaza beyond headlines and politics, what would that be?
Dr. Santosh Kumar: The most important thing is to understand the reality on the ground. This is not just about headlines or numbers. These are real people, living in extremely difficult conditions.
And like I said earlier, it is important to understand that what is happening there is not a war. It is a genocide. Unless people understand that, they won’t fully understand the situation.
Question: And finally, what keeps you going? What makes you still say yes, even after seeing so much pain?
Dr. Santosh Kumar: Like I said, this is something I chose a long time ago. From my early years, I have been involved in this kind of work. So for me, it is a commitment.
You don’t think about it every time as a new decision. You just continue doing what you believe is your responsibility. That is what keeps me going.
