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Gaza’s largest hospital ‘not functioning’ amid Israeli assault

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The largest hospital in Gaza has ceased to function and fatalities among patients are rising, the head of the World Health Organization (WHO) said on Sunday, as a fierce Israeli assault continues in the Hamas-controlled strip.

Hospitals in the north of the Palestinian enclave, including the al-Shifa complex, are blockaded by Israeli forces and barely able to care for those inside, with three newborns dead and more at risk from power outages amid intense fighting nearby, according to medical staff, Reuters reported.

Israel says it is homing in on Palestinian Hamas militants who launched deadly attacks in southern Israel on Oct. 7, and says the group has command centers under and near the hospitals.

The WHO managed to speak to health professionals at al-Shifa, who described a “dire and perilous” situation with constant gunfire and bombing exacerbating the already critical situation, Director-General Tedros Adhanom Ghebreyesus said.

“Tragically, the number of patient fatalities has increased significantly,” he said in a post on X, formerly known as Twitter, adding that al-Shifa was “not functioning as a hospital anymore”.

Tedros joined other top United Nations officials in calling for an immediate ceasefire.

“The world cannot stand silent while hospitals, which should be safe havens, are transformed into scenes of death, devastation, and despair,” he said.

The president of Indonesia, home to the world’s biggest Muslim population, also called for a ceasefire ahead of meeting U.S. President Joe Biden in Washington on Monday.

“A ceasefire must be implemented soon, we also must accelerate and increase the amount of humanitarian aid, and we must begin peace negotiations,” President Joko Widodo said in a video recorded after he took part in an Organization of Islamic Cooperation (OIC) in Riyadh.

He said the world seemed “helpless” in the face of the suffering of the Palestinians. The extraordinary joint Islamic-Arab summit also urged the International Criminal Court to investigate “war crimes and crimes against humanity that Israel is committing” in the Palestinian territories, Reuters reported.

Israel says it is trying to free the more than 200 hostages taken by Hamas militants on Oct. 7 and says the hospitals should be evacuated.

The European Union condemned Hamas for using “hospitals and civilians as human shields” in Gaza, while also urging Israel to show “maximum restraint” to protect civilians.

“These hostilities are severely impacting hospitals and taking a horrific toll on civilians and medical staff,” European Union foreign policy chief Josep Borrell said on Sunday in a statement issued on behalf of the 27-nation bloc.

White House National Security Adviser Jake Sullivan said Hamas was using hospitals and other civilian facilities to house fighters and weapons, which he said was a violation of the laws of war.

“The United States does not want to see firefights in hospitals where innocent people, patients receiving medical care, are caught in the crossfire and we’ve had active consultations with the Israeli Defense Forces on this,” Sullivan told CBS News.

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Trump says further US attacks on Iran ‘highly unlikely’ as peace talks gain momentum

Although Trump played down the prospect of renewed attacks, he warned that US forces remained prepared to respond if circumstances changed.

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US President Donald Trump has said further American military strikes against Iran are “highly unlikely”, signalling a possible shift towards de-escalation as diplomatic efforts to end the conflict gather momentum.

Speaking to reporters at the White House on Monday, Trump said Iran was effectively defeated militarily and suggested Washington was prepared to maintain the current situation while negotiations continued.

“Iran militarily is effectively over,” Trump said, adding that there was “positive momentum” behind efforts to reach an agreement.

“We’re just keeping it the status quo,” he said, explaining that the decision was largely being taken at the request of neighbouring countries.

Although Trump played down the prospect of renewed attacks, he warned that US forces remained prepared to respond if circumstances changed.

“We’re locked and loaded,” he said, while describing further strikes as “highly unlikely”.

The comments come amid growing pressure on the Trump administration to bring the conflict to an end, following bruising midterm election results for Republicans last week. 

Several senior party figures, including Vice-President JD Vance, have pointed to the war as a factor behind the party’s poor performance.

Trump had previously indicated that US forces carried out what he described as limited strikes on an Iranian island near the strategically important Strait of Hormuz. 

However, in a television interview broadcast on Sunday, he said he currently saw no reason to escalate the military campaign.

He also stopped short of formally declaring the war over, arguing that Washington still had to protect its Gulf allies from possible Iranian attacks.

The US naval blockade of Iranian ports, he suggested, was helping maintain security across the region.

Global oil prices fell further following Trump’s latest remarks, with Brent crude dropping more than 1% to around $91.50 a barrel, while US crude also declined.

Gulf diplomacy intensifies

Trump’s comments followed a meeting with Qatari Prime Minister Sheikh Mohammed bin Abdul Rahman Al Thani at the White House on Monday.

The US president described their discussions as excellent, while the Qatari leader said he had held positive talks with Trump and Vance on reaching an agreement and restoring regional peace.

Diplomatic efforts to end the conflict have largely been conducted through intermediaries since the war erupted following joint US-Israeli strikes against Iran in February.

Saudi Arabia, Qatar and the United Arab Emirates are among Washington’s Gulf partners that have been targeted by Iranian attacks during the conflict, while security concerns have also caused significant disruption to regional air travel.

Political pressure mounts in Washington

Meanwhile, the war is generating further political tensions in Washington.

Republican Congressman Thomas Massie on Monday announced plans to force a House of Representatives vote this week on impeaching Defence Secretary Pete Hegseth over his handling of the conflict.

Hegseth, who has received Trump’s backing, dismissed the threat, describing Massie’s effort as a “sham”.

The impeachment initiative is unlikely to succeed while Republicans retain control of Congress. However, Democrats have indicated they could pursue the matter when the new congressional session begins in January.

For Trump, the challenge is increasingly twofold: finding a diplomatic exit from the conflict while managing mounting political pressure at home and reassuring US allies across the Gulf.

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First Muslim US senator-elect El-Sayed calls for review of aid to Pakistan

He also called for restrictions on US arms sales to Israel, alleging that some American-supplied weapons were being used in actions involving what he described as genocide and apartheid.

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Abdul El-Sayed, the first Muslim elected to the US Senate, has called on Washington to reconsider its financial and military assistance to Pakistan and several other countries, arguing that American taxpayer money should not be used to support violations of international law.

El-Sayed, a Democrat who recently defeated Republican candidate Mike Rogers in Michigan, said the United States must ensure that its foreign assistance policies are consistent with international law.

In an interview with ABC, he stressed that the issue should not be limited to Israel, but should also include Pakistan, Egypt and Jordan.

“When we are giving money to a country that is using our money to violate international law, that seems to me a good place to start,” El-Sayed said.

His remarks come after US President Donald Trump announced plans to end approximately $4 billion in annual military assistance to Israel by the end of the year.

El-Sayed welcomed Trump’s proposal to reduce military aid to Israel, saying he agreed with the president’s approach.

He also called for restrictions on US arms sales to Israel, alleging that some American-supplied weapons were being used in actions involving what he described as genocide and apartheid.

The United States currently provides Israel with $3.8 billion in annual military assistance under an agreement that remains in effect until 2028.

However, El-Sayed’s criticism extends beyond Israel. He has also questioned US military assistance to Egypt, Saudi Arabia, Jordan and Pakistan, arguing that American taxpayer money should instead be directed towards domestic priorities.

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Houthi-run health ministry says airstrikes kill 33 near Yemen capital

The ministry said the strikes ​hit homes in the town of Bani Hushaysh, a Houthi stronghold ​east of Sanaa, and that most of those killed were women and children.

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At least 33 people were killed and 39 wounded in what the Houthi-run Saba news agency said ​were Saudi airstrikes on a village near Yemen’s capital Sanaa ‌on Saturday, in one of the deadliest reported attacks since fighting between Saudi Arabia and the Iran-aligned group resumed in July.

Reuters could not independently verify the account. ​Saudi Arabia’s Center for International Communication said it was investigating the report.

The ​renewed fighting between Saudi Arabia and the Houthis has shattered ⁠a 2022 UN-brokered truce that largely halted attacks between the Saudi-led ​coalition and the group, which controls Sanaa. The Houthis have since launched ​missile and drone attacks on Saudi airports and oil facilities, while Riyadh has carried out airstrikes in Yemen in support of its Yemeni allies.

The ministry said the strikes ​hit homes in the town of Bani Hushaysh, a Houthi stronghold ​east of Sanaa, and that most of those killed were women and children.

Abdul-Aziz al-Dailami, ‌director ⁠of Sehatuna Hospital in Sanaa, said many victims remained trapped under the rubble, including first responders.

“The strikes keep coming. Just as rescuers arrive, another strike hits. We have even lost some of our own medical responders, ​who have been martyred,” ​he told Reuters.

“We ⁠received a number of wounded individuals in very critical condition, with injuries to the head, chest and legs, ​as well as fractures,” al-Dailami added.

The fighting, a spillover ​from the ⁠wider US-Iran conflict, has revived a complex 12-year war in Yemen that has caused one of the worst humanitarian crises globally and fragmented the Arab world’s most ⁠impoverished ​country.

The number of people displaced since the ​latest round of fighting began has climbed to more than 200,000, the International Organization for Migration said ​in October.

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