A group of 45 American physicians and nurses who volunteered in hospitals across Gaza have sent an open letter to US President Joe Biden and Vice President Kamala Harris sharing their experiences and demanding an immediate ceasefire and arms embargo.

The signatories unanimously described treating children who had suffered injuries they believed must have been deliberately inflicted. “Specifically, every one of us on a daily basis treated pre-teen children who were shot in the head and chest,” they wrote.

“We wish you could see the nightmares that plague so many of us since we have returned: dreams of children maimed and mutilated by our weapons, and their inconsolable mothers begging us to save them. We wish you could hear the cries and screams our consciences will not let us forget.”

Many in the group have public health backgrounds and experiences volunteering in other conflict zones such as Ukraine and Iraq, according to the letter. “We believe we are well positioned to comment on the massive human toll from Israel’s attack on Gaza, especially the toll it has taken on women and children,” reads the letter posted to X on Thursday by Dr. Feroze Sidwa, who spearheaded the writing of the letter with the other physicians.

“We believe our government is obligated to do this, both under American law and International Humanitarian Law, and that it is the right thing to do,” the letter said.

The ‘only independent monitors’ in Gaza

“In Gaza, there’s no independent monitor,” he said. “If you’re not going to believe the Palestinians, then you should believe 50 doctors who’ve gone there at different times and places.”

Apart from Palestinian journalists living in Gaza, there has been no media access to the enclave since October 7, with a few exceptions of entry under official escort.

Hamawy signed the letter to recount what he saw with his own eyes. “We all saw a complete devastation of a society, of people’s lives, of health care structure,” he said.

Hamawy has worked as a surgeon in Sarajevo, in New York City on 9/11, and in Iraq, where he performed life-saving surgery on US Senator Tammy Duckworth in 2004 after her helicopter was hit by an RPG. But he said those experiences in other conflict zones were not comparable to what he had witnessed in Gaza, adding that 90% of those he had seen killed there were women and children.

Hamawy worked at the European Gaza hospital in the southern city of Khan Younis in May of this year where he performed about 115 reconstructive surgeries and treated mostly children under 14 years old. He worked on amputations, burns, and gunshot wounds to the face, he said.

Another patient was a little boy who picked up what he thought was a can of tuna to bring back to his family in Rafah, Hamawy recalled. But the metal object was in fact an unexploded cluster bomb, according to Hamawy, who said that after opening it in front of his family, the child lost his left arm, both his legs, and three fingers on his right arm.

‘No kid gets shot twice by a sniper by mistake’

The photos were sent to him by a first-year medical resident who had been forced to perform the surgery and requested Perlmutter’s expertise. When Perlmutter asked why senior surgeons hadn’t done the operation, the resident explained that they had been killed in a bombing.

Describing a hospital overrun, Perlmutter said after every bombing, he would find injured children laid across the floor, their loved ones panicking and crying.

“Some are dead, some will die in front of you, and some you can save. You try to save the ones you can save,” Perlmutter said.

He recalled two patients aged around six years old, who had suffered gunshots to their heads and chests – wounds which suggested they had been deliberately targeted, he said.

“No kid gets shot twice by a sniper by mistake,” Perlmutter said, adding that the shots were “dead center” to their chests.

As Perlmutter tried to treat the children with head injuries, he said, their “brains poured out” in his hands, in what he described as a personally traumatic moment.

‘Everyone in Gaza is sick, injured, or both’

Launched in response to Hamas-led terror attacks in Israel on October 7 which killed at least 1,200 people, Israel’s monthlong military offensive in Gaza has left more than 39,000 Palestinians dead, according to the Gazan Health Ministry. The letter’s signatories estimate that the true toll of the war could be in excess of 92,000, if it included deaths from starvation or disease and bodies still buried under the rubble.

Last week the World Health Organization said the polio virus had been found in sewage samples, putting thousands of Palestinians at risk of contracting a disease that can cause paralysis.

Under such conditions, the American medical workers warned that epidemics could lead to the deaths of tens of thousands more children. The displacement of people to areas with no running water or toilets “is virtually guaranteed to result in widespread death from viral and bacterial diarrheal diseases and pneumonias, particularly in children under the age of five,” the letter said.

“Everyone in Gaza is sick, injured, or both,” with few exceptions, their letter said. “We are not politicians. We do not claim to have all the answers. We are simply physicians and nurses who cannot remain silent about what we saw in Gaza.” the letter said.

Reporting contributed by Tala Alrajjal, Sam Fossum and Eugenia Ugrinovich.

The final lick of paint was barely dry on the newly built, white-tiled Al-Hasanat home when the war in Gaza erupted in October.

For three-year-old Ayten, the apartment in central Gaza was a source of immense pride. “This is our beautiful house,” she would say to anyone who would listen, her father, Ahmed Al-Hasanat, recounted.

But two weeks after the family moved into their new home, they were forced to flee the besieged Al-Mughraqa neighborhood, said Al-Hasanat. When they returned in November, they found their apartment badly damaged by Israeli strikes. A doll belonging to Ayten lay among the rubble, peeking out from behind a broken door.

“She said, ‘Daddy, my doll died.’”

From neatly organizing letters while staying in labyrinthine tent camps, to keeping branches from family olive trees, some say they are doing all they can to keep memories alive. For many, repeated displacement means reliving the trauma of generations uprooted by al-Nakba, or “the catastrophe,” when roughly 700,000 Palestinians fled or were forcibly expelled from their homes in historic Palestine, during the creation of Israel in 1948.

Israel launched its military offensive on October 7 after the militant group Hamas, which governs Gaza, attacked southern Israel. At least 1,200 people were killed and more than 250 others abducted, according to Israeli authorities.

Israeli strikes in Gaza have since killed more than 39,000 Palestinians and injured another 90,000, according to the Ministry of Health there.

A box of memories

Before the war, Fadi Adwan was studying for an electrical engineering degree at the Islamic University of Gaza, his dream since he was a teenager. These days, he fiddles with a navy and gray scientific calculator inside a tent in Rafah, in the south.

Israeli strikes destroyed several of the university’s buildings in the early days of the war, Palestinian news agency WAFA reported.

“Since I was in the 10th grade, I always had a calculator in my hands,” said the student, in his early 20s. He and his family have been displaced at least five times since October, he added. “I was thinking that we would go home after a month or so, but things were not the same in this war as previous wars.”

As her family prepared to flee, Ismail instructed her three sisters to fill a small box with their most treasured possessions. Her younger sister, Dina, contributed a necklace and some handwritten letters from close friends.

“Dr. Refaat’s voice is what keeps ringing in my head whenever I see my notes,” said Ismail. “He made us aware of the power of words and writing in delivering messages to the world, so we as Gazans will be heard.”

Cycles of displacement

Ismail wonders if she will relive the plight of her grandparents, whose lives were uprooted in 1948, when they were children. Her only living grandparent – her paternal grandma, who has Alzheimer’s disease – still remembers the horrors of al-Nakba, Ismail said.

“I hate it when I realize that I am reliving the exact wretched fate my grandparents once lived… I too will be traumatized and attached to my past life for as long as I live,” Ismail said.

Cycles of repeated displacement – without the promise of return – are embedded within Palestinian communities, according to Rochelle Davis, an associate professor of anthropology at Georgetown University.

“I used to wonder why they were leaving their homes in 1948,” said Adwan, the electrical engineering student. “But when this war happened, I understood why they left their homes; because of the horrific massacres that took place and because of the blood that was shed.”

Longing for ‘Palestine’

Small green leaves cling to a withering olive branch which 19-year-old Raghad Ezzat Hamouda took in October from a tree which had been planted by her father in their home in Beit Lahia, northern Gaza.

Having been displaced at least six times, Hamouda has preserved the branch – and a keffiyeh, the traditional scarf worn by many Palestinians, that belonged to her grandmother, Tamam – as they remind her of her “beloved homeland,” she says.

“Our ancestors were displaced by Israel in 1948, and the scene today in 2024 is repeated,” she added.

Once a marker of Palestinian life, Hamouda says her black-and-white fishnet-patterned keffiyeh is now a symbol of loss.

She said 85-year-old Tamam, a Nakba survivor, was injured when Israeli tanks opened fire as the family fled from northern to western Gaza in December. She was pushing her grandmother in her wheelchair at the time, she recalled. The teenager said her grandmother bled to death before they could get her to a hospital. “My grandmother was very affectionate and loved her grandchildren very much,” she said. “She loved to smile and gave us hope, especially during times of war.”

Along with house keys, some Palestinians will also have passports and land deeds from the 1940s testifying to pre-existing ownership of land in what is now Israel, according to Dr. Scott Webster, an academic from the University of Sydney. At least 70% of residents in Gaza are refugees, those who were displaced from their homes during the creation of Israel and their descendants, Amnesty International says.

“The house key is important because it brings with it all the memories, memories of the house and the garden around it, and the grapevines,” said Adwan, who has held onto his keys while being forced to flee multiple times, including from the besieged Al-Shifa Hospital.

“My father and mother have been working hard for 30 years to be able to build this house… It was partially destroyed in 2014. We built it again and it was destroyed again,” he said. “We are people with lives and memories… Maybe one day someone might care about our cause and help end our suffering.”

‘I am no longer me’

Israeli attacks in Gaza have killed at least 15,983 children, the Government Media Office reported on July 7.

Guardians may use personal objects – including toys – to provide emotional support for displaced children, said Davis, of Georgetown University. Meanwhile some adults hide their psychological trauma because they do not want to overload younger generations, according to Dr. Samah Jabr, a psychiatrist, psychotherapist and head of the mental health unit at the Palestinian Ministry of Health, in Ramallah, in the occupied West Bank.

For Al-Hasanat, saving Ayten’s doll from the wreckage of their home was an attempt to soothe his daughter’s psychological trauma.

“She used to always laugh and spread happiness,” he said, explaining that she has now developed anxiety-related habits.

“I want to look for a safe place for the sake of my children, and for the sake of a happy life for Ayten, who needs a lot to return to the way she used to be,” he added. “The pain is indescribable. We have become without feeling or sensation.”

Since their visit in November, Al-Hasanat said, their apartment has been completely destroyed by bombing. “Nothing remains of the house,” he said.

Ismail, the literature student, says the stress of war has made her feel like “a stranger in my own life.”

“That’s how I and all Gazans feel after being snatched out of our lives and being forced to evacuate,” she said. “I am exhausted, counting days waiting for this all to end. I feel I am no longer me.”

Federal agents arrested two Mexican alleged cartel bosses on Thursday, including Joaquin Guzmán López, the son of infamous cartel boss Joaquin “El Chapo” Guzman, in one of the biggest victories for US law enforcement in recent years.

The two detained men belong to the Sinaloa cartel, one of the world’s most powerful drug-trafficking organizations, thought to be responsible for the trafficking of vast amounts of cocaine, heroin, methamphetamine and fentanyl into the US.

Investigators exploited a rift in the cartel and used the help of Guzmán López to lure the other suspect, Ismael “El Mayo” Zambada, onto a flight bound for El Paso, Texas, where they were eventually arrested. Zambada is a co-founder of the Sinaloa cartel.

“‘El Mayo’ and Guzmán López join an increasingly long list of Sinaloa Cartel leaders and associates whom the Department of Justice holds accountable in the United States,” said Attorney General Merrick Garland.

Here are some of the men they join on that list:

José Antonio Yépez, “El Marro” (August 2020)

José Antonio Yépez Ortiz, arrested in August 2020 in Guanajuato, was considered by authorities to be the leader of the Santa Rosa de Lima Cartel.

At the time, Mexico’s Secretary of Security Alfonso Durazo confirmed Yépez’s arrest via his official Twitter account, noting that “El Marro” was detained under a warrant for “organized crime and fuel theft.”

In January 2022, a court in Guanajuato sentenced Yépez to 60 years in prison for kidnapping, according to the State Attorney General’s office.

The Santa Rosa de Lima Cartel has generated most of its income through fuel theft and extortion, according to Mexican authorities. “El Marro” had been sought for months, with authorities targeting his family and close associates amid a surge in violence in Guanajuato, an area controlled by the cartel.

Rafael Caro Quintero (July 2022)

Rafael Caro Quintero, one of the FBI’s most wanted fugitives, was arrested in July 2022 by the Mexican Navy, having been on the run since 2013.

Born in 1952, Caro Quintero founded the now-defunct Guadalajara cartel in the 1970s with Miguel Ángel Félix Gallardo and other drug traffickers, according to the US State Department. He is allegedly responsible for the cultivation, shipment, and distribution of large amounts of marijuana in Mexico.

An extradition order to the United States is pending against him. However, in July 2022, a judge temporarily suspended the extradition process. Caro Quintero is accused of kidnapping, torturing, and murdering Drug Enforcement Administration agent Enrique “Kiki” Camarena in 1985.

Ovidio Guzmán “El Ratón” (January 2023)

Ovidio Guzmán López, another son of “El Chapo,” is believed to play a significant role in the Sinaloa cartel, according to the US Department of the Treasury.

Guzmán was extradited from Mexico to the US in September 2023, as confirmed by the US Department of Justice. He faces charges in the US for conspiracy to import and distribute drugs, along with his brother Joaquín Guzmán López.

In 2019, the Mexican government captured Guzmán in Culiacán, Sinaloa, but later released him amid a tense situation between government forces and armed groups loyal to his organization. In October of that year, President Andrés Manuel López Obrador admitted his government had ordered the release, stating that it had prevented “a bloodbath.” Guzmán López was later recaptured on January 5, 2023, in a raid in Sinaloa, according to Mexican authorities.

His defense has requested additional time to review documents presented by US prosecutors during a recent hearing concerning the charges against him. According to the case file, the defendant’s lawyers sought a review under Rule 16, which mandates information exchange between attorneys and prosecutors for trial preparation. Consequently, a new hearing has been scheduled for October 1.

Néstor Isidro Pérez “El Nini” (November 2023)

Néstor Isidro Pérez Salas was arrested in November 2023 in Culiacán and subsequently extradited to the United States. The US considers him one of the leaders of the Sinaloa cartel and linked with the security apparatus of Los Chapitos, a faction of the cartel associated with the children of El Chapo.

Pérez faces charges in two federal indictments. The first, in the District of Columbia, includes cocaine and methamphetamine importation, firearm possession, and conspiracy to obstruct justice through murder.

The second, in the Southern District of New York, accuses him of leading a criminal enterprise responsible for multiple deaths – including of a DEA informant – fentanyl trafficking, obstruction of justice through the murder of an informant, kidnapping with fatal outcomes for eight people, including a minor, and money laundering.

On May 30, Pérez pleaded not guilty to the charges he faces in New York.

Ismael “El Mayo” Zambada and Joaquín Guzmán López (July 2024)

Ismael “El Mayo” Zambada was arrested on Thursday, July 25, 2024, in El Paso, Texas, alongside Joaquín Guzmán López, 38, son of El Chapo. Both are in US custody, according to the Department of Justice.

Zambada is considered by US authorities to be the current leader of the Sinaloa cartel. His name has appeared in drug trafficking files for years, but there are no known charges against him in Mexico.

The US Department of Justice stated that both face several charges “for leading the cartel’s criminal operations, including its deadly fentanyl manufacturing and trafficking networks.”

Authorities had been searching for Zambada for years, and in 2021 increased the reward for information leading to his arrest to $15 million.

On July 26 Zambada pleaded not guilty to drug trafficking charges in the United States.

Israel’s military issued an evacuation order to residents in the southern part of Khan Younis, warning it would “forcefully operate” in the embattled Gazan town, according to a statement on Saturday morning.

Khan Younis has faced intensifying bombardment recently, and a fresh Israeli ground assault earlier this week killed dozens of Palestinians there. The Israel Defense Forces (IDF) warned on Monday it would reduce its so-called humanitarian zone in the eastern part of the city, due to intelligence that militant group Hamas had embedded in the area.

Tens of thousands have been displaced over the past week. Israel said Friday that about 100 militants had been killed during recent fighting.

“The IDF is about to forcefully operate against the terrorist organizations and therefore calls on the remaining population left in the southern neighborhoods of Khan Yunis to temporarily evacuate to the adjusted Humanitarian Area in Al-Mawasi,” the military wrote on Telegram on Saturday.

The designated humanitarian area in Al-Mawasi has come under repeated Israeli attacks, including a strike on July 14 which reportedly killed 90 people and injured 300 more.

The statement said the move was in retaliation to “significant terrorist activity and rocket fire” emanating from southern Khan Younis. It added that the location previously defined as a humanitarian area “will be adjusted.”

Israel launched its military offensive in Gaza on October 7 after Hamas attacked southern Israel. At least 1,200 people were killed and more than 250 others abducted, according to Israeli authorities.

The military said on Saturday that “the calls for the temporary evacuation are being communicated to residents through SMS messages, recorded voice messages, phone calls, media broadcasts in Arabic and flyers,” adding that the early warning to civilians was “being made in order to mitigate harm to the civilian population.”

The United Nations estimated that about 150,000 people fled the area on Monday alone, following evacuation orders issued by the Israeli military, intensifying pressure on meager supplies of food and water, and places to seek shelter.

Aid agencies working in Gaza have warned previously that new rounds of evacuation orders are making the delivery of emergency rations even more difficult.

“People in Gaza are exhausted, living in inhumane conditions, with no safety at all,” the UN Relief and Works Agency posted on X on Monday.

On Thursday, the IDF said it had recovered the bodies of five Israeli hostages the previous day from a tunnel in an area of Khan Younis which it had previously designated as a “humanitarian area.”

The most senior diplomats from China and the United States began talks in Laos on Saturday as the two global powers try to maintain lines of communication despite their deepening rivalry and regional tensions in Asia.

Secretary of State Antony Blinken is in Laos as part of a visit to Asia against the backdrop of a fierce US presidential election campaign, which has renewed regional scrutiny over what the world will look like with a new administration in the White House.

Blinken is meeting his Chinese counterpart Foreign Minister Wang Yi on the sidelines of the ASEAN foreign ministers’ meetings in Laos – the first leg of a week-long trip which also includes stops in Vietnam, Japan, the Philippines, Singapore and Mongolia.

Tension between the US and China has persisted in recent months, even as President Joe Biden’s administration has sought to stabilize rocky relations between the two global rivals.

Russia’s invasion of Ukraine, as well as China’s increasingly assertive moves in the South China Sea and threats toward Taiwan, have in recent years soured the Washington-Beijing relationship.

Earlier this week the North American Aerospace Defense Command intercepted two Russian and two Chinese bombers flying near Alaska in what a US defense official said was the first time the two countries have been intercepted while operating together.

China’s continued support of Russia more than two years into Moscow’s invasion has been a persistent point of tension for the US, its allies and the Ukrainians.

When NATO leaders met earlier this month a joint declaration labeled Beijing a “decisive enabler” of Russia’s war against Ukraine, citing China as giving “large-scale support for Russia’s defense industrial base.”

The US and the European Union in recent months have accused China of bolstering Russia’s defense sector with the export of dual-use goods, and sanctioned dozens of companies in Hong Kong and mainland China for evading the extensive measures imposed on Russia. Beijing has denied supplying weaponry and maintains it keeps strict controls on such goods.

Beijing has sought to position itself as a neutral peace broker in the conflict, despite its deepening political, economic and military ties with Moscow and Chinese leader Xi Jinping’s openly close friendship with Russia’s Vladimir Putin.

Earlier this week, Wang told visiting Ukrainian Foreign Minister Dmytro Kuleba that Beijing “supported all efforts that contribute to peace” – the first time China has hosted a top Ukrainian official since Moscow’s invasion began nearly two and half years ago.

In contrast, both Putin and Russia’s top diplomat Sergei Lavrov have been greeted in Beijing multiple times since the invasion.

Kuleba also visited Hong Kong and urged the semi-autonomous Chinese city’s government to prevent Russia from using the Asian financial hub to bypass Western sanctions.

On Thursday, Wang also met with foreign ministers from Southeast Asia, South Korea and Japan, as well as Lavrov.

Wang told Lavrov that, in the face of a turbulent international situation and external interference and resistance, “China is willing to work with Russia… to firmly support each other and safeguard each other’s core interests,” according to a statement from China’s foreign ministry.

Lavrov hailed Russia and China for “jointly upholding a fair and just international order” and “injecting positive energy into the construction of a multipolar world.”

“Russia will work with China to support the central role of ASEAN and prevent sabotage and interference by foreign forces,” Lavrov said, according to the statement.

ASEAN, a grouping of 10 Southeast Asian countries, has increasingly found itself nervously eyeing the growing tensions between China and the US in recent years.

Regional scrutiny

Among the countries Blinken will visit on his trip are the Philippines and Japan, both of which have a mutual defense treaty with Washington.

The Philippines has tacked closer to the US since the election of President Ferdinand Marcos Jnr. against a backdrop of increasingly violent clashes between Manila and Beijing in the South China Sea.

Before speaking with Wang on Saturday, Blinken urged Southeast Asian countries to work together to address challenges – including Beijing’s “escalating and unlawful actions taken against the Philippines in the South China Sea” – at a meeting with ASEAN foreign ministers.

But he also applauded Manila’s diplomacy with Beijing over the contentious issue, noting that the Philippines on Saturday completed unimpeded a resupply trip to troops stationed on a navy ship grounded at the hotly contested Second Thomas Shoal.

Such resupply missions had been the source of months of escalating tensions between the Philippines and China, which reached an interim deal last week to smooth deliveries.

“We are pleased to take note of the successful resupply today of the Second Thomas Shoal, which is the product of an agreement reached between the Philippines and China,” Blinken said.

“We applaud that and hope and expect to see that it continues going forward.”

During his presidency, Biden has pushed to deepen relations with the Philippines, Japan and South Korea, another mutual treaty ally, with Blinken a mainstay on the diplomatic circuit.

Beijing has bristled at such efforts, seeing it as part of Washington’s campaign to encircle China and contain its rise.

Asia is therefore watching closely for what might come next, especially given recent bombshell developments in the US election campaign.

Republican candidate Donald Trump, who recently survived an assassination attempt, has often viewed Washington’s alliances more transactionally than Biden does. His running mate JD Vance has advocated halting military aid to Ukraine in favor of focusing on Taiwan’s defense.

Meanwhile the Democratic Party’s campaign was upended by Biden’s decision not to seek re-election, and Vice President Kamala Harris becoming the party’s presumptive nominee.

France is still facing travel disruption a day after saboteurs targeted high-speed railway lines in an attack coinciding with the start of the Olympics. As operators try to get service back to normal, a key question remains – who was responsible?

Authorities are investigating what outgoing French Prime Minister Gabriel Attal called a “coordinated” effort. He said that intelligence services and internal security forces are involved in inquiries and urged caution over jumping to conclusions.

No-one has yet claimed responsibility for the attacks, but given their scale, timing and precision, it is clear they are more than just random acts of vandalism.

There are many possible culprits – the opening day of the Olympic Games is one of the most watched events in the world, a tempting target for anyone seeking to cause chaos and disruption in the limelight.

Here’s what we know.

Extensive knowledge of railways

High-speed trains connecting southwestern, northern and eastern regions of French were all impacted on Friday, in what authorities described as a methodical pattern of attacks hitting key arterial routes.

The perpetrators have extensive knowledge of the network, according to Axel Persson, a leader of the CGT rail union. They must have had access to very “precise information,” he added.

Employees had implemented a failsafe plan in preparation for the Olympics, allowing some passengers to use alternative lines that would slow down traffic, but at least travelers would get to their destination, Persson added. “France is disrupted but not paralyzed,” he said.

Jean-Pierre Farandou, the CEO of state-owned rail company SNCF, told journalists that cables – which are there to ensure the security of train drivers – were set on fire and taken apart but again stressed authorities “don’t know who is behind it.”

An act of protest?

France is no stranger to widespread strikes or political demonstrations that manifest into blocked transport links across the country.

The parliamentary election held just weeks ago attracted large scale protests and rallies. However, such events tend to be announced in advance and those behind them are keen to make their cause known.

Environmental activists have previously blocked traffic to bring attention to the climate crisis. But these groups have mostly staged bold and striking demonstrations focused on fossil-fuel intensive transportation, such as on airports and highways, and also make it known when they are behind such protests.

The last major act of vandalism on high-speed train lines in France was in 2008, when steel rods were placed on overhead power cables. Police arrested individuals from an alleged anarchist group from Tarnac village but 10 years later, after a lengthy investigation, they were all acquitted and cleared of sabotage.

Foreign actors?

Recently, France has been one of several countries impacted by a wave of suspected Russian sabotage attacks against infrastructure and other targets.

French President Emmanuel Macron has remained a staunch ally of Kyiv throughout the fighting. Just in May, he suggested that Ukraine should be allowed to use their weapons against targets inside Russia from which the Kremlin attacks Ukraine.

Earlier this week, French authorities detained a Russian citizen in Paris, accusing him of preparing destabilizing events during the Games. Kremlin spokesperson Dmitry Peskov said Russia did not have any information on the arrest.

At least 30 people have been killed and over 100 injured in an Israeli airstrike on a school in Deir-al Balah, central Gaza, according to the Palestinian Ministry of Health in Gaza.

The Israeli military it had launched the strike in order to destroy a Hamas command and control center inside the compound.

Most of the victims from the school arriving to Al-Aqsa Martyrs Hospital in the aftermath of the attack were women and children, according to Dr. Khalil Al-Daqran, a spokesperson for the hospital. More than 4,000 displaced people were housed in the school, the Palestinian Civil Defense said.

The strike came soon after Israeli’s military issued fresh evacuation orders further south, in the city of Khan Younis, where Israel launched a fresh offensive earlier in the week which has killed dozens of Palestinians.

Residents in southern neighborhoods were told to leave after being warned that the Israel Defense Forces (IDF) would “forcefully operate” in the area.

Fighting has been ongoing on Gaza for months, and the renewed offensive shows Israel’s challenges in achieving its goal of eliminating Hamas. Israel said that about 100 militants had been killed during recent fighting.

The United Nations estimated that about 150,000 people fled Khan Younis on Monday alone, intensifying pressure on meager supplies of food and water, and places to seek shelter.

Signaling another campaign was imminent, the IDF wrote on Telegram it was “about to forcefully operate against the terrorist organizations and therefore calls on the remaining population left in the southern neighborhoods of Khan Yunis to temporarily evacuate to the adjusted Humanitarian Area in Al-Mawasi.”

The statement said the move was in retaliation to “significant terrorist activity and rocket fire” emanating from southern Khan Younis. It added that the location previously defined as a humanitarian area “will be adjusted.”

Al-Mawasi has come under repeated Israeli attacks, including a strike on July 14 which reportedly killed 90 people and injured 300 more.

Israel launched its military offensive in Gaza on October 7 after Hamas attacked southern Israel. At least 1,200 people were killed and more than 250 others abducted, according to Israeli authorities.

Israeli military action in Gaza has since killed 39,090 Palestinians and injured another 90,147, according to the Ministry of Health there. As of early July, nearly 2 million people had been displaced in Gaza – almost the entire population, according to figures from the UN.

Aid agencies working in Gaza have warned previously that new rounds of evacuation orders are making the delivery of emergency rations even more difficult.

“People in Gaza are exhausted, living in inhumane conditions, with no safety at all,” the UN Relief and Works Agency posted on X on Monday.

On Thursday, the IDF said it had recovered the bodies of five Israeli hostages the previous day from a tunnel in an area of Khan Younis which it had previously designated as a “humanitarian area.”

Despite the fighting, US and Israeli officials expressed optimism this week over the possibility of a ceasefire and hostage deal being reached.

US Secretary of State Antony Blinken said Friday that the different parties are “inside the 10-yard line and driving toward the goal line.”

Israel’s Prime Minister, Benjamin Netanyahu, said he would likely dispatch a negotiation team to talks in Rome next week.

Netanyahu was in Washington this week and met with the presumptive Democratic presidential nominee, Vice President Kamala Harris, who urged him to seal an agreement.

“As I just told Prime Minister Netanyahu, it is time to get this deal done,” said Harris. “So to everyone who has been calling for a ceasefire, and to everyone who yearns for peace, I see you and I hear you.”

This is a developing story and will be updated.

At least 11 people have been injured after projectiles were reportedly fired from Lebanon into Majdal Shams, Golan Heights on Saturday, according to the Israel Defense Forces and Israel’s national emergency service.

“A short while ago, sirens sounded in the area of Majdal Shams. One projectile was identified crossing from Lebanon toward the area. A hit was identified in the area. Injuries were reported,” the IDF said, adding that “approximately 30 projectiles were identified crossing from Lebanon into Israeli territory.”

A spokesperson for Magen David Adom (MDA) said that five people are in critical condition and six in serious condition in Majdal Shams, according to initial reports.

Searches of the area continue, the spokesperson said.

A large team from MDA has been sent to the scene. Paramedics are treating victims they say are aged between 10 and 20 years old.

Some are being treated at the scene and others have been transferred to local clinics. Evacuation helicopters, ambulances and intensive care vehicles have also been dispatched to the scene.

Idan Avshalom, a senior medic from MDA said, “We arrived at a soccer field and saw destruction and objects on fire. Injured people were lying on the grass and the sights were dire. We immediately began triaging the injured, some of the injured were sent to local clinics and our teams were also directed to the clinics. During the incident there were additional alerts and the medical treatment of the injured is still ongoing.”

Israeli police said that munitions have fallen in “multiple sites in the northern Golan.”

Police are “securing the area and searching for additional remnants to eliminate any further risk to the public,” the Police Spokesperson’s Unit said.

US Defense Secretary Lloyd Austin will hold a trilateral meeting with his Japanese and South Korean counterparts in Tokyo on Sunday local time, the first of its kind in 15 years, a senior US defense official said.

The trilateral meeting came nearly one year after President Joe Biden held the first stand-alone summit with Japanese Prime Minister Fumio Kishida and South Korean President Yoon Suk Yeol at Camp David in August 2023. Following the summit, Kishida announced that annual recurring summits will be held among several of the nations’ highest officials, including the ministers of foreign affairs, defense, and national security advisers, along with the financial, industry, and commerce ministers.

“We’ve made enormous progress, trilateral since the Camp David summit, with early warning missile data sharing real time with a trilateral exercise plan,” the US senior defense official said.

According to the defense official, Secretary Austin is expected to announce the US intends to reconstitute US Forces Japan (USF-J) as a joint force headquarters to serve as a counterpart to Japan’s Joint Operations Command (J-JOC). Details of this implementation will be figured out in working groups led by US Indo-Pacific Command. There is no intention to integrate Japanese forces into the US commands, according to the official.

“The intent here is for USF-J to become a standalone three-star joint force headquarters. Eventually separate and apart from 5th Air Force,” the official said.

“We view this as a historic announcement among the strongest improvements to our military ties in 70 years. Bottom line is that this is a transformative change. And that’s because when this transition is complete, USF-J will have a direct leadership role in planning and leading US forces in both peace time and potential crises. And they’ll be doing that side by side with Japanese forces like never before.”