Israel's new evacuation orders force over 250,000 in Gaza to flee again

Israel issued new evacuation orders for Deir al Balah in central Gaza late on Sunday, forcing more families to flee, saying its forces intended to act against resistance group Hamas and others operating in the area.

In recent days, Israel has issued several evacuation orders across Gaza, the most since the beginning of the 10-month war, prompting an outcry from Palestinians, the United Nations and relief officials over the reduction of humanitarian zones and the absence of safe areas.

The Deir al Balah municipality says Israeli evacuation orders have so far displaced 250,000 people.

In a statement posted on X, Israeli forces urged residents in certain zones to move immediately to the west, as the area they are in is "considered a dangerous combat zone".

More fatalities

Israeli military strikes killed at least seven Palestinians on Monday, medics said.

Two were killed in Deir al Balah, where around a million people were sheltering, two at a school in the Nuseirat camp and three in the southern city of Rafah, near the border with Egypt.

Seven others were killed in two separate Israeli strikes, five in a car in Khan Younis and two people at a school in Gaza City, medics said.

Later on Monday, an Israeli strike on a tent on the coast in Gaza City killed six Palestinians and wounded several other people, medics told Reuters.

The new orders forced many families and patients to leave Al-Aqsa Martyrs' Hospital, the main medical facility in Deir al Balah, where hundreds of thousands of residents and displaced people had taken shelter, for fear of bombardments.

The hospital is close to the area covered by the evacuation notice.

Doctors without Borders (MSF) said in a statement on X on Sunday night that an explosion approximately 250 metres (820 feet) away from the MSF-supported hospital triggered panic.

"As a result, MSF is considering whether to suspend wound care for the time being, while trying to maintain life-saving treatment."

From around 650 patients, only 100 remain in the hospital, with seven in the intensive care unit, it said, citing Gaza's Health Ministry.

"This situation is unacceptable. Al-Aqsa has been operating well beyond capacity for weeks due to the lack of alternatives for patients. All warring parties must respect the hospital, as well as patients' access to medical care," it added.

Israeli forces said it killed dozens of Palestinian gunmen in the area of Khan Younis and the outskirts of Deir al Balah in the past 24 hours and located large quantities of weapons.

The armed wings of Hamas and the Palestinian Islamic Jihad said fighters clashed with Israeli forces with anti-tank rockets, mortar bombs, and sniper fire in several areas across Gaza.

Palestinian Ministry of Health in Gaza called for the 100 patients inside the hospital, and the medical teams who had remained to care for them, to be protected.

In a separate statement, it said Israeli military strikes have killed at least 30 Palestinians and wounded 66 others across the enclave in the past 24 hours.

Diplomatic impasse

Sawsan Abu Afesh said she and her children had now been displaced 11 times.

"I left half of my children behind me near my furniture and I am now with my little ones and my daughter, only God can help us...I have no money for transportation. I will go to area 17 where my family is staying on my foot. I took my kids and three are left behind. No idea where," the woman said.

The escalation comes with little hope of an end in sight to the war as diplomacy by mediators, Qatar, Egypt, and the US has so far failed to close the gap between Israel and Hamas.

Neither Hamas, nor Israel, agreed to several compromises presented by mediators at talks in Cairo on Sunday, two Egyptian security sources said.

A senior US official, however, described the talks as "constructive," saying they were conducted in a spirit on all sides to reach "a final and implementable agreement."

Hamas official Osama Hamdan said the group rejected new conditions made by Israel during the talks, which the group didn't attend, and added that US comments over an imminent ceasefire deal were false and aimed to serve election purposes.

US President Joe Biden and his administration have faced growing protests in the US over aid for Israel ahead of November elections.

More than 40,400 Palestinians have been killed in the war, according to the health ministry in Gaza. The crowded enclave has been laid to waste and most of its 2.3 million people have been displaced multiple times and face acute shortages of food and medicine, humanitarian agencies say.