At least 200 people have been killed and 589 injured as a result of the intense Israeli bombing that has once again destroyed the geography of the Gaza Strip since early this Friday, according to the Gaza Ministry of Health. A bloody balance on the first day after the end of a truce that opened the door for a week to the release of dozens of Israeli and foreign hostages and brought a precarious calm that provided some relief to humanitarian needs.

“Hell on Earth has returned to Gaza- he admitted bitterly. Jens Laerke, representative of the UN humanitarian office in Geneva. This Friday, the skies in the Gaza Strip once again came to terms with the noise and flash of airstrikes that, since the Hamas attack on October 7, have killed 15,000 people, more than 6,000 of them minors. The last operational hospitals in the Sector have received images of the wounded and corpses arriving at their facilities.

Israeli aircraft bombed northern, central and southern Gaza after Qatari attempts to extend the truce failed after four initial days and two additional days. The army said it attacked up to 200 “terrorist targets.” “The results are impressive. Hamas understands only force, and that is why we will continue to act until we achieve the goals of the war,” Defense Minister Yoav Gallant said.

Hamas fired rockets into southern Israel again and sirens sounded in its streets again. Israelis and the Palestinian Islamist movement blamed each other for the breakdown of negotiations to extend the cessation of hostilities. Israeli sources claimed that Hamas “refused to release the 10 Israeli women and instead proposed opening discussions on the release of the elderly men.”

A Palestinian official quoted by Reuters said the rupture was caused by Israeli soldiers. “This came to an end because of Hamas. Hamas did not fulfill its obligations,” said the US Secretary of State. Antony Blinken after completing a trip to the region. Doha had previously warned that extending the agreement depended on Hamas’ ability to find more hostages. The arrival of humanitarian aid also stopped this Friday.

110 hostages and 240 prisoners released

Hamas has currently published 110 hostages: 78 Israeli hostages and dual citizens according to the latest agreement; three Russian Israelis who entered into an agreement with Russia; and 24 foreigners – 23 Thais and one Filipino – outside the truce. At least five hostages were released before the agreement was reached: four by Hamas and one during the Israeli operation. As of Thursday, Israel published 240 Palestinian prisonersthey are all women or teenagers.

Israeli Government Representative Eilon Levyannounced this Friday that 137 hostages remain in Gaza. Of these, 126 are Israelis or have dual citizenship and 11 are foreigners. Most of the hostages, 117 people, are men. There are an estimated 20 female hostages in the group. 10 hostages are over 75 years old, among them the husbands of released elderly women. According to White House National Security Council spokesman John Kirby, fewer than 10 Americans remain captive in Gaza. The remaining 11 foreigners include eight Thai nationals, one Nepalese, one Tanzanian and one French-Mexican, Levy said.

An MSF worker cares for a child at the Martyrs’ Hospital in southern Gaza. Mohammed Abed/Doctors Without Borders

Evacuation and overcrowding in the south

Organizations that continue to provide aid to Gaza this Friday condemned the resumption of military operations. Early in the morning, the Israeli army ordered the evacuation of the area. Ian Younis and some areas of central Gaza and urged their residents to seek refuge further south, near the Egyptian Rafah border crossing. One of them, Doctors Without Borders, called for a lasting ceasefire. “Enough with the indiscriminate bombing and violence. We demand a permanent and lasting ceasefire,” the group demanded.

Gaza Strip one of the most densely populated areas in the world, where more than 2 million people live in an area of ​​just 365 square kilometers. “The forced transfer of almost the entire population of Gaza to a smaller and more confined space in the south has resulted in population density reaching completely unacceptable levels,” warns Doctors Without Borders. With the Israeli military cutting off power to the sector and fuel supplies running low, all essential services such as healthcare were forced to close. “The total siege imposed by the Israeli government deprived the entire population of the Gaza Strip of essential supplies such as food, water, shelter, and periodically cut off communications,” they explain.

Hospitals are completely overcrowded

“The health system is unable to cope with the current situation,” exclaimed Marie-Orre Perrault, emergency coordinator for Doctors Without Borders in the Gaza Strip. “Hospitals have been completely overwhelmed for weeks due to the influx of wounded,” he added. In the south of Gaza, according to the UN, only 8 out of 11 medical centers are currently operating. There, medical personnel face shortages of supplies and medicines. Lack of space is also a problem because, as happened in the north, hospitals in the south have become shelters for thousands of displaced people. The medical personnel working there are exhausted both physically and mentally.

“Medicines and medical supplies are woefully inadequate, often forcing doctors to perform amputations or other procedures, usually under sedation, without adequate pain relief. The needs are enormous: people do not have enough food, water, gas for cooking, no fuel, no items to protect themselves from the cold (blankets, warm clothes for children, etc.). They also do not have cleaning products, so hygiene in the shelters for internally displaced persons is completely lacking,” the organization stated in detail.

An extreme situation that once again aggravates the resumption of hostilities in the Gaza Strip, censored by human rights organizations. “Without a ceasefire, the horrific death toll will rise sharply and Gaza’s civilian population will once again be forced to endure the unimaginable horrors of recent weeks with no safe place to go, no shelter and no humanitarian aid.” other armed groups in the Gaza Strip are in even greater danger. Israeli civilians are also at risk of being harmed by indiscriminate rocket fire from the Gaza Strip. This must stop,” Amnesty International called.