Israel has traded fire with Lebanon's Hezbollah militant group on a near-daily basis since the war began, and tensions are soaring in the Israeli-occupied West Bank, where Israeli forces have battled militants in refugee camps and carried out two airstrikes in recent days.
For days, Israel has seemed to be on the verge of launching a ground offensive in Gaza as part of its response to Hamas' deadly Oct. 7 rampage. Tanks and tens of thousands of troops have massed at the border, and Israeli leaders have spoken of an undefined next stage in operations.
But the military acknowledges there are still hundreds of thousands of Palestinian civilians in northern Gaza despite a sweeping evacuation order, which would complicate any ground attack. And the risk of triggering a broader war with Hamas' allies in Lebanon and Syria might also give them pause.
On Saturday, 20 trucks of aid were allowed to enter Gaza from Egypt through the Rafah crossing, the first time anything has gone into the territory since Israel imposed a complete siege two weeks ago.
Aid workers said it was far too little to address the spiraling humanitarian crisis in Gaza, where half the territory's 2.3 million people have fled their homes. The U.N. humanitarian agency, known as OCHA, said the convoy carried about 4% of an average day’s imports before the war and “a fraction of what is needed after 13 days of complete siege."
This aerial view shows humanitarian aid trucks arriving from Egypt after having crossed through the Rafah border crossing arriving at a storage facility in Khan Yunis in the southern Gaza Strip on October 21, 2023.
The Israeli military said the humanitarian situation was “under control” as OCHA called for 100 trucks a day to enter.
Hospitals packed with patients and displaced people are running low on medical supplies and fuel for generators, forcing doctors to perform surgeries with sewing needles, using kitchen vinegar as disinfectant, and without anesthesia.
The World Health Organization says at least 130 premature babies are at “grave risk” because of a shortage of generator fuel. It said seven hospitals in northern Gaza have been forces to shut down due to damage from strikes, lack of power and supplies, or Israeli evacuation orders.
Shortages in critical supplies, including ventilators, are forcing doctors to ration treatment, said Dr. Mohammed Qandeel, who works in Khan Younis' Nasser Hospital. Dozens of patients continue to arrive and are treated in crowded, darkened corridors, as hospitals preserve electricity for intensive care units and incubators for newborns.
FILE - Trauma surgeons treat an injured man after Israeli bombardment, at the Kuwaiti hospital in Rafah in the southern Gaza Strip on October 21, 2023 amid the ongoing battles between Israel and the Palestinian group Hamas
“It’s heartbreaking,” Qandeel told The Associated Press. “Everyday, if we receive 10 severely injured patients we have to manage with maybe three or five ICU beds available.”
Palestinians sheltering in U.N.-run schools and tent camps are running low on food and drinking dirty water. A power blackout has crippled water and sanitation systems. OCHA said cases of chicken pox, scabies and diarrhea are on the rise because of the lack of clean water.
Airstrikes were reported across Gaza, including in the southern part of the coastal strip, where Israel has told hundreds of thousands to seek refuge. Israel’s military has said it is striking Hamas members and installations, but does not target civilians. Palestinian militants have fired over 7,000 rockets at Israel, according to the military, and Hamas says it targeted Tel Aviv early Sunday.
Israeli Prime Minister Benjamin Netanyahu convened his Cabinet late Saturday to discuss the expected ground invasion, Israeli media reported. A military spokesman, Rear Adm. Daniel Hagari, said Israel planned to step up airstrikes starting Saturday as preparation for the “next stages of the war.”
An Israeli ground assault would likely lead to a dramatic escalation in casualties on both sides. More than 1,400 people in Israel have been killed in the war — mostly civilians slain during the initial Hamas attack. At least 212 people were captured and dragged back to Gaza, including men, women, children and older adults. Two Americans were released on Friday in what Hamas said was a humanitarian gesture.
More than 4,300 people have been killed in Gaza, according to the Hamas-run Health Ministry. That includes the disputed toll from a hospital explosion.
Syrian state media meanwhile reported that Israeli airstrikes have targeted the international airports in the capital, Damascus, and the northern city of Aleppo. It said the strikes killed one person and damaged the runways, putting them out of service.
Israel has carried out several strikes in Syria, including on the airports, since the war began. Israel rarely acknowledges individual strikes, but says it acts to prevent Hezbollah and other militant groups from bringing in arms from their patron, Iran, which also supports Hamas.
In Lebanon, Hezbollah said six of its fighters were killed Saturday, and the group’s deputy leader, Sheikh Naim Kassem, warned that Israel would pay a high price if it starts a ground offensive in the Gaza Strip. Israel struck Hezbollah targets early Sunday in response to rocket fire, the military said.
Israel also announced evacuation plans for another 14 communities near the border with Lebanon. Kiryat Shmona, with a population of more than 20,000 people, was told to evacuate last week.
FILE - People with their luggage wait at a bus stop in the northern Israeli town of Kiryat Shmona on the border with Lebanon, to be evacuated to a safer location on October 22, 2023.
In the occupied West Bank, dozens of Palestinians have been killed in clashes with Israeli troops, arrest raids and attacks by Jewish settlers. Israeli forces have closed crossings into the territory and checkpoints between cities, measures they say are aimed at preventing attacks. Israel says it has arrested more than 700 Palestinians since Oct. 7, including 480 suspected Hamas members.
The internationally recognized Palestinian Authority administers parts of the West Bank and cooperates with Israel on security, but it is deeply unpopular and has been the target of violent Palestinian protests.
Israeli forces killed at least five people early Sunday in the West Bank, according to the Palestinian Health Ministry. Two were killed in an airstrike on a mosque in the town of Jenin, which has seen heavy gunbattles between Palestinian militants and Israeli troops over the past year.
FILE - A man clears rubble from a building damaged by an Israeli air strike in the occupied West Bank city of Jenin on October 22, 2023.
The Israeli military said the mosque compound belonged to Hamas and Islamic Jihad militants who had carried out several attacks in recent months and were planning another one.
Sunday’s fatalities brought the death toll in the West Bank to 90 Palestinians since the war broke out on Oct. 7, according to the Health Ministry. Most appear have been killed during fighting with Israeli forces or violent protests.
Thirteen Palestinians, including five minors, and a member of Israel's paramilitary Border Police were killed last week in a battle in a refugee camp in the West Bank town of Tulkarem, in which Israel also launched an airstrike.