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Defence & Security29 Oct 2026 · about 6 min

Israeli strikes hit Gaza as Health Ministry urges Rafah opening

The brief

The latest violence included drone strikes, artillery fire, and demolitions across Gaza. The attacks matter because they hit civilian areas, displaced families, homes, and infrastructure while medical services are already under severe pressure. Gaza’s Health Ministry reported six deaths and 38 injuries during the previous 24 hours. In central Gaza, a drone fired two missiles at a civilian car in Maghazi refugee camp. Two Palestinians died, and others were wounded. Another person was wounded in Jabalia. Israeli forces also fired near tents in Halawa camp, shelled neighborhoods in eastern Gaza City, and carried out demolitions behind the Yellow Line. The violence reached several regions, including Rafah, Khan Younis, Deir el-Balah, and northern Gaza. Four people killed near al-Mawasi were buried at Nasser Hospital, while more than 30 others were wounded there. The continuing attacks deepen risks for displaced civilians and patients needing urgent treatment outside Gaza.

01

What happened in the latest Israeli strikes, and which parts of Gaza were affected?

The latest violence included drone strikes, artillery fire, and demolitions across Gaza. The attacks matter because they hit civilian areas, displaced families, homes, and infrastructure while medical services are already under severe pressure. Gaza’s Health Ministry reported six deaths and 38 injuries during the previous 24 hours.

In central Gaza, a drone fired two missiles at a civilian car in Maghazi refugee camp. Two Palestinians died, and others were wounded. Another person was wounded in Jabalia. Israeli forces also fired near tents in Halawa camp, shelled neighborhoods in eastern Gaza City, and carried out demolitions behind the Yellow Line.

The violence reached several regions, including Rafah, Khan Younis, Deir el-Balah, and northern Gaza. Four people killed near al-Mawasi were buried at Nasser Hospital, while more than 30 others were wounded there. The continuing attacks deepen risks for displaced civilians and patients needing urgent treatment outside Gaza.

02

What is the Rafah crossing, and why is it important for people leaving Gaza for medical treatment?

The Rafah crossing connects Gaza with Egypt. In this article, its importance is medical: reopening it could let sick and wounded Palestinians leave Gaza for treatment abroad. The Health Ministry specifically called for Rafah to open because many patients cannot receive the care they need inside the territory.

The crossing has already been used for medical evacuations. Since February, 3,056 patients and wounded people have left for treatment abroad, including 2,614 through Rafah. These figures show that Rafah is not only a border point; it is a vital pathway for people whose treatment depends on crossing out of Gaza.

The ministry says 21,468 people still need to travel, including 6,430 priority cases. It also says repeated closures and delays have caused some patients to die while waiting. Until Rafah opens and evacuation procedures work consistently, serious illnesses and injuries may worsen before treatment becomes available.

03

How many patients and wounded people need treatment outside Gaza, how many are considered priority cases, and how many have been evacuated since February?

The scale of Gaza’s medical evacuation need is enormous. The Health Ministry says 21,468 patients and wounded people require care outside Gaza. Of these, 6,430 have been identified as priority cases, meaning their need for evacuation is considered especially urgent by the ministry.

Since February, 3,056 patients and wounded people have been evacuated for treatment abroad. Most, 2,614, traveled through Rafah, which connects Gaza with Egypt. Another 442 crossed through Karem Abu Salem, the crossing with Israel. These totals show both the demand and the limited number of people who have managed to leave.

The gap between those needing care and those evacuated remains very large. The ministry says repeated closures and delays have worsened patients’ conditions, with dozens reportedly dying while waiting. Continued access through Rafah and Karem Abu Salem could determine whether more patients receive treatment before their illnesses or injuries become life-threatening.

04

What can happen to seriously ill or wounded patients when border crossings are closed or evacuation permissions are delayed?

When crossings close or permissions are delayed, seriously ill and wounded people may be unable to reach treatment available outside Gaza. The Health Ministry says these delays worsen patients’ conditions and have already caused dozens of deaths while people waited for permission to leave. This makes border access part of the medical emergency.

The ministry reports that 21,468 people need care abroad, including 6,430 priority cases. Since February, only 3,056 patients and wounded people have been evacuated. The ministry attributes the worsening situation to repeated border closures and what it calls deliberate delays in evacuation procedures.

The immediate consequence is lost time for patients whose health may be deteriorating. Thousands more, the ministry says, have experienced serious declines in health. Unless evacuation permissions and crossing access become more reliable, the backlog may grow and more patients may reach treatment later, in worse condition, or not at all.

05

Which authorities and crossings are involved in allowing patients to leave Gaza, and what roles do Rafah and Karem Abu Salem play?

Several authorities and border systems affect whether patients can leave Gaza. Gaza’s Health Ministry identifies patients, describes urgent needs, and calls for Rafah to open. The ministry also says evacuation procedures and permissions have been delayed. The article reports the ministry’s account but does not identify every authority that approves departures.

Rafah is the crossing connecting Gaza with Egypt. It has carried most recorded medical evacuations: 2,614 of the 3,056 patients evacuated since February. Karem Abu Salem, also called Kerem Shalom, connects Gaza with Israel and handled 442 evacuations during the same period.

Together, the crossings are routes for people needing treatment outside Gaza. Their operation directly affects how many patients can leave and how quickly. The ministry says repeated closures have worsened conditions and contributed to deaths while people waited, so consistent access would be crucial for reducing the medical backlog.

06

What is a ceasefire, and how can attacks continue if a ceasefire is supposed to be in effect?

A ceasefire generally means opposing sides have agreed, formally or informally, to pause or limit fighting. It is meant to reduce violence and create space for safety, aid, or negotiations. A ceasefire does not necessarily resolve the conflict or remove every military force from the area.

The article says Israeli attacks continued despite a ceasefire. It describes a drone strike on a civilian car in Maghazi camp, artillery shelling in Gaza City, strikes near Rafah, and demolitions in several areas. These reported actions show that violence remained active even while a ceasefire was supposed to be in effect.

Attacks can continue when a ceasefire is violated, disputed, incomplete, or interpreted differently by the parties. The article does not explain the ceasefire’s terms or identify who declared it. It does show the practical result: civilians were killed and wounded, while patients still faced barriers to leaving for medical care.

07

How do control of borders and national sovereignty affect access to healthcare during a war?

Borders and sovereignty shape healthcare because governments and military authorities control territory, crossings, security rules, and permission systems. During war, patients may depend on decisions made beyond their hospitals. A medical team can identify urgent cases, but treatment abroad still requires a route out and approval to use it.

Gaza’s Health Ministry says 21,468 patients and wounded people need care outside Gaza. Since February, 3,056 have been evacuated through Rafah or Karem Abu Salem. The ministry says repeated closures and delayed evacuation procedures have prevented or postponed departures, leaving patients without timely access to treatment.

This creates a direct link between political control and medical survival. The ministry says dozens died while waiting and thousands more deteriorated. The article shows that opening crossings and processing permissions are not merely administrative matters; they can determine whether priority patients reach care before their conditions become worse.

This brief was written by AI from the original reporting and checked by other models. Names, figures and quotes come from the source; read it for full context.

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