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Lloyd Austin initially said more than 25,000 women and children have been killed by Israel in the Gaza Strip.
Five premature babies who could not safely be evacuated from al-Nasr hospital had to be left behind as Israeli forces closed in on the facility earlier this month.
The Israeli Defense Force announced that about 130 Hamas militants were killed in fighting on Thursday.
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42 relatives in all were killed when a pair of explosions leveled a family compound in Gaza City last week.
The IDF has called on all residents of Gaza City to head south for their own “personal safety.”
In recent days, Israel has barred foreign media access to Gaza and bombed media offices as attacks on civilians and Palestinian journalists escalate.
“What do you say to the international community who does not recognize Israel’s sovereignty over East Jerusalem?” Ayman Mohyeldin pressed the former Israel ambassador to the UK.
They blame Israel, they blame Hamas, they blame many people for their misery, but, still—after so many wars, so much destruction—people try to lead “normal” lives.
If Gaza were open to tourism, Palestinians there will tell you, people would love all the history they could see.
“We believe Hamas is responsible,” Raj Shah said.
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