Mustafa Hassan Abu Hamada and his family were living in Jabalia camp in northern Gaza, Palestine, during the recent brutal Israeli military siege, which has left the city completely destroyed and killed and injured countless civilians, including Médecins Sans Frontières (MSF) staff.

“People in front of us tried to escape at the Al-Awda junction, but they were shot at,” says Mustafa. “We were forced to return. We said, ‘Let us die in our homes.’ I would rather die in my house than be displaced.”

In north Gaza, the Israeli military has been carrying out a ground offensive since 6 October 2024. This ongoing military offensive is a clear illustration of the brutal war the Israeli forces are waging on Gaza, and we are witnessing Palestinian life being wiped from the area.

“When the Israeli forces arrived, we stayed for an hour or two before shells started raining down on us from all directions,” says Sabah Al-Sharawi, who was sheltering in her home in Beit Hanoun, northern Gaza, when it was targeted by an airstrike.

“The first shell came through the living room. It hit my legs - both of my legs,” she says. “They took us to Kamal Adwan hospital.”

“On the way, we saw bodies lying everywhere. Dogs were gnawing at them. Drones were hovering above us, and a helicopter circled overhead,” says Sabah.

Sabah was evacuated from Kamal Adwan to Gaza City where she is now displaced and receiving treatment for her wounds at the MSF Gaza Clinic.

“I buried my daughter and left. I didn’t even see her one last time. I didn’t see my daughter. I didn’t see my loved ones. I left without seeing anyone,” says Sabah.

In addition to the relentless destruction, the offensive has left thousands of people without access to food, water, or healthcare in northern Gaza. The effects of these conditions are devastating, especially on elderly people, children and people with special needs, including those with disabilities.

Hospitals have been subject to sieges and violent incursions one by one over weeks and many medical staff have been detained, including one MSF staff member. Gradually the number of hospitals for people has reduced and since 9 January there has not been a single functional hospital in north Gaza left for people in need of medical care.

In addition, since 21 November 2024, no MSF supply trucks have been allowed by Israeli authorities to enter the north. This has meant that people with medical conditions, including war wounds, have had almost no access to medical care.

As the situation in northern Gaza has become untenable, many people have risked their lives fleeing to Gaza City. In our clinic, we have seen an upshot of patients in need of medical care. Before October 2024, our teams had been providing around 600 consultations per week, however since the violent incursions began, we have been providing more than 1,400 consultations per week up until December 2024, with an increased proportion of burn injuries.

“Honestly, this situation is unprecedented. I am 40 years old and throughout my life I have never seen such a level of aggression or conflict,” says Mohammed Wadi, MSF deputy medical coordinator in Gaza. “It is a war that has annihilated many aspects of life. Drinking water is not available. Food, unfortunately, is not sufficiently available. This is extremely heartbreaking.”