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Documents Reveal Hamas Uses Gaza Hospitals for Military Purposes, International NGOs Complicit in Operations
Israeli soldiers inspect the Al Shifa hospital complex, amid their ground operation against Palestinian terrorist group Hamas, in Gaza City, Nov. 15, 2023 in this handout image. Photo: Israel Defense Forces/Handout via REUTERS
Internal documents from Hamas’s Ministry of Interior and National Security dating back to 2020 reveal the Palestinian terrorist group has long used Gaza’s medical facilities for military purposes, according to a new report.
On Wednesday, NGO Monitor — an independent, Jerusalem-based research institute that tracks anti-Israel bias among nongovernmental organizations — released two documents declassified by the Israel Defense Forces (IDF), revealing how Hamas has weaponized Gaza’s hospitals for years to shelter its operatives and leaders.
Translated from Arabic, the documents also reveal that international organizations — including the Red Cross and Doctors Without Borders — are aware of Hamas’s presence in Gaza’s medical facilities, even as they publicly deny or downplay it.
“While repeatedly echoing Hamas allegations and condemning Israel’s operations to end the exploitation of hospitals for terror, these groups clearly knew that Hamas exploited these facilities and chose to remain silent,” Gerald Steinberg, president of NGO Monitor, said in a statement.
BREAKING: Leaked docs show Hamas admits to using Gaza hospitals as terror infrastructure, in files authored by its Interior Security Mechanism and obtained by NGO Monitor. Hospitals served as command hubs while NGOs went along under Hamas rules.
Here’s what they reveal
pic.twitter.com/HXI6hULYTG
— NGO Monitor (@NGOmonitor) September 10, 2025
Since the start of the war in Gaza, Hamas’s exploitation of hospitals has drawn heightened attention, with Israel facing international criticism for its operations near medical facilities as it seeks to crack down on the terrorist group.
According to NGO Monitor, the internal Hamas documents show a deliberate strategy of “embedding its military infrastructure, fighters, and leadership within hospitals and medical facilities in Gaza … thereby violating international law and endangering civilian lives.”
The documents also show that foreign NGOs have not only been aware of Hamas’s presence in Gaza’s medical facilities but also have sometimes worked alongside them.
For example, one internal memo notes that the Red Cross occupied a wing in the Al-Shifa medical complex directly adjacent to offices used by Hamas.
Despite international claims to the contrary, the documents show that the Palestinian terrorist group views medical facilities not as neutral spaces but as integral parts of its infrastructure.
“These facilities are considered to be of interest to hostile security parties and an important source for intelligence gathering, especially in times of war, since these health facilities are a place of gathering for the wounded during times of escalation, and these wounded cases hold sensitive positions in the resistance,” one of the internal memos reads.
“Furthermore, these health facilities are a place of gathering for numerous leaders of the movement and the government during times of escalation,” it continues.
The documents also reveal how Hamas closely monitors and controls foreign NGOs working in hospitals due to fears that they might serve as channels for Israeli intelligence.
“Do not let these associations have their own locations to work inside health facilities. When a location is allocated for these associations, it shall be outside the main building of the clinic or hospital, and far away from movement locations, and following security authorization,” one of the internal memos reads.
“Medical members from the Gaza Strip must join incoming delegations, whether the delegations work in hospitals or their own locations,” it adds.
Under this structured oversight, NGO Monitor explains that foreign organizations had to operate according to Hamas’s rules, “making them complicit in a system” that exploits medical centers for terrorist purposes.
“The internal Hamas documents reviewed in this report expose a systematic Hamas strategy to militarize Gaza’s health-care system, using hospitals and medical facilities as extensions of its military and security apparatus,” NGO Monitor says.
“This arrangement is fundamentally inconsistent with the principle of medical neutrality in Gaza, transforming humanitarian spaces into dual-use facilities that serve both medical and military purposes,” it continues.
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After False Dawns, Gazans Hope Trump Will Force End to Two-Year-Old War
Palestinians walk past a residential building destroyed in previous Israeli strikes, after Hamas agreed to release hostages and accept some other terms in a US plan to end the war, in Nuseirat, central Gaza Strip October 4, 2025. Photo: REUTERS/Mahmoud Issa
Exhausted Palestinians in Gaza clung to hopes on Saturday that US President Donald Trump would keep up pressure on Israel to end a two-year-old war that has killed tens of thousands and displaced the entire population of more than two million.
Hamas’ declaration that it was ready to hand over hostages and accept some terms of Trump’s plan to end the conflict while calling for more talks on several key issues was greeted with relief in the enclave, where most homes are now in ruins.
“It’s happy news, it saves those who are still alive,” said 32-year-old Saoud Qarneyta, reacting to Hamas’ response and Trump’s intervention. “This is enough. Houses have been damaged, everything has been damaged, what is left? Nothing.”
GAZAN RESIDENT HOPES ‘WE WILL BE DONE WITH WARS’
Ismail Zayda, 40, a father of three, displaced from a suburb in northern Gaza City where Israel launched a full-scale ground operation last month, said: “We want President Trump to keep pushing for an end to the war, if this chance is lost, it means that Gaza City will be destroyed by Israel and we might not survive.
“Enough, two years of bombardment, death and starvation. Enough,” he told Reuters on a social media chat.
“God willing this will be the last war. We will hopefully be done with the wars,” said 59-year-old Ali Ahmad, speaking in one of the tented camps where most Palestinians now live.
“We urge all sides not to backtrack. Every day of delay costs lives in Gaza, it is not just time wasted, lives get wasted too,” said Tamer Al-Burai, a Gaza City businessman displaced with members of his family in central Gaza Strip.
After two previous ceasefires — one near the start of the war and another earlier this year — lasted only a few weeks, he said; “I am very optimistic this time, maybe Trump’s seeking to be remembered as a man of peace, will bring us real peace this time.”
RESIDENT WORRIES THAT NETANYAHU WILL ‘SABOTAGE’ DEAL
Some voiced hopes of returning to their homes, but the Israeli military issued a fresh warning to Gazans on Saturday to stay out of Gaza City, describing it as a “dangerous combat zone.”
Gazans have faced previous false dawns during the past two years, when Trump and others declared at several points during on-off negotiations between Hamas, Israel and Arab and US mediators that a deal was close, only for war to rage on.
“Will it happen? Can we trust Trump? Maybe we trust Trump, but will Netanyahu abide this time? He has always sabotaged everything and continued the war. I hope he ends it now,” said Aya, 31, who was displaced with her family to Deir Al-Balah in the central Gaza Strip.
She added: “Maybe there is a chance the war ends at October 7, two years after it began.”
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Mass Rally in Rome on Fourth Day of Italy’s Pro-Palestinian Protests
A Pro-Palestinian demonstrator waves a Palestinian flag during a national protest for Gaza in Rome, Italy, October 4, 2025. Photo: REUTERS/Claudia Greco
Large crowds assembled in central Rome on Saturday for the fourth straight day of protests in Italy since Israel intercepted an international flotilla trying to deliver aid to Gaza, and detained its activists.
People holding banners and Palestinian flags, chanting “Free Palestine” and other slogans, filed past the Colosseum, taking part in a march that organizers hoped would attract at least 1 million people.
“I’m here with a lot of other friends because I think it is important for us all to mobilize individually,” Francesco Galtieri, a 65-year-old musician from Rome, said. “If we don’t all mobilize, then nothing will change.”
Since Israel started blocking the flotilla late on Wednesday, protests have sprung up across Europe and in other parts of the world, but in Italy they have been a daily occurrence, in multiple cities.
On Friday, unions called a general strike in support of the flotilla, with demonstrations across the country that attracted more than 2 million, according to organizers. The interior ministry estimated attendance at around 400,000.
Italy’s right-wing government has been critical of the protests, with Prime Minister Giorgia Meloni suggesting that people would skip work for Gaza just as an excuse for a longer weekend break.
On Saturday, Meloni blamed protesters for insulting graffiti that appeared on a statue of the late Pope John Paul II outside Rome’s main train station, where Pro-Palestinian groups have been holding a protest picket.
“They say they are taking to the streets for peace, but then they insult the memory of a man who was a true defender and builder of peace. A shameful act committed by people blinded by ideology,” she said in a statement.
Israel launched its Gaza offensive after Hamas terrorists staged a cross border attack on October 7, 2023, killing some 1,200 people and taking 251 people hostage.
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Hamas Says It Agrees to Release All Israeli Hostages Under Trump Gaza Plan
Smoke rises during an Israeli military operation in Gaza City, as seen from the central Gaza Strip, October 2, 2025. Photo: REUTERS/Dawoud Abu Alkas
Hamas said on Friday it had agreed to release all Israeli hostages, alive or dead, under the terms of US President Donald Trump’s Gaza proposal, and signaled readiness to immediately enter mediated negotiations to discuss the details.