Doctors Without Borders, known by its French initials MSF, has suspended some operations at a Nasser Hospital in Gaza after its staff and patients saw “armed men, some masked” posing “serious security threats” inside the building.

The Geneva-based medical charity reported on its website that non-essential work at the hospital in Khan Younis was halted on January 20 due to concerns with the “management of the structure, the safeguarding of its neutrality, and security breaches”.

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“MSF teams have reported a pattern of unacceptable acts, including the presence of armed men, intimidation, arbitrary arrests of patients, and a recent situation of suspicion of movement of weapons”, said the site’s “frequently asked questions” section, last updated on February 11.

“Hospitals must remain neutral, civilian spaces, free from military presence or activity to ensure the safe and impartial delivery of medical care”, it said, adding that the charity expressed concern to the “relevant” authorities.

Under the suspension, MSF will continue supporting critical services, such as inpatient and surgical departments, but will end support to the paediatrics and maternity wards, including the neonatal intensive care unit, and will no longer offer a range of outpatient consultations and other services.

The organisation was not able to indicate the armed men’s affiliation, but said its concerns were heightened by previous, deliberate Israeli attacks on health facilities.

Israel has decimated the enclave’s health infrastructure and continues to hold captive 95 Palestinian doctors and medical workers, including 80 from Gaza.

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Zaher al-Waheidi, the head of the records department at Gaza’s Ministry of Health, said that MSF’s suspension will have a significant impact as hundreds of patients are admitted to the maternity and burn wards daily. He said the ministry would take over maternity patient care.

Gaza’s Ministry of Interior said in a statement that it is committed to preventing any armed presence inside hospitals, and that legal action will be taken against violators. It suggested that armed members of certain families recently entered hospitals, but did not identify those involved.

Israeli ban on aid organisations

MSF’s announcement comes after Israel recently ordered the charity and dozens of other international organisations to stop their work in Gaza and the Israeli-occupied West Bank if they did not meet new rules, including sharing details about their staff.

Two weeks ago, MSF – which provides international staff for six hospitals, and operates two field hospitals and eight primary health centres, clinics and medical points – said it would not submit a staff list to Israel after failing to receive assurances for their safety.

Israel has repeatedly attacked hospitals and healthcare workers throughout its genocidal war on Gaza.

In other developments on Saturday, Israel’s military said its troops “eliminated” a person in northern Gaza, alleging that the unidentified individual crossed the “yellow line“. The demarcation divides Gaza into an eastern area under Israeli military control and a western area where Palestinians face fewer movement restrictions but are under constant threat of air strikes and forced displacement.

Palestinian President Mahmoud Abbas slammed Israel for violating the US-brokered “ceasefire”, during which Israel has killed nearly 600 Palestinians since October 10.

In a speech by Prime Minister Mohammed Mustafa at an African Union summit in Ethiopia, he called on Israel to remove all “obstacles” to implementing phase two of the “truce” deal, including the work of a technocratic committee that will oversee the daily governance of Gaza.

More than 72,000 Palestinians have been killed and 171,000 wounded in attacks in Israel’s genocidal war on Gaza since October 2023.