DEIR AL-BALAH, Gaza Strip: One of Gaza’s last functioning hospitals has been emptying out in recent days as Israel has ordered the evacuation of nearby areas and signaled a possible ground operation in a town that has been largely spared throughout the war, officials said Monday.
The Al-Aqsa Martyrs Hospital in Deir Al-Balah is the main hospital serving central Gaza. The Israeli military has not ordered its evacuation, but patients and people sheltering there fear that it may be engulfed in fighting or become the target of a raid.
Also on Monday, Israeli strikes in Gaza City and Khan Younis killed at least 19 people, according to local officials, and fighting between Israel and Hezbollah resumed across the Lebanon border.
Israeli forces have invaded several hospitals in Gaza over the course of the 10-month-old war, accusing Hamas of using them for military purposes, allegations denied by Palestinian health officials.
Israeli evacuation orders now cover around 84 percent of Gaza’s territory, according to the United Nations, which estimates that around 90 percent of Gaza’s population of 2.3 million have been forced from their homes. Many have been displaced multiple times.
The evacuation orders have reduced the size of the humanitarian zone declared by Israel at the start of the war while crowding more Palestinians into it. Thousands of Palestinian families have packed into tent camps along the beach where aid groups say food and clean water are scarce and disease spreads quickly.
The most recent satellite images available from PlanetLabs and analyzed by The Associated Press show the increase in tent density along the beachfront since July 19.
AP reporters saw people fleeing the hospital and surrounding areas on Monday, many on foot. Some pushed patients on stretchers or carried sick children, while others held bags of clothes, mattresses and blankets. Four schools in the area were also being evacuated.
“Where will we get medicine?” Adliyeh Al-Najjar said as she rested outside the hospital gate. “Where will patients like me go?”
Fatimah Al-Attar fought back tears as she left the hospital compound heading in the direction of the tent camps. “Our fate is to die,” she said. “There is no place for us to go. There is no safe place.”
The UN Office for Humanitarian Affairs known as OCHA said that since Friday the Israeli military has issued three evacuation orders for over 19 neighborhoods in northern Gaza and in Deir al Balah, affecting more than 8,000 people staying in these areas.
The order covers an area including or near UN and other humanitarian centers, the Al Aqsa hospital, two clinics, three wells, one water reservoir and one desalination plant, said Jens Laerke, a spokesman for OCHA.
“This effectively upends a whole lifesaving humanitarian hub,” Laerke said.
Doctors Without Borders, an international charity known by its French acronym MSF, said an explosion around 250 meters (yards) from the hospital on Sunday caused panic, accelerating the exodus.
“As a result, MSF is considering whether to suspend wound care for the time being, while trying to maintain life-saving treatment,” it said on the platform X.
The hospital says it was treating over 600 patients before the evacuation orders, which apply to residential areas about a kilometer (0.6 mile) away. Around 100 patients remain, including seven in intensive care and eight in the children’s ward.
The Israeli military said it was operating against Hamas in Deir Al-Balah and working to dismantle its remaining infrastructure there. It said the evacuation orders were issued to protect civilians, and did not include nearby hospitals or medical facilities. It said it had also informed Palestinian health officials that the facilities did not need to be evacuated.
The army has excluded hospitals from past evacuation orders, but patients and others have still fled, fearing for their safety.
Israel’s military said Monday that its forces were expanding operations on the outskirts of Deir Al-Balah and had discovered weapons in a residential apartment and dismantled an underground Hamas tunnel about 700 meters (765 yards) long.
Local health officials said an Israeli airstrike hit a group of people on the seashore in Gaza City, killing at least seven men while they were fishing.
Another strike hit a vehicle inside the Israeli-declared humanitarian zone near the southern city of Khan Younis, killing at least five people, according to a Kuwaiti field hospital, where the bodies were taken.
The Israeli military did not immediately respond to a request for comment on those attacks.
Monday night, a strike hit a house in Maghazi, a refugee camp near Deir Al-Balah, and killed at least seven people, including four children and a woman, according to hospital records and AP journalists who counted the bodies. Ambulances recovered the bodies that were taken to Al Aqsa hospital.
The war began on Oct. 7 when Hamas-led militants attacked Israeli army bases and farming communities. The militants killed some 1,200 people, mostly civilians, and dragged around 250 hostages back to Gaza.
Israel’s retaliatory offensive has killed over 40,000 Palestinians, according to Gaza’s Health Ministry, and caused heavy destruction across much of the territory. Hamas is still holding around 110 hostages, about a third of whom are believed to be dead, after most of the rest were freed in a ceasefire last year.
Israel has continued carrying out strikes across Gaza as the United States, Egypt and Qatar have tried to broker a lasting ceasefire and the release of the remaining hostages. Major gaps remain despite several months of high-level negotiations.
Hospitals have repeatedly been turned into battlegrounds, both literally and in the rival narratives surrounding the war.
Israel’s army has raided a number of medical facilities since the start of the war and has provided some evidence that militants were inside some of them. Medical staff deny the allegations and accuse the army of reckless disregard for civilians.
Hospitals can lose their protected status under international law if they are used for military purposes, but any operations against them must be proportional and seek to spare civilians.
Only 16 of Gaza’s 36 hospitals are even partially functioning, according to the World Health Organization, even as they treat casualties from daily Israeli airstrikes across the territory. The difficulty of importing and distributing humanitarian aid in Gaza has contributed to widespread hunger and disease outbreaks, further stressing the health sector.
Main hospital in central Gaza empties out as Israeli forces draw near
https://arab.news/jx3np
Main hospital in central Gaza empties out as Israeli forces draw near

- Israeli evacuation orders now cover around 84 percent of Gaza’s territory, according to the United Nations
Yemen’s Houthi rebels blame US for fresh strikes

- The Houthis, who control swathes of Yemen, have launched missiles and drones targeting Israel and Red Sea shipping throughout the Gaza war, saying they act in solidarity with Palestinians
SANAA: Yemen’s Houthi rebels on Monday blamed Washington for around 10 strikes in and around the capital Sanaa, as the United States pursues its campaign against the Iran-backed force.
The Houthi-run Saba news agency said two US strikes had targeted Arbaeen street in the capital, another the airport road, having earlier reported two strikes it blamed on “American aggression” and a series of prior bombardments on Sanaa.
The Houthi administration’s health ministry said 14 people were wounded in the Sawan neighborhood, according to Saba.
An AFP journalist heard loud explosions in the capital, which has been controlled by the Houthis since 2014.
The bombardment follows a Houthi strike against Washington’s ally Israel, which hit the perimeter of the country’s main airport on Sunday.
Eight people were wounded in US strikes on Sanaa in late April, according to the rebels, who also reported strikes in other parts of the country, including their stronghold Saada in the north.
The Houthis, who control swathes of Yemen, have launched missiles and drones targeting Israel and Red Sea shipping throughout the Gaza war, saying they act in solidarity with Palestinians.
The Yemeni rebels had paused their attacks during a recent two-month ceasefire in the Gaza war.
But in March, they threatened to resume attacks on international shipping over Israel’s aid blockade on the Gaza Strip.
The move triggered a response from the US military, which began hammering the rebels with near-daily air strikes starting March 15 in a bid to keep them from threatening shipping in the Red Sea and Gulf of Aden.
US strikes on the rebels began under former president Joe Biden, but intensified under his successor Donald Trump.
Since March, the United States says it has struck more than 1,000 targets in Yemen.
Sultan of Oman reaffirms ties during visit to Algeria

- The Omani leader is on a two-day visit to Algeria
- The delegation includes foreign and defense ministers
LONDON: The Sultan of Oman Haitham bin Tarik met Algerian President Abdelamdjid Tebboune on Sunday to discuss ties between their nations.
At the sultan's residence in the capital, Algiers, the leaders affirmed their commitment to enhancing relations to serve their countries' mutual interests, the Oman News Agency reported.
The Omani leader is on a two-day visit to Algeria. On Sunday, Tebboune received him at Houari Boumediene International Airport for an official reception.
Several ministers and officials are in the Omani delegation, including Sayyid Shihab bin Tariq Al-Said, Deputy Prime Minister for Defense Affairs, and Sayyid Badr Hamad Al-Busaidi, Minister of Foreign Affairs.
Can Iraq’s Development Road project become its gateway to prosperity?

- Once a hub of global trade, Iraq aims to reclaim role with a $20 billion project connecting the Gulf to Europe by road, rail, and pipeline
- Experts say ambitious infrastructure project could prove transformative if it can overcome the political, logistical and financial hurdles
LONDON: Under the Abbasid Caliphate, some 1,200 years ago, Baghdad sat at a crossroads between continents, a global confluence of commerce, culture and learning, becoming one of the most important cities on the Silk Road — the vast trade network that linked Asia to Europe.
It is that same strategic positioning that the modern-day government of Iraq hopes to recreate through a mega-project that could transform the nation’s fortunes after decades of war, sanctions and underdevelopment, and in the process reshape international trade.
The Development Road scheme aims to connect the Arabian Gulf to the Mediterranean with a 1,200 km network of roads, railways and energy links from across Iraq to neighboring Turkiye.
The project is expected to cost up to $20 billion and will be constructed in partnership with Turkiye and with backing from Qatar as well as the UAE.

If successful, it could carve out a new future for Iraq, diversifying its economy and raising substantial revenues. It would help export the country’s plentiful energy resources, while also consolidating relations with Turkiye and the Gulf states.
But the project faces several challenges, both within Iraq and the wider region. Corruption, interstate rivalries, political instability and conflict could derail the scheme, as could competition from other trade corridors in the region.
Failure would raise uncomfortable questions about whether Iraq can ever move beyond its chaotic past to build the kind of country its people desperately seek.
“The Development Road project is one of the most important infrastructure projects initiated in Iraq since the formation of the modern Iraqi state in the 1920s,” Mohammed Hussein, a member of the Iraqi Economists Network, told Arab News.

The idea for a new trade corridor through Iraq has been around for decades. In the 1980s, the concept was branded the “dry canal” — tipped as an alternative to the Suez in Egypt. But wars and sanctions on Saddam Hussein’s regime prevented any progress.
In response to public outrage over Iraq’s continued economic malaise — especially given the size of its oil reserves — the concept has since re-emerged as part of a broader development agenda, helped along by a period of relative stability and improving relations with Turkiye.
The Development Road was launched in 2023 after a meeting between Iraqi Prime Minister Mohammed Shia’ Al-Sudani and Turkish President Recep Tayyip Erdogan.

Central to the plan is the Grand Faw Port now under construction on Iraq’s slither of shallow coastline at the head of the Arabian Gulf. When completed, Iraqi officials say the port will have 100 berths, surpassing Jebel Ali in Dubai as the Middle East’s largest container port.
Grand Faw will connect to a network of highways and railways running through major Iraqi cities including Basra, Karbala, Baghdad and Mosul, all the way to the Turkish border at Faysh Khabur.
From there, they will connect to Turkiye’s networks, linking up with its major Mediterranean ports and its land border with Europe. Oil and gas pipelines are also planned to follow the route, linking Basra’s oil fields to Turkiye’s Ceyhan energy hub.

The scheme, which will be built in three stages up to 2050, would see industrial areas constructed along its route. However, much of the project still remains in the planning phase.
In April last year, Turkiye, Iraq, the UAE and Qatar signed a joint cooperation agreement on the project during a long-awaited visit by Erdogan to Baghdad.
“The project aims to create a sustainable economy bridging east and west,” Al-Sudani’s office said, adding that it would “establish a new competitive transport route, and bolster regional economic prosperity.”

A planned visit by the Iraqi prime minister to Turkiye on May 8 is expected to advance the plan further.
If successful, the project would bring numerous benefits to Iraq, diversifying its economy away from oil and gas and creating hundreds of thousands of jobs. According to Hussein of the Iraqi Economists Network, the project could generate $4 billion per year in customs revenues.
“The Development Road is likely to enhance Iraq’s role in global trade and directly revitalize its non-oil economic sectors such as trade, transportation and tourism,” he said.
IN NUMBERS:
• 99% Oil’s share of Iraq’s exports over the past decade.
• $20 billion Estimated cost of Development Road project.
(Sources: World Bank & media)
There would also be a major boost to Iraq’s strategic positioning, strengthening economic and security relations with Turkiye, the Gulf states and Europe.
“From a global perspective, the Development Road is extremely important for Iraq, as it positions the country as a land bridge between Asia and Europe,” said Hussein.
“It aims to serve as a new route for global trade from the Arab Gulf to Europe, transforming Iraq into a transit hub similar to the Suez Canal.”

Renad Mansour, a senior Iraq research fellow at Chatham House, believes the project represents a clear statement of Iraq’s ambition to put decades of chaos behind it and become a more influential power in the region.
The government sees the project “as an opportunity for Iraq, after years of conflict and dependencies, to start to regain some traction in the region by becoming an important central hub,” he told Arab News.
Iraq’s geographic position would become a “potential point of leverage” that could rebuild its regional position, he added.

The Development Road also offers substantial benefits to Turkiye.
Ankara “views this project as a strategic opportunity to boost its regional role, enhance its trade ties with regional actors and solidify the economic connectivity in the region,” Sinem Cengiz, a Turkish political analyst, told Arab News.
It also marks a sea change in Turkiye-Iraq relations, which have long been dominated by border security, Turkiye’s conflict with Kurdish militants and control of water resources.
“From the Turkish side, it is an opportunity to transform its relations with Iraq from a security-oriented perspective to an economically integrated relationship,” said Cengiz.

“This project provides a framework for long-term mutual dependency and a rare chance for Turkiye and Iraq to compartmentalize, and institutionalize their relations.”
There are, however, an array of challenges and potential obstacles that could delay or scuttle the project altogether.
The biggest risks come from within Iraq itself. Since the 2003 US-led invasion, Iraq has experienced a devastating civil war, a savage conflict with Daesh extremists and the emergence of powerful Iran-backed militias.

“The Iraqi state remains fragmented and corruption is still a big challenge,” said Mansour. “There’s all sorts of challenges, political and security-wise, that would need to be addressed to ensure the sustainability of such a grand vision.”
The country still ranks poorly on Transparency International’s corruption perceptions index, although there has been gradual improvement since 2015. This, along with other bureaucratic obstacles, means ensuring efficient project management is a significant concern.
“Iraq’s reputation for corruption, weak law enforcement, bureaucratic inefficiency, and an underdeveloped business environment will certainly increase the project’s cost and duration,” said Hussein.
The nature of the project means it will have to be built through many regions of the country, each with its own ethnic, religious and political mix.
“The road will go through several different territories where the central government doesn’t have as much authority and you have different armed groups and different sides who would need to be part of this process or could turn into spoilers,” said Mansour.
The route avoids most of Iraq’s semi-autonomous Kurdistan region in the north, apart from the last 20 km where it reaches the border with Turkiye, potentially creating new rifts with the country’s large Kurdish minority.

The Kurdistan Regional Government has accused the federal government of deliberately bypassing the territory and excluding Kurdish areas that would otherwise have benefited from the scheme, said Hussein.
“The project has raised concerns among KRG leaders, who are demanding it be designed to pass through at least two of the KRG provinces, Irbil and Duhok,” he said.
The federal government, however, denies the KRG’s claim, insisting the current route is based on cost-efficiency.
There are also major external challenges to the project.
Grand Faw Port is located just a few kilometers from Kuwait’s long-proposed Mubarak Al-Kabeer Port, which is also under construction. The projects have exacerbated a long-running dispute over the maritime border between the two states and raised tensions over competition between the two ports.

“To prevent tensions and avoid creating a sense of insecurity, Kuwait must be somehow integrated into the process,” said Cengiz. “This would make the project more regionalized and help build a more stable environment for cooperation.”
Iran, which has huge influence in Iraq, particularly through the militias it funds, is also watching the scheme warily. Some argue the corridor could benefit Iran, but could also pose significant competition to its Gulf ports and plans for its own trade route linking Asia to Europe.
Then there is the rivalry with existing trade routes, most notably the Suez Canal, which is vital to Egypt’s economy. Attacks on shipping in the Red Sea by Yemen’s Houthis have dramatically reduced shipping through the waterway, increasing the cost of transporting goods from Asia to Europe.
Iraqi officials claim the Development Road will offer a much faster route from Asia to Europe than the Suez, even without the current shipping disruption.
Another major corridor through the Middle East is also being developed between India, the Gulf states, and Europe, and was set to include Israel and Jordan. Known as the “India-Middle East-Europe Economic Corridor,” or IMEC, the project has won the backing of the US. However, the war in Gaza has presented challenges.

IMEC was viewed by some as a response to China’s Belt and Road Initiative — the vast set of infrastructure projects launched in 2013 to create land and maritime networks between Asia and Europe.
China has not yet committed to providing financial backing to the Development Road but has hinted that the project could be integrated into its BRI, raising a possible point of contention with the US.
Despite these many challenges, there is widespread support within Iraq for the project. If successful, the Development Road could become a beacon of hope for a nation emerging from a long night.
Pope Francis’s popemobile set to become health clinic for Gaza children

- Vehicle, used by the late pontiff during his 2014 visit to the Holy Land, is being outfitted with diagnostic and emergency medical equipment to help patients in Gaza
- Francis had a number of popemobiles, with the one used in the 2014 visit to Israel and the Palestinian Territories staying in the region following his return to the Vatican
VATICAN CITY: One of Pope Francis’s popemobiles is being transformed into a mobile health clinic for children in the Gaza Strip, fulfilling one of his final wishes, the Vatican’s official media outlet said on Sunday.
The vehicle, used by the late pontiff during his 2014 visit to the Holy Land, is being outfitted with diagnostic and emergency medical equipment to help young patients in the Palestinian enclave, where health services have been devastated by the Israeli invasion.
Pope Francis, who died last month, entrusted the initiative to the Catholic aid organization Caritas Jerusalem in the months before his death, Vatican News said.
“This is a concrete, life-saving intervention at a time when the health system in Gaza has almost completely collapsed,” Peter Brune, Secretary General of Caritas Sweden, which is supporting the project, told Vatican News.
The mobile unit will be equipped with rapid infection tests, vaccines, diagnostic tools, and suture kits, and staffed by medical personnel. Caritas plans to deploy the clinic to communities without access to functioning health care facilities once humanitarian access to Gaza is feasible.
“It’s not just a vehicle,” Brune added. “It’s a message that the world has not forgotten about the children in Gaza.”
Gaza has a tiny Christian community and the Vatican has said Francis used to call the Holy Family Church in Gaza on an almost daily basis for much of the war, which started in October 2023 when Hamas militants attacked southern Israel.
Francis had a number of popemobiles, with the one used in the 2014 visit to Israel and the Palestinian Territories staying in the region following his return to the Vatican.
A conclave to elect a new pope starts on May 7.
Lebanon holds first local elections in almost 10 years

- President Aoun pins national hopes on municipal revival
- PM Salam appeals for a big turnout, with security forces placed on full alert
BEIRUT: The first municipal elections in Lebanon began on Sunday after a more than nine-year hiatus.
Voting is taking place by region, with the first round in the Mount Lebanon districts, including Beirut’s southern suburbs.
According to the Interior Ministry, 9,321 candidates, including 1,179 women, are running in Mount Lebanon, vying for seats on 333 municipal councils.
Voter turnout exceeded 35 percent less than three hours before the polls closed at 7 p.m. local time.
President Joseph Aoun highlighted the vote’s significance in restoring confidence among the Lebanese people and international community, demonstrating that Lebanon is rebuilding its institutions and is on the right path.
The polls are the first of his presidential term and are seen as an indicator of voting trends ahead of parliamentary elections in May 2026.
Parts of northern Lebanon will vote next Sunday, May 11, while Beirut and the eastern Bekaa Valley are scheduled to go to the polls on May 18. Voters in the southern regions, severely damaged following clashes between Israel and Hezbollah, will cast their ballots on May 24.
Lebanon’s presidential vacuum and security developments since October 2023 have affected the civic election process for almost a decade. Authorities last conducted a local ballot in 2016.
Polling stations opened in Mount Lebanon, the first governorate to begin the elections, under the personal supervision of Aoun.
After two visits to the Ministry of Defense and Ministry of Interior in the morning, Aoun said he had “full confidence in the success of this constitutional entitlement.”
He said: “What we are witnessing today in Mount Lebanon will motivate the other governorates.
“The goal is to revive municipalities as a prelude to reviving the entire nation.”
Aoun also urged voters not to let sectarian, “partisan or financial factors” impact their vote.
On the eve of the elections, Prime Minister Nawaf Salam took to social media to send a message to voters urging them to vote in large numbers.
He described the election as a crucial step toward executing the expanded decentralization mandated by the Taif Agreement, which faced delays for over 35 years and was vital for the growth of municipalities.
Sunday’s elections varied in intensity by district, especially in areas with party and family rivalries. Hezbollah, the Free Patriotic Movement, and the Syrian Social Nationalist Party aimed to retain control of municipalities against challenges from the Lebanese Forces, the Kataeb Party, and civil society activists.
Supporters from various parties and political factions hurried to include their candidates on most competing lists. This led voters, like one from the Harb family in Beirut’s southern suburb, to suggest “these elections are a crucial political battle, not a competition focused on development.”
Many dynamics have changed since 2016 regarding political and party balances and the map of alliances in Lebanon.
The elections took place in the districts of Metn, Keserwan, Jbeil, Chouf, Aley, and Baabda, which include the southern suburb of Beirut, with security provided by the Lebanese Armed Forces and Internal Security Forces.
Commando regiments and marine commando reserves were placed on full alert.
In recent weeks, Hezbollah has reached out to families in towns within the southern suburbs of Beirut to create lists that would be appointed unanimously and include supporters from those families. It succeeded in some areas and failed in others.
The southern suburbs of Beirut, along with the southern and Bekaa governorates, will hold elections later and reflect the level of public support for Hezbollah through the lists endorsed by the party.
The towns of Haret Hreik and Ghobeiry engaged in an electoral battle between closed lists of Hezbollah candidates and incomplete lists of families and young activists.
The electoral process in Mount Lebanon experienced some disorder at polling stations.
The central operations room for municipal elections at the Ministry of Interior reported receiving numerous complaints from various regions involving administrative violations, breaches of electoral law, security issues, conflicts among competitors, and instances of electoral bribery.
The Lebanese Association for Democratic Elections reported several violations, including “the failure of voters to use privacy screens and the presence of roaming representatives accompanying voters into polling stations with the intent to influence their electoral decisions.”
There was a noticeable shift in this election toward campaigning through smartphones, which promoted candidates and facilitated communication with voters.
The presence of candidate posters and banners in streets and neighborhoods has decreased, replaced by social media reels, stories, and closed groups.
The municipalities of Burj Al-Barajneh, Tahwitat Al-Ghadir-Laylaki, and Chiyah were contested unopposed.