Dr Medhat Abass, director-general of the Hamas-led Gaza health ministry, has sent Sky News a voice note from inside the enclave, where he says conditions are deteriorating. 

“The situation in our hospitals is miserable, my colleagues are suffering too much,” he says.

“Patients are thrown on the ground and I think if the war continues like this the situation will be more miserable and more children will die, this is the only thing I know.”

The UN warned yesterday that Gaza is becoming “a graveyard for children”, with the Hamas-led health ministry claiming more than 4,000 of the 10,000 people it says have been killed by Israeli action since 7 October are children.  

“We have already reached the end, there is nothing worse than what we are living now,” Dr Abass says.

“Simply because the wounded are lying on the ground, there is no place inside the hospital – patients and wounded are lying on the corridors and wounded are being operated upon without anesthesia.” 

Even amputations are being done without anesthesia, he says.

“This is the worst thing that I could ever see in my life and there is nothing worse than working without electricity, without medication.

“All my colleagues are exhausted, tired, with the bombardment around the hospital every hour. 

“It’s miserable, it’s really miserable.”