Responsibility. Lets get more on tuesdays hospital attack. Heres our international editorjeremy bowen. Loud blast the missile hit the hospital not long after dark. Man shouts you can hear the impact. The explosion destroyed Al Ahli Hospital. It was already damaged from a smaller attack at the weekend. The building was flattened. Shouting very soon video was posted from gaza of bodies laid out near the ruins of the hospital. So many dead and the size of the explosion, together looked to be having a profound impact on what was already the most dangerous crisis in the middle east in a generation. The wounded were taken across gaza city to Shifa Hospital. The israeli armys First Response said hospitals were highly sensitive and not targets of its military and urged caution about what it called the unverified claims of a terrorist organisation. That statement will not be believed by palestinians and by millions of others in the middle east who see these images. The wounded and the dying pouring into shifa from al ahli arrived at a hospital already overwhelmed by thousands of casualties from israeli air strikes. It was already struggling to treat patients after israel cut off fuel, water, food, and deliveries of medical supplies. Jordan and egypt condemned israel for a dangerous escalation. Jordan said the International Community should pressure israel to stop its attacks to prevent what it called wide cycles of violence. As fury and fear gripped palestinians, israel denied that it was responsible. Ican i can confirm that an analysis of the idf operational systems indicates that the barrage of rockets was fired by terrorists in gaza, passing in close proximity to the Al Ahli Hospital in gaza at the time it was hit. , was hit. Intelligence from few sources that was hit. Intelligence from few sources that we was hit. Intelligence from few sources that we have was hit. Intelligence from few sources that we have in was hit. Intelligence from few sources that we have in our i sources that we have in our hands indicates that the islamichhad is responsible for the failed Rocket Launch which hit the hospital in gaza. Pictures on social media showed many children are among the casualties in gaza. Many children are among the casualties in gaza. So many people needed treatment that the corridors of Shifa Hospital were packed. Its also causing even more anxiety among the hundreds of thousands of palestinians who fled to gazas Southern Border with egypt after israel told them to leave their homes. Theres 8,000 people here at night and it is usually raucous, loud, kids are running around, but tonight there is silence, absolute silence. You cant hear a thing. People are just in absolute shock about what has happened. It is really, really shocking. And, and, ijust dont know what to say. I have no words. Anger spilled onto the streets of the occupied west bank. Since hamas attacked out of gaza on the 7 october, there have been fears that mass casualties caused by israels response could ignite west bank towns that have been the centre of unrest for well over a year. The young men on the streets, and Palestinian Armed groups in the west bank, will not believe israels denials. The latest from israels Prime Minister blaming what he called barbaric terrorists for the attack. The attack is a seismic event in a war that might spread elsewhere in the middle east. Their other reports that the president has cancelled and meeting with the us president who is due tomorrow on a mission aimed at easing the plight of Palestinian Civilians and who will now walk into an even deeper crisis. Jeremy bowen, bbc news, in southern israel. 0ur gaza correspondent, rushdi abualouf, has been covering the conflict from the ground, and has this update on the hospital. People on the corridor of the hospital. They were doing surgeries for people seriously injured. They are volunteers, people, nurses, students of the medical and the universities rushing to the hospital to help and support the doctors in the hospital are really struggling to save peoples live. It is like more than three hours now since the explosion in the hospital. People in their heads are still trying to remove the rubble and find any survivors. Transporting, finding the bodies and taking bodies to the hospital. There is no place to put the body. They put the bodies in the courtyard of the hospital and they are making surgeries in the street. The bbc has spoken to officials from both the israeli and palestinian governments. Both have different takes on who is responsible for the strike. We start with mark regev, Senior Adviser to Prime Minister netanyahu and former ambassador of israel to the united kingdom. All indications are that this was not israeli orders, that this was rather a hamas rocket that fell short. I want to explain this. From past conflicts with the terracing gaza, we know that on average about 33 of the rockets that they shoot at us fall short and land in gaza. That is the fact. That is documented. Number to matt, we know that at the time of this tragedy in gaza, there was a huge barrage against in central israel. I urge you to be cautious. There are indications, very, very serious indications, very, very serious indications that it is not us. Hamas wants to have a Propaganda Victim saying israel has killed innocent civilians. There is no evidence to support the claim and lets just wait and see how this develops. Look, israel does not target hospitals. Full stop. We do not do it. The bbc also spoke with mustafa barghouti, a palestinian legislator and leader of the Palestinian National initiative. He pointed the finger squarely at israel, saying the strike was years in the making. It is an unacceptable, deliberate war crime against the civilian population of gaza. Bombarding the hospital where thousands of people were thinking they were in a safe place, where patients were there for getting treatment and this is rarely air strike, which took the lives of 500 people at least. And im sure the number will rise because there are so many badly injured people, who could die at any moment. This was deliberate attack, an acceptable attack. A war crime that should not have happened and should not be accepted and this in my opinion reveals to you the level of israels feeling of total impunity and lack of accountability, not only to International Law but to human beings everywhere. As we mentioned earlier, jordan has cancelled a planned summit it was going to host in amman with President Biden and the egyptian and palestinian leaders. According to thejordan foreign minister, there is no use in talking now about anything except stopping the war. Earlier, the palestinian president Mahmoud Abbas had already pulled out of the summit with biden as he returned to the west bank to hold an Emergency Meeting of the Palestinian Authoritys leadership. Biden is currently on his way to the middle east, where he is still expected to meet with israeli president Benjamin Netanyahu on wednesday. Prime minister, rather. While aboard air force one, john kirby of the Us National Security council expressed optimism they will be able to get aid into gaza. 0ur North America editor sarah smith has more on whats at stake for the president s trip to israel. This is an extraordinary trip, which was a very high stakes gamble even before the news came in of this Hospital Bombing. Its a visit with two purposes, really. And both of those twofold missions got considerably more difficult today. Firstly, he wants to go there to demonstrate what he calls his ironclad commitment to israel and to its right to defend itself. Now, that is a position that joe biden has had for well over 50 years now, but it is a position that is much, much more uncomfortable to defend tonight than it was even just this morning. The other thing he wants to try to achieve is to get israel to allow emergency humanitarian aid into gaza and to put in place some kind of measures to try to protect innocent civilian lives. That just looks a lot more difficult now as well, because youve got the american president flying into a situation where the hamas leader says its the fault of the us, that this Hospital Bombing has happened because america gives israel cover for its aggression, he says. As you were reporting, the palestinian president , Mahmoud Abbas, cancelled his meeting Withjoe Biden and then at the same time, israel are going to ask him for over 10 billion worth of emergency military aid. So he is arriving in a situation that was already complex and it is now considerably more volatile before he even touches down. And we can talk about all this now. Daniel byman is a Senior Fellow at the center for strategic and International Studies and has written extensively on the middle east. Hejoins me now. We will get to President Biden� s trip in a moment. I first want to start with this horrific attack on the hospital, and further escalation in this conflict and get your thoughts on it. 50. Escalation in this conflict and get your thoughts on it. So, as ou get your thoughts on it. So, as you said. Get your thoughts on it. So, as you said. This get your thoughts on it. So, as you said, this is get your thoughts on it. So, as you said, this is one get your thoughts on it. So, as you said, this is one of get your thoughts on it. So, as you said, this is one of the you said, this is one of the worst things you could imagine. 500 perhaps far more people, innocent people, horribly killed. As your reporting indicated, we do not know who is responsible so far. But i would say even if responsibility is determined there will be audiences that do not believe it. Certainly, hamas and others will always claim israel is responsible, evenif claim israel is responsible, even if it is proven to be palestinian islamichhad or another group. This is going to harm. Israeland is another group. This is going to harm. Israel and is already causing damage to the United States in the region where people have been very critical of the very strong Biden Administration support and it is the sort of terrible tragedy that has marked this conflict in the past, where it sounds a bit. We have seen the sorts of mistakes occur where a lot of mistakes occur where a lot of innocent people died as military operations escalated. What do you think it will mean to israels stated aim of Eradicating Hamas from gaza . Eradicating hamas from israel is an exceptionally difficult angle. More realistically is doing hamas a lot of damage. It would be measured in terms of killing or capturing leaders and destroying hamas infrastructure whether arms cages or its overall Military Support in gaza. Israel is preparing to go in on the ground in gaza. That will be exceptionally difficult and a bloodied operation, simply the terrain of gaza where everything is built up and Hamas Colocated Military and civilian infrastructure means that its very hard to target hamas leadership without destroying large amounts of civilian infrastructure. Some people have left the area but many remain and they will be unfortunately far more dead people as this operation commences. That is something that will be impossible for israel to avoid. I that will be impossible for israel to avoid. That will be impossible for israel to avoid. I want to also ask about israel to avoid. I want to also ask about president israel to avoid. I want to also ask about President Bidens i ask about President Biden� s trip to the region. The summit that was intended to be held in jordan because of this Hospital Strike. Where do you think this leaves his trip in terms of the stated mission to work on the humanitarian crisis in gaza . President biden is going in part because he wants to go and show israel and Many Americans that he stands in hundred largely behind israel. And he is also doing it because he believes that if he does so he will have more ability to get israel to make concessions on things like humanitarian issues. I do believe that this trip has been warmly received by israelis and makes biden popular, far more popular than the democratic president has been for quite some time. It does allow the United States to push israel on things like humanitarian corridors, supplies,. Humanitarian corridors, supplies,. Humanitarian corridors, supplies,. Supplies,. Just to ump in there. I supplies,. Just to ump in there. If he supplies,. Just to ump in there. If he is h supplies,. Just to ump in there. If he is seen supplies,. Just to jump in | there. If he is seen meeting with isabella not engaging with palestinian and arab leaders, how do you think that will come across the region . Across the region . There is no auestion across the region . There is no question the across the region . There is no question the region across the region . There is no question the region is across the region . There is no i question the region is becoming very criticalfor question the region is becoming very critical for the United States. We have seen widespread demonstrations where people have been chanting anti us slogan. This is before the Hospital Bombing. People do not, then probe, blame the United States for providing. 0ur Governments will be cautious as a result but the keyissue cautious as a result but the key issue right now is trying to make sure that there is some Israeli MilitaryCo Ordination with the humanitarian operations. That is not simply israel going on hundred on the military side. But, yes, there is no question the strike makes it much harder. You have written or makes it much harder. You have written or said makes it much harder. You have written or said that makes it much harder. You have written or said that what makes it much harder. You have written or said that what were l written or said that what were seeing a decline of us power and engagement in certain parts of the world including the bitterly. What did you mean by that . United states had one goal in the middle east, to try to reduce its involvement, to try to pivot towards china, dealing with russias aggression in ukraine. These were the priorities in the middle east unfortunately has a way of sucking the United States back in, and by the United States trying to reduce its presence, we have seen a range of regional powers go their own way, and that in my view has made it lasting. Made it lasting. Just a quick question. Made it lasting. Just a quick question. Do made it lasting. Just a quick question, do you made it lasting. Just a quick question, do you think made it lasting. Just a quick question, do you think we l made it lasting. Just a quick. Question, do you think we will see this war possibly widened beyond the current conflict . Unfortunately that is a real possibility. So far, we have seen limited escalation by the lebanese hezbollah, we have seen an aggressive israeli response to that, we have seen some strikes in israel from syria. We havent seen it escalate into an all out regional war but tension is very high, passion is very high, and things like the Hospital Strike me that anger is going to propel groups like hezbollah and also governments to try to act. Hezbollah and also governments to try to act to try to act. Daniel, really interesting to try to act. Daniel, really interesting to to try to act. Daniel, really interesting to get to try to act. Daniel, really interesting to get your interesting to get your perspective on bbc news tonight. Thank you so much. Around the world and across the uk, this is bbc news. Lets look at some other stories making news. Us congressmanjim jordan has fallen short in the first round of voting to become us speaker. Some 20 fellow republicans voted against him. He could only afford to lose four members in a floor vote. The party will soon vote in a second round, withjordan hoping to win over some hold outs. Hes looking to fill the role left empty, after the former speaker, kevin mccarthy, was ousted, two weeks ago. Ukraine has used long range missiles, supplied by the United States, for the first time. Thats according to president volodymyr zelensky. His comments follow reports that the weapons, known as atacms, destroyed nine helicopters at russian bases in the east of the country. Russias military has not commented. Belgian police have shot dead a man who killed two swedish nationals in brussels on monday. The 45 year old man was shot in a cafe. A third Swedish Citizen was seriously injured in the attack. The shooting took place 5km, or about three miles, from the stadium where belgium was playing sweden in a euro 2024 football qualifier. Youre live with bbc news. Lets look more closely now at the fall out from tuesdays events in gaza city, and see how theyre rippling throughout the region. 0ur Correspondentjohn Donnison has more on that. Gunfire fury tonight in the west bank. In ramallah, youths battled with Palestinian Sec