Palestinian islamichhad. Both sides deny 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. 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 organization. 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. Two i can confirm that a marriage of intelligence from few sources that we have in our hands indicates that the islamicjihad he is responsible for the failed Rocket Launch which hit the hospital in gaza. Teachers taken on social media show the many children in gaza. So many people needed treatment, the corridors of Shiva Hospital were packed. The destruction of Al Ahli Hospital is also spreading fear among the hundreds of thousands of palestinians who fled to Gazaposmac Southern Border with egypt after israel told them to leave their homes. Leave their homes. There is 8000 peeple leave their homes. There is 8000 people here leave their homes. There is 8000 people here at leave their homes. There is 8000 people here at night. Leave their homes. There is l 8000 people here at night. It is usually raucous, loud, people are running, kids are running around. Tonight there is silence, absolute silence. You cant hear a thing. The people are in absolute shock about what has happened. It is really shocking and i dont know what to say, i have no words. � u, know what to say, i have no words. � u,. , know what to say, i have no words. �. ,. ,. , words. Anger came out onto the streets in words. Anger came out onto the streets in the words. Anger came out onto the streets in the occupied words. Anger came out onto the streets in the occupied west streets in the occupied west bank. The other part of the palestinian territories that separated them from gaza. On the 7th of october, there being fears that mass casualties caused by israelposmac response could ignite west bank towns that had been the centre of unrest for over a year israelposmac road. They will not believe israelposmac denials. The latest from Prime Minister blaming what they call barbaric terrorists. The attack is a seismic event in a war that might spread elsewhere in the middle east. The palestinian president has cancelled a meeting with the us president who is due in israel tomorrow morning on a mission that was 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. Our gaza correspondent Rushdi Abualouf has been covering the conflict from the ground, and has this update on the hospital. We were treating people in the corridors 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. Its like more than three hours now since the explosion in the hospital. And people 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 bodies. 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 terrorists in gaza, we know that on average about 33 of the rockets that they shoot at us fall short and land in gaza. Thats the fact. Thats documented. Number two, we know that at the time of this tragedy in gaza, there was a huge barrage against target in central israel. I urge you to be cautious. There are indications, very, very serious indications that its not us. Hamas wants to have a Propaganda Victim saying israel has killed innocent civilians. Theres no evidence to support that 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. Its 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 israeli 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 jordans 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 mr biden, instead returning 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 israels Prime Minister on wednesday. While aboard air force one, john kirby of the Us National Security council expressed optimism they will be able to get aid into gaza. Our North America editor sarah smith has more on the president s trip. I mean, 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, has 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. Daniel byman is a Senior Fellow at the center for strategic and international studies, and has written extensively on the middle east. Hejoined me earlier. Daniel, very good to have you won bbc news tonight. 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. So, as 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 dont believe it. Certainly, hamas and others will always claim israel is responsible, even if it is determined to be palestinian islamichhad or another palestinian group. This is going to harden views on 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 lots of innocent people died as military operations escalated. What do you think it will mean to israels stated aim of Eradicating Hamas from gaza . So, Eradicating Hamas from gaza 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 a lot of Hamas Infrastructure Whether thats arms caches 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 its very hard to target hamas leadership without destroying large amounts of civilian infrastructure. Some people have left the area but many remain and there will be unfortunately far more dead people as this operation commences. That is something that will be impossible for israel to avoid. I want to also ask about President Biden� s trip to the region. The summit that was intended to be held injordan 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 . So, President Biden is going in part because he wants to go and show israel and Many Americans that he stands 100 largely behind israel. And hes 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. And it does allow the United States to push israel on things like humanitarian corridors, things like supplies. Just to jump in there. If hes seen meeting with israel and not engaging with palestinian and arab leaders, how do you think that will come across the region . Theres no question the region is already very critical for the United States. We have seen widespread demonstrations where people have been chanting anti us slogan. And this is before the Hospital Bombing. People do not, then probe, blame the United States for providing. Our governments will be cautious as a result but the key issue right now is trying to make sure that theres some Israeli MilitaryCo Ordination with the humanitarian operations. That its not simply israel going on 100 on the military side. But, yes, there is no question the strike makes it much harder. Youve written or said that what were seeing a decline of us power and engagement in certain parts of the world, including the bitterly. Including the middle east. What did you mean by that . At least 600,000 palestinians have fled the northern gaza strip, there were hundreds of palestinians in the hospital who had been seeing shelter. The priorities does make the middle east has a way of sucking the the us back in. We have seen a range of regional powers and that in my view has made. So far we have seen limited as galatian and aggressive israeli response to that. Weve seen strikes in israel from syria. We have not seen it escalated to an all out regional war but tensions are really high, passions are really high and things like the Hospital Strike mean that popular anger is going to propel groups like his brother and also governments are going to try to act. Daniel, really interesting. His brother. 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. 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 holdouts. He is 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. That is 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 5 kilometres or about 3 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 fallout from tuesdays events in gaza city, and see how they are rippling throughout the region. Our Correspondentjohn Donnison has more on that. Gunfire fury tonight in the west bank. In ramallah, youths battled with Palestinian Security forces, who responded with tear gas and sound grenades. Earlier, as reports of the Hospital Strike came in from gaza, thousands took to the streets in protest. There is anger directed at israel, but also at president Mahmoud Abbas and his palestinian authority, which many perceive as weak and lacking legitimacy. Mr abbas announced he was cancelling a meeting with President Biden, scheduled for tomorrow injordan, and was flying home. Chanting there were mass protests there this evening too, and clashes outside the Israeli Embassy in amman. Translation during | the foundation of israel, when it occupied this area, they are breaching International Humanitarian law. Geneva agreement is obvious in this regard. Medical centres or hospitals should not be touched. In turkey also, thousands rallied against israel. As the war in gaza escalates, it is a dangerous moment for the wider region. Jon donnison, bbc news. The Us State Department has raised its travel alert level for lebanon, advising citizens not to travel there. Thats because of recent clashes between israel and hezbollah fighters. In the latest conflict, the Israeli Army Says it has killed four militants trying to cross from lebanon. Overnight, the israeli airforce carried out more air strikes inside lebanon on targets linked to the iranian backed Group Hezbollah deemed as a Terror Organisation by the uk government. The concern is that the Israel Hamas War could spill over to other parts of the middle east. When � sergeant i saw these men crossing the border, she knew what to do. Translation i was on my shift, and i recognised a group of terrorists on the screens. I understood that something was wrong. I wont lie, it was very scary to stand here by t