this is bbc news live from jerusalem. anthony lincoln is meeting leaders today. on friday when he was here in israel he called for a humanitarian process. —— antony blinken. the israeli prime minister said there would be no ceasefire in gaza until all israeli hostages are released. an official from the un agency for palestinian refugees says there is little the organisation can do to protect people in gaza and the un secretary general and the who have condemned an israeli attack on an ambulance in gaza. yesterday the israeli defence forces admitted striking the ambulance but said the vehicle was being used by hamas to transport fighters. it comes as officials from the hamas run health ministry in gaza say an israeli air strike late on friday hit a school used as a shelter in the north of the strip. the suggestion is 15 people were co—but there has been no immediate comment from israel. the united states says it believes the war between israel and hamas is being contained and any brother regional conflict has been deterred. the comments from the pentagon followed the first public remarks from the leader of hezbollah who did not commit his fighters to enter the conflict. we have this report for you. in times of peace, a medical refuge. but after four weeks of war, an ambulance is a target, too. outside gaza's main al—shifa hospital, one was struck by israeli aircraft, killing 15, say hamas authorities, and injuring 60. israel says it was being used by a hamas terrorist cell whose command centres run beneath the hospital. hamas called that "baseless" and "zionist nazi terror". the head of the world health organization spoke of his shock at the attack, adding that patients, health workers, facilities and ambulances must be protected at all times. but a lifeline has become a battle zone for tens of thousands who have been sheltering at al—shifa, and israel has urged their evacuation south. further north across the border in lebanon, huge crowds rallied to hear hezbollah's leader warn the war could spread. "american intervention", he said, "could spark a wider conflict". and he praised hamas's actions. but the speech was fiery without calling for all out war with hezbollah. there's little appetite in lebanon for it. and little sign, in his words, of imminent escalation. relief for now among many, including the us. we do see that broadly speaking, a broader regional conflict has been deterred and so we'll continue to do that. we do not seek any conflict with iran. we do not seek to have conflict across the region. ourfocus here is on containing this and getting back to a stable and secure region as quickly as possible. america's top diplomat is injordan today with arab leaders. his calls in israel yesterday for humanitarian pauses were rebuffed by the israeli prime minister unless hostages are released. the us said dozens more of its nationals have left gaza. more british passport holders too have got out through the rafah crossing into egypt. but for those who can't leave, gaza's nightmare worsens. israeli soldiers encircling the city, facing mines and booby traps as they press on with their goal of crushing hamas. and then what? mark lowen, bbc news, jerusalem. mark joins markjoins me now. you touched on some of the many meetings antony blinken is having today, tell us more about those. he blinken is having today, tell us more about those.— blinken is having today, tell us more about those. he is in jordan havin: more about those. he is in jordan having been _ more about those. he is in jordan having been rebuffed _ more about those. he is in jordan having been rebuffed by - more about those. he is in jordan having been rebuffed by the - more about those. he is in jordan | having been rebuffed by the israeli minister and his calls for a ceasefire to allow more aid into gaza and for negotiations on the hostage release, he is hoping for more success with arab leaders and will be coming in and talking to foreign ministers from the uae, jordan, saudi arabia, qatar, country specific is in their condemnation of the israeli war effort in gaza and he is trying to show he is alive to the suffering of the civilian population in gaza while still maintaining the us steadfast support for israel so a difficult balancing act for the us and all of this. clearly the americans are relieved that hezbollah seems to have not auntie and escalated for an all—out call for more and i will be further talks with arab colleagues today about trying to stop this from escalating into a wider regional board so antony blinken is talking about increased a4 civilians, how to get aidan if the israelis do not pose fighting but trying to stop this from turning into a wider conflagration and a wider regional conflict. . ~ conflagration and a wider regional conflict. ., ~ , ., conflagration and a wider regional conflict. . ~' , ., ~ conflagration and a wider regional conflict. ., ~ , ., ~ , . conflagration and a wider regional conflict. ., ~ ~ , . ., conflict. thank you. we expect to hear at some _ conflict. thank you. we expect to hear at some point _ conflict. thank you. we expect to hear at some point antony - conflict. thank you. we expect to l hear at some point antony blinken among those various meetings that he is having survey of opinion that when it happens. lets talk more about the situation on the northern burden with lebanon which remains tense for weeks and as i have been travelling through israel i spoke to a lady who lives there and has done her whole life and for the first time she evacuated from a border town and she told me how she has been coping. we are organised and we know when shooting is about to begin or when shooting starts, we know exactly what to do and we get orders in our systems in all kinds of ways, we get alarms and we know we should take cover and everything and the intensity, the blast that you hear closer and also the number of times a day when all the roads are blocked and you cannot go in and out, and when you have to stay in a bomb shelter or a different kind of shelter for longer periods of time and it happens more and more often. you left but you have not gone too far away? no, i need to be close by, i am not used to leaving my home. i am used to being in a war zone, many times in my life. i know exactly what to in this situation but i hate coming out of my community in this situation and in fact, it's the first time, i'm 57 now, it's the first time since i've been an adult that i have been evacuated. i always stayed, even in the worst situations. does it feel different to you this time? it is. first of all it is heartbreaking, it is really horrendous. i do not think there is a single israeli who did not get awful news about acquaintances. who had not been to a funeral or to give their condolences to people who were hurt. everyone is involved in this and our children are involved in this, those who are older are drafted and they are on the borders. and the fear is unusual. people who i am not used to seeing them this way, are intimidated. because it's not only war, these atrocities that we know of are beyond words. that was one woman living in northern israel, more than the 100,000 people had been evacuated and i spoke to the director of the carnegie middle east centre and she gave us her assessment of the speech from the leader of hezbollah yesterday. b. from the leader of hezbollah yesterday-— from the leader of hezbollah esterda . ~ , ., , yesterday. a couple of quick points esterda yesterday. a couple of quick points yesterday on _ yesterday. a couple of quick points yesterday on the _ yesterday. a couple of quick points yesterday on the speech. - yesterday. a couple of quick points yesterday on the speech. it - yesterday. a couple of quick points yesterday on the speech. it is - yesterday. a couple of quick points yesterday on the speech. it is very| yesterday on the speech. it is very clear that they would prefer not to get involved even further in the conflict, primarily because they are fully aware of the fact that an expansion in the arena of conflict would basically and could very easily turn into a global one. it will not remain a regional conflict between lebanon, i'm sorry between israel and hamas. there is no expectation of him announcing a grand strategy. yesterday was very much about showing empathy with palestinians, it was about being stepping up and being the man of the hour. in the absence of arab leadership, everybody was waiting for the speech yesterday, palestinians that have lost, almost 10,000 lives now killed in gaza in addition to thousands who have been injured, 30% we are hearing of the housing stock already gone so it was very much about stepping up and speaking on behalf of the palestinians. when it comes to military strategy i think the choices they have, it never goes from zero to 101 shot. as we have seen, altercations along the southern border, it's been expanding quite gradually. both in terms of the intensity of the bombings on both sides of the border but also in terms of the geographic area that is being targeted, it's been expanding on both sides of the border and also in the kinds of weapons being used which we are seeing israel use phosphorus bombs during its bombing campaign, during the bombing of towns in lebanon but also in gaza, hezbollah recently used a specific explosive drone that we have not seenin explosive drone that we have not seen in battle before. i think the room for escalation is quite white, there are different tactics that may be years before we get into an armageddon style environment. there's also been an increasing attacks from other partners, not just hezbollah and iran in the region, popular mobilisation forces coming directly from iran to israel, the first since the 1990s and he hussey rebels have been involved in the battle. the hussey rebels have been involved in the battle. ., , ., the battle. the fears of wider re . ional the battle. the fears of wider regional conflict _ the battle. the fears of wider regional conflict is _ the battle. the fears of wider regional conflict is one - the battle. the fears of wider regional conflict is one of - the battle. the fears of wider regional conflict is one of the j regional conflict is one of the reasons the us secretary of state is in jordan reasons the us secretary of state is injordan today having meetings with ministers from around the middle east so let's hear what he has had to say. east so let's hear what he has had to sa . ,., ., east so let's hear what he has had to sa . ., east so let's hear what he has had tosa. ., �*, ., to say. good afternoon. it's both a leasure to say. good afternoon. it's both a pleasure and _ to say. good afternoon. it's both a pleasure and important _ to say. good afternoon. it's both a pleasure and important to - to say. good afternoon. it's both a pleasure and important to be - to say. good afternoon. it's both a pleasure and important to be here| pleasure and important to be here which is extraordinary work, every single day is a lifeline to palestinians in gaza. and at great cost, 170 members of unrwa have lost their lives and thousands showing up to help the people. i have extraordinary admiration for the courage they are showing and we are here to hear about the efforts, the ongoing efforts, to be able to talk to people in the field and to express our ongoing support for the work of unrwa including through the assistance that the united states has dedicated to unrwa over the last three years. so let me say again our condolences to those who have lost their lives in trying to help others and our admiration for your continuous work. thank you. that was us secretary — continuous work. thank you. that was us secretary of _ continuous work. thank you. that was us secretary of state _ continuous work. thank you. that was us secretary of state antony - continuous work. thank you. that was us secretary of state antony blinken. us secretary of state antony blinken at the start of a long day of meetings with foreign ministers from around the region. he was visiting the un agency unrwa that looks after palestinian refugees who have lost many staff members, many killed in the current fighting so he is reflecting on the humanitarian work that they have been dealing in gaza. let's continue with a spokesperson for the world health organization in geneva. thank you forjoining us. i no longer unrwa there is a lot of concern about the humanitarian situation in gaza, we reflecting this idea that there are no safe spaces for people in gaza anymore the gaza strip?— spaces for people in gaza anymore the gaza strip? thank you for having me on. the gaza strip? thank you for having me on- that — the gaza strip? thank you for having me on- that is _ the gaza strip? thank you for having me on. that is exactly _ the gaza strip? thank you for having me on. that is exactly the _ the gaza strip? thank you for having me on. that is exactly the point, - me on. that is exactly the point, the hospitals which were used as safe spaces for many tens of thousands who had been sheltering in the hospitals are not safe spaces and they are being attacked. the roads are not safe, the unrwa schools which were used for any attack in the past as shelters are not safe, the south does not seem safe either the passage to the south would not seem safe so you are right, there is no safe place to go anymore and we hear desperate pleas from people and colleagues saying even though they try to move to the south, we could get killed in our house on that as a desperate situation. this full attack on the civilian population is unbearable. it is the brunt of the conflict borne by women and children, the staggering figure is that 70% of the victims in this conflict a lot more than 9000 deaths, are women and children and interestingly in israel with 1405 deaths in estoril 70% are women and children so it tells you whatever conflict we have it as the women and children who bear the brunt of this conflict and that is unacceptable and we should do better. we unacceptable and we should do better. ~ ~' ., unacceptable and we should do better. ~ ~ ., , , ., better. we know yesterday that the us once again _ better. we know yesterday that the us once again pressed _ better. we know yesterday that the us once again pressed israel- better. we know yesterday that the us once again pressed israel for. us once again pressed israel for some kind of humanitarian pause or cease and a stroke is very clear that that will not happen until they have removed hamas entirely from gaza. what answers do you think there could be in terms of protecting the civilian population in gaza while this goes on? this is merely the — in gaza while this goes on? this is merely the end — in gaza while this goes on? this is merely the end of _ in gaza while this goes on? this is merely the end of the _ in gaza while this goes on? this is merely the end of the line. - in gaza while this goes on? this is merely the end of the line. if- in gaza while this goes on? this is| merely the end of the line. if there is no access in whatever way for any humanitarian intervention, even for water and food, let's not forget freshwater is scarce, there is only 56% fresh water available, the rest is selling it at water, the one that it cannot be evacuated, when people have absolutely no lifeline, that is basically, you are starving to death a population which is supposedly protected by the occupying force. in terms of the health impacts on people and gas and as we reflected, the lack of hospitals, the lack of medical equipment is a real issue, it is not coming in it appears to the scale that is required to meet the scale that is required to meet the need? ., , ., , ., the need? indeed. that is only for the need? indeed. that is only for the immediate _ the need? indeed. that is only for the immediate work-related - the need? indeed. that is only for l the immediate work-related injuries the immediate work—related injuries with all the trauma injuries and what have you but we should never forget, we also have 350,000 people living with noncommunicable diseases in gaza, that is hypertension, heart disease, diabetes, things like asthma, 50,000 pregnant women who will give birth over the next months. every day about 180 persons every day and that cannot be done in a safe environment, 130 premature babies relying on incubators and the need electricity and fuel. people with mental health conditions which is just as bad and with mental health conditions which isjust as bad and cannot with mental health conditions which is just as bad and cannot be treated and is getting way worse. so 9000 cancer patients, the only cancer treatment hospital, the turkish hospital, had to close operations two days ago because of lack of electricity and fuel to run the generators so it's unbearable. depriving civilians in any war conflict from the access to health, medical facilities, conflict from the access to health, medicalfacilities, is in itself a violation of international humanitarian law. , ., ., ~ humanitarian law. christian, thank ou from humanitarian law. christian, thank you from the _ humanitarian law. christian, thank you from the world _ humanitarian law. christian, thank you from the world health - you from the world health organization. we spoke earlier to a kernel from the civil department of the coordinator of government activities, and israeli defence ministry agency that liaises with palestinians on civilian affairs and he described a little about how the israeli forces plan to address the shortages and the difficulties affecting civilians in gaza. this shortages and the difficulties affecting civilians in gaza. as you know, affecting civilians in gaza. as you know. hamas — affecting civilians in gaza. as you know, hamas began _ affecting civilians in gaza. as you know, hamas began a _ affecting civilians in gaza. as you know, hamas began a war- affecting civilians in gaza. as you | know, hamas began a war against affecting civilians in gaza. as you - know, hamas began a war against the state of israel and they have dual strategies. one is operational and of course there is a civil humanitarian strategy but what hamas isis is doing, is using every civil infrastructure, humanitarian infrastructure, humanitarian infrastructure, international infrastructure, international infrastructure even un infrastructure even un infrastructure in order to improve their goals, their terror goals against the state of israel but what we are trying to do, we established a tax to monitor the civil humanitarian situation in gaza and then we announced all the population from the northern side of gaza to evacuated the south in order to try and distinguish between the civilians and those from hamas isis because we are going to fight them and we want the citizens not to be a part of it. it and we want the citizens not to be a art of it. , ., ., ~' and we want the citizens not to be a art of it. , ., ., ~ ., part of it. it is not working at the moment from — part of it. it is not working at the moment from a _ part of it. it is not working at the moment from a humanitarian - moment from a humanitarian perspective? is it? because every humanitarian organisation working in gazais humanitarian organisation working in gaza is talking about shortages, the un says 5% of water needs are being met at the moment. what say about hamas is valid that they have responsibility but so do you to help the humanitarian population and that does not seem to be happening in the way it should? flit does not seem to be happening in the way it should?— way it should? of course, every organisation — way it should? of course, every organisation has _ way it should? of course, every organisation has a _ way it should? of course, every| organisation has a responsibility way it should? o