of a large explosion. explosion there was panic and confusion in the hospital courtyard following the explosion. the news agency associated press, which supplied these pictures, said there was a fire in the area and the remnants of what appeared to be a missile. the hamas—run health ministry says 13 people were killed. people sheltering in the grounds also recorded the moment, and its aftermath. israel's military says it is investigating reports that the areas around the hospitals have been struck. it's previously said its forces were operating close to shifa hospital, which it says is above hamas headquarters — a claim hamas denies. there was also a series of explosions at the indonesian hospital. it's reported that the hospital was not directly struck but was hit by shrapnel. other hospitals in the territory are also said to be surrounded. the world health organization says 20 hospitals in gaza are now non—operational. these pictures are from al—rantisi paediatric hospital, which is funded by the us—based palestinian children's relief fund. we can see tanks outside the hospital, which is said to be the only medical facility in gaza that treats children with cancer. live now to southern israel and my colleague mark lowen. lucy, thank you very much. yes, there was pictures from the children's hospital, we understand that the israeli defense forces have issued a call through loudspeakers for civilians to evacuate the hospital, civilians sheltering in the courtyard of that hospital, and many others of course sheltering around the other hospitals, and we are getting a line from the palestinian red crescent that says that israeli snipers have been shooting at another hospital, so getting a sense that the hospitals are very much being targeted in terms of what israel says they represent, because israel claims that the hospitals are concealing hamas command centres, tunnels, and fuel storage rooms, and they say, the israeli defense forces, that they are not targeting the hospitals perse they are not targeting the hospitals per se but because they are being used by hamas as human shields. as we have been hearing, the hamas health ministry says that at least 13 people were killed in that attack at al—shifa hospital, which is the largest in gaza. israeli tanks are reported to have surrounded several other hospitals in the territory, and hamas, which is a terrorist organisation, declared a terrorist organisation, declared a terrorist organisation by the uk government, denies that it uses the hospitals as command centres, but israel insists that they are indeed a base for military operations. meanwhile, israel says that it is declaring a four hour humanitarian pause, local stoppages in several areas every day, with advance warning, in order for civilians to evacuate and to reach much needed humanitarian aid. this report from yolande knell contains some images that viewers might find upsetting. panic and bloodshed in gaza's shifa hospital this morning. as families sheltered here, they were caught up in the battles between israeli forces and hamas fighters with deadly results. israel says it is closing in on the underground tunnels of hamas. translation: those terrorists l who are staying in the basements underneath shifa tonight can hear the thundering sounds of tank chains, the bulldozers that pound the ground. they can hear it underground. they hear it and tremble with fear. last night, this was an attack near the indonesian hospital further north. and at another hospital in the city, tanks took up positions right outside. fearful, gazans are flooding to the south. israel says that as it is tightening its grip on the strip�*s biggest city, it is giving safe passage along this route. the us says israel has agreed to pauses in fighting and to get more aid into the south. it welcomed the move but wants more to be done. these steps will save lives and will enable more assistance to get to palestinians in need. at the same time, much more needs to be done to protect civilians and to make sure that the humanitarian assistance reaches them. far too many palestinians have been killed. far too many have suffered these past weeks. in paris, world leaders have been gathering at a peace forum, with calls to work towards a ceasefire. palestinian officials condemned israeli actions. the israelis don't want any ceasefire, because today the israelis are in the mode of revenge, genocidal revenge, collective killing, killing for the sake of killing, and the goals that they are setting, they will never reach these goals. queueing hungrily with empty pots in southern gaza this lunchtime. a hot meal being prepared. the charity says it tries to help as many as it can, but there is never enough to go around. in gaza, this is a key point in the war, and for palestinians living there each day is about survival. yolande knell, bbc news, jerusalem. our gaza correspondent rushdi abualoufjoined us a short while ago from khan younis in the south of the territory. yellow huge numbers of people fleeing from gaza city and the north, and they have made this journey walking along the main highway to the south, many hundreds of them arrived to the hospital today, making it very difficult for people to live in the hospital. the hospital is overwhelmed by thousands of people who are living on top of each other here, begging for water, begging forfood. the hospital each other here, begging for water, begging for food. the hospital is suffering because the number of people are taking it for shelter. when you ask the people, they say, we couldn't find anywhere else to go. schools are closed, full of people, thousands of people, thousands of people are taking any space of land that is empty in this southern part of gaza as a shelter without cover, without clothes. they were only allowed to walk carrying very small essential kit from gaza city into the south. why they are leaving, because the fighting is serious, around a0 hospitals in gaza city, especially the al—shifa hospital, where tanks have entered the hospital, the road was still open until half an hour ago, and people could still leave the hospital. about a0,000 people who work taking the hospital as shelter. this is not a small hospital, this is the biggest medical centre in the entire gaza strip, with five or six buildings and many car parks, it was full of people. 0vernight, there was an airstrike, two full of people. 0vernight, there was an air strike, two strikes inside the courtyard, injuring and killing some people, so the people today, many people made theirjourney out of the hospital, because there is one way from the northern gate of the hospital that was still open and people could still go along to the seller had been road, down the highway, and they made the walk to this area notjust in khan younis but in other areas, all south of wadi gaza, where the israelis are asking palestinians in gaza city to flee, but the people are really suffering on top of each other, they are struggling to find water and food and also to find any shelter, because there is no, and this city is now overwhelmed by the number of displaced people and the number of refugees coming to khan younis here. collide overwhelmed indeed, rushdi abualouf talking about the situation on the ground. . abualouf talking about the situation on the ground-— on the ground. , and let's get the view of the _ on the ground. , and let's get the view of the un's _ on the ground. , and let's get the view of the un's resident - on the ground. , and let's get the view of the un's resident and - view of the un's resident and humanitarian coordinator in palestine and joins us live from jerusalem. thank you very much indeed for talking to us on bbc news, can i ask you first of all, israel announced it would have these daily humanitarian causes, or your team is on the ground seeing that, or is itjust the evacuation corridor south that they are doing. yes, so they say is, to our understanding, a one—way corridor from the north to the south, so what we need is a humanitarian ceasefire that allows people to go where they want to go safely, but also for humanitarians to be able to deliver assistance throughout all of gaza to those people who are in need, for those people who are in need, for those people who are in need, for those people who are injured to be able to get assistance, medical assistance, and just really get out and try and re—stock their supplies, if there are any left. 50 and try and re-stock their supplies, if there are any left.— if there are any left. so 'ust to be clear, if there are any left. so 'ust to be ceanl the — if there are any left. so 'ust to be clear, the evacuation _ if there are any left. so just to be clear, the evacuation corridor- if there are any left. so just to be clear, the evacuation corridor has been open for several hours now every day, we understand, but actually in terms of stoppages in the fighting in areas, for example, of gaza city, your teams are not seeing that, even though the israelis said they would announce it every day. israelis said they would announce it eve da . , israelis said they would announce it eve da. , , every day. yes, so it has been announced _ every day. yes, so it has been announced every _ every day. yes, so it has been announced every day, - every day. yes, so it has been announced every day, i - every day. yes, so it has been announced every day, i think i every day. yes, so it has been - announced every day, i think since last saturday. the fighting continues, as i think i havejust heard on your programme, with respect to some of the hospitals here. and it does seem that as people move south, that they are able to do so relatively safely. i know that there are unexploded ordinances on the way, on those pathways, on those roads are designated as the corridors to leave the north. ~ ., designated as the corridors to leave the north. ~ . , ., ., the north. what, in your view and in the north. what, in your view and in the view of — the north. what, in your view and in the view of your _ the north. what, in your view and in the view of your team _ the north. what, in your view and in the view of your team on _ the north. what, in your view and in the view of your team on the - the north. what, in your view and in l the view of your team on the ground, is the most acute need now in terms of supplies? 50 is the most acute need now in terms of sunplies?— of supplies? so 'ust before i get into that, of supplies? so 'ust before i get into that. as— of supplies? so 'ust before i get into that, as i _ of supplies? so just before i get into that, as i said, _ of supplies? so just before i get into that, as i said, we - of supplies? so just before i get into that, as i said, we really i of supplies? so just before i get i into that, as i said, we really need a humanitarian ceasefire, that means an agreement of all parties, and it doesn't mean a one—way corridor. as i said already, we need to be able to move wherever there is need. part of that, in terms of the unconditional to providing assistance, is the need for hostages to be released. this is critical in terms of trying to find a way forward. in terms of what is most in need, i hate to say this, but probably everything. fuel is obviously extremely critical, because it allows hospitals, desalination plants, waste water treatment plants and our own operations to run. the largest un agency inside gaza which has been providing limited field to other agencies has had to tell them they will not be able to fill up their vehicles at the moment. you know, it is sort of like if you haven't gone out shopping for a month, your cupboards are going to be bare. and the people of gaza have not been able to go out, we have not been able to go out, we have not been able to go out, we have not been able to replenish our stocks in gaza, and i want to remind all your view is that the level of stocks that would go into gaza before october the 7th was subject to a very strict regime already. len hastinas very strict regime already. len hastings from _ very strict regime already. len hastings from the _ very strict regime already. len hastings from the un, joining us live from jerusalem, thank you very much indeed. —— lynn hastings. the un has said that almost 100 of its staff in gaza have died, the highest loss of life or the un in any conflict it has covered, so our thoughts, of course, 2000 members and families as well in gaza. but as the afternoon wears on, the sun are beginning to go down over gaza, it is the day of rest for israelis a day, and they will gather for a is the day of rest for israelis a day, and they will gatherfor a meal with theirfamilies, but day, and they will gatherfor a meal with their families, but many will be having absences around the table, those who were killed in that attack on the 7th of october, and those were taken hostage by hamas as well, and inside gaza, of course, the families there are morning absences, and they are thinking and wondering when this onslaught will end as the conflict on both sides continues to spiral. we will continue to bring you all the coverage from across this region, but for now, back to lucy in london. we'll have more on the israel—gaza war. stay with us on bbc news. around the world and across the uk, this is bbc news. let's look at some other stories making news. latest official figures show no economic growth in the uk between july and september after a succession of interest rate rises. the performance was slightly better than expected. many analysts had believed it would shrink. last week, the bank of england said the uk economy was likely to see zero growth until 2025, although it is expected to avoid a recession. england's chief medical officer has warned that the uk faces a health crisis because of a rapidly ageing population. in his annual report, professor chris whitty says, while more people are living longer, many of their later years are spent in bad health. australian television star and singerjohnny ruffo has died aged 35 after a battle with brain cancer. ruffo rose to fame on the reality show x factor australia, before turning to acting in the soap home and away. after his diagnosis in 2017, he raised money and awareness of brain cancer. you're live with bbc news. we can speak nw to professor manuel trajtenberg, executive director of the institute for national security studies in tel aviv, a leading israeli security think—tank. i that you do not speak for the idf, but i wanted to start by asking you why we have not seen evidence produced by the idf that hospitals in gaza are hamas control centres, i have just spoken to a norwegian doctor who has worked there for 16 years, and he says he has never seen evidence of hamas operating in the hospitals of the hospital is being used as a place where hamas operates. 50 used as a place where hamas operates-_ used as a place where hamas oerates. ., ~ ., ., , ., , operates. so we have known for years now that the — operates. so we have known for years now that the main _ operates. so we have known for years now that the main command - operates. so we have known for years now that the main command and - now that the main command and control centres of the hamas are placed primarily under hospitals, not only the al—shifa hospital, the al—rantisi as well, other hospitals in the southern part of the gaza. they are not only under hospitals, to be fair, also under schools, mosques, quite a few of them, playgrounds and so forth. they were very smartly put there because they understand perfectly well that public will knew, rightly so, is very sensitive to see sights of, you know, attacks, military action around those kind of facilities, and they want to see the devastation of their own people... sell they want to see the devastation of their own people. . ._ their own people... sell because of their own people... sell because of the international _ their own people... sell because of the international criticism - their own people... sell because of the international criticism around i the international criticism around this, do you think the idf will produce evidence of this? filth. this, do you think the idf will produce evidence of this? oh, i very much hone — produce evidence of this? oh, i very much hone that _ produce evidence of this? oh, i very much hope that it _ produce evidence of this? oh, i very much hope that it will _ produce evidence of this? oh, i very much hope that it will manage - much hope that it will manage finally to storm, you know, the tunnels under the hospital and produce evidence. but the evidence can be shown only once we storm in, there is no other way to do it, it is by definition underground. but they also want you to reason on this. we don't have any thousand to go and attack a hospital. we know what that means. our people were massacred one month ago, we don't want that to happen again. so if we do that, if we encircle a hospital, knowing that we are paying a price in terms of international public opinion, it is because there is no other way to eradicate the command and control centre from where they are directing terrorists.— are directing terrorists. professor, there are many — are directing terrorists. professor, there are many people _ are directing terrorists. professor, there are many people around - are directing terrorists. professor, there are many people around the| there are many people around the world, though, who wonder if there has been a change in israeli policy, when we hear that they do not target civilians, when we have heard today 11,000 people have been killed, a500 children have been killed in gaza. even the un secretary—general, antonio guterres, has said there was something wrong with israeli tactics. ~ ., , . tactics. well, i would very much like the secretary-general- tactics. well, i would very much like the secretary-general to i tactics. well, i would very much i like the secretary-general to show like the secretary—general to show us what different tactics can be used to eradicate these terrorists. the international coalition... he would say, as many would say, not killing a500 children. i am would say, as many would say, not killing 4500 children.— killing 4500 children. i am sure, reall , killing 4500 children. i am sure, really. the _ killing 4500 children. i am sure, really. the uk — killing 4500 children. i am sure, really, the uk was _ killing 4500 children. i am sure, really, the uk was part - killing 4500 children. i am sure, really, the uk was part of- killing 4500 children. i am sure, really, the uk was part of an - really, the uk was part of an international force operating in mosul, iraq, for nine months against isis. they didn't fare any better. and here we have a much bigger problem, because of the underground tunnels. unfortunately, there is no precedent in the history of warfare, of a military organisation that took hostage essentially notjust 2a0 civilians taken from israel, but they took hostages 2 million palestinians in gaza and used them as human shields in the most horrible ways.— as human shields in the most horrible ways. as human shields in the most horrible wa s. ., , ., horrible ways. professor, can i ask ou, the horrible ways. professor, can i ask you, the israeli _ horrible ways. professor, can i ask you, the israeli policy, _ horrible ways. professor, can i ask you, the israeli policy, which - horrible ways. professor, can i ask you, the israeli policy, which we . you, the israeli policy, which we hear is to eradicate hamas, there are growing calls from many parts of the world for a ceasefire, and urgent, urgent ceasefire is needed, do you believe that is at all possible, that there is any room in the israeli government to consider this kind of diplomacy that could lead to a ceasefire?