A ceasefire has not been agreed between Israel and Hamas, the White House has confirmed, amid the World Health Organisation (WHO) branding the situation inside Gaza‘s largest hospital ‘deplorable’.
Reports swirled overnight a deal had been tentatively struck for a five-day pause in fighting in exchange to free dozens of women and children taken hostage in Gaza by the terrorist group during the October 7 massacre in Israel in which 240 people were captured.
The White House has this morning poured cold water over the claims in the Washington Post but said it is working on trying to get a deal done.
Adrienne Watson, a White House National Security Council spokesperson, said: ‘We have not reached a deal yet, but we continue to work hard to get to a deal.’
WHO called for an immediate ceasefire after it described the Al-Shifa hospital as a ‘death zone’ following a one hour assessment in which a mass grave was discovered at the entrance holding the remains of 80 people.
People mourn as they collect the bodies of Palestinians killed in airstrikes on November 19, in Khan Yunis, Gaza
![Father Jamil Al-Agha cradles his five-year-old son Muhammad who was killed during airstrikes on November 19](https://i.dailymail.co.uk/1s/2023/11/19/08/77982371-12767251-image-m-13_1700383748729.jpg)
Father Jamil Al-Agha cradles his five-year-old son Muhammad who was killed during airstrikes on November 19
Israel military raided the hospital in recent days having claimed Hamas was using it as its headquarters.
Evidence of gun fire and shelling was discovered by the United Nations humanitarian assessment teams with medical and solid waste filling the corridors and hospital grounds.
WHO said: ‘Lack of clean water, fuel, medicines, food and other essential aid over the last six weeks have caused Al-Shifa Hospital – once the largest, most advanced, and best equipped referral hospital in Gaza – to essentially stop functioning as a medical facility.
‘The team observed that, due to the security situation, it has been impossible for the staff to carry out effective waste management in the hospital.’
There are 291 ‘terrified’ patients – many with amputations, broken bones, infected wounds, and serious spinal injuries – and 25 medics still inside the hospital, with 32 babies said to be in an ‘extremely’ critical condition.
Around 2,500 people, mobile patients and medical staff had left the sprawling compound on Saturday morning
WHO said it was ‘urgently’ trying to evacuate the remaining patients over the next 24 to 72 hours to the Nasser Medical Complex and European Gaza Hospital in southern Gaza, which themselves are nearly at bursting point.
![](https://i.dailymail.co.uk/1s/2023/11/19/08/77982383-12767251-image-a-14_1700383788198.jpg)
Early on Sunday morning in Israel, Prime Minister Benjamin Netanyahu denied that any such deal for a ceasefire was in place
![Israeli soldiers inspect the al-Shifa hospital complex, amid their ground operation against Hamas, in Gaza City, November 15, 2023](https://i.dailymail.co.uk/1s/2023/11/19/08/77958977-12767251-Israeli_soldiers_inspect_the_al_Shifa_hospital_complex_amid_thei-a-5_1700383673068.jpg)
Israeli soldiers inspect the al-Shifa hospital complex, amid their ground operation against Hamas, in Gaza City, November 15, 2023
![A makeshift operating theater area is seen inside al-Shifa hospital during Israel's ground operation around the hospital on November 12](https://i.dailymail.co.uk/1s/2023/11/19/08/77959041-12767251-A_makeshift_operating_theater_area_is_seen_inside_al_Shifa_hospi-a-6_1700383677757.jpg)
A makeshift operating theater area is seen inside al-Shifa hospital during Israel’s ground operation around the hospital on November 12
![Weapons allegedly found inside the Al Shifa hospital during Israeli raids this week](https://i.dailymail.co.uk/1s/2023/11/19/08/77959199-12767251-Weapons_allegedly_found_inside_the_Al_Shifa_hospital_during_Isra-a-4_1700383669368.jpg)
Weapons allegedly found inside the Al Shifa hospital during Israeli raids this week
![Military spokesman Rear Admiral Daniel Hagari (pictured) said Israel opened a safe corridor for civilians who were in the hospital to go south, at the request of the hospital director](https://i.dailymail.co.uk/1s/2023/11/19/08/77978177-12767251-Military_spokesman_Rear_Admiral_Daniel_Hagari_pictured_said_Isra-a-7_1700383682544.jpg)
Military spokesman Rear Admiral Daniel Hagari (pictured) said Israel opened a safe corridor for civilians who were in the hospital to go south, at the request of the hospital director
![Reports had emerged that Israel, the United States and Hamas had reached a tentative agreement to free dozens of women and children held hostage in Gaza in exchange for a five-day pause in fighting](https://i.dailymail.co.uk/1s/2023/11/19/08/77412277-12767251-Israel_the_United_States_and_Hamas_have_reached_a_tentative_agre-a-10_1700383708481.jpg)
Reports had emerged that Israel, the United States and Hamas had reached a tentative agreement to free dozens of women and children held hostage in Gaza in exchange for a five-day pause in fighting
‘Patients and health staff with whom they spoke were terrified for their safety and health and pleaded for evacuation,’ WHO added.
‘Al-Shifa Hospital can no longer admit patients, with the injured and sick now being directed to the seriously overwhelmed and barely functioning Indonesian Hospital.’
Israel has long alleged that Hamas maintains a sprawling command post inside and under Shifa.
It has portrayed the hospital as a key target in its war to end the militants’ rule in Gaza following their wide-ranging attack into southern Israel six weeks ago, which triggered the war.
Hamas and hospital staff deny the allegations. Israeli troops who have been based at the hospital and searching its grounds for days say they have found guns and other weapons, and showed reporters the entrance to a tunnel shaft.
Saturday’s mass departure was portrayed by Israel as voluntary, but the WHO said the military had issued evacuation orders, and some of those who left described it as a forced exodus.
‘We left at gunpoint,’ Mahmoud Abu Auf told The Associated Press by phone after he and his family left the crowded hospital. ‘Tanks and snipers were everywhere inside and outside.’ He said he saw Israeli troops detain three men.
The Washington Post reported a six-page ceasefire agreement between Israel, Hamas, and America detailed all parties would freeze combat operations for at least five days while ‘an initial 50 or more hostages are released in smaller groups every 24 hours’.
![Israel claimed to have found a tunnel near the hospital which they say supports their claims the hospital is sat on top of a Hamas stronghold](https://i.dailymail.co.uk/1s/2023/11/19/08/77959197-12767251-Israel_claimed_to_have_found_a_tunnel_near_the_hospital_which_th-a-15_1700384092443.jpg)
Israel claimed to have found a tunnel near the hospital which they say supports their claims the hospital is sat on top of a Hamas stronghold
![Palestinians evacuating to the southern Gaza Strip, make their way along Salah al-Din Street in Bureij on November 18](https://i.dailymail.co.uk/1s/2023/11/19/08/77978143-12767251-Palestinians_evacuating_to_the_southern_Gaza_Strip_make_their_wa-a-16_1700384102399.jpg)
Palestinians evacuating to the southern Gaza Strip, make their way along Salah al-Din Street in Bureij on November 18
![An IDF soldier directs a tank driver by gesturing near the northern Gaza border on November 17](https://i.dailymail.co.uk/1s/2023/11/19/08/77978127-12767251-An_IDF_soldier_directs_a_tank_driver_by_gesturing_near_the_north-a-17_1700384120289.jpg)
An IDF soldier directs a tank driver by gesturing near the northern Gaza border on November 17
![Civil defense teams, alongside local residents, conduct search and rescue operation within the debris of the residential buildings after Israeli attacks hit residential buildings at Jabalia Camp in Jabalia, Gaza on November 18](https://i.dailymail.co.uk/1s/2023/11/19/08/77978101-12767251-Civil_defense_teams_alongside_local_residents_conduct_search_and-a-18_1700384129246.jpg)
Civil defense teams, alongside local residents, conduct search and rescue operation within the debris of the residential buildings after Israeli attacks hit residential buildings at Jabalia Camp in Jabalia, Gaza on November 18
So far, just four captives have been released the war began.
The newspaper said overhead surveillance would monitor ground movement to help police the pause, which also is intended to allow in a significant amount of humanitarian aid.
But early on Sunday morning in Israel, Prime Minister Benjamin Netanyahu denied that any such deal was in place.
Netanyahu said ‘as of now’ there no deal had yet been reached to secure the release hostages being held by Hamas dismissing ‘a lot of incorrect reports’ about imminent agreements.
During a press conference he added that if a deal emerges, the Israeli public would be told.
Israeli National Security Council head Tzachi Hanegbi has said that a limited cease-fire would only after ‘a massive release of our hostages … and it will be limited and short, because after that we will continue to work towards achieving our war goals.’
The White House National Security Council’s top Middle East official Brett McGurk, confirmed that negotiations were ‘intensive and ongoing.’
‘It’s reasonable to pause the fighting, release the hostages, the women, the children, the toddlers, the babies, all of them,’ McGurk said.
According to the Post, however, it is believed the pause in fighting would allow for a significant increase in the amount of humanitarian assistance, including fuel, to enter from Egypt.
It’s not known if Americans or other nationalities would be included in the first batch to be released however the hope is if women and children are successfully returned that other groups would follow.
The deal is said to be the outcome of weeks of talks in Doha, Qata involving Israel, the United States and Hamas who were represented by Qatari mediators.
Pressure has been increasing on Israeli Prime Minister Benjamin Netanyahu’s government with more than 100 countries calling for a full and immediate cease-fire – although, most notably, not the United States.
However, The Post says the White House would back a temporary pause in the fighting.
‘I think we need a pause. A pause means time to get the prisoners out,’ Biden said during a campaign event two weeks ago.
Earlier this week, Biden said the hostages were ‘on our mind every single day,’ and that he was looking to find a way to ‘have a period of time where there’s a pause long enough’ to let them be released.