With updates from Rushdi Abualouf in Gaza; Yolande Knell, Yogita Limaye, Nick Beake, Joel Gunter, Orla Guerin and Lucy Williamson in Jerusalem; Mark Lowen in southern Israel; Wyre Davies and Hugo Bachega in Lebanon
Handout image from Israel Defense Forces showing Israeli soldiers at the Al Shifa hospital complex in Gaza on 15 November 15
LiveLIVEWitness reports shooting at Gaza hospital as Israeli forces search site
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With updates from Rushdi Abualouf in Gaza; Yolande Knell, Yogita Limaye, Nick Beake, Joel Gunter, Orla Guerin and Lucy Williamson in Jerusalem; Mark Lowen in southern Israel; Wyre Davies and Hugo Bachega in Lebanon
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Summary
A witness tells the BBC that "soldiers are everywhere, shooting in all directions" at the Al-Shifa hospital in Gaza City
Israel says special forces are carrying out "precise and targeted operational activity" within the complex
Soldiers are "searching each floor, all while hundreds of patients and medical staff remain in the complex", the IDF adds
Israel entered the hospital on Wednesday morning - it says Hamas has a major base in and underneath the hospital
Earlier, the IDF said it attacked the Gaza house of Ismail Haniyeh, widely considered as the overall Hamas leader, who lives in Qatar
Elsewhere, Palestinian media say around 50 people were killed by an air strike in the central Gaza Strip
And Israel has dropped leaflets in the south of Gaza, warning people in four towns to find safety
Israel began striking Gaza after Hamas's 7 October attacks, in which 1,200 people were killed and more than 200 hostages were taken
The Hamas-run health ministry says more than 11,500 people have been killed in Gaza since then
It's very difficult to get information out of Gaza as communications are down, as I've been reporting.
In the last call I made to our contact in Al-Shifa hospital, he was talking about hundreds of soldiers searching the hospital room by room.
He said the army was also bulldozing some of the external walls of the hospital and tanks were inside the complex.
The BBC has not independently verified his account.
Communications down in Gaza tonight.
Rashdi Abu Aloud
Reporting from Khan Younis, Gaza
All communications are now down in Gaza tonight. The internet is down; services from the two mobile carriers are also down.
It's going to be a long time before communications are back working again because the reason for the outage is a lack of fuel.
The telecommunications company Paltel announced earlier that it was running out of fuel.
Only about 25,000 litres of fuel is being allowed into the Gaza Strip. This is only being used to transport essential aid from Egypt into Gaza by the UN.
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