Israeli forces on Monday surrounded Gaza City's largest hospital, Shifa, which Israel claims is being used as a shield by Hamas, operating from a vast command center that the militant group built underneath the facility.

Hospital officials deny that it is being used for anything other than doctors treating sick and injured civilians, including newborn children.

‘Someone should stop this’

Dr. Ahmed El Mokhallalati, a surgeon at Shifa, told Reuters that the hospital has been surrounded by Israeli forces and that the conditions inside are dire.

“We are under full blockade, El Mokhallalati said. “It’s a totally civilian area. Someone should stop this.

“They bombed the water wells. They bombed the oxygen pump as well. They bombed everything in the hospital,” he continued. “We are hardly surviving. We tell everyone, the hospital is no more a safe place for treating patients. We are harming patients by keeping them here.”

Thousands were able to flee the hospital over the weekend as Israeli troops began to encircle it, but hundreds remain.

According to a spokesman for the health ministry, which is controlled by Hamas, at least 650 patients were still inside waiting to be evacuated to another medical facility. At least 32 people, including three newborn babies, have died at the hospital in the past three days, the spokesman said.

Newborns taken out of incubators, wrapped in foil

Dr. Muhammad Abu Salmiya, Shifa’s director, told CNN on Monday that desperate measures were being taken to keep premature babies in the hospital’s neonatal unit alive.

“We wrap them in foil and put hot water next to them so that we can warm them,” he said.

The hospital was already facing dire conditions amid Israel’s retaliatory bombardment and blockade of Gaza following the deadly Oct. 7 attack by Hamas. But conditions rapidly deteriorated in recent days as Israeli troops moved in.

“The situation in the hospital is catastrophic,” Abu Salmiya said.

‘A circle of death’

The spokesman for the health ministry told Reuters that an Israeli tank was stationed at the hospital gate and that Israeli snipers and drones were firing into the hospital, making it nearly impossible for medics and patients to move around.

“We are besieged and are inside a circle of death,” he said.

Israel offered to leave just 300 liters of fuel to power emergency generators at the hospital entrance, the spokesman said.

The hospital, which typically uses between 8,000 and 10,000 liters of fuel per day, had asked for 600 liters, he said.

Gun battles rage at a second hospital

The Associated Press reports that the Red Cross was attempting to evacuate nearly 6,000 patients, staff and displaced people from a second hospital, Al-Quds, on Monday, but its convoy had to turn back amid shelling and fighting.

Gaza’s hospitals have emerged as a flash point in the Israel-Hamas war, with both sides accusing each other of threatening civilian lives.

Hamas has accused Israel of firing recklessly toward hospitals; Israel has accused Hamas of operating underneath them.

On Monday, Israel released a video showing what it said was a Hamas militant with a rocket propelled grenade launcher entering the Al-Quds hospital.

Israeli officials also recently released photos and footage showing what they described as gunmen firing from inside another hospital and the opening of a tunnel next to it. Hospital staff said the opening was the entrance to the facility's underground fuel tank.

U.S. warns Israel to clear hospitals before moving in

Biden administration officials say they have warned Israel not to attack hospitals that are still treating patients, but agree that Hamas is using them as “human shields.”

“The United States does not want to see firefights in hospitals, where innocent people, patients receiving medical care, are caught in the crossfire,” Jake Sullivan, U.S. national security adviser, said on CBS's Face the Nation Sunday. “And we’ve had active consultations with the Israel Defense Forces on this.”

“We don't want to see hospitals be the subject of crossfire,” State Department spokesman Matthew Miller said at a press briefing Monday. “We want to see the civilians who are sheltering in hospitals, the civilians who are being treated in hospitals, including babies in hospitals, be protected. Hospitals are legitimate civilian infrastructure, they should be protected. At the same time, I would say Hamas continues to use hospitals as locations for its command posts."

At the White House Monday, President Biden said he was in contact with the Israeli government about the targeting of hospitals in Gaza.

"Hospitals must be protected," Biden said.