Israel Orders Evacuations as Strikes Pound Gaza City

“It is a drop in an ocean of suffering, as thousands more wait to reach medical facilities outside the strip,” she said. “It serves as another reminder that the most vulnerable residents of Gaza — its children, sick and elderly — are paying the highest price.”

Over 10,000 sick and wounded people in Gaza require urgent care that is available only outside the enclave, the World Health Organization said this week. They include those wounded in airstrikes, as well as cancer patients, children with life-threatening illnesses and older people who need open-heart surgery.

Even before the war, many Gazans were forced to travel abroad for lifesaving treatments, like chemotherapy, which were almost nonexistent in the Gaza Strip. The enclave’s health sector has struggled for over 15 years under a crippling Israeli-Egyptian blockade intended to contain Hamas.

But the main conduit through which Gazans could leave — the Rafah crossing with Egypt — shut down after Israeli forces captured the border in May during a military offensive. Egypt shuttered its side of the gateway in protest, and the Gazan part was later destroyed in a fire, according to the Israeli military, seemingly dashing hopes that it would be reopened in the near future.

At least two sick Gazans who were slated to leave in early May have died, their family members said.

With the Rafah crossing closed, the group of children evacuated on Thursday was taken into Israeli territory through another border point, Kerem Shalom, before being brought to Egypt. The move did not appear to immediately herald a new permanent route for the critically ill to safely leave Gaza.

One of the children who made the crossing on Thursday was a 10-month-old girl named Sadeel Hamdan.

For months, her family had looked on with growing dread as Sadeel’s condition deteriorated. Her belly swelled like a balloon because of severe liver failure, and she desperately needed a transplant, her father, Tamer Hamdan, said.

On Thursday morning — after weeks of waiting — Mr. Hamdan and Sadeel were finally permitted to leave the enclave. After entering Israel, they were ferried along with other patients to Nitzana, an Israeli border crossing, where they entered Egyptian territory, he said.

“Thank God,” said Mr. Hamdan, who was reached by phone as he sat in a bus on the Egyptian side of the checkpoint. “We’re so happy that we brought out Sadeel safely. Now we just need to complete her treatment.”

Their departure from Gaza, however, was bittersweet.

Mr. Hamdan traveled with his daughter so that he could be a partial liver donor, but his wife and three other children were not permitted to join them. He said he feared for their fate in Gaza.

“We’re all heading into the unknown,” he said.

For each patient who left, there were many others left behind. Muna Abu Holi, a college professor from central Gaza, survived an explosion that killed one of her daughters and left two others seriously wounded.

Both of her surviving daughters had received approval to travel through the Rafah crossing on May 7 for medical treatment, according to documents from the Gaza Health Ministry. But the Israeli offensive led to the border shutting down.

“We’re grasping for any possible hope,” said Ms. Abu Holi. “Every piece of news we hear, we cling to.”