Gaza death toll rises to 34,049, Ministry of Health says

April 20, 2024 - News on the Middle East conflicts

By Sophie Tanno, Adrienne Vogt and Tori B. Powell, CNN

Updated 1227 GMT (2027 HKT) April 21, 2024
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5:22 a.m. ET, April 20, 2024

Gaza death toll rises to 34,049, Ministry of Health says

From CNN’s Abeer Salman in Jerusalem

Palestinians inspect the destruction of a destroyed building following the Israeli attacks on Tel Al-Sultan neighborhood in Rafah, Gaza on April 20.
Palestinians inspect the destruction of a destroyed building following the Israeli attacks on Tel Al-Sultan neighborhood in Rafah, Gaza on April 20. Yasser Qudaih/Anadolu/Getty Images

The death toll in the Gaza Strip has risen to at least 34,049, following more than six months of war between Israel and Hamas, the Ministry of Health in Gaza said on Saturday.

In the last 24 hours, 37 people have died and 68 have been injured following Israeli attacks, the ministry reported.

CNN cannot independently verify the ministry's casualty figures.

5:19 a.m. ET, April 20, 2024

Five people killed, many arrested in Israeli military operation in West Bank, Palestinian news agency reports

From CNN's Abeer Salman

Smoke rises from a building in Tulkarm, West Bank on April 19.
Smoke rises from a building in Tulkarm, West Bank on April 19. Nedal Eshtayah/Anadolu/Getty Images

Five people have been killed during an offensive by the Israeli military in Nur al-Shams, a refugee camp in Tulkarm, in the north of the occupied West Bank, the official Palestinian news agency Wafa reported.

The Israel Defense Forces (IDF) said the operation began Thursday night “to counter terrorism in Nur al-Shams; so far the forces have eliminated a number of terrorists, arrested a number of wanted persons, searched buildings and uncovered explosives.”

The operation appears to be one of the largest in the West Bank since October 7. 

Video obtained by CNN showed gunfire continuing Saturday morning, as well as further Israeli reinforcements moving towards the camp.

Wafa reported that one of those killed was a child, while the Palestinian Health Ministry said another was 16.

Wafa cited witnesses as saying that the Israeli military was withholding the "bodies of the victims and preventing ambulance crews from reaching them." CNN has reached out to the IDF for comment on the operation, including this claim.

Wafa reported that the military, after launching the offensive on Thursday night, surrounded Nur al-Shams, “deploying military vehicles on all axes leading to the camp and closing the main street amid the flying of reconnaissance aircraft in the area.”

Bulldozers destroyed water and wastewater networks and caused electricity outages, according to Wafa, while “dozens of youths” were detained.

The IDF said that its soldiers “eliminated a number of terrorists, arrested a number of wanted people, uncovered explosives and axis and searched buildings.”

Video obtained by CNN showed a number of young men being bundled into Israeli military vehicles.

12:12 a.m. ET, April 20, 2024

Catch up on the latest developments as tensions simmer in the Middle East

From CNN staff

IRGC released a photo that it said showed flashes in the sky of Isfahan, Iran following reports of explosions.
IRGC released a photo that it said showed flashes in the sky of Isfahan, Iran following reports of explosions. IRGC

The aftermath of the Israeli strikes in Iran left the world on edge as concerns of a potentially dangerous escalation of a fast-widening Middle East conflict continue to rise.

Here's the immediate response almost 24 hours after the strikes:

  • The Biden administration has been tight-lipped following the Israeli strikes in Iran.
  • Defense Secretary Lloyd Austin spoke with his Israeli counterpart on Friday, according to a readout from the Pentagon, but it makes no mention of the Israeli strikes.
  • Press secretary Karine Jean-Pierre also declined to weigh in Friday, telling reporters during the White House press briefing the Biden administration was going to avoid commenting on the subject altogether.
  • Iraq expressed "deep concern" over the strikes and the Iraqi Ministry of Foreign Affairs (MFA) on Friday warned of the risks of military escalation that "now threaten the security and stability of the region as a whole." Its statement emphasized that the Israeli-Iranian escalation should not "divert attention" from the ongoing destruction and loss of innocent lives in Gaza.
  • Jordanian Deputy Prime Minister Ayman Safadi told CNN that escalation "serves nobody," and that Jordan will not "be a battleground for Israel and Iran and neither of them should violate our airspace, endanger our security and our people." He also urged all involved parties to focus on ending the "catastrophe that continues to unfold in Gaza."

Here's what else happened:

  • US secures key agreement for aid distribution in Gaza: The Biden administration has secured an agreement with a major United Nations agency to distribute aid from the pier the US military is constructing off the coast of Gaza, two senior US officials told CNN — a key development as the US and its allies have rushed to finalize plans for how desperately needed humanitarian aid will be distributed inside the war-torn strip. The US military is expected to finish constructing the pier early next month. The World Food Programme will support distribution of aid from the pier following weeks of diplomatic wrangling, multiple officials familiar with the matter told CNN.
  • Blinken defends US veto on Palestinian statehood: US Secretary of State Antony Blinken defended the US veto of a UN Security Council resolution for Palestinian statehood at the UN. “The United States is committed to achieving a Palestinian state,” the top US diplomat said, “but getting to that, achieving that state, has to be done through diplomacy, not through imposition.”
12:11 a.m. ET, April 20, 2024

Iranian president makes no mention of Israeli strike while lauding its previous weekend attack

From CNN's Hamdi Alkhshali

Iranian President Ebrahim Raisi (C) addresses attendees at a military parade marking Iran's Army Day anniversary at an Army military base in Tehran, Iran, on April 17.
Iranian President Ebrahim Raisi (C) addresses attendees at a military parade marking Iran's Army Day anniversary at an Army military base in Tehran, Iran, on April 17. Morteza Nikoubazl/NurPhoto/Getty Images

Iranian President Ebrahim Raisi made no mention of Israel's Friday (local time) strike on Iran, while publicly lauding the unprecedented Iranian military operation last weekend targeting the "Israeli-occupied territories."

Iran's April 13 retaliatory strikes, part of an operation named "True Promise," were a display of Iran's military strength and a necessary act against what Raisi called the "illegal regime," he said Friday. 

Raisi described the strikes as "punitive reprisal" by the Iranian Armed Forces, aimed at demonstrating Iran's power and the resolve of its people. 

Remember: The April 1 strikes on Iran's embassy compound in Damascus demolished a building and left several dead, including two high-ranking generals.

Israel and the United States have said that Iran's lob of some 300 missiles had very little material impact and caused only one injury.

12:14 a.m. ET, April 20, 2024

3 wounded in Iraq explosions, official says. Israel denies involvement

From CNN's Aqeel Najim and Hamdi Alkhshali  

Flames from a large explosion near Babylon, Iraq, can be seen in an image taken from video obtained by CNN from social media.
Flames from a large explosion near Babylon, Iraq, can be seen in an image taken from video obtained by CNN from social media. Obtained by CNN

At least three people were wounded after five explosions rocked a military base belonging to an Iran-backed militia in Iraq, a local security official told CNN Saturday.

The blasts happened at a site belonging to the Popular Mobilization Units (PMU), according to Muhannad al-Anazi, a member of the Security Committee in Babylon Governorate, south of the capital Baghdad.

There was no immediate indication as to the cause.

Israeli and US officials said neither was involved in the blast.

Read the full story here

Remember: The explosions near the Iraqi capital of Baghdad come one day after strikes against a military base in Isfahan, Iran. A US official told CNN that Israel was responsible for the strikes in Iran.

12:15 a.m. ET, April 20, 2024

US defense secretary speaks with Israeli counterpart again following strikes in Iran

From CNN's Oren Liebermann

Israeli Minister of Defense Yoav Gallant (L) and US Secretary of Defense Lloyd Austin.
Israeli Minister of Defense Yoav Gallant (L) and US Secretary of Defense Lloyd Austin. Getty Images

Defense Secretary Lloyd Austin spoke with his Israeli counterpart on Friday, according to a readout from the Pentagon.

This comes one day after Israel carried out strikes in Iran. The readout makes no mention of the Israeli strikes, and the Biden administration has been tight-lipped following the actions. 

Austin and Israel Defense Minister Yoav Gallant discussed “regional stability,” as well as the ongoing war in Gaza, according to the Pentagon.

Austin also spoke with Gallant on Thursday before the strikes took place. The readout of the earlier call had slightly more information, saying the two discussed “Iran’s destabilizing actions in the Middle East.”

In a previous call, Austin had asked Gallant for Israel to notify the US before taking any action in retaliation for a massive Iranian barrage fired at Israel last weekend.

12:15 a.m. ET, April 20, 2024

Analysis: Iran and Israel have averted an all-out war – for now

Analysis from CNN's Tamara Qiblawi in Beirut, Lebanon

The scope of Israel’s military response to Iran’s first-ever direct attack on the country remains murky. Israeli officials have yet to publicly acknowledge responsibility for reported overnight explosions in parts of Iran on Friday. Tehran has dismissed these as attacks by “tiny drones” that were shot down by its air defense systems.

Iran may be downplaying what was likely to have been a significant but limited Israeli attack, but that seems to be secondary to the larger forces at play. What is plain to see is that both Iran and Israel are keen to wrap up the most dangerous escalation between the two regional powerhouses to date.

This month’s dramatic escalation, which kicked off with an apparent Israeli airstrike on Iran’s consulate in Damascus, followed by a largely foiled Iranian attack of over 300 airborne weapons on Israel, seems to have given way to a rapid climbdown. Shortly after the Friday morning attack in Iran, a regional intelligence source told CNN that Iran was not expected to respond further, and that the direct state-to-state strikes between the two enemy states were over.

The latest flare-up brought the stakes into sharp focus, but it also exposed the limits of a direct confrontation between Iran and Israel.

Remember: What happens between Iran and Israel rarely stays between Iran and Israel. The region is deeply intertwined. That heightens the risks of military action, but it also acts as guardrails against a potential conflagration. So when US officials said last weekend that Washington would not participate in an Israeli response to Iran’s attack on Israel, that seemed to immediately take the wind out of the sails of a potential escalation.

12:15 a.m. ET, April 20, 2024

Exclusive: No extensive damage seen at Isfahan air base in satellite images

From CNN's Paul P. Murphy

SAR data © 2024 Umbra Space, Inc.
SAR data © 2024 Umbra Space, Inc.

There does not appear to be any extensive damage at an air base purportedly targeted by an Israeli military strike, according to exclusive satellite images obtained by CNN from Umbra Space. 

The synthetic aperture radar (SAR) satellite images were taken around 10:18 a.m. local time. 

There does not appear to be any large craters in the ground and there are no apparent destroyed buildings. Additional visual satellite imagery will be needed to check for burn scars – which cannot be seen by SAR images -- around the complex.

SAR images are not like normal satellite images. 

The SAR images are created by a satellite transmitting radar beams capable of passing through clouds, like the ones currently preventing satellites from imaging the area. Those radar beams bounce off objects on the ground, and echo back to the satellite.

Iranian news agency FARS said that an army radar at the Isfahan province military base was one of the possible targets, and that the only damage from the attack was broken windows on several office buildings.

The images also show that the Iranian F-14 Tomcats that have been stationed at the air base in the past are not there at the moment. Additional archival satellite imagery reviewed by CNN shows that those F-14 Tomcats have not been there for some time.

12:15 a.m. ET, April 20, 2024

See how violence has spread through the Middle East

Violence and uncertainty has gripped the Middle East since Hamas' October 7 attacks on Israel, and Israel's subsequent war in Gaza.

The war has threatened on several occasions to spill over into an all-out regional conflict, and those concerns have intensified in recent weeks, as Israel and Iran traded missile strikes.

Here's a look at where and how violence has spread.