Israeli airstrikes and intense gunfire on the ground around one of the last working hospitals in the northern Gaza Strip killed or wounded scores of people early Friday, the hospital’s director said, as Israeli forces ordered the building evacuated.

Dr. Hussam Abu Safiya, director of Kamal Adwan Hospital in Jabalia, in a statement described “a series of airstrikes on the northern and western sides of the hospital,” which did not hurt anyone in the hospital, but were followed by “heavy and direct gunfire.” When dawn broke, he said, bodies were “in the streets, surrounding the hospital,” and four medical staff members were among the dead.

“The situation inside and around the hospital is catastrophic,” said Safiya, whose statement was released by Gaza’s Health Ministry, which is part of the enclave’s prewar government controlled by Hamas.

“Medical supplies are nearly depleted, and there are hundreds of victims,” he added.

The Israeli military did not immediately respond to a request for comment Friday.

— The New York Times