. welcome to all of you watching us here in the united states, canada and all around the world, i'm kim brunhuber, it's 4:00 a.m. here in atlanta, 10:00 a.m. in gaza, where egyptian sources say more than 7,000 foreign nationals are expected to leave southern gaza through the rafah crossing today. among that group are nearly 400 americans, british, french, germans. this floels the devastating air strike outside a hospital in gaza city. we want to warn you the video obtained by cnn is graphic. the israeli military admits it struck an ambulance just outside the hospital, an explosion left a scene of carnage and chaos with at least 15 people reported killed according to hamas-run health authorities. the ambulance was said to be part of a convoy carrying patients to southern gaza. the ambulance was being used by hamas which it said was using emergency vehicles to transport fighters and weapons in the past. we have developments from abu dhabi, eleni, let's start with the strike on the ambulance convoy, what more do we know? >> reporter: well, we know that some of the images we've seen of bodies strewn on the ground, the hamas-led ministry of health saying that 15 people died, 60 people were injured. this is a convoy, according to the palestinian raid crescent, that was carrying injured patients going from the north to go to the south which, of course, is an area where the idf consistently said people need to evacuate to, the international raid crescent has also specifically said they knew about this convoy, they weren't involved with this move and this trip down to the south but they say even though they weren't directly involved that there is no excuse to specifically target ambulances. the idf, of course saying and reiterating this, they've been targeting hamas operatives and that they have been warning hospitals there could be hamas demand centers in and around hospitals, that's one of the most important lines from them. and the international organizations have consistently reiterated it's almost impossible to evacuate patients from hospitals. i want you to take a listen, or take a look at what the u.n. secretary general antonio ambigu gutierrez responded to this israeli strike. he said i'm horrified by the attack on this convoy, images of bodies strewn outside the streets outside the hospitals are harrowing, for nearly one month civilis in gaza, including women and children, have been bombed out of their homes. he said this must stop. so really something the u.n. has been reiterating, there needs to be a pause or cease-fire in order for there to be some kind of relief, and aid coming in. antony blinken the u.s. secretary of state was in israel yesterday, he had a conversation with prime minister benjamin netanyahu, reiterating the need to ensure civilians are protected during these strikes. he also called for some kind of humanitarian pause and for the ability to, you know, start some kind of mediation talks. benjamin netanyahu says this can only be a possibility if hostages are released, and frankly we've been seeing incessant bombing into gaza and the death toll, kim, consistently rising, now above 9,000 people. >> all right, so, eleni, many calling for a pause to allow aid to get through. but why is such little aid actually getting through right now? >> well, initially, we actually saw a major delay coming through from the rafah border crossing, that is the border that is next to egypt. we saw the lines of trucks, and it was just difficult to get aid in. that started opening up, and since october 7th, according to the palestinian red crescent they are saying 374 aid trucks have entered gaza. from the aid organizations operating within gaza they say it is not nearly enough. on a good day, before the october 7th terrorist attack we saw 450 aid trucks coming into gaza. now we're seeing a complete deficit on food, on water, on medical supplies, we're hearing stories coming through from hospitals in terms of the lack of anesthetics to operate on the injured, and really just dire and horrific stories coming through from the ability for hospitals to operate. now, the issue of fuel is one that is continuing, they're very worried about it ending in the hands of hoamas but hospitals can't operate without fuel, they rely on it to keep generators going. many hospitals have had to cease operations. they're making tough decisions in terms of distributing food. and again the focus on the need for fuel for hospitals in particular and for sanitation and even for offering clean water to people. the rafah border crossing is going to facilitate the evacuations of foreign nationals, something that has been happening since midlast week and importantly this was a qatari led deal, that was a big break through, we've seen some palestinian injured patients that have been heading through to egypt for more medical assistance and then vitally, you've got foreign nationals started and continuing to be evacuated. we're hearing from egyptians, the source from the egyptian side, 734 foreign nationals are expected to cross rafah today. >> appreciate the update in abu dhabi, thanks so much. the white house says the u.s. embassy in cairo helped more than 100 u.s. citizens and family members get out of gaza. the departures which dpan began on wednesday are the first since the war dpan began a month ago. 734 nationals are expected to cross through the rafah border crossing today, including 386 americans. many people are still waiting desperately for a chance to leave, but as melissa bell reports, for some leaving brings a different kind of turmoil. >> reporter: for nearly a month now gaza has been almost entirely cut off. now, finally, some are getting out. bringing images like these captured on their phones along with their stories. >> i don't think there are enough words in the english dictionary to actually describe what every gazan is going through right now. >> reporter: the pictures of amal and yakapo as they got through rafah on wednesday speak of their relief. as an italian he was lucky to be one of the first out as his wife amal was allowed through with him even though she's palestinian. >> for two days we were completely blacked out. think of the worst and you keep on telling we're going to be next. that's what you keep on telling yourself. it's going to be us next. the humanitarian situation is catastrophic. we can't find water, food, bread, when people go to bakeries, they're freaking dying because they have bombed almost all of the bakeries in gaza. >> what different would a humanitarian pause make? >> it's -- with strong conditions. >> a gazan would say they are giving us some painkillers and then they're going to continue wiping us out. but we will manage to get some water, and some food, and then they can just kill us. >> reporter: tell me about the feeling of people inside about that, that sense of what's happening to them. >> like i think they feel alone, abandoned, that's the issue. children who died, or like women who are delivering very poor hygienic situations. >> this is so inhuman. and then they come on the news and they tell you israel has the right to defend itself. come on. what are we talking about? come on. they are wiping us out. we have entire families killed. i'm just wondering what the world is waiting to see so they can actually start doing an action. >> reporter: but with no hope in sight amal and yakapo made the hardest of choices, believing behind an entirely besieged and bombarded gaza. >> was leaving a difficult decision? >> it was definitely a difficult decision. always to stay together with the population, like people in need, so it was so difficult to take this decision. the situation wasn't safe anymore for us. so many people are talking about this coming out as a victory for us but it's not a victory, like we are like -- it's a loss for everyone. >> to be -- regretting going out because i was the entire day i was unable to reach my family, so i couldn't even tell them that i made it safely and i'm okay and i know that's -- my mom, she actually begged me to go out. for me i wouldn't have done it, and i still feel i shouldn't have gone out, you know, the survival guilt. >> reporter: they say the future is impossible to imagine even as they head to italy with their heads full of gaza and their hearts desperate to return. melissa bell, cnn, cairo. >> anna coren spoke with tom white, and he described what he's seeing on the ground. >> for the shelters we are operating once again, you know, in the last few days we've had four of those shelters that have been hit, and numerous people killed and injured. so, for a lot of people in gaza right now it's basically find somewhere that they are safe from the conflict, from these air strikes. >> tom, how much aid is getting in? and tell us about your supplies of water, food, medicine. >> anna, our supplies are critically low. the reality is that most of the aid we're pushing out right now is stocks that we already had in gaza, for example, we were already running a food operation for 1.2 million people prior to the conflict, so we've been drawing down on those stocks. we are starting to see some aid coming in. it is a very complicated process where all the trucks are screened by the israelis before they can move in. the short answer is, we are not getting enough aid go gaza right now. and i'd also add that humanitarian aid is not going to fill the gap if the public sector and the private sect collapse here. to give you an example, you know, all of the sewage pumps out of cities in gaza is done by municipalities, if they run out of fuel, for example, the sewage is already starting to flow in the streets. so it's humanitarian aid, we need to make sure the municipal services continue, and we also need to be working alongside a private sector. >> u.s. secretary of state antony blinken is now in jordan after visiting israel. among the officials blinken's meeting with in jordan is the caretaker prime minister of lebanon, before he left for his trip blinken said he planned to discuss, quote, steps that need to be taken to protect civilians. that was a top priority when he sat down with israeli prime minister benjamin netanyahu and other officials on friday. here he is. >> we need to do more to protect palestinian civilians. failure to do so plays into the hands of hamas and other terror groups. there will be no partners for peace if they're consumed by humanitarian catastrophe, and alienated by any perceived indifference to their plight. >> blinken offered support for israel's right to defend itself against hamas. chris van holland is one of the lawmakers calling for a humanitarian pause. he spoke with wolf blitzer. >> we are calling for and what secretary blinken and president biden by extension have been calling for is a humanitarian pause which as you said is simply designed to allow desperately needed assistance, water, food, medicine, to the 2 million gazans including half of them children who have nothing to do with the horrible hamas attacks on israel of october 7th. that doesn't mean that israel can't continue to prosecute the war against hamas, but it does mean take a step, allow the humanitarian assistance to go through, and it is very disturbing. that prime minister netanyahu rebuffed directly secretary blinken's request while he was there. >> it wasn't just blinken, president biden has been saying stuff like that as well, the secretary of state, he's here in israel, he was here in israel today saying more must be done to protect innocent palestinian lives. is the biden administration, senator, pushing israel, do you believe, hard enough on this issue? >> well, i think they need to push even harder, wolf, which is why i was glad that secretary blinken was in israel today. really making that very important point, everybody recognizes that israel has the right to defend itself, everybody recognizes that they have a right to go after hamas, after the horrible attacks of october 7th. and also everyone recognizes it's hard to do when hamas hides among civilians. that said the civilian death toll is unacceptably high. you see these bombs dropped on refugee camps. you now have 70% of the casualties and deaths, women and children. and so secretary blinken is absolutely right to say you have to find a better way to prosecute this war against hamas. and for now also allow that humanitarian pause so that the 2.2 million civilians who had nothing to do with these attacks are not deprived entirely of water, food and medicine. the leader of hezbollah makes his first public comments at the start of israel's war with hamas. what hassan nasrallah said next on cnn. at least two rockets fired from gaza made a direct hit in the israeli city of sderot friday evening and one of them fell close to journalists, including our cnn team on the ground. look at this. now, that blast hit a kindergarten courtyard with shrapnel damaging cars. no casualties reported. forces now encircling gaza city u.s. officials expect the air campaign to subside as idf soldiers advance. a closer look at israel's evolving military tactics. daniel davis gave his tank to -- his take rather to abby phillip earlier. >> take a quick look at the gaza strip here, this is where we've seen so much activity, especially in the last couple of days. today at the hospital down here and then notably jabalia, that refugee camp, if this changes in nature, is that a reflection of israel being actually concerned that the narrative around civilian casualties is not one that is in its favor? >> they need to. that's a no kidding problem. you have about half a dozen states in just the last 48 hours have recalled their ambassadors, bolivia actually broke diplomatic relations. so it's having a big impact. all of these are coming especially after the issues at jabalia, those are getting some of the most horrific scenes, and everybody understands that israel was attacked by hamas terrorists, civilians were brutally murdered. everybody understands you can respond, but they don't understand you can put aside the laws of warfare. the very things we want to hold other nations to, like russia, they have to follow it and so do we on our side. i think that israel has not been doing that enough, and biden is right that he's going to have to hold them to it. >> can they still accomplish their military objectives by moving back from air strikes and maybe this more kind of almost dangerous conflict, this is just -- explain to folks, this is just a picture of where some of the troop activity has been in northern gaza. they are surrounding right here, this is gaza city. >> yes, and what you see here, very clearly, is there are three main actions of advance, one here, one down the coast here, and then this other one that's just almost completely cut off down to the coast here, what the purpose of this part is, is to completely block this off and then to come down here and completely isolate hamas within gaza city. so that none of that aid can get through, they'll have blocked that off and now they'll have this contained. past a lot easier to go in and blow up all the buildings and destroy everything where hamas is. it's much harder and more expensive on manpower to go block by block and house by house to be deliberate. but that's unfortunately the horrible part of war, you can't just kill citizens wanton, you have to do it the hard way if you want cokeep western support. >> we were listening to the hezbollah chief about what could happen if this becomes a multi-front war. talk to us about that. >> the big issue of lebanon, this northern border right here, that's where you see right now, one of the things nasrallah said, the head of hezbollah today, that we're already in a fight, we have been since the 8th of october and there has been low-level attacks back and forth, there was 19 yesterday, i didn't see the count for today, it's basically within the border area and they have not gone further than that, so israel has not gone further than that. both want to avoid a big war and an escalation. that's one of blinken's biggest efforts in this visit right here is to make certain that this doesn't escalate. that would be the worst thing for both israel and american interests. >> just a quick note for our audience to understand, hamas is a much smaller organization here, 20 to 25,000 fighters, if we're talking about hezbollah, this is 50,000, almost twice the size, much more fire power, it could be a much more dangerous front if it does open up for israel. >> leader of hezbollah says america is fully responsible for the war in gaza. hassan nasrallah reiterated a call for a cease-fire which he said the u.s. is preventing, and that's why islamic resistance factions are targeting american positions in iraq, the secretary general also warned that all scenarios are possible on the border with lebanon and israel where hezbollah is based. here he is. >> translator: the worry is that the possibility of this front actually estalating or going into a fully fledged war or becoming a wider war is a realistic one. it can happen. and the enemy has to make every provision for this. and i'm sure they do make every provision for this, and i'm sure they do think about it. >> nasrallah said all israel has done in the last 75 years is, quote, commit massacres but that israel will not win this time and gaza will be victorious. hezbollah is backed by iran and has been skirmishing daily with the israeli military on the israel-lebanon border. more to come after a quick break. we'll go along with the survivor of the brutal hamas massacre at the nova music festival as she returns to the scene for the first titime. stayay with us. welcome back to all of you watching us here, the united states, canada and all around the world, i'm kim brunhuber, this is cnn newsroom. the u.n. secretary general is condemning an israeli air strike targeting an ambulance outside gaza's largest hospital. hamas-run health authorities say the blast killed 15 people and wounded 60 others. israel says the ambulance was being used by what it calls a hamas terror cell. the international community of the red cross says the ambulance was part of a convoy carrying wounded parishes from northern gaza to the south. meanwhile the biggest number yet of foreign nationals is expected to exit gaza into egypt in the hours ahead, and an egyptian source says 730 of them will enter through the rafah crossing. 400 americans are said to be among them. four weeks ago today the brutal hamas massacres killed 1,400 people. among them, more than 260 people slaughtered at the nova music festival in southern israel. cnn's nic robertson speaks to a survivor and walks with her as she returns to the scene for the first time since october 7th. >> reporter: alisa samuel is trying to be brave. for the first time the 24-year-old is back to where her friends were brutally slaughtered during hamas's murderous music festival rampage october 7th. >> people's bracelets are here. >> reporter: the bracelets from the festival? there's another one here. >> reporter: four weeks later fear still scattered in the fields. >> people's bags, everybody just dropped everything and left. >> reporter: she is struggling. >> i don't want to walk further. >> reporter: getting this far has been made easier with the help of her cousin dr. genzler, one of the first emergency medics sent to the attacks. >> first casualty was by the drain point. >> reporter: he too for the first time since revisiting the terrors of that day. shot in the back of the head plus a bunch of places in the back of his body. he also was -- he was shot -- oh, interesting, you can actually see a bullet still. >> really? >> this is actually crazy, wow. there was a ton of shell casings laying all around. >> reporter: as we're about to move on -- >> guys, siren. >> reporte