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good morning. welcome to "cnn this morning." saturday, november 18. i'm victor blackwell. >> i'm amara walker. thank you for being us with. here is what we're watching for you. the first plane carrying people injured in the fighting in false electors arrived in the uae this morning as we are learning of a worsening situation at hospitals in gaza. a colorado judge says former president trump did engage innen insurrection but the rules say he can stay on the republican primary ballot. the reason for the judge's ruling and what comes next. a new report says climate change is impacting every part of the u.s. and that includes our health. the top health issues caused by climate change and what you can do about it. spacex will try again today to launch its starship rocket. the most powerful ever built. details on the launch and what it could mean for human exploration of the moon and of mars. this morning, 15 people from gaza, including children, with urgent medical needs have arrived in the uae. they are the first of 1,000 children who will get treatment under an initiative by the uae's president. the palestinian ministry of health says the crippling fuel and water shortage in gaza led dozens of hospitals to close. the al shifa hospital says most of the icu patients who were on ventilators have died. heavy shelling continued in northern gaza overnight. israel defense forces continue their ground incursion into gaza. hamas officials now put the palestinian death toll at more than 12,000 people with an estimated 5,000 children among those killed. >> today marks six weeks since the terrorist attacks in israel that led the country to declare war on hamas. israeli police say that the death toll from the november a music festival has reached 364. it's up from 270. the idf says they will advance anywhere hamas is found, including the southern parts of gaza where palestinians with nowhere to go were forced to move into bombed out homes. cnn's nada bashir is with us for more on that. nada, good morning to you. >> reporter: good morning, victor, amara. yes, we have seen these families now across northern, central, and southern gaza being forced to live in the structures of what once were their homes. rubble now as a result of those ongoing airstrikes. as we have seen across the gaza strip, the humanitarian situation is deteriorating by the hour. we are still seeing shortfalls in fuel, in food, in medication, in clean drinking water. of course, as we know, we are still hearing those calls for civilians to evacuate from northern gaza to southern gaza. but there are widespread concerns that the situation in southern gaza simply isn't safe enough for any civilians to evacuate to hospitals there overrun, airstrikes continue in southern gaza. while idf says it is targeting hamas across the gaza strip as we have seen the civilian toll is mounting, and now what we are beginning to see is civilians running out of places to take shelter. we saw from one family yesterday in our reporting now having to live in the rubble of what once was their home because there simply isn't anywhere else to go. take a look. in the central gazan city, hea heavily bombarded by airstrikes, the family is forced to live amid the ruins of what once was their home. they were rescued from beneath the rubble. miraculously, they survived. now where nowhere to go, this family must make do with what little they have left. when we saw the catastrophe, we tried to find shelter at a school or anywhere safe, but there was already too crowded, he says. there isn't anywhere safe to go here. as you can see, it's been raining and there is no aid getting in. i just want somewhere to shelter my family, my children. the u.n. has warned that some 70% of people in gaza are now forced to drink contaminated water. raw sewage said to be flowing through the streets in some areas. and while the israeli government says it will now allow two fuel tankers a day to enter gaza to support water and sewage systems, the entire strip is said to be facing the immediate possibility of starvation according to the u.n. world food programme. there is no electricity and no running water here. and as temperatures drop, this family has no choice but to sleep in the cold. his daughter put a sheet of nylon to protect her from the wind and rain at night. these blankets all the family has left to keep them warm. the rest of their belongings tangled and buried amid scorched blackened rubble. across northern and central gaza scenes of destruction are all that remain. civilians told to evacuate southwards. the israeli military says it is targeting hamas and allowing for evacuation corridors, but even in the south there is no escape from this punishing war. the ruins you see here are homes in the southern city. amid the destruction, members of the family standing helpless. loved ones still buried under the rubble. every second of every minute there is another massacre, he says. where are the humanitarian ceasefires? displaced people, women and children, our family members are here buried underneath this home. they escaped the massacres and war in northern gaza. they told us that the south would be safe. on the grounds of southern gaza's hospital, another funeral prayer is held. closed with a message of peace amid unfathomable loss. with fears growing of an expanded ground incursion said to be targeting hamas in the south, israeli forces dropped leaflets warning people to move to known shelters on thursday. but with some 1.5 million people already displaced, there is nowhere safe to turn. and as each hour ticks by, there is only more uncertainty and more tragedy. the wounded rushed to the hospital's crowded halls. children battered and bloody, sharing whatever space is left in this panic-filled emergency room. but as doctors in the south race to rescue the wounded, survivors further north just like halid and his family struggle to come to terms with this now shattered reality. he says neighbors thought he was dead when they pulled him from the rubble. now he says he wishes he, too, had been killed in the airstrike. in gaza, only the dead are at peace. now, of course, at the same time we see the humanitarian situation deteriorating, the situation inside of hospitals across gaza deteriorating by the hour. there has been a lot of focus on the al shifa hospital, gaza's largest, that ongoing israeli military raid focused on what the israeli military believes to be a hamas command and control center underneath the hospital. that is denied by medical officials on the ground and cnn isn't on the ground and isn't able to independently verify either side's claims. but there is mounting concern over the situation facing patients, facing medical staff across gaza's hospitals as the situation deteriorates we are hearing warnings of some patients now starving as a result of a lack of food and clean drinking water. we are hearing repeated calls for civilians to evacuate from northern to southern gaza. medical teams and doctors on the ground have is said it is simply not safe enough to do that. many patients simply cannot be evacuated without special medical evacuations and guarantees of safety. as you saw in that report, there are mounting concerns around the situation in southern gaza. the potential for an expansion of that ground incursion and what that could mean for the 1.5 m 1.5 million palestinians in gaza who are displaced. >> nada bashir, thank you. let's bring in former state department middle east negotiator aaron david miller. good morning to you. let's start with these hospitals. nada gave us a picture there, the preemies are being kept warm with foil blankets and warm water. people on ventilators have died at al shifa. there is some disagreement within the netanyahu government about if the fuel trucks, the tankers should continue to come in on a regular basis. that just began. the war cabinet allowed it. the members of the israeli cabinet disagree. if this blockade resumes, what do you expect that means for pressure on this government to allow some aid in, specifically u.s. pressure considering how far the president is and is not willing to go now? >> i think as the humanitarian situation deteriorates and as it appears that the israelis are no closer to achieving their ultimate objectives, this could go on for weeks. the weather is turning. you already have a humanitarian catastrophe. and i think pressure is going to grow. fuel is critical. i mean, it powers desal facilities, used for generators, used to deliver and distribute humanitarian aid in trucks and vehicles. so i think it's critical. obviously, there is a debate within the israeli government and a hard line view that hamas is largely responsible for the humanitarian catastrophe. hamas has ample stocks of fuel. so the israelis should be relieved of their responsibilities. but, again, i think you have two wars going on here. you have the operational war that the israelis are conducting, understandably, and then you have the war for public opinion. that international legitimacy i fear, which is critically important and will prove to be so the longer this conflict conditions is eroding rapidly. i think over time the president has been incredibly supportive of israel, that i think the pressure will actually grow in discrete areas like for humanitarian pauses and fuel distribution. >> speaking of public opinion, focused here in the u.s., nbc news is reporting that the president is sending out separate messages, different messages to americans on the war. he sends one message out to recipients who are deemed to be pro-israel and another message out to people who are deemed to be pro-palestinian. these are letters in responses to correspondents that come to the white house. to those deemed to be pro-israel, the letter focuses on the pure evil of the october 7th attack, references the holocaust. for those deemed to be pro-palestinian, it focuses on protecting gaza civilians, focuses on aid. they are form letters. they don't contradict one another or the president's policy, but is it typical to have two separate messages on one issue depending upon the inclinations of the recipient? >> so, obviously, this is a question of persuasion. i have written, i can't tell in 25 years, hundreds of talking points, and the problem of course, yes, you can emphasize one point to win constituency and one to another. in the other, in the end, that really does involve i think a loss of -- and there is no reason, frankly, that the administration can't take a position which basically is designed to protect both israeli and palestinian interests. frankly, that's where the balance is here, and that's the problem. people are driven to their corners right now. and part of messaging, part of the moral authority of the president is to deliver a message that is real and that addresses the pain and suffering of both communities. i think that's critically important and it will be even more important as the longer this confl goes on. >> south africa, bangladesh, gent djibouti and others have asked to investigate whether crimes have been committed. neither gaza, certainly not hamas, nor israel, they are members of the icc. so what's the significance of the request? >> the leaders of the united states, frankly. the icc is already investigating war crimes, alleged war crimes by hamas and israel dating from 2014. so i think again it's another parallel track. i don't think it's the dominant one that will create the kind of pressures on both parties to figure out a way to at least create a ceasefire. again, auto ceasefire is critically important. there has to be a quid pro quo, has to be a significant release of hostages. otherwise, i suspect hamas initially responsible for the horrors of october 7th is going to claim victory and, frankly, i don't think that's in anybody's interest. >> aaron david miller, thanks so much. >> thank you. donald trump will be on the ballot in colorado's republican presidential primary. last night a judge rejected an effort to disqualify him based on the 14th amendment's ban on insurrectionists running for office. the judge says trump participated in the january 6th insurrection, but the ban does not apply specifically to presidents. cnn's marshall cohen has more. >> good morning. a major, major ruling in colorado last night. the judge concluded that donald trump engaged in the january 6th insurrection and that he incited violence that day. that is a a stunning finding. but judge sara wallace in denver said that the 14th amendment's ban on insurrectionists holding office does not apply to the presidency. the provision mentions senators, representatives, and other officeholders, but it doesn't say anything about the president, and based on that, which some people have called a technicality, the judge said that trump must remain on colorado's republican primary ballot. that means this is another victory for trump. he has already beaten back similar constitutional challenges in minnesota, michigan, and new hampshire. the liberal watchdog group that filed the lawsuit in colorado has staid that they are going t appeal the decision. most experts believe that this will reach the supreme court in some fashion one way or another. but, look, this 102-page ruling offered a searing condemnation of trump's conduct after the 2020 election. the judge said that trump, quote, actively primed the anger of his extremist supporters and that he, quote, acted with a specific intent to incite political violence and direct it at the capitol. now, trump's lawyer in the case, scott gessler, took issue with those findings, but he did praise the ultimate decision to keep trump on the ballot. here's what he said last night to our colleague kaitlan collins. >> we are respectful that the judge made the right decision. she threw a lot of shade on president trump. we are not happy about that and disagree with it. at the end of the day -- >> my question is -- >> and remember respectful of this, she is respecting the democratic processes. >> by the way, in that ruling the judge also said that trump's actions on january 6th were unlawful, but this was not a criminal case. trump is separately facing state and federal charges in connection with his attempts to overturn the 2020 election. to those charges, he has pleaded not guilty. victor and amara. >> marshall cohen, thank you. as for trump's ongoing legal case in georgia, fulton county, georgia, prosecutors want the election subversion trial to start on august 5th, 2024. that is right in the middle of the presidential election campaign. and a court filing, prosecutors said that day balances possible days from drufrm's other criminal trials and a defendant's right to a speedy trial. the judge will decide the timeline. four defendants in the case have pleaded guilty. 15 are still facing trial, including the former president. prosecutors have previously estimated that the case would take about four months. coming up, house speaker mike johnson says he will publicly release all capitol hill security footage that does not contain sensitive information from the january 6th capitol insurrection. and republicans are ramping up their calls to expel congress monday george santos in the wake of a scathing ethics report. we will have a much closer look. says he will release all capitol hill security footage from january 6th that doesn't contain sensitive information. republican lawmakers matt gaetz and marjorie taylor greene and chip roy are pushing to have the recordings released and johnson is hoping to stay in the good -- of right-wing republicans after using a stopgap bill to prevent a shutdown. the first lot of the 44,000 hours of footage was posted friday. johnson says the rest will be released over the next several months in waves. when he ran for speaker he promised to release the video from january 6th. the top democrat on the panel is criticizing johnson for making the security footage public. some house republicans want george santos out of congress. the republican house ethics chairman introduced a resolution friday to expel santos after an ethics report alleged he had broken federal laws, stolen from his campaign, and lied to voters and donors. >> lawmakers are expected to address the resolution once they return from their thanksgiving break. cnn's melanie zanona has nor. more. >> reporter: good morning. the house is moving closer to expel george santos from congress which would be a largely unprecedented and dramatic step if they were to succeed. on friday morning michael getz filed a resolution that would expel george santos and that is going to tee up action potentially after the thanksgiving break. now, past efforts to expel george santos have failed. it is a high bar. it requires a two-thirds majority for passage. but having the weight of the house etfhics committee and weight of this damning report behind it is significant. we have seen new republicans come out and say they will now support expulsion after previously voting against it. and meanwhile, the new speaker, mike johnson, is essentially giving members a green light to vote their conscience. i want to read part of the statement that came from his spokesman raj shaw. he said, the speaker has reviewed the report and it's troubling findings. as members from both parties, members of the ethics committee and representative santos return to congress after the thanksgiving break speaker johnson encourages all involved to consider the best interests of the institution as this matter is addressed further. so we'll see what santos decides to do. at this moment, he says he will not run for re-election in 2024. he is claiming that he will stick around and serve out his term as long as he is allowed, but some republicans are at least hoping that he resigns before they have to expel him. santos for his part has been dpee defiant, says he deserves his day in koorntd he will hold a press conference on the capitol steps november 30. we will see if that is his last press conference here on capitol hill. coming up, the new study shows schaclimate change isn't just affecting the environment. it's also impacting your health. we are going to discuss next. the power goes out and we still have wifi to do our homework. and that's a good thing? great in my book! who are you? no power? no problem. introducing storm-ready wifi. now you can stay reliably connected through power outages with unlimited cellular data and up to 4 hours of battery back-up to keep you online. only from xfinity. home of the xfinity 10g network. widespread effects of climate change on your environment and your health. the first is the national climate assessment released after four years of research from around 500 authors and 250 contributors from all 50 states. says that while pollution in the u.s. is decreasing, it's not decreasing fast enough to meet with national or international targets to limit global warming. this year's report warns that people across the u.s. will feel the effects of climate change because no part of the country is safe from the effects of climate change. also, from the disasters that come with it. the second study shows schaclimate change not only effects communities, but the health of individuals. the report says inaction on climate change will lead to a nearly fivefold increase in heat-related deaths by 2050. joining me now to discuss is dr. carrie nadou, chairman of the environmental health department at harvard school of public health. thank you for joining us this morning. a lot of the talk around climate change is around how it affects where we live. this also talks about how it impacts our lives and our health specifically. can you tell us what global warming means for global health? >> excellent question. global warming means as we have the planet that warms up, unfo