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Hello from CNN, I'm Chris Debeau with the five things you need to know for Monday, November 13th.

Major hospitals in Gaza are crumbling, with one becoming the site of intense fighting and conditions

at another are catastrophic.

A U.S. official who has knowledge of American intelligence says Hamas has a command center under the Alshiva Hospital, Northern Gaza's busiest hospital.

The official says the group is using fuel intended for the

hospital and that Hamas's fighters regularly gather around it. Hamas and hospital

officials have denied this. This comes as doctors at that hospital are refusing to leave their at-risk patients,

even after a mandatory evacuation order from the Israeli military. The director general of the

Hamas-run health ministry in Gaza says those doctors fear that

around 700 patients will die if they're left behind. What's more, he says the

evacuation order they've been given isn't in coordination with any

international humanitarian agencies,

raising concerns about safety. The Al-Quds Hospital is the second largest in the Gaza Strip

and is no longer operational because of the lack of fuel and electricity.

Israel's military said today it had killed a group of Hamas fighters

embedded amongst civilians at the hospital entrance, but CNN cannot verify if any

civilians were injured in the crosshairs.

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