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Gaza’s hospitals have taken direct hits in fighting between Hamas and Israel over the last week, and have been damaged as medical staff care for the thousands of people who have been injured in the conflict.

The quadruplets were delivered in the same hospital where many of the conflict’s victims have been treated. At least 1,390 people have died in Gaza and more than 8,000 have been injured in the three-week conflict, according to the Palestinian health ministry. In Israel, 59 people, including 56 soldiers, have died.

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