Israel has said it will open the Rafah crossing between Gaza and Egypt in a limited “pilot phase” on Monday, as thousands of sick and wounded Palestinians waited for urgent medical care abroad.

COGAT, the Israeli military agency that controls aid to Gaza, said on Sunday that the crossing will reopen in both directions for Gaza residents on foot only and its operation will be coordinated with Egypt ‍and the European Union.

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“Today, a pilot is underway to test and assess the operation of the crossing,” the agency said in a statement. “The movement of residents in both directions, entry and exit to and from Gaza, is expected to begin tomorrow.”

The Israeli army said it has completed a complex that will serve as a screening facility for Palestinians passing in and out of Gaza through the Rafah crossing.

Rafah is the only border crossing in Gaza that does not pass through Israel and it was jointly managed by Palestinian and Egyptian authorities, in coordination with Israel, before the war. It has been largely shut since Israel seized it in May 2024, amid the country’s genocidal war on Gaza.

Al Jazeera’s Hani Mahmoud, reporting from Khan Younis in southern Gaza, said the crossing’s reopening was an “uncomfortable dynamic”.

“Palestinians want to leave, but at the same time, they’re worried they won’t be able to come back,” he said. “People said the purpose for them departing would strictly be for medical evacuation or continuing their education, and they want to come back later on.”

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Ismail al-Thawabta, the director of Gaza’s Government Media Office, told Al Jazeera that about 80,000 Palestinians who left Gaza during Israel’s war are seeking to return.

An estimated 22,000 wounded and sick people are also “in dire need” to leave Gaza for treatment abroad, he added.

Israeli attacks continue

An Israeli drone attack on Sunday killed one person in the northwest of Rafah city in southern Gaza, according to a source at the Nasser Medical Complex.

Palestinian media outlets confirmed the death of Khaled Hammad Ahmed Dahleez, 63, in the Al-Shakoush area.

Meanwhile, in central Gaza, an Israeli drone attack killed a Palestinian in the Wadi Gaza area.

The attacks came after at least 31 people were killed on Saturday in multiple Israeli air raids on northern and southern Gaza.

Israeli forces have killed at least 511 Palestinians, and wounded 1,405, since the start of the US-backed “ceasefire” on October 10.

Israel to ban MSF

The Israeli government dealt another blow to the dire humanitarian situation in Gaza, announcing on Sunday that it will terminate the humanitarian operations of Doctors Without Borders, known by its French acronym MSF, in the besieged Palestinian territory after it failed to provide a list of its Palestinian staff.

The decision followed “MSF’s failure to submit lists of local employees, a requirement applicable to all humanitarian organisations operating in the region”, Israel’s Ministry of Diaspora Affairs and Combating Antisemitism said.

In December, Israel announced it would prevent 37 aid organisations, including MSF, from working in Gaza from March 1 for failing to submit detailed information about their Palestinian employees, drawing widespread condemnation from NGOs and the United Nations.

Israel’s decision to terminate MSF’s operations in Gaza “is an extension of Israel’s systematic weaponisation and instrumentalisation of aid”, James Smith, an emergency doctor based in London, told Al Jazeera.

“Israel has systematically targeted the Palestinian healthcare system, killing more than 1,700 Palestinian healthcare workers”, thereby “creating a profound dependency on international organisations”, Smith said.