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Canadian-Israeli citizen seriously injured in Jerusalem synagogue attack

WATCH: There’s deep unease in Israel after a savage attack on a synagogue in an ultra-orthodox neighborhood of Jerusalem. It’s the deadliest incident in six years in the Holy City and it’s feared the passions it whips up may be hard to control. Stuart Greer reports. 

WARNING: Images and details within this story are graphic.

A savage attack on a synagogue in Jerusalem that killed five people has also left one Canadian fighting for his life.

Howie Chaim Rotman’s sister said her brother suffered multiple stab wounds to his head, eyes and arms when two Palestinian cousins stormed his local synagogue wielding meat cleavers and a gun.

Shelly Rothman-Benhaim said from Montreal that her brother is currently in a medically-induced coma at a Jerusalem hospital and says his prognosis won’t be known for several days. Canadian officials say the wounded man is a dual Canadian-Israeli citizen.

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She says Rotman, who moved to Israel about 30 years ago and adopted the Hebrew spelling of their last name, lived just metres from the scene of the attack and went there to pray three times a day.

She says Rotman and his wife have 10 children and welcomed their first grandchild just last month.

The attackers killed three Americans and a Briton before being slain by police in a shootout. An Israeli police officer died hours later of his injuries.

Prime Minister Stephen Harper also denounced the attack.

WATCH: Police describe synagogue attack in Jerusalem that left four dead

“Canada condemns the barbaric act of terror against a synagogue in West Jerusalem,” Harper said in a tweet. “Our thoughts and prayers are with the people of Israel.”

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Foreign Affairs Minister John Baird also condemned the attack.

“Attacks on innocent worshippers, in what is supposed to be a place of peace and tranquility, are cowardly and must never be tolerated,” Baird said in a statement.“Those engaging in these despicable terrorist acts, and those financing or morally supporting their actions, are responsible for further aggravating an already fraught and dangerous situation.”

READ MORE: Canadian Dr. Joyce Morel rushed to scene of Jerusalem synagogue attack

The attack ratcheted up fears of sustained violence in the city, which is already on edge amid soaring tensions over its most contested holy site.

Police said the dead worshippers were three Americans and a Briton, and that all held dual Israeli citizenship. The attack occurred in Har Nof, an ultra-Orthodox neighbourhood that has a large population of English-speaking immigrants.

The U.S. Consulate in Jerusalem identified the Americans as Aryeh Kupinsky, Cary William Levine and Mosheh Twersky.

Israeli authorities identified the British man as Avraham Goldberg.

Prime Minister Benjamin Netanyahu vowed to “respond harshly,” describing the attack as a “cruel murder of Jews who came to pray and were killed by despicable murderers.”

An Israeli rescue worker navigates the scene of a shooting attack in a synagogue in Jerusalem, Tuesday, Nov. 18, 2014. (AP Photo/Sebastian Scheiner).

U.S. Secretary of State John Kerry said he spoke to Netanyahu after the assault and denounced it as an “act of pure terror and senseless brutality and violence.”

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READ MORE: U.S. Secretary of State John Kerry condemns attack on Jerusalem synagogue

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Palestinian President Mahmoud Abbas condemned the attack, the first time he has done so since a recent spike in deadly violence against Israelis. He also called for an end to Israeli “provocations” surrounding a sacred shrine holy to both Jews and Muslims.

WATCH: Spontaneous street celebrations in Gaza following attack on Jerusalem synagogue

The attack was the deadliest in Jerusalem since a Palestinian assailant killed eight students at a Jewish seminar in March 2008.

Police spokeswoman Luba Samri identified the assailants as Ghassan and Oday Abu Jamal from the Jabal Mukaber neighbourhood in east Jerusalem, the section of the city captured by Israel in 1967 and claimed by the Palestinians as their capital.

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The Popular Front for the Liberation of Palestine, a small militant group, said the cousins were among its members, though it did not say whether it had instructed them to carry out the attack.

A bullet hole and forensic evidence are seen inside the Synagogue at the site of an attack in Jerusalem, Tuesday, Nov. 18, 2014. (AP Photo/Ariel Schalit).

Hamas, the militant Palestinian group that runs the Gaza Strip, praised the attack. In Gaza, dozens took to the streets to celebrate, with some offering trays full of candy. In the southern town of Rafah, women and schoolchildren waved green Hamas flags and a loudspeaker praised the attack.

Israeli police spokesman Micky Rosenfeld said six people were wounded in the attack, including two police officers. Four were reported in serious condition.

Associated Press footage showed wounded worshippers being assisted by paramedics, and a bloodied meat cleaver lay nearby. Initially, police had described the weapons used as knives and axes.

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Israeli emergency personnel clean the site outside a synagogue on November 18, 2014 in Jerusalem. (Ilia Yefimovich/Getty Images).

Yosef Posternak, who was at the synagogue at the time of the attack, told Israel Radio that about 25 worshippers were inside when the attackers entered.

“I saw people lying on the floor, blood everywhere. People were trying to fight with (the attackers) but they didn’t have much of a chance,” he said.

Footage released by the Israeli government showed blood-soaked prayer books and prayer shawls on the floor of the synagogue. A photo in Israeli media showed a body on the floor, covered with a prayer shawl.

Israeli emergency personnel take out a body of an Israeli man outside a synagogue on November 18, 2014 in Jerusalem. (Ilia Yefimovich/Getty Images).

Soon after the attack, clashes broke out outside the assailants’ home, where dozens of police officers had converged. Residents hurled stones at police, who responded using riot dispersal weapons.

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Neighbourhood residents, speaking on condition of anonymity for fears for their own safety, said 14 members of the Abu Jamal family were arrested.

Mohammed Zahaikeh, a social activist in Jabal Mukaber, said a relative of the cousins had been released in a 2011 prisoner swap and re-arrested recently by Israeli police. He did not say why.

Israel has been on edge with a spate of attacks by Palestinians against Israelis, killing at least six people in Jerusalem, the West Bank and Tel Aviv in recent weeks before Tuesday’s casualties.

WATCH: Funerals held for people slain in Jerusalem attack

The violence has created a special security challenge for Israel, since most of the attackers come from east Jerusalem. More than 200,000 Arab residents there hold residency rights that, in contrast to Palestinians in the neighbouring West Bank, allow them to move freely throughout Israel.

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Israel’s police chief said Tuesday’s attack was likely not organized by militant groups, similar to other recent incidents, making it more difficult for security forces to prevent the violence.

“These are individuals who decide to do horrible acts. It’s very hard to know ahead of time about every such incident,” Yohanan Danino told reporters.

In his statement, Netanyahu blamed the violence on incitement by both Hamas and Palestinian President Mahmoud Abbas and said the international community ignores the incitement.

WATCH: U.S. President Barack Obama calls the attacks in Jerusalem “senseless,” “outrageous” and strongly condemns the actions.

READ MORE: Obama condemns Jerusalem attack

Kerry blamed the attack on Palestinian calls for “days of rage,” and said Palestinian leaders must take serious steps to refrain from such incitement. He also urged Palestinian leaders to condemn the attack “in the most powerful terms.”

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British Foreign Secretary Philip Hammond, speaking alongside Kerry, also condemned the violence.

Abbas, at a meeting later with security officials, called for calm.

“We call for a complete calm and a halt to all these attacks to enable us to move ahead with our political work,” he said, according to the Palestinian official Wafa news agency.

Much of the recent violence stems from tensions surrounding the Jerusalem holy site referred to by Jews as the Temple Mount because of the Jewish temples that stood there in biblical times. It is the most sacred place in Judaism; Muslims refer to it as the Noble Sanctuary, and it is their third holiest site, after Mecca and Medina in Saudi Arabia.

The site is so holy that Jews have traditionally refrained from going there, instead praying at the adjacent Western Wall. Israel’s chief rabbis have urged people not to ascend to the area, but in recent years, a small but growing number of Jews, including ultranationalist lawmakers, have begun regularly visiting the site, a move seen as a provocation.

-with files from Global News.

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