The Palestinian Red Crescent accused Israel of firing Friday at a hospital in Khan Younis, as a major advance in the main city in the southern Gaza Strip threatened the few healthcare facilities still open.
The Red Crescent said displaced people were injured "due to intense gunfire from the Israeli drones targeting citizens at Al-Amal Hospital" as well as the rescue agency's base.
Nearby in the same city, Israeli tanks were also approaching Gaza's biggest remaining functioning hospital, Nasser, where people reported hearing shellfire from the west. Residents also reported fierce gun battles to the south.
Israel has launched a major new advance in Khan Younis this week to capture the city.
The Gaza health ministry said 142 Palestinians had been killed and 278 injured in Gaza the past 24 hours, taking the death toll from more than three months of war there to 24,762.
The World Health Organisation says most of the enclave's 36 hospitals have stopped working. Only 15 are partially functioning and those are operating at up to three times their capacity, without adequate fuel or medical supplies, it says.
More than 1.7mn people — around 75% of Gaza's population — are estimated to be displaced, many forced to move repeatedly, according to UN Palestinian refugee agency (UNRWA) figures. Many have sought refuge in tents that do little to protect them from the elements and disease.
Among them, Mohamed al-Ghandour wanted to give his bride a beautiful wedding but they had to flee their homes in Gaza City and the couple finally got married this week in the tent city in Rafah, near the Egyptian border, where they now live.
"My happiness is maybe at 3% but will get myself ready for my wife. I want to make her happy," Ghandour said.
In the north, where Israel says it has started pulling out troops and shifting to smaller scale operations, 12 people were killed in Israeli strikes on a residential building near the largely non-functioning Al Shifa Hospital in Gaza City, Palestinian health officials said.
An Israeli strike on a house in Al-Nusseirat refugee camp in the central Gaza Strip killed five Palestinians, health officials said.
Washington has had scant success in persuading its ally to alleviate the plight of the civilian population, deprived since October of most of the regular aid on which they had depended, let alone of adequate medical care for the more than 62,000 people who have been wounded.
Diplomats were dealing Friday with the repercussions after Israeli Prime Minister Benjamin Netanyahu appeared to rule out an independent Palestinian state, rejecting a long-standing pillar of US strategy in the Middle East.
"Israel must have security control over the entire territory west of the Jordan River," Netanyahu told a briefing in Tel Aviv on Thursday. "It clashes with the principle of sovereignty, but what can you do?" US State Department spokesperson Matthew Miller responded at a news briefing that the establishment of a Palestinian state was the only way to provide lasting security to Israel itself, along with reconstruction, governance and security for Gaza.
In one of countless protests in Israel since Oct 7 to push for action to secure the release of the hostages, some 200 women marched in Tel Aviv yesterday, including one pulled along in a cage. They chanted "Their time is running out, bring them back".
Israeli cabinet minister and former military chief Gadi Eizenkot has said a deal will soon be needed if the hostages are to be released alive.
The Russian foreign ministry said yesterday it had received a delegation from Hamas and had urged it to release the hostages, including three Russian nationals. Hamas said both sides emphasised the importance of reaching a ceasefire.
Apart from Gaza, Israel has also carried out raids in the occupied West Bank, which has seen the worst violence in many years.
A Palestinian-American teenager was killed by Israeli security forces there on Friday, Palestinian health officials said. The Israeli military did not immediately respond to a request for comment.
A Palestinian woman reacts after her son was killed in an Israeli strike at the European hospital in Khan Younis in the southern Gaza Strip, Thursday. REUTERS
People mourn a Palestinian killed in an Israeli strike at the European hospital in Khan Younis in the southern Gaza Strip, on Thursday. REUTERS
Relatives mourn over the shrouded body of Masa Shoman, who was killed during Israeli bombardment, outside Najjar hospital in Rafah, on the southern Gaza Strip, on Wednesday. AFP