DEIR AL-BALAH, Gaza Strip (AP) — Aid groups are raising new alarm over Israel’s blockade of the war-ravaged Gaza Strip, where it has barred entry of all food and other goods for more than six weeks. Thousands of children have become malnourished, and most people are barely eating one meal a day as stocks dwindle, the United Nations says.

The warning came as Israeli strikes overnight and into Thursday killed at least 27 people, including at least six women and 15 children.

The humanitarian aid system in Gaza “is facing total collapse,” the heads of 12 independent aid organizations warned in a joint statement. They said many groups have shut down operations because Israel’s resumed bombardment the past month has made it too dangerous.

No food, fuel, medicine or any other supplies have entered Gaza since Israel imposed its blockade on March 2. It renewed its bombardment on March 18, breaking a ceasefire, and seized large parts of the territory, saying it aims to push Hamas to release more hostages. Hundreds have been killed, and more than 400,000 Palestinians have been forced to flee their shelters in the latest of multiple displacements.

A strike in the southern city of Khan Younis killed a family of 10, including five children, four women and a man, according to Nasser Hospital, which received the bodies. Strikes in northern Gaza killed two other couples with nine children, according to the Indonesian Hospital.

A later strike hit a school sheltering displaced people in the northern district of Jabaliya, killing three people and a child. The blast left walls in rubble and classrooms strewn with debris, charred mattresses and scattered cans of food.

The Israeli military strikes homes, shelters and public areas daily, saying it is targeting Hamas militants, and blames militants for civilian deaths because they operate there. It says it tries to limit civilian casualties. There was no immediate comment on the latest strikes.

The U.N. humanitarian office, known as OCHA, said almost all of Gaza’s more than 2 million people now rely on charity kitchens, which can prepare only 1 million meals a day. The meals mainly consist of rice or pasta with no fresh vegetables or meat.

Other food distribution programs have shut down for lack of supplies, and the U.N. and other aid groups have been sending their remaining stocks to the charity kitchens.

In markets — the only other place to find food in Gaza — prices are spiraling and shortages are widespread, with fresh foods nearly non-existent. As a result, humanitarian aid is the primary food source for 80% of the population, the World Food Program said in its monthly report for April.

“The Gaza Strip is now likely facing the worst humanitarian crisis in the 18 months” since the war began, OCHA said.

“Kids are eating less than a meal a day and struggling to find their next meal,” said Bushra Khalil, policy head at Oxfam. “Everyone is purely eating canned food. … Malnutrition and pockets of famine are definitely occurring in Gaza.”

Hani Almadhoun, co-founder of Gaza Soup Kitchen, said his kitchen has food for about three more weeks. Already, he said, up to one in five of those who come to his kitchen for food leave empty-handed.

Water is also growing scarce, with Palestinians standing in long lines to fill jerry cans from trucks. Omar Shatat, an official with a local water utility, said people are down to six or seven liters per day, well below the U.N. estimate for basic needs.

In March, more than 3,600 children were newly admitted for treatment for acute malnutrition, up from around 2,000 the month before, according to OCHA, which said “the rapid deterioration of the nutrition situation is already visible.”

Aid groups are also less able to treat malnourished children because of Israel’s airstrikes and ground operations. Aid workers could only reach 22,300 children under 5 with nutrient supplements in March, down 70% from the month before. Only around 100 of the original 173 treatment sites still function, OCHA said.

“Humanitarians have been forced to watch people suffer and die while carrying the impossible burden of providing relief with depleted supplies, all while facing the same life-threatening conditions themselves,” said Amande Bazerolle, emergency coordinator in Gaza for Doctors Without Borders.

“This is not a humanitarian failure — it is a political choice, and a deliberate assault on a people’s ability to survive, carried out with impunity,” she said in a statement.

A survey of 47 aid groups found that 95% of them have reduced or entirely halted operations, mainly because bombardment made it too dangerous, according to the joint statement by the heads of humanitarian organizations, which included the Norwegian Refugee Council, Oxfam, Save the Children, CARE and Medical Aid for Palestinians.

Israel has largely stopped coordinating with humanitarian groups over their movements in Gaza. That means aid workers have no assurance the military won’t strike them. COGAT, the military agency in charge of aid coordination, acknowledged stopping the system, which had been in place before the ceasefire.

Since mid-March, Israeli fire has hit the staff or facilities of at least 14 organizations, and around 60 aid workers have been killed, according to the statement. The International Committee of the Red Cross said Thursday one of its facilities was hit by an explosion the day before, the second time in three weeks the organization had been struck.

”When our staff and partners, our convoys, our offices, our warehouses are shelled, the message is loud and clear: Even lifesaving aid is no longer protected,” the 12 aid organization heads said. “This is unacceptable.”

Israeli Defense Minister Israel Katz said Wednesday that the blockade is one of the “central pressure tactics” against Hamas, which Israel accuses of siphoning off aid to maintain its rule. Aid workers deny there is significant diversion of aid, saying the U.N. closely monitors distribution. Rights groups have called it a “starvation tactic.”

Israel is demanding that Hamas release more hostages at the start of any new ceasefire and ultimately agree to disarm and leave the territory. Katz said that even afterward Israel will occupy large “security zones” inside Gaza.

Khalil al-Hayya, head of Hamas’ negotiating delegation, said Thursday the group had rejected Israel’s latest proposal along those lines. He reiterated Hamas’ stance that it will return hostages only in exchange for the release of more Palestinian prisoners, a full Israeli withdrawal from Gaza and a lasting truce, as called for in the now-defunct ceasefire agreement reached earlier this year.

Hamas currently holds 59 hostages, 24 of whom are believed to be alive.

The war began when Hamas-led militants attacked southern Israel on Oct. 7, 2023, killing some 1,200 people, mostly civilians, and abducting 251. Most of the hostages have since been released in ceasefire agreements or other deals. Of the 59 hostages still in captivity in Gaza, Israel believes 35 are dead.

Israel’s offensive has since killed over 51,000 Palestinians, mostly women and children, according to Gaza’s Health Ministry, which does not distinguish between civilians and combatants. The war has destroyed vast parts of Gaza and most of its food production capabilities. The war has displaced around 90% of the population, with hundreds of thousands of people living in tent camps and bombed-out buildings.

Khaled and Keath reported from Cairo.

Follow AP’s war coverage at https://apnews.com/hub/israel-hamas-war

DEIR AL-BALAH, Gaza (AP) — A wave of Israeli strikes across Gaza on Sunday hit a hospital and other sites, killing at least 21 people, including children, as Israel vowed to expand its security presence in the small coastal strip.

The predawn strike on Al-Ahli Hospital in Gaza City was the latest of several attacks on northern Gaza’s last major hospital providing critical health care.

Hospital director Dr. Fadel Naim said the emergency room, pharmacy and surrounding buildings were severely damaged, affecting over 100 patients and dozens of staff.

One patient, a girl, died during the evacuation following an Israeli warning because staff were unable to provide urgent care, Gaza’s Health Ministry said. Israel said it struck a Hamas command and control center at the hospital, without providing evidence. Hamas denied the allegations.

Al-Ahli Hospital is run by the Episcopal Diocese of Jerusalem, which condemned the attack, saying in a statement it happened on “Palm Sunday, the start of the Holy Week, the most sacred week of the Christian year.”

Palm Sunday commemorates Jesus’ entry into Jerusalem, and worshipers in Gaza City marked it in a church whose gilded trim and intact walls were a contrast to the widespread debris elsewhere.

Associated Press video showed the hospital’s caved-in roof surrounded by rubble. The health ministry’s director general, Dr. Munir al-Boursh, said patients had been carried outside in beds and slept in the streets.

“Nothing was left safe inside the hospital, or all over Gaza,” said Mohammad Abu Nasser, an injured man who sat on his bed outdoors and looked at the destruction.

The health ministry said the hospital was temporarily out of service and patients were transferred to other hospitals in Gaza City. The aid group Medical Aid for Palestinians called it the fifth attack on Al-Ahli since the war began.

Hospitals have special protection under international law. Israel has besieged and raided them, some several times, and struck multiple ones while accusing Hamas of using them as cover for its fighters.

Last month Israel struck Nasser Hospital in Khan Younis, the largest in southern Gaza, killing two people and causing a large fire, the health ministry said. The facility had been overwhelmed when Israel ended a two-month ceasefire last month with a surprise wave of airstrikes.

Hours later Sunday, a strike on a car in Deir al-Balah in central Gaza killed at least seven people including six brothers, according to staff at Al-Aqsa Martyrs Hospital, which received the bodies. The youngest brother was 10.

Their father, Ibrahim Abu Mahadi, said his sons worked for a charity that distributes food to Palestinians. “For what sin were they killed?” he said.

AP reporters saw the mangled, bloodied car as relatives wept over the bodies. Israel’s military asserted that it killed the deputy head of a Hamas sniper cell.

An airstrike Sunday afternoon hit a house in the urban Jabaliya refugee camp in northern Gaza, killing at least seven people including two women, according to the Indonesian hospital.

A pregnant woman was rescued from the rubble. Alaa Manoun later wept after learning her youngest daughter had died, along with her husband and her mother. Two other daughters, ages 4 and 7, were injured.

Manoun had a broken ankle but otherwise seemed OK, according to a doctor. No scan was available, since the only machine in northern Gaza was at Al-Ahli Hospital, now damaged.

“We don’t know whose body is this and whose body is that,” said a neighbor, Abdallah Dardouna. “There is no resistance, there is no Qassam, no Hamas, there is no one here. It’s only civilians here.”

Another strike in Deir al-Balah hit a municipal building and killed at least three people, according to Al-Aqsa Martyrs Hospital. In Khan Younis, a strike killed at least three people, according to staff at Nasser Hospital.

Israel’s military said in a statement it had struck over 90 militant targets over the past 48 hours including command and control centers, tunnels and weapons. The military also said it had intercepted a projectile fired from Gaza.

The war started when Hamas-led militants killed 1,200 people, mostly civilians, during an Oct. 7, 2023, attack on southern Israel and took 250 people captive. Many were eventually freed in ceasefire deals.

Israeli authorities have vowed to pressure Hamas to release the remaining 59 hostages, 24 believed to be alive, and accept new ceasefire terms. It cut off all supplies to Gaza over a month ago.

More than 50,000 Palestinians have been killed in Israel’s retaliatory offensive, according to Gaza’s Health Ministry, which does not differentiate between combatants and civilians in its count but says more than half of the dead have been women and children.

Israel’s military said a missile was launched from Yemen on Sunday afternoon and the details were under review. Sirens sounded in several parts of Israel and the occupied West Bank. There were no reports of casualties or damage.

The Iranian-backed Houthi rebels in Yemen continue to target Israel in what they have called solidarity with the Palestinians in Gaza.

Magdy reported from Cairo.

Follow AP’s war coverage at https://apnews.com/hub/israel-hamas-war

TEL AVIV, Israel (AP) — Israel has dramatically expanded its footprint in the Gaza Strip since relaunching its war against Hamas last month. It now controls more than 50% of the territory and is squeezing Palestinians into shrinking wedges of land.

The largest contiguous area the army controls is around the Gaza border, where the military has razed Palestinian homes, farmland and infrastructure to the point of uninhabitability, according to Israeli soldiers and rights groups. This military buffer zone has doubled in size in recent weeks.

Israel has depicted its tightening grip as a temporary necessity to pressure Hamas into releasing the remaining hostages taken during the Oct. 7, 2023, attack that started the war. But the land Israel holds, which includes a corridor that divides the territory’s north from south, could be used for wielding long-term control, human rights groups and Gaza experts say.

Prime Minister Benjamin Netanyahu said last week that even after Hamas is defeated, Israel will keep security control in Gaza and push Palestinians to leave.

The demolition close to the Israeli border and the systematic expansion of the buffer zone has been going on since the war began 18 months ago, five Israeli soldiers told The Associated Press.

“They destroyed everything they could, they shot everything that looks functioning … (the Palestinians) will have nothing to come back, they will not come back, never,” a soldier deployed with a tank squad guarding the demolition teams said. He and four other soldiers spoke to the AP on condition of anonymity for fear of reprisals.

A report documenting the accounts of soldiers who were in the buffer zone was released Monday by Breaking The Silence, an anti-occupation veterans group. A handful of soldiers ― including some who also spoke to AP ― described watching the army turn the zone into a vast wasteland.

“Through widespread, deliberate destruction, the military laid the groundwork for future Israeli control of the area,” said the group.

Asked about the soldiers’ accounts, the Israeli army said it is acting to protect its country and especially to improve security in southern communities devastated by the Oct. 7 attack, in which some 1,200 people were killed and 251 taken hostage. The army said it does not seek to harm civilians in Gaza, and that it abides by international law.

In the early days of the war, Israeli troops forced Palestinians from communities near the border and destroyed the land to create a buffer zone more than a kilometer (0.62 miles) deep, according to Breaking The Silence.

Its troops also seized a swath of land across Gaza known as the Netzarim Corridor that isolated the north, including Gaza City, from the rest of the narrow, coastal strip, home to more than 2 million people.

When Israel resumed the war last month, it doubled the size of the buffer zone, pushing it as far as 3 kilometers (1.8 miles) into Gaza in some places, according to a map issued by the military.

The buffer zone and the Netzarim Corridor make up at least 50% of the strip, said Yaakov Garb, a professor of environmental studies at Ben Gurion University, who has been examining Israeli-Palestinian land use patterns for decades.

Last week, Netanyahu said Israel intends to create another corridor that slices across southern Gaza, cutting off the city of Rafah from the rest of the territory. Israel’s control of Gaza is even greater taking into account areas where it recently ordered civilians to evacuate ahead of planned attacks.

Hundreds of thousands of Palestinians used to live in the land that now makes up Israel’s buffer zone, an area that was key to Gaza’s agricultural output.

Satellite images show once-dense neighborhoods turned to rubble, as well as nearly a dozen new Israeli army outposts since the ceasefire ended.

When the ceasefire was announced in January, Nidal Alzaanin went back to his home in Beit Hanoun in northern Gaza. His property stood on the edge of the buffer zone and lay in ruins.

All that remains is a photo of him and his wife on their wedding day, a drawing of his son’s face on a porcelain plate and the carcass of a 150-year-old sycamore tree planted by his great-grandfather. His greenhouse was reduced to twisted scraps of metal.

The 55-year-old farmer pitched a tent in the rubble, hoping to rebuild his life. But when Israel resumed its campaign and seized his land, he was again uprooted.

“It took 20 years to build a house and within five minutes they destroyed all my dreams and my children’s dreams,” he said from Gaza City, where he now shelters.

Israel’s bombardment and ground offensives throughout the war have left vast swaths of Gaza’s cities and towns destroyed. But the razing of property inside the buffer zone has been more methodical and extensive, soldiers said.

The five soldiers who spoke to the AP said Israeli troops were ordered to destroy farmland, irrigation pipes, crops and trees as well as thousands of buildings, including residential and public structures, so that militants had nowhere to hide.

Several soldiers said their units demolished more buildings than they could count, including large industrial complexes. A soda factory was leveled, leaving shards of glass and solar panels strewn on the ground.

The soldiers said the buffer zone had no marked boundaries, but that Palestinians who entered were shot at.

The soldier with the tank squad said an armored bulldozer flattened land creating a “kill zone” and that anyone who came within 500 meters of the tanks would be shot, including women and children.

Visibly shaken, he said many of the soldiers acted out of vengeance for the Oct. 7 attack.

“I came there because they kill us and now we’re going to kill them. And I found out that we’re not only killing them. We’re killing them, we’re killing their wives, their children, their cats, their dogs, and we destroyed their houses,” he said.

The army said its attacks are based on intelligence and that it avoids “as much as possible, harm to non-combatants.”

It is unclear how long Israel intends to hold the buffer zone and other territory inside Gaza.

In announcing the new corridor across southern Gaza, Netanyahu said Israel aims to pressure Hamas to release the remaining 59 hostages, of whom 35 are believed dead. He also said the war can only end when Hamas is destroyed and its leaders leave Gaza, at which point Israel would take control of security in the territory.

Then, Netanyahu said, Israel would implement U.S. President Donald Trump’s call to move Palestinians from Gaza, what Israel calls “voluntary emigration.”

Some Israel analysts say the purpose of the buffer zone isn’t to occupy Gaza, but to secure it until Hamas is dismantled. “This is something that any sane country will do with regard to its borders when the state borders a hostile entity,” said Kobi Michael, a senior researcher at two Israeli think tanks, the Institute for National Security Studies and the Misgav Institute.

But rights groups say forcibly displacing people is a potential war crime and a crime against humanity. Within Gaza’s buffer zones, specifically, it amounts to “ethnic cleansing,” because it was clear people would never be allowed to return, said Nadia Hardman, a researcher at Human Rights Watch.

Israel called the accusations baseless and said it evacuates civilians from combat areas to protect them.

Associated Press reporter Michael Biesecker contributed from Washington.

DEIR AL-BALAH, Gaza Strip (AP) — Israel said Wednesday that it planned to seize large areas of the Gaza Strip and add them to its “security zones” as it launched a wave of strikes that killed more than 40 people, including several women and children, according to Palestinian health officials.

Israel has vowed to escalate the nearly 18-month war with Hamas until the militant group returns dozens of remaining hostages, disarms and leaves the territory. Israel ended a ceasefire in March and has imposed a monthlong halt to all imports of food, fuel and humanitarian aid.

Israeli Defense Minister Israel Katz said in a statement that the offensive is now aimed at “seizing large areas that will be added to the security zones,” without elaborating. Israel controls a buffer zone along Gaza’s entire border and recently ordered the full evacuation of the southern city of Rafah.

In northern Gaza, an Israeli airstrike hit a U.N. building in the built-up Jabaliya refugee camp, killing 15 people, including nine children and two women, according to the Indonesian Hospital. The Israeli military said it struck Hamas militants in a command and control center.

The building, previously a clinic, had been converted into a shelter for displaced people, with more than 700 residing there, according to Juliette Touma, a spokesperson for the U.N. agency for Palestinian refugees, the main aid provider in Gaza. No U.N. staff were wounded in the strike.

She said U.N. staff warned people about the dangers of remaining there after Wednesday’s strike but that many chose to stay, “simply because they have absolutely nowhere else to go.”

More than 60% of Gaza is now considered a “no-go” zone because of Israeli evacuation orders, according to Olga Cherevko, a spokesperson for the U.N. humanitarian aid office. Hundreds of thousands people are living in squalid tent camps along the coast or in the ruins of their destroyed homes.

Katz, the defense minister, called on Gaza residents to “expel Hamas and return all the hostages,” saying “this is the only way to end the war.”

On Sunday, Prime Minister Benjamin Netanyahu said Israel plans to maintain overall security control of Gaza after the war and implement President Donald Trump’s proposal to resettle much of its population elsewhere through what the Israeli leader referred to as “voluntary emigration.”

Palestinians have rejected the plan, viewing it as expulsion from their homeland after Israel’s offensive left much of it uninhabitable, and human rights experts say implementing the plan would likely violate international law.

Hamas has said it will only release the remaining 59 hostages — 24 of whom are believed to be alive — in exchange for the release of more Palestinian prisoners, a lasting ceasefire and an Israeli pullout. The group has rejected demands that it lay down its arms or leave the territory.

The decision to resume the war has fueled protests in Israel, where many fear it has put the hostages at grave risk and are calling for another ceasefire and exchange with Hamas.

The Hostage Families Forum, which represents most captives’ families, said they were “horrified to wake up this morning to the Defense Minister’s announcement about expanding military operations in Gaza.”

The group called on the Trump administration, which took credit for brokering the ceasefire but has supported Israel’s decision to end it, to do everything possible to free the remaining captives.

“Our highest priority must be an immediate deal to bring ALL hostages back home — the living for rehabilitation and those killed for proper burial — and end this war,” the group said.

In addition to the 15 killed in northern Gaza, Israeli airstrikes overnight into Wednesday killed another 28 people across the territory, according to local hospitals. The Nasser Hospital in the southern city of Khan Younis said the dead included five women, one of them pregnant, and two children.

Israel says it targets only militants and makes every effort to spare civilians, blaming Hamas for their deaths because the militants operate in densely populated areas.

The war began when Hamas-led militants attacked southern Israel on Oct. 7, 2023, killing around 1,200 people, mostly civilians, and taking 251 hostages, most of whom have since been released in ceasefire agreements and other deals. Israel rescued eight living hostages and has recovered dozens of bodies.

Israel’s offensive has killed more than 50,000 Palestinians, according to Gaza’s Health Ministry, which doesn’t say whether those killed are civilians or combatants. Israel says it has killed around 20,000 militants, without providing evidence.

The war has left vast areas of Gaza in ruins and at its height displaced around 90% of the population.

Wafaa Shurafa reported from Deir al Balah, Gaza Strip. Elena Becatoros in Athens, Greece, Bassem Mroue in Beirut, and Sam Mednick in Tel Aviv, Israel, contributed to this report.

DEIR AL-BALAH, Gaza Strip (AP) — The U.N. food agency is closing all of its bakeries in the Gaza Strip, officials said Tuesday, as food supplies dwindle after Israel sealed the territory off from all imports nearly a month ago.

Israel, which tightened its blockade and later resumed its offensive in order to pressure Hamas into accepting changes to their ceasefire agreement, said that enough food entered Gaza during the six-week truce to sustain the territory’s roughly 2 million Palestinians.

Markets largely emptied weeks ago, and U.N. agencies say the supplies they built up during the truce are running out. Gaza is heavily reliant on international aid, because the war has destroyed almost all of its food production capability.

Mohammed al-Kurd, a father of 12, said that his children go to bed without dinner.

“We tell them to be patient and that we will bring flour in the morning,” he said. “We lie to them and to ourselves.”

A World Food Program memo circulated to aid groups on Monday said that it could no longer operate its remaining bakeries, which produce the pita bread on which many rely. The U.N. agency said that it was prioritizing its remaining stocks to provide emergency food aid and expand hot meal distribution. WFP spokespeople didn’t immediately respond to requests for comment.

Olga Cherevko, a spokesperson for the U.N. Office for the Coordination of Humanitarian Affairs, said that the WFP was closing its remaining 19 bakeries after shuttering six others last month. She said that hundreds of thousands of people relied on them.

The Israeli military body in charge of Palestinian affairs, known as COGAT, said that more than 25,000 trucks entered Gaza during the ceasefire, carrying nearly 450,000 tons of aid. It said that amount represented around a third of what has entered during the entire war.

“There is enough food for a long period of time, if Hamas lets the civilians have it,” it said.

U.N. agencies and aid groups say that they struggled to bring in and distribute aid before the ceasefire took hold in January. Their estimates for how much aid actually reached people in Gaza were consistently lower than COGAT’s, which were based on how much entered through border crossings.

The war began when Hamas-led militants attacked southern Israel on Oct. 7, 2023, killing around 1,200 people, mostly civilians, and taking 251 hostages. Hamas is still holding 59 captives — 24 of whom are believed to be alive — after most of the rest were released in ceasefire agreements or other deals.

Israel’s offensive has killed more than 50,000 Palestinians, including hundreds killed in strikes since the ceasefire ended, according to Gaza’s Health Ministry, which doesn’t say whether those killed in the war are civilians or combatants. Israel says it has killed around 20,000 militants, without providing evidence.

Israel sealed off Gaza from all aid at the start of the war, but later relented under pressure from Washington. U.S. President Donald Trump’s administration, which took credit for helping to broker the ceasefire, has expressed full support for Israel’s actions, including its decision to end the truce.

Israel has demanded that Hamas release several hostages before commencing talks on ending the war, negotiations that were supposed to have begun in early February. It has also insisted that Hamas disarm and leave Gaza, conditions that weren’t part of the ceasefire agreement.

Hamas has called for implementing the agreement, in which the remaining hostages would be released in exchange for the release of more Palestinian prisoners, a lasting ceasefire and an Israeli pullout.

Mednick reported from Tel Aviv, Israel. Fatma Khaled contributed to this report from Cairo.

DEIR AL-BALAH, Gaza Strip (AP) — Israel’s military on Monday issued sweeping evacuation orders covering Rafah and nearby areas, indicating it could soon launch another major ground operation in the Gaza Strip’s southernmost city.

Israel ended its ceasefire with the Hamas militant group and renewed its air and ground war earlier this month. At the beginning of March it cut off all supplies of food, fuel, medicine and humanitarian aid to the territory’s roughly 2 million Palestinians to pressure Hamas to accept proposed changes to the truce agreement.

Israel’s military ordered Palestinians to head to Muwasi, a sprawl of squalid tent camps along the coast. The orders came during Eid al-Fitr, a normally festive Muslim holiday marking the end of the fasting month of Ramadan.

Last May, Israel launched a major operation in Rafah, on the border with Egypt, leaving large parts in ruins. The military seized a strategic corridor along the border as well as the Rafah crossing with Egypt, Gaza’s only gateway to the outside world that was not controlled by Israel.

Israel was supposed to withdraw from the corridor under the ceasefire it signed with Hamas in January under U.S. pressure, but it later refused to do it, citing the need to prevent weapons smuggling.

Dozens gathered at a funeral for some of the 15 emergency responders killed by Israeli fire during a ground operation in Rafah last week. The International Federation of Red Cross and Red Crescent Societies called it the deadliest attack on its medics in several years.

Raed al-Nems, a spokesperson for the Palestinian Red Crescent, said the paramedics were “killed in cold blood” despite wearing uniforms and operating in clearly labeled ambulances. At funeral prayers, their shrouds were draped with Red Crescent banners.

Israel’s military has said its forces opened fire on several vehicles that raised suspicions by advancing without headlights or emergency signals. The military said a Hamas operative and eight other militants were among those killed.

The United Nations humanitarian office said the dead included eight Red Crescent workers, six members of Gaza’s Civil Defense, which operates under the Hamas-run government, and a U.N. worker.

Rescuers were only allowed to access the area nearly a week later to recover the bodies. Footage of Sunday’s recovery operation released by the U.N. showed Civil Defense workers digging into a mound of sand and pulling out a body wearing the same orange vest as theirs.

Israel has vowed to intensify its military operations until Hamas releases the remaining 59 hostages it holds — 24 of them believed to be alive. Israel has also demanded that Hamas disarm and leave the territory, conditions that were not included in the ceasefire agreement and which Hamas has rejected.

Israeli Prime Minister Benjamin Netanyahu said Sunday that Israel would take charge of security in Gaza after the war and implement U.S. President Donald Trump’s proposal to resettle Gaza’s population in other countries, describing it as “voluntary emigration.”

That plan has been universally rejected by Palestinians, who view it as forcible expulsion from their homeland. Human rights experts say it would likely violate international law.

Hamas has insisted on implementing the signed agreement, which called for the remainder of the hostages to be released in exchange for a lasting ceasefire and an Israeli pullout. Negotiations over those parts of the agreement were supposed to begin in February but only preliminary talks have been held.

The war began when Hamas-led militants stormed into Israel on Oct. 7, 2023, rampaging through army bases and farming communities and killing some 1,200 people, mostly civilians. The militants took another 251 people hostage, most of whom have been released in ceasefires or other deals.

Israel’s retaliatory offensive has killed more than 50,000 Palestinians, according to Gaza’s Health Ministry, which does not say how many were civilians or combatants. At its height, the war had displaced some 90% of Gaza’s population, with many fleeing multiple times.

Large areas of Gaza have been destroyed, and it’s unclear how or when anything will be rebuilt.

Khaled reported from Cairo.

DUBAI, United Arab Emirates (AP) — Suspected U.S. airstrikes struck around Yemen’s rebel-held capital overnight into Monday morning, attacks that the Iranian-backed Houthis said killed at least three people.

The full extent of the damage wasn’t immediately clear. The attacks followed a night of airstrikes early Friday that appeared particularly intense compared to other days in the campaign that began March 15.

The strikes around Sanaa, Yemen’s capital held by the Houthis since 2014, and Hajjah governorate also wounded 12 others, the rebels said.

Their Al-Masirah satellite news channel aired footage of broken glass littering homes in Sanaa after the concussive blast of the bombs, but continued not to show the targets of the attacks — suggesting the sites had a military or intelligence function. Strikes there killed one person, the rebels said.

Another strike targeting a pickup truck in Hajjah killed two people and wounded a child, the Houthis said. It marked the first, publicly known time the American strikes targeted a vehicle in this campaign.

An Associated Press review has found the new American operation against the Houthis under President Donald Trump appears more extensive than those under former President Joe Biden, as the U.S. moves from solely targeting launch sites to firing at ranking personnel as well as dropping bombs in cities.

The new campaign of airstrikes, which the Houthis now say have killed at least 61 people, started after the rebels threatened to begin targeting “Israeli” ships again over Israel blocking aid entering the Gaza Strip. The rebels in the past loosely defined what constitutes an Israeli ship, meaning other vessels could be targeted.

The Houthis had targeted over 100 merchant vessels with missiles and drones, sinking two vessels and killing four sailors from November 2023 until January of this year. They also launched attacks targeting American warships, though none has been hit so far.

The attacks greatly raised the Houthis’ profile as they faced economic problems and launched a crackdown targeting any dissent and aid workers at home amid Yemen’s decade-long stalemated war that has torn apart the Arab world’s poorest nation.

DEIR AL-BALAH, Gaza Strip (AP) — Israel’s military struck the largest hospital in southern Gaza on Sunday night, killing one person, wounding others and causing a large fire, the territory’s Health Ministry said.

The strike hit the surgical building of Nasser Hospital in the city of Khan Younis, the ministry said, days after the facility was overwhelmed with dead and wounded when Israel resumed the war in Gaza last week with a surprise wave of airstrikes.

Israel’s military confirmed the strike on the hospital, saying it hit a Hamas militant operating there. Israel blames civilian deaths on Hamas because it operates in densely populated areas.

Like other medical facilities around Gaza, Nasser Hospital has been damaged by Israeli raids and strikes throughout the war.

More than 50,000 Palestinians have now been killed in the war, the Health Ministry said earlier Sunday.

The military claimed to have “eliminated” dozens of militants since Israel ended a ceasefire Tuesday with strikes that killed hundreds of people on one of the deadliest days in the 17-month war.

Israel’s unrest over Gaza and political issues grew Sunday, with anger at Prime Minister Benjamin Netanyahu as his government voted to express no confidence in the attorney general, seen by many as a check on the power of his coalition.

“I’m worried for the future of this country. And I think it has to stop. We have to change direction,” said Avital Halperin, one of hundreds of protesters outside Netanyahu’s office. Police said three were arrested.

Israel’s military ordered thousands of Palestinians to leave the heavily destroyed Tel al-Sultan neighborhood in the southern city of Rafah. They walked to Muwasi, a sprawling area of squalid tent camps. The war has forced most of Gaza’s population of over 2 million to flee within the territory, often multiple times.

“It’s displacement under fire,” said Mustafa Gaber, a journalist who left with his family. He said tank and drone fire echoed nearby.

“The shells are falling among us and the bullets are (flying) above us,” said Amal Nassar, also displaced. “The elderly have been thrown into the streets. An old woman was telling her son, ‘Go and leave me to die.’ Where will we go?”

“Enough is enough. We are exhausted,” said a fleeing Ayda Abu Shaer, as smoke rose in the distance.

The Palestinian Red Crescent emergency service said it lost contact with a 10-member team responding to the strikes in Rafah. Spokesperson Nebal Farsakh said some were wounded.

Israel’s military said it had fired on advancing “suspicious vehicles” and later discovered some were ambulances and fire trucks.

In Gaza City, an explosion hit next to a tent camp where people had been told to evacuate. “My husband is blind and started running barefoot, and my children were running,” said witness Nidaa Hassuna.

Hamas said Salah Bardawil, a well-known member of its political bureau, was killed in a strike in Muwasi that also killed his wife. Israel’s military confirmed it.

Hospitals in southern Gaza said they received a further 24 bodies from strikes overnight, including several women and children.

Gaza’s Health Ministry said 50,021 Palestinians have been killed in the war, including 673 people since Israel’s bombardment on Tuesday shattered the ceasefire.

Dr. Munir al-Boursh, the ministry’s general director, said the dead include 15,613 children, with 872 of them under 1 year old.

The ministry does not distinguish between civilians and combatants in its count but says women and children make up over half the dead. Israel says it has killed around 20,000 fighters, without providing evidence.

The ceasefire that took hold in January paused more than a year of fighting ignited by Hamas’ Oct. 7, 2023, attack into Israel, in which militants killed some 1,200 people, mostly civilians, and took 251 hostage. Most captives have been released in ceasefire agreements or other deals.

In the latest ceasefire’s first phase, 25 Israeli hostages and the bodies of eight others were released in exchange for nearly 2,000 Palestinian prisoners. Israeli forces allowed hundreds of thousands of people to return home. There was a surge in humanitarian aid until Israel cut off all supplies to Gaza earlier this month to pressure Hamas to change the ceasefire agreement.

The sides were supposed to begin negotiations in early February on the ceasefire’s next phase, in which Hamas was to release the remaining 59 hostages — 35 of them believed to be dead — in exchange for more Palestinian prisoners, a lasting ceasefire and an Israeli withdrawal. Those talks never began.

Israel’s cabinet passed a measure Sunday creating 13 new settlements in the occupied West Bank by rezoning existing ones, according to Bezalel Smotrich, Israel’s far-right finance minister, who is in charge of settlement construction.

This brings the number of settlements, considered illegal by the majority of the international community, to 140, said anti-settlement watchdog group Peace Now. They will now receive independent budgets from Israel and can elect their own local governments, the group said.

In a separate development, Iran-backed Houthi rebels in Yemen, who are allied with Hamas, launched another missile at Israel overnight. The Israeli military said it was intercepted, and there were no reports of casualties or damage.

The Houthis resumed attacks on Israel after it ended the Gaza ceasefire, portraying them as an act of solidarity with the Palestinians. Trump ordered the renewal of U.S. strikes on the rebels last week over its previous attacks on international shipping in the Red Sea.

The rebels have said they are trying to blockade Israel, but most of the ships they have targeted have no connection to the conflict.

Magdy reported from Cairo. Associated Press writers Natalie Melzer in Nahariya, Israel, and Julia Frankel in Jerusalem contributed.

DEIR AL-BALAH, Gaza Strip (AP) — Israel launched airstrikes across the Gaza Strip early Tuesday that killed more than 400 Palestinians, local health officials said, shattering a ceasefire in place since January as it vowed to force Hamas to release more hostages and relinquish control of the territory.

Prime Minister Benjamin Netanyahu ordered the strikes after Hamas refused Israeli demands to free half of the remaining hostages as a precondition for extending the ceasefire. Israel’s deadliest bombardment of the territory in the 17-month war killed mostly women and children, according to the Gaza Health Ministry.

Netanyahu said the attack was “only the beginning” and that Israel would press ahead until it achieves all of its war aims — destroying Hamas and freeing all hostages held by the militant group.

All further ceasefire negotiations will take place “under fire,” he said in a statement aired on national television. The White House said it had been consulted and voiced support for Israel’s actions.

The Israeli military ordered people to evacuate eastern Gaza and head toward the center of the territory, indicating that Israel could soon launch renewed ground operations. The new campaign comes as aid groups warn supplies are running out two weeks after Israel cut off all food, medicine, fuel and other goods to Gaza’s 2 million Palestinians.

The pre-dawn barrage across Gaza struck homes and shelters and set a tent camp ablaze as families slept or prepared the “sohour,” the meal Muslims eat before they start the daily fast in the holy month of Ramadan. In Gaza City, Omar Greygaa said that after the strikes, he ran out to help survivors in a nearby stricken building.

“In every room I found the dead. … I finish in one place and go to another, and I find more dead,” he said. “I don’t know if we’re in a state of war or truce.”

The attack could signal the full resumption of a war that has already killed tens of thousands of Palestinians and caused widespread destruction across Gaza. It also raised concerns about the fate of the roughly two dozen hostages held by Hamas who are believed to still be alive.

A senior Hamas official said Netanyahu’s decision to return to war amounts to a “death sentence” for the remaining hostages. Izzat al-Risheq accused Netanyahu of launching the strikes to save his far-right governing coalition.

There were no reports of any attacks by Hamas several hours after the bombardment.

But Yemen’s Houthi rebels fired rockets toward Israel for the first time since the ceasefire began. The volley set off sirens in Israel’s southern Negev desert but was intercepted before it reached the country’s territory, the military said. The U.S. over the weekend launched deadly strikes against the Iranian-backed Houthis.

Israel’s return to a military campaign came as Netanyahu faces mounting domestic pressure, with mass protests planned over his handling of the hostage crisis and his decision to fire the head of Israel’s internal security agency. His latest testimony in a long-running corruption trial was canceled after the strikes.

The strikes appeared to give Netanyahu a political boost. A far-right party led by Itamar Ben-Gvir that had bolted the government over the ceasefire announced Tuesday it was rejoining.

The main group representing families of the hostages accused the government of “deliberately dismantling” the ceasefire. Thousands of Israelis packed a Tel Aviv square Tuesday evening to protest Netanyahu’s intention to fire the country’s domestic security chief and demand the government to resume negotiations for a hostage deal.

“Today Netanyahu did not open the gates of hell on Hamas. He opened the gates of hell on our loved ones,” said Einav Zangauker, whose son is among the hostages.

After two months of relative calm during the ceasefire, stunned Palestinians found themselves once again digging loved ones out of rubble and holding funeral prayers over the dead at hospital morgues.

“Nobody wants to fight,” Nidal Alzaanin, a resident of Gaza City, said. “Everyone is still suffering from the previous months.”

A hit on a home in Rafah killed 17 members of one family, according to the European Hospital, which received the bodies. The dead included five children, their parents, and another father and his three children. Another in Gaza City killed 27 members of a family, half of them women and children, including a 1-year-old, according to a list of the dead put out by Palestinian medics.

By noon on Tuesday, Nasser Hospital had received the bodies of at least 28 children killed in recent violence, according to records shared by Ahmed Al-Farra, head of pediatrics and obstetrics.

At Khan Younis’s Nasser Hospital, patients lay on the floor, some screaming. A young girl cried as her bloody arm was bandaged. Wounded children overwhelmed the pediatric ward, said Dr Tanya Haj-Hassan, a volunteer with Medical Aid for Palestinians aid group.

She said she helped treat a 6-year-old girl with internal bleeding. When they pulled away her curly hair, they realized shrapnel had also penetrated the left side of her brain, leaving her paralyzed on the right side. She was brought in with no ID, and “we don’t know if her family survived,” Haj-Hassan said.

Gaza’s Health Ministry said the strikes killed at least 404 people and wounded more than 560. Zaher al-Waheidi, head of the ministry’s records department, said at least 263 of those killed were women or children under 18. He described it as the deadliest day in Gaza since the start of the war.

In his statement Tuesday, Netanyahu blamed Hamas for civilian casualties, saying it operates among the population.

Hamas said at least six senior officials were killed in Tuesday’s strikes. Israel said they included the head of Hamas’ civilian government, a justice ministry official and two security agency chiefs.

The war has killed over 48,500 Palestinians, according to local health officials, and displaced 90% of Gaza’s population. The Health Ministry doesn’t differentiate between civilians and militants but says over half of the dead have been women and children.

The war erupted when Hamas-led militants stormed into southern Israel on Oct 7, 2023, killing some 1,200 people, mostly civilians, and taking 251 hostages. Most have been released in ceasefires or other deals, with Israeli forces rescuing only eight and recovering dozens of bodies.

The White House blamed Hamas for the renewed fighting. National Security Council spokesman Brian Hughes said the militant group “could have released hostages to extend the ceasefire but instead chose refusal and war.”

The ceasefire deal that the U.S. helped broker, however, did not require Hamas to release more hostages to extend the halt in fighting beyond its first phase.

An Israeli official, speaking on condition of anonymity to discuss the unfolding operation, said Israel was striking Hamas’ military, leaders and infrastructure and planned to expand the operation beyond air attacks.

The official accused Hamas of attempting to rebuild and plan new attacks. Hamas militants and security forces quickly returned to the streets in recent weeks after the ceasefire went into effect. Hamas on Tuesday denied planning new attacks.

Under the ceasefire that began in mid-January, Hamas released 25 hostages and the bodies of eight more in exchange for more than 1,700 Palestinian prisoners as agreed in the first phase.

But Israel balked at entering negotiations over a second phase. Under the agreement, phase two was meant to bring the freeing of the remaining 24 living hostages, an end to the war and full Israeli withdrawal from Gaza. Israel says Hamas also holds the remains of 35 captives.

Instead, Israel demanded Hamas release half of the remaining hostages in return for a ceasefire extension and a vague promise to eventually negotiate a lasting truce. Hamas refused, demanding the two sides follow the original deal, which called for the halt in fighting to continue during negotiations over the second phase.

Israel says it will not end the war until it destroys Hamas’ governing and military capabilities and frees all hostages — two goals that could be incompatible.

A full resumption of the war would allow Netanyahu to avoid the tough trade-offs called for in the second phase and the thorny question of who would govern Gaza.

It would also shore up his coalition, which depends on far-right lawmakers who want to depopulate Gaza and rebuild Jewish settlements there.

Federman reported from Jerusalem and Magdy from Cairo. Associated Press reporters Mohammad Jahjouh in Khan Younis, Gaza Strip; Abdel Kareem Hana in Gaza City, Gaza Strip; Fatma Khaled in Cairo; and Tia Goldenberg in Tel Aviv, Israel, contributed.

The wave of Israeli strikes that killed hundreds of Palestinians across the Gaza Strip early Tuesday was the culmination of Prime Minister Benjamin Netanyahu’s efforts to get out of the ceasefire with Hamas that he agreed to in January.

Since the start of the war, Netanyahu has faced dueling, possibly incompatible pressures: Families of the hostages want him to cut a deal with Hamas to free them, while his far-right coalition partners want to continue the war with the aim of annihilating the militant group.

On Tuesday, he appeared to cast his lot with the latter — and U.S. President Donald Trump’s administration has backed Netanyahu’s decision to unilaterally walk away from the ceasefire it took credit for brokering.

Both Israel and the United States blame the renewed hostilities on Hamas’ refusal to release more hostages before negotiations on ending the war proceed — which was not part of the ceasefire agreement. Israel has accused Hamas of preparing for new attacks, without providing evidence. The militant group has denied those allegations.

Hamas — which has yet to respond militarily to the Israeli strikes — has spent weeks calling for serious talks on the ceasefire agreement’s second phase, which calls for the release of the remaining living hostages in exchange for more Palestinian prisoners, a full Israeli withdrawal from Gaza and a lasting ceasefire.

Those talks were supposed to begin in early February. Now they may never happen.

The agreement reached in January, under pressure from the outgoing Biden administration and the incoming Trump one, called for a phased ceasefire aimed at freeing all the hostages abducted in Hamas’ Oct 7, 2023, attack and ending the war it caused.

Under the first phase, which ran from Jan. 19 to March 1, Hamas released 25 Israeli hostages and the bodies of eight others in return for nearly 1,800 Palestinian prisoners, including senior militants serving life sentences for deadly attacks. Israeli forces pulled back to a buffer zone, hundreds of thousands of Palestinians returned to what remained of their homes, and there was a surge of humanitarian aid.

Each side accused the other of violations, and Israeli strikes killed dozens of Palestinians the military accused of engaging in militant activities or entering no-go zones. But the truce held.

Still, the second phase was always seen as far more difficult.

Through months of negotiations, Netanyahu had repeatedly cast doubt on it, insisting Israel was committed to returning all the hostages and destroying Hamas’ military and governing capabilities — two war goals that many believe are irreconcilable.

In a TV interview last June, Netanyahu cast doubt on the possibility of a lasting ceasefire before Hamas is destroyed. “We are committed to continuing the war after a pause, in order to complete the goal of eliminating Hamas. I’m not willing to give up on that,” he said.

On Jan. 18, the eve of the ceasefire, he said “we reserve the right to return to war if necessary with the backing of the United States.”

Agreeing to a permanent ceasefire would almost certainly plunge Netanyahu into a political crisis that could end his nearly uninterrupted 15-year rule.

Far-right Finance Minister Bezalel Smotrich had threatened to leave the coalition if Netanyahu progressed to Phase 2 instead of restarting the offensive. Opposition parties have promised to support him in any agreement that brings back hostages, but his coalition would still be severely weakened, making early elections likely.

By resuming the fighting, Netanyahu ensured Smotrich’s continued support. After the strikes, the Israeli leader regained another far-right partner, Itamar Ben-Gvir, whose party had bolted in January over the ceasefire but returned to the coalition Tuesday.

Beyond the political jockeying, Netanyahu’s stated goal of annihilating Hamas would have almost certainly eluded him had he stuck with the ceasefire agreement.

Hamas survived 15 months of Israeli bombardment and ground operations that killed over 48,000 Palestinians, according to local health officials, and destroyed much of Gaza. When the truce took hold, the militant group immediately reasserted its rule.

There’s no agreement on who should govern Gaza after the war, and even if the Western-backed Palestinian Authority were granted nominal control, Hamas would have strong influence on the ground and could rebuild its military capabilities.

For many Israelis, especially Netanyahu’s hawkish base and far-right allies, that would look like defeat. It would add to the criticism he already faces over security failures surrounding the Oct. 7 attack, in which Hamas-led militants killed some 1,200 people, mostly civilians, and abducted 251.

After the first phase ended, Netanyahu said Israel had agreed to what he described as a new U.S. proposal in which Hamas would release half the remaining hostages in return for a seven-week extension of the truce and a vague promise to launch negotiations over a lasting ceasefire.

Hamas refused, pointing out that the new proposal was different from the one they had agreed to in January and again called for the immediate launch of talks on Phase 2.

It even offered to return an America-Israeli and the bodies of four other hostages to get the talks back on track, an offer dismissed as “psychological warfare” by Israel. Trump’s Mideast envoy, Steve Witkoff, said Hamas was claiming flexibility in public while making “entirely impractical” demands.

In an attempt to impose the new arrangement on Hamas, Israel halted the import of all food, fuel and other humanitarian aid to Gaza. It later cut off electricity, affecting a vital desalination plant. Israel also said it would not withdraw from a strategic corridor on Gaza’s border with Egypt, as stipulated in the agreement.

In recent days, Israel stepped up strikes across Gaza, targeting people it said were planting explosives or engaging in other militant activities. On Tuesday, at around 2 a.m., it launched one of the deadliest waves of strikes since the start of the war.

Trump took credit for brokering the ceasefire in January, but since then has appeared to sour on it. He has warned that “all hell” will break loose if Hamas does not immediately release the hostages, while saying that’s a decision for Israel to make.

Trump has also proposed that Gaza’s roughly 2 million Palestinians be permanently relocated so the U.S. can take ownership of Gaza and develop it as a tourist destination. Netanyahu has embraced the plan, which has been universally condemned by Palestinians, Arab countries and human rights experts, who say it would violate international law.

The White House said it was consulted ahead of Tuesday’s strikes and supported Israel’s decision.