Israeli tanks and warplanes bombarded the Gaza Strip on Tuesday, killing dozens of Palestinians, and US President Joe Biden warned Israel it was losing international support because of its "indiscriminate" bombing of civilians in its war against Hamas militants.
In a further sign of world concern over the conduct of the conflict, now in its third month, Australia, Canada and New Zealand said they supported international efforts towards a sustainable ceasefire. They expressed alarm at the plight of civilians in Gaza.
At the United Nations, the 193-member UN General Assembly was preparing to vote on a resolution calling for a ceasefire. Diplomats said it was expected to pass. The United States vetoed a similar call in the 15-member Security Council last week.
Biden said Israel now has support from "most of the world" including the US and the European Union. "But they're starting to lose that support by indiscriminate bombing that takes place," he told a campaign fundraising event in Washington.
Israel's assault on Gaza to root out Hamas has killed at least 18,205 Palestinians and wounded nearly 50,000 since 7 October, according to the Gaza health ministry. Many more dead are uncounted under the rubble or beyond the reach of ambulances.
Israel launched its onslaught in response to a cross-border raid by Hamas fighters who killed 1200 people and took 240 hostage in southern Israel on 7 October.
In Khan Younis, southern Gaza's main city, residents said on Tuesday Israeli tank shelling was now focused on the city centre. One said tanks were operating on Tuesday morning in the street where the house of Yahya Al-Sinwar, Hamas' leader in Gaza, is located.
An elderly Palestinian, Tawfik Abu Breika, said his residential block in Khan Younis was hit without warning by an Israeli air strike on Tuesday that had brought down several buildings and caused casualties.
"The world's conscience is dead, no humanity or any kind of morals," Breika told Reuters as neighbours sifted through rubble. "This is the third month that we are facing death and destruction...This is ethnic cleansing, complete destruction of the Gaza Strip to displace the whole population."
Further south in Rafah, which borders Egypt, health officials said 22 people including children were killed in an Israeli air strike on houses overnight. Civil emergency workers were searching for more victims under the rubble.
Residents said the shelling of Rafah, where the Israeli army this month ordered people to head for their safety, was some of the heaviest in days.
"At night we can't sleep because of the bombing and in the morning we tour the streets looking for food for the children, there is no food," said Abu Khalil, 40, a father of six.
Gazans were battling hunger and thirst to survive, resident Mohammed Obaid said as he inspected debris in Rafah.
"There's no electricity, no fuel, no water, no medicine."
The Gaza health ministry said that diseases and illnesses including diarrhoea, food poisoning, meningitis, respiratory infections, chickenpox and scabies were speading.
Washington has shared Israel's position that a ceasefire would only benefit Hamas. But in addition to warning that Israel was starting to lose international support, Biden said that Netanyahu needed to change his hardline government.
The leaders of Australia, Canada and New Zealand said in a joint statement they were alarmed at the diminishing safe space for civilians in Gaza.
"The price of defeating Hamas cannot be the continuous suffering of all Palestinian civilians," they said.
Rocket fire
Israel's military said that over the past day it hit several posts that were used to fire rockets at its territory, raided a Hamas compound where it found some 250 rockets among other weapons and struck a weapons production factory.
The ground assault that started in the north has expanded to the southern half of the Gaza Strip since a week-long truce collapsed at the start of December. More than 100 Israeli soldiers have been killed in Gaza since the ground invasion began in late October.
Gaza health ministry spokesman Ashraf Al-Qidra said Israeli forces had raided Kamal Adwan Hospital in northern Gaza on Tuesday and detained the hospital director, Dr Ahmed Al-Kahlout, along with all medical staff including female teams.
They were being interrogated under threat within the emergency department, he said. Israel's military did not reply to a request for comment on the incident.
An air strike on a house in Rafah killed several people and another on a building near the centre in Khan Younis killed one Palestinian, medics said.
Hunger is worsening, with the UN World Food Programme saying half of Gaza's population is starving as Israel has cut off supplies of food, medicine and fuel.
The UN humanitarian office OCHA said on Tuesday limited aid distributions were taking place in the Rafah district, but "in the rest of the Gaza Strip, aid distribution has largely stopped over the past few days, due to the intensity of hostilities and restrictions of movement along the main roads".
The UN Palestinian Refugee Agency (UNRWA) said Israel had imposed a near-total siege on Gaza "inflicting collective punishment on over 2 million people, half of whom are children".
The Palestinian foreign minister accused Israel of using starvation as a weapon of war, a charge an Israeli official rejected as "obscene".
This story was first published by Reuters.