In the north of the Hamas-ruled Palestinian enclave, Israel said its forces were still present at Gaza's biggest hospital, Al Shifa, but gave no further details of their operations since the previous day when they entered the facility culminating a days-long siege.

Reuters was unable to verify the situation at Shifa on Thursday morning, having lost contact with doctors inside it since Wednesday.

Leaflets dropped overnight from aircraft told civilians to leave the towns of Bani Shuhaila, Khuzaa, Abassan and Qarara, on the eastern edge of Khan Younis, the main southern city. The towns, collectively home to more than 100,000 people in peacetime, are now sheltering tens of thousands more who fled other areas.

"The acts of Hamas terrorist group require the defence forces to act against them in the areas of your residence," the leaflets said. "For your safety, you need to evacuate your places of residence immediately and head to known shelters."

Residents said the area came under heavy bombardment overnight.

Israel has already ordered the evacuation of the entire northern half of Gaza before sending in its ground forces at the end of October. Long processions of people clutching just a few possessions have made their way south each day under the eyes of Israeli soldiers during six-hour "tactical pauses" to allow residents to leave. 

The United Nations says around two-thirds of Gaza's 2.3 million people have been made homeless, most of them sheltering in towns in the south, since Israel began retaliation against Hamas for a deadly rampage in southern Israeli towns.

Hamas militants burst through the fence around Gaza on Oct. 7 in an assault that Israel says killed 1,200 people in the deadliest day in its history. Around 240 hostages were dragged back to Gaza.

Since then, Israel has pounded Gaza with air strikes and cut off food and fuel. Gaza health authorities deemed reliable by the United Nations say more than 11,000 people have been confirmed killed, more than 40 percent of them children, with many more feared trapped under rubble of bombed out homes.

The situation on the second day of Israel's operation in Al Shifa hospital was impossible to confirm, with communications cut off since Wednesday afternoon.

The plight of the hospital had drawn international alarm, with hundreds of patients and thousands of other displaced civilians trapped inside without fuel, oxygen or basic supplies.

Medics said dozens of patients had died in recent says as a result of Israel's siege, including three newborn babies in incubators that lost power.

A day after entering Shifa, Israel had yet to produce evidence showing what it had claimed was a vast Hamas headquarters in tunnels beneath the facility, which it had said justified treating it as a military target.

Israel released a video in which a soldier toured a hospital building, showing three bags with guns and flak jackets he said had been found stashed there, as well as several other rifles in a closet, and a laptop computer.

Kenneth Roth, former head of Human Rights Watch who now works as a visiting professor at Princeton, said on social media platform X: "Israel will have to come up with a lot more than a handful of ‘grab and go’ rifles to justify shutting down northern Gaza’s hospitals with its enormous cost for a civilian population with urgent medical needs."

Hamas said the video was staged. Other Palestinians said that even on its face it depicted nothing like the vast underground militant headquarters complex that Israel had claimed was inside the compound.

"These are weak pretexts. There is nothing for the resistance inside medical institutions," said Dr Nahed Abu Taaema, the director of the Nasser Hospital in Khan Younis, who said medics were alarmed for their colleagues at Shifa after losing contact with them since Wednesday.

The Israelis "claimed that there were command centers in Al Shifa and when they then didn’t find anything they stood up ashamed in front of the world, so they had to make some pretexts for the lies they previously published," he said.

He said he was very concerned about his colleagues and patients in Shifa because they were exposed to "imminent danger".

"The smell of death is everywhere as martyrs' bodies are scattered everywhere in the yards and no one can bury them," he said.

Popular

Indonesia one step from Olympics after beating South Korea

Opposition weakens as rivals pledge support for Prabowo

Golden generation