ISRAEL has warned "the gates of hell will open" in Gaza if Hamas refuses to release all of the remaining hostages.

The horror toll of the 22-month war has been laid bare today after famine was officially declared in Gaza City for the first time.

The UN-backed Integrated Food Security Phase Classification described the situation in Gaza as "entirely man-made" as they warned of severe malnutrition across the war-torn Strip.

At least 251 civilians have died as a result of malnutrition with just under half being children, according to the latest numbers from the Gaza health ministry.

The declaration marks just the fifth time famine has been announced since it was established in 2004.

Around 500,000 Palestinians remain in Gaza City - the last remaining Hamas stronghold.

Israel ha

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