KHAN YOUNIS, Gaza Strip — Israeli strikes and gunfire killed at least 33 Palestinians in Gaza on Saturday, including people sheltering in tents or seeking scarce food, local hospitals said as a famine in Gaza’s largest city puts new pressure on Israel over its 22-month offensive.

Israel's defense minister has warned that Gaza City could be destroyed in a new military operation perhaps just days away, even as famine spreads there.

Aid groups have long warned that the war, sparked by Hamas’ Oct. 7, 2023, attack, and months of Israeli restrictions on food and medical supplies entering Gaza are causing starvation.

Israel has rejected the data-based famine declaration as “an outright lie." Ceasefire efforts are on hold as mediators await Israel’s next steps.

Women and children struck and ki

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