DEIR AL-BALAH, Gaza Strip — Israel struck one of the main hospitals in the Gaza Strip on Monday and then hit the facility again as journalists and rescue workers rushed to the scene, killing at least 20 people and wounding scores more, local health workers said.

It was among the deadliest of multiple Israeli strikes that have hit both hospitals and journalists over the course of the 22-month war. The assault came as Israel plans to widen its offensive to heavily populated areas, vowing to destroy Hamas after its Oct. 7, 2023, attack.

Among the dead were five journalists, including 33-year-old Mariam Dagga, a visual journalist who worked for The Associated Press.

The Reuters news agency said one of its reporters was killed in the initial strike as he operated a live television shot on an

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