Gaza's main hospital has been forced to bury dozens of dead patients in a mass grave, its director said Tuesday, while thousands of Palestinians were trapped inside by fierce combat.
Israeli forces were at the gates of the sprawling Al-Shifa hospital they say sits atop an underground Hamas command base, but the fighters deny the charge while doctors say patients and people seeking shelter were stranded in horrific conditions.
"There are bodies littered in the hospital complex and there is no longer electricity at the morgues," said Al-Shifa hospital director Mohammad Abu Salmiya, adding that 179 bodies had been interred so far.
"We were forced to bury them in a mass grave," he said, adding that seven babies and 29 intensive care patients were among those who had died after fuel for the hospital's generator ran out.
A witness said the stench of decomposing bodies was everywhere in the Gaza City facility as bombardment and gunfire echoed constantly in the area.
The United Nations estimates that at least 2,300 people -- patients, staff and displaced civilians -- are inside and may be unable to escape because of fierce fighting from the facility where supplies are nearly exhausted.
Israel says it is not targeting the hospital, but has vowed to destroy Hamas in response to the attacks of October 7, which killed an estimated 1,200 people, mostly civilians, and saw 240 hostages being taken to Gaza.
The health ministry in Hamas-run Gaza says Israel's relentless assault has killed 11,320 people, also mostly civilians, including thousands of children.
Israel's military says 47 of its troops have been killed in Gaza.
Al-Shifa's fate has become a major focus of the more than five week war that has stirred international criticism of the suffering and death inflicted on civilians in the besieged territory.
Israel's Foreign Minister Eli Cohen acknowledged in a statement shared by his spokesman Monday that his nation has "two or three weeks until international pressure really steps up".
- 'Completely soaked' -
The situation in Gaza's other hospitals is also dire, with the UN saying 22 of 36 are not functional due to lack of generator fuel, damage and combat.
"The 14 hospitals remaining open have barely enough supplies to sustain critical and life-saving surgeries and provide inpatient care, including intensive care," said the World Health Organization in the Palestinian Territories.
But the humanitarian crisis in the territory also includes the hundreds of thousands of people who have fled south at Israel's urging to get away from the most intense fighting.
On Tuesday displaced Palestinians in the south woke up to yet another scourge: rain, soaking their meagre belongings and threatening to bring waterborne diseases to their places of shelter.
"We are completely soaked, all of our clothes are soaked, our mattresses, our blankets too, even a dog could not live like this," said Ayman al-Jueidi, who has set himself up in the courtyard of a UN school in Rafah at the southern extremity of the Gaza Strip.
Even escaping the fighting is dangerous and wounded Palestinians told AFP how they were hit by a strike on their way south.
"I walked around three to four kilometres (around two miles) while I was bleeding," said Hasan Baker, whose head and left hand were bandaged. "There was no possibility for any ambulance to enter the area."
- Hostage talks -
Israeli leaders have so far insisted there will be no ceasefire until hostages are released, but Qatar is mediating talks on a possible deal to free captives.
Abu Obeida, a spokesman for Hamas's military wing, said Monday that Israel asked for the release of 100 hostages while the militants want 200 Palestinian children and 75 women freed from Israeli prisons.
"We informed the mediators we could release the hostages if we obtained five days of truce... and passage of aid to all of our people throughout the Gaza Strip, but the enemy is procrastinating," Abu Obeida said in an audio statement.
Qatari foreign ministry spokesman Majed bin Mohammed Al-Ansari told a news conference in Doha that the "deteriorating" situation in Gaza was hampering mediation efforts.
"We believe that there is no other chance for both sides other than for this mediation to take place," he said.
Relatives of hostages set out Tuesday on a five-day protest march to Prime Minister Benjamin Netanyahu's office to demand "the immediate release of all the hostages", the Hostages and Missing Families Forum said.
Netanyahu responded in a statement that the government was "working relentlessly for the release of the hostages, including using increased pressure since the start of the ground incursion".
As security officials and diplomats continued negotiations, Hamas's military wing issued a video of captive Israeli soldier Noa Marciano.
The Israeli army on Tuesday confirmed she was dead.
Abu Obeida claimed Marciano was killed in an Israeli strike. The Israeli army did not say how she died.
- West Bank violence -
The Israeli army said it had captured Gaza's parliament, the government building, the police headquarters and other government institutions run by Hamas in Gaza City, as its forces deepened their offensive in the Palestinian territory.
The army also showed images of a discarded baby bottle, makeshift toilet and bullet-scarred motorbike as evidence Hamas held hostages in the basement of Al-Rantisi children's hospital in Gaza City.
AFP was not able to independently confirm the allegation.
The video narrated by army spokesman Daniel Hagari also shows neatly arranged assault rifles, grenades and what he said were "vests with explosives".
The Hamas health ministry described the Israeli video as "poor staging" with "not a single piece of evidence" backing the Israeli army claims.
The war in Gaza has also spurred violence on other fronts.
In the occupied West Bank, eight Palestinians were killed in clashes with Israeli troops, seven during an army raid on the northern city of Tulkarem and one near the southern city of Hebron, the Palestinian health ministry said on Tuesday.
At least 180 Palestinians and three Israelis have been killed across the West Bank since October 7, according to officials on both sides.
The Israeli police said they were investigating "several cases" of alleged sexual violence against women by Hamas militants in the attack that triggered the conflict.
Since the attacks, police have been gathering evidence about allegations of sexual violence from witnesses, surveillance footage and the interrogations of Palestinian militants arrested in the aftermath.
Police had "multiple witnesses" but no "living victims", investigator David Katz said without giving the precise number of cases.