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Israeli strikes and gunfire killed at least 44 people across Gaza, health officials said Saturday, as international pressure grows for a ceasefire but 

Among the dead were nine from the same family in a house in the Nuseirat refugee camp, according to staff at Al-Awda Hospital, where the bodies were brought. Five others were killed when a strike hit a tent for the displaced, according to Nasser Hospital, which received the dead.

Israel’s army said they were not aware of anyone being killed by gunfire Saturday in southern Gaza, and didn’t provide immediate comment about the airstrikes.

The director of Shifa Hospital in Gaza City told The Associated Press that medical teams there were concerned about Israeli “tanks approaching the vicinity of the hospital,” restricting access to the facility where 159 patients are being treated.

“The bombardment has not stopped for a single moment," Dr. Mohamed Abu Selmiya said.

He added that 14 premature babies were treated in incubators in Helou Hospital, though the head of neonatal intensive care there, Dr. Nasser Bulbul, has said that facility's main gate was closed because of drones flying over the building.

Netanyahu and Trump scheduled to meet as pressure grows

The attacks came hours after a defiant Israeli Prime Minister Benjamin Netanyahu told fellow world leaders at the U.N. General Assembly Friday that his nation “must finish the job” against Hamas in Gaza.

Netanyahu’s words, aimed as much at his increasingly divided domestic audience as the global one, began after dozens of delegates from multiple nations walked out of the 

 hall en masse Friday morning as he began speaking.

pressure on Israel to end the war is increasing,

 as is Israel's isolation, with a growing list of countries deciding recently to recognize Palestinian statehood, which Israel rejects.

Countries have been lobbying U.S. President Donald Trump to press Israel for a ceasefire. On Friday, Trump told reporters on the White House lawn that he believes the U.S. is close to achieving a deal on easing fighting in Gaza that “will get the hostages back” and “end the war.”

Trump and Netanyahu are scheduled to meet Monday, and Trump said on social media Friday that “very inspired and productive discussions” and “intense negotiations” about Gaza are ongoing with countries in the region.

Yet, Israel is pressing ahead with another major ground operation in Gaza City, which experts say is experiencing famine. More than 300,000 people have fled, but up to 700,000 are still there, many because they can’t afford to relocate.

Hospitals are short on supplies and targeted by airstrikes

The strikes Saturday morning demolished a house in Gaza City's Tufah neighborhood, killing at least 11 people, more than half of them women and children, according to Al-Ahly Hospital, where the bodies were brought. Four other people were killed when an airstrike hit their homes in the Shati refugee camp, according to Shifa Hospital. Six other Palestinians were killed by Israeli gunfire while seeking aid in southern and central Gaza, according to the Nasser and Al Awda hospitals.

Hospitals and health clinics in Gaza City are on the 

. Nearly two weeks into the offensive, two clinics have been destroyed by airstrikes, two hospitals shut down after being damaged and others are barely functioning, with medicine, equipment, food and fuel in short supply, according to the Gaza Health Ministry.

Many patients and staff have been forced to flee hospitals, leaving behind only a few doctors and nurses to tend to children in incubators or other patients 

On Friday, aid group Doctors Without Borders said it was forced to suspend activities in Gaza City. The group said Israeli tanks were less than a kilometer (half a mile) from its facilities, creating an “unacceptable level of risk" for its staff.

Meanwhile, the food situation in the north has also worsened, as Israel has halted aid deliveries through its crossing into northern Gaza since Sept. 12 and has increasingly rejected U.N. requests to bring supplies from southern Gaza into the north, the U.N. Office for the Coordination of Humanitarian Affairs said.

Israel’s campaign in Gaza has killed more than 65,000 people and wounded more than 167,000 others, Gaza's Health Ministry said. It doesn’t distinguish between civilians and combatants, but says women and children make up around half the fatalities. The ministry is part of the Hamas-run government, but U.N. agencies and many independent experts consider its figures to be the most reliable estimate of wartime casualties.

Israel’s campaign was triggered when Hamas-led militants stormed into Israel on Oct. 7, 2023, killing around 1,200 people and taking 251 hostage. Forty-eight captives remain in Gaza, around 20 of them believed by Israel to be alive, after most of the rest were freed in ceasefires or other deals.

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Israeli strikes and gunfire have killed at least 44 people across Gaza, according to health officials. This comes as international pressure grows for a ceasefire, but Israel's leader remains defiant.

Airstrikes and shooting kill at least 44 people in Gaza as Israel ignores demands for a ceasefire

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