RAFAH, Gaza Strip (AP) — An apparent Israeli strike on a crowd of Palestinians waiting for humanitarian aid in Gaza City on Thursday has killed and wounded dozens, according to local hospital officials.

Gaza City and the rest of northern Gaza were the first targets of Israel’s air, sea and ground offensive launched in response to Hamas’ Oct. 7 attack. The area has suffered widespread devastation and has been largely isolated from the rest of the territory for months, with little aid entering.

Aid groups say it has become nearly impossible to deliver humanitarian assistance in most of Gaza, in part because of the crowds of desperate people who overwhelm aid convoys. The U.N. says a quarter of Gaza’s 2.3 million Palestinians face starvation.

Dr. Jadallah Shafai, the head of the nursing department at Shifa Hospital, told the Al Jazeera network that around 50 people were killed and 250 wounded. He did not provide a precise toll. Al Jazeera ran footage showing several bodies and injured people arriving at Shifa.

Dr. Hussam Abu Safiya, the director of the Kamal Adwan Hospital, said it had received at least 10 bodies and 160 wounded people.

Fares Afana, the head of the ambulance service at Kamal Adwan, said medics arriving at the scene found “dozens or hundreds” lying on the ground. He said there were not enough ambulances to collect all the dead and wounded and that some were being brought to hospitals on donkey carts.

Dr, Mohammad Salha, the acting director of the Al-Awda Hospital, said it received 90 wounded and three dead, who were transferred to Kamal Adwan.

“We expect a rise in the number killed,” he said. “There are many wounded still at the reception and the emergency room.”

He said Al-Awda is largely out of commission, with no electricity and the operating room running on battery power with only hours left. Gaza’s health sector is under severe strain nearly five months into the Israel-Hamas war.

The Israeli military said it was looking into the reports.

Gaza’s Health Ministry did not immediately provide an official toll from the strike. It says nearly 30,000 Palestinians have been killed since the start of the war, two-thirds of them women and children. Its count does not differentiate between civilians and combatants.

The Hamas attack into southern Israel that ignited the war killed 1,200 people, mostly civilians, and the militants seized around 250 hostages. Hamas is still holding around 130 hostages, a quarter of whom are believed to be dead, after releasing most of the others during a weeklong cease-fire in November.

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Chehayeb reported from Beirut.

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Find more of AP’s coverage at https://apnews.com/hub/israel-hamas-war