At least five people have been killed in Israeli attacks in the northern Gaza Strip, according to paramedics.
The Palestinian Red Crescent reported “horrific scenes” during the transport of the bodies, including children.
About 27 other people were injured in artillery fire in the Jabalia refugee camp.
The Israeli military had no immediate comment.
Residents of nearby Beit Lahia said they had been urged by Israeli army leaflets to immediately leave their homes and head towards the Indonesian hospital. Several internally displaced persons are said to have been killed in the shelling.
There was also initially no information from the Hamas-controlled health authority in Gaza.
The Israeli army is once again expanding its operations against the remaining fighters of the Palestinian group Hamas in the northern Gaza Strip. Aid agencies report catastrophic conditions in the closed area.