Palestinian officials said a baby died and dozens more patients were at risk from Israeli gunfire around Gaza's largest hospital Saturday, while Israel said it had killed a Hamas fighter who had stopped another hospital from being evacuated.
Thousands of displaced Palestinians looked to Gaza's largest hospital, Al-Shifa, as a safe haven, but with Israeli strikes intensifying and the fighting reaching the gates of the compound, there seems nowhere for them to escape.
Crowds of people have crammed into the corridors of Al-Shifa to escape the fighting in Gaza between Israel and Hamas, adding to the overwhelming number of war casualties at the hospital.
Israel says doctors, patients and thousands of evacuees who have taken refuge at hospitals in northern Gaza must leave so it can tackle Hamas fighters who it says have placed command centres under and around them.
Hamas denies using hospitals in this way. Medical staff say patients could die if they are moved and Palestinian officials say Israeli fire makes it dangerous for others to leave.
Most of the hospital staff and people sheltering at the hospital had left, but 500 patients were still there.
Hospital director Mohammad Abu Selmeyah had said late on Friday that the hospital was subject to Israeli attacks and the wounded were in a dangerous situation.
A Palestinian health ministry spokesman said on Saturday that Israeli shelling had killed a patient in intensive care.