Palestinian children sit next to the site of an Israeli strike on a house, amid the ongoing conflict between Israel and the Palestinian Islamist group Hamas, in Rafah, in the southern Gaza Strip, April 21, 2024.
| Photo Credit: Reuters

Israeli strikes on the southern Gaza city of Rafah overnight killed 18 people, including 14 children, health officials said on April 21, as the United States was on track to approve billions of dollars of additional military aid to its close ally.

Israel has carried out near-daily air raids on Rafah, where more than half of Gaza’s population of 2.3 million has sought refuge from fighting elsewhere. It has also vowed to expand its ground offensive to the city on the border with Egypt despite international calls for restraint, including from the U.S.

The House of Representatives approved a $26 billion aid package on Saturday that includes around $9 billion in humanitarian assistance for Gaza.

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The first strike killed a man, his wife and their 3-year-old child, according to the nearby Kuwaiti Hospital, which received the bodies. The woman was pregnant and the doctors managed to save the baby, the hospital said.

The second strike killed 13 children and two women, all from the same family, according to hospital records. An airstrike in Rafah the night before killed nine people, including six children.

The Israel-Hamas war has killed over 34,000 Palestinians, according to local health officials, devastated Gaza’s two largest cities and left a swath of destruction across the territory. Around 80% of the population have fled their homes to other parts of the besieged coastal enclave, which experts say is on the brink of famine.

The conflict, now in its seventh month, has sparked regional unrest pitting Israel and the U.S. against Iran and allied militant groups across the Middle East. Israel and Iran traded fire directly earlier this month, raising fears of all-out war between the longtime foes.

Tensions have also spiked in the Israeli-occupied West Bank. Israeli troops killed two Palestinians who the military says attacked a checkpoint with a knife and a gun near the southern West Bank town of Hebron early Sunday. The Palestinian Health Ministry said the two killed were 18 and 19 years old, from the same family. No Israeli forces were wounded, the army said.

The Palestinian Red Crescent rescue service meanwhile said it has recovered a total of 14 bodies from an Israeli raid in the Nur Shams urban refugee camp in the West Bank that began late Thursday. Those killed include three militants from the Islamic Jihad group and a 15-year-old boy. The military says it killed 10 militants in the camp and arrested eight suspects. Nine Israeli soldiers and officers were wounded.

In a separate incident in the West Bank, an Israeli man was wounded in an explosion Sunday, the Magen David Adom rescue service said. A video circulating online shows a man approaching a Palestinian flag that had been planted in a field. When he kicks it, it appears to trigger an explosive device.

At least 469 Palestinians have been killed by Israeli soldiers and settlers in the West Bank since the start of the war in Gaza, according to the Palestinian Health Ministry. Most have been killed during Israeli military arrest raids, which often trigger gunbattles, or in violent protests.

The war in Gaza was sparked by an unprecedented Oct. 7 raid into southern Israel in which Hamas and other militants killed around 1,200 people, mostly civilians, and abducted around 250 hostages. Israel says militants are still holding around 100 hostages and the remains of more than 30 others.

Thousands of Israelis have taken to the streets to call for new elections to replace Prime Minister Benjamin Netanyahu and a deal with Hamas to release the hostages. Netanyahu has vowed to continue the war until Hamas is destroyed and all the hostages are returned.

The war has killed at least 34,049 Palestinians and wounded another 76,901, according to the Gaza Health Ministry. The ministry does not differentiate between combatants and civilians in its count but says at least two-thirds have been children and women. It also says the real toll is likely higher as many bodies are stuck beneath the rubble left by airstrikes or are in areas that are unreachable for medics.

Israel blames Hamas for civilian casualties because the militants fight in dense, residential neighborhoods, but the military rarely comments on individual strikes, which often kill women and children. The military says it has killed over 13,000 Hamas fighters, without providing evidence.

An Israeli airstrike on a house in Gaza’s southernmost city killed at least nine people, six of them children, hospital authorities said on April 20, as Israel pursued its nearly seven-month offensive in the besieged Palestinian territory.

Israel’s war against the Islamic militant group Hamas has led to a dramatic escalation of tensions in an already volatile Middle East.

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The strike late Friday hit a residential building in the western Tel Sultan neighborhood of the city of Rafah, according to Gaza’s civil defense. The bodies of the six children, two women and a man were taken to Rafah’s Abu Yousef al-Najjar hospital, the hospital’s records showed.

At the hospital, relatives cried and hugged the bodies of the children, wrapped in white shrouds, as others comforted them.

The fatalities included Abdel-Fattah Sobhi Radwan, his wife Najlaa Ahmed Aweidah and their three children, his brother-in-law Ahmed Barhoum said. Barhoum also lost his wife, Rawan Radwan, and their 5-year-old daughter Alaa.

“This is a world devoid of all human values and morals,” Barhoum told The Associated Press Saturday morning, crying as he cradled and gently rocked the body of Alaa in his arms. “They bombed a house full of displaced people, women and children. There were no martyrs but women and children.”

No victims were registered from a second overnight strike in the city.

Rafah, which lies on the border with Egypt, currently hosts more than half of Gaza’s total population of about 2.3 million people, the vast majority of whom have been displaced by fighting further north in the territory.

Despite calls for restraint from the international community, including Israel’s staunchest ally, the United States, the Israeli government has insisted for months that it intends to push a ground offensive into the city, where it says many of the remaining Hamas militants are holed up.

Such a ground operation has not materialized so far, but the Israeli military has repeatedly carried out airstrikes on and around the city.

The war was sparked by an unprecedented raid into southern Israel by Hamas and other militant groups on Oct. 7 that left about 1,200 people dead, the vast majority of them civilians, and saw about 250 people kidnapped and taken into Gaza. Israel says about 130 hostages remain in Gaza, although more than 30 have been confirmed to now be dead, either killed on Oct. 7 or having died in captivity.

The Gaza Health Ministry said Saturday the bodies of 37 people killed by Israeli strikes were brought to hospitals in Gaza over the past 24 hours. Hospitals also received 68 wounded, it said. The latest figures bring the overall Palestinian death toll from the Israel-Hamas war to at least 34,049, and the number of wounded to 76,901, the ministry said. Although the Hamas-run health authorities do not differentiate between combatants and civilians in their count, they say at least two thirds have been children and women.

The war has sent regional tensions spiraling, leading to a dramatic eruption of violence between Israel and its archenemy Iran that threatened to escalate into a full-blown war.

On Friday, both Iran and Israel played down an apparent Israeli airstrike near a major air base and nuclear site in central Iran, indicating the two sides were pulling back from what could have become an all-out conflict. Over the past several weeks, an alleged Israeli strike killed two Iranian generals at an Iranian consulate in Syria and was followed by an unprecedented Iranian missile barrage on Israel.

Israel has also faced off with the Hezbollah militant group, an Iranian proxy operating from Lebanon, with the two sides there frequently trading rocket and drone attacks across the Lebanese-Israeli border. Yemen’s Iran-backed Houthi rebels have also joined the fray, launching strikes against merchant ships in the Red Sea and the Gulf of Aden in what they say is a campaign of solidarity with the Palestinians in Gaza.

Tension has also been high in the occupied West Bank, where an Israeli military raid Friday in the Nur Shams refugee camp killed at least four Palestinians, including three militants, according to the Israeli military, Palestinian health officials and a militant group.

Palestinian health authorities said one of those killed was a 15-year-old boy shot dead by Israeli fire. The Islamic Jihad militant group confirmed the deaths of three members, including one who it said was a local military commander. The Israeli military said four Israeli soldiers were slightly wounded in the operation.

Saraya al-Quds, the military arm of Islamic Jihad, said its fighters had engaged in heavy gun battles Saturday morning with Israeli forces in the town of Tulkarem, adjacent to Nur Shams. No further details were immediately available. Residents in Tulkarem went went on a general strike Saturday to protest the attack on Nur Shams, with shops, restaurants and government offices all closed.

The Palestinian Authority, which administers parts of the West Bank, has a limited foothold in many of the territory’s northern towns and cities, including Tulkarem and Jenin. Militant groups, including Islamic Jihad, are active in both cities, often clashing with Israeli soldiers during army raids.

Since the Oct. 7 Hamas attack on southern Israel, more than 460 Palestinians have been killed by Israeli fire in the West Bank, Palestinian health officials say. Israel stages frequent raids into towns and cities in the volatile territory. The dead have included militants, but also stone-throwers and bystanders. Some have also been killed in attacks by Israeli settlers.