Israel sends tanks into Gaza's Deir al-Balah as health officials warn of 'mass deaths' from starvation

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Hospitals in Gaza have been running out of fuel, food aid and medicine, risking a halt to vital operations, health officials say.
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Israeli tanks pushed into southern and eastern districts of the Gazan city of Deir al-Balah for the first time on Monday.

The area is packed with Palestinians displaced during more than 21 months of war in Gaza, hundreds of whom fled west or south after Israel issued an evacuation order, saying it sought to destroy infrastructure and capabilities of the militant group Hamas.

Tank shelling in the area hit houses and mosques, killing at least three Palestinians and wounding several others, local medics said.

Palestinians flee Deir al-Balah in central Gaza on Sunday, July 20, 2025, after the Israeli military issued evacuation orders ahead of expected operations in the area.
Palestinians flee Deir al-Balah in central Gaza on Sunday.Abdel Kareem Hana / AP

To the south in Khan Younis, an Israeli airstrike killed at least five people, including a husband and wife and their two children in a tent, medics said.

In its daily update, Gaza's health ministry said at least 130 Palestinians had been killed and more than 1,000 wounded by Israeli gunfire and military strikes across the territory in the past 24 hours, one of the highest such totals in recent weeks.

There was no immediate Israeli comment on the Deir al-Balah and Khan Younis incidents.

Relatives look at the body of Palestinian child Abdullah al-Rantisi, 11, killed by an Israeli military bombardment, in Deir al-Balah, central Gaza, July 21, 2025.
Relatives look at the body of 11-year-old Abdullah al-Rantisi, who was killed by an Israeli military bombardment, in Deir al-Balah.Abdel Kareem Hana / AP

Hunger

Meanwhile, officials are warning of potential “mass deaths” in coming days from hunger, which has killed at least 19 people since Saturday, the Hamas-run territory’s health ministry said.

Health officials say hospitals have been running out of fuel, food aid and medicine, risking a halt to vital operations.

Health ministry spokesperson Khalil Al-Deqran said medical staff have been depending on one meal a day and that hundreds of people flock to hospitals every day, suffering from fatigue and exhaustion.

Palestinians gather to collect humanitarian aid from a distribution point in Beit Lahia, northern Gaza, on Sunday, July 20, 2025.
Palestinians gather to collect humanitarian aid Sunday from a distribution point in Beit Lahia in northern Gaza.Ahmad Salem / Bloomberg via Getty Images

In southern Gaza, the health ministry said an Israeli undercover unit had on Monday detained Marwan Al-Hams, head of Gaza’s field hospitals, in a raid that killed a local journalist and wounded another outside a field medical facility run by the International Committee of the Red Cross.

An ICRC spokesperson said the ICRC had treated patients injured in the incident but did not comment further on their status. It said it was “very concerned about the safety and security” around the field hospital.

The Israeli military did not immediately respond to a request for comment.

Israel has raided and attacked hospitals across Gaza during the war, accusing Hamas of using them for military purposes, an accusation the group denies. Sending undercover forces to carry out arrests is rare.

The incursion into Deir al-Balah and growing number of deaths appeared to be complicating efforts to secure a ceasefire between Hamas and Israel in talks mediated by Qatar and Egypt, with U.S. backing.

A Hamas official told Reuters on Sunday that the militant group was angered by the mounting death toll and hunger crisis, and that this could affect the talks on a 60-day truce and hostage deal.

Aid waiting

UNRWA, the U.N. refugee agency dedicated to Palestinians, said on X it was receiving desperate messages from Gaza warning of starvation, including from its own staff, as food prices have soared.

“Meanwhile, just outside Gaza, stockpiled in warehouses UNRWA has enough food for the entire population for over three months. Lift the siege and let aid in safely and at scale,” it said.

The health ministry said on Sunday at least 67 people were killed by Israeli fire as they waited for U.N. aid trucks to enter Gaza. It said at least 36 aid seekers were killed a day earlier.

Palestinians gather at a food distribution point in Gaza City, on July 20, 2025.
Palestinians gather Sunady at a food distribution point in Gaza City.Majdi Fathi / NurPhoto via Getty Images

Israel's military said its troops had fired warning shots to remove what it said was "an immediate threat." It said initial findings suggested reported casualty figures were inflated.

Israel's military said it "views the transfer of humanitarian aid into the Gaza Strip as a matter of utmost importance, and works to enable and facilitate its entry in coordination with the international community".

The war began when Hamas-led militants stormed into Israel on Oct. 7, 2023, killing 1,200 people and taking 251 hostages back to Gaza, according to Israeli tallies.

The Israeli military campaign against Hamas in Gaza has since killed over 59,000 Palestinians, according to health officials, displaced almost the entire population and caused a humanitarian crisis.

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