Hospital officials in Gaza say Israeli strikes and gunfire have killed at least 33 Palestinians sheltering in tents or seeking scarce food aid.

Famine has struck an area of Gaza and will likely spread over the next month, a global hunger monitor determined on Friday.

Hospital officials in Gaza say Israeli strikes and gunfire have killed at least 25 Palestinians sheltering in tents or seeking scarce food aid.

The drums of war are pounding on the doorstep of Gaza City. Residents of the largest city in northern Gaza, packed with locals and refugees, fear the hours are ticking down before a looming Israeli offensive.