Some Palestinians in Gaza said their plight was being forgotten as attention shifted to the air war between Israel and Iran.

Palestinian medics said at least 59 people were killed and 221 wounded in the incident, at least 20 of them in critical condition. Casualties were being rushed into the hospital in civilian cars, rickshaws and donkey carts.

Israeli tank shellfire killed at least 51 Palestinians as they awaited aid in Khan Younis in the Gaza Strip, the territory's health ministry said.