Israeli strikes on the southern Gaza city of Rafah overnight killed 18 people, including 14 children, health officials said Sunday, reports Associated Press.

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 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
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 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.

The war has killed at least 34,049 Palestinians and wounded another 76,901, according to the Gaza Health Ministry.