Palestinian health authorities said Israel hit at least 300 people in the Gaza Strip as the attacks hit dozens of targets earlier on Tuesday, ending a week-long deadlock as a ceasefire that suspended combat in January was extended.

Attacks were reported at multiple locations including Northern Gaza, Gaza City, and the Central and Southern Gaza Strip. Palestinian Ministry of Health officials said many of the difficulties are children.

The Israeli military said it hit dozens of targets, and he said the strike will last as long as possible and will surpass air strikes, increasing the prospect that Israeli ground forces can resume combat.

Israel’s strike in Gaza is much larger than a series of drone strikes that the military said were conducted against individuals or small groups, and followed by weeks of failed efforts to truce on January 19.

In the hospital that was bombed for 15 months, a pile of white plastic sheets coated with blood can be seen stacked together because of casualties.

The Palestinian Red Crescent said its team responded that 86 people were killed and 134 were injured, but others were taken to overwhelming hospitals by private cars.

Officials from the Nasser Hospital of Al-Aqsa Hospital in the central Gaza Strip and officials from the Al-Ahly Hospital in Gaza City were widely damaged in the war. Authorities also reported separately that 16 families in Rafa, southern Gaza were killed.

A spokesman for the Gaza Ministry of Health said the death toll was at least 300.

Hamas said Israel has overturned the ceasefire agreement, leaving Gaza with 59 still in uncertainty.

Israeli Prime Minister Benjamin Netanyahu’s office accused Hamas of “repeated refusal to release our hostages” and rejected the advice of Steve Witkov, the Middle East envoy, U.S. President Donald Trump.

“From now on, Israel will take action against Hamas with an increasing military force,” it said in a statement.

In Washington, a White House spokesman said Israel had consulted the U.S. government before the strike, and the military said it was a target for intermediate Hamas commanders and leaders and infrastructure belonging to the Palestinian group.

“Hamas could have released the hostages to expand the ceasefire, but chose to reject and war,” White House spokesman Brian Hughes said.

In Gaza, witnesses contacted by Reuters said Israeli tanks in the shelling area of ​​Rafa, the southern Gaza Strip, forced many families to return to their area after the ceasefire began to leave their homes and head north to Khan Yunis.