A delegation of high-level Hamas leaders is visiting Egypt for talks aimed at bringing the devastating war in Gaza to an end, even as the Israeli military pushes deeper into the centre and south of the strip, displacing tens of thousands of people. The UN’s humanitarian office said on Friday that over the past few days an estimated 100,000 people had arrived in Rafah, Gaza’s southernmost town on the border with Egypt, after an intense new ground and aerial offensive around the central town of Deir al-Balah and airstrikes on the southern town of Khan Younis. The areas had previously been designated by the Israel Defence Forces (IDF) as “safe zones” where civilians could shelter. Many of those who arrived in Rafah had already been displaced from their homes at least once. Israeli shelling of the area around al-Amal hospital in Khan Younis had killed 41 people over the past two days, the Palestinian Red Crescent Society said. A strike on Thursday evening in Rafah, meanwhile, destroyed a residential building, killing at least 23 people, according to the media office of the nearby al-Kuwaiti hospital. Drone footage shows aftermath of airstrike on Rafah in Gaza – video 00:00:42 Drone footage shows aftermath of airstrike on Rafah in Gaza – video A total of 187 people had been killed across Gaza in the last 24 hours, the local health authorities said. The ministry does not distinguish between civilian and combatant casualties. “People are using any empty space to build shacks,” said Juliette Touma, the director of communications at UNRWA, the UN’s agency for Palestinian refugees. “Some are sleeping in their cars and others are sleeping in the open.” Twelve weeks of hostilities in the Palestinian territory sparked by Hamas’s unprecedented 7 October attack on Israel, in which 1,140 people were killed and up to another 250 taken hostage, have decimated most of the northern half of the coastal exclave, just 25 miles long (40km) and 4 to 7 miles wide. About 21,500 people have been killed and almost all of Gaza’s 2.3 million population have fled their homes. Tariq Zorob, a 33-year-old father of five from Rafah, said: “There is significant overcrowding in Rafah and every day the number increases … There are no services at all. My work stopped and now I depend on aid and borrowing from people. “Safety, water, food, going to the bathroom, these are all daily struggles,” he said. “The aid that comes is not distributed fairly; much of it is stolen as soon as trucks enter. There is no cooking gas or transport and prices are very high.” Aid agencies have said the humanitarian assistance that is reaching the strip is difficult to distribute because of the fighting and is a fraction of what is needed for the population to survive the winter. It’s not just bullets and bombs. I have never seen health organisations as worried as they are about disease in Gaza Devi Sridhar Devi Sridhar Read more UNRWA said on Friday that an aid convoy had come under fire from the Israeli military the day before, without causing casualties. The IDF said it was looking into the incident. The agency’s director in Gaza, Tom White, wrote on X: “Israeli soldiers fired at an aid convoy as it returned from northern Gaza along a route designated by the Israeli army – our international convoy leader and his team were not injured but one vehicle sustained damage.” Estimates suggest that a quarter of Gaza’s population could die within a year from preventable diseases caused by a lack of sanitation and the collapse of the health system, Devi Sridhar, the chair of global public health at the University of Edinburgh, wrote in the Guardian on Friday, based on extrapolation of a previous refugee displacements estimate. Diarrhoeal diseases are the second leading cause of death in children under five worldwide, and in November rates among children living in shelters in Gaza were already more than 100 times normal levels, the World Health Organization said. There are also fears of a cholera outbreak if the water from recent flooding mixes with untreated sewage. Ceasefire talks mediated by Qatar, that led to a seven-day pause in hostilities at the end of November and the exchange of some hostages and prisoners, have not made progress since. The fighting in Gaza has intensified, with fierce house-to-house battles across Gaza City and incessant airstrikes and the advance of Israeli tanks south of the Gaza River. Israel is now targeting Nuseirat, Maghazi and Bureij – a belt of camps in the centre of the strip built to house Palestinian refugees who fled their homes during the 1948 war over Israel’s creation. The escalating conflict in Gaza has raised tensions across the region, with militias around the Middle East allied with Iran launching attacks on Israel and US military installations. The talks in Cairo on Friday were held to discuss a new proposal for ending the war. The three-stage plan put forward by Egypt would entail an initial cessation of hostilities for at least a week and the release of all remaining Israeli civilian hostages held in Gaza; then a week in which female Israeli soldiers would be released in return for Palestinian prisoners in Israeli jails; and finally a month-long negotiation period for the release of male soldiers in exchange for Israeli withdrawal. The proposal provides for a Palestinian government of technocrats, after talks involving “all Palestinian factions”, which would be responsible for governing and rebuilding in postwar Gaza. Hamas has previously rejected the Egyptian plan. But an official with the group, speaking on condition of anonymity, told Agence France-Presse on Friday that the delegation would “give the response of the Palestinian factions, including several observations” regarding the proposal, which had recently been put to Hamas and the smaller, allied armed group Palestinian Islamic Jihad. Amid fears of escalation in the Israel-Gaza conflict, consider this: war without end suits Netanyahu Simon Tisdall Simon Tisdall Read more Hamas would seek “guarantees for a complete Israeli military withdrawal” from Gaza, the official said. Israel said on Thursday it had given preliminary approval for a maritime aid corridor between Gaza and the Mediterranean island of Cyprus, but officials did not comment on the latest Palestinian engagement with the Egyptian peace plan. Despite international calls for a ceasefire, including growing pressure from Israel’s closest ally, the US, to scale down the fighting, Israeli officials have vowed the war will continue until it achieves “complete victory” over Hamas, saying it could last several more months. Diaa Rashwan, who heads Egypt’s state information services, said the plan was “intended to bring together the views of all parties concerned, with the aim of ending the shedding of Palestinian blood”. Explore more on these topics