Calling again for a ceasefire and safe access for humanitarian organizations, the agency highlighted there are some 78,000 infants under age two sheltering in the city, along with 175,000 children under five who are affected by infectious disease Israel has killed more than 34,000 Palestinians in Gaza, mostly women and children, according to the health ministry in the Hamas-run territory NEW YORK: Some 600,000 children packed into Gaza’s Rafah city face “further catastrophe,” UNICEF warned on Monday, urging against their forced relocation after Israel ordered an evacuation ahead of its long-threatened ground invasion. “Given the high concentration of children in Rafah ... UNICEF is warning of a further catastrophe for children, with military operations resulting in very high civilian casualties and the few remaining basic services and infrastructure they need to survive being totally destroyed,” the UN children’s agency said in a statement. It said Gaza’s youth were already “on the edge of survival,” with many in Rafah — where the agency said the population has soared to 1.2 million people, half of them children — already displaced multiple times and with nowhere else to go. “More than 200 days of war have taken an unimaginable toll on the lives of children,” said UNICEF Executive Director Catherine Russell. “Rafah is now a city of children, who have nowhere safe to go in Gaza,” she said, warning that a large-scale military operation by Israel would bring “chaos and panic, and at a time where (children’s) physical and mental states are already weakened.” UNICEF estimates that Rafah’s population has swelled to nearly five times its normal figure of 250,000 residents. Calling again for a ceasefire and safe access for humanitarian organizations, the agency highlighted there are some 78,000 infants under age two sheltering in the city, along with 175,000 children under five who are affected by infectious disease. Gaza’s bloodiest-ever war began following Hamas’s unprecedented Oct. 7 attack on Israel. Israel has conducted a retaliatory offensive that has killed at least 34,735 people in Gaza, according to the Hamas-run territory’s Health Ministry. Of that toll, more than 14,000 are children, the ministry has said. Israeli Prime Minister Benjamin Netanyahu has vowed to send ground troops into Rafah regardless of any truce, despite concerns from the US, other countries, and aid groups. Hamas official Izzat Al-Rashiq said in a statement that any Israeli operation in Rafah would put the truce talks in jeopardy. Senior Hamas official Sami Abu Zuhri said the evacuation order was a “dangerous escalation” that would have consequences. “The US administration, alongside the occupation, bears responsibility for this terrorism,” the official said. Hamas said later in a statement that any offensive in Rafah would not be a “picnic” for Israeli forces and said it was fully prepared to defend Palestinians there. Aid agencies have warned that the evacuation order will lead to an even worse humanitarian disaster in the crowded coastal enclave of 2.3 million people reeling from seven months of war. “Forcing 1 million displaced Palestinians from Rafah to evacuate without a safe destination is not only unlawful but would lead to catastrophic consequences,” British charity ActionAid said. Nick Maynard, a British surgeon trying to leave Gaza on Monday, said in a voice message from the Gaza side of the Rafah crossing into Egypt: “Two huge bombs have just gone off immediately outside the crossing. There’s a lot of gunfire as well about 100 meters from us. We are very unclear whether we will get out.” “Driving through Rafah, the tension was palpable with people evacuating as rapidly as they could.” Witnesses said the areas in and around Rafah where Israel wants to move people are already crowded with little room for more tents. “The biggest genocide, the biggest catastrophe, will take place in Rafah. I call on the whole Arab world to interfere for a ceasefire — let them interfere and save us from what we are in,” said Aminah Adwan, a displaced Palestinian. Israel has been threatening to launch incursions in Rafah, which it says harbors thousands of Hamas fighters and potentially dozens of hostages. Victory is impossible without taking Rafah, it says.