At least 115 Palestinians, mostly women and children, have been killed in a wave of Israeli attacks across the Gaza Strip, as indirect ceasefire talks between Israel and Hamas continue.

At least 61 people were killed overnight and early on Thursday in a barrage of attacks on the southern Gaza city of Khan Younis, according to local health officials. In Jabalia in northern Gaza, an Israeli strike on al-Tawbah medical clinic killed at least 15 people and wounded several others, the health ministry said.

Israel’s army also attacked three hospitals in north and south Gaza: al-Awda hospital in Jabalia, the Indonesian Hospital in Khan Younis, and the European hospital, which Gaza’s Health Ministry says is now out of service.

Al Jazeera’s Tareq Abu Azzoum, reporting from Deir el-Balah, described “another bloody day” in Gaza, as Israel intensified its air attacks on residential areas.

“Israeli warplanes directly targeted nine houses without any warning in the city of Khan Younis,” he said, adding that entire families were “completely wiped out”.

He described the situation as chaotic, with civilians fleeing repeated forced evacuation orders. “The Israeli military targeted civilians while they were asleep,” launching 13 air raids on the Jabalia refugee camp and nearby areas. Civil defence teams, he added, were overwhelmed and struggling to rescue those trapped under the rubble, due to a lack of equipment.

Abu Azzoum said the strikes reflect a “pattern of attacks not aimed at military targets, but at systematically destroying Gaza’s social fabric”.

Hamas said in a statement that Israel was making a “desperate attempt to negotiate under cover of fire” as indirect ceasefire talks take place between Israel and Hamas, involving U.S. envoys and Qatar and Egyptian mediators in Doha.