Palestinians inspect the rubble of a building after it was struck by an Israeli airstrike, in Gaza City, Sunday, Oct. 8, 2023. (AP)

Hundreds more foreigners and dual nationals fled war-torn Gaza for Egypt Thursday as Israeli forces bombarded and fought ground battles in the besieged Palestinian territory, where thousands have died.

Egypt said it eventually plans to help evacuate 7,000 foreigners through the Rafah crossing and a spokesman for the Palestinian side of the border post said about 100 had been able to leave Thursday.

A total of 400 foreign passport holders as well as 60 severely wounded Palestinians in ambulances were due to cross by the end of the second day of departures, Wael Abu Mohsen said, and Egyptian officials later reported the first arrivals.

“There was no food, no water, no gas, nowhere to take shelter,” said US passport holder Salma Shaath, 14, as she prepared to cross. “People were going to hospitals to sleep, there are a lot of martyrs, there is no internet, no communications and no electricity

“Our house was bombed and our situation was difficult, so we came here to Rafah, and now we’re planning to travel.”

The evacuation marks a tiny proportion of the 2.4 million people trapped in Gaza under weeks bombardment since Hamas launched their bloody cross-border attack into Israel on October 7.

Ground battles flared again overnight in northern Gaza as Israeli troops have sought to destroy Hamas, the Islamist movement that controls the territory.

Hamas’ assault on October 7, which Israel says claimed 1,400 lives, was the bloodiest in the country’s 75-year-history.

– ‘Whole families killed’ –

The Israeli army is also seeking to free around 240 hostages, both civilians and troops, captured by Hamas during the attacks.

On Thursday, the military said it had killed dozens of enemy fighters.

“IDF fighters continue to advance in the Gaza City area and conduct face-to-face battles with Hamas terrorists and to deepen the fighting,” military spokesman Daniel Hagari told journalists.

“At the end of a battle that lasted several hours and included ground fighting and fire support from aircraft and a missile ship, many terrorists were killed.”

Some 332 soldiers have already died in the October 7 attacks and in the Israeli offensive the Hamas assault triggered.

Now gruelling urban warfare lies ahead deeper inside Gaza, where Hamas is fighting from a tunnel network spanning hundreds of kilometres (miles).

Global concern has risen sharply over Israel’s response, in which the army says it has struck more than 12,000 targets so far.

The Hamas-run Gaza health ministry says more than 9,000 people have died, mostly women and children.

Special concern has focused on repeated heavy strikes on Gaza’s largest refugee camp — densely populated Jabalia, north of Gaza City — where explosions brought down residential buildings.

Gaza’s Hamas-ruled government said 195 were killed in two days of Israeli strikes on Jabalia, with hundreds more missing and wounded, figures AFP could not independently verify.

Hamas said seven of the estimated 242 hostages it is holding, died in Tuesday’s bombings, a claim that was also impossible to verify.

Major strikes also hit Gaza’s Bureij refugee camp and an area near a UN-run school, where the health ministry said 27 had died.

Outside the Al-Quds hospital in Gaza City, displaced residents seeking shelter from Israeli strikes told AFP that civilians would not withstand the barrage much longer.

“This is not a life. We need a safe place for our kids,” said 50-year-old Hiyam Shamlakh. “Everybody is terrified, children, women and the elderly.”

Talal Shamlakh, 65, said: “There have been missiles since 7:00am around the hospital and we couldn’t sleep while children are screaming.”

Another Gazan, Mahmoud Abu Jarad, said civilians would not be able to tolerate another week of strikes. “We demand a ceasefire. This is the most important thing,” the 30-year-old said.

– ‘Death every day’ –

Israel has sought to justify the first Jabalia attack by saying it had targeted a senior Hamas commander in a tunnel complex below the camp.

AFP has witnessed rescuers desperately clawing through the rubble and twisted metal in frantic attempts to bring out survivors and bodies.

Emergency responders say “whole families” have died.

The wounded were rushed away by cart, motorcycle and ambulance as anguished wails and blaring sirens filled the dusty air.

But Gaza’s hospitals have been overwhelmed and run short of medical supplies and even electricity.

Tensions and violence have also spread in the Israeli-occupied West Bank, where more than 130 Palestinians have died since October 7 according to the Palestinian health ministry.

Three Palestinians were killed Thursday by Israeli fire in the West Bank, the ministry said, and an Israeli was killed in a Palestinian shooting attack, according to first responders.

In embattled Gaza, more than 20,000 people are wounded, according to aid group Doctors Without Borders.

Israel has argued it is trying to avoid civilian casualties and has told residents to evacuate northern Gaza. It also says Hamas has blocked many civilians from leaving to use them as “human shields”.

While the United States and other Western powers have largely backed Israel, anger has flared across the Arab and Muslim world.

Jordan has recalled its ambassador to Israel “to condemn the Israeli war that is killing innocent people in Gaza”.

Israel has also drawn fire from Iran-backed enemy forces, including Hezbollah in neighbouring Lebanon and Huthi rebels in distant Yemen.

The United States and several Western countries back Israel in ruling out a ceasefire for now, arguing that it must have the right to defend itself against Hamas.

But President Joe Biden said he would support a humanitarian “pause” to help get the hostages out of Gaza.

More than 220 aid trucks have so far entered under a US-brokered deal, an amount aid groups say falls far short of meeting basic needs.

US Secretary of State Antony Blinken will embark on another Middle East tour from Friday, the Muslim day of prayer when more anti-Israel protests were expected in the region.