Children sit in the back of an ambulance at Al-Shifa Hospital in Gaza City following a blast at Al-Alhi Baptist Hospital on October 17. Mohammed Al-Masri/Reuters

Palestinian officials said hundreds were killed by a massive blast at a Gaza hospital on Tuesday, as humanitarian concerns mount over Israel’s deprivation of food, fuel and electricity to the enclave’s population.

Here are key things to know about today’s developments:

The blast: Al-Ahli Baptist Hospital was sheltering thousands of displaced people when it was bombed Tuesday, the Palestinian Health Ministry said in a statement. Many victims are still under the rubble, it added.

Hamas, which controls the enclave, said more than 500 people were killed by the bombing. The Palestinian Health Ministry earlier said preliminary estimates indicate that between 200 to 300 people died in the attack.

Palestinian officials blamed ongoing Israeli airstrikes for the lethal incident. But the Israel Defense Forces has “categorically” denied any involvement in the hospital attack, blaming instead a “failed rocket launch” by the Palestinian Islamic Jihad group, a rival Islamist militant group in Gaza.

Impacted hospitals: Gaza has been under siege by Israel for more than a week, in response to the deadly incursion by Hamas, the Islamist militant group that controls the coastal enclave, home to 2.2 million people. Hospitals meanwhile are struggling to tend to the wounded across the territory, operating with shortages of electricity and water.

Israeli bombardment has killed at least 3,000 people, including 1,032 girls and 940 boys, and wounded 12,500 in Gaza, the Palestinian Ministry of Health said Tuesday. Casualties in Gaza over the past 10 days have now surpassed the number of those killed during the 51-day Gaza-Israel conflict in 2014.

While the IDF has said it does not target hospitals, the UN and Doctors Without Borders say Israeli airstrikes have struck medical facilities, including hospitals and ambulances. 

Health services within Gaza are on the brink and food and water supplies are running low. Twenty out of 23 hospitals were offering partial services because fuel reserves are “almost totally depleted,” the UN Relief and Works Agency (UNRWA) warned on Tuesday.

Closed crossing: Urgent calls for help are growing on both sides of a closed crossing as aid amasses on the Egyptian side of the border. US Secretary of State Antony Blinken on Tuesday said the the United States and Israel “have agreed to develop a plan that will enable humanitarian aid from donor nations and multilateral organizations to reach civilians in Gaza.” 

But on the Egyptian side of the Rafah crossing, a miles long convoy of humanitarian assistance awaiting entry into Gaza, Egyptian Foreign Minister Sameh Shoukry told CNN that “until now, there is no safe passage that has been granted” as they do not “have any authorization or clear, secure routes for those convoys to be able to enter safely and without any possibility of their being targeted.”

Read more about the conflict.

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