Hospital officials say Palestinians sheltering in tents or seeking scarce food aid were among at least 25 people killed by Israeli strikes in Gaza.

Hospital officials in Gaza say Israeli strikes and gunfire have killed at least 33 Palestinians sheltering in tents or seeking scarce food aid.

"An entire population is being pushed into starvation, destitution, and death,” said Belgium's Deputy Prime Minister.

President Trump is keeping his foreign policy focus on Russia and Ukraine as global outrage grows over Israel’s plans to launch a major new offensive in the Gaza Strip and a declaration of famine on Friday that underscored the catastrophic suffering of Palestinians.

Gaza City and surrounding areas are officially suffering from famine, and it will likely spread, a global hunger monitor determined on Friday, an assessment that will escalate pressure on Israel to allow more aid into the Palestinian territory.

Israeli Defense Minister Israel Katz warned that Gaza city could "turn into Rafah and Beit Hanoun" unless Hamas agrees to Israel's terms.

Conditions in Gaza City are expected to worsen and, while a ceasefire could come, so could a huge military assault.