GAZA — At least 44 people were killed across Gaza on Saturday in Israeli strikes and gunfire, health officials said, as international pressure mounted for a ceasefire while Israeli Prime Minister Benjamin Netanyahu vowed to press ahead with the war.

Among the dead were nine members of one family in a house at the Nuseirat refugee camp, according to Al-Awda Hospital.

Another five people were killed when a strike hit a tent sheltering displaced families, Nasser Hospital said.

The director of Shifa Hospital in Gaza City, Dr. Mohamed Abu Selmiya, warned that Israeli tanks were approaching the area around the facility, restricting access for the 159 patients being treated there.

“The bombardment has not stopped for a single moment,” he said.

Doctors also voiced concern for 14 premature babies in incubators at Helou Hospital, where staff said drones had closed off the main gate.

The strikes came hours after Netanyahu told the U.N. General Assembly that Israel “must finish the job” against Hamas.

His remarks followed a walkout by dozens of diplomats, underscoring Israel’s growing isolation as more countries move to recognize Palestinian statehood.

U.S. President Donald Trump said negotiations involving regional countries on ending the war were showing progress.

He and Netanyahu are scheduled to meet Monday in New York, with Trump saying he hoped for a deal that would “get the hostages back” and “end the war.”

In Gaza City’s Tufah neighborhood, an airstrike demolished a house, killing at least 11 people, more than half of them women and children, Al-Ahly Hospital said.

Four more were killed when their homes were hit in the Shati refugee camp, while six Palestinians died from Israeli gunfire as they sought aid, according to hospitals in central and southern Gaza.

Hospitals and health clinics remain on the brink of collapse, with two clinics destroyed, two hospitals shut down, and many facilities barely functioning amid severe shortages of medicine, food, and fuel, the Gaza Health Ministry said.

Doctors Without Borders announced Friday it had suspended operations in Gaza City due to advancing Israeli tanks.

Israel’s offensive has killed more than 65,000 Palestinians and wounded over 167,000 since Oct. 7, 2023, according to Gaza’s Health Ministry. It says women and children account for about half of the deaths.

The campaign began after Hamas-led militants stormed into Israel, killing around 1,200 people and taking 251 hostage. Israel says 48 captives remain in Gaza, about 20 believed to be alive. — Agencies