Gaza Strip   -   Israeli forces bombed and battled Hamas in Gaza City on Wednesday as tens of thousands of Palestinians scrambled for a safe haven after the army issued an evacuation order for a vast swathe of the territory’s south. Apache helicopters and Israeli quadcopter drones flew above Gaza City’s Shujaiya district as heavy gunfire echoed through the streets, reporters said.

Prime Minister Benjamin Netanyahu rejected a US media report saying his generals were urging a Gaza truce even with Hamas undefeated, stressing on Tuesday that “this will not happen”. Military chief Herzi Halevi meanwhile said Israel is engaged in “a long campaign” to destroy Hamas over the October 7 attack and to bring home the hostages held by Palestinian fighters.

The United Nations warned that the almost nine-month-old war had “unleashed a maelstrom of human misery” and that the latest evacuation order had plunged yet more Palestinians into “an abyss of suffering”.

Ten days after Netanyahu said the war’s “intense phase” was winding down, the Israeli military again rained down air strikes and artillery fire on fighters in the Shujaiya district. The air force struck “over 50 terror infrastructure sites” across Gaza in 24 hours while ground troops “eliminated terrorists”, located tunnels and found weapons including AK-47 assault rifles, the military said.

Thousands have fled the fighting in Shujaiya, among them Umm Bashar al-Jamal, 42, who was now sheltering in Gaza City’s Yarmouk sports stadium. “We were displaced five days ago,” she said. “We fled from Shujaiya. We woke up to the sound of tanks. The houses were bulldozed. All our homes!”

The Israeli army -- which issued an evacuation order for Shujaiya a week ago -- on Monday did the same for a larger area near Khan Yunis and Rafah in the south, raising fears of renewed heavy battles there.

Tens of thousands of Palestinians have again taken to the road, many bundling their scant belongings on top of cars or donkey carts as they sought safety elsewhere in the bombed-out wasteland.

The UN agency supporting Palestinian refugees, UNRWA, said 250,000 people had been affected by the latest evacuation order that covers southern areas bordering Israel and Egypt. Almost all patients in the European Gaza Hospital and the Red Cross field hospital decided to flee following the evacuation order, the World Health Organization said. Though the European Gaza Hospital itself is not under evacuation instructions, the order has impacted operations. “Now only three patients remain at the European Gaza Hospital and three at the ICRC field hospital,” the WHO said, citing figures from Tuesday.

UN Secretary-General Antonio Guterres’s spokesman Stephane Dujarric said the southern evacuation order covers 117 square kilometres (45 square miles), “making it the largest such order since October”.

The UN humanitarian coordinator for Gaza, Sigrid Kaag, told the UN Security Council on Tuesday that the war had now displaced 80 percent of Gaza’s population.

She also said not enough aid was reaching the besieged territory and that crossings must be reopened, particularly to southern Gaza, to avert a humanitarian disaster.

“Palestinian civilians in Gaza have been plunged into an abyss of suffering, their home lives shattered, their lives upended,” she said. “The war has not merely created the most profound of humanitarian crises. It has unleashed a maelstrom of human misery.”

Amid the war, siege and mass displacement, more than 150,000 people have contracted skin diseases in the squalid conditions, the World Health Organization said.

Wafaa Elwan, a Palestinian mother of seven who now lives in a tent city, said: “We sleep on the ground, on sand where worms come out underneath us.”

She said her five-year-old son, much of whose body was covered in rashes and welts, “can’t sleep through the night because he can’t stop scratching his body”.

The bloodiest ever Gaza war broke out after Hamas’s October 7 attack on southern Israel resulted in the deaths of 1,195 people, mostly civilians. The fighters also seized 251 hostages, 116 of whom remain in Gaza including 42 the army says are dead.

Israel’s retaliatory offensive has killed at least 37,953 people, also mostly civilians, according to figures from the Hamas-run territory’s health ministry.

The Israeli military said Wednesday that “operational activities continue throughout the Gaza Strip”.

The Gaza civil defence agency said seven people were killed when a strike hit a family house north of Gaza City.

Another strike killed three people in a car at Al-Maghazi refugee camp in the central Deir al-Balah area, an reporter said.

The New York Times has quoted Israeli security officials as saying top generals see a truce as the best way to secure the release of the remaining hostages, even if that meant not achieving all of the war goals.

Netanyahu strongly rejected this and vowed Israel would not give in to the “winds of defeatism”.

“The war will end once Israel achieves all of its objectives, including the destruction of Hamas and the release of all of our hostages,” he said.