ISRAEL’S latest operations in northern Gaza have killed dozens and threaten to shut down hospitals, Palestinian officials and residents said today.

The Gaza Health Ministry revealed that the death toll from one year of attacks has risen over 42,000, with women and children making up over half the dead.

Israel has issued an evacuation order to people in northern Gaza, but Philippe Lazzarini from the United Nations Relief and Works Agency for Palestine Refugees (UNRWA) said that 400,000 people are trapped there where there is “no end to hell.”

“Hunger is spreading,” he warned.

An air strike in Jabaliya refugee camp early today killed at least nine people, including two women and two children, according to Al-Ahly Hospital in Gaza City which received the bodies.

Strikes in central Gaza killed another nine people, including three children, according to Al-Aqsa Martyrs Hospital in Deir al-Balah.

Residents of Jabaliya said that thousands of people have been trapped in their homes since Israel’s latest ground and air operation began Sunday.

“It’s like hell. We can’t get out,” said Mohamed Awda, who lives with his parents and six siblings.

He said that there were three bodies in the street outside his home because they could not be retrieved.

UNRWA said that it was evacuating seven schools that were being used as shelters and that only two of eight water wells in the camp were still functioning.

Al-Ahly Hospital director Fadel Naeem said that it had received dozens of wounded people and bodies from the north.

He said that three hospitals farther north have become almost inaccessible because of the fighting.

The Gaza Health Ministry says that the Israeli army has ordered all three to evacuate staff and patients.

Meanwhile, no humanitarian aid has entered the north since October 1, according to UN data.