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Israel’s military offensive in the Gaza Strip has killed at least 39,929 Palestinians and wounded 92,240 since 7 October the Palestinian enclave’s health ministry said on Tuesday. A total of 32 Palestinians have been killed and 88 wounded in the past 24 hours, the ministry said in a statement.

The Associated Press reports that Israeli strikes in Gaza killed at least 16 Palestinians, including four women and seven children, and orphaned another four children, Palestinian medical officials said Tuesday.

Ten people were killed in a strike late Monday on a house near the southern city of Khan Younis, where Israel ordered mass evacuations in recent days, saying it must act against Palestinian militants.

Nasser hospital, where the bodies were brought, said another four children, including a 5-month-old infant, were wounded. The infant’s parents and their other five children were among those killed. The parents of the other three wounded children were also killed, according to the hospital’s list of casualties. An Associated Press journalist counted the bodies.

A separate strike near Deir al-Balah in central Gaza killed a woman and her twin babies, who were four days old, and their grandmother. Another strike in central Gaza killed a man and his nephew.

An Associated Press reporter counted the bodies at the nearby Al-Aqsa Martyrs hospital and spoke to the father of the twins, who had planned to register their birth on Tuesday.

Israel says it tries to avoid harming civilians and blames their deaths on Hamas because its fighters operate in residential areas. The military rarely comments on individual strikes, which often kill women and children.