Hospital officials in Gaza say Israeli strikes and gunfire have killed at least 25 Palestinians sheltering in tents or seeking scarce food aid.

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

Famine has been determined in Gaza Governorate, where Gaza City is located, according to a warning issued Friday by the Integrated Food Security Phase Classification (IPC).The report from IPC -- a global initiative monitoring hunger with the backing of governments,

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.

The determination comes after months of warnings by aid groups that Israel’s restrictions of food and other aid into Gaza were causing starvation among Palestinian civilians.

Food-security experts said a famine has taken hold in the Gaza City area, the first-ever such determination in the Middle East and one that puts more pressure on Israel.

Israel’s defense minister warned on Friday that Gaza City could be destroyed unless Hamas accepts Israel’s terms, as the country prepares for an expanded offensive in the area

Israeli Defense Minister Israel Katz threatened to turn Gaza City "into Rafah and Beit Hanoun," meaning leaving it in ruins, unless the militant group Hamas agrees to Israel's conditions for ending the war.