A pair of Is­raeli strikes in Gaza’s south­ern city of Khan You­nis ear­ly Thurs­day killed five peo­ple, ac­cord­ing to hos­pi­tal of­fi­cials, bring­ing the death toll from airstrikes in the Pales­tin­ian ter­ri­to­ry over a rough­ly 12-hour pe­ri­od to 33. The strikes have been some of the dead­liest since Oct. 10 when a U.S.-bro­kered cease­fire came in­to force.

The re­newed es­ca­la­tion came af­ter Is­rael said its sol­diers had come un­der fire in Khan You­nis on Wednes­day. Is­rael said no sol­diers were killed and re­spond­ed with strikes.

Of­fi­cials at Nass­er hos­pi­tal in Khan You­nis said they re­ceived the bod­ies of 17 peo­ple, in­clud­ing five women and five chil­dren fol­low­ing four Is­raeli airstrikes tar­get­ing tents shel­ter­ing dis­placed peo­ple.