Israel bombed at least four homes in Rafah on Wednesday, raising new fear among the more than a million Palestinians sheltering in the last refuge on the southern edge of the Gaza Strip that a long-threatened ground assault could be coming.

One of the airstrikes killed 11 people from a single family, health officials said.

Mussa Dhaheer, looking on from below as neighbors helped an emergency worker lower a victim in a black body bag from an upper storey, said he had awakened to the blast, kissed his terrified daughter, and rushed outside to find the destruction. His father, 75, and mother, 62, were among the dead.

"I don't know what to do. I don't know what to say. I can't make sense of what happened. My parents. My father with his displaced friends who came from Gaza City," he told Reuters.

"They were all together, when suddenly they were all gone like dust."

At another bomb site, Jamil Abu Houri said the intensification of air strikes was Israel's way of showing its disdain for a UN Security Council resolution last week demanding an immediate Israel-Hamas ceasefire.

Next up, he fears a ground assault on Rafah, which Israel has threatened for weeks to carry out despite pleas from its closest ally Washington that this would wreak a humanitarian disaster.

"The bombing has increased, and they have threatened us with an incursion, and they say that have been given the green light for the Rafah incursion. Where is the Security Council?" Abu Houri said.

"Look at our little ones. Look at our children. Where should we go? Where should we go?"

Another Israeli airstrike in Rafah on Wednesday afternoon killed four Palestinians including a woman and a child and injured other residents, Gaza health authorities said.

Just west of Gaza City in the enclave's north, seven people were killed in an airstrike on a house, health officials said.

The Israeli military says it is targeting armed Hamas militants who use civilian buildings, including apartment blocks and hospitals, for cover. Hamas denies doing so.

West Bank violence

Separately, in the Israeli-occupied West Bank, where bloodshed has worsened in parallel with the Gaza war, three Palestinians were killed and four wounded by Israeli fire during a raid in Jenin overnight, the Palestinian health ministry said.

At least 32,000 Palestinians have been killed in Israel's air and ground offensive into Hamas-run Gaza, according to the health ministry there, with thousands of other dead believed buried under rubble and over 80% of the 2.3 million population displaced, many at risk of famine.

The war erupted after Hamas gunmen broke through the border on Oct. 7 and rampaged through nearby communities, killing 1,200 people and abducting 253 hostages according to Israeli tallies.

Israeli forces just north of Rafah kept the two main hospitals in Khan Younis, Al-Amal and Nasser Hospital, under a blockade imposed late last week. In the north, they were still operating inside Al Shifa, the enclave's largest hospital, which they stormed more than a week ago.

Israel says the hospitals have been lairs for Hamas gunmen, which Hamas and medical staff deny. The Israeli military has said it killed and captured hundreds of fighters in a battle in Al Shifa. Hamas says civilians and medics were rounded up.

Gaza's health ministry said wounded people and patients were being held inside Al Shifa's human resources department that was not equipped to provide them with healthcare.

Residents living nearby have reported hearing explosions in and around Al Shifa and columns of smoke coming from buildings inside the premises.

"A war zone, this is how it looks in and around Al Shifa," Mohammad Jamal, 25, who lives one km (less than one mile) away from Al Shifa, said via a mobile phone chat app.

"Explosions never stop, we see lines of smoke coming from inside, no one moves even in streets that are hundreds of meters away because of Israeli snipers on rooftops of buildings."

International mediation has failed to secure a ceasefire and exchange of prisoners so far as the two sides stick to irreconcilable demands. Hamas wants an end to the war and total Israeli withdrawal from Gaza while Israel has vowed to keep fighting until its foe is eradicated.

Military plans

Meanwhile, Israel has asked to reschedule a meeting with US officials to discuss its military plans in Gaza's southern city of Rafah, a US official said on Wednesday, days after Prime Minister Benjamin Netanyahu abruptly scrapped the planned talks.

Netanyahu called off a planned visit to Washington by a senior Israeli delegation after the US allowed passage of a Gaza ceasefire resolution at the United Nations on Monday, in a move that appeared to reflect growing US frustration with the Israeli premier.

US officials said the Biden administration was perplexed by the Israeli cancellation and considered it an overreaction to the Security Council resolution, insisting there had been no change in policy.

On Wednesday, a US official said Netanyahu's office "has said they'd like to reschedule the meeting dedicated to Rafah. We are now working with them to set a convenient date."

Netanyahu is considering sending a delegation for a White House meeting on Rafah as early as next week, but the scheduling is still being worked out, an Israeli official in Washington told Reuters on condition of anonymity.

There was no immediate comment from the Israeli prime minister's office.

The planned talks are expected to focus on Israel's threatened offensive in Rafah, the last relatively safe haven for Palestinian civilians in Gaza.

The White House said last week it intended to share with Israeli officials alternatives for eliminating Hamas without a ground offensive in Rafah that Washington says would be a "disaster."