Palestinians who fled an ongoing Israeli raid in and around Gaza鈥檚 main hospital described days of heavy fighting, mass arrests and forced marches past dead bodies in interviews Sunday.

Israel鈥檚 military says it has killed over 170 militants and detained about 480 suspects in the raid on Shifa Hospital that began Monday, calling it a heavy blow to Hamas and other armed groups it says had regrouped in the compound.

The fighting also highlights the resilience of Palestinian armed groups in a heavily destroyed part of Gaza where Israeli troops have been forced to return after a similar raid in the earliest weeks of the war.

Kareem Ayman Hathat, who lived in a five-story building about 100 meters (yards) from the hospital, said he huddled in the kitchen for days while gunfire and explosions sometimes caused the building to shake.

Early Saturday, Israeli troops stormed the building and forced dozens of residents to leave. He said men were forced to strip to their underwear and four were detained. The rest were blindfolded and ordered to follow a tank south as blasts thundered around them.

鈥淔rom time to time, the tank would fire a shell,鈥� he told The Associated Press from another hospital where he has sought shelter. 鈥淚t was to terrorize us.鈥�

The head of Israel鈥檚 southern command, Maj. Gen. Yaron Finkelman, has called the Shifa raid a 鈥渄aring, tricky and most impressive operation,鈥� saying it will end 鈥渨hen the last terrorist is in our hands, alive or dead.鈥�

Israeli jets on Sunday launched several strikes near the hospital.

Shifa Hospital had largely stopped functioning following the November raid. After claiming that Hamas maintained an elaborate command center inside and beneath the hospital, Israeli forces exposed a single tunnel leading to a few underground rooms. They also said they found weapons in parts of the hospital.

Gaza City, where Shifa is located, suffered widespread devastation in the early days of Israel鈥檚 offensive, launched after the Oct. 7 Hamas attack that triggered the war. Israeli forces have isolated northern Gaza since November, and hardly any aid has been delivered in recent weeks.

Experts said last week that famine is imminent in northern Gaza, where over 210,000 people are suffering from catastrophic hunger.

A day after standing near some of the estimated 7,000 aid trucks waiting to enter Gaza and calling the starvation a 鈥渕oral outrage,鈥� U.N. Secretary-General Antonio Guterres in Egypt called for an immediate humanitarian cease-fire along with the release of hostages held in Gaza. 鈥淟ooking at Gaza, it almost appears that the four horsemen of war, famine, conquest and death are galloping across it,鈥� he said.

Gaza鈥檚 Health Ministry said five wounded Palestinians trapped at Shifa Hospital had died without food, water or medical services. The World Health Organization鈥檚 director-general, Tedros Adhanom Ghebreyesus, described conditions as 鈥渦tterly inhumane.鈥�

Jameel al-Ayoubi, among thousands of people sheltering at Shifa when the current raid began, said in a phone interview that tanks and armored bulldozers had plowed into the hospital courtyard, crushing ambulances and civilian vehicles. He saw tanks driving over at least four bodies of people killed early in the raid.

Israel鈥檚 military said Saturday it had evacuated patients and medical staff from Shifa鈥檚 emergency department because militants 鈥渆ntrenched鈥� themselves in the building. It said it set up an alternative site for seriously wounded patients.

Abed Radwan, who lived about 200 meters (yards) from the hospital, said Israeli forces stormed all area buildings, detaining several people and forcing the rest to march south. As he walked, he saw bodies in the streets and several flattened homes.

鈥淭hey left nothing intact,鈥� he said from a relative鈥檚 house in central Gaza.

Israel鈥檚 military early Sunday also stormed the al-Amal and Nasser hospitals in the southern city of Khan Younis amid 鈥渧ery intense shelling,鈥� the Palestinian Red Crescent Society said in a statement. The Israeli military announced operations in Khan Younis targeting Hamas infrastructure, saying it 鈥渆liminated terrorists at close range using tank fire.鈥�

Now in its sixth month, the war has killed at least 32,226 Palestinians, according to Gaza鈥檚 Health Ministry. It does not distinguish between civilians and combatants in its toll but says women and children make up around two-thirds of the dead.

Israel says it has killed over 13,000 militants, without providing evidence. It blames civilian casualties on Hamas, accusing it of using schools, hospitals and residential areas.

More than 80% of Gaza鈥檚 population of 2.3 million have fled their homes, with most seeking refuge in the southernmost city of Rafah, which Israel says will be the next target of its ground offensive. Prime Minister Benjamin Netanyahu has rejected calls from the United States and others to avoid launching a major ground operation there, calling it essential for defeating Hamas.

The Hamas-led Oct. 7 attack across southern Israel killed some 1,200 people, mostly civilians, and took scores of people hostage. Hamas still holds an estimated 100 hostages and the remains of 30 others. Most of the rest were freed in exchange for the release of Palestinian prisoners in November.

The United States, Qatar and Egypt are trying to broker another cease-fire and hostage release.

Over the border from Gaza on Sunday, Jews celebrated their most joyful of holidays, Purim, the biblical story of how a plot to exterminate Jews in Persia was thwarted as an affirmation of Jewish survival.

The war has stoked instability across the region, including a low-intensity conflict between Israel and Lebanon鈥檚 Hezbollah militant group. An Israeli airstrike hit a car in the Lebanese town of Soueiri on Sunday, killing a Syrian construction worker, according to Lebanese state media.

Overnight, the Israeli military said it struck a Hezbollah weapons manufacturing facility in Baalbek city in northeastern Lebanon. Local officials said three people were wounded. Hezbollah later announced it fired 60 missiles across the border in response. There were no reports of casualties on the Israeli side.

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Magdy reported from Cairo. Associated Press writer Abby Sewell in Beirut contributed to this report.

Wafaa Shurafa And Samy Magdy, The Associated Press