The Palestinian death toll in Israel's ongoing genocide in Gaza crossed 45,000 on Monday with 52 killed across the bombed-out strip over the past 24 hours, Palestinian health officials said.

The Gaza Health Ministry added that more than half of the fatalities are women and children, while Israel claims it has killed more than 17,000 resistance members, without providing evidence.

With the death toll mounting ever higher, efforts to reach a cease-fire have picked up in recent weeks after repeatedly faltering. Qatar, Egypt and the United States have renewed their efforts to broker a deal at senior levels in recent days. Mediators have said there appears to be more willingness from both sides to conclude a cease-fire.

The Health Ministry said 45,028 people have been killed and 106,962 have been wounded since the start of the war. It has said the real toll is higher because thousands of bodies are still buried under rubble or in areas that medics cannot access.

The latest conflict has been by far the deadliest, with the death toll now amounting to roughly 2% of Gaza’s entire pre-war population of about 2.3 million.

Among the dead reported in the overall toll were 10 people, including a family of four, who were killed in an overnight Israeli strike in Gaza City, Palestinian medics said.

The strike late Sunday hit a house in Gaza City’s eastern Shijaiyah neighborhood, according to the Health Ministry’s emergency service. Rescuers recovered the bodies of 10 people from under the rubble, including those of two parents and their two children, it said.

Crushed under rubble

Israel alleges Hamas is responsible for the civilian death toll because it operates from within civilian areas in the densely populated Gaza Strip. Rights groups and Palestinians, however, blame Israel for failing to take sufficient precautions to avoid civilian deaths.

The war was triggered by the Hamas incursion of southern Israel on Oct. 7, 2023, which caused around 1,200 deaths and abducted another 250.

A separate strike on a school Sunday in the southern city of Khan Younis killed at least 13 people, including six children and two women, according to Nasser Hospital where the bodies were taken.

The hospital initially reported the strike had killed 16 people, but it later revised the death toll as the three other bodies had been from a separate strike that hit a house.

Louise Wateridge, a spokeswoman for UNRWA, the United Nations relief agency for Palestinians, said she met with children injured in Sunday’s strike on the school turned shelter. They included a 17-year-old girl who suffered a severe leg injury and shrapnel wounds. She survived along with her twin sister and three other sisters, Wateridge said.

Their mother died and Wateridge said one of the sisters described "how their mother’s bones were crushed under the rubble. There was nothing they could do to save her."

Wateridge also met with two siblings aged 2 and 5 at Nasser Hospital where the casualties were taken. Both children have severe head and body injuries, with 2-year-old Julia losing sight in her eye. "There is nothing we can do. We are already waiting for the next attack," Wateridge quoted a doctor as telling her.

The Israeli military once again accused Hamas of operating inside a command and control center embedded within the school compound in Khan Younis, without providing evidence.

138 journalists killed

In central Gaza's Nuseirat urban refugee camp, mourners gathered for the funeral of a Palestinian journalist working for the Qatari-based Al Jazeera TV network who was killed Sunday in a strike on a point for Gaza's civil defense agency. They carried his body through the street from the hospital, his blue bulletproof vest resting atop.

The strike also killed three civil defense workers, including the local head of the agency, according to Al-Aqsa Martyrs Hospital.

Al Jazeera said Ahmad Baker al-Louh, 39, had been covering rescue operations of a family wounded in an earlier bombing when he was killed.

The International Federation of Journalists said last week that 104 journalists and media workers have been killed so far in 2024, with more than half of them perishing during the Israel-Hamas war in the Gaza Strip.

The group said that since the Oct. 7, 2023, at least 138 had been killed, including 55 Palestinian media professionals in the calendar year.

The Israeli military said its strike had targeted Hamas and Islamic Jihad members "who were operating in a command and control center embedded in the offices of the 'Civil Defense' organization in Nuseirat." It accused the journalist of having been a member of Islamic Jihad, an accusation his colleagues in Gaza denied.

Gaza's civil defense also rejected the claims that resistance members had been operating from the site.

"We were stunned by the Israeli occupation statement," Mahmoud al-Lawh, the journalist’s cousin, told The Associated Press. "These claims are lies and misleading to cover up this crime."