An Israeli airstrike hit a tent inside a hospital compound in central Gaza, killing at least five people, bringing the total of Palestinians killed to 19, Gaza health officials said, after another round of talks ended without result, Reuters reports.

The airstrike hit a tent area inside the Al-Aqsa Hospital compound, starting a fire, and wounding at least 18 people in addition to the five killed, medical authorities said.

The Israeli military said it struck a fighter who “conducted terror activities” and that secondary explosions were identified, indicating weapons were present in the area.