Doctors Without Borders, a medical charity known by its French initials MSF, says its teams in central and southern Gaza are responding to influxes of patients.

In Nasser Hospital, it received 55 dead and 113 injured while in Deir el-Balah, the MSF field hospital received 10 injured.

In Al-Aqsa Hospital, it received 20 dead and 68 injured. MSF’s Attar clinic in al-Mawasi, which was also hit with shrapnel, received 26 injured.

“We woke up, at around 2am local time, to 20 minutes of airstrikes and heavy artillery, just like the past 15 months of war,” Claire Nicolet, MSF head of emergencies, said in a statement.

“We are appalled and outraged by these new unacceptable massacres of civilians.”