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A young woman lies with papers and a phone inside an ambulance waiting at the Rafah border crossing in the southern Gaza Strip before receiving medical care in Egypt on Nov. 1.MOHAMMED ABED/AFP/Getty Images

Israeli ground troops have advanced to “the gates of Gaza City” in heavy fighting with militants, the military said Wednesday, as hundreds of foreign nationals and dozens of seriously injured Palestinians were allowed to leave Gaza after more than three weeks under siege.

The first people to leave Gaza – other than four hostages released by Hamas and another rescued by Israeli forces – crossed into Egypt, escaping the territory’s growing misery as bombings drive hundreds of thousands from their homes, and food, water and fuel run low.

The U.S. State Department said some American citizens were among those who left, without giving specifics. It said it expected more Americans and other foreign nationals to get out of Gaza in coming days. Talks were reportedly ongoing among Egypt, Israel and Qatar, which has been mediating with Hamas.

Heavy airstrikes demolished apartment buildings for the second day in a row in the densely populated Jabaliya refugee camp near Gaza City. Al Jazeera television showed wounded people, including children, being brought to a hospital.

U.S. Secretary of State Antony Blinken will visit Israel and Jordan on Friday – his second trip to the region since the war was sparked by Hamas’ bloody Oct. 7 rampage in southern Israel. Blinken aims to reiterate U.S. support for Israel, but also to push to ensure humanitarian aid reaches Palestinians in Gaza.

In a sign of increasing alarm over the war among Arab countries, Jordan – a key U.S. ally with a peace deal with Israel – recalled its ambassador from Israel and told Israel’s ambassador to remain out of the country.

Deputy Prime Minister Ayman al-Safadi said the return of the ambassadors is linked to Israel “stopping its war on Gaza and the humanitarian catastrophe it is causing.”

  • A woman gives water to a child while waiting next to Palestinian health ministry ambulances at the Rafah border crossing with Egypt.MOHAMMED ABED/AFP/Getty Images

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Brig Gen. Itzik Cohen, commander of the 162nd Armored Division, said his troops were deep in Gaza. “We are located at the gates of Gaza City.”

Israeli forces appeared to be advancing on three main routes, according to the Institute for the Study of War, a U.S. research group that tracks conflicts. One thrust came from Gaza’s northeast corner. Another south of Gaza City was cutting across the breadth of the territory, reaching the main north-south highway.

The third from Gaza’s northeast corner had moved about 3 miles (5 kilometres) down the Mediterranean coast and reached the outskirts of the Shati and Jabaliya refugee camps on the edges of Gaza City.

No Canadians among first departure of foreign nationals from Gaza Strip

Hamas and the smaller Islamic Jihad militant group reported clashes with Israeli troops in several locations. Hamas’ armed wing posted video purporting to show its fighters emerging from tunnels and firing anti-tank rockets at Israeli tanks east of Gaza City.

The Israeli military said its airstrikes killed the head of Hamas’ anti-tank rocket unit in Gaza.

Several hundred thousand Palestinians remain in northern Gaza in the path of the fighting. Casualties on both sides are expected to rise as Israeli troops advance toward the dense residential neighbourhoods of Gaza City. Israeli officials say Hamas’ military infrastructure, including tunnels, is concentrated in the city.

The toll was not known from the strikes Wednesday in Jabaliya. Airstrikes in the same area killed or wounded hundreds, according to the director of a nearby hospital. Israel said those strikes destroyed Hamas tunnels beneath the buildings and killed dozens of fighters.

Rocket fire by Gaza militants into Israel has continued, disrupting life for millions of people and forcing an estimated 250,000 people to evacuate towns in northern and southern Israel. Most rockets are intercepted, but some have gotten through, causing a small number of deaths and damaging buildings as far away as Tel Aviv.

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A Palestinian man reacts, as people search for survivors in the aftermath of Israeli strikes in Khan Younis, in the southern Gaza Strip on Nov. 1.MOHAMMED SALEM/Reuters

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Israeli army soldiers sit kneeling at a position in the upper Galilee region of northern Israel near the border with Lebanon on Nov. 1.JALAA MAREY/AFP/Getty Images

By midafternoon Wednesday, 335 foreign passport holders left Gaza through the Rafah crossing into Egypt, according to Wael Abu Omar, a spokesman for the Palestinian Crossings Authority.

Seventy-six Palestinian patients, along with their companions, have been evacuated for treatment in Egypt, Abu Omar said.

The authority said the plan was for more than 400 foreign passport holders to leave for Egypt. The White House said it expected a “handful” of American citizens to be among them, and German, French and British officials said their citizens were among the evacuees.

Hundreds more remain in Gaza. The U.S. has said it is trying to evacuate 400 Americans with their families.

Egypt has said it will not accept an influx of Palestinian refugees because of fears Israel will not allow them to return to Gaza after the war.

Israel’s Gazan ground war: A battlefield snapshot

Over half of Gaza’s 2.3 million people have fled their homes, and supplies of food, medicine, water and fuel are running low.

Hospitals in Gaza expressed increasing alarm that their generators running life-saving equipment were on the verge of going dead after weeks of Israel barring entry of fuel.

Only hours of electricity remained at Gaza City’s largest hospital, Shifa, according to its director, Mohammed Abu Salmia, who pleaded for “whoever has a litre of diesel in his home” to donate it.

The Turkish-Palestinian Hospital, Gaza’s only facility offering specialized treatment for cancer patients, was forced to shut down because of lack of fuel, leaving 70 cancer patients in a critical situation, the Health Ministry said.

The World Health Organization said the lack of fuel puts at risk 1,000 patients on kidney dialysis, 130 premature babies in incubators, as well as cancer patients and patients on ventilators.

The Israeli military released a recording of what it said was a Hamas military commander forcing a hospital to give some fuel. The recording could not be independently verified.

  • Family and friends of Israeli soldier Ori Megidish, who was taken hostage by Hamas, react to the news of her release in Kiryat Gat, Israel.EVELYN HOCKSTEIN/Reuters

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More than 8,800 Palestinians have been killed in the war, mostly women and minors, and more than 22,000 people have been wounded, the Palestinian Health Ministry said Wednesday, without providing a breakdown between civilians and fighters. The figure is without precedent in decades of Israeli-Palestinian violence.

Over 1,400 people have died on the Israeli side, mainly civilians killed during Hamas’ initial attack, also an unprecedented figure. Palestinian militants also abducted around 240 people during their incursion and have continued firing rockets into Israel.

Sixteen Israeli soldiers have been killed in Gaza since the start of the ground operation.

An estimated 800,000 Palestinians have fled south from northern Gaza following Israeli evacuation orders, but hundreds of thousands remain.

Israel has allowed more than 260 trucks carrying food and medicine to enter from Egypt over the past 10 days, but aid workers say it’s not nearly enough.

Israel has vowed to crush Hamas’ ability to govern Gaza or threaten Israel. But it has said little about who would govern Gaza afterwards.

During his visit Friday, Blinken wants to discuss with Israel and Jordan an end game for the Gaza conflict once it is over, State Department spokesman Matthew Miller said. To that end, Blinken will push Israeli officials on reining in violence by Israeli settlers against Palestinians in the West Bank and will restate U.S. backing for the eventual establishment of a Palestinian state in the West Bank and Gaza, he said.

On Tuesday, Blinken suggested President Mahmoud Abbas’s Palestinian Authority could govern Gaza.

Hamas drove the authority’s forces out of Gaza in heavy fighting in 2007, leaving it with limited control over parts of the Israeli-occupied West Bank. Palestinian support for the authority has plunged, with many dismissing it as little more than Israel’s police force.

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