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The United States has created a channel with Israel to discuss concerns over incidents in Gaza in which civilians have been killed or injured by the Israeli military and civilian facilities have been targeted, two U.S. officials with knowledge told Reuters.

The channel was set up after a meeting earlier this month between U.S. Secretary of State Antony Blinken and Israel’s war cabinet during which Mr. Blinken expressed concern about the “constant” reports of Israeli strikes that either hit humanitarian sites or resulted in large numbers of civilian deaths.

In the meeting, Mr. Blinken told Israeli Prime Minister Benjamin Netanyahu, Defence Minister Yoav Gallant and minister Benny Gantz that Washington needed to know “what the answers are” when it comes to reports of strikes, and sought a “reliable channel” through which the United States can raise such issues with the Israelis regularly, one of the U.S. officials said.

The existence of this initiative has not been previously reported, and the U.S. officials requested anonymity to discuss the sensitive details around it.

The channel comes as a response to the mounting pressure on the Biden administration over the steep toll on Palestinian civilians of Israel’s campaign against Hamas, which has killed more than 25,000 people, according to Gaza’s Hamas-run Health Ministry, and displaced millions.

It also underscores Washington’s frustration with Israel’s failure to alleviate the plight of a civilian population deprived since mid-October of most of the aid that previously flowed into Gaza, and of adequate medical care for the more than 62,000 people who have been wounded.

Through the channel, which has been active for the last few weeks, Washington raises with the Israelis “every specific incident of concern” related to Israel’s military campaign in Gaza, another U.S. official said. The Israelis investigate and provide feedback to the Americans.

In some instances, the Israelis have conveyed additional information that sheds light on an incident, while in others, they admitted they “made a mistake,” the officials said, without specifying which ones.

The United States set up the process to drive accountability for Israel, one of the officials said. It was not clear what action, if any, Washington would take against Israel as a result of what it learns.

Most recently, the United States used the channel to seek details on what the United Nations on Wednesday said was an attack by Israeli tanks on one of its compounds in Gaza sheltering displaced Palestinians. It was not clear how Israel responded, officials said.

On Thursday, an Israeli strike on Gaza City killed 20 Palestinians and wounded 150 who were queuing for food aid, the Health Ministry said, in what a Palestinian coalition called a “war crime.”

The Israeli military said it was looking into the report. The National and Islamic Forces Follow-up Committee, a coalition of militant and political groups, said Israeli forces targeted the civilians waiting for relief aid. Dozens were killed and injured in a “war crime and genocide,” the group said in a statement.

Also in central Gaza, Palestinian health officials said an Israeli air strike at nightfall on a house in Al-Nusseirat refugee camp killed six people.

In the south of the enclave, Israeli tanks battered areas around two hospitals in Gaza’s main southern city Khan Younis, forcing displaced people into a new desperate scramble for safety, residents said.

Most of the Gaza Strip’s 2.3 million population is now squeezed into Khan Younis and towns just north and south of it, after being driven out of Gaza’s northern half earlier in Israel’s military campaign, now in its fourth month.

Gaza health officials said at least 50 Palestinians had been killed in the past 24 hours in Khan Younis, where Israel has shifted full-blown military operations after starting to pull forces out of northern areas it says it now largely controls.

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