DEIR AL-BALAH, Gaza Strip(AP) — Israeli strikes overnight and into Thursday killed at least 13 Palestinians in the Gaza Strip, according to hospitals, as Hamas was still considering its response to U.S. President Donald Trump’s proposal for ending the nearly two-year war.

The plan requires Hamas to return all 48 hostages — 20 of them thought by Israel to be alive — give up power and disarm in return for the release of hundreds of Palestinian prisoners and an end to fighting. However, the proposal, which has been accepted by Israeli Prime Minister Benjamin Netanyahu, sets no path to Palestinian statehood.

Palestinians long for the war to end but many believe the plan favors Israel, and a Hamas official told The Associated Press that some elements were unacceptable, without elaborating. Qatar and Egypt, two key mediators, said it requires more negotiations on certain elements.

Nine people — almost all women — were killed when a house was struck in Deir al-Balah, and three people were killed in a strike on a tent in the central city, according to Al-Aqsa Martyrs Hospital.

In Gaza City, health officials at Shifa Hospital said they received one body and several wounded people, adding that its staff are having difficulties reaching the hospital as Israel wages a major offensive aimed at occupying the city.

Israel has meanwhile intercepted most of about 40 vessels in a widely watched flotilla carrying a symbolic amount of humanitarian aid for Palestinians and aiming to break Israel’s 18-year blockade of Gaza, according to organizers.

Israel’s Foreign Ministry said on social media that activists on board – including several European lawmakers – were safe and were being taken to Israel to begin “procedures” for their deportation.

A senior Hamas official told The Associated Press on Wednesday that some points in the proposal agreed upon by Trump and Netanyahu are unacceptable and must be amended, without elaborating.

He said the official response will only come after consultations with other Palestinian factions. Speaking on condition of anonymity because he was not authorized to talk to the media about the ongoing talks, the official said Hamas had conveyed its concerns to Qatar and Egypt.

The Hamas-led attack on southern Israel on Oct. 7, 2023 that triggered the war killed some 1,200 people while 251 others were abducted. Most of the hostages have been freed under previous ceasefire deals.

The Trump plan would guarantee the flow of humanitarian aid and promises reconstruction in Gaza, placing its more than 2 million Palestinians under international governance.

Israel’s campaign in Gaza has killed more than 66,200 Palestinians and wounded nearly 170,000 others, according to Gaza’s Health Ministry. The ministry does not differentiate between civilians and militants in its toll, but has said women and children make up around half the dead.

The ministry is part of the Hamas-run government. U.N. agencies and many independent experts view its figures as the most reliable estimate of wartime casualties.

Around 400,000 Palestinians have fled famine-stricken Gaza City since Israel launched a major offensive there last month. On Thursday morning, smoke could be seen in northern Gaza and people were fleeing the area headed south.

Israel’s defense minister on Wednesday ordered all remaining Palestinians to leave Gaza City, saying it was their “last opportunity” and that anyone who stayed would be considered a militant supporter.

While Hamas’ military capabilities have been vastly depleted, it still carries out sporadic attacks. On Wednesday, at least seven projectiles were launched into Israel from Gaza, but all were either intercepted or fell in open areas, with no reports of casualties, the Israeli military said.

Associated Press writers Giovanna Dell’Orto in Jerusalem, Bassem Mroue in Beirut and Renata Brito in Barcelona, Spain, contributed to this report.

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