The US says Israel will begin to implement four-hour military pauses in areas of northern Gaza each day to allow civilians to flee.
The Israeli military says there will be "tactical, local pauses for humanitarian aid" but "no ceasefire".
Meanwhile, the Hamas-controlled health ministry in Gaza said Israel has carried out airstrikes on or near at least three hospitals.
Israel has confirmed its military is operating close to Al-Shifa, the biggest hospital in Gaza City.
Videos circulating on social media show what appears to be the aftermath of a missile or mortar striking the hospital courtyard.
The BBC has not been able to verify the incident and the Israeli military said it is looking into reports of a blast.
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