Hospital officials in Gaza say Israeli strikes and gunfire have killed at least 33 Palestinians sheltering in tents or seeking scarce food aid.

"An entire population is being pushed into starvation, destitution, and death,” said Belgium's Deputy Prime Minister.

President Trump is keeping his foreign policy focus on Russia and Ukraine as global outrage grows over Israel’s plans to launch a major new offensive in the Gaza Strip and a declaration of famine on Friday that underscored the catastrophic suffering of Palestinians.

Lawmakers in the Netherlands on Saturday rejected a motion that would recognize an independent Palestinian state and measures that would sanction Israel.

Israeli Defense Minister Israel Katz warned that Gaza city could "turn into Rafah and Beit Hanoun" unless Hamas agrees to Israel's terms.

Conditions in Gaza City are expected to worsen and, while a ceasefire could come, so could a huge military assault.

Israel says "there is no famine in Gaza" after the IPC reports more than 500,000 people in the Strip are facing "starvation, destitution and death".