The United States has circulated for the first time a draft UN resolution calling for an "immediate" ceasefire in the Israel-Hamas war, as warnings grow of famine in besieged Gaza.
Washington had blocked previous Security Council texts using the word "immediate" but US top diplomat Antony Blinken confirmed the shift in position on Wednesday.
Blinken, who is to meet five Arab foreign ministers in Egypt on Thursday, stressed any immediate truce must be linked to the release of hostages snatched by Palestinian militants during the October 7 attack that set off the war.
The Israeli bombardment of Gaza continued overnight with the health ministry in the Hamas-run territory saying at least 70 people had been killed, pushing the overall toll towards 32,000.
"We were sleeping safely when we heard a big blast," Gaza resident Mahmud Abu Arar told AFP following an Israeli bombardment in the southern city of Rafah on Wednesday.
He said the blast was "like an earthquake" and he had pulled bodies from the rubble.
Gaza's biggest hospital has emerged as a major flashpoint after Israel accused Palestinian militants of hiding out there and launched a days-long raid, which it said on Thursday had killed more than 140 fighters.
Hamas said the ongoing attack on the vast Al-Shifa hospital complex, crowded with patients and people seeking refuge, was a crime.
Gaza's civilian infrastructure has largely collapsed and UN agencies are warning that the territory's 2.4 million people are on the brink of famine.
The United States has vetoed previous UN Security Council texts on the nearly six-month war, objecting even last month to the term "immediate" in a draft submitted by Algeria.
A new version circulated by the US and seen by AFP stressed "the need for an immediate and durable ceasefire" to protect civilians and allow aid into the territory.
No vote has been scheduled on the text but Blinken told Saudi media outlet Al Hadath on Wednesday that support for the resolution would send a "strong message".
The US secretary of state, whose diplomatic push is running alongside mediation efforts in Qatar, will land in Israel on Friday.