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Israel has killed at least 23 Palestinians in attacks across the Gaza Strip in one of the deadliest days since an October “ceasefire” began, according to medical sources.

The sources told Al Jazeera several children were among the casualties on Wednesday, including an 11-year-old girl.

At least 14 people were killed in Israeli shelling on the Tuffah and Zeitoun neighbourhoods of Gaza City. Another four were reported dead in an attack on tents sheltering displaced people in the Qizan Abu Rashwan area, south of Khan Younis, in southern Gaza.

An additional two people were killed by Israeli air attacks on the al-Mawasi coastal tent camp. The Palestine Red Crescent Society said one of the victims was first responder Hussein Hasan Hussein al-Sumairy.

Reporting from Khan Younis, Al Jazeera’s Tareq Abu Azzoum said a number of residential homes in Gaza City “have been squarely targeted without any prior warning”.

Abu Azzoum said the attacks, occurring despite a United States-brokered “ceasefire” supposedly being in place, have left Palestinians in Gaza “without any sense of respite”.

“There has been a surge in Israel’s military activities across Gaza in the past few hours,” he said. “We can hear the … sound of Israeli drones hovering overhead, giving a sign of further potential attacks that might take place.”

Israel’s military said its armoured units and aircraft conducted attacks in northern Gaza after a reserve officer came under fire and was severely injured.

It said the officer was evacuated to hospital after the incident, which took place “during routine operational activity” near the “yellow line” that demarcates areas under Israeli military control.

Abu Azzoum said Israel was moving the location of the “yellow line” in eastern Gaza, causing anxiety for residents there.

Israel has killed more than 520 Palestinians since the “ceasefire” went into effect nearly four months ago.

On Wednesday, the Ministry of Health in Gaza said that Israel had handed over the bodies of 54 Palestinians and 66 boxes containing “human remains and organs”.

The bodies and human remains were handed over by Israeli authorities to the Red Cross, and they will now be examined by medical teams in Gaza before being passed on to families in the enclave, the ministry said.

At least 71,803 Palestinians have been killed in Israeli attacks since the war began on October 7, 2023. Rights groups and a United Nations inquiry have called Israeli military actions in Gaza a genocide. A case of genocide against Israel is under way at the International Court of Justice in The Hague.

Rafah crossing evacuations set to resume

Amid the uptick in Israeli attacks, the Palestine Red Crescent Society said Israel had cancelled the coordination for a third group of Palestinian patients to leave the Gaza Strip on Wednesday through the Rafah crossing.

“Unfortunately, a few minutes ago, we were … informed that the evacuation process of today has been cancelled,” Red Crescent spokesperson Raed al-Nims told Al Jazeera from Khan Younis. He said Israel informed the organisation about the move on Wednesday morning.

Later on Wednesday, Al Jazeera’s Abu Azzoum reported that the evacuation was now due to go ahead as the coordination process had been completed. That development came after varying reports were released about why Wednesday’s medical evacuations had originally been suspended.

Al-Nims said the procedure should have seen sick and wounded people arrive at a Red Cross hospital for preliminary medical checkups before being transferred by ambulance to the Rafah crossing, then to Egyptian hospitals or elsewhere.

COGAT, an Israeli Ministry of Defence body, said in an X post that the World Health Organization (WHO), which is responsible for coordinating the arrival of residents from the Gaza Strip to the Rafah crossing, had not submitted “the required coordination details at this stage for procedural reasons”.

There was no immediate comment from the WHO.

Israel agreed this week to partially open the key crossing between Gaza and Egypt after it was closed for nearly two years. Still, restrictions on the movement of people remain in place, with only five Palestinians permitted to leave for Egypt on Monday and 16 on Tuesday – numbers far below the 50 Palestinians who Israeli officials said would be allowed to leave daily.

Only Palestinians who left Gaza during the war and have undergone strict security vetting by Israeli authorities are being permitted to return.

Those who have recently returned have described being blindfolded, handcuffed, interrogated and sexually harassed as they made the trip.

More than 18,000 Palestinian patients are also awaiting medical evacuations through the crossing, including about 440 critical cases that need immediate attention, Gaza health officials said.

Abu Azzoum said Israel was not giving any explanation as to why some Palestinians were being denied permission to leave or return to the Strip.

“Even for those who are willing to return to Gaza, the return must go through military lanes first, as people have told us that their names must be pre-declared by the Israeli military and their movement capped, and even their return is being regulated,” Abu Azzoum said.

“Even the final decision regarding that does not rest with Palestinians but with the [Israeli  forces].”

Palestinian killed in Jericho raid

While the killings have played out in Gaza, Israeli forces have also carried out attacks in the occupied West Bank.

Saeed Na’el al-Sheikh, a 24-year-old Palestinian man, was shot and killed by Israeli forces on Tuesday night during a raid on the city of Jericho in the eastern West Bank, the Palestinian news agency Wafa reported.

The Palestinian Ministry of Health said three Palestinians were wounded.

Six more Palestinians were wounded in other attacks: Three who were shot, two who were beaten by Israeli soldiers and a woman who was run over by a military vehicle.