Gaza City, May 10 (RHC)-- The Israeli military has ramped up its attacks in Rafah, southern Gaza, and hit Gaza City while crippling humanitarian aid operations across the Palestinian territory as ceasefire talks ended without a deal.

The United Nations Relief and Works Agency for Palestinian Refugees in the Near East (UNRWA) said on Friday that 110,000 Palestinians have fled Rafah.  Israeli troops were advancing in the east of the city in close combat operations and conducting air raids.

“People are petrified.  People have been fearing this for a long, long time and it is now upon us.  There is constant bombardment.  There is smoke on the horizon.  There are people on the move,” Sam Rose, director of planning for the UNRWA, told Al Jazeera from Rafah.  He said Israel was subjecting Gaza to a “medieval siege” in a “scorched earth” war.

Israeli forces seized control of the Rafah border crossing, sealing the crucial entry point for humanitarian aid.

“No aid has come into Gaza now since Sunday. No aid, no fuel, no supplies, nothing. And we really are now down to our last reserves,” Rose said.  “We have a few more days of flour that we can provide.  But everything else will start to shut down very soon without fuel, without water. So the situation is really desperate,” he added.

Under heavy attack, patients and staff have been forced out of hospitals in Rafah, leaving many sick and wounded Palestinians with no way of being treated.  “Al-Najjar Hospital is out of service. And the Kuwaiti Hospital [in Rafah] is just for trauma and emergency,” said Palestinian doctor Mohammed Zaqout. “We have no beds, no hospitals to refer [people to], especially for critical patients.”

Further north, witnesses reported air strikes and fighting in neighbourhoods of Gaza City, targeting Zeitoun, Sabra, Nassr, Tal al-Hawa, and the Shati refugee camp.  At least three people were killed and five wounded after Israeli strikes hit a family home in central Gaza City, according to the Wafa news agency.