The health ministry in Gaza said the number of Palestinians killed in Israel’s attack since October 7 has risen to at least 11,078, Al Jazeera reported. The death toll includes at least 4,506 children, the ministry said. Iran warned the scale of civilian suffering caused by Israel’s war on Hamas would inevitably lead to an expansion of the conflict, as officials in Gaza reported Israeli air strikes on or near several hospitals in the Palestinian enclave. The comments from Iranian Foreign Minister Hossein Amir-Abdollahian could ramp up concerns over whether Washington’s diplomatic efforts and deployment of U.S. naval forces to the eastern Mediterranean will be able to keep the conflict from further destabilising the Middle East. “Due to the expansion of the intensity of the war against Gaza’s civilian residents, expansion of the scope of the war has become inevitable,” Amir-Abdollahian told his Qatari counterpart Sheikh Mohammed Bin Abdulrahman Al Thani on Thursday night. Iran’s state-run Press TV reported the comments, made during a telephone conversation, on Friday. Israel’s bombardment and siege of Gaza over the past month has created a humanitarian catastrophe with thousands seeking medical treatment and shelter in the few hospitals still open, with those in the combat zone operating in grave danger. “The Israeli occupation launched simultaneous strikes on a number of hospitals during the past hours,” Gaza Ministry of Health spokesman Ashraf Al-Qidra told Al Jazeera television. Qidra said Israel targeted the courtyard of Al Shifa, the biggest hospital in Gaza City, and there were casualties, but he did not provide details. Israel’s military did not immediately comment on Qidra’s statement. The month-old Israeli military campaign has left Gaza’s hospitals struggling to cope, as medical supplies, clean water and fuel to power generators have been running out. Gaza’s health ministry has said 18 of Gaza’s 35 hospitals and 40 other health centres were out of service either due to damage from bombardment or lack of fuel. Palestinian media published video footage on Friday of Al Shifa that it said showed the aftermath of an Israeli attack on a parking lot where displaced Palestinians were sheltered and journalists were observing. A pool of blood could be seen next to the body of a man being placed on a stretcher. “With ongoing strikes and fighting nearby (Al Shifa), we are gravely concerned about the well-being of thousands of civilians there, many children among them, seeking medical care and shelter,” Human Rights Watch said on social media site X. Qidra said Al-Rantisi Pediatric Hospital and Al-Nasr Children’s Hospital “have been witnessing a series of direct attacks and bombardments” on Friday. He said strikes on the hospital grounds at Al-Rantisi set vehicles on fire but they had been partly extinguished. Indonesia’s foreign ministry said on Friday there were explosions near the Indonesian Hospital overnight, which damaged parts of the hospital, located at the northern end of the narrow coastal enclave. It did not say who was responsible for the explosion and it did not report any deaths or injuries. “Indonesia once again condemns the savage attacks on civilians and civilian objects, especially humanitarian facilities in Gaza,” the ministry said in a statement. Israel’s military claims it has evidence that Hamas uses Al Shifa and other hospitals such as the Indonesian Hospital to hide command posts and entry points to an extensive tunnel network under Gaza. It says it does not target civilians, and it has allowed some wounded Palestinian civilians to cross into Egypt for treatment. But Israel’s military advance on central Gaza City, which brought tanks within about 1.2 kilometres (3/4 mile) of Al Shifa, according to residents, has raised questions about how Israel will interpret international laws on protecting medical centres and displaced people sheltering there. Deadly air strikes on refugee camps, a medical convoy and near hospitals have already prompted fierce arguments among some of Israel’s Western allies over its military’s adherence to international law.