Israeli strikes killed at least 33 Palestinians in Gaza on Saturday, including people sheltering in tents or seeking scarce food, local hospitals said.

Gaza City and surrounding areas are officially suffering from famine, and it will likely spread, a global hunger monitor determined on Friday, an assessment that will escalate pressure on Israel to allow more aid into the Palestinian territory.

Famine has struck an area of Gaza and will likely spread over the next month, a global hunger monitor determined on Friday.

Famine has been determined in Gaza Governorate, where Gaza City is located, according to a warning issued Friday by the Integrated Food Security Phase Classification (IPC).The report from IPC -- a global initiative monitoring hunger with the backing of governments,

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.

For an area to be experiencing famine, at least 30 percent of children under 5 must be considered acutely malnourished by height and weight measures. Using the arm circumference method, the I.P.C. said, the accepted threshold dropped to 15 percent.

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.