Palestinian officials say Israeli airstrikes have killed 16 people in the Gaza Strip, including five women and four children.

A strike early Monday flattened a home in the built-up Nuseirat refugee camp in central Gaza, killing at least 10 people, including four women and two children.

The Awda Hospital, which received the bodies, confirmed the toll and said another 13 people were wounded. Hospital records show that the dead included a mother, her child and her five siblings.

Another strike on a home in Gaza City killed six people, including a woman and two children, according to the Civil Defense, first responders who operate under the Hamas-run government.

Israel says it only targets militants and accuses Hamas and other armed groups of endangering civilians by operating in residential areas. The military rarely comments on individual strikes, which often kill women and children.

The Gaza Health Ministry says over 41,000 Palestinians have been killed since Hamas’ Oct. 7 attack triggered the war nearly a year ago. It does not distinguish between fighters and civilians in its count but says a little over half of those killed were women and children. Israel says it has killed over 17,000 militants, without providing evidence.